{"id":5349,"date":"2019-07-11T13:14:31","date_gmt":"2019-07-11T12:14:31","guid":{"rendered":"https:\/\/www.repromeda.fr\/?p=5349"},"modified":"2020-07-08T08:39:22","modified_gmt":"2020-07-08T07:39:22","slug":"endometrio-alice-emma-era-que-signifient-donc-ces-noms-comment-peuvent-ils-vous-aider-a-concevoir-un-bebe","status":"publish","type":"post","link":"https:\/\/www.repromeda.fr\/?p=5349","title":{"rendered":"EndomeTRIO \u2013 Alice, Emma, Era. Que signifient donc ces noms ? Comment peuvent-ils vous aider \u00e0 concevoir un b\u00e9b\u00e9 ?"},"content":{"rendered":"<p><em>Les facteurs de l\u2019infertilit\u00e9 sont nombreux. Saviez-vous cependant que des conditions d\u00e9favorables dans votre ut\u00e9rus peuvent \u00eatre \u00e0 l\u2019origine de vos probl\u00e8mes de conception\u00a0? Existe-t-il des tests qui permettent d\u2019\u00e9valuer l\u2019\u00e9tat de votre environnement ut\u00e9rin tout en d\u00e9finissant le moment optimal pour implanter l\u2019embryon\u00a0?<\/em><\/p>\n<h2><strong>Qu&rsquo;est-ce que l\u2019endom\u00e8tre\u00a0?<\/strong><\/h2>\n<p>L\u2019<strong>endom\u00e8tre<\/strong> est la muqueuse de l\u2019ut\u00e9rus qui accueille l\u2019embryon lors de la nidation. L\u2019<strong>endom\u00e8tre<\/strong>, qui est donc \u00e9galement appel\u00e9 <strong>muqueuse ut\u00e9rine<\/strong>, se trouve sur les parois internes de l\u2019ut\u00e9rus et constitue donc un facteur cl\u00e9 dans la r\u00e9ussite de l\u2019implantation de l\u2019embryon. La qualit\u00e9 de la <strong>muqueuse ut\u00e9rine<\/strong> est g\u00e9n\u00e9ralement \u00e9valu\u00e9e par un examen radiograhique. Mais celui-ci ne permet d\u2019observer que la hauteur et la structure de l\u2019endom\u00e8tre, et non pas la qualit\u00e9 de la <strong>flore bact\u00e9rienne (microbiome)<\/strong>, ni m\u00eame la<strong> fen\u00eatre d\u2019implantation<\/strong>, c\u2019est-\u00e0-dire le moment id\u00e9al pour transf\u00e9rer l\u2019embryon dans l\u2019ut\u00e9rus.<\/p>\n<p>Un d\u00e9s\u00e9quilibre hormonal dans le corps de la femme (c\u2019est-\u00e0-dire lorsque les \u0153strog\u00e8nes sont en plus grande quantit\u00e9 que les progest\u00e9rones) peut entra\u00eener un d\u00e9veloppement de la muqueuse ut\u00e9rine en dehors de l\u2019ut\u00e9rus. Il s\u2019agit alors d\u2019une maladie appel\u00e9e l\u2019<strong>endom\u00e9triose<\/strong>.<\/p>\n<h2><strong>La pr\u00e9sence de bact\u00e9ries dans l\u2019ut\u00e9rus emp\u00eache la bonne nidification de l\u2019embryon.<\/strong><\/h2>\n<p>L\u2019\u00e9quilibre bact\u00e9rien dans l\u2019endom\u00e8tre est essentiel au succ\u00e8s de l\u2019implantation de l\u2019embryon. Mais il peut \u00eatre perturb\u00e9 par l\u2019apparition de bact\u00e9ries pathog\u00e8nes dans l\u2019ut\u00e9rus. <strong>ALICE<\/strong> (Analysis of Infectious Chronic Endometritis) est un test qui permet de r\u00e9v\u00e9ler la pr\u00e9sence des bact\u00e9ries capables d&rsquo;entra\u00eener des inflammations chroniques. De telles inflammations qui apparaissent sur 30% des femmes infertiles peuvent \u00eatre \u00e0 l&rsquo;origine de fausses-couches r\u00e9p\u00e9t\u00e9es.\u00a0 Un traitement adapt\u00e9 permet cependant de faire face \u00e0 cette situation.<\/p>\n<p>Un pr\u00e9l\u00e8vement d\u2019\u00e9chantillon de la muqueuse ut\u00e9rine et son analyse par s\u00e9quen\u00e7age nouvelle g\u00e9n\u00e9ration (NGS) permet \u00e9galement de d\u00e9tecter d\u2019autres bact\u00e9ries responsables de l\u2019infertilit\u00e9 de la femme. Le test <strong>EMMA<\/strong> (Endometrial Microbiome Metagenomic Analysis) apporte un aper\u00e7u complet de la composition de la muqueuse ut\u00e9rine. Si la composition bact\u00e9rienne constat\u00e9e n\u2019est pas optimale, un traitement \u00e0 base d\u2019antibiotiques et de probiotiques peut alors \u00eatre conseill\u00e9. Le test EMMA comprend syst\u00e9matiquement le test ALICE.<\/p>\n<h2><strong>Est-ce la bonne p\u00e9riode pour le transfert d\u2019embryon\u00a0?<\/strong><\/h2>\n<p>Les transferts d\u2019embryon r\u00e9p\u00e9t\u00e9s peuvent \u00eatre tr\u00e8s difficiles pour une femme, tant du point de vue physique que psychique. Le couple a pu subir de nombreux tests et les r\u00e9sultats du <a href=\"https:\/\/www.repromeda.fr\/soins-proposes\/genetique\/diagnostic-genetique-preimplantatoire\/\">diagnostic pr\u00e9implantatoire<\/a> peuvent indiquer que les embryons sont pr\u00eats \u00e0 \u00eatre transf\u00e9r\u00e9s dans l\u2019ut\u00e9rus, mais cela ne signifie pas que la muqueuse ut\u00e9rine est pr\u00eate \u00e0 accueillir un embryon.<\/p>\n<p>La <strong>fen\u00eatre d\u2019implantation<\/strong>, c\u2019est-\u00e0-dire le moment exact o\u00f9 la muqueuse ut\u00e9rine est pr\u00eate \u00e0 accueillir l\u2019embryon, peut \u00eatre d\u00e9finie par le test <strong>ERA<\/strong> (Endometrial Receptivity Analysis). Ses r\u00e9sultats permettent de d\u00e9finir si l\u2019\u00e9quilibre hormonal de l\u2019ut\u00e9rus est atteint et pour combien de temps. Gr\u00e2ce \u00e0 ce test, les patientes qui ont connu plusieurs \u00e9checs d\u2019implantation atteignent un taux d\u2019implantation (implantation rate) de 73%.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Les facteurs de l\u2019infertilit\u00e9 sont nombreux. Saviez-vous cependant que des conditions d\u00e9favorables dans votre <a class=\"link\" href=\"https:\/\/www.repromeda.fr\/?p=5349\">Lire la&nbsp;suite<\/a><\/p>\n","protected":false},"author":5,"featured_media":5424,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[19,1],"tags":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>EndomeTRIO \u2013 Alice, Emma, Era. Que signifient donc ces noms ? Comment peuvent-ils vous aider \u00e0 concevoir un b\u00e9b\u00e9 ?<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.repromeda.fr\/?p=5349\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"EndomeTRIO \u2013 Alice, Emma, Era. Que signifient donc ces noms ? Comment peuvent-ils vous aider \u00e0 concevoir un b\u00e9b\u00e9 ?\" \/>\n<meta property=\"og:description\" content=\"Les facteurs de l\u2019infertilit\u00e9 sont nombreux. Saviez-vous cependant que des conditions d\u00e9favorables dans votre Lire la&nbsp;suite\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.repromeda.fr\/?p=5349\" \/>\n<meta property=\"og:site_name\" content=\"Repromeda\" \/>\n<meta property=\"article:published_time\" content=\"2019-07-11T12:14:31+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2020-07-08T07:39:22+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.repromeda.fr\/wp-content\/uploads\/Endo.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"2048\" \/>\n\t<meta property=\"og:image:height\" content=\"1366\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Michaela Vyhlasov\u00e1\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"Michaela Vyhlasov\u00e1\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.repromeda.fr\/?p=5349\",\"url\":\"https:\/\/www.repromeda.fr\/?p=5349\",\"name\":\"EndomeTRIO \u2013 Alice, Emma, Era. Que signifient donc ces noms ? Comment peuvent-ils vous aider \u00e0 concevoir un b\u00e9b\u00e9 ?\",\"isPartOf\":{\"@id\":\"https:\/\/www.repromeda.fr\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.repromeda.fr\/?p=5349#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.repromeda.fr\/?p=5349#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.repromeda.fr\/wp-content\/uploads\/Endo.jpg\",\"datePublished\":\"2019-07-11T12:14:31+00:00\",\"dateModified\":\"2020-07-08T07:39:22+00:00\",\"author\":{\"@id\":\"https:\/\/www.repromeda.fr\/#\/schema\/person\/cfd38e33ef9f0f5162f84ba54df5d350\"},\"breadcrumb\":{\"@id\":\"https:\/\/www.repromeda.fr\/?p=5349#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.repromeda.fr\/?p=5349\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/www.repromeda.fr\/?p=5349#primaryimage\",\"url\":\"https:\/\/www.repromeda.fr\/wp-content\/uploads\/Endo.jpg\",\"contentUrl\":\"https:\/\/www.repromeda.fr\/wp-content\/uploads\/Endo.jpg\",\"width\":2048,\"height\":1366},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.repromeda.fr\/?p=5349#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Repromeda\",\"item\":\"https:\/\/www.repromeda.fr\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"EndomeTRIO \u2013 Alice, Emma, Era. Que signifient donc ces noms ? Comment peuvent-ils vous aider \u00e0 concevoir un b\u00e9b\u00e9 ?\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.repromeda.fr\/#website\",\"url\":\"https:\/\/www.repromeda.fr\/\",\"name\":\"Repromeda\",\"description\":\"Reproduk\u010dn\u00ed klinika\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.repromeda.fr\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/www.repromeda.fr\/#\/schema\/person\/cfd38e33ef9f0f5162f84ba54df5d350\",\"name\":\"Michaela Vyhlasov\u00e1\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/www.repromeda.fr\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/7e9b99109f29983017a038a4e49965df?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/7e9b99109f29983017a038a4e49965df?s=96&d=mm&r=g\",\"caption\":\"Michaela Vyhlasov\u00e1\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"EndomeTRIO \u2013 Alice, Emma, Era. Que signifient donc ces noms ? Comment peuvent-ils vous aider \u00e0 concevoir un b\u00e9b\u00e9 ?","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.repromeda.fr\/?p=5349","og_locale":"fr_FR","og_type":"article","og_title":"EndomeTRIO \u2013 Alice, Emma, Era. Que signifient donc ces noms ? Comment peuvent-ils vous aider \u00e0 concevoir un b\u00e9b\u00e9 ?","og_description":"Les facteurs de l\u2019infertilit\u00e9 sont nombreux. Saviez-vous cependant que des conditions d\u00e9favorables dans votre Lire la&nbsp;suite","og_url":"https:\/\/www.repromeda.fr\/?p=5349","og_site_name":"Repromeda","article_published_time":"2019-07-11T12:14:31+00:00","article_modified_time":"2020-07-08T07:39:22+00:00","og_image":[{"width":2048,"height":1366,"url":"https:\/\/www.repromeda.fr\/wp-content\/uploads\/Endo.jpg","type":"image\/jpeg"}],"author":"Michaela Vyhlasov\u00e1","twitter_card":"summary_large_image","twitter_misc":{"\u00c9crit par":"Michaela Vyhlasov\u00e1","Dur\u00e9e de lecture estim\u00e9e":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.repromeda.fr\/?p=5349","url":"https:\/\/www.repromeda.fr\/?p=5349","name":"EndomeTRIO \u2013 Alice, Emma, Era. Que signifient donc ces noms ? Comment peuvent-ils vous aider \u00e0 concevoir un b\u00e9b\u00e9 ?","isPartOf":{"@id":"https:\/\/www.repromeda.fr\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.repromeda.fr\/?p=5349#primaryimage"},"image":{"@id":"https:\/\/www.repromeda.fr\/?p=5349#primaryimage"},"thumbnailUrl":"https:\/\/www.repromeda.fr\/wp-content\/uploads\/Endo.jpg","datePublished":"2019-07-11T12:14:31+00:00","dateModified":"2020-07-08T07:39:22+00:00","author":{"@id":"https:\/\/www.repromeda.fr\/#\/schema\/person\/cfd38e33ef9f0f5162f84ba54df5d350"},"breadcrumb":{"@id":"https:\/\/www.repromeda.fr\/?p=5349#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.repromeda.fr\/?p=5349"]}]},{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/www.repromeda.fr\/?p=5349#primaryimage","url":"https:\/\/www.repromeda.fr\/wp-content\/uploads\/Endo.jpg","contentUrl":"https:\/\/www.repromeda.fr\/wp-content\/uploads\/Endo.jpg","width":2048,"height":1366},{"@type":"BreadcrumbList","@id":"https:\/\/www.repromeda.fr\/?p=5349#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Repromeda","item":"https:\/\/www.repromeda.fr\/"},{"@type":"ListItem","position":2,"name":"EndomeTRIO \u2013 Alice, Emma, Era. Que signifient donc ces noms ? Comment peuvent-ils vous aider \u00e0 concevoir un b\u00e9b\u00e9 ?"}]},{"@type":"WebSite","@id":"https:\/\/www.repromeda.fr\/#website","url":"https:\/\/www.repromeda.fr\/","name":"Repromeda","description":"Reproduk\u010dn\u00ed klinika","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.repromeda.fr\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"fr-FR"},{"@type":"Person","@id":"https:\/\/www.repromeda.fr\/#\/schema\/person\/cfd38e33ef9f0f5162f84ba54df5d350","name":"Michaela Vyhlasov\u00e1","image":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/www.repromeda.fr\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/7e9b99109f29983017a038a4e49965df?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/7e9b99109f29983017a038a4e49965df?s=96&d=mm&r=g","caption":"Michaela Vyhlasov\u00e1"}}]}},"_links":{"self":[{"href":"https:\/\/www.repromeda.fr\/index.php?rest_route=\/wp\/v2\/posts\/5349"}],"collection":[{"href":"https:\/\/www.repromeda.fr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.repromeda.fr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.repromeda.fr\/index.php?rest_route=\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/www.repromeda.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=5349"}],"version-history":[{"count":1,"href":"https:\/\/www.repromeda.fr\/index.php?rest_route=\/wp\/v2\/posts\/5349\/revisions"}],"predecessor-version":[{"id":5351,"href":"https:\/\/www.repromeda.fr\/index.php?rest_route=\/wp\/v2\/posts\/5349\/revisions\/5351"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.repromeda.fr\/index.php?rest_route=\/wp\/v2\/media\/5424"}],"wp:attachment":[{"href":"https:\/\/www.repromeda.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5349"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.repromeda.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=5349"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.repromeda.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=5349"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}