Endometrial microbiome test (EMMA/ALICE)
A biopsy analysing the womb's bacteria, claimed to guide antibiotic or probiotic treatment before transfer.
The verdict
Not shown to improve your chance of a baby.
| Body | Position |
|---|---|
| HFEA |
|
| ESHRE | Not recommended Not recommended (same endometrial-receptivity-test family). Source |
| NICE | Do not offer (2026) NG257 1.41.1 names it explicitly under 'do not offer endometrial receptivity testing... including microbiological analysis (endometrial microbiome metagenomic analysis, analysis of infectious chronic endometritis)'. Source |
| ISAR | No position Not addressed in the 2021 ISAR add-ons consensus. |
In India
~₹30,000–50,000 (often sold alongside ERA); approximate.
Sources
Take this further
Last reviewed .