Embrylogist working in the lab with EmbryoGlue

EmbryoGlue

EmbryoGlue is a specialised hyaluronic acid culture medium used in the laboratory immediately before embryos are transferred to the uterus.

This method is designed to support implantation by helping the embryos to attach to the uterine lining.

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What is EmbryoGlue?

It is a culture medium enriched with hyaluronic acid (HA); a naturally occurring substance in the uterus that plays a key role during implantation. This medium is used in the final stage of IVF to improve the connection between the embryo and the uterine lining.

Hyaluronan levels naturally rise in the uterus at the time of implantation, helping the embryo and uterine lining interact effectively.

By mimicking this natural process, the special medium can help create the optimal conditions for implantation.

Diers baby holding pacifier
Baby and parent holding hands

How does it work in IVF treatment?

EmbryoGlue is not a literal glue but works like one by increasing the likelihood of the embryo attaching to the uterine lining. It contains a high concentration of hyaluronan and recombinant human albumin, which:

  • Act as a bridge between the embryo and the womb, helping them stick together.
  • Provide essential nutrients like carbohydrates, amino acids, and proteins to support embryo development.
  • Reduce embryo movement during transfer, ensuring it remains in the right position.
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How is EmbryoGlue used?

If we use this special medium for your treatment, we replace the standard culture medium during embryo transfer. The embryo is placed in EmbryoGlue for a short time before transfer.

The transfer procedure itself stays the same. However, the hyaluronate-enriched medium mimics the womb’s environment potentially improving the chances of implantation.

Read more about embryo transfer
Frozen embryo in nitrogen tank

Patients who may benefit from this approach

EmbryoGlue may be especially helpful for:

  • Women over 35, where implantation success can be more challenging,
  • Patients with previous implantation failures despite good embryo quality,
  • Patients who have had previous failed IVF cycles,
  • Studies suggest that EmbryoGlue is generally more effective for women using their own eggs for IVF treatments, while its benefits may be less pronounced in treatment cycles involving donor eggs.
Embryologist Tine working in Diers Fertility's laborotory

Is there scientific evidence that EmbryoGlue works?

The use of EmbryoGlue and similar hyaluronic acid-enriched culture media is a relatively new method in fertility treatment.

Although there is no conclusive scientific evidence of efficacy yet, recent studies show promising results:

  • A 2024 study across 13 clinics found that live birth rates were higher with EmbryoGlue in frozen embryo transfer (FET) cycles (60.6% vs. 47.5%) compared to standard treatment. 

  • A 2022 study in Human Reproduction found that using hyaluronic acid (HA) in EmbryoGlue increased live birth rates (from 32% to 39%) and pregnancy rates (by 5%) for women using their own eggs. However, the study indicated that HA provided little to no benefit in donor egg cycles. 

  • A 2020 Cochrane meta-analysis showed that live birth rates increased from 33% with transfer media containing little or no hyaluronic acid to 37–44% with high concentrations. This translates to one additional live birth for every 14 embryo transfers using HA-enriched media.
Anne, Laboratory Manager and Tissue Centre Responsible Person, Biologist, MSc, PhD at Diers Fertility

An individualised approach to your treatment

We are committed to offering treatments backed by evidence and designed to give you the best possible outcome.

Due to the relatively limited but growing body of evidence, EmbryoGlue remains an optional treatment.

In 2023, the HFEA classified it as an ‘add-on’ with a yellow rating, meaning there is some evidence suggesting it may be effective, but more research is needed. However, as no adverse effects have been reported, we offer it as an option for patients for whom it may be relevant.

At Diers, we plan every treatment individually. EmbryoGlue may not be the right option for everyone. So, we only recommend it when we believe it could improve the chances of pregnancy based on your specific circumstances.

Contact us and let's discuss if EmbryoGlue can play a role in your personalised IVF plan.
Scanning image of embryo, Diers

FAQ about EmbryoGlue

EmbryoGlue is used in the laboratory before egg transfer. Shortly before egg transfer, the embryo is placed in this special culture fluid for about 10 minutes and then transferred to the uterus.

EmbryoGlue can increase the chances of embryo attachment to the lining of the uterus. It contains hyaluronic acid, which creates a favourable environment and can improve the embryo’s ability to implant (attach).

EmbryoGlue can improve the conditions for implantation, but it is not a guarantee of pregnancy. The success of IVF treatment depends on many factors such as the quality of the embryo, the condition of the uterus and the woman’s general health. EmbryoGlue is just one of several methods we can use to optimise your chances.

Hyaluronic acid is a naturally occurring substance in the body that helps cells bind to each other and keeps tissue moist and supple. Hyaluronic acid is also used in skincare products to moisturise the skin. In EmbryoGlue, hyaluronic acid mimics the natural environment of the uterus and can make it easier for the embryo to attach.

No, we do not routinely use EmbryoGlue for all our patients. Its use depends on individual circumstances and the treatment plan recommended by your fertility specialist. Some patients may not require it, while others may benefit significantly.

Yes, culture media enriched with hyaluronic acid is generally considered safe. It has been extensively researched and is widely used in fertility clinics around the world. There are no known risks or side effects. Studies have shown that it does not increase the risk of miscarriage. It also does not affect the duration of pregnancy or the birth weight of the baby.

You can find the cost of treatment with EmbryoGlue in our current price list.

Yes, the use of EmbryoGlue is optional. Your fertility doctor will explain its potential benefits and help you decide if it’s the right choice for your treatment plan.

Yes, other techniques, such as Endometrial scratching, Assisted Hatching, or optimising hormone levels, may also improve implantation rates. Our fertility specialists will customise a plan based on your needs.

Yes, EmbryoGlue is suitable for use with both fresh and frozen embryo transfers. It supports the embryo implantation regardless of the transfer method.