Hi Everyone, I’m doing a biopsy cycle next round (ERA/EMMA/ALICE). The protocol is similar to a transfer cycle. It’s to take estrogen for 2ish weeks, then progesterone, and finally do the biopsy at the end. My question is, if I’ve never had to take estrogen for my transfer cycles, why do I have to for this? I’ve always done modified natural and estrogen levels have been high.
I would love to hear your biopsy protocols if you’ve done any. Thank you so much :)
I was told the ERA/EMMA/ALICE had to be done in a fully medicated mock transfer cycle. Not sure why, though. I was able to do Receptiva in a natural cycle.
I did modified natural for my biopsy cycle. I was told that it is very important to do exactly same protocol as you plan to do for the transfer cycle. Otherwise the results, especially ERA which tells your receptivity window, won't be applicable for the transfer.
Ask your doctor.
She said it’s standard protocol. It took quite a bit of convincing for her to even agree to the biopsy at all.
I think you should ask your team. It sounds like they’re having you do a fully medicated cycle for the testing.
Are they switching you to modified ovulatory with estrogen support or fully medicated to try for different/better results?
I think they’re switching me to fully medicated just for this biopsy cycle, but then I can go back to a modified natural when I do a transfer again.
That doesn’t really make sense. The ERA to the extent is has any value (more and more it’s in question) specifically indicates you have to be doing the same type of cycle in biopsy and transfer to have it be relevant.
If you’re not doing the era the same way as your actual transfer I’m not sure there’s a benefit to do the era. Maybe just do EMMA/ALICE/RECEPTIVA instead and skip the mock.
I completely agree with this. I had asked for the receptiva. I’m not even sure what the ERA is. After the 8th failed transfer I like heck let’s just do every test.
If you’re not doing the era the same way as your actual transfer I’m not sure there’s a benefit to do the era. Maybe just do EMMA/ALICE/id push for the receptiva. They can do all the biopsies at the exact same time.
That makes a lot of sense, thank you.