{"id":6412,"date":"2023-10-10T11:12:01","date_gmt":"2023-10-10T11:12:01","guid":{"rendered":"https:\/\/www.ginefiv.com\/treatment\/test-receptividad-endometrial\/"},"modified":"2024-11-22T09:53:49","modified_gmt":"2024-11-22T09:53:49","slug":"test-era","status":"publish","type":"treatment","link":"https:\/\/www.ginefiv.com\/fr\/pma\/test-era\/","title":{"rendered":"Test ERA ou bilan de r\u00e9ceptivit\u00e9 endom\u00e9triale"},"content":{"rendered":"<section class=\"page-cover treatment-section has-thumbnail dark-theme\">     <div class=\"page-cover__container container treatment-page\">         <div class=\"row\">             <div class=\"col-12 col-lg-6 pt-4 pt-lg-0\">                 <div class=\"page-cover__heading\">                     <div class=\"page-cover__heading-wrapper treatment-heading\">                                                   <div class=\"page-cover__heading-subtitle heading-subtitle text-xxl\">                             <p>PMA<\/p>                         <\/div>                          <div class=\"page-cover__heading-title heading-title title-display\">                             <h1 class=\"title-display\">Test ERA ou bilan de r\u00e9ceptivit\u00e9 endom\u00e9triale<\/h1>                         <\/div>                                                      <div class=\"page-cover__heading-content text-lg\">                                 <p>Plusieurs facteurs peuvent \u00eatre \u00e0 l&rsquo;origine d&rsquo;un \u00e9chec d&rsquo;implantation de l&#8217;embryon : au niveau ut\u00e9rin, hormonal, immunologique, g\u00e9n\u00e9tique, h\u00e9matologique&#8230; Des facteurs d&rsquo;origine paternelle ou l&rsquo;\u00e2ge avanc\u00e9 de la m\u00e8re peuvent \u00e9galement influencer le r\u00e9sultat du processus.<\/p>                             <\/div>                                                                      <\/div>                 <\/div>             <\/div>              <div class=\"col-12 col-lg-6 pt-5 pt-lg-0 pl-lg-5\">                 <div class=\"treatment-links-container\">                                             <div class=\"treatment-links-container__links text-lg\">                             <ul> <li><a href=\"#test\" rel=\"noopener\">Test ERA<\/a><\/li> <li><a href=\"#examens\" rel=\"noopener\">Examens bact\u00e9riologiques en cas d&rsquo;\u00e9chec de l&rsquo;implantation<\/a><\/li> <li><a href=\"#importance\" rel=\"noopener\">L&rsquo;importance des \u00ab bonnes \u00bb bact\u00e9ries<\/a><\/li> <\/ul>                         <\/div>                                     <\/div>             <\/div>         <\/div>     <\/div>               <div class=\"parallax-trigger fullsize page-cover-thumbnail treatment-thumbnail\" data-magic=\"parallax\">             <picture class=\"page-cover__picture parallax-trigger__item\" data-item=\"parallax-item\">                 <img decoding=\"async\" src=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/test-de-receptividad-endometrial-scaled.webp\" alt=\"Test ERA ou bilan de r\u00e9ceptivit\u00e9 endom\u00e9triale\">             <\/picture>         <\/div>       <\/section>   <section class=\"wp-block-breadcrumbs\">   <div class=\"content-wrapper\">     <ul>                   <li>               <a href=\"https:\/\/www.ginefiv.com\/fr\/\" title=\"Ginefiv Espa\u00f1a\">                 Ginefiv              <\/a>             <\/li>                         <li>               <span class=\"current\" title=\"Test ERA ou bilan de r\u00e9ceptivit\u00e9 endom\u00e9triale\">                 Test ERA ou bilan de r\u00e9ceptivit\u00e9 endom\u00e9triale              <\/span>             <\/li>                 <\/ul>   <\/div> <\/section>   <section  class=\"image-text-block custom-block-spacing align-right\" data-magic=\"float-zigzag\">   <div class=\"container\">         <div class=\"row\">       <div class=\"img-col col-12 col-md-6\">                   <picture class=\"image-text-block__img-wrapper image-wrapper zigzag-element\">                         <img data-src=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/GINEFIV-30-540x380.webp\" alt=\"\">           <\/picture>               <\/div>       <div class=\"text-col col-12 col-md-6\">         <div class=\"image-text-block__text-wrapper text-heading-block zigzag-element\">           <div class=\"image-text-block__text-wrapper__content\">             <div class=\"text-block-wrapper\">                                           <p>Le test ERA ou bilan de r\u00e9ceptivit\u00e9 endom\u00e9triale r\u00e9duit le risque d\u2019\u00e9chec d\u2019implantation de l\u2019embryon.<\/p> <p>Chez Ginefiv, le <a style=\"font-weight: bold; text-decoration: underline;\" href=\"https:\/\/www.ginefiv.com\/fr\/pma\/transfert-au-stade-de-blastocyste\/\" rel=\"noopener\">transfert embryonnaire<\/a> est effectu\u00e9 au cas par cas de 3 \u00e0 5 jours apr\u00e8s la <a style=\"font-weight: bold; text-decoration: underline;\" href=\"https:\/\/www.ginefiv.com\/fr\/pma\/ponction-ovocytaire\/\" rel=\"noopener\"> ponction ovocytaire<\/a>. Lorsqu\u2019il s\u2019effectue \u00e0 partir d\u2019embryons vitrifi\u00e9s, il s\u2019inscrit dans un cycle naturel ou r\u00e9gul\u00e9 par la prise de m\u00e9dicaments adjuvants, qui pr\u00e9parent au mieux l\u2019ut\u00e9rus pour cette phase d\u00e9licate.<\/p> <p>En cas d\u2019\u00e9chec d\u2019implantation de l\u2019embryon, nous proposons aux deux membres du couple de se soumettre \u00e0 un protocole de d\u00e9pistage consistant en une batterie de tests destin\u00e9s \u00e0 d\u00e9tecter d\u2019\u00e9ventuelles anomalies pouvant \u00eatre \u00e0 l\u2019origine du probl\u00e8me.<\/p>             <\/div>                       <\/div>         <\/div>       <\/div>     <\/div>   <\/div>  <\/section>   <div class=\"wp-block-columns alignfull has-turquoise-teal-background-color has-background is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\"> <div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"> <section class=\"grid-icons-block content-wrapper\">        <div class=\"grid-icon\">             <picture class=\"grid-icon__thumbnail\">         <img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"700\" src=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/35anos.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/35anos.png 700w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/35anos-300x300.png 300w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/35anos-150x150.png 150w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/35anos-420x420.png 420w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/>      <\/picture>             <div class=\"grid-icon__text\">         35 ans d&rsquo;exp\u00e9rience      <\/div>     <\/div>         <div class=\"grid-icon\">             <picture class=\"grid-icon__thumbnail\">         <img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"700\" src=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-cruz.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-cruz.png 700w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-cruz-300x300.png 300w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-cruz-150x150.png 150w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-cruz-420x420.png 420w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/>      <\/picture>             <div class=\"grid-icon__text\">          S\u00e9curit\u00e9 garantie       <\/div>     <\/div>         <div class=\"grid-icon\">             <picture class=\"grid-icon__thumbnail\">         <img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"700\" src=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/auriculares.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/auriculares.png 700w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/auriculares-300x300.png 300w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/auriculares-150x150.png 150w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/auriculares-420x420.png 420w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/>      <\/picture>             <div class=\"grid-icon__text\">         Assistance personnalis\u00e9      <\/div>     <\/div>         <div class=\"grid-icon\">             <picture class=\"grid-icon__thumbnail\">         <img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"700\" src=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/ovulo.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/ovulo.png 700w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/ovulo-300x300.png 300w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/ovulo-150x150.png 150w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/ovulo-420x420.png 420w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/>      <\/picture>             <div class=\"grid-icon__text\">         A la pointe de la technologie      <\/div>     <\/div>         <div class=\"grid-icon\">             <picture class=\"grid-icon__thumbnail\">         <img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"700\" src=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/medalla.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/medalla.png 700w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/medalla-300x300.png 300w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/medalla-150x150.png 150w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/medalla-420x420.png 420w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/>      <\/picture>             <div class=\"grid-icon__text\">         Taux de r\u00e9ussite \u00e9lev\u00e9      <\/div>     <\/div>         <div class=\"grid-icon\">             <picture class=\"grid-icon__thumbnail\">         <img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"700\" src=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-ok.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-ok.png 700w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-ok-300x300.png 300w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-ok-150x150.png 150w, https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/mano-ok-420x420.png 420w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/>      <\/picture>             <div class=\"grid-icon__text\">         Tarifs \u00e9conomiques      <\/div>     <\/div>     <\/section><\/div> <\/div>   <section id=\"test\" class=\"image-text-block custom-block-spacing align-left\" data-magic=\"float-zigzag\">   <div class=\"container\">         <div class=\"row\">       <div class=\"img-col col-12 col-md-6\">                   <picture class=\"image-text-block__img-wrapper image-wrapper zigzag-element\">                         <img data-src=\"https:\/\/www.ginefiv.com\/wp-content\/uploads\/2023\/10\/test-receptividad-endometrial-content-540x380.jpg\" alt=\"\">           <\/picture>               <\/div>       <div class=\"text-col col-12 col-md-6\">         <div class=\"image-text-block__text-wrapper text-heading-block zigzag-element\">           <div class=\"image-text-block__text-wrapper__content\">             <div class=\"text-block-wrapper\">                             <h3 class=\"title-display\">Test ERA<\/h3>               <p>Le test ERA sert \u00e0 d\u00e9terminer si l\u2019endom\u00e8tre est r\u00e9ceptif ou non \u00e0 un moment donn\u00e9 du cycle, en analysant un fragment de tissu endom\u00e9trial.<\/p> <p>Le pr\u00e9l\u00e8vement de ce tissu se fait au moyen d\u2019une simple biopsie r\u00e9alis\u00e9e en ambulatoire, dans le cadre d\u2019un cycle naturel ou avec une pr\u00e9paration hormonale, en vue de choisir la meilleure date possible pour le transfert de l\u2019embryon.<\/p> <p>En analysant un certain nombre de g\u00e8nes li\u00e9s \u00e0 la r\u00e9ceptivit\u00e9 de l\u2019endom\u00e8tre, ce test d\u00e9termine si l\u2019endom\u00e8tre est r\u00e9ceptif ou non au moment de la biopsie.<\/p> <p>Il est alors possible de constater un \u00e9ventuel d\u00e9placement de la fen\u00eatre d\u2019implantation (associ\u00e9 \u00e0 20 \u2013 25 % des cas d\u2019\u00e9chec de l\u2019implantation) et de proc\u00e9der \u00e0 un transfert embryonnaire personnalis\u00e9 en fonction des r\u00e9sultats obtenus.<\/p>             <\/div>                       <\/div>         <\/div>       <\/div>     <\/div>   <\/div>  <\/section>   <section  class=\"banner-testimonies-block-container\">     <div class=\"banner-testimonies-bg\" style=\"background-image:url(https:\/\/www.ginefiv.com\/wp-content\/themes\/wac-theme\/assets\/images\/bg-testimonial-logo.svg)\"><\/div>     <div class=\"banner-testimonies-block\">         <div class=\"banner-testimonies-block__content\">             <!--h3 class=\"testimonies-block__title heading-md\"-->                 R\u00eaves accomplis            <!--\/h3-->             <div class=\"testimonies-block__cards-container\" data-slider=\"testimony\">                                     <div class=\"testimony\">                         <img decoding=\"async\" class=\"testimony__decorator\" src=\"https:\/\/www.ginefiv.com\/wp-content\/themes\/wac-theme\/assets\/images\/icons\/testimony_decorator.png\" alt=\"Testimony decorator\">                         <div class=\"testimony__text\">                             <p>Une magnifique exp\u00e9rience \u00e0 la clinique de Barcelone, avec un suivi tr\u00e8s professionnel, une \u00e9quipe \u00e0 l&rsquo;\u00e9coute et disponible. Tout a pu \u00eatre commenc\u00e9 tr\u00e8s rapidement et nous avons eu notre fille apr\u00e8s la premi\u00e8re FIV. Un grand merci !<\/p>                         <\/div>                         <p class=\"testimony__author\">                             Sarah T                        <\/p>                     <\/div>                                     <div class=\"testimony\">                         <img decoding=\"async\" class=\"testimony__decorator\" src=\"https:\/\/www.ginefiv.com\/wp-content\/themes\/wac-theme\/assets\/images\/icons\/testimony_decorator.png\" alt=\"Testimony decorator\">                         <div class=\"testimony__text\">                             <p><span>\u201csi nous pouvions mettre plus d&rsquo;\u00e9toiles, on ne saurait mieux exprim\u00e9 nos remerciement \u00e0 Ginefiv, personnel accueillant , aimable et disponible! nous recommandons cette clinique volontiers Milles \u00e9toiles ne suffisent pas! merci GINEFIV\u201d<\/span><\/p>                         <\/div>                         <p class=\"testimony__author\">                             angel Lukusa                        <\/p>                     <\/div>                                     <div class=\"testimony\">                         <img decoding=\"async\" class=\"testimony__decorator\" src=\"https:\/\/www.ginefiv.com\/wp-content\/themes\/wac-theme\/assets\/images\/icons\/testimony_decorator.png\" alt=\"Testimony decorator\">                         <div class=\"testimony__text\">                             <p>Nous sommes les heureuses maman de deux enfants via fiv. Seul point \u00e0 am\u00e9liorer selon moi la transmission des ordonnances suite aux echographies<\/p>                         <\/div>                         <p class=\"testimony__author\">                             Lucie Raoul                        <\/p>                     <\/div>                                     <div class=\"testimony\">                         <img decoding=\"async\" class=\"testimony__decorator\" src=\"https:\/\/www.ginefiv.com\/wp-content\/themes\/wac-theme\/assets\/images\/icons\/testimony_decorator.png\" alt=\"Testimony decorator\">                         <div class=\"testimony__text\">                             <p>\u00ab\u00a0Une magnifique aventure rendue possible gr\u00e2ce \u00e0 l\u2019accompagnement personnalis\u00e9 et le professionnalisme de la clinique Ginefiv.\u201d<\/p>                         <\/div>                         <p class=\"testimony__author\">                             Hdkzb Vfjfjdk                        <\/p>                     <\/div>                                     <div class=\"testimony\">                         <img decoding=\"async\" class=\"testimony__decorator\" src=\"https:\/\/www.ginefiv.com\/wp-content\/themes\/wac-theme\/assets\/images\/icons\/testimony_decorator.png\" alt=\"Testimony decorator\">                         <div class=\"testimony__text\">                             <p>Merci Ginefiv! Gr\u00e2ce \u00e0 vous et \u00e0 mon gyn\u00e9co Dr Douard je suis maman d une petite depuis un an apr\u00e8s . Ne vous d\u00e9couragez pas et gardez espoir les filles tout est possible en gardant le moral et en restant positif .<\/p>                         <\/div>                         <p class=\"testimony__author\">                             papouha ferhat                        <\/p>                     <\/div>                                     <div class=\"testimony\">                         <img decoding=\"async\" class=\"testimony__decorator\" src=\"https:\/\/www.ginefiv.com\/wp-content\/themes\/wac-theme\/assets\/images\/icons\/testimony_decorator.png\" alt=\"Testimony decorator\">                         <div class=\"testimony__text\">                             <p>\u00ab\u00a0Personnel tr\u00e8s \u00e0 l&rsquo;\u00e9coute et attentif mon beaucoup soutenu jusqu&rsquo;au bout de mon parcours et maintenant j&rsquo;ai un beau petit gar\u00e7on alors je les remercie\u00a0\u00bb<\/p>                         <\/div>                         <p class=\"testimony__author\">                             Sherline Michel                        <\/p>                     <\/div>                             <\/div>         <\/div>     <\/div> <\/section>  <section id=\"examens\" class=\"text-block background-light custom-block-spacing\">   <div class=\"container\">     <div class=\"row\">       <div class=\"col-12\">         <div class=\"text-block__text-wrapper text-heading-block alignment-left\" data-magic=\"appear-in\">                     <h3 class=\"title-display\">Examens bact\u00e9riologiques en cas d&rsquo;\u00e9chec de l&rsquo;implantation<\/h3> <p>En g\u00e9n\u00e9ral, les patientes chez qui l\u2019implantation a \u00e9chou\u00e9 sont invit\u00e9es \u00e0 r\u00e9aliser un test de d\u00e9pistage appel\u00e9 hyst\u00e9roscopie, consistant \u00e0 examiner l\u2019int\u00e9rieur de la cavit\u00e9 ut\u00e9rine.<\/p> <p>Outre l\u2019observation de l\u2019ut\u00e9rus sur le plan anatomique, ce test comprend un examen microbiologique r\u00e9alis\u00e9 \u00e0 l\u2019aide d\u2019une biopsie et d\u2019une mise en culture classique. Il nous permet de d\u00e9tecter ainsi une \u00e9ventuelle inflammation chronique de l\u2019endom\u00e8tre, auquel cas le rev\u00eatement endom\u00e9trial de l\u2019ut\u00e9rus n\u2019est pas vraiment propice \u00e0 l\u2019implantation de l\u2019embryon.<\/p> <p>L\u2019endom\u00e9trite chronique toucherait jusqu\u2019\u00e0 30 % des patientes infertiles. En cas d\u2019\u00e9checs r\u00e9p\u00e9t\u00e9s d\u2019implantation, cette proportion serait de 66 %, selon certaines \u00e9tudes.<\/p> <p>Depuis quelques mois, un nouveau test microbiologique est disponible sur le march\u00e9. Baptis\u00e9 ALICE, il permet d\u2019analyser le tissu endom\u00e9trial au niveau microbiologique en utilisant un s\u00e9quen\u00e7age de deuxi\u00e8me g\u00e9n\u00e9ration (NGS) pour d\u00e9tecter des bact\u00e9ries pathog\u00e8nes. C\u2019est l\u2019un des examens microbiologiques les plus efficaces qui soient pour d\u00e9celer les germes qui peuvent \u00eatre \u00e0 l\u2019origine d\u2019une endom\u00e9trite chronique. La patiente a alors la possibilit\u00e9 de se soumettre \u00e0 un traitement \u00e0 base d\u2019antibiotiques pour am\u00e9liorer son environnement endom\u00e9trial.<\/p>                   <\/div>       <\/div>     <\/div>   <\/div>  <\/section>  <section id=\"importance\" class=\"text-block background-light custom-block-spacing\">   <div class=\"container\">     <div class=\"row\">       <div class=\"col-12\">         <div class=\"text-block__text-wrapper text-heading-block alignment-left\" data-magic=\"appear-in\">                     <h3 class=\"title-display\">L&rsquo;importance des \u00ab bonnes \u00bb bact\u00e9ries<\/h3> <p>La cavit\u00e9 ut\u00e9rine n\u2019est pas une cavit\u00e9 st\u00e9rile. Un endom\u00e8tre sain doit compter une certaine quantit\u00e9 de bact\u00e9ries saines, que l\u2019on d\u00e9signe sous le nom de flore endom\u00e9triale (ou microbiote endom\u00e9trial).<\/p> <p>\u00c0 cet \u00e9gard, il faut savoir qu\u2019un nouveau test vient d\u2019\u00eatre lanc\u00e9 pour analyser ce microbiote endom\u00e9trial, appel\u00e9 EMMA.<\/p> <p>D\u2019apr\u00e8s les derni\u00e8res \u00e9tudes r\u00e9alis\u00e9es, un faible niveau de bact\u00e9ries saines dans l\u2019endom\u00e8tre est associ\u00e9 \u00e0 un environnement endom\u00e9trial moins propice \u00e0 l\u2019implantation.<br \/>En nous appuyant sur ce test, nous pouvons donc savoir si la flore endom\u00e9triale de la patiente est ad\u00e9quate et lui fournir des recommandations en cons\u00e9quence pour \u00e9quilibrer celle-ci en vue d\u2019optimiser les chances d\u2019implantation.<\/p> <p>Chez Ginefiv, une seule biopsie suffit pour r\u00e9aliser ces trois tests de r\u00e9ceptivit\u00e9 endom\u00e9triale en m\u00eame temps. Nous minimisons de la sorte les d\u00e9sagr\u00e9ments pour la patiente, tout en \u00e9tudiant de plus pr\u00e8s les facteurs qui peuvent \u00eatre \u00e0 l\u2019origine d\u2019un \u00e9chec d\u2019implantation de l\u2019embryon.<\/p>                   <\/div>       <\/div>     <\/div>   <\/div>  <\/section>  <section  class=\"text-block background-light custom-block-spacing\">   <div class=\"container\">     <div class=\"row\">       <div class=\"col-12 col-md-10 col-lg-8 offset-md-1 offset-lg-2\">         <div class=\"text-block__text-wrapper text-heading-block alignment-center\" data-magic=\"appear-in\">                     <h2 class=\"title-display\">Votre premi\u00e8re visite<\/h2> <p>Vous avez la possibilit\u00e9 de r\u00e9aliser votre prem\u00e8re consultation sur place \u00e0 la clinique ou par vid\u00e9oconf\u00e9rence. 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