Dr Jasdev Singh
ALICE – Chronic Endometritis Assessment
A sample of the womb lining is tested for bacteria linked to chronic endometritis, a mild, long lasting inflammation that can affect implantation.
Implantation & Endometrial Assessment
Looking for a hidden inflammation of the womb lining
ALICE stands for analysis of infectious chronic endometritis. Chronic endometritis is a mild inflammation of the womb lining, often with no symptoms. It has been linked with implantation failure and miscarriage.
When it is found, it can usually be treated with a course of antibiotics.
Dr Jasdev discusses whether this test, a standard biopsy or a hysteroscopy is the right way to check in your case.
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 the ALICE test may offer
- Detection of bacteria linked to chronic endometritis
- Targeted antibiotic treatment if needed
- Results that guide your next transfer
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 past tests
Take a small sample of the womb lining
Treat any infection and plan the next transfer
How the test works
A small biopsy of the lining is taken in the clinic. The lab looks for DNA from bacteria known to cause chronic endometritis. If they are found, a specific antibiotic course is suggested. A repeat test or biopsy may be advised afterwards to confirm the problem has cleared.
Who may consider it
Women with repeated implantation failure or recurrent miscarriage, or with signs of inflammation seen at hysteroscopy. It is not a routine test for everyone. It may also be discussed when a hysteroscopy shows small red spots or swelling in the lining, which can be signs of inflammation.
What to expect
The biopsy takes a few minutes and causes a brief cramp. Results take a few weeks. If treatment is needed, it is usually a course of tablets before your next transfer. If treatment is needed, your transfer is usually delayed by about one cycle.
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.
- Hysteroscopy or biopsy results from earlier
- A list of any recent antibiotics
- Your cycle dates
What women often ask
Most couples arrive with several questions. These common ones can help you plan what to ask.
Could an infection be stopping implantation?
How is chronic endometritis treated?
Do I need a repeat test?
Should my partner be treated too?
Your questions about the ALICE test
What is the ALICE test?
It is a test of the womb lining that looks for bacteria linked with chronic endometritis, a mild, long lasting inflammation.
Who is it suitable for?
Women with repeated implantation failure or recurrent miscarriage, especially when other tests are normal.
What tests are needed first?
Standard fertility and womb assessments. A hysteroscopy may be done instead of this test, or as well as it.
Is it painful or risky?
The biopsy causes a short cramp and some spotting. Serious problems are rare.
Why see Dr Jasdev for this?
He explains which way of checking for inflammation suits you, and treats any problem found before your next transfer.
How do I book?
Call or WhatsApp the clinic to discuss your history and testing options.
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.
Check for hidden inflammation
Book a consultation to discuss testing before your next transfer.