ERA experience - is it worth it? - Fertility Network UK

Fertility Network UK

56,477 members59,790 posts

ERA experience - is it worth it?

darkbuthappyplace profile image

I have just had my WTF appointment after our 6th failed transfer. My Dr has recommended that we do ERA test before we transfer any more.

Can anyone say that it helped?

What's the difference between that and testing your progesterone levels on the transfer day and then upping if they need to?

He also said it would identify any infection that needs to be treated, has anyone experienced this?

TIA xxx

Written by
darkbuthappyplace profile image
darkbuthappyplace
To view profiles and participate in discussions please or .
Read more about...
23 Replies
Boo718 profile image
Boo718

Hello, I can tell if it has made a difference yet but after 2 bfn and 2 chemical I had the era alice and Emma tests in may this year. It came back saying no infection, bacteria was fine and that I needed an extra day of progesterone so transfer should be on day 6 instead of day 5. I am in the 2ww at the moment with the new transfer date so can tell next week if it’s made an ounce of difference xxx

Cinderella5 profile image
Cinderella5 in reply toBoo718

Good luck Boo!!xx

Purple276 profile image
Purple276 in reply toBoo718

Good luck Boo! I'm in the 2ww too after my ERA showed the opposite to you. Fingers crossed we both get our positive!

Vipperson profile image
Vipperson in reply toBoo718

Hi, what were your results after ERA ? Was it helpful or not ?

Boo718 profile image
Boo718 in reply toVipperson

Hello I had a little girl. Absolutely made a difference for me xxx

darkbuthappyplace profile image
darkbuthappyplace in reply toVipperson

Hey, my results came back with nothing to change, basically all my levels were as they should be and no symptoms infection. I guess it gave me reassurance that the protocol was right. I have since had a little boy from the cycle after this. We did a fresh transfer on day 5. Xxx

McQueeny profile image
McQueeny

heya. It’s different because rather than just checking progesterone levels it takes a biopsy if your womb lining and checks for receptivity.

I do think it’s worth it - in my case it identified that I was post-receptive, and recommended making the transfer earlier (I.e. 4.5 days of progesterone rather than 5).

I then did get a BFP, even though sadly ended in a chemical .

Very personal though, overall there is limited evidence for some of these tests….

JA-fnuk profile image
JA-fnukPartnerNurseFertility Network UK

Are you on low dosage aspirin / heparin this is thought to increase blood flow to the womb? The ERA test is to help pinpoint best time for transfer to help implantation.

Hope all goes well at your appointment

Take care

Janet

darkbuthappyplace profile image
darkbuthappyplace in reply toJA-fnuk

Hi there, yes, i'm on low dose asprin then clexane injections. xx

AuroraXen profile image
AuroraXen

I did the combined ERA, uterine NK cell level, and microbiome tests at the start of this year. I just felt I wanted to check what was happening, as that was 3 embryos transfers and zero implantation. My ERA results said I needed an extra 24 hours of progesterone. I had one transfer after that, using this new 6 days instead of 5 days protocol. It didn't work sadly, but I'll push to do it again if I have any future transfers xx

Boo718 profile image
Boo718 in reply toAuroraXen

did you get your embryos pgd checked? We had a number of really good top grade embryos and they were all abnormal. The one we had that was normal was really poor quality. Not sure if that would work for you xxx

Habibi87 profile image
Habibi87

My consultant once said that if you had a chemical pregnancy or an early miscarriage then ERA is not needed as it shows that the implantation window was right as implantation did start. We’re your embryos PGA tested? Sending you love xx

Boo718 profile image
Boo718 in reply toHabibi87

I had 2 bfn then 2 chemicals my window then turned out to be a day out and I needed an extra day of progesterone xxx

Cinderella5 profile image
Cinderella5 in reply toHabibi87

This wasnt the case for me either. I needed extra time on progesterone too.xx

darkbuthappyplace profile image
darkbuthappyplace in reply toHabibi87

No, none were tested this round. We're talking about doing an egg collection and testing plus the ERA this time. I think this is as much as i can do in terms of testing already doing an immunology protocol after having elevated NK cells. xx

Cinderella5 profile image
Cinderella5

For me, i genuinely believe that it helped. I had an honest chat with the consultant and she did say that if they found an implantation displacement that in her experience it made the difference. We had triedt own eggs, DE and moved my progesterone number of day with guess work, we got a bfp and it didnt stick...had another but same. I was almost giving up but had the ERA andnit found i needed extra time on progesterone which we thought but got the proper timings. Unfortunately we had a bad cycle after that with really bad sperm but the following one we got pur twins.....9th transfer. Maybe coincidence....who knows.xxx

darkbuthappyplace profile image
darkbuthappyplace in reply toCinderella5

That's thing you just don't know but at least you can say you tried everything and no regrets no throwing everything at it. I think PGS testing plus the ERA will tell us if we need to give up on OE and move to DE too. xx

Cinderella5 profile image
Cinderella5 in reply todarkbuthappyplace

Oh i definitely agree that you should feel youve done your best with OE before moving to DE, its still hard but it was the best thing we did!xx

Purple276 profile image
Purple276

Hi

Sorry you had to have a WTF meeting again - they are the worst.

I'm also a believer of the ERA but no proof yet! I had 5 transfers and none took, ERA said I needed fewer days of progesterone before transfer and currently in the 2ww hoping that worked. It could have been the egg quality so with all these things you just never know.

I was told if you had any implant then less likely that the timing was off but could be the EMMA or ALICE might be helpful. It's just trying to work out what's worth spending the money on. Such a mindfield but wish you the best of luck x

JuicyLu profile image
JuicyLu

Hello - mine came back as receptive on day 5 so in that sense wasn’t helpful (as transfers were at the right time) - however it was reassuring. Also - I would recommend considering the EMMA test. It turned out I had an infection which we were unaware of (no symptoms) which was then treated. Usually clinics offer ERA/EMMA/ALICE combined as one test so although it costs a bit extra it’s done at the same time. This text, combined with having PGS embryos was the thing we changed on our last round and I’m currently feeding the baby we had as a result ☺️ I had many tests during IVF but these ones I felt were worth it. Good luck x

darkbuthappyplace profile image
darkbuthappyplace in reply toJuicyLu

That's great to hear! We are going down this route this time so hopefully gives us the answers we need. Our Dr said ERA, didn't mention EMMA/ALICE but did say that the test would look for any infection? So is that ALICE/EMMA test? xx

JuicyLu profile image
JuicyLu in reply todarkbuthappyplace

I suspect from that they are doing all 3 as this is often done - but I would check. ERA itself is only testing progesterone as far as I know x

Cinna-mom profile image
Cinna-mom

I got it done after my first failed transfer and it revealed that I needed another day of progesterone before the transfer. I got pregnant on my 3rd cycle so it was very helpful.

Not what you're looking for?

You may also like...

ERA Test?

Hi everyone, Cant find the answer to my question anywhere so thought I would ask you lovely...

ERA test - anyone have experience of this?

We’ve just gone through our fourth failed transfer and have been speaking with our doctors about...
Bistbee profile image

Era test

Hello all...my doctor is recommending an era test before my next transfer.. i hve a few questions...

Results of ERA

Hello all, Some people were keen to know my results from my ERA as they were either going through...
hifer profile image

Era pre receptive

Hello has anyone found out they are pre receptive. Did the extra day of progesterone before...
Boo718 profile image

Moderation team

See all
Claire_FNUK profile image
Claire_FNUKAdministrator
JA-fnuk profile image
JA-fnukPartner

Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.

Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.