Decidual Score Test

Service Description

Natural cycle: Take the biopsy 7 to 9 days after the LH surge. Medicated cycle: After 5 days of progesterone. This is a biopsy from the lining of your womb; you may take Ibuprofen before coming in. Molecular testing of endometrial (lining of the womb) biopsy samples for women with recurrent IVF failure and recurrent miscarriage is important to understand the of uterine receptivity and for a personalised therapeutic strategy. The test is based on molecular analysis of six factors associated with and essential for decidualization. The Decidualization score reflects how many of these factors are expressed at the normal range in the tested sample. The Normal Decidualization score is “>4”. The score “4” is Borderline Normal. The score“<4 is Low Decidualization score. This test (Decidualization Score test) helps to determine if the lining of the womb is implant-friendly and could be used to select patients who require therapeutic actions to improve endometrial conditions before the IVF–ET procedure. The test is analysed at Chicago USA. The evidence to support the decidual score test and treatment following the test requires further conclusive evidence. Please discuss the test requirement and results with our consultant in a consultation appointment. Please read HFEA advice on add-on tests and treatments for further information: https://www.hfea.gov.uk/treatments/treatment-add-ons/#what-are-treatment-add-ons

Contact Details

• P4 Fertility at Midland Health

  23a Highfield Road, Birmingham B15 3DP, UK

• P4 Fertility at Harborne Road

  81 Harborne Rd, Birmingham B15 3HG, UK