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Click ‘Get Form’ to open it in the editor.
Begin by filling out the PATIENT INFORMATION section. Enter the last name, first name, middle name, and birthdate for both the patient and their partner. Ensure all fields are completed accurately.
Next, move to the CLINIC INFORMATION section. Provide the name of the IVF clinic, referring physician's name, signature, primary nurse's name, and an email address for sending genetic counseling notes.
In the OPTIONAL INFORMATION section, indicate the REASON FOR GENETIC COUNSELING REFERRAL by selecting one or more options provided. You can also specify any questions or topics you wish to discuss.
Fill out the REASON FOR ERA TESTING section by selecting from options like Implantation Failure or Endometrial Study. Include any relevant clinical data regarding ERA Cycle type and pregnancy history.
Finally, if you would like an ERA specialist to reach out for further discussion, provide a contact phone number in the designated field.

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What is the endometrial test Igenomix?

EMMA is a test that analyses the endometrial microbiome to help identify abnormalities associated with a poor reproductive prognosis. EMMA assesses the endometrial microbiome, providing information about the most common and relevant bacteria, including those linked to higher pregnancy rates.

What does Igenomix test for?

Igenomix Mitoscore MitoScore is a mitochondrial biomarker developed by Igenomix which gives us an indicator of the energy status of an embryo. Most DNA is in chromosomes within the nucleus, but mitochondria have their own DNA. This genetic material is known as mitochondrial DNA or mtDNA.

How accurate is igenomix?

Accuracy is ~98%: There is a chance for a false positive or false negative result. Prenatal diagnostic testing (amniocentesis or CVS) is recommended to confirm the results of PGT-A. PGT-A tests only embryo biopsies, not whole embryos.

What conditions does NIPT test for?

The clinician that has requested the test will receive the results. Pre-PGT-M results will be available within 3 weeks for common mutations and 6 weeks for the non-frequent mutations, from receipt of samples by Igenomix. PGT-M results will be available within 10 working days from receipt of samples by Igenomix.