Endometrial Receptivity Analysis Test Cost in India

Being aware of the factors that can potentially impact your ERA test cost can help you prepare financially. The following are prominent ones:

Location of the Clinic

Clinics in big cities like Delhi, Mumbai, or Bangalore may charge slightly more due to higher lab overheads and access to advanced facilities.

Lab Partner or Technology Used

International lab tie-ups or patented platforms may have higher rates due to advanced gene sequencing technology.

Standalone vs IVF Package

Some centres offer the ERA test as part of a complete IVF package which can be more economical than opting for it separately.

Additional Diagnostics or Repeat Tests

If hormonal monitoring or repeat endometrial biopsies are needed, the overall cost may rise.

Doctor’s Expertise and IVF Centre Reputation

Renowned fertility specialists or clinics with high success rates might charge a premium for ERA testing.

Purpose of the ERA Test in IVF

The ERA test identifies the optimal time for embryo implantation, also known as the “window of implantation.” In a typical IVF , embryo transfer is done after five days of progesterone support. However, this may not suit every woman’s natural endometrial rhythm.By analysing gene expression in the uterine lining, the ERA test pinpoints whether the endometrium is:

• Receptive (ideal timing),
• Pre-receptive (too early), or
• Post-receptive (too late).

This helps doctors personalise the embryo transfer day and improve success rates, especially in women who have undergone multiple failed IVF cycles despite good-quality embryos.

The ERA test procedure is simple and minimally invasive, but highly technical in its analysis. Here’s how it works:

Hormonal Preparation or Natural Cycle Monitoring

You may be given hormonal support (progesterone and oestrogen), or monitored in your natural cycle to prepare your uterine lining.

Endometrial Biopsy Collection

Around Day 19–21 of your cycle, a small tissue sample is collected from the uterine lining using a thin catheter. This is usually done without anaesthesia and takes a few minutes.

Molecular Analysis

The tissue is sent to a specialised genetics lab for molecular analysis of over 200+ genes related to endometrial receptivity.

Results Interpretation

Within 2–3 weeks, your fertility specialist receives a detailed report highlighting the receptivity status.

Personalised Embryo Transfer Plan

Based on the report, the doctor will schedule your embryo transfer on a day that aligns with your unique implantation window.

Interpretation of ERA Test Results

The ERA test results guide the next steps in IVF:

• Receptive: Your uterus is ready for embryo implantation at the tested time. Embryo transfer can be done accordingly in future cycles.
• Pre-receptive: The uterus is not yet ready. The embryo transfer should be delayed by 12–24 hours in subsequent cycles.
• Post-receptive: The ideal window has already passed. Transfer should be advanced in the next cycle.

These insights help improve the chances of implantation success during the IVF cycle and help minimise the need for multiple cycles. 

The ERA test offers a number of important benefits for couples undergoing IVF–specifically those with a history of failed implantation or unexplained infertility.

Personalised embryo transfer timing

The test gives an idea about your unique implantation window which allows your doctor to transfer embryos at the most receptive time for your uterus

Reduced chances of IVF failure

By improving timing accuracy, ERA helps avoid unnecessary IVF failures caused by poor endometrial receptivity, saving time and emotional stress.

Beneficial in the case of unexplained infertility

For women with no identifiable cause for infertility, ERA may uncover timing issues that standard tests miss.

Safe and minimally invasive procedure

The biopsy is done in an outpatient setting without anaesthesia and carries very low risk, making it a safe diagnostic tool.

Assists in better treatment planning

Knowing the receptivity status guides your fertility team in curating a more effective transfer strategy that improves overall IVF outcomes.

Improves pregnancy success rates

The chances of successful implantation and ongoing pregnancy increase significantly when embryo transfer is aligned with the optimal implantation window.

Beneficial in frozen embryo transfer (FET) cycles

In FET cycles where timing can be controlled more precisely, ERA can maximise the benefits of preserved high-quality embryos.

If the cost of endometrial receptive analysis is your concern, the following are a few tips that may help you manage it.

Look for Inclusive Packages

Some fertility clinics offer ERA testing as part of IVF or Frozen Embryo Transfer (FET) packages. This might save on overall costs.

Look for Discounts or Special Offers

Look for special offers or discounts that most fertility centres offer that will grant you some relief in terms of cost.

Get a Second Opinion Before Opting In

Ensure the test is clinically necessary. It is usually advised for patients with recurrent IVF failure, not for all.

Discuss EMI or Payment Plans

Many fertility clinics offer easy EMI options for advanced fertility tests and IVF packages. This will reduce your immediate burden to pay all at once.

Check Insurance or Reimbursement Eligibility

While most insurance plans in India exclude IVF, some may cover parts of the diagnostic processes. Confirm with your insurer if your policy covers this.