Do you know that around 25 to 50% of women facing fertility problems potentially have issues with endometrial health? Endometrial health is a key factor that affects reproductive health. The ALICE and EMMA tests help assess bacterial presence in the uterine cavity.
Usually, bacterial presence in the uterus can cause illness or inflammation and can result in failed embryo implantation. So, understand why these advanced endometrial screening tests are needed and the EMMA & ALICE test procedure to plan a successful pregnancy.
What is EMMA?
The EMMA test screens all bacteria in your uterine lining, including those that impact fertility.
It maps your endometrial microbiome and checks levels of healthy bacteria that support embryo implantation. If we find an imbalance, we may suggest probiotic treatment to restore healthy flora and improve pregnancy chances.
What It Checks:
- Bacterial health in your uterus.
- Good bacteria like Lactobacillus and harmful bacteria that may block implantation.
What is ALICE?
The ALICE test is a targeted check that looks for specific bacteria linked to chronic endometritis, a low-grade infection of the womb lining.
It screens for 8 types of harmful bacteria that can affect an embryo implantation. If detected, treatment usually includes antibiotics to clear the infection.
What It Checks:
- Low-grade infection or chronic inflammation in the endometrium.
- Harmful bacteria that may reduce implantation and pregnancy success.
Who can Benefit From EMMA or ALICE Testing?
At Golden IVF, the ALICE and EMMA Tests help to check for bacteria in your womb to support fertility and pregnancy.
EMMA gives more detail and includes all checks from ALICE. We often suggest EMMA first. ALICE is usually for people trying to conceive naturally who have had repeated pregnancy loss. Doctors may recommend these Alice and EMMA test IVF, if you have:
No Clear Cause of Infertility
If no clear cause is found, testing can reveal hidden issues in your uterine environment that may affect conception.
Multiple Pregnancy Losses
After repeated losses or a D&C procedure, your microbiome can change. Testing helps us spot imbalances early.
Endometriosis Cases
Research shows some people with endometriosis have changes in uterine bacteria. Screening can guide better treatment.
Repeated Failed Embryo Transfers
We suggest Emma & Alice test procedure for patients with 3+ failed transfers of good-quality embryos, or after using donor gametes or donor embryos.
How is the EMMA Test Done?
The Emma & Alice test procedure is simple, quick, and done in the clinic.
Book Your Appointment
You can schedule your visit 7-8 days after ovulation. This is the best time to take a uterine lining sample.
During this meeting, our experts explain the test, why it matters, and what will happen. At Golden IVF, we also help you prepare both physically and mentally.
Take Uterine Sample
Using a thin, soft catheter, we collect a small tissue sample from inside the uterus.
The process is minimally invasive, and most patients feel only mild discomfort. It takes just a few minutes.
Send For Lab Analysis
We preserve the sample carefully and send it to a specialist lab.
There, advanced metagenomic sequencing maps the bacteria present in your endometrium.
Review and Plan Treatment
Our fertility specialists study your report to check the balance of good and harmful bacteria.
In your follow-up, we create a personalised treatment plan to improve implantation chances. The ALICE and EMMA Test gives clear insights to support your next steps.
Why Choose Us?
Best-in-class Pregnancy Care
Our fertility experts work with state-of-the-art embryology labs and advanced technology to deliver world-class results and support you at every stage.
98% Patient Satisfaction Score
We provide personalised treatment plans, full fertility services, and compassionate care under one roof. Your comfort and experience matter to us, and we achieved 98% success.
100% Transparent and Affordable Pricing
We believe fertility care should be accessible. That is why we offer clear pricing, flexible payment options, and interest-free EMIs so you can focus on your treatment.
Final Statement
Both the ALICE and EMMA tests play a key role in preparing your uterine environment before an embryo transfer. ALICE checks for bacterial infections that can cause chronic endometritis.
AMA evaluates your microbiome balance and measures healthy bacteria like Lactobacillus that support implantation. Still unsure about embryo implantation, whether the EMMA ALICE test is painful, how the procedure works, or the EMMA and ALICE test cost?
Call Golden IVF today to speak with Dr Arushi Sethi, IVF and Reproductive Immunology specialist. With experience in over 2000 complex fertility cases, she will guide you and help schedule your consultation.
