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      Genetic Solutions > EndomeTRIO

      EndomeTRIO: The endometrium matters

      A new dimension of endometrial health to improve the reproductive prognosis of your patients.

      EndomeTRIO
      • Technical Overview
      • Documentation
      • Scientific evidence
      • I’m not a health specialist
      EMMA Endometrial Microbiome Metagenomic

      EndomeTRIO

      EMMA + ALICE + ERA

      igenomix

      A better understanding of endometrial health to improve reproductive prognoses

      igenomix

      A better understanding of endometrial health to improve reproductive prognoses

      EMMA Endometrial Microbiome Metagenomic

      30% of infertile women
      have pathogenic bacteria

      Interested in learning more?

      Request information
      Or Email us at supportspain@igenomix.com
      Overview
      • EndomeTRIO
      • Benefits
      • Indications

      What test does the EndomeTRIO analysis include?

      Endometrial Receptivity Analysis

      The ERA test evaluates the stage of an endometrium to determine if a receptive or non-receptive genetic profile is present at the time of biopsy.

      EMMA Endometrial Microbiome Metagenomic
      Endometrial Microbiome Metagenomic Analysis

      A screening test to evaluate the endometrium at the microbiological level.

      Analysis of Infectious Chronic Endometritis

      ALICE detects the bacteria causing chronic endometritis to improve your patient’s reproductive prognosis.

      What is the procedure?

      EndomeTRIO

      Why does the endometrium matter?

      • The endometrium has been noted as a key factor for a healthy pregnancy in recent scientific studies.
      • Since 2011, Igenomix has been conducting a deep line of research to understand the role of the endometrial factor in recurrent implantation failure patients.
      • Our recent publications in the American Journal of Obstetrics and Gynecology (AJOG) demonstrate a new dimension of endometrial health that can improve your patient’s reproductive prognosis.

      Why use EndomeTRIO test?

      • A better understanding of endometrial health to improve your patient’s reproductive prognosis:  Analyses Endometrial receptivity, chronic endometritis and endometrial flora.
      • EndomeTRIO uses the latest Next Generation Sequencing technology.

      Who should use EndomeTRIO Analysis?

      • Women who have experienced implantation failure with morphologically good quality embryos
      • Women with a history of recurrent pregnancy loss
      • Women who have an atrophic endometrium (< 6mm) present higher risk of having a displaced WOI.
      • Women with Chronic Endometritis.

      ERA Test limitations

      • There is a risk (<5%) to get a non-informative result, in which the biopsy procedure has failed to obtain a sufficient quantity and/or quality of tissue to be able to make a diagnosis. If this should occur a new biopsy will be required.
      • Pregnancy is not guaranteed, even with a receptive result. Poor embryo quality, genetic abnormalities, or previous pathologies can also reduce the likelihood of becoming pregnant.
      • The ERA® does not test for any other endometrial pathology and does not asses or provide a prediction for the health of a subsequent pregnancy.

      EMMA/ALICE Limitations

      • These tests are not able to detect resistance to antibiotics.
      • ALICE only detects the presence of pathogens associated with chronic endometritis.
      • A negative result does not rule out the presence of other endometrial pathogens.
      • The tests are not 100% accurate at determining the bacterial species.
      Documentation

      Clinical Sheets

      Download

      Brochure

      Download

      EndomeTRIO Manual

      Download

      Instructions

      Download
      Scientific evidence

       

      EMMA & ALICE

      Moreno et al. Endometrial microbiota composition is associated with reproductive outcome in infertile patients. Microbiome. 2022 Jan 4;10(1):1. doi: 10.1186/s40168-021-01184-w.

      Cicinelli et al. Reprod Sci 2014; 21(5):640-7.

      Cicinelli et al. Hum Reprod. 2015; 30(2):323-30. 

      Moreno I. et tal. Am J Obstet Gynecol, 2018, 218(6):602-602.

      Moreno I. et tal. Am J Obstet Gynecol. 2016;215(6):684-703.

      ERA

      • Igenomix
      • External

      A genomic diagnostic tool for human endometrial receptivity based on the transcriptomic signature.

      Díaz-Gimeno P, Horcajadas JA, Martínez-Conejero JA, Esteban FJ, Alamá P, Pellicer A, Simón C.

      Fertil Steril. 2011 Jan;95(1):50-60, 60.e1-15. doi: 10.1016/j.fertnstert.2010.04.063. Epub 2010 Jul 8.

      PMID:20619403

      The accuracy and reproducibility of the endometrial receptivity array is superior to histology as a diagnostic method for endometrial receptivity.

      Díaz-Gimeno P, Ruiz-Alonso M, Blesa D, Bosch N, Martínez-Conejero JA, Alamá P, Garrido N, Pellicer A, Simón C.

      Fertil Steril. 2013 Feb;99(2):508-17. doi: 10.1016/j.fertnstert.2012.09.046. Epub 2012 Oct 23.

      PMID:23102856

      The endometrial receptivity array for diagnosis and personalized embryo transfer as a treatment for patients with repeated implantation failure.

      Ruiz-Alonso M, Blesa D, Díaz-Gimeno P, Gómez E, Fernández-Sánchez M, Carranza F, Carrera J, Vilella F, Pellicer A, Simón C.

      Fertil Steril. 2013 Sep;100(3):818-24. doi: 10.1016/j.fertnstert.2013.05.004. Epub 2013 Jun 4.

      PMID:23756099

      The impact of using the combined oral contraceptive pill for cycle scheduling on gene expression related to endometrial receptivity.

      Bermejo A, Iglesias C, Ruiz-Alonso M, Blesa D, Simón C, Pellicer A, García-Velasco J.

      Hum Reprod. 2014 Jun;29(6):1271-8. doi: 10.1093/humrep/deu065. Epub 2014 Apr 4.

      PMID:24706003

      What a difference two days make: “personalized” embryo transfer (pET) paradigm: a case report and pilot study.

      Ruiz-Alonso M, Galindo N, Pellicer A, Simón C.

      Hum Reprod. 2014 Jun;29(6):1244-7. doi: 10.1093/humrep/deu070. Epub 2014 Apr 15.

      PMID:24737781

      Timing the window of implantation by nucleolar channel system prevalence matches the accuracy of the endometrial receptivity array.

      Nejat EJ, Ruiz-Alonso M, Simón C, Meier UT.

      Fertil Steril. 2014 Nov;102(5):1477-81. doi: 10.1016/j.fertnstert.2014.07.1254. Epub 2014 Sep 17.

      PMID25241377

      Impact of final oocyte maturation using gonadotropin-releasing hormone agonist triggering and different luteal support protocols on endometrial gene expression.

      Bermejo A, Cerrillo M, Ruiz-Alonso M, Blesa D, Simón C, Pellicer A, Garcia-Velasco JA.

      Fertil Steril. 2014 Jan;101(1):138-146.e3. doi: 10.1016/j.fertnstert.2013.09.033. Epub 2013 Oct 29.

      PMID:24182413

      Is endometrial receptivity transcriptomics affected in women with endometriosis? A pilot study.

      Garcia-Velasco JA, Fassbender A, Ruiz-Alonso M, Blesa D, D’Hooghe T, Simon C.

      Reprod Biomed Online. 2015 Nov;31(5):647-54. doi: 10.1016/j.rbmo.2015.07.014. Epub 2015 Aug 11.

      PMID:26385059

      Intrauterine human chorionic gonadotropin infusion in oocyte donors promotes endometrial synchrony and induction of early decidual markers for stromal survival: a randomized clinical trial.

      Strug MR, Su R, Young JE, Dodds WG, Shavell VI, Díaz-Gimeno P, Ruíz-Alonso M, Simón C, Lessey BA, Leach RE, Fazleabas AT.

      Hum Reprod. 2016 Jul;31(7):1552-61. doi: 10.1093/humrep/dew080. Epub 2016 Apr 26.

      PMID:27122490

      Does an increased body mass index affect endometrial gene expression patterns in infertile patients? A functional genomics analysis.

      Comstock IA, Diaz-Gimeno P, Cabanillas S, Bellver J, Sebastian-Leon P, Shah M, Schutt A, Valdes CT, Ruiz-Alonso M, Valbuena D, Simon C, Lathi RB.

      Fertil Steril. 2017 Mar;107(3):740-748.e2. doi: 10.1016/j.fertnstert.2016.11.009. Epub 2016 Dec 2.

      PMID:27919438

      Window of implantation transcriptomic stratification reveals different endometrial subsignatures associated with live birth and biochemical pregnancy.

      Díaz-Gimeno P, Ruiz-Alonso M, Sebastian-Leon P, Pellicer A, Valbuena D, Simón C.

      Fertil Steril. 2017 Oct;108(4):703-710.e3. doi: 10.1016/j.fertnstert.2017.07.007. Epub 2017 Aug 30.

      PMID:28863933

      Inter-cycle consistency versus test compliance in endometrial receptivity analysis test.

      Stankewicz T, Valbuena D, Ruiz-Alonso M.

      J Assist Reprod Genet. 2018 May 26. doi: 10.1007/s10815-018-1212-7

      Effect of mifepristone on the transcriptomic signature of endometrial receptivity.

      von Grothusen C, Lalitkumar PG, Ruiz-Alonso M, Boggavarapu NR, Navarro R, Miravet-Valenciano J, Gemzell-Danielsson K, Simon C.

      Hum Reprod. 2018 Aug 22. doi: 10.1093/humrep/dey272. [Epub ahead of print] PMID: 30137464

      Live birth after embryo transfer in an unresponsive thin endometrium.

      1. Cruz, J. Bellver.

      Gynecol Endocrinol. 2014 Jul;30(7):481-4. doi: 10.3109/09513590.2014.900747. Epub 2014 Mar 20.

      Endometrial receptivity array: Clinical application.

      Mahajan N.

      J Hum Reprod Sci. 2015 Jul-Sep;8(3):121-9. doi: 10.4103/0974-1208.165153. Review.

      PMID:26538853

      Efficacy of the endometrial receptivity array for repeated implantation failure in Japan: A retrospective, two-centers study.

      Hashimoto T, Koizumi M, Doshida M, Toya M, Sagara E, Oka N, Nakajo Y, Aono N, Igarashi H, Kyono K.

      Reprod Med Biol. 2017 Jun 27;16(3):290-296. doi: 10.1002/rmb2.12041. eCollection 2017 Jul.

      PMID:29259480

      The role of the endometrial receptivity array (ERA) in patients who have failed euploid embryo transfers.

      Tan J, Kan A, Hitkari J, Taylor B, Tallon N, Warraich G, Yuzpe A, Nakhuda G.

      J Assist Reprod Genet. 2018 Jan 11. doi: 10.1007/s10815-017-1112-2.

      PMID:29327111

      The Reproductive Outcomes for the Infertile Patients with Recurrent Implantation Failures May Be Improved by Endometrial Receptivity Array Test.

      Ota, T., Funabiki, M., Tada, Y., Karita, M., Hayashi, T., Maeda, K. et al.

      Journal of Medical Cases. 2019; 10(5), 138-140. doi: https://doi.org/10.14740/jmc3282

      Why results of endometrial receptivity assay testing should not be discounted in recurrent implantation failure?
      Simrandeep K., Padmaja N. The Onco Fertility Journal. 2019; 2(1): 46-49.

      Personalized Embryo Transfer Helps in Improving In vitro Fertilization/ICSI Outcomes in Patients with Recurrent Implantation Failure.

      Patel JA, Patel AJ, Banker JM, Shah SI, Banker MR. J Hum Reprod Sci. 2019; 12(1):59-66. doi: 10.4103/jhrs.JHRS_74_18.

      Endometrial Receptivity Analysis – a tool to increase an implantation rate in assisted reproduction.

      Hromadová L; Tokareva I; Veselá K; Trávník P; Veselý J. Ceska Gynekol. 2019; 84(3): 177-183.

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      Igenomix and fertility

      We work to make a world in which infertility is no longer an impossible barrier. Together with clinics and fertility specialists worldwide, we investigate human reproduction to change the lives of those who are trying to conceive.

      Learn more about Igenomix

      Other services

      ERA

      Evaluates the endometrial receptivity

      More information
      EMMA Endometrial Microbiome Metagenomic

      EMMA

      Evaluates the endometrium at the microbiological level

      More information

      ALICE

      Detects the bacteria causing chronic endometritis

      More information

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          • What to do if…
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        • Worry-free Pregnancy
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