Dr Jasdev Singh
EMMA – Endometrial Microbiome Analysis
A sample of the womb lining is tested for the balance of bacteria living there. Research on how this affects pregnancy is still at an early stage.
Implantation & Endometrial Assessment
Checking the balance of bacteria in your womb lining
EMMA stands for endometrial microbiome analysis. The microbiome is the community of bacteria that lives in the body. EMMA looks at whether healthy bacteria, mainly lactobacilli, are dominant in the womb lining.
Interest in this area is growing, but the research is still limited. It is used as an extra test in selected cases.
Dr Jasdev explains what the result can and cannot tell you before you decide.
A plan that starts with your results
Your age, history, test results and goals are reviewed before any treatment is suggested.
Clear reasons for each step
You will know why a test or medicine is recommended, what it can do and where its limits are.
Care that stays connected
Reviews are planned around how you respond, your cycle timing and your next decision.
What EMMA may offer
- Information on the bacteria in your womb lining
- Guidance on probiotics or antibiotics if an imbalance is found
- An honest view of how strong the evidence is
How your care is planned
Every stage answers three questions: what is happening, why it matters, and what comes next. The plan is reviewed at each stage and adjusted when needed.
Review your history and other test results
Take a small sample of the womb lining
Discuss any treatment the result suggests
How EMMA works
A small biopsy of the lining is taken, as for an ERA test, and the two are sometimes done together. The lab analyses bacterial DNA in the sample. If the balance appears unhealthy, probiotics or antibiotics may be suggested before a transfer.
Who may consider it
Women with repeated implantation failure or recurrent miscarriage, once other causes have been checked. It is not a routine test before IVF. Some women choose it alongside an ERA test, as both use the same biopsy.
What to expect
The biopsy is quick and done in the clinic. You may have cramps and spotting for a day. Results usually take a few weeks and are discussed with you in person, including whether any treatment is worthwhile. A healthy result means no treatment is needed for this factor.
How Dr Jasdev works with you
He brings together experience in fertility and gynaecology, and he explains things in plain language. Advice is based on current evidence and on what matters to you. You will always know what the next step is and why it has been suggested. He sees couples from Kuala Lumpur and across Malaysia, as well as some who travel from neighbouring countries.
What to bring to your appointment
Your records help Dr Jasdev understand your history quickly, so more of the visit can go to your questions. If you cannot find everything, bring what you have.
- Results of other implantation and womb tests
- A list of any recent antibiotics or probiotics
- Your cycle dates
What women often ask
Most couples arrive with several questions. These common ones can help you plan what to ask.
Could bacteria in my womb affect implantation?
Is this test proven?
What treatment follows an abnormal result?
Should I have it with ERA or ALICE?
Your questions about EMMA
What is EMMA?
Endometrial microbiome analysis is a test that looks at the bacteria in the womb lining, to see whether healthy types are dominant.
Who is it suitable for?
Women with repeated implantation failure or recurrent miscarriage after other causes have been checked. It is optional.
What tests are needed first?
Standard womb and fertility assessments. EMMA is considered only after these have been done.
Is it painful or risky?
The biopsy causes a brief cramp and some spotting. The main limits are the cost and the early stage of the research.
Why see Dr Jasdev about EMMA?
He explains the current evidence clearly and helps you decide whether the test is worth adding.
How do I book?
Call or WhatsApp the clinic to talk through your history and the tests that may help.
This page is general information and does not replace a consultation. Whether a treatment suits you, and its risks and timing, should be discussed with Dr Jasdev based on your own history.
Understand your testing options
Book a consultation to discuss implantation tests.