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Can the implantation window be displaced? Why?

By Gustavo Daniel Carti M.D. (gynecologist on Juaneda Fertility Center).
Last Update: 10/27/2022

The answer is yes. The implantation window usually occurs around days 20-24 of the menstrual cycle and is the time of greatest endometrial receptivity.

However, some women have a displaced window of implantation, that is, they have greater endometrial receptivity at a different time in the cycle.

One way of assessing uterine receptivity is to perform an ultrasound scan to measure the thickness of the endometrium. When it measures between 8-12 mm and has a trilaminar aspect, it is the perfect moment for implantation. If the endometrial thickness is less than 7 mm or more than 13 mm, the chances of implantation decrease.

Imagen: evaluation-endometrial-receptivity

There are endometrial receptivity tests that attempt to predict the state of the endometrium. The ERA (Endometrial Receptivity Array) test consists of performing an endometrial biopsy during the days that we think are the patient's window of implantation and analyzing the expression of genes involved in endometrial receptivity to determine whether the window of implantation is displaced or not, and thus calculate the best moment for embryo transfer in IVF treatment.

 Gustavo Daniel  Carti
Gustavo Daniel Carti
M.D.
Gynecologist on Juaneda Fertility Center
Dr. Gustavo Daniel Carti has a degree in medicine and specialized in obstetrics and gynecology from the University of Buenos Aires.
Licence number: 07/0711274
Gynecologist. Dr. Gustavo Daniel Carti has a degree in medicine and specialized in obstetrics and gynecology from the University of Buenos Aires. Licence number: 07/0711274.