Should You Do the ERA Test After IVF Failure? bit.ly/askdrmalpani

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If you’ve had a failed embryo transfer, chances are someone has suggested the ERA test (Endometrial Receptivity Analysis).

It sounds scientific.
It sounds personalised.
It sounds advanced.

But here’s the uncomfortable truth:

For most IVF patients, the ERA test does not improve pregnancy rates.

In this video, I explain:

• What the ERA test actually measures
• Why the “implantation window shift” theory is overhyped
• What large studies really show
• Why mock cycles + biopsies often add cost without adding results
• When ERA might make sense — and when it definitely doesn’t

The biggest danger of ERA isn’t the biopsy.

It’s distraction.

When implantation fails, the most common reasons are embryo quality or biological chance — not a mysterious timing error in your uterus.

Unfortunately, ERA is heavily marketed as a “precision medicine breakthrough.” But good medicine isn’t about impressive reports. It’s about whether it increases your chance of taking home a baby.

And current evidence shows that routine ERA testing does not improve live birth rates in most patients.

Before you spend money on another add-on test, ask yourself:

Are you solving a real problem —
or are you just buying reassurance?

If you’re confused about ERA, implantation failure, or repeated IVF failure, don’t rely on online forums or clinic sales pitches.