Precision Protocols

They are additional investigations and techniques used where standard treatment has not worked or where a specific problem is suspected — for example advanced embryo selection, endometrial receptivity timing, uterine microbiome testing, or immunological support. They are used selectively, only where clinically indicated.

PGT-A is preimplantation genetic testing for aneuploidy — screening embryos for the correct number of chromosomes before transfer. It may be discussed in specific clinical situations such as repeated implantation failure or recurrent pregnancy loss. Sex determination is not performed under any circumstances, as it is prohibited by law in India.

Endometrial receptivity analysis assesses the window during which the uterine lining is most receptive to an embryo, so that transfer can be timed to the individual rather than to a standard calendar. It is considered in selected cases, typically after previous transfers have not been successful.

No. They add cost and complexity, and are only advised where the clinical picture suggests they will inform the treatment plan. Dr. Aishwarya Yerram discusses whether a specific test is likely to be useful in an individual situation before recommending it.

Where investigations point to an immune-related factor in implantation, treatments such as intralipids or other agents may be considered. These are used on clear clinical indication, with the reasoning and evidence explained during consultation.