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Endometrial Microbiome Metagenomic Analysis (EMMA)

EMMA (endometrial microbiome metagenomic analysis) is a specialised diagnostic service that evaluates the endometrial microbiome. This service helps identify microbial imbalances in the lining of the uterus that may impact the success of implantation and overall reproductive health.

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What is the EMMA Test?

EMMA is a comprehensive test that analyses the endometrial microbiome, assessing the presence and balance of beneficial and harmful bacteria within the uterine lining.

It aims to identify microbial dysbiosis (imbalance), which can negatively impact fertility and implantation. EMMA allows targeted treatments to restore a healthy endometrial microbiome (community of microorganisms in the body) by detecting imbalances or infections.

Here are some of the advantages of having the EMMA test done during your in vitro fertilization (IVF) treatment.

  • Enhanced Fertility Treatments: Provides valuable insights that can guide personalised fertility treatments.

  • Detecting Hidden Issues: Identifies infections or imbalances that can lead to recurrent implantation failure or unexplained infertility.

  • Targeted Interventions: Allows for specific treatments to address microbial issues, enhancing overall reproductive health.

Why is the EMMA Test Done?

  • To Assess Endometrial Health

EMMA provides a thorough assessment of endometrial health by analysing the microbiome. This detailed evaluation helps in understanding the microbial environment within the uterus, which is crucial for successful implantation.

  • To Identify Dysbiosis

A primary purpose of EMMA is to identify dysbiosis, which is an imbalance between beneficial and harmful bacteria in the endometrium. Dysbiosis can lead to implantation failure, recurrent pregnancy loss, and other fertility issues.

  • To Improve Treatment Outcomes

EMMA offers valuable information that can enhance the outcomes of fertility treatments. By understanding the specific microbial environment of the endometrium, fertility specialists can personalise and determine treatment types to improve the chances of a successful pregnancy.

How is the EMMA Test Done?

  1. Consulting Your Doctor

    The consultation is typically scheduled 7-8 days after ovulation, which is the optimal time for collecting an endometrial sample. During the consultation, your doctor will explain the procedure, its importance, and what to expect. This session aims to prepare the patient mentally and physically for the sample collection process.

  2. Collecting the Endometrial Sample

    A small tissue sample is collected from the lining of the uterus using a thin, flexible catheter. This procedure is minimally invasive and typically causes minimal discomfort.

  3. Processing the Sample

    The collected sample is carefully preserved and sent to a specialised laboratory equipped for metagenomic sequencing.

  4. Evaluating Reports

    The lab results are interpreted by specialists to determine the presence and balance of beneficial and harmful bacteria in the endometrium. In the follow-up consultation, the treatment plan is tailored to the patient’s specific needs, aiming to enhance their chances of successful implantation.

Why Choose Us

Choosing the right fertility clinic is crucial for starting your family. At Birla Fertility & IVF, we offer personalised care with expert specialists guiding you every step of the way. Our advanced labs and outstanding success rates have helped over 2,30,000 patients achieve their dream of parenthood.

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With a team of 120 fertility experts, state-of-the-art embryology labs, and world-class technology, we achieve outstanding pregnancy rates

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95% Patient
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We offer personalized treatment plans and comprehensive fertility services, ensuring exceptional fertility care under one roof.

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Affordable Pricing

We are committed to making world-class fertility treatments affordable and accessible. We offer fixed price all-inclusive packages and 0% EMI options with no hidden charges.

Our Doctors

Dr. Muskaan Chhabra

Lajpat Nagar, Delhi

Dr. Muskaan Chhabra

MBBS, MS (Obstetrics & Gynaecology), ACLC (USA)

14+
Years of experience: 
  2000+
  Number of cycles: 
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Dr. Swati Mishra

Kolkata, West Bengal

Dr. Swati Mishra

MBBS, MS (Obstetrics & Gynaecology)

20+
Years of experience: 
  4000+
  Number of cycles: 
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Dr. Prachi Benara

Gurgaon – Sector 14, Haryana

Dr. Prachi Benara

MBBS (Gold Medalist), MS (OBG), DNB (OBG), PG Diploma in Reproductive and Sexual health

16+
Years of experience: 
  7000+
  Number of cycles: 
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Frequently Asked Questions

EMMA aims to analyze the bacterial composition of the endometrial lining, identifying beneficial and harmful microbes that could impact fertility, helping to create a more favourable environment for embryo implantation.
Unlike traditional cultures that detect only a limited range of bacteria, EMMA uses advanced metagenomic sequencing to identify a broader and more precise spectrum of microorganisms in the endometrium.
Yes, EMMA can be particularly useful for patients with unexplained infertility by revealing hidden imbalances in the endometrial microbiome that might be hindering implantation or pregnancy success.
A dominance of non-Lactobacillus bacteria in the endometrium can disrupt the balance, potentially leading to inflammation or infection, which may reduce the chances of successful implantation and pregnancy.
EMMA is not routinely recommended for all patients but is particularly valuable for those with repeated implantation failures, chronic endometritis, or a history of miscarriages, offering insights that can tailor treatment for better outcomes.

Patient Testimonials

Recommended IVF by other clinics conceived naturally at Birla Fertility & IVF

We came in for a fallopian tube test, expecting to be recommended IVF. However, our doctor at Birla Fertility & IVF suggested a minor treatment and provided exceptional support and guidance. Thanks to this thoughtful approach, we conceived naturally. We are deeply grateful to the team at Birla Fertility & IVF for their care. With the right support, you’ll be well taken care of. Trust the process and go with the flow!

Jasleen & Jaswinder

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Doctor’s expertise turned our parenthood dream into reality

Our doctor at Birla Fertility & IVF made all the difference in our journey. From addressing all our queries to prescribing only what was needed, the support and comfort we received were invaluable. We are grateful to the entire team at Birla Fertility & IVF

Sakshi & Inderjeet

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Success after multiple IVF failures

After multiple failures at other clinics our family doctor recommended us to visit Birla Fertility & IVF. We received exceptional care and support from the entire team of doctors and nurses who were there to support us every step of our journey. Thanks for making our dream come true!

Simran & Arun Dubey

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