When should an ERA test be done? When should ALICE test be done? When should EMMA test be done?
While there are tests available for assessing certain aspects of endometrial receptivity, they currently lack robust evidence to be recommended for all couples. Each case should be individualized, and such tests may be considered in specific situations, especially when other potential causes of miscarriage have been ruled out.
The evidence with regard to the understanding of the endometrium and the uterine cavity is very weak at the moment. We know that an abnormal endometrial environment could be affecting implantation, could potentially cause a miscarriage but that is because there might be other infection or inflammation of the endometrium preventing embryo to implant or later on preventing a pregnancy to continue. But, I am not in a position to say with confidence that the available tests including the EMMA and the ALICE test will be significantly reducing the risk of miscarriage if infection or inflammation of the endometrial cavity are found.
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