- Era test success stories. In order to ensure that the benefits of the ERA test extend beyond its limitations, the clinic considering the test should also have a high success rate in frozen embryo transfers and procedures. Advanced diagnostic technology, like Endometrial Receptivity Analysis (ERA), can improve the chance of successful conception for couples with infer Feb 21, 2021 · ERA test IVF is the latest development in assisted reproductive technologies. Balamurali Ambati was clearly very talented as a boy, studied hard at school and did well. NET Success Stories booklet 1 Feb 25, 2019 · In order to understand the ERA Test and the ERA test success rate, you need to know a little bit about the endometrium. gov/33880419/ IVF in most countries including India is self paid by the couple. Feb 2, 2017 · If you were watching ABC News earlier this week, you may have seen a story about a couple who experienced 4 failed IVF cycles. It was already obvious what he wanted to become – a doctor, and so he worked hard to achieve his ReceptivaDx™ (BCL6 Test) Predicts Chances for a Successful Transfer and Successful Pregnancy. Knowing this can be empowering since, as an informed patient, you can take an active part in your fertility care. WeChat : siamfc. Success stories highlight important findings of NEURON funded projects within neuroscience and brain research. The endometrial receptivity array (ERA) test is a new player amongst the plethora of add-ons ‘solutions’ for repeated implantation failure (RIF), but it seems to be following the same path as other add-ons which were deemed unproven due to failure to demonstrate an increase in success rate, mainly the live birth rate (LBR). Personally I am thankful we did the ERA test. ” Aug 5, 2017 · Plus, I’ve read a number of success stories online from DEIVF parents who had success after doing this test. There are over 238 genes that must be assessed through this test. . 8. since 2009, after more than 10 years of research. ERA test determines whether the endometrium is receptive for the embryo when the transfer is being planned. Just means I'm on levothyroxine until baby can make their own thyroid hormone! Dec 29, 2020 · I had A 2nd ED transfer which failed and the doctor is now recommending I complete the Receptiva DX test. The tissue obtained Therefore, ERA TEST is needed for finding a perfect time to inject Progesterone to help embryo implantation. I previously completed an ERA test which found I was getting to much progesterone and the best time to transfer. Feb 1, 2017 · ERA - opinions? success stories? - posted in General Infertility: Hello all, I just had a WTF appointment with my RE to discuss my FET failure. ERA test is a genetic test performed to determine the best day to transfer the embryo during an IVF cycle. Congrats! We haven’t tested the 4 embryos we have - we were told because of my age -34 - not necessary. Another test conducted via an endometrial biopsy is the ERA. Jun 1, 2024 · The ERA test can determine whether this ‘implantation window’ is happening for you at the expected time. This test evaluates the receptivity of the endometrial lining to determine the optimal timing for embryo transfer, increasing the chances of successful ERA (Endometrial Receptivity Array) Test - an advanced diagnostic tool used in IVF to determine the optimal implantation window for a successful pregnancy. More Infertility Resources. Usually, day 3 embryos are transferred on the 3 rd day of progesterone intake and similarly, day 5 embryos (blastocysts) are transferred on the 5 th day of Without the ERA, I would have had numerous failed transfers before any success. Aug 18, 2023 · The Endometrial Receptivity Analysis (ERA) Test is a crucial component of the in-vitro fertilization (IVF) process, designed to enhance the success rate of implantation during embryo transfer. Endometrial receptivity array test What is ERA test? ERA (Endometrial Receptivity Array) is a personalised genetic test to determine the receptivity of the endometrium (i. Jun 26, 2024 · The London clinic wants us to do a diagnostic cycle with era test before transferring to maximise chances of success but that costs a fortune! Like, nearly 5k! I'm thinking I'd rather put it towards the cost of another egg collection as soon as possible unless it really is game changer? Aug 25, 2022 · An ERA isn't considered to be a required test prior to an embryo transfer, and whether it’s recommended or not should be discussed with your clinical team. Some then had successful pregnancies, perhaps thanks to the ERA test’s recommendations. The ERA or Endometrial Receptivity Array is an advanced fertility test to help improve the chance for IVF success. The other option is to try another protocol and he still heavily supports using a Matris test (even though we did this and I had an ERA is a genetic test carried out to assist the chance of successful embryo implantation. Oct 14, 2021 · I’m currently pregnant with baby #3 and the ERA helped out a lot. This makes me think that I need to be transferring on day 6, and the ERA test should confirm. That first ERA came back pre-receptive by 24 hours. A sample of endometrial tissue is taken, and molecular level analysis is done. May 12, 2019 · Here at AAFC, we use the ERA® test to establish the timing of this endometrial implantation window, as we know from experience that is a crucial factor for the success of an ART. So let’s have a closer look. Feb 18, 2020 · In our fertility practice during the past six years, we have been using a cutting-edge test called the Endometrial Receptivity Analysis (ERA®) to improve the chances of a successful frozen embryo transfer in patients who have experienced unsuccessful IVF due to 1 or 2 frozen implantation failures. I had 4 IVF cycles at the age of 40-41. I'm only seven weeks, so in my mind I won't be a true success story until I make it beyond the first trimester. Jul 5, 2022 · 1. ncbi. ERA Test in Dolores, reviews by real people. Our first PGS FET failed, and my RE suggested the ERA. In total we have had 7 transfers (4 fails and 3 success) and I have to add that 3 of the 4 fails was before ERA. Hi Everyone, I am anxiously awaiting my first FET (May 11th) and the wait honestly feels interminable. We decided to do the first ERA back in 2018 after cancelling 3 FETs because my lining was too thin (never more than 6. ; The ERA test has been shown to be highly sensitive and specific in the detection of genetic expression profiles associated with receptivity. However, if they are receptive, this may allow the embryo transfer to be transferred on that same day for the best success. Learn about the ERA Test cost, procedure,success rate Nov 6, 2019 · IVF At 46 Success Story: The Cycle That Finally Worked (And What We Did Differently) I am sharing my success story to bring hope & inspiration to other women. My ERA came back receptive so it didn't change protocol but I'm glad we did it anyway! First transfer worked, 15+1 today. 18, 2021. Estimation of endometrial receptivity in the past was done with a series of ultrasound transvaginal scan. Oct 19, 2019 · Hi all!! I'm starting this in hopes that someone else has gone through what I am and may be willing to share your experience and or success stories. The community is frequently asked "what worked for you?" or for stories of success. Mar 20, 2024 · Endometrial Receptivity Analysis (ERA) Stress and anxiety from repeated implantation failure (RIF) are daunting emotions that couples undergoing IVF must contend with. ERA was initially developed for patients with recurrent implantation failure, and then became available for all IVF patients. Apr 28, 2022 · There are several tests to identify uterine causes for IVF failure. It allows determining the best moment for transferring the embryo into the uterine cavity during the IVF program. Yelp is a fun and easy way to find, recommend and talk about what’s great and not so great in Dolores and beyond. We only had two pgta euploid embryos, so my clinic recommended we do ERA before transferring any. Jun 23, 2023 · Here at India IVF Fertility, we’ve witnessed numerous success stories where the ERA Test has played a crucial role. The ERA test evaluates the functioning of the genes that determine the receptivity of the endometrium. Nevertheless, proceeding ERA TEST could increase the pregnancy rate. Overview Success Stories; Other joint activities. Whether you’re trying to get pregnant naturally or through fertility treatment, knowing a bit about the endometrium can help you understand the importance of timing in conception. Don’t know whether I should embryo bank - and do another embryo retrieval now - get them tested before we put anymore back in. nlm. But is it any good? A number of our fertility patients have had it. Haven't had any symptoms or signs of pregnancy, which I know doesn't rule out the possibility that it's worked, but it's been about 5 days now since the transfer. Only 1 blastocyst of acceptable quality on day-5 was produced (3BB4AA, morphology not testing). I have a period cycle that is borderline irregular - these past 6 months it has actually been regular at 25-27 days, but go back further than that and it has ranged from 22-31. This can be checked with an endometrial receptivity array (ERA) test. Sasson was the only physician I’ve worked with who wanted to test my ERA. The ERA (Endometrial Receptivity Analysis) is a test that evaluates the expression of genes in an attempt to define the optimal embryo transfer window. A little about me, I started my IVF journey in 2017 and had my first retrieval in 2018 with a fresh round to follow. What is ERA? In the field of fertility treatment, the term ERA stands for Endometrial Receptivity Array or Endometrial Receptivity Analysis. As this will most likely be my last transfer for those of you who had I’ve had two ERA tests, with no implantation yet. Be the next success story. Before he made it big he was essentially a starving artist. Success Stories the council enlisted the expertise of ERA subsequent to an OJEU-advertised market test ERA TEST or Endometrial Receptivity Analysis Test, developed and patented by Igenomix (PCT/ ES2009/000386 is a test designed to evaluate endometrial receptivity by gene expression. Learn why this diagnostic tool is crucial for enhancing the success of IVF procedures and achieving successful pregnancies. In summary, like all other add-ons, it is doubtful whether the ERA test use can significantly enhance implantation success rates. Benefits of ERA: – ERA recommends the best time for embryo transfer by identifying the window of implantation thereby increasing successful pregnancy rates – The test is highly sensitive and accurate in detecting genetic expressions for endometrial receptivity – ERA test resulted in a 73% pregnancy rate in couples with implantation failure. He is suggesting we could consider doing an ERA (and a medicated protocol) to see if my window of implantation was off. We would talk through every step of my treatment plan — discussing the next steps, listening to my thoughts, and even reeling me in if needed. The cost of the test was $850 plus the cost of medication, the endometrial biopsy and medical visits. We transferred 3 different times and failed all 3 times before we did ERA. May 7, 2024 · The ERA test entails an analysis of 248 genes in the endometrium to detect endometrial abnormality. Success Rates (84) Success Stories (46) Surrogacy (11 The report generally comes within one or two weeks after the ERA test biopsy. The results were now that my ERA was completely normal (transfer 5th day- where before it said to transfer 6th day (extra day needed)) and the Receptivadx showed I had the beta integrin 3 but my BCL6 was 3. i,ii ERA evaluates the expression of genes involved in endometrial receptivity during the window of implantation (WOI). My next FET was a chemical, and the one after that resulted in my current pregnancy:-) Can't prove for sure that it was the only factor, but I had never achieved a pregnancy before at all without that extra progesterone that the ERA results called for Dec 13, 2023 · Discover the Endometrial Receptivity Array (ERA) test's significance in IVF, unraveling the key role it plays in optimizing fertility. Dec 8, 2022 · An endometrial receptivity analysis (ERA) has the goal of identifying the perfect time, or window of implantation, to transfer an embryo for better live birth rates. https://pubmed. Here we examine the latest data on the reliability of this test and whether it should be considered as part of your treatment plan. , the test identifies when the uterine lining is ready for embryo implantation within a specific period). ERA Test. It’s important to establish the right framework, change management and synchronization with development cycles. While very effective under certain circumstances, an ERA test will only yield meaningful results if the timing of implantation is a contributing factor in implantation failure. Petrified that the 3 in the freezer will all fail also. The ERA is a personalized genetic test to diagnose the state of endometrial receptivity During their post transfer consult, they learned of a test that had very promising results, called Endometrial Receptivity Analysis (ERA) With Endometrial Receptivity Analysis testing, the woman’s endometrium is biopsied to determine the optimum time that her uterus is receptive for implantation. nih. Has anyone had an ERA (endometrial receptivity test) done? My husband (44) and I (29) are currently in our tww of our 4th FET. The Endometrial Receptivity Assay (ERA) test involves three weeks of estrogen and progesterone medications followed by an office sampling of the uterine lining tissue during a procedure known as an endometrial biopsy. Many women undergoing IVF are unable to get pregnant, even after transferring good quality embryos. All three analyses can be done with a single biopsy for $1,000. In a 2021 study , ERA testing did not significantly improve outcomes for single euploid frozen blastocyst transfer (FBT) in an unselected population. M-ERA. Good luck. Feb 23, 2022 · ReceptivaDx with ERA. I'm beyond thrilled to be a success story for the ERA! My first two transfers of PGT tested euploid embryos failed completely. Apr 14, 2021 · Introduction. With the data collected from your ERA test, a personalised embryo transfer will be performed according to Test Success NYC did an outstanding job preparing me for my TOEFL test. Thus, allowing your doctors to better time your embryo transfer. Dec 2, 2021 · A patient of Dr. Oprah Winfrey. What is the EMMA test in IVF? The EMMA test, which stands for endometrial microbiome metagenomic analysis, can determine the composition of microbial species in the uterus. Nov 2, 2018 · The ERA test, or endometrial receptivity array test, is a new way to address implantation issues. Oct 14, 2023 · Stories have a special ability to uplift, inspire, and remind us that human tenacity can result in amazing accomplishments even in the face of hardship. 02. Based on what my doctor said, sometimes women test positive but don’t have visible endo because there is microscopic inflammation in the lining that can’t be seen. The endometrial receptivity analysis (ERA) helps assess the best time to transfer an embryo in order to increase the odds of the embryo implanting to the uterine wall. Fertility expert Mr. . Although a good quality embryo is an important starting point, it is also important to transfer the embryo into a uterus that is ready to receive the embryo. โทร : 02 116 5905 #101 Line ID : @siamfertility. I also have high TSH by the way. The award-winning media company, a subsidiary of RTL Group and Bertelsmann, has diversified its business model and redefined its mission in recent years to become a hybrid talent agency and content studio that sees itself as the shortest route to every community in Europe. e. Evidence (1) shows that 25 percent of recurrent implantation failure patients who undergo the ERA test had a non-receptive lining at the expected implantation time. Tell us your story. This favorable time exists for a short while. The first FET I did with that protocol worked, I'm 13 weeks now. ERA is the first test developed to evaluate endometrial receptivity with published clinical efficiency. The idea was to test its receptivity and, if it’s receptive, proceed despite the thin lining. When we began our IVF journey, I scoured the internet for any and all type of IVF Over 40 success story that I could Oct 27, 2022 · The endometrial receptivity test, also known as the ERA test or Endometrial Receptivity Array, is a molecular diagnostic test used to determine the receptivity of the endometrium. Dr Randy Morris MD - YouTube's Favorite BO a non-receptive result. To be honest after after a few negatives using really good embryos my consultant did suspect my window was out and instead of the usual 5 days we adjusted to being on progesterone for longer and we got out first BFP but there was no actual timings involved and we lost that one due to low progesterone Jan 28, 2022 · We are humbled by the strength, courage and bravery of all who shared their own personal loss and infertility stories with us. ERA helps to find a so-called implantation window – the time when the endometrium has the To my surprise my test came back positive and a high one at that. 7 out of 4. We’ve collected 20 true motivational stories from many walks of life for you in this compilation, each of which offers a unique viewpoint and a worthwhile lesson. as well as things that did not work for them. Course materials offer a great deal of training experience and prepare well for the test day. The indications of the ERA test: Repeated failed implantations; Patients with morphological normal endometrium following the surgical treatment of congenital uterine anomalies; Patients with atrophied or hypertrophied endometrium; The biopsy for the ERA test is performed on the day when the embryo transfer should theoretically take place. Success Stories. อีเมล์ : info@siamfertility. One of America’s most powerful women, Oprah Winfrey had to overcome a myriad of obstacles throughout her life. DO THEY IMPROVE IVF SUCCESS? Before you spend 100 Teenage success stories. A Balamurali Ambati, doctor. Feb 25, 2019 · In order to understand the ERA Test and the ERA test success rate, you need to know a little bit about the endometrium. This test has been pivotal in our mission to bring joy to families, particularly for those with a history of failed IVF attempts. There are only 5 – 10% of patients considered RIF. Read Part 1 of Katie's Story; Read More Fertility Success Stories; Explore All IVF Articles He also agreed to run the Receptivadx test so we used femera and repeated the ERA and then also did the Receptivadx test. Growing up in a broken home, Winfrey lived in poverty and endured sexual abuse from male family members for many years. Jan 27, 2024 · 1. In other words, the ERA test is not suitable for treatments that involve hormone stimulation and fresh transfers after oocyte retrieval. NET Success Stories booklet 2 (published 2020) M-ERA. Cookies and website analysis We want this website to meet your needs as best as possible. But new research has Over the past few years, the ERA test has become a popular option for those seeking answers on why their embryos have failed to implant. Elevate your profile, connect with data leaders, and promote your team's accomplishments with data, analytics, and AI. Thanks to this test, implantation failures are less likely to occur in in vitro fertilization ( IVF ) treatments. This technique allows us to evaluate the endometrial receptivity status of a woman. Dr. 2 day 3 transferred and and 1 Doc recommended the ERA when both of those failed, and the ERA showed I needed an extra 28 hours of progesterone. I took a 4-week prep course with Test Success NYC and got 102 on my TOEFL test first try! I learnt a lot and enjoyed the course tremendously. I did the Endometrio tests in a mock cycle last month and my results were back within 8 working days, so I could've started my FET sooner, but we were anticipating the tests finding something that needed treatment. At Ferticentro, we usually work with the ERA test. Sep 10, 2021 · Hi @Janefx40 I think if you're doing the Emma, Alice and nk cells biopsy, you might as well do the era as well. How does it work? ERA Group is a network of 1,000+ specialists worldwide. For patients undergoing in vitro fertilization, there is a common test to help determine the best time to transfer the embryo for a successful pregnancy. This allows the medical team to pinpoint the Low ovarian reserve – success stories & real-life cases The first case presented a 28-year-old woman with a low AMH level, married, her husband had no male factor, she took the contraceptive pill for a lot of years and then decided to have a baby, she did have a pregnancy 2 years before, but she had a miscarriage. If they are non-receptive, a second ERA test will usually be required in order to determine the WOI. Udoff, who is also a nurse, can attest to her success with the ERA and to its success with her patients. What Does the ERA Test Feel Like? The ERA test is ideal especially if you've had several implantation failures and have been unable to conceive even after the transfer of good quality embryos. The teachers are masters of the TOEFL test, and made me feel it's not difficult to get 100+ score. Jan 4, 2019 · I have a similar story. It was a huge help to me, so much so that I am doing another before my next transfer to make sure nothing changed. As such, the ReceptivaDx is often added on to and completed in conjunction with Endometrial Receptivity Analysis (ERA). Why should we choose the ERA test? We Are Era is a pan-European media company that turns values into stories, talent into icons, and insights into relevance. The pros and cons of ERA TEST are: Pros – If you are considered RIF, you wouldn’t waste your embryo 1 – 2 times. Oct 26, 2021 · To best answer that question one must understand the processes related to this test and weigh the benefits. Zero implantation. Jun 30, 2018 · The test results are either “receptive” or “non-receptive”. As a medical professional, she knew of the test beforehand and after two failed attempts asked if she would be a candidate for ERA. There is a favorable time for every woman when it is most suitable to conceive. The test is performed to help prevent implantation failure by identifying a woman’s unique and optimum “window of implantation. The tests are rarely covered by health insurance, but that’s something to discuss with health care practitioners and insurance providers based on individual circumstances. Evripidis Mantoudis FRCOG comments: According to new data it appears that ERA test does not After the test , it is possible to work out the period of time which will favor successful fertilization. Also, V was a day-6 transfer, FET1 was a day-7, and FETs 2 and 3 were day-5’s. Mar 2, 2022 · So my clinic does not offer ERA testing, and I am debaring how necessary it is for me, after a failed IVF cycle (and several failed IUIs). In a study published in the December 2017 issue of Fertility & Sterility, the official journal of the American Society of Reproductive Medicine (ASRM), BCL6 was able to identify women with a poor prognosis for IVF success and a successful pregnancy if left undetected and untreated. I got pregnant at 45 with donor embryos & delivered my IVF baby at 46. Our fertility centres in Madhapur & Financial District, offer an extensive range of fertility treatments, including the advanced endometrial receptivity array test (ERA) in Hyderabad. 26 The ERA test results help detect any deviation in embryo transfer timing and thereby impact the success of a transplant. 5mm). The intra-patient variations in the test need to be addressed. The endometrium is optimum for implantation at this time. There are other tests on the market, the ER-Map, ERPeak, and The Win-Test, there are lots of very similar tests on the market. I’m interested in the ERA® test, where do I start? Is the ERA® test still helpful if I’ve been pregnant before? 01. What is the ERA success rate? When used properly, an ERA test can provide valuable information fertility doctors can use to correct the timing of IVF cycles. Dec 18, 2021 · Dec. A diagnostic method developed and patented by IGENOMIX R&D Dept. White Rose Fertility is driven by a foundational belief that every person’s journey to parenthood is unique, requiring personalised medical care and treatment. Can ERA Really Increase IVF Success Chances? An ERA test can never guarantee a future pregnancy but it can always increase the possibilities of a successful pregnancy in the patients pursuing frozen embryo transfer as the time of the embryo transfer can be kept within ERA, which stands for endometrial receptivity analysis (previously known as endometrial receptivity array), is a diagnostic tool intended to determine how “receptive” the maternal uterine lining (endometrium) is towards implantation of a transferred embryo. New patients: 0161 300 2737. ERA involves biopsying a small sample of the endometrium, or lining of the uterus, for molecular analysis. com ที่อยู่ : 361/3 ถนน ศรี Dec 7, 2018 · The ERA test has been found to improve global pregnancy rates up to 73% in the personalized transfers made according to the test results (Fertility and Sterility, September 2013). Sylvester Stallone. It was 3. It can be fatiguing to answer the same question repeatedly so the community has compiled a sheet of success stories including medications, treatments, etc. Reply reply The Endometrial Receptivity Analysis (ERA), developed and patented by Igenomix (PCT/ ES2009/000386), is a test designed to evaluate endometrial receptivity. These tests are expensive and invasive. The endometrium refers to the inner uterine lining to which the embryo must attach itself after fertilization. The following graph highlights the key differences between the tests. Patient success stories; See our prices; May 27, 2022 · Gynecologists use an ERA Test (Endometrial Receptivity Analysis) to help women undergoing IVF treatments determine if the endometrium is receiving an embryo at the right time. Sep 2, 2015 · The ERA test improves the chances of success for patients by determining the right time to transfer a frozen embryo based on the individual patient's uterine wall receptivity. It is a genetic test in which a small sample of a woman's endometrial tissue is taken to assess if her endometrial lining is properly developed such that it can successfully accept an implanting embryo Sep 14, 2022 · What is ERA testing? Endometrial receptivity array (ERA) is a diagnostic procedure that may help determine whether the endometrial cavity is ready for embryo implantation. Apr 1, 2024 · Process: The test automation process is like rules for the game. The ERA® test can therefore still be valuable and pinpoint the time in which the chance of pregnancy is the highest, especially if you’ve had multi-ple unsuccessful embryo transfers. Posted by u/purpleeverything_16 - 1 vote and 11 comments It looks like you might be looking for success stories. As mentioned, ReceptivaDx is collected during an endometrial biopsy procedure. Sylvester Stallone has one of the most inspiring success stories. Each time 8 to10 eggs were retrieved, 6 to 8 matured, and 4 to 7 fertilized. The most known test is the Endometrial Receptivity Array (ERA) test, which is a commercial name of the test from Igenomix. Success Stories Haitao - China. About 200 genes will be evaluated to help plan a personal window of implantation for the most suitable embryo transfer timing. The results from ERA testing can indicate the optimal time for embryo transfer, which may improve your chance of successful IVF treatment. Our ERA test came back with results that I needed to start progesterone 24 hours earlier. For many years during and after his college years, he worked odd jobs to pay the bills. Read Part 1 & Part 3 of our story now! Follow along on Instagram for more updates. I have always had a very odd cycle timing and for some reason having lining receptivity different from the norm just felt like it was a real possibility. The Alice test is $300 and the more comprehensive EMMA test is $500. Longer backstory: I had 3 euploid embryos after my first egg retrieval, so my plan was to do two FETs and if they didn't work do an ERA before transferring the third ERA Fertility Test Success Rates Research on the effectiveness of the endometrial receptivity assay (ERA) in improving pregnancy outcomes for IVF patients has yielded mixed results. Failed FET with a good embryo, did ERA and a mock cycle - found I needed 12 more hours of progesterone. May 17, 2020 · An Endometrial Receptivity Analysis (ERA) is a test done to evaluate a woman’s endometrial receptivity (aka how likely an embryo is to stick). Along with his older brother, he co-authored a medical manual aged just 11 aimed at would-be doctors. I did an ERA and found that I was 28 hours pre-receptive. Overview. Once the ERA test helps understand if there is an endometrial readiness timing deviation, the embryo transfer is planned accordingly. I gained every goal at Test Success, improving my TOEFL scores, meeting nice fellows, and learning a great methodology to improve my English skills. I've spent an embarrassing amount of time scouring the literature for success rates for first FET but it gets very convoluted as it is difficult to tell if they mean 1st egg retrieval, 1st transfer, etc Aug 24, 2020 · Yes that's correct and the only other adjustment was that Im on shed loads of progesterone. The ERA test is a molecular genetic study of the endometrium. When they tried a new physician who administered an Endometrial Receptivity Analysis (ERA) test, they had twins. ciiicb jrdq gffs vbo wuxjik gck qcgw hkgp erqlt bxqaf