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What to Do After Embryo Transfer to Increase Success

By Dr. Kenosha Gleaton, OBGYN . 

Some of this content has been repurposed from Natalist’s Guide to IVF , written by Halle Tecco and medically reviewed by Dr. Dana McQueen. 

Embryo transfer is one of the last steps of in vitro fertilization (IVF) and can elicit a wide range of emotions from excitement to anxiety. Unfortunately there is no secret food, supplement, or activity that will guarantee success, but there are some ways to potentially support your IVF journey and your chances of conceiving. Let’s learn a bit more about the embryo-transfer process. 

Understanding the Post-Embryo Transfer Phase

The embryo transfer phase is one of the final stages of IVF. When someone makes it to this stage, they have already taken various IVF medications, have had an egg retrieval, and those eggs have been fertilized and monitored outside of the body. [1] Embryo transfer involves the insertion of an embryo into the uterus, with hopes that it will implant and a viable pregnancy will follow. [1] 

The post-embryo transfer phase is about a five day to two week window when you are waiting to find out if the embryo did implant. The best way to confirm a successful embryo transfer is through a blood test, however some early pregnancy tests strips  may be able to confirm a pregnancy as early as five to six days after your transfer. There are many factors that can influence someone’s success rate , including their age, sperm health, the clinic, the embryonic stage, and more. [1] 

5 Things to Do After Embryo Transfer to Increase Success

The best way to encourage success after an embryo transfer is to follow your provider’s instructions exactly. Ask for their guidance on your diet, exercise, and medication routines. There is no surefire way to guarantee success, but certain habits may support a positive outcome. Here are some examples. 

Take it Easy and Manage Stress

If you’ve been battling infertility for a while, you probably know how frustrating it is to hear “don’t stress”- If only it were that easy! The truth is, research is mixed on whether or not stress levels can influence poor outcomes. Some data show that those with higher levels of infertility-related stress may be less likely to achieve pregnancy, while other research suggests there is no real correlation. [2-3] At the end of the day, it is still encouraged that you find ways to promote relaxation and self-care. Mental health is a huge part of the IVF process and it’s important to give yourself a break and a pat on the back for making it to this step. You may want to take a day or two off of work to relax and reflect, or get back into the swing of things if you find that is more helpful for you. Consider phoning a friend, journaling, connecting with your partner, or even watching a good comfort show.

Maintain a Balanced Diet

Good nutrition is one of the best ways to prepare your body for pregnancy. [4] Ideally you’ve been eating a healthy and balanced diet for months while preparing for your IVF journey, and it’s important to keep up these habits as you wait for your pregnancy test results. A study led by Dr. Audrey Gaskins evaluated the relationship between adherence to certain dietary patterns and outcomes of fertility treatments across 357 women and 608 cycles, including IVF.  [5] The study found that adherence to a pro-fertility diet was associated with an increased probability of live birth. [5] The pro-fertility diet included higher intake of supplemental folic acid ( folate ), vitamin B12, vitamin D , low (rather than high) pesticide residue produce, whole grains, dairy, soy foods, and seafood (rather than other meats). [5]

Other studies have also been conducted on the impact of dehydroepiandrosterone (DHEA) and antioxidants like CoQ10 for people undergoing fertility treatments. Results showed that patients treated with DHEA retrieved more oocytes (eggs) during egg retrieval and had a higher pregnancy and live birth rate than control groups. [6] Researchers also found that CoQ10 and other antioxidants may be associated with increased live birth rates and pregnancy rates. [7]

With all of this being said, you should never take any supplements, medications, or make radical changes to your diet without the approval of your provider. Speak with them if you have any questions or concerns about your current diet or supplement routine. 

Have you heard about pineapple or french fries being good luck charms? Read about these theories and other IVF superstitions here. 

Continue with Prescribed Medications

Unfortunately the rigorous IVF medication and injection schedule is not always over immediately after an embryo transfer. Depending on your health history and treatment protocol, your provider may also have you on progesterone and estrogen supplementation for a few days to a few weeks after transfer. [8] This hormone prepares your body for pregnancy and is extremely important for encouraging embryo implantation. [8] Make sure you speak to your provider about your medication schedule so you don’t miss any important doses. It can also be helpful to triple-check that you have enough on hand. 

Moderate Physical Activity

Physical activity is a great way to improve your health, both physically and mentally. It is encouraged that those preparing for pregnancy aim to be their healthiest selves, meaning adequate amounts of exercise as well as a healthy diet. [9] While this is true leading up to egg retrieval and transfer, many clinics will ask that you approach exercise very carefully in the days after embryo transfer. Some will encourage “couch rest” for about 24 hours after transfer day, while taking it easy for another 3-4 days. [8,10] This means opting for a walk around your neighborhood or light yoga rather than going on a run or lifting heavy weights. [8,10] Of course, you should always speak directly with your provider for their recommendations on your post-transfer activity. 

Take on the Pregnancy Mindset

Even if you haven’t gotten a positive result yet, you may want to assume some of the healthy habits that you would have if you were pregnant. [8,10] This means avoiding alcohol, toxic chemicals, extreme temperatures, high caffeine intake, and certain foods. [8] You’ll also want to take a women’s prenatal vitamin and other supplements as recommended by your provider. The bottom line is that you should treat your body the way you would if you knew for certain that the transfer was a success!

Things to Avoid After Embryo Transfer

In addition to the things you should do, like eating a healthy diet and taking it easy, there are some things you may be advised to avoid after an embryo transfer. For example, many clinics will advise patients to avoid having sex for up to a week after embryo transfer. [11] This is known as pelvic rest, and can give the embryo optimal time to implant into the uterine wall. A study found that people who adhere to this recommendation were less likely to have a miscarriage. [12] In addition to no sex, it’s generally recommended that you avoid placing anything in the vagina that has not been approved by your provider. This includes tampons, sex toys, douching, etc. [11] 

As already mentioned, other things to avoid after an embryo transfer include eating or drinking alcohol, high-mercury fish, raw or undercooked meats, unpasteurized dairy products, etc. [8] It’s also recommended by some clinics that patients avoid high intensity activities and workouts for at least a few days after transfer. [8,10] Your healthcare provider can give you more details on what to do and avoid to encourage positive outcomes. Read about beta hCG levels after a transfer → 

Natalist's Role in Your Journey

The journey to parenthood through fertility treatments like IVF can be deeply personal, emotional, and at times, challenging. It’s common for the days following an embryo transfer to be filled with anticipation and hope. We don’t know of any magic tips to guarantee a successful outcome, but we do know that living a healthy lifestyle and nurturing yourself in the days after a transfer is a good start. Taking a comprehensive prenatal vitamin is one way to encourage your nutrition. If you want to learn more about the ins and outs of IVF, consider purchasing Guide to IVF , an informative and empowering e-book for those considering or going through assisted reproductive technology. We’re crossing our fingers for you! 

References :

• Choe J, Shanks AL. In Vitro Fertilization. [Updated 2023 Sep 4]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK562266/
• Miller N, Herzberger EH, Pasternak Y, et al. Does stress affect IVF outcomes? A prospective study of physiological and psychological stress in women undergoing IVF. Reprod Biomed Online. 2019;39(1):93-101. doi:10.1016/j.rbmo.2019.01.012
• Aimagambetova G, Issanov A, Terzic S, et al. The effect of psychological distress on IVF outcomes: Reality or speculations?. PLoS One. 2020;15(12):e0242024. Published 2020 Dec 14. doi:10.1371/journal.pone.0242024
• Nutrition During Pregnancy. FAQ001. American College of Obstetricians and Gynecologists. June 2023. https://www.acog.org/womens-health/faqs/nutrition-during-pregnancy
• Gaskins AJ, Nassan FL, Chiu YH, et al. Dietary patterns and outcomes of assisted reproduction. Am J Obstet Gynecol. 2019;220(6):567.e1-567.e18. doi:10.1016/j.ajog.2019.02.004
• Xu L, Hu C, Liu Q, Li Y. The Effect of Dehydroepiandrosterone (DHEA) Supplementation on IVF or ICSI: A Meta-Analysis of Randomized Controlled Trials. Geburtshilfe Frauenheilkd. 2019;79(7):705-712. doi:10.1055/a-0882-3791
• Showell MG, Mackenzie-Proctor R, Jordan V, Hart RJ. Antioxidants for female subfertility. Cochrane Database Syst Rev. 2017;7(7):CD007807. Published 2017 Jul 28. doi:10.1002/14651858.CD007807.pub3
• Getting Through The Two-Week Wait. Shady Grove Fertility. March 14 2023. https://www.shadygrovefertility.com/article/getting-through-two-week-wait-0/
• Good Health Before Pregnancy: Prepregnancy Care. FAQ 056. American College of Obstetricians and Gynecologists. December 2021. https://www.acog.org/womens-health/faqs/good-health-before-pregnancy-prepregnancy-care
• Can I exercise during fertility treatment?  Shady Grove Fertility. July 19 2023. https://www.shadygrovefertility.com/article/can-i-exercise-during-fertility-treatment/
• Can I Have Sex During Fertility Treatment? Shady Grove Fertility. August 21, 2021. Accessed May 2023. https://www.shadygrovefertility.com/article/can-i-have-sex-during-fertility-treatment/
• Crawford NM, Steiner AZ. Intercourse after Embryo Transfer and Pregnancy Outcomes. FertStert. Volume 101, Issue 2, E28-29. February 2024. doi.org/10.1016/j.fertnstert.2013.11.107

Dr. Kenosha Gleaton is board-certified in gynecology and obstetrics and is the Medical Advisor of Natalist. She received her MD from MUSC and completed her residency at Carolinas Medical Center in Charlotte, NC.

Dr. Gleaton is passionate about women, health equity, and mentoring. She is the CEO of The EpiCentre, an OBGYN spa-like practice, and is a Clinical faculty member of Charleston Southern University.  She is also a member of the American College of Obstetrics & Gynecology, the American Association of Gynecologic Laparoscopists, and the American Association of Professional Women. 

Related Blogs

Positive Early Pregnancy Symptoms 7 Days After Embryo Transfer

Guide to IVF Embryo Grading

The IVF Funnel: Understanding Your Chances of Success

IVF Series Part 5: Embryo Transfer

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• Trying to Conceive

What to Do After an Embryo Transfer (and What to Avoid!)

The embryo transfer can bring a ton of intense emotions during an IVF journey. You’ve worked hard to get here: all the appointments, the blood draws, ultrasounds, medication and injections. Now, there’s only about a two-week wait (and sometimes even less) before your pregnancy test. It can feel like an exciting time, but also a super vulnerable stage. Most doctors will tell you to take it easy after your transfer, but what does that mean? How secure is your embryo in there?

What happens after embryo transfer?

Once your embryo(s) have been placed inside the uterus, they’re sandwiched between the front and back inner walls. Your uterine lining, called the endometrium, starts to interact with the embryo as they send messages back and forth. Immune factors adjust so that the embryo is facing the right direction while adhesion molecules anchor the embryo, tethering it into place. Upon successful implantation, the embryo continues growing and incorporates itself into the endometrium, where it can soon start to get its own blood supply.

What Happens Day-by-Day After Embryo Transfer?  →

What can i do on transfer day.

After the procedure, it’s a good idea to avoid major stressors and not push yourself too hard physically. After all, you just had a catheter inserted up you cervix and something “new” has been introduced to your reproductive tract. You want your uterus to get acquainted with this new embryo, and make sure this process has enough energy and immune support.

That doesn’t mean you need bedrest. In fact, some movement like a nice walk can support your circulation and help decrease the risk of clotting from skyrocketing estrogen levels. What it does mean is you should avoid super strenuous activities (like running up hills in 100-percent humidity) and avoid major stressors (like work emails… or certain people).

And don’t worry, your tiny embryo isn’t going to fall out! Your uterus is made of muscle, and your embryo is tucked away between layers without much space to move around. Picture putting a pea in the middle of a peanut butter sandwich and holding that sandwich vertically with two hands. You can jiggle your sandwich, but it’s very unlikely that the pea will fall out since it’s snuggled and sticky in there.

Take the rest of the day off if you can and/or delegate major tasks if you think they’ll cause you anxiety or stress. If you’re feeling anxious, find an activity that helps relieve this. Binge-watch your favourite show or curl up with your book. Stay well hydrated, eat something warm and comforting (avoid fried foods which are inflammatory) and get a good night of sleep. Self-care is the name of the game on transfer day.

What can I eat after embryo transfer?

Your  healthiest choice after transfer is a Mediterranean-like diet (sans wine), rich in fruits and vegetables, whole grains, plant-based protein, and olive oil. This provides lots of vitamins, nutrients, healthy fats (which are used to make hormones), and proteins that are broken down into the building blocks for your new little life form. Avoid or limit red meat and fried foods, which can be inflammatory, and keep your intake of processed sugar and simple carbs (like white breads and rice, cookies and pastries) low. You need healthy blood sugar and insulin regulation to make sure embryonic and fetal development stays on track. Remember, you’re sharing your blood system and everything in it with your implanted embryo!

The Best Diet for Before and After Embryo Transfer  →

You can also follow the principles of Traditional Chinese Medicine and stick to warm, cooked foods to benefit the uterus. Foods that are cold and raw (like salads and frozen smoothies) are harder to break down which can limit the amount of energy or qi that can be derived from that food. Cold is also associated with poorer blood flow and could impede implantation. Having a “cold uterus” is associated with irregular cycles, painful periods and infertility, so keep that womb warm:

• Avoid frozen drinks and ice-cold water
• Avoid skin exposure to blasts of air conditioning and cold-weather winds
• Choose cooked foods over raw foods
• Consume “warming” foods like ginger, soups, broths, stews, but not spicy foods which are not warming in the same way

Now is also the time to adopt a pregnancy diet, limiting caffeine intake and avoiding alcohol and undercooked meat.

What can I drink after embryo transfer?

Your metabolism of substances like caffeine and alcohol depends on your individual genetics and the function of key liver enzymes and pathways. The enzymes that do this are the same ones that affect estrogen metabolism and the ability to detoxify harmful chemicals. This means that if you’re using these enzymes to break down and eliminate alcohol and caffeine, you’re temporarily taking away their ability to work on estrogen and other compounds.

Caffeine metabolism is slower during pregnancy, meaning that your pregnant body keeps caffeine around longer than your non-pregnant body, to an average half-life of up to eight hours . Coffee drinking can also impair the absorption of key minerals like Calcium and Iron from your gut which you and your fetus will need.

Many guidelines recommend capping your preconception and pregnancy caffeine intake at two to three servings per day (200 to 300 mg total) due to increased miscarriage rates, but again, it all depends on your genetics . You might only be able to tolerate one serving (one eight-ounce coffee equals 100 mg) or less of caffeine per day without it significantly affecting embryonic and fetal growth. If you’re unsure of your genetic status, consider sticking to a maximum of one serving per day, or switch up your coffee ritual with a decaf grind or half-caf cup.

When it comes to drinking , the CDC in the U.S. supports the line that the safest option is to consume no alcohol at any point in pregnancy. That’s because these next few weeks, including before you can even find out if you’re pregnant, involve the first developmental stages of a primitive brain, spinal cord and heart, and alcohol is a teratogen, which means it can cause issues with embryonic development.

What do the studies show on alcohol? Human studies on alcohol consumption in early pregnancy are tricky and really can only rely on self-reported alcohol use. So, we often look to animal studies to help give us more information. One mouse study found that alcohol exposure in early pregnancy (equivalent to around the time of a human positive pregnancy test, or four weeks) did in fact change fetal brain structure.

In these earliest weeks in humans, it is very possible for alcohol to affect DNA methylation (the process of turning genes on and off). Some sources say that in the earliest days of human embryo development, the embryo itself is likely sheltered from maternal alcohol consumption, but alcohol could interfere with implantation . Also, by the time the embryo is three weeks old and the earliest nervous system and spinal cord are being formed, these cells do become vulnerable to maternal alcohol exposure. That’s also because this is around the time that cells become more specialized so alcohol can interfere with the ability of these cells to change, migrate and grow .

We know that consuming alcohol during pregnancy can cause pre-eclampsia, pre-term birth, and low birth weight babies, in addition to fetal alcohol syndrome disorders, though many of these effects come with heavy and/or regular drinking. That said, there is no “safe” amount that has been discovered. It’s a gamble, and after having gone through so much to get to this point, for many, it’s not a risk worth taking.

Outside caffeine and booze, you’ll want to make sure to drink up. Hydration helps you process all those hormones coursing through your body. Water is also an essential component for embryo growth, development and survival, so you’ll want to aim for two litres per day.

What exercise can I do after embryo transfer?

After your transfer day and during your two-week-wait, you can start doing exercise (unless your doctor has specifically told you not to). Aim for about 150 minutes of physical activity per week including walking, yoga and low-impact aerobics. Avoid the “extremes” including heavy lifting, bootcamps, CrossFit, contact sports, and activities in extreme hot or cold environments like hot yoga. Similar to preconception, limit activities to 60 minutes at a time to avoid overstressing the body.

You might’ve heard that swimming is an excellent form of exercise during pregnancy, and it’s good for the two-week wait too. But if you’re using vaginal progesterone gel or suppositories, make sure to wait at least two to three hours before swimming to avoid washing out some of the hormones you’ve been inserting. You’ll also want to hold off on swimming (and taking baths) for these few weeks if you’re prone to vaginal infections like yeast infections and bacterial vaginosis.

What supplements should I take after embryo transfer?

This is the stage that your prenatal vitamin and especially Folic Acid is most important. Folic Acid is necessary for an embryo to implant. It encourages new blood vessels to form that will supply the placenta. It’s also for necessary for cells to be able to divide and replicate properly, which an embryo relies on.

It’s most important to take Folic Acid in the weeks or even months before conception and in the earliest stage of pregnancy. That’s because between the first four to six weeks of pregnancy (two to four weeks after embryo transfer)—around the time many women find out they are pregnant—the fetus’ spinal cord is already starting to form. Folic Acid helps prevent disruptions and errors at this critical time, allowing proper formation and closure of the brain and spinal cord.

Can I have sex after embryo transfer?

One of the goals after embryo transfer is to keep the uterus calm and avoid uterine contractions in an effort to improve IVF success rates.

Some background science: In preparation for an embryo transfer, doctors usually prescribe progesterone to support implantation. Even in a non-medicated cycle, the body produces natural progesterone after ovulation. One function of the progesterone is to calm the smooth muscles (the muscular layer of the uterus that contracts for menstrual cramping and labor). So avoiding uterine contractions is key after transfer.

Risks of sex after an embryo transfer

• Contractions:  Vaginal intercourse can increase uterine contractions through mechanical stimulation (movement of the uterus) and/or orgasm. Ideally, you want to keep your uterus nice and calm (and contraction-free!) post-transfer.
• Bleeding:  It’s common for vaginal intercourse to result in mild bleeding, generally as a result of micro-tears of the vaginal wall or some force against the outside of the cervix (it's the same reason for bleeding after a Pap smear test). This bleeding is not medically concerning and resolves quickly, but any form of vaginal bleeding after an embryo transfer will create a high-anxiety situation, and may lead to your fertility doctor investigating further with a physical exam, bloodwork or ultrasound when it's not actually needed.
• Infection:  Both intercourse and lubricants can introduce irritation and pathogens (bacteria, viruses, etc. that might lead to an infection) into the vagina. A hot topic in the reproductive space is the optimal uterine microbiome to improve implantation, which is directly connected to the vaginal microbiome. If you’re prone to yeast infections or bacterial vaginosis, especially if they flare up after you have sex, hold off until your doctor tells you it’s safe.
• Reduced efficacy of medication:  If you’re on progesterone gel or suppositories, avoid vaginal sex for at least two hours after use, because it may reduce the amount in your vagina available to be absorbed, and even some amounts of the medications can be absorbed by your partner .

Benefits of sex after an embryo transfer

There's no proof to support the medical benefits of sex after an embryo transfer in IVF. Semen might have other “pro-implantation” factors that benefit implantation based on one study , but it’s not a consistent finding that’s been reported.

Overall, there's limited evidence to guide us either way about sex after an embryo transfer. Since there's a lack of consistent evidence to show that sex improves pregnancy rates, and there are multiple concerns (contractions, infection, bleeding and medication absorption), the majority of fertility doctors advise against sex after an embryo transfer. Our doctors suggest that their patients wait until the first ultrasound after a positive pregnancy test to get back to it, simply because if miscarriage occurs, they don’t want patients to feel unnecessary guilt or blame on top of already very intense and complicated emotions. However, if you do choose to go for it, you should be equally reassured that you're unlikely to have affected your outcome. After all, there are non-medical benefits to having sex, too.

 What is a Good Beta-hCG After Embryo Transfer?  →

What else can i do after embryo transfer to increase chances of success, stress management.

Managing stress and anxiety and focusing on self-care should be a priority during this time. A little bit of stress or feeling anxious is expected, but being in a constant state of panic or long-term “fight or flight” can have affect your hormones and blood flow. It can also hurt your  sleep which is critical for the function of your body and your brain. Instead of worrying about feeling anxious during this time (which can leave you feeling even more anxious!), try to accept it and work on managing it. Do a guided meditation, take a walk in nature, watch or read a comedy and laugh at something you find funny. This helps your body focus on the task at hand (implanting and growing your embryo!) instead of devoting hormones and resources to chronic stress responses.

Acupuncture

Have you heard of acupuncture to support an embryo transfer ? Acupuncture points are located along meridians or paths of the body. These meridians are an actual map of the body’s peripheral nervous system, following tracks of nerves. Inserting acupuncture needles at specific locations has been shown to activate beta-endorphins and the opioid system, and can slow down the cortisol-releasing hormone , allowing acupuncture treatments to reduce pain, stress and anxiety. Acupuncture not only tackles fight-or-flight mode, but locally can help improve circulation. Studies have even shown that acupuncture can reduce anxiety after an embryo transfer , and reduce stress before and after an embryo transfer which could positively affect pregnancy rates .

Beetroot juice

When consumed as either a food or juice, beets are a source nitric oxide which helps dilate blood vessels and improves uterine blood flow (fun fact for people with sperm: it can similarly improve penile blood flow in those with erectile dysfunction). One study found that those who drank a beetroot, watermelon and ginger juice daily from embryo-transfer day until their pregnancy test had a significantly higher implantation rate (24 versus 18 percent) and clinical pregnancy rate (41 versus 22 percent) compared to those who didn’t juice daily.

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What to do after embryo transfer? – Recommendations

After an IVF embryo transfer (ET), achieving success depends exclusively on the embryos and their implantation potential. In spite of that, it is common for patients to ask themselves many questions, including what to do and what to avoid, if rest is necessary and to what extent, what are the precautions to be taken... In short, anything that may help to increase the chances for pregnancy .

Once the patient has left the transfer room, a completely different life from the one she had during the treatment begins: The embryo(s) have already been transferred, and here starts the countdown until the pregnancy test.

Provided below is an index with the 7 points we are going to expand on in this article.

• 1. Tips & precautions
• 2. Symptoms & positive signs
• 3. When to test for pregnancy
• 4. FAQs from users
• 4.1. Can I take a bath after the embryo transfer?
• 4.2. What precautions should I follow after embryo transfer in ICSI?
• 4.3. Are bloating, cramping and pain good signs after embryo transfer?
• 4.4. Is it necessary to rest after the transfer?
• 4.5. How long does it take for the embryo to implant after embryo transfer?
• 4.6. Is it normal to notice flu-like symptoms after embryo transfer?
• 4.7. I have zero symptoms but got a BFP, is that normal?
• 4.8. What should I eat after IVF embryo transfer?
• 4.9. When should I take a pregnancy test after a donor-egg embryo transfer?
• 4.10. What happens after embryo transfer on each day?
• 4.11. I'm feeling thrush symptoms after embryo transfer, what is the cause?
• 4.12. When is your period due if the embryo transfer doesn't work?
• 4.13. Can you fly right after IVF embryo transfer?
• 4.14. What is the best sleep position after embryo transfer?
• 4.15. How long after embryo transfer can you have intercourse?
• 4.16. Can smoking affect implantation after embryo transfer?
• 5. Suggested for you
• 6. References
• 7. Authors and contributors

Tips & precautions

There are many recommendations to follow after an embryo transfer. However, the most important thing for you to do is as simple as continuing with your normal lifestyle, trying not to become too obsessed with getting pregnant. To sum up, these are the most basic tips that every IVF patient should follow after an ET:

If medication is required due to any type of discomfort like headache, toothache, or any other infection alike, it is advisable to talk to the specialist who monitored the treatment. Either way, analgesic consumption is not a problem as long as it is paracetamol or any other similar painkiller.

Finally, it is important to have a positive attitude after the embryo transfer until the day of the pregnancy test. It is essential to avoid stress and anxiety and try to think about other things to reduce uncertainty during these days.

We recommend that you read the following article for further information on the subject: Should You Rest After Embryo Transfer in IVF?

Symptoms & positive signs

Symptoms vary from woman to woman, and even between pregnancies among women who have been pregnant before. Neither should you be concerned if no symptoms appear—it is not mandatory for every IVF patient to feel them. And most importantly, it does not translate into implantation failure by default.

The most common symptoms after embryo transfer can be caused by the beginning of a new pregnancy or by the fertility drugs you are taking. In other words, they do not indicate failure or success.

Some of the most common symptoms after embryo transfer, apart from the absence of menstruation , are the following:

• Abundant vaginal discharge during the first days after the ET, due to elevated/altered hormonal levels and the vaginal administration of progesterone.
• Spotting or mild bleeding caused by the passage of the catheter through the cervix; it often disappears within 2-3 days.
• Breast changes caused by the exogenous administration of hormones before the transfer (estrogens and progesterone).
• Fatigue as a side effect of your increased progesterone levels, which can be caused either by pregnancy or progesterone supplements.
• Nausea and discomfort around the abdominal area, due to increased hormonal levels.
• Frequent urination caused by rising hCG hormone levels, either caused by a new pregnancy or as an adverse reaction of hCG injections.

The symptoms that we have just listed can appear irrespective of whether it was a Frozen Embryo Transfer (FET) or a fresh transfer, or if it was a day-3 or day-5 embryo.

It is advisable for you to contact the center that has been monitoring your treatment in case symptoms like bleeding, fever, vomits, swelling and abdominal pain, or even shortness of breath, show up.

If you need to undergo IVF to become a mother, we recommend that you generate your Fertility Report now. In 3 simple steps, it will show you a list of clinics that fit your preferences and meet our strict quality criteria. Moreover, you will receive a report via email with useful tips to visit a fertility clinic for the first time.

When to test for pregnancy

In natural pregnancies, the embryo attaches to the uterine lining about 6 to 8 days after entering the uterus. This means that embryo implantation occurs at blastocyst stage. In short, even though this is the precise moment when implantation takes place, the entire process can take up to one week to be fully completed.

In an IVF cycle, day-3 embryos should remain in the uterus at least for three more days until reaching blastocyst stage and being able to implant. However, day-5 embryos are already at blastocyst stage, which means that they are able to attach to the uterus immediately after the ET.

The only thing left to do to finish the unending wait is to do the pregnancy test. It is usually done 10-15 days following the date when the follicle puncture ( egg collection ) was performed. In case it was a Frozen Embryo Transfer (FET), it can be done within 10 days, counting from the stage of embryo development in which the embryo was at the moment of the ET.

It is totally unadvisable to do a pregnancy test earlier than indicated, since the pregnancy hormone (hCG) increases progressively. For this reason, if one takes the test too early, you may get a false negative result, as the levels of hCG are insufficient as to be detectable.

This test may be performed in two ways: in urine or in blood . To do this, the patient must follow the instructions facilitated by the fertility center. Irrespective of wether you get a positive or negative outcome, you should always communicate it to the clinic, so that the guidelines to follow from that moment on can be established.

In the event of the result being positive, it is highly possible that you are advised to make an appointment with your gynecologist to have a first ultrasound done and check that everything is right.

If the result is negative but there is no vaginal bleeding, it is very possible that you are recommended to repeat the test within one week, as after this time period it could turn into positive.

If your menstrual period shows up, it means that a new cycle has started, and that pregnancy has not occurred. In other words, that unfortunately your IVF embryo transfer has failed.

The most important thing to do now is to keep calm and follow step by step the guidelines established by your fertility clinic. Take into account that their goal is the same as yours.

FAQs from users

Can i take a bath after the embryo transfer.

Bathing in pools, spas, and tubs should be avoided for at least one week after the embryo transfer to avoid possible infection or interference with vaginal medication. There is no contraindication for daily showering.

What precautions should I follow after embryo transfer in ICSI?

The precautions to take after embryo transfer in ICSI are exactly the same as in any other infertility treatment: Avoiding stress, reducing the intake of caffeine or stopping it, avoiding vigorous exercises, abstaining from intercourse, not having hot baths, and staying positive above all.

Are bloating, cramping and pain good signs after embryo transfer?

Yes, these are considered to be normal symptoms after embryo transfer. As for pain, it is possible that, due to the stress generated during the treatment, the medications administered, and the manipulation of the uterus during the embryo transfer, the woman has headaches, stomachaches, or backaches.

If they range from mild to moderate intensity, there is no reason for you to be concerned. However, if it turns into an unbearable pain, we recommend that you visit your doctor.

Is it necessary to rest after the transfer?

No, it is not necessary to rest beyond the 30-40 minutes recommended by the specialist immediately after the transfer. As we have commented above, after this time, the woman can continue with her usual life, always avoiding excessive efforts.

How long does it take for the embryo to implant after embryo transfer?

As explained above, it takes more than one week for the embryo to implant since fertilization. To be precise, implantation takes place 6-8 days after the embryo enters the endometrial lining.

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Is it normal to notice flu-like symptoms after embryo transfer?

Experiencing cold-like symptoms and a stuffy nose is a common post embryo transfer symptom, actually. This phenomenon is commonly known as "IVF cold", and includes sneezing, nasal congestion and even coughing. As other symptoms, IVF colds are caused by changing hormone levels, whether you become pregnant or not. In fact, women taking birth control pills or undergoing hormone replacement therapy are likely to feel them too.

I have zero symptoms but got a BFP, is that normal?

Yes, symptoms are not an essential requirement for IVF to be successful. As explained earlier, it varies on a case-by-case basis. A woman not feeling common symptoms may get a positive pregnancy test (commonly referred to as BFP or Big Fat Positive ), while others noticing every symptom listed above may end up not being pregnant.

What should I eat after IVF embryo transfer?

In general, you should follow a healthy, balanced diet, avoiding junk food above all. Ideally, your diet should include a mix of fruits, protein- and carbohydrate-rich foods, vegetables, etc. Also, you should avoid taking caffeine. If you can't stop drinking caffeinated drinks, limit your intake to a maximum of 200 mg per day.

When should I take a pregnancy test after a donor-egg embryo transfer?

Like in any other IVF procedure, after an embryo transfer with donated eggs, women have to go through the two-week wait or 2WW, a time period necessary for beta-hCG levels to be detectable by a pregnancy test.

The presence of the hormone hCG in blood increases gradually from embryo implantation up until the end of the third trimester approximately. This, along with other hormonal changes, is the reason why the common pregnancy symptoms appear (nausea, vomiting, etc.)

What happens after embryo transfer on each day?

Supposing that the embryo continued to develop and that pregnancy occurred as expected, this is what one should expect from Day Post Transfer (DPT) 1 to 11 approximately:

• The embryo turns from a 6-8 cell embryo to a morula
• The cells of the morula continue dividing: the embryo reaches the blastocyst stage
• Once a blastocyst, the embryo starts to hatch out of its "shell"
• It begins to attach itself to the uterus
• The implantation process continues: the embryo attaches deeper into the uterus
• The implantation process continues
• The embryo implantation process finishes and the cells that will form both the placenta and the fetus begin to develop
• The production of hCG starts, and it begins to enter the bloodstream
• Fetal development begins and hCG levels continue doubling
• Fetal development continues and hCG levels continue increasing
• hCG levels start now to be high enough to be detectable by pregnancy tests

I'm feeling thrush symptoms after embryo transfer, what is the cause?

In some cases, fertility specialists prescribe antibiotics prior to embryo transfer in order to prevent the presence of bacteria and other organisms to interfere with IVF outcomes. The use of antibiotics can cause women to develop candidiasis (vaginal yeast infection), as they can change the balance of those "good" microorganisms which help keep a healthy vaginal environment.

Nevertheless, there is no scientific proof that taking antibiotics improves the outcomes of IVF embryo transfers, so women who are prone to yeast infections should consider the use of antibiotics as just a preventive measure.

When is your period due if the embryo transfer doesn't work?

Firstly, if adequate hormone replacement therapy is given in the luteal phase, then your period should not show up until fertility medications are stopped. In general, your period should not appear earlier than 12 days after your ET.

Can you fly right after IVF embryo transfer?

Yes, there is no problem with that. Your embryos will be okay, floating freely inside your uterus. You can travel without being concerned about staying laying down, or your embryos falling out after transfer.

What is the best sleep position after embryo transfer?

Actually, you can choose the sleep position that is most comfortable for you. It's just as simple as that. There is no recommended sleep position, or a position that is unadvisable.

In fact, the common belief that bed rest is necessary after an ET is a myth that can be counterproductive, as it increases the levels of stress in the woman. It is erroneous to think that gravity can make the embryos fall out or reduce their possibilities of implanting.

How long after embryo transfer can you have intercourse?

It depends on a case-by-case basis, so you better follow your doctor's instructions. Anyway, pelvic rest may be recommended anywhere from 5 to 15 days after the embryo transfer.

Can smoking affect implantation after embryo transfer?

Smoking tobacco can affect the proper growth of the embryo—and fetal development in case pregnancy occurs. Moreover, it can reduce your fertility and reduce your chances of getting pregnant. For this reason, we strongly recommend that all IVF patients stop smoking before, during, and after their infertility treatment at once.

Suggested for you

This post is a summary of the general tips and symptoms that you are likely to feel after an IVF embryo transfer procedure. However, if you want to delve deeper into the most common symptoms after an ET, we recommend that you go visit this complete guide: Symptoms After Embryo Transfer: Most Common Positive Signs .

If the two-week wait has already come to its end for you, and you found out that you are pregnant... Congratulations! But now, what's next? To learn more about the signs and symptoms often associated with embryo implantation, check this out: What Are the First Signs & Symptoms of Embryo Implantation?

Finally, we have made references to day-3 and day-5 embryo transfers, and the main difference between them when it comes to determining the moment of embryo implantation. Want to get more details about the differences between them? Get answers here: Embryo Transfer on Day 3 or on Day 5?

We make a great effort to provide you with the highest quality information.

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Amarin ZO, Obeidat BR. Bed rest versus free mobilisation following embryo transfer: a prospective randomised study. BJOG. 2004 Nov;111(11):1273-6 ( View )

Cozzolino M, Troiano G, Esencan E. Bed rest after an embryo transfer: a systematic review and meta-analysis. Arch Gynecol Obstet. 2019 Nov;300(5):1121-1130 ( View )

Gaikwad S, Garrido N, Cobo A, Pellicer A, Remohi J. Bed rest after embryo transfer negatively affects in vitro fertilization: a randomized controlled clinical trial. Fertil Steril. 2013 Sep;100(3):729-35 ( View )

Purcell KJ, Schembri M, Telles TL, Fujimoto VY, Cedars MI. Bed rest after embryo transfer: a randomized controlled trial. Fertil Steril. 2007 Jun;87(6):1322-6 ( View )

FAQs from users: 'Can I take a bath after the embryo transfer?' , 'What precautions should I follow after embryo transfer in ICSI?' , 'Are bloating, cramping and pain good signs after embryo transfer?' , 'Is it necessary to rest after the transfer?' , 'How long does it take for the embryo to implant after embryo transfer?' , 'Is it normal to notice flu-like symptoms after embryo transfer?' , 'I have zero symptoms but got a BFP, is that normal?' , 'What should I eat after IVF embryo transfer?' , 'When should I take a pregnancy test after a donor-egg embryo transfer?' , 'What happens after embryo transfer on each day?' , 'I'm feeling thrush symptoms after embryo transfer, what is the cause?' , 'When is your period due if the embryo transfer doesn't work?' , 'Can you fly right after IVF embryo transfer?' , 'What is the best sleep position after embryo transfer?' , 'How long after embryo transfer can you have intercourse?' and 'Can smoking affect implantation after embryo transfer?' .

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Hi, my wife she had her embryos transferred today and after almost 6 hours she started vomiting, is that ok? I am a bit worried. Pls tell me something soon. Thanks.

Hello Sana,

Yes, that is a normal symptom after embryo transfer. It is caused by the medications she’s been taking, and because of the transfer itself, but it does not mean the treatment has failed.

Just keep calm during the 2ww 😉

Hey gurls, I’m on my 3rd day post transfer, 2 beautiful embryos (day 3). It was my first IVF attempt due to bilateral hydrosalpinx… I’ve read it’s very complicated for a person with hydrosalpinx to become pregnant… I’m on the 2ww and freaking out!!! If I succeed, it will be my 1st baby and to be honest I thought I would never make it due to the hydrosalpinx, but support from my partner has been material for be to be where I am at this moment!! No words can describe how grateful I am… fyi, I’ve had no symptoms except for a very mild pain on my ovaries… Is it normal?

Dear Kylie,

I’m sorry to tell you that a natural pregnancy is not possible with bilateral hydrosalpinx. However, these patients are able to become mothers thanks to IVF, as it is your case.

Moreover, performing a tubal occlusion procedure before starting the treatment can be highly beneficial to prevent the fluid in your fallopian tubes to spread and become toxic for the embryos. I don’t know if you have had it already done or not.

Wishing you lots of luck.

Thanks for this beautiful answer. Actually I was worried, but you have calmed down my nerves.

Tomorrow will be 2 weeks since my transfer!!! Bloodwork in the morning and results in the afternoon. That will feel longer than the 2 weeks we had to wait!!!

Hi, I had a single, 5day embryo transfer done last Monday, 14th June. I had no symptoms and no brown bleeding. But this morning I woke up with nipple pain but not breast pain, and my legs are like tired or organism pain. What could really cause it? Could I be pregnant?

I’m 1dp5dt with an average blasto. This is our 2nd cycle and our embryo quality was nowhere near what we got on cycle 1; which thankfully we have x3 top graders on!!

I’ve been feeling AF symptoms before transfer and even more so now. Throbbing pain down my right thigh, lower back ache, sore boobs & those mood swings! However I’ve been having a burning sensation on the left side of my abdomen. Never experienced that before!!

The 2ww is exhausting no matter how many words of encouragement. Just wish there was a way to look inside the womb during this time… Fingers & toes crossed this cycle works. Baby dust to all mummy’s-to-be x

I just had 2 embryos transferred last Tuesday 7th June. Until now, I feel good except sometimes some very slight pain in the ovaries area. Do I understand that everything is ok? Or there are some symptoms that should appear so that it shows that I`m pregnant?

Every lady is different and most likely things are going well for you and your embryos! Side effects from the pesky pessaries don’t help neither (that’s if you get the symptoms) but not long now before you can test. Best of luck to you.

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IVF Transfer: A Step-by-Step Guide to a Successful Embryo Transfer

Navigating the final step of your IVF journey—the IVF transfer—can be complex. How can you prepare, and what determines success? This article breaks down the critical aspects of the IVF transfer process, from timing and types to post-transfer care. Understand the factors at play, how to optimize your odds, and what to expect on the day of the transfer—empowering information that supports you on the path to potential parenthood.

Key Takeaways

• Embryo transfer is the last step in the IVF process , vital for patients with fertility issues; the number of embryos transferred depends on factors such as the woman’s age, with a single embryo often recommended in early cycles.
• The success of IVF transfer can be influenced by the timing, type of embryo transfer, and embryo quality, with various methods like fresh or frozen transfer, blastocyst transfer, and assisted hatching to enhance implantation chances.
• Post-transfer care is important for a successful IVF, involving rest, following medical advice carefully, avoiding strenuous activities, and monitoring for any signs of complications like spotting or severe pain.

Understanding the IVF Embryo Transfer Process

The process of In Vitro Fertilization (IVF) is a miraculous assisted reproductive technology that has brought joy to millions around the world. It offers hope for those who face challenges with natural fertilization due to various reasons, such as ovulation disorders, damage to Fallopian tubes , endometriosis , and premature ovarian failure.

The final step in the IVF process is known as embryo transfer procedure where carefully nurtured embryos are placed into the womb. This moment carries great anticipation and optimism for couples hoping to start a family. The decision on how many embryos should be transferred can vary depending on factors like age – typically just one high-quality embryo is recommended in first and second cycles for women under 37 years old while up to two may be considered by their third cycle.

When it comes down to success rates between fresh or frozen embryos , there isn’t much difference. Both have similar pregnancy rates ranging from about 18-23 percent respectively. While this highlights promising prospects through IVF transfer procedures, it’s important to note that this method cannot guarantee conception.

Types of Embryo Transfer

IVF treatment offers a range of embryo transfer options, each with its own distinct characteristics. The fresh IVF method involves transferring embryos into the uterus approximately five days after fertilization and may result in quicker conception at a lower cost. It can also be physically demanding for the woman.

Alternatively, frozen embryo transfer (FET) entails thawing previously cryopreserved embryos from a previous treatment and placing them inside the uterus. FET is more affordable than fresh transfers and helps preserve fertility. There is always some risk that not all frozen embryos will survive this process.

Two other techniques used are blastocyst transfer which allows longer development time before implantation or assisted hatching where an opening is created on the outer shell of an embryo to increase chances of successful attachment during pregnancy.

Timing of the Transfer

The timing of the embryo transfer, which typically takes place around five days after egg retrieval, may vary depending on factors such as the individual characteristics and implantation window. In order to increase chances of success, preimplantation genetic testing (PGT) can be performed on embryos before transfer. This process includes preimplantation genetic diagnosis that helps identify specific genetic conditions.

Older embryos tend to have higher levels of hCG and women over 36 years old often experience better results with a blastocyst transfer, usually scheduled for day five after egg retrieval. This timeframe is also beneficial in detecting any chromosomal abnormalities in the embryos prior to their placement into the uterus through embryo transfer.

Preparing for Your IVF Embryo Transfer

In order to prepare for an IVF transfer, just like with training for a marathon, it is essential to be physically and emotionally prepared. A crucial step in this process is selecting a reputable clinic . Factors such as the clinic’s success rates, lab location and quality-control procedures should be taken into consideration before starting your journey. PGS (preimplantation genetic screening) may also increase the chances of a successful transfer.

Before undergoing an IVF transfer, there are several important tests that must be completed first.

• An examination of the uterus which could include sonohysterography or hysterosalpingogram.
• Screening for infectious diseases.
• Screening for genetic diseases.
• Evaluation of semen samples from male partners.

Emotional Preparation

Emotional preparation is just as important in the IVF process as physical readiness. This journey can be an emotional rollercoaster, filled with anticipation, hope and possible disappointment. That’s why managing stress becomes crucial. Practices like yoga, reiki, acupuncture meditation or talk therapy are beneficial to maintain a stress-free environment which positively affects the development of a normal embryo and increases chances of successful transfer.

Aside from handling stress levels effectively during this time, it’s also essential to have realistic expectations when undergoing IVF treatment. While it holds great promise for couples struggling with infertility issues, there are no guarantees that pregnancy will result from these procedures.It should also be kept in mind that attempting multiple rounds (more than three) may not only take an emotional toll, but has significant financial implications too.

Furthermore, it must be noted that despite high hopes associated with IVF treatments, the possibility of having a normal embryo isn’t guaranteed. Therefore, couples need to understand and accept this reality prior to embarking on their fertility journey, and consider other options if necessary. However, this shouldn’t discourage those seeking help through assisted reproductive techniques, as maintaining positive mental attitude combined with management of factors known can increase probability favorably.

Physical Preparation

It is crucial to follow the doctor’s advice during physical preparation for IVF. This includes ensuring a full bladder, as it can provide better visibility of the uterus and help with precise embryo placement.

Maintaining regular exercise before the transfer may increase your chances of success. It is essential to heed the doctor’s instructions as they might suggest reducing physical activity after transferring embryos.

The Day of the Transfer: What to Expect

The transfer of carefully selected embryos is a pivotal moment in your IVF journey. This step involves the placement of high-quality embryos into the uterus, where they have potential for successful implantation and growth.

During this short procedure (approximately 15 minutes), doctors use ultrasound guidance to accurately place fertilized embryos into the uterine cavity using a fine transfer catheter. The success of embryo implantation greatly depends on careful selection and precise execution during this crucial stage.

Embryo Selection

The process of selecting embryos for transfer involves a thorough assessment. Embryologists carefully examine factors such as morphology, development stage, and visual evaluation to determine the most suitable embryos.

On days three and five after retrieval and fertilization of the egg, embryonic quality is evaluated . This includes grading them in order to detect any chromosomal abnormalities and ensure their genetic healthiness. The chances of achieving a successful pregnancy are higher with high-quality embryos.

The Transfer Procedure

The process of transferring embryos is both essential and delicate, requiring careful handling. Under the guidance of ultrasound technology, a doctor uses a specialized catheter to gently place the embryos into the uterus without causing any harm to the patient.

Typically lasting about 15 minutes, this procedure is relatively short and causes minimal discomfort. It marks an important moment filled with hope as these developing embryos make their way towards potential implantation and growth within the uterus.

Post-Transfer Care and Monitoring

After the embryo transfer in your IVF journey, it is important to continue with proper care and monitoring. This includes following these tips:

• Resting and avoiding strenuous activities or heavy lifting
• Adhering to medication instructions
• Eating a healthy diet and staying hydrated
• Maintaining a positive attitude

It is also essential to be vigilant for any potential complications that may arise during this time. Some common warning signs include:

• Light spotting or bleeding
• Pelvic pain or cramping.
• Fatigue – Fatigue.
• Tenderness/swelling of breasts.
• Activity Restrictions

It is crucial to maintain light physical activities after undergoing a transfer procedure. Engaging in strenuous exercises, such as aerobics, running, jogging, hill cycling and heavy lifting should be avoided.

These restrictions are put in place to reduce the risk of ovarian torsion and increase the chances of success for the procedure. While moderate levels of physical activity before starting IVF can positively impact pregnancy rates and live birth outcomes, excessive amounts may have a negative effect on IVF transfers’ success rate.

Signs of Complications

There is a chance of experiencing complications following IVF transfer, although this occurrence is uncommon. Should you notice any signs such as fever, abdominal pain or painful urination, it’s crucial to seek urgent medical assistance as these could be symptoms of a serious infection.

To that, warning signals to look out for include: slight spotting or bleeding which may be linked with the uterine lining, cramping, pelvic discomfort. And mild reactions from fertility medications. If you encounter any of these indicators, do not hesitate in contacting your healthcare provider immediately.

Factors Affecting IVF Embryo Transfer Success Rates

The success of an IVF transfer is influenced by numerous factors. One crucial aspect is the quality of the embryos, as higher-quality ones tend to increase chances for pregnancy.

Apart from embryo quality, other significant elements that can impact IVF outcomes include a patient’s overall health and pre-existing conditions like gestational diabetes or hypertensive diseases during pregnancy. Factors such as high BMI and potential long-term risks are also worth considering, given their association with lower success rates and increased likelihood of congenital abnormalities.

Healthy lifestyle choices play a vital role in determining the success rate of IVF treatments too. Elements like stress levels, dietary habits, age at starting a family along with potentially harmful practices such as smoking or excessive drinking can all affect fertility treatment results significantly.

Moreover, it is pertinent to acknowledge that numerous extrinsic factors, such as genetic disorders like cystic fibrosis and other pre-existing health conditions, might impact the effectiveness of fertility treatments, including IVF, in ways that are not always clear. Understanding these contributing factors is critical because they can adversely affect essential fertility components, including the health of eggs, sperm quality, and the preparedness of the woman’s body for pregnancy.

Hence, a comprehensive strategy that encompasses medical history, lifestyle practices, and external factors is crucial for improving the success rates of treatments designed to address infertility problems, such as those associated with assisted reproductive technologies. Enhancing your lifestyle can lead to better health outcomes and a greater probability of conducting successful fertility interventions. Expert guidance is available for those seeking individualized advice on how to improve their overall condition for the betterment of treatment outcomes and successful conception.

Maximizing Your Chances of Success

Optimizing your chances of IVF success requires a combination of physical and mental well-being strategies. It is crucial to strictly follow the doctor’s instructions, ensuring that the process is carried out accurately according to your unique situation.

Studies have revealed that regular exercise can enhance the likelihood of successful IVF transfer. In some cases, healthcare professionals may also suggest additional treatments like acupuncture or specialized medication to Increase these success rates.

Ethical Considerations in IVF Transfers

Embarking on an IVF journey brings forth ethical dilemmas that must be carefully considered. A key concern is the transfer of multiple embryos, as this may lead to a rise in multiple births and pose health risks for both the mother and babies.

Another aspect that requires thoughtful deliberation is the use of donor eggs or sperm in IVF. This raises questions about important principles such as autonomy, justice, beneficence, non-maleficence, and how it could potentially impact a child’s sense of identity. Careful consideration must be given when making decisions regarding donors during an IVF process.

To sum up, the process of transferring embryos during IVF may seem daunting and emotionally taxing for couples struggling with infertility. It offers a promising solution to their fertility issues. It is crucial to understand each step involved in this complex procedure – from preparation to post-transfer care and monitoring, in order to increase the chances of success. Keeping realistic expectations and prioritizing your physical and emotional well-being are key aspects throughout this journey towards potential parenthood through IVF.

Frequently Asked Questions

How long after an ivf embryo transfer does implantation take place.

Following a blastocyst transfer in IVF, the process of implantation typically takes place approximately 7 to 8 days after fertilization. This means that pregnancy may occur within this specific time period as well. It is advised to do a pregnancy test two weeks after the embryo transfer.

How painful is an IVF embryo transfer?

The process of embryo transfer does not typically cause any severe pain, but some individuals may experience slight discomfort comparable to that of a Pap smear. For those who feel nervous about the procedure, it is possible to request oral sedation for added comfort. This method involves placing an embryo into the uterus and can be compared to a routine gynecological procedure.

What is the success rate of IVF with a first transfer?

According to studies, the success rate of IVF on the initial try is typically between 20-35%. For those who are under 35 years old, approximately 41-55% of live births occur through IVF on their first embryo transfer. This means that for women in this age group, there is a higher likelihood of achieving successful results with an embryo during the first attempt.

What is the process for embryo transfer?

The procedure for transferring embryos is typically uncomplicated and usually does not necessitate the use of anesthesia. A slender catheter containing both the embryo(s) and a small volume of fluid is inserted through the cervix into the uterus, allowing for the release of the embryos.

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12 Common Embryo Transfer Questions, Answered by IVF Experts

July 14th, 2023 | 13 min. read

By Sierra Dehmler

After an embryo transfer, it's only natural to want to do everything "right" to encourage successful implantation. Here's a breakdown of what to expect, some important do's and don'ts, and answers to the most frequently asked questions about embryo transfers.

In this article: The Embryo Transfer Day Milestone 12 Common Questions About Embryo Transfer Can I pee (or sneeze) out my embryo? When will I find out if I'm pregnant or not? What are the early signs of pregnancy after embryo transfer? Is bleeding or discharge normal after embryo transfer? What can I do to increase my chances of successful implantation? How long does it take for the embryo to implant after transfer? Can I have sex after embryo transfer? Is bed rest beneficial after embryo transfer? What should I avoid after embryo transfer? What if my embryo transfer isn't successful? Are there any side effects from an embryo transfer? What happens if I get sick after embryo transfer?

The Embryo Transfer Day Milestone

Throughout your in vitro fertilization (IVF) cycle, you've dealt with so many morning monitoring appointments, ultrasounds, medications, forms, phone calls, emails and consults with your doctor - you've probably stopped keeping count.

Now, the day of your long-awaited embryo transfer has finally arrived, and you want to make sure you do everything by the book in order to give that little embryo the best chance at successful implantation. 

12 Common Questions About Embryo Transfer

While your Care Team will of course be on standby to provide individualized support, we understand that some things you may be wondering about may feel a bit awkward to bring up to your doctor or nurse.

That's why we're here - to bust some common embryo transfer myths and answer the most frequently asked post-transfer questions!

1. Can I pee (or sneeze) out my embryo?

If you've ever been worried about this, you're not alone! You'd be surprised just how many patients have similar concerns. After going through an entire IVF journey , it's only natural to want to be sure your little embryo will be safe and secure after transfer!

So...can you pee, sneeze, cough or jump too hard and stop your embryo from successfully implanting? Nope! Once that embryo is transferred, it's going to stay put.

Your embryo simply cannot be dislodged from the uterus post-transfer due to you sneezing, coughing, peeing or other bodily functions. Though the embryo will float around in your uterus a little before finding a comfortable spot to implant, these tiny embryos aren't as fragile as you may think!

In a nutshell, don't fret! Your embryo is safe and sound. And of course, if you have any concerns you can't shake, don't hesitate to reach out to your Care Team for reassurance. 

2. When will I find out if I'm pregnant or not?

If there's one thing you know at this point in your fertility journey, it's that there is a lot of waiting involved. After your embryo transfer, you'll have to wait about 9-10 days before you return to your fertility clinic for an official pregnancy test (performed via a simple blood test). 

Note: We strongly recommend waiting for that official pregnancy test instead of trying to do at-home tests during this 9-10 day waiting period post-transfer, as the medications involved in an IVF cycle can throw off your hormone levels, leading to inaccurate results.

We know it's difficult to hold off, but the blood test we do in the office will provide the most concrete answer (and save you a lot of confusion and anxiety). 

3. What are the early signs of pregnancy after embryo transfer?

This is (understandably) one of the most frequently asked questions we hear.

After all this time and effort, you're looking for any possible signs of success. It's important to note that many of the "typical" early pregnancy symptoms can also be caused by hormonal changes caused by prescribed medications. Here's why:

• Medication mimicry: Many progesterone and estrogen medications used in IVF cycles cause side effects remarkably similar to early pregnancy symptoms. It can be impossible to distinguish if these signs are due to medication or an actual pregnancy.
• Individual variation: Everyone's body reacts differently to both embryo transfer and early pregnancy. Some might experience many symptoms, while others have none at all.

Common Signs of Early Pregnancy

Remember: Having (or not having) any of these symptoms doesn't indicate the success or failure of your embryo transfer.

• Spotting or implantation bleeding: Light spotting or brownish discharge around 6-12 days post-transfer could be implantation bleeding, when the embryo attaches to the uterine lining. It's not heavy and usually lasts only a couple of days.
• Cramping: Mild cramps (similar to menstrual cramps) can occur due to implantation or hormonal shifts.
• Breast tenderness: Increased breast sensitivity is common due to hormones, both from medications and potential pregnancy.
• Fatigue: The IVF process itself and rising hormones can lead to tiredness.
• Elevated basal body temperature: Closely tracking your basal body temperature may show a sustained spike, which can sometimes indicate pregnancy.

While it's tempting to analyze every twinge, try to relax and focus on caring for yourself during this waiting period. The blood pregnancy test around 9-10 days after transfer is the only sure way to confirm pregnancy.

Resist the urge to take early at-home tests, as they are less accurate and can lead to unnecessary anxiety.

Embryo Transfer Day 101

What happens before, during and after your embryo transfer? Is embryo transfer painful? A medical assistant answers FAQs to help you feel more prepared for the big day.

4. Is bleeding or discharge normal after embryo transfer?

Light bleeding or spotting after an embryo transfer is common, and looks like a light pink or brown discharge. It is not abundant and lasts up to 48 hours. You might only notice the spotting when wiping.

Note: Contact your Care Team right away if the bleeding is heavy, doesn't stop within a few days, or is accompanied by other symptoms, such as severe cramping or nausea.

If you notice extra vaginal discharge, don't panic! This can be caused by the influx of hormones and blood flow to the reproductive organs, and is one of the body's ways to protect the uterus from infections.

Discharge post-transfer is typically a result of any vaginal medications (like progesterone) that you may be on to encourage implantation. It can appear powdery or gel-like, depending on the situation.

5. Can I do anything to increase the chances of successful implantation?

Actually, yes!

While so many pieces of the fertility puzzle feel completely out of your control , there are some key things you can do surrounding your embryo transfer to help increase your odds of successful embryo implantation.

Here are a few tips:

• Laser acupuncture: This non-invasive, painless treatment has been shown to significantly increase implantation rates when performed before and after embryo transfer. At Illume, we even have an amazing Acupuncture Team on standby for your big day! Learn more about laser acupuncture and embryo transfer or reach out to our acupuncturists directly to get more information.
• Stress reduction techniques: While we will never tell you to "just relax" during your fertility journey, reducing stress around embryo transfer day is helpful (not just for your physical health, but your mental health). Speak with a friend or counselor , connect with our community , practice meditating with the help of an app or free YouTube video , dress in your comfiest clothes, and keep your environment as relaxing as possible. 
• Follow your medication protocol closely: Reach out to your fertility nurse with any questions or concerns about timing or dosage. Also make sure you have enough of each of your medications, especially if you are traveling during your cycle. Your Care Team works hard to carefully design a personalized medication protocol to give you the highest chance of success!

6. How long does it take for the embryo to implant after transfer?

The answer to this question really depends on the maturity of your specific embryo, but generally, implantation typically takes place anywhere from 1-5 days after your embryo transfer. 

7. Can I have sex after embryo transfer?

It's best to wait to have sex until after your official pregnancy test (9-10 days after embryo transfer). Here are the main reasons doctors recommend waiting to resume sexual activity:

• Uterine irritation: The transfer procedure itself can cause slight irritation to the cervix. Sex could potentially increase the risk of infection.
• Contractions: Orgasms involve uterine contractions. While minor contractions are unlikely to dislodge the embryo, some doctors recommend caution in the early stages of implantation.

Alternatives for Intimacy

• Stay close in other ways: Maintain a loving connection with your partner through cuddling, massages, or other forms of physical affection that don't involve intercourse.
• Open communication: Be honest with your partner about your anxieties and desires. Together, you can find ways to still feel close and in tune with each other during this time.

8. Is bed rest beneficial after embryo transfer?

Directly following your embryo transfer at Illume Fertility , you will rest for 20 minutes before you are discharged that day. Many patients ask if they need to go home and be on bed rest afterward, but there has been no benefit found to going on bed rest after transfer.

You can go about your daily life as you feel comfortable!

However, you should be mindful of how you're feeling, and not do any heavy lifting or intense exercise for the next few days, because we want you to feel confident that you have created the best uterine environment to allow implantation to take place.

9. What should I avoid after embryo transfer? 

While your Care Team will provide specific instructions, here are some general tips on what to avoid after an embryo transfer to optimize implantation and your overall well-being:

Activities to limit:

• Strenuous exercise: While light exercise (such as walking or yoga) is encouraged, you should avoid anything that could put excessive strain on your body. This includes heavy lifting, high-impact sports, or activities with a risk of falling.
• Hot baths/jacuzzis: Excessively hot water can raise your body temperature, which isn't ideal for embryo implantation. Opt for warm showers instead.
• Heating pads: Avoid applying direct heat to your lower abdomen, as this could also potentially impact implantation.
• Douching: This disrupts the natural vaginal flora, potentially increasing your risk of infection.
• Smoking, alcohol, and drugs: As these substances can harm your developing embryo, it's important to avoid them completely during this time.

Dietary cautions:

• Excessive caffeine: Try to limit your caffeine intake, as high doses might negatively affect implantation.
• Processed foods: Whenever possible, opt for a balanced diet rich in fruits, vegetables, and whole grains. Processed foods are often high in unhealthy fats and low in nutrients, so do your best to minimize them.

Other recommendations:

• Reduce stress: While eliminating stress entirely isn't possible, finding ways to manage it (especially during this time) is crucial. Practice relaxation techniques like meditation, yoga, or deep breathing exercises. Surround yourself with supportive loved ones and consider joining a support group for people undergoing fertility treatments.
• Check your medications: Not all medications are safe during pregnancy. Double-check with your doctor about any medications you're currently taking to ensure they won't interfere with implantation or early pregnancy.

Thinking about IVF?

Download our free guide to IVF to learn more about how much IVF costs, how long it typically takes, and how this fertility treatment can help you achieve your family-building dreams.

10. What if my embryo transfer isn't successful?

While no one wants to receive the news that their embryo transfer wasn't successful, our team of reproductive endocrinologists here at Illume Fertility work hard to develop the optimal fertility treatment plan for each and every patient to maximize their chances of achieving a successful pregnancy.

Every situation is different, but sometimes, as frustrating as it is, it just takes a few cycles to achieve success. Know that you're in great hands as you move forward, and the odds are in your favor.

If your transfer doesn't result in a positive pregnancy test, it's only natural to feel upset - and then wonder what's next. Trust that your Care Team will come together to rally around you, offer support, and help you figure out the best next step. 

11. Are there any side effects from embryo transfer?

The embryo transfer procedure has little to no side effects other than (hopefully) pregnancy!

So while there aren't any side effects typically associated with the actual embryo transfer itself, the side effects of taking progesterone and estrogen can often mimic early pregnancy symptoms - however, they tend to be mild. 

Common side effects:

• Breast tenderness
• Constipation
• Bruising at the injection site

Everybody is different - some patients report little to no side effects, and some feel some discomfort. Always reach out to your Care Team if you have any concerns.

12. What happens if I get sick after embryo transfer?

Even if you happen to get sick after your embryo transfer and experience some vomiting, your embryo won't be bothered - it will stay right where it's meant to be, tucked cozily inside your uterus. 

Minor illnesses shouldn't affect your embryo's ability to successfully implant in the uterus. However, you should always contact your doctor if you develop a fever or have concerns.

Get Your Hopes Up

The time after embryo transfer is filled with a variety of emotions. You've gone through so much just to get to this point. Be proud of how far you've come!

While your embryo embarks on its incredible journey of development, try to focus on your own physical and emotional well-being. Keep trusting in your body and the incredible world of science, and know that no matter the outcome, you are resilient.

If you've been through unsuccessful fertility treatment cycles before, it can be difficult to stay hopeful as you try again, because you don't want to be let down. But we see your strength and perseverance, and we're here to cheer you on and support you the whole way. 

Struggling to shake your anxiety and remain optimistic? Our OB/GYN friend Dr. Shieva Ghofrany has some beautiful advice about why you should still celebrate each step and get your hopes up , even when it feels hard.

Disclaimer: This guide is not a substitute for medical advice. Always consult your doctor about any questions or concerns regarding your specific IVF treatment plan.

Sierra Dehmler

Sierra Dehmler is Illume Fertility’s Content Marketing Manager - and also a fertility patient herself. Combining empathy gained on her personal journey with her professional experience in marketing and content creation, she aims to empower and support other fertility patients by demystifying the fertility treatment process.

Everything You Need to Know About IVF

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What to Do After Embryo Transfer

by PNWF Team | Dec 20, 2021 | Fertility 101 , IVF Services

Tips to maximize success during your embryo transfer recovery

The embryo transfer is the final step in the roller coaster of fertility treatment, and many patients ask what to do after their embryo transfer. We understand the wish for a magic solution to guarantee pregnancy. However, we’ve learned in our decades of experience that maximizing success comes down to taking care of yourself, in whatever way that means to you. Truly, that’s it! Here are some self-care examples that may help you as you think about what to do after your embryo transfer.

You Can Take a Moment Post-Embryo Transfer to Reflect

At PNWF, we review medications and instructions with you after your transfer, then give you some time alone or with your partner to reflect on the transfer. While it’s easy to immediately shift focus to the outcome, it’s meaningful to pause and celebrate making it to this special step in your journey.

After Your Embryo Transfer, It’s Okay to Pee!

We promise you, the embryo can’t fall out of your uterus once it has been transferred. Studies show that lying down or not lying down immediately after your transfer has no effect on success rates. So, if you need to empty your bladder after the procedure, it’s perfectly okay.

Don’t Forget to Take Your Medications

In all the excitement after your embryo transfer, it’s easy to forget your medications. However, it’s very important to continue all medications as directed to maximize your chances of pregnancy. Some patients time their meds with meals, set alarms, or ask their partner to help remember to take them consistently.

Practice Self-Care Where Possible During Your Embryo Transfer Recovery

We like to think of the days after the embryo transfer as an opportunity for self care. Despite what the internet may tell you, there are no hard and fast rules about what you should or shouldn’t do after your transfer. Doing the laundry won’t ruin your chances of success – but if you don’t feel like doing it, by all means give yourself a pass to relax for a few days!

If possible, it’s nice to plan to not have deadlines or urgent obligations for a day or two after your transfer, so you can rest and reflect. But, if you need to work or take care of family the next day, don’t worry. You aren’t compromising your results.

Have a Plan for What to Do After Embryo Transfer

Planning is important for two reasons. First, you may need to plan ahead if you’d like to free your schedule for rest and relaxation. Second, having a plan for either outcome after your embryo transfer may help you feel more confident and secure. Talk to your fertility team about next steps for medications or follow-up visits for either result.

Take Your Pregnancy Test When Directed, Not Before

The two week wait between your transfer and your pregnancy test can feel like an eternity. However, it’s important to wait to take the test until your clinic recommends it. Taking the test too early can give inaccurate or misleading results. The two-week wait is already emotional enough, without adding in extra confusion from an early test.

While you wait, try to use your favorite distraction or relaxing techniques to help stay present and hopeful. Picking up a new hobby, working on a DIY project at home, walking with friends or by yourself can help to pass the time and care for your mental health. Watching your favorite comedy can help distract you, and may even improve chances of success! Studies show humor can improve transfer results.

And lastly, during these two weeks, remember that there is no single experience of pregnancy. Spotting, cramps, tenderness, mood swings – some pregnant people experience these symptoms, while others don’t feel any different, but still get a positive test result.

At PNWF, we’re here to help as you prepare for what to do after your embryo transfer. It is an exciting and meaningful finish to your fertility journey. We want you to feel comfortable and confident in the process. We will make sure you are prepared before, during, and after your transfer.

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Embryo Transfer: A Comprehensive Guide

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What is an embryo transfer?

Embryo transfers are a compelling solution for individuals and couples facing infertility challenges. Through embryo transfers, we facilitate the creation of embryos using the intended parents’ own eggs and sperm, or with the assistance of donors in a controlled laboratory setting.

Embryo transfer is a process used in in vitro fertilization (IVF). After an egg has been fertilized by a sperm in a laboratory, it grows for a few days and becomes an embryo. These carefully developed embryos are then transferred to either the intended mother or a gestational carrier’s uterus, offering the opportunity for successful implantation and the development of a healthy baby.

The goal of embryo transfer is for the embryo to implant in the uterus, resulting in a successful pregnancy. This is a key step in the IVF process and usually takes place about 3 to 5 days after the egg is fertilized.

By ensuring optimal conditions for fertilization and embryo growth, we significantly enhance the chances of achieving a successful pregnancy journey.

When embryo transfer is needed

Embryo transfer is needed as a part of In Vitro Fertilization (IVF) treatment. This procedure is typically pursued when other fertility treatments such as timed intercourse, ovulation induction, and intrauterine insemination (IUI) have not resulted in a successful pregnancy.

It might be needed in a number of scenarios, including:

• Age-related infertility : As women age, the quantity and quality of their eggs decrease, which can make natural conception more challenging.
• Male factor infertility : If there’s a problem with the quantity or quality of the man’s sperm, IVF with embryo transfer allows fertilization to occur in a lab.
• Tubal factor infertility : If a woman’s fallopian tubes are blocked or damaged, preventing the sperm from reaching the egg.
• Unexplained infertility : When the cause of infertility cannot be determined, even after thorough testing.
• Genetic disorders : If there’s a risk of passing on a genetic disorder, IVF with embryo transfer can be used along with preimplantation genetic testing to help ensure only healthy embryos are implanted.
• Same-sex couples or single individuals : Embryo transfer allows these individuals to have a biological child, potentially using donor eggs, sperm, or a gestational surrogate.

Remember, each person’s fertility journey is unique, and the need for embryo transfer would be determined by a healthcare provider based on the individual’s specific circumstances and fertility challenges.

What is a donor embryo?

What are donor embryos? Embryo donation is a procedure that enables embryos either that were created by couples undergoing fertility treatment or that were created from donor sperm and donor eggs specifically for the purpose of donation to be transferred to infertile patients in order to achieve a pregnancy.

How is the donor embryo transferred?

Donor Embryos are transferred into the recipient’s uterus, usually within three to five days after the eggs are fertilized in the laboratory. The embryo transfer is performed by passing a small catheter with the embryo(s) through the cervix and into the uterus. If the recipient couple has extra embryos, these embryos may be cryopreserved (frozen) and used later in additional attempts to achieve a pregnancy.

Embryos are typically transferred into the recipient’s uterus through a medical procedure, hoping for implantation and subsequent pregnancy. This method provides a unique path to parenthood for those who may not have been successful with other fertility treatments, single individuals, same-sex couples, or those with health conditions that prevent the use of their own eggs or sperm

What are the different types of embryo transfers

There are several types of embryo transfers, typically categorized by the stage of embryo development at the time of transfer and whether the embryos are fresh or frozen:

• Fresh Embryo Transfer : This happens in the same IVF cycle in which the eggs were retrieved and fertilized. Typically, the embryo transfer takes place a few days post-fertilization.
• Frozen Embryo Transfer (FET) : In this case, the embryos are frozen after being created in the lab and are thawed for transfer in a subsequent cycle. This allows the woman’s body to recover from the egg retrieval process and can give the doctor more control over the timing of the transfer.
• Blastocyst Transfer : This refers to the stage of the embryo at the time of transfer. A blastocyst is an embryo that has developed for five to six days after fertilization. Blastocysts have a higher implantation rate compared to earlier stage embryos.
• Day 3 Transfer : In this type, the embryos are transferred three days post-fertilization. These embryos are at the cleavage stage and contain about six to eight cells.
• Donor Embryo Transfer : Embryos created with donor eggs or sperm (or both) are used for the transfer. This option is often considered by individuals or couples who have certain genetic disorders, poor egg or sperm quality, or other fertility issues.
• Preimplantation Genetic Testing (PGT) Embryo Transfer : Embryos are tested for genetic abnormalities before transfer. Only embryos deemed healthy are used, which can increase the chances of a successful pregnancy and reduce the risk of miscarriage or certain genetic disorders.

Fresh Embryo Transfer:

Fresh embryo transfer is a procedure where an embryo that is newly created through in vitro fertilization (IVF) is immediately transferred into a woman’s uterus. This process typically happens three to five days after the egg retrieval. The benefits of fresh transfer are that it follows a woman’s natural cycle more closely and that it allows for immediate transfer without the need for freezing and thawing. However, it might be associated with a higher risk of Ovarian Hyperstimulation Syndrome (OHSS), especially in women with Polycystic Ovary Syndrome (PCOS).

In a Frozen Embryo Transfer (FET), embryos are first frozen for use at a later date. This allows the woman’s body time to recover from the hormone treatments that are part of the IVF process before proceeding with the embryo transfer. FET in IVF can provide more flexibility in timing and may lead to pregnancy rates that are as good, if not better, than fresh transfers. This process also makes it possible to store embryos for future attempts at pregnancy.

Cleavage (Day 3) Stage Embryo Transfer:

During a Day 3 embryo transfer, embryos are transferred when they are in the cleavage stage, which typically consists of 6-8 cells. Day 3 transfers can be beneficial if there are a limited number of embryos, as it allows the embryos to be returned to the uterus sooner. However, it might be harder to identify the best quality embryos at this stage compared to a Day 5 transfer.

The cleavage stage is an early phase of embryonic development that occurs after the fertilization of an egg by a sperm. At this stage, the fertilized egg, or zygote, begins to divide through a process called “cleavage.” The zygote divides without growing, meaning the cell size becomes progressively smaller with each division.

These cell divisions create a cluster of cells. By the end of the third day post-fertilization, the developing embryo usually contains about six to eight cells. At this point, it is typically referred to as being at the “cleavage stage.”

The cells within the cleavage-stage embryo are known as blastomeres, and they’re essentially all identical at this stage. They have the potential to develop into any type of cell in the body, so they’re said to be “totipotent.”

The cleavage stage is significant in fertility treatments such as in vitro fertilization (IVF), as this is often when embryos are assessed for quality before being selected for transfer to the uterus, especially if a Day 3 transfer is being conducted. However, in many modern fertility clinics, embryos are often allowed to develop to the blastocyst stage (around day 5 or 6) before transfer, as this allows for better selection of viable embryos.

Blastocyst (Day 5) Stage Embryo Transfer:

Blastocyst transfer involves transferring the embryo to the uterus on Day 5 or 6, at the blastocyst stage of development. This is when the embryo has many more cells and has begun to differentiate into different cell types. Transferring at this stage can allow for better selection of the most viable embryos, potentially increasing the chance of implantation and pregnancy. However, not all embryos will develop to the blastocyst stage.

Single Embryo Transfer (SET or eSET):

Single Embryo Transfer (SET), also known as elective Single Embryo Transfer (eSET), involves transferring only one embryo to the uterus. The goal of SET is to achieve a healthy pregnancy and avoid the risks associated with multiple pregnancies (such as preterm birth). SET is typically recommended for women under 35 with a good prognosis and high-quality embryos.

Multiple Embryo Transfer:

Multiple Embryo Transfer involves placing two or more embryos in the uterus. This method may increase the chances of pregnancy per transfer, but also significantly increases the risk of multiple pregnancies (twins, triplets, etc.), which carry higher risks for both the mother and the babies. Multiple embryo transfers are generally recommended less frequently now due to the associated risks.

Assisted Hatching (AH):

Assisted hatching is a lab technique used in IVF where a small hole is made in the outer layer of the embryo (the zona pellucida) before it’s transferred to the uterus. The theory is that this can help the embryo “hatch” out of its outer layer, which it needs to do to implant in the uterus. Assisted hatching may be used in cases where the outer layer is unusually thick, or with women who are older, have had previous failed IVF cycles, or frozen embryo transfers. However, the effectiveness of assisted hatching remains a subject of ongoing research.

The type of embryo transfer recommended can depend on many factors, including the woman’s age, the quality and quantity of the embryos, the woman’s uterine lining, and her overall health, among other factors.

How is the Embryo Transfer Procedure Done?

The embryo transfer procedure is a key part of in vitro fertilization (IVF) treatment. Here’s a step-by-step description of how it typically happens:

• Embryo Selection : The first step in the embryo transfer procedure involves the selection of the most viable embryo or embryos for transfer. The selection is based on the quality and development of the embryos. This step is done by the embryologist in the fertility clinic’s lab.
• Preparing the Patient : The woman usually lies down on an examination table, much like she would for a standard gynecological exam. A full bladder is often recommended because it can help better visualize the uterus during the procedure.
• Loading the Catheter : The selected embryo or embryos are drawn into a fine catheter, a thin, flexible tube.
• Embryo Transfer : The doctor inserts a speculum into the woman’s vagina to keep the vaginal walls apart, much like during a Pap smear. Then, using ultrasound guidance, the doctor inserts the catheter through the cervix into the uterus. Once the catheter is in the correct place, the embryo or embryos are gently expelled from the catheter into the uterine cavity.
• Post-Transfer : The catheter is then removed, and the embryologist checks it to ensure that no embryos remain inside. The woman is typically advised to rest for a short time after the procedure before going home.

The embryo transfer procedure is usually quick and painless, and generally doesn’t require any anesthesia. After the procedure, any remaining viable embryos can be frozen for future use.

In the days following the transfer, the embryo(s) will hopefully implant into the lining of the uterus and begin to grow. A pregnancy test is typically scheduled about two weeks after the embryo transfer to see if the procedure was successful.

How to prepare for your embryo transfer?

Preparing for an embryo transfer can be both a physical and emotional process. Here are some steps you can take to ensure that you are ready:

• Follow Medical Instructions : Your fertility clinic will provide specific instructions about medications and procedures leading up to your embryo transfer. This might include taking certain hormones to prepare your uterine lining or following specific guidelines about diet or activity. Make sure you understand these instructions and follow them closely.
• Stay Hydrated and Maintain a Balanced Diet : Hydration and nutrition can play a role in preparing your body for embryo transfer. Make sure to drink plenty of water and eat a balanced diet with plenty of fruits, vegetables, whole grains, and lean proteins.
• Avoid Certain Substances : It’s recommended to avoid alcohol, caffeine, and smoking leading up to your embryo transfer, as these can potentially affect implantation and pregnancy.
• Manage Stress : The process of undergoing fertility treatments can be stressful. Practicing stress management techniques, such as meditation, yoga, deep breathing exercises, or other relaxation techniques, can help you stay calm and focused.

• Emotional Support : Reach out to your support network, which can include a partner, family, friends, or a mental health professional. Talking about your feelings and experiences can help manage any anxiety or stress associated with the procedure.
• Mind Your Mental Health : Some people find it beneficial to talk with a counselor or join a support group to discuss their feelings and fears about the procedure. This can provide emotional comfort and valuable advice from those who’ve been through similar experiences.
• Plan for Rest After the Procedure : While it’s not necessary to be on bed rest after an embryo transfer, you should plan to take it easy and avoid strenuous activities for a couple of days after the procedure.

Remember, every person’s journey through fertility treatment is unique. What works for one person might not work for another. Always consult with your healthcare provider for guidance tailored to your specific situation.

Ultrasound guided embryo transfer technique

Ultrasound-guided embryo transfer is a procedure used in in vitro fertilization (IVF) to help ensure the most accurate placement of embryos into a woman’s uterus. Here’s a step-by-step guide to this technique:

• Preparation : The woman is placed in a position similar to a pelvic exam, usually lying on her back with her feet in stirrups. A speculum is inserted into the vagina to visualize the cervix. It’s often recommended for the woman to have a partially full bladder, as this can help improve the ultrasound image.
• Ultrasound Setup : A transabdominal ultrasound is used during the procedure. This involves placing an ultrasound probe on the woman’s abdomen. The ultrasound allows the doctor to clearly see the uterus and the catheter that will be used for the transfer.
• Loading the Catheter : The embryos are drawn into a special, thin, flexible tube called a catheter in the lab. The embryologist takes great care to ensure that the embryos are safely inside the catheter, ready for transfer.
• Inserting the Catheter : The doctor slowly passes the catheter through the cervix and into the uterus, guided by the real-time images provided by the ultrasound. This helps ensure that the embryos are delivered to the optimal location in the uterus, which can improve the chances of successful implantation.
• Embryo Transfer : Once the catheter is in the correct location in the uterus, the embryos are gently expelled from the catheter.
• Confirmation : The catheter is carefully removed and handed back to the embryologist who checks to ensure no embryos remain within the catheter.

The use of ultrasound guidance during embryo transfer can enhance the accuracy of the procedure, allowing the clinician to avoid touching the fundus (the top of the uterus), which can cause uterine contractions and potentially decrease the likelihood of implantation. This is a generally painless procedure and does not require anesthesia. The woman can usually go home shortly after the procedure is completed.

What is The process of embryo transfer?

The process of embryo transfer, a crucial part of in vitro fertilization (IVF), involves several steps. Here’s a brief overview:

• Preparation : Leading up to the embryo transfer, the woman takes medication to prepare her uterine lining for implantation. This typically includes hormones such as progesterone and sometimes estrogen.
• Embryo Development : While the woman’s body is being prepared, the embryos are being created in the lab. An egg is fertilized with sperm and allowed to develop for several days. The development of the embryos is closely monitored, and the highest quality embryos are selected for transfer.
• Embryo Transfer Procedure : On the day of the transfer, the woman typically lies on an examination table, similar to during a regular gynecological exam. A speculum is inserted into her vagina to visualize the cervix. The selected embryo or embryos are loaded into a small, thin catheter.
• Ultrasound Guidance : An ultrasound is usually used to help guide the procedure. The catheter is passed through the cervix into the uterus, using the ultrasound for precision.
• Placing the Embryo : The embryo or embryos are then carefully deposited in the uterus through the catheter. The goal is to place them in a location that will maximize the chances of implantation.
• Post-Transfer : After the embryos have been placed, the catheter is removed. The woman might remain lying down for a short period, but then she can typically go home. The whole procedure usually doesn’t take more than 30 minutes and generally isn’t painful, though some women report minor discomfort.
• The Two-Week Wait : After the transfer, there is a waiting period of about two weeks before a pregnancy test can be taken. This time allows for the embryos to potentially implant in the uterine lining.
• Pregnancy Test : If the woman’s period doesn’t start during the two-week wait, she’ll take a pregnancy test to see if the procedure was successful.

It’s important to note that not all embryo transfers result in pregnancy, and it might take more than one attempt. The success rate can depend on many factors, including the age and health of the woman, the quality of the embryos, and the expertise of the fertility clinic.

What to expect before, during, and after an embryo transfer

Undergoing an embryo transfer can be both an exciting and nerve-wracking experience. Here is what you can expect before, during, and after the procedure:

• Medication : Leading up to the embryo transfer, you will be taking medications such as progesterone and potentially estrogen to prepare your uterine lining for the embryo. It’s essential to take all prescribed medication as instructed by your doctor.
• Monitoring : Your doctor will monitor your uterine lining using ultrasound to ensure it’s ready for the embryo transfer. When the lining is adequately thickened and the timing is right, your doctor will schedule the transfer.
• Embryo Development : Meanwhile, your embryos are being monitored in the laboratory. The embryologist will choose the highest quality embryo(s) for transfer.

During the Embryo Transfer

• Procedure : The actual embryo transfer procedure is typically quick and painless. You will be asked to lie down on an exam table, and a speculum will be inserted into your vagina, similar to a routine gynecological exam.
• Ultrasound Guidance : An ultrasound is often used to help guide the catheter that carries the embryo(s) through your cervix and into your uterus.
• Embryo Transfer : The embryologist loads the selected embryo(s) into a thin catheter, which is then carefully guided into your uterus. Once in place, the embryo(s) are released from the catheter.

After the Embryo Transfer

• Rest : After the procedure, you may be asked to rest for a short period of time in the clinic before going home. You’re typically able to return to normal daily activities, but strenuous physical activity might be discouraged.
• Symptom Monitoring : Mild cramping and spotting can occur after an embryo transfer, but any severe pain or heavy bleeding should be reported to your doctor.
• Waiting Period : There’s a waiting period of about two weeks following the embryo transfer before a pregnancy test can be done. This is often referred to as the “two-week wait,” and it can be an emotionally challenging time.
• Pregnancy Test : You’ll take a pregnancy test, typically a blood test, at your doctor’s office to determine if the procedure was successful.
• Follow-up : If the test is positive, you will continue with follow-up appointments to monitor the pregnancy. If the test is negative, you’ll meet with your doctor to discuss the next steps, which may include another round of IVF or other treatment options.

Remember, your healthcare team is there to support you throughout this process. Don’t hesitate to ask questions or seek reassurance if you’re feeling unsure about anything.

How many embryos should you transfer?

The number of embryos to be transferred during an IVF cycle is a decision that depends on several factors, including the woman’s age, the quality of the embryos, and the risk of multiple pregnancies. This decision should be made in consultation with your fertility specialist.

• Age : Age is one of the most important factors. Women under 35 years old are often recommended to have just one embryo transferred if the embryo is of good quality and has reached the blastocyst stage (5 days of development). For women aged 35-37, one or two embryos may be recommended, depending on embryo quality. For women over 37, the decision is typically based on the quality of the embryos and the woman’s individual health and reproductive history.
• Embryo Quality : High-quality embryos are more likely to implant and result in a pregnancy, reducing the need for multiple embryos to be transferred.
• Previous IVF Cycles : If a woman has had unsuccessful IVF cycles in the past, the doctor may recommend transferring more than one embryo.
• Risk of Multiple Pregnancies : Transferring more than one embryo increases the risk of a multiple pregnancy (twins, triplets, or more), which can pose health risks to both the mother and the babies. Multiple pregnancies have higher rates of premature birth, low birth weight, and pregnancy complications.
• Single Embryo Transfer (SET) : SET involves transferring just one embryo and is recommended to reduce the risk of multiple pregnancies. Any additional good-quality embryos can be frozen for future use.

In recent years, improvements in embryo culturing techniques and preimplantation genetic testing (PGT) have allowed fertility clinics to select the single best embryo for transfer with increasing confidence, reducing the need for multiple embryo transfers.

However, every individual’s situation is unique, so it’s important to discuss your own circumstances and preferences with your fertility specialist. They can guide you to make the decision that best suits your personal situation.

How do you decide on what type of embryo transfer you should use?

Deciding on the type of embryo transfer—whether it should be a fresh or frozen transfer, and whether it should involve a cleavage stage embryo or a blastocyst—largely depends on individual circumstances and specific clinical factors. Here are a few considerations that can help determine the best approach:

Fresh vs. Frozen Embryo Transfer

• Synchronization : One of the main factors is the synchronization between the development of the embryo and the uterine lining. In some cases, especially when ovarian stimulation results in a high hormone level, the uterus may not be in the optimal condition for implantation. In these situations, embryos can be frozen and transferred in a subsequent cycle when the uterus is more receptive (a Frozen Embryo Transfer, or FET).
• OHSS Risk : If a woman is at risk of developing Ovarian Hyperstimulation Syndrome (OHSS), a condition that can occur due to fertility medications, doctors might opt to freeze all the embryos and transfer in a later cycle to allow the woman’s body to recover.
• PGT Testing : If preimplantation genetic testing (PGT) is being carried out to screen for genetic conditions, the embryos will need to be frozen while awaiting the results.
• Personal Circumstances : Sometimes, personal circumstances or preferences might favor a frozen transfer—such as needing more time to recover from the egg retrieval procedure, scheduling issues, or wanting to space out the physical and emotional demands of the treatment.

Cleavage Stage vs. Blastocyst Transfer

• Embryo Quality : If multiple embryos are available, letting them develop to the blastocyst stage (day 5 or 6) can help embryologists better assess their quality and select the best one(s) for transfer.
• Age and Embryo Quantity : For younger women or those with a higher number of embryos, it might be advantageous to wait until the blastocyst stage for transfer. However, for women of advanced reproductive age or those with fewer embryos, a cleavage-stage transfer (day 3) might be recommended to avoid the risk of having no embryos available by day 5 or 6.
• Clinic Expertise : Different clinics may have different rates of success with cleavage stage and blastocyst transfers, depending on their lab conditions and expertise.
• Previous IVF Cycles : The outcomes of any previous IVF cycles could also influence the decision.

In summary, the decision on what type of embryo transfer to use is a complex one that should be made with the guidance of a fertility specialist. It requires considering both medical and personal factors. The ultimate goal is to maximize the chance of a successful, healthy pregnancy.

Success rates of embryo transfers by type

The success rates of embryo transfers can vary significantly based on a variety of factors, including the woman’s age, the quality and stage of the embryo, the clinic’s expertise, and the specific circumstances of the individual or couple.

Fresh vs. frozen embryo transfer success rates

The success rates for fresh and frozen embryo transfers can vary significantly depending on several factors, including the woman’s age, the quality of the embryos, and the specific circumstances of the individual or couple. However, recent studies and reports suggest that both methods have comparable success rates.

According to the Society for Assisted Reproductive Technology (SART) 2020 report

• What is the chance of live birth doing IVF as a new patient in a clinic? 68.9%
• What is the chance of Live Birth from Frozen Transfer, not including the first intended transfer or occurring more than 12 months after retrieval? 47.6%
• What is the chance of live birth with an intended egg retrieval and the first embryo transfer? 39.9%

In some situations, frozen embryo transfer (FET) might have a slight edge over fresh embryo transfer. For instance, in women with Polycystic Ovary Syndrome (PCOS) or those at risk for Ovarian Hyperstimulation Syndrome (OHSS), FET tends to have higher success rates. The rationale behind this is that FET allows the body to recover from the effects of ovarian stimulation drugs used during the IVF process, potentially creating a more favorable environment for implantation.

It’s important to note that these are average success rates, and individual success rates can differ greatly based on personal factors.

Benefits and risks of embryo transfers

Embryo transfers are an integral part of in vitro fertilization (IVF) and other assisted reproductive techniques, and they come with both benefits and potential risks.

Benefits of Embryo Transfers

• Increased Chances of Pregnancy : Embryo transfer directly places the embryo(s) into the uterus, bypassing potential obstacles such as blocked or damaged fallopian tubes, thus increasing the chances of pregnancy.
• Control Over Timing : Especially in the case of Frozen Embryo Transfer (FET), the procedure allows for flexibility in timing, letting you and your doctor plan the transfer for when your body and the embryo are optimally prepared.
• Use of Tested Embryos : With advancements in technology, it’s now possible to genetically test embryos before transfer (Preimplantation Genetic Testing, PGT). This helps to increase the likelihood of transferring a healthy embryo, thereby enhancing the chance of a successful pregnancy and healthy baby.
• Potential for Future Use : Additional viable embryos that are not transferred can be cryopreserved for future use. This allows for the possibility of multiple pregnancy attempts from one egg retrieval cycle or future sibling(s) for your child.

Risks of Embryo Transfers

• Multiple Pregnancies : Transferring more than one embryo can lead to a multiple pregnancy (twins, triplets, etc.), which poses a higher risk for pregnancy complications like gestational diabetes, preeclampsia, preterm labor, and low birth weight.
• Failed Implantation : Even after transfer, not all embryos will implant successfully in the uterus. This can be emotionally challenging for individuals and couples going through this process.
• Ectopic Pregnancy : Although rare, there’s a small chance that the embryo could implant outside of the uterus, usually in a fallopian tube. This is known as an ectopic pregnancy and requires immediate medical attention.
• OHSS (Ovarian Hyperstimulation Syndrome) : While this is more related to the hormone medications used during the IVF process, it’s worth mentioning as a risk. In a minority of cases, the ovaries can overreact to the fertility drugs, causing abdominal pain, bloating, or, in severe cases, rapid weight gain and shortness of breath.
• Emotional and Financial Strain : The process of undergoing IVF and embryo transfer can be emotionally and financially challenging. It’s crucial to have a support system in place and to be aware of the potential costs involved.

In all cases, the benefits and risks must be carefully weighed, and decisions should be made in close consultation with your healthcare provider, who can provide guidance based on your personal health history and specific circumstances.

What to do Before Embryo Transfer to Improve Chances of Success

While the success of an embryo transfer is largely dependent on factors such as embryo quality and the receptiveness of the uterus, there are steps you can take to optimize your body’s preparedness for the procedure and to potentially increase the chances of a successful pregnancy:

1. Healthy Lifestyle :

• Diet : Eat a balanced, nutrient-rich diet. Certain nutrients, such as folic acid, iron, calcium, vitamin D, and omega-3 fatty acids, are particularly important for fertility and pregnancy.
• Exercise : Regular, moderate exercise can help improve overall health, manage stress, and prepare the body for pregnancy. However, it’s important to avoid strenuous workouts around the time of the transfer.
• Weight Management : Maintaining a healthy weight can improve fertility and pregnancy outcomes. Both underweight and overweight conditions can negatively impact fertility.

2. No Smoking or Alcohol : Both smoking and alcohol can have negative effects on fertility and pregnancy. It’s recommended to avoid both before and after the embryo transfer.

3. Limit Caffeine Intake : While moderate caffeine consumption is generally considered safe, excessive caffeine intake may be linked to fertility issues. It’s advisable to limit your caffeine consumption.

4. Manage Stress : High stress levels can negatively impact fertility. Techniques like mindfulness, yoga, deep breathing exercises, and counseling can be beneficial in managing stress levels.

5. Optimal Endometrial Lining : Your healthcare provider will monitor the thickness and pattern of your endometrial lining using ultrasound. If your lining is not optimal, your provider might suggest treatments such as additional estrogen.

6. Medications : Take any prescribed medications as directed by your healthcare provider. These often include hormones to prepare the uterus for implantation.

7. Consider Acupuncture : Some studies suggest that acupuncture may help improve the success rates of IVF, though more research is needed in this area.

8. Good Hydration : Hydration is important for general health and can also help maintain a healthy uterine lining.

9. Adequate Rest : Getting sufficient sleep can support overall health and wellbeing, which can, in turn, aid fertility.

Remember, everyone’s situation is unique, and what works for one person may not work for another. It’s essential to discuss any lifestyle changes or treatments with your healthcare provider to ensure they are safe and appropriate for your personal circumstances.

What to do After Embryo Transfer to Improve Chances of Success

Once the embryo transfer has taken place, there are several steps you can take to foster a supportive environment for potential implantation and to help increase the chances of a successful pregnancy:

1. Follow Your Doctor’s Advice : First and foremost, listen to your healthcare provider’s instructions. They will give you specific advice tailored to your circumstances, which may include rest, avoiding certain activities, or continuing certain medications.

2. Healthy Lifestyle Continuation : Continue with the healthy lifestyle habits you adopted before the transfer. This includes eating a balanced diet, getting moderate exercise (as advised by your doctor), and getting plenty of sleep.

3. Continue Taking Prescribed Medications : You will likely be prescribed progesterone and possibly other medications to support the early stages of pregnancy. It’s crucial to continue taking these as directed.

4. Stay Hydrated : Good hydration is beneficial for overall health and can help support the body during this time.

5. Avoid Strenuous Activities : High-impact or strenuous exercises should be avoided immediately after embryo transfer. Gentle activities like walking or yoga are usually safe, but always discuss this with your healthcare provider.

6. Manage Stress : This can be an anxious time, but high levels of stress can potentially impact implantation. Techniques such as deep breathing, meditation, gentle yoga, or other relaxing activities can help manage stress levels.

7. Avoid Hot Baths or Saunas : High body temperature can potentially harm embryonic development. As such, it is usually recommended to avoid hot baths, saunas, hot yoga, or anything else that significantly raises your body temperature.

8. Refrain from Smoking, Alcohol, and Limit Caffeine : These substances can affect embryo implantation and early fetal development. It is best to continue avoiding smoking and alcohol, and to limit caffeine intake.

9. Stay Positive and Rest : While it’s easier said than done, try to stay positive during the ‘two-week wait’. It’s also beneficial to rest and listen to your body during this time.

Remember that each person’s situation is unique, and what works for one person may not work for another. Always discuss any lifestyle changes or potential treatments with your healthcare provider.

Embryo Transfer Cost

The cost of embryo transfe r is typically included as part of a broader in vitro fertilization (IVF) cycle, which can vary greatly in price depending on your geographical location, the specific clinic you choose, the amount of medications needed, and any additional procedures like intracytoplasmic sperm injection (ICSI), genetic testing, or use of an egg donor or surrogate.

After Embryo Transfer Precautions

Embryo transfer is a crucial step in the in vitro fertilization (IVF) process, and taking certain precautions after the procedure can help create the best environment for the embryo to implant and grow. Here are some general precautions to consider:

• Rest and Relax : While complete bed rest is not necessary and may even be counterproductive, it’s important to avoid strenuous activities, heavy lifting, and high-impact exercises in the days following the transfer.
• Maintain a Healthy Lifestyle : Continue to eat a balanced diet, stay hydrated, and get enough sleep. These factors all contribute to your overall health and the potential success of the embryo transfer.
• Avoid Certain Substances : Smoking, alcohol, and excessive caffeine can all have negative effects on implantation and early pregnancy. It’s recommended to avoid these substances during this period.
• Take Prescribed Medications : It’s crucial to continue taking any medications prescribed by your doctor, such as progesterone, which supports the uterine lining and encourages successful implantation.
• Avoid Hot Baths or Saunas : High body temperature can potentially harm embryonic development. Therefore, avoid anything that could significantly raise your body temperature, like hot baths, saunas, or hot yoga.
• Limit Stress : High levels of stress can potentially interfere with implantation. Use relaxation techniques, such as meditation, deep breathing, or gentle yoga, to manage your stress levels.
• No Intercourse : Some doctors recommend abstaining from intercourse for a short period after the embryo transfer. The evidence on this point is mixed, so follow your doctor’s advice.
• Attend Follow-Up Appointments : Your doctor will schedule follow-up appointments to monitor your progress, conduct blood tests to check hormone levels, and potentially perform an ultrasound to confirm pregnancy.

Please remember that these are general suggestions and may not apply to everyone. Always consult with your healthcare provider to get personalized advice for your situation.

Embryo Transfer and Positive Steps Fertility

At Positive Steps Fertility, we understand the emotional and physical journey you’re on when it comes to IVF. Our expert team is here to guide you every step of the way.

Embryo transfer is a vital part of this journey, requiring careful consideration of numerous factors, such as the number and type of embryos to transfer. The procedure itself is typically simple, quick, and involves minimal discomfort. We work closely with you to create a personalized plan for preparation and aftercare to increase the chances of successful implantation.

At Positive Steps Fertility, we’re more than just your fertility clinic- we’re your partner on this journey, providing compassionate, expert care at every turn.

For an appointment, contact us online or call 855-759-4124

The IVF Frozen Embryo Transfer Timeline Explained (Step by Step)

In this post, you are going to learn all the steps of a frozen embryo transfer.

I’ll answer common questions like:

• What are the steps for a frozen embryo transfer?
• How many days after your period does the transfer take place?
• Are frozen embryo cycles better than fresh cycles?

Let’s get started.

When is A frozen embryo transfer done in IVF?

A frozen embryo transfer can be done at any point in the future if you have already undergone an in vitro fertilization (IVF) cycle that generated usable embryos.

In other words, it can happen as soon as the next cycle after your egg retrieval or several months (or years) later.

How long does a frozen transfer cycle take?

A frozen embryo transfer cycle lasts approximately 3-4 weeks. The first two weeks will prepare your uterine lining for implantation. Once your lining is ready, you will begin progesterone supplementation at some point in the third week.

The embryo transfer then takes place after 3 or 5 days of progesterone support.

What is the timeline for a frozen embryo transfer? (Day by day)

Now let’s break down the steps of a frozen embryo transfer (FET) cycle, day by day.

Step 0: Prep Work

If you are using your own eggs/embryos, you will first need to undergo an IVF cycle.

The IVF process and the freezing of any usable embryos usually take 2-3 weeks. You can read my post on The IVF Cycle Timeline to learn more.

If you already have embryos frozen, speak with your doctor to determine if you are eligible to begin a FET right away.

Many fertility specialists will have you come back for a consultation to determine if you should do a medicated FET cycle vs. a natural FET cycle.

You may also need a uterine cavity evaluation (saline sonogram or a hysteroscopy ) or a mock transfer before proceeding.

Once everything is cleared, you will be instructed by your fertility clinic to call or email to report cycle day 1 of your period.

Day 1 refers to the first day of your menses. After informing your clinic, you will be scheduled to come in on Day 2,3 or 4 of your cycle to potentially begin the FET cycle.

Day 2,3 or 4:

On Days 2-4 of your menstrual cycle, you will come in for morning monitoring, a transvaginal ultrasound scan, and blood work.

If the ultrasound looks normal and your hormone levels are “baseline,” you will begin your FET cycle that day.

If you are doing a medicated FET cycle:

You will begin estrogen supplementation on this day.

The estrogen tablets do two things: It thickens the lining of your uterus and prevents an ovarian follicle from growing.

You will come back in about a week or so to check on the progress of your lining.

If you are doing a natural cycle:

You won’t be starting any medications. You will simply come back in about a week or so to check on the progress of your lining.

Days ~10-14:

At your second morning monitoring visit, your lining should be increasing in thickness.

The goal is to get your lining to ~ 7mm in size.

If you are doing a medicated cycle:

If your lining is growing as expected, you will be given a start date for progesterone supplementation.

This usually involves intramuscular progesterone injection with or without progesterone vaginal suppositories.

Your lining should be thicker, and you should have a dominant ovarian follicle growing.

Your reproductive endocrinologist may wait for your body to begin the ovulation process (aka, your blood tests show that your LH hormone is surging).

In this case, your doctor may or may not have you take a trigger shot to start ovulation.

Day ~15-18:

At some point after the two-week mark, you will begin progesterone.

You will start intramuscular progesterone shots once your doctor has deemed that your lining is appropriate.

You will administer the progesterone injection twice on the first day and then once every day after that.

The embryo transfer procedure will then be scheduled:

• on the sixth day of progesterone injections (if you are having a blastocyst stage embryo transfer)
• on the fourth day of progesterone injections (if you are having a cleavage stage Day 3 embryo transfer)

If you are doing a natural FET cycle:

You will begin progesterone suppositories on the day after your trigger shot (or the day after you ovulate).

• on the sixth day of progesterone suppositories (if you are having a blastocyst transfer)
• on the fourth day of progesterone suppositories (if you are having a cleavage stage Day 3 embryo transfer)

Day ~19-24:

This is the day of the embryo transfer. It is a simple procedure that shouldn’t take more than 20 minutes.

You will be expected to come with a full bladder, which will help visualize and guide the catheter containing the embryo into your uterus.

To learn more about what to expect on the day of the embryo transfer, check out: Embryo Transfer Precautions: What Not To Do.

You will then have your first pregnancy test no sooner than 9-11 after the transfer!

How many days after FET does implantation occur?

We believe that an embryo will implant in the first 24-48 hours after the FET. You likely won’t feel anything either way except for very mild cramping.

Can I do a pregnancy test 8 days after embryo transfer?

We highly recommend waiting at least 9-11 days after the transfer to avoid getting a false negative.

Before that time, the human chorionic gonadotropin, aka hCG levels are not high enough to yield a positive home pregnancy test.

It is much better to get a quantitative hCG blood test at your doctor’s office after 9-11 days.

How many weeks pregnant are you after IVF frozen transfer?

You are approximately 2 weeks and 5 days pregnant on the day of a blastocyst embryo transfer (assuming that it works).

By the time you have a positive pregnancy test ~9 days later, you will be approximately 4 weeks pregnant.

What are typical 5 day frozen embryo transfer success rates?

Success rates vary among patients based on age and diagnosis, but a genetically tested blastocyst can have a success rate of 50-60%.

However, the success rate of an untested frozen embryo transfer can go as low as 20-30%, decreasing with increasing maternal age.

Here are some recent studies: [ 1 ] [ 2 ] [ 3 ]

Check out my post on Embryo Biopsy to see if you are a good candidate for genetic screening.

Why do frozen embryo transfers fail?

Unfortunately, we don’t always know why some embryo transfers fail .

In general, there can be an embryo quality issue, an implantation failure, or other endometrial lining issues that we don’t quite understand yet.

Preimplantation genetic testing can help control for numerical chromosomal abnormalities, but it cannot test for all types of genetic conditions that can exist.

What can you do after embryo transfer to increase success rates?

Unfortunately, there is not a lot that you can do to ensure a successful pregnancy.

You have already done everything within your power. The rest is up to the embryo.

If you are on progesterone supplementation, do not stop taking it until your doctor tells you to do so.

You do not need bed rest. Also, it is a good idea to avoid any increased temperatures for the first 1-2 weeks following the transfer.

In addition, you should try to eat a healthy diet and stay well hydrated.

Are FETs better than fresh embryo transfers?

Data suggests that frozen embryo transfers are better than fresh embryo transfers in certain patients, such as those who have a high response to ovarian stimulation.

However, many studies have shown that pregnancy rates and live birth rates are similar for many patients.

With that said, many patients are not good candidates for a fresh embryo transfer .

Check out my post on Freeze-All IVF cycles to learn when you should freeze your embryos, and my other post on the disadvantages of frozen embryo transfer cycles to help you make an informed decision.

You now understand the FET cycle timeline as it relates to an IVF treatment cycle.

FETs are a great way to provide flexibility in planning the timing of your pregnancy, as any generated embryos can be stored indefinitely for future use.

If you have any questions regarding the next step, you might be interested in reading:

• Pregnancy Testing After An IVF Transfer: When To Check & Why
• When Should You Stop Estrogen And Progesterone After IVF (And Why)
• The Period After A Failed Treatment Cycle: (What You Should Expect)

Make An Appointment With Dr. Robles To Discuss Your Fertility Options Today!

Alex Robles, MD

Dr. Alex Robles is a Spanish-speaking Latino-American Reproductive Endocrinologist and Infertility specialist in New York City, and a board-certified OBGYN. He has a special interest in health, lifestyle, & nutrition. Make an appointment with Dr. Robles to discuss your fertility options today!

References:

• Bdolah Y, Zeimet R, Aizenman E, Lossos F, Abram TB, Shufaro Y. Frozen-Thawed Embryo Transfer Success Rate is Affected by Age and Ovarian Response at Oocyte Aspiration Regardless of Blastomere Survival Rate. JABRA Assist Reprod. 2015 Nov 1;19(4):210-5. DOI: 10.5935/1518-0557.20150041. PMID: 27203194.
• Veleva Z, Orava M, Nuojua-Huttunen S, Tapanainen JS, Martikainen H. Factors affecting the outcome of frozen-thawed embryo transfer. Hum Reprod. 2013 Sep;28(9):2425-31. DOI: 10.1093/humrep/det251. Epub 2013 Jun 11. PMID: 23756705.
• Roque M, Haahr T, Geber S, Esteves SC, Humaidan P. Fresh versus elective frozen embryo transfer in IVF/ICSI cycles: a systematic review and meta-analysis of reproductive outcomes. Hum Reprod Update. 2019 Jan 1;25(1):2-14. DOI: 10.1093/humupd/dmy033. PMID: 30388233.

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7 Days After Embryo Transfer Symptoms

• Published on March 22, 2024

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Embarking on the IVF journey brings with it a rollercoaster of emotions, especially during the crucial 7 days after embryo transfer. Anticipation, hope, and the desire to interpret any symptoms that might point to a successful pregnancy are all present during this waiting period. Let’s first explore the day-by-day procedure and understand the insight into what to anticipate in these crucial seven days following the embryo transfer process.

Table of Contents

Day 1 – The Beginning of the Wait:

The seven-day countdown starts the day following embryo transfer. This is the point at which a lot of people begin to attentively observe their bodies in the hopes that the embryos have implanted.

Days 2 to 4 – Early Indications:

Some women may have slight bloating or cramping during this time, which could be related to the embryo implantation into the uterine lining. It’s important to remember, though, that these sensations are mild and frequently confused with the normal discomfort experienced before menstruation.

Day 5 – A Critical Turning Point:

The blastocyst starts to hatch and fully implant into the uterus on day 5. More noticeable symptoms, such as breast sensitivity or an enhanced sense of smell, may begin to appear in some people.  However, it’s important to manage expectations, as these signs can also be related to hormonal changes from the fertility medications.

Day 6 – Potential Spotting or Light Bleeding:

Some people may experience light spotting or bleeding, which is commonly known as implantation bleeding. Although this behaviour is thought to be natural, it’s still important to share any concerns you may have with your healthcare provider.

Days 7 to 10 – The Countdown Continues:

During the final few days of the seven-day wait, there may be a mixture of anxiety and increased excitement. Some may still have occasional cramps, while others might not have any noticeable symptoms. It’s important to keep in mind that the lack of symptoms does not always prevent bad things.

Day 7 After Embryo Transfer Symptoms:

At this stage, the countdown comes to an end, and people start to exhibit symptoms including weariness, mood fluctuations, or increased urination. It should be emphasized that there is no one-size-fits-all set of symptoms and that they might vary greatly.

Bodily Changes After Embryo Transfer: Navigating the 7-Day Countdown

• Subtle Cramping and Bloating: In the early stages, moderate cramps and bloating are frequent but subtle symptoms related to the implantation of the embryo.
• Early Hormonal Shifts: Early signs of continuing processes within the body, such as increased olfactory sensations or breast sensitivity, can be caused by hormonal changes.
• Potential Implantation Bleeding: Day 6 may bring on minor spotting or bleeding, which is frequently accepted as a typical implantation procedure phase.
• Heightened Senses: As the embryo develops, increased sensitivity to taste and smell, among other senses, may become apparent.
• Fatigue and Mood Swings: The changing hormonal environment during the later half of the 7-day wait may cause fatigue and mood problems.
• Variable Urinary Frequency: During this critical time, some people may have changes in their urination patterns; increasing frequency is one such symptom.
• Individualized Experiences: It is important to understand that physical changes might differ greatly between people, highlighting the individuality of every woman’s reaction to the embryo transfer procedure .

Conclusion:

The seven days following embryo transfer are a sensitive time that is both hopeful and unsettling. Examining every feeling is normal, but it’s also important to keep a balanced viewpoint and refrain from overanalyzing small adjustments. Each person’s experience is distinct, and symptoms might appear in various ways. As the countdown comes to an end, don’t forget to rely on your fertility expert for support and be in constant communication with your doctors. If you are looking for expert advice consult our fertility specialist today by calling the given number or book an appointment by filling out the form with the given details. They can offer you advice and comfort throughout this crucial stage of the IVF procedure.

Frequently Asked Questions (FAQs)

•  Can I resume regular activities during the 7 days after embryo transfer?

Yes, you can get back to your regular activities. However, avoid intense exercise; speak with your healthcare staff for specific guidance.

•  Is cramping a sign of embryo implantation, and how intense should it be?

Mild cramping is typical and indicates a possible implantation. Severe pain should be reported to your healthcare physician as soon as possible, however intensity varies.

•  What if I experience no symptoms during the 7-day wait?

The absence of symptoms does not always portend ill fate. The experiences of women differ; concentrate on your general health.

• Can stress impact the success of embryo implantation?

Periodic stress is unlikely to interfere with the implantation process, even if stress management is essential. Continue to handle emotions in a balanced manner.

•  Are there specific foods or activities that enhance implantation chances?

Success is not guaranteed by any particular cuisine, but maintaining a healthy diet and minimizing stress might help with general well-being at this time.

• Can you test positive 7 days after embryo transfer?

It’s conceivable but not certain. Due to fluctuating hCG levels, testing too early may produce erroneous findings. Waiting until closer to the planned pregnancy test is advised.

• How long does the embryo transfer procedure take?

The process of the transfer takes only ten to fifteen minutes on average. Preparation and post-transfer care, however, take longer during a clinic visit.

• Is cramping normal 7 days after embryo transfer?

Indeed, slight cramping is normal and may indicate successful embryo implantation. On the other hand, you should notify your healthcare professional as soon as you have severe or ongoing pain.

• What happens on day 7 after embryo transfer?

Important symptoms to watch out for on Day 7 of the wait include exhaustion, mood swings, and increased urination. It marks the end of the seven-day countdown.

• When does hCG start to rise?

Eight to ten days following embryo transfer, human chorionic gonadotropin (hCG) begins to rise following successful implantation. A blood test can validate increasing hCG levels, which may be a sign of pregnancy.

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Dr. madhulika sharma is an esteemed fertility specialist with more than 16 years of clinical experience. she is renowned for her exceptional expertise and compassionate approach to helping aspiring parents navigate their fertility journey. with over a decade of experience in reproductive medicine, she specializes in cutting-edge ivf techniques and individualized treatment plans tailored to each couple's unique needs. her commitment to patient care is evident in her warm, empathetic demeanor and the personalized attention she gives to every case. she is a member of the following societies european society of human reproduction and embryology, federation of obstetrics and gynecological societies of india (fogsi), indian fertility society and indian society of assisted reproduction., meerut, uttar pradesh.

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Symptoms of Body Changes After Embryo Transfer Day by Day

by Dr. Mona Dahiya | Apr 4, 2023 | IVF

What is an Embryo Transfer?

Embryo transfer is the process of placing an embryo, created through IVF, into the uterus of a woman who is trying to conceive. This procedure can involve either fresh or frozen embryos. A frozen embryo transfer (FET) refers specifically to the transfer of a previously frozen embryo that has been thawed for the procedure. But why would someone opt for a frozen transfer over a fresh one?

Fresh vs. Frozen Embryo Transfer

Embryo transfers can be classified into two main types: fresh and frozen. In a fresh embryo transfer , the embryos are transferred to the uterus shortly after fertilization, typically within three to five days. On the other hand, a frozen embryo transfer (FET) involves using cryopreserved embryos that have been stored for future use. FET can be beneficial for several reasons, including:

• Improved success rates due to better endometrial receptivity
• Reduced risk of ovarian hyperstimulation syndrome
• Flexibility in scheduling the transfer procedure
• The ability to store and use surplus embryos from a previous cycle

What Happens on the Day of Embryo Transfer?

The IVF frozen embryo transfer procedure is relatively simple and can often be completed in under 30 minutes. Here’s a breakdown of the key steps involved in the process:

• Thawing the Embryo: Before the transfer, the embryologist will carefully thaw the frozen embryo. The success rate for thawing embryos is quite high, with over 90% of embryos surviving the process.
• Preparing the Uterus: On the day of the FET, the woman’s uterus is prepared for embryo transfer. This typically involves a final ultrasound to confirm the optimal lining thickness and to ensure there are no unexpected issues.
• Transferring the Embryo: The actual embryo transfer is a quick and painless procedure. Using a thin catheter, the doctor will guide the embryo into the woman’s uterus. The embryo is then gently placed in the uterine lining, where it will hopefully implant and result in a successful pregnancy.

What to Expect Following IVF Frozen Embryo Transfer

After your frozen embryo transfer, it’s normal to experience a range of emotions and physical symptoms. Here’s what you can anticipate in the days and weeks following the procedure:

Emotional and Physical Symptoms

• Mild cramping : Some women experience mild cramping after the transfer. This is generally temporary and not a cause for concern.
• Spotting : Light spotting can occur in the days following the procedure. This is typically normal, but you should report any heavy bleeding to your doctor.
• Emotional fluctuations : Hormonal changes and the stress of the IVF process can cause emotional ups and downs. It’s essential to practice self-care and seek support from friends, family, or a counsellor if needed.

The Two-Week Wait

The period between the embryo transfer and the pregnancy test is often referred to as the two-week wait . During this time, it’s crucial to follow your doctor’s instructions regarding medications and activities. Some tips for coping with the two-week wait include:

• Staying positive : Focus on the things you can control and try to maintain a positive mindset.
• Distraction : Keep yourself busy with hobbies, work, or social activities to help pass the time.
• Rest and relaxation : Make sure you get enough rest and practice relaxation techniques, such as meditation or gentle yoga.
• Avoid symptom-spotting : Resist the urge to obsessively search for early pregnancy signs, as this can increase stress and anxiety.

Pregnancy Test and Follow-Up

Approximately two weeks after the embryo transfer, you’ll return to the clinic for a pregnancy test . This is typically a blood test that measures the levels of the hormone human chorionic gonadotropin (HCG), which is produced during pregnancy.

If the test is positive, your doctor will schedule a series of follow-up appointments to monitor the progress of your pregnancy. If the test is negative, your doctor will discuss your options for further treatment, which may include another IVF cycle or other fertility treatments.

Embryo transfer, specifically IVF frozen embryo transfer, is an essential step in the journey to parenthood for many couples struggling with infertility. Understanding the process, knowing what to expect on the day of the transfer, and being prepared for the emotional and physical symptoms that follow can help make the experience less daunting and more empowering. Remember, it’s essential to lean on your support system and keep an open line of communication with your healthcare team throughout the process.

Symptoms After Embryo Transfer Day by Day:

It’s important to remember that every woman’s experience after an embryo transfer is unique. However, here is a general day-by-day guide to the symptoms you may encounter:

Days 1-3: The Early Days

• Mild cramping : Some women may experience mild cramping in the first few days after the procedure. This is normal and can be attributed to the transfer itself.
• Spotting : Light spotting or bleeding may occur as the embryo settles into the uterus.
• Fatigue : Feeling tired is a common side effect of the IVF process and the medications used during treatment.

Days 4-6: Implantation Window

• Implantation bleeding : As the embryo implants itself into the uterine lining, some women may experience light bleeding or spotting. This is typically a pinkish or brownish discharge.
• Implantation cramping : Some women may feel mild cramping or twinges as the embryo burrows into the uterine lining.
• Increased basal body temperature : A slight increase in basal body temperature may be observed during the implantation window.

Day 7 and Beyond: Early Pregnancy Symptoms

• Breast tenderness : Hormonal changes can cause breast tenderness, which may be similar to what you experienced before your period.
• Frequent urination : Increased blood flow to the pelvic area and hormonal changes may cause you to urinate more often.
• Mood swings : The fluctuating hormone levels can lead to mood swings and irritability.
• Nausea : A common early pregnancy symptom, some women may begin to feel nauseous or experience morning sickness.

Body Changes After Embryo Transfer:

After an embryo transfer, you may notice a few physical changes as your body adjusts:

• Bloating : Hormonal medications used during IVF treatment can cause bloating and fluid retention.
• Weight gain : Some women may experience slight weight gain due to fluid retention or hormonal changes.
• Enlarged breasts : As hormone levels change, breasts may become more tender and swollen.
• Increased cervical mucus : An increase in cervical mucus production is a common change after embryo transfer, as the body prepares for a possible pregnancy.

Also Read : Positive Signs After Embryo Transfer

7 Days After Embryo Transfer Symptoms:

Implantation bleeding.

By day 7, the embryo has likely implanted itself in the uterus. In some cases, this process can cause light bleeding, known as implantation bleeding. This is generally lighter and shorter-lasting than a regular period. Not everyone experiences implantation bleeding, so don’t worry if you don’t see any.

Mild Cramping

Some people may experience mild cramping or discomfort in the lower abdomen during this time. This is due to the embryo embedding itself into the uterine lining. Again, this is not a universal symptom, so don’t be alarmed if you don’t feel any cramping.

Feeling tired is a common symptom during this stage, as your body adjusts to the hormonal changes that come with pregnancy.

8 Days After Embryo Transfer Symptoms:

• Sore Breasts: As your body starts producing more progesterone, you may experience sore or tender breasts. This is similar to the feeling some people experience before their menstrual cycle. It’s important to remember that hormonal medications taken during IVF treatment can also cause this symptom.
• Changes in Appetite: You might notice a change in your appetite around this time. Some people may experience cravings or aversions to specific foods. Again, hormone levels play a significant role in these changes, so don’t be surprised if your taste buds start acting differently.
• Mild Headaches: Progesterone can cause blood vessels to constrict, leading to mild headaches. While this can be a symptom of early pregnancy, it’s also a common side effect of IVF medications. Stay hydrated, and don’t hesitate to reach out to your healthcare provider if the headaches persist or become severe.

14 Days After Embryo Transfer Symptoms:

Missed Period: By day 14, you might have missed your period if the embryo transfer was successful. If you’re unsure, you can take a home pregnancy test or consult your healthcare provider for a more accurate blood test.

Frequent Urination: As hormone levels continue to rise, you may find yourself needing to use the restroom more often. This is a common early pregnancy symptom and can be a sign that your embryo transfer has been successful.

Nausea: It’s not uncommon to experience mild to moderate nausea, with or without vomiting, around this time. This is usually referred to as “morning sickness,” although it may occur at any time of day.

When to Take a Pregnancy Test After an Embryo Transfer?

The timing of a pregnancy test after an embryo transfer is crucial. To avoid false negatives or positives, it’s essential to wait the appropriate amount of time before testing. Typically, you should wait at least 10 days after a fresh or frozen embryo transfer before taking a pregnancy test. This allows for adequate time for the hormone human chorionic gonadotropin (HCG) to build up in your system.

Understanding HCG Levels

HCG is a hormone produced by the placenta after the embryo implants into the uterine lining. It is the key indicator of pregnancy, and its levels can be detected through blood tests or at-home pregnancy tests. However, it’s important to remember that HCG levels can vary significantly between individuals and pregnancies. So, what might be a normal level for one person might not be the same for another.

When to Expect Accurate Results

Blood tests, which measure HCG levels directly, can provide accurate results earlier than at-home pregnancy tests. These tests can be taken around 7-9 days after an embryo transfer. At-home pregnancy tests, on the other hand, rely on the presence of HCG in urine, which takes a bit longer to reach detectable levels. As mentioned before, it’s best to wait at least 10 days after the transfer to use an at-home pregnancy test.

How Many Days After Period Should A Embryo Transfer Take Place?

Frozen embryo transfer (FET) is a process where embryos that were previously cryopreserved are thawed and transferred to the uterus. The timing of a frozen embryo transfer is typically based on your menstrual cycle and the specific protocol your doctor recommends. The goal is to ensure that the uterine lining is receptive to the embryo at the time of transfer.

Natural Cycle FET

In a natural cycle FET, the transfer is timed based on your body’s natural ovulation. Typically, embryo transfer occurs 5-6 days after ovulation. If you have regular cycles, this can be roughly 19-21 days after the start of your period.

Medicated Cycle FET

In a medicated cycle FET, hormone medications are used to prepare the uterine lining for implantation. In this case, the timing of the embryo transfer is more controlled, and it usually takes place around 15-18 days after the start of your period.

Your doctor will closely monitor your hormone levels and the development of your uterine lining to determine the optimal time for your frozen embryo transfer.

Precautions After Embryo Transfer:

After the embryo transfer, it is essential to take certain precautions to ensure the best possible outcome. These include:

• Rest and relaxation: Immediately after the procedure, it is crucial to rest for at least 24 hours. This allows the body to recover and gives the embryo the best chance to implant. After this initial rest period, you can return to your daily activities, but it is still important to avoid strenuous activities and excessive stress.
• Avoid heavy lifting and vigorous exercise: For the first two weeks after the transfer, avoid heavy lifting and high-impact exercises. These activities can cause strain on the body, potentially affecting the implantation process.
• Limit sexual activity: While there is no definitive evidence to suggest that sexual intercourse negatively impacts embryo implantation, it is generally recommended to avoid it for at least two weeks after the transfer. This precaution helps minimize the risk of infection and ensures the uterus remains as undisturbed as possible, providing an optimal environment for implantation.
• Stay well-hydrated: Proper hydration is essential for overall health, and it is especially important during this critical period. Drinking plenty of water helps maintain a healthy uterine lining and supports the implantation process.
• Follow your doctor’s instructions: Your doctor may prescribe certain medications or supplements to support the embryo transfer, such as progesterone or estrogen. It is essential to follow their instructions and take the prescribed medications as directed.

 Also Read: Do You Need Rest After Embryo Transfer?

Foods to Avoid After Embryo Transfer:

Diet can play a significant role in the success of an embryo transfer. Here are some foods to avoid and general dietary recommendations to follow during this critical period:

• Avoid raw or undercooked seafood, meat, and eggs: Consuming raw or undercooked animal products can expose you to harmful bacteria and parasites, which can negatively impact the implantation process and your overall health.
• Limit caffeine intake: Excessive caffeine consumption has been linked to an increased risk of miscarriage. It is recommended to limit your caffeine intake to no more than 200 milligrams per day, equivalent to about two cups of coffee.
• Avoid alcohol: Alcohol can negatively affect fertility and pregnancy outcomes. To increase the chances of a successful embryo transfer, it is best to avoid alcohol altogether during this period.
• Steer clear of processed foods: Processed foods can be high in unhealthy fats, sugars, and preservatives, which can hinder your body’s ability to provide the best environment for implantation. Opt for whole, unprocessed foods instead.
• Focus on a balanced diet: A balanced diet rich in fruits, vegetables, lean proteins, whole grains, and healthy fats can provide your body with the nutrients it needs to support a healthy pregnancy. Consuming a variety of nutrient-dense foods can help create an optimal environment for embryo implantation.

What To Do After Embryo Transfer To Increase Success Rate?

In addition to the precautions and dietary recommendations discussed above, several lifestyle changes can increase the chances of a successful embryo transfer:

• Manage stress: Chronic stress can negatively impact fertility and pregnancy outcomes. Practice stress-reducing techniques such as meditation, yoga, or deep breathing exercises to help maintain a more relaxed state of mind.
• Maintain a healthy weight: Being either underweight or overweight can affect fertility and pregnancy outcomes. Aim for a healthy weight by combining a balanced diet with regular physical activity.
• Quit smoking: Smoking can harm fertility and increase the risk of complications during pregnancy. If you smoke, consider quitting to improve your chances of a successful embryo transfer.
• Get adequate sleep: Sleep plays a vital role in overall health, and it is particularly important during this critical period. Aim for at least 7-8 hours of quality sleep each night to support your body’s ability to maintain a healthy pregnancy.

Leg Pain After Embryo Transfer:

Experiencing leg pain after an embryo transfer can be concerning, but it is essential to understand that mild discomfort is relatively common. Let’s explore some possible causes and how to address this issue.

Potential Causes of Leg Pain After Embryo Transfer

• Cramping: Some women may experience mild cramping after embryo transfer. This can be due to the uterus contracting and adjusting to the presence of the embryo. Cramping can sometimes cause referred pain, which may be felt in the legs.
• Ovarian hyperstimulation syndrome (OHSS): In some cases, fertility medications used during IVF can cause the ovaries to become swollen and painful. This condition, known as OHSS, can result in leg pain due to the enlargement of the ovaries.
• Nerve irritation: The embryo transfer procedure can sometimes cause temporary irritation to the nerves in the pelvic area, which may lead to leg pain.
• Stress and anxiety: The stress and anxiety associated with the IVF process can manifest in physical symptoms, including leg pain.

How to Address Leg Pain After Embryo Transfer

• Rest and relaxation: Give your body time to recover after the procedure. Rest and take it easy, as overexertion can exacerbate leg pain.
• Apply a warm compress: A warm compress can help alleviate leg pain by increasing blood flow to the affected area and relaxing tense muscles.
• Gentle stretching: Light stretching exercises can help relieve tension in the legs, but avoid any strenuous activities or heavy lifting.
• Consult your doctor: If leg pain persists or worsens, consult your doctor to rule out any underlying issues that may require medical attention.

HCG Levels 15 Days After Embryo Transfer:

HCG levels can vary significantly from one pregnancy to another. In general, the normal range for HCG levels 15 days after embryo transfer is between 50 and 300 mIU/mL. These levels double approximately every 48 to 72 hours in the early stages of pregnancy.

Factors Affecting HCG Levels

Several factors can influence your HCG levels, such as:

• The type of embryo transfer: HCG levels may differ between fresh and frozen embryo transfers.
• The number of embryos transferred: Multiple embryos can result in higher HCG levels.
• Individual variation: Each woman’s body is unique, and HCG levels can vary accordingly.

Negative HPT 14 Days After Embryo Transfer:

A negative HPT result 14 days after embryo transfer can be confusing and discouraging. Some of the possible reasons for this outcome are:

• Low HCG levels: HPTs have varying sensitivities, and some may not detect lower HCG levels.
• Late implantation: If the embryo implants later than expected, HCG production may not be sufficient for detection.
• Test accuracy: HPTs can yield false negatives, so it’s crucial to use a reliable test and follow instructions carefully.

What to Do if You Get a Negative HPT

If you receive a negative HPT result in 14 days after embryo transfer, don’t panic. Consider taking the following steps:

• Wait a few days and retest: HCG levels may not yet be high enough for detection.
• Consult your fertility specialist: Discuss your concerns and HCG levels with your doctor to gain a clearer understanding of your situation.
• Consider a blood test: A quantitative HCG blood test is more sensitive than an HPT and can provide a more accurate result.

Conclusion:

the journey following an embryo transfer is an emotional and physical rollercoaster. As we’ve discussed, various symptoms may arise day by day, including cramping, spotting, bloating, and mood swings, among others. It’s essential to remember that each individual’s experience is unique, and not every symptom guarantees a successful or unsuccessful outcome. Patience and self-care during this period are crucial. If you’re concerned about any symptoms or have questions, always consult with your fertility specialist or healthcare provider to ensure you receive the proper guidance and support throughout this delicate stage of your fertility journey.

Q: How many days after embryo transfer do pregnancy symptoms start?

A: Pregnancy symptoms can start as early as a few days after embryo transfer, but typically they don’t show up until a week or two after the transfer.

Q: What should I feel 4 days after embryo transfer?

A: Four days after embryo transfer, you may not feel anything different, as it’s still early in the pregnancy. However, some women report mild cramping, spotting, or a feeling of fullness in the pelvic area.

Q: What are the good signs after embryo transfer?

A: Good signs after embryo transfer include a rise in basal body temperature, positive pregnancy test results, and symptoms such as breast tenderness, fatigue, nausea, and frequent urination.

Q: How do I know if embryo transfer worked?

A: You can confirm if embryo transfer worked by taking a pregnancy test a few weeks after the transfer, or by monitoring your basal body temperature and tracking any symptoms of pregnancy.

Q: How should I feel 1 week after embryo transfer?

A: One week after embryo transfer, you may feel some mild cramping or discomfort, but otherwise, you may not feel any different. Some women report feeling tired, bloated, or having mood swings.

Q: How do you feel after embryo transfer day by day?

A: After embryo transfer, you may feel some mild cramping or discomfort, but otherwise, you may not feel any different for the first few days. As the days and weeks progress, you may start to feel symptoms of pregnancy.

Q: Is it normal to feel no symptoms after embryo transfer?

A: Yes, it’s normal to feel no symptoms after embryo transfer, especially in the early stages of pregnancy. Not all women experience symptoms, and some may experience them later on in the pregnancy.

Q: Can I bend after embryo transfer?

A: It’s generally recommended to avoid strenuous activities, including bending and heavy lifting, for a few days after embryo transfer. However, light activities such as walking and stretching are usually fine. It’s best to follow your doctor’s advice regarding physical activity after embryo transfer.

Q: Can you test 4 days after embryo transfer?

A: It’s not recommended to test for pregnancy 4 days after embryo transfer, as it may be too early to get an accurate result. It’s best to wait at least a week after the transfer before taking a pregnancy test.

Q: Can implantation happen 4 days after transfer?

A: Implantation can happen 4 days after transfer, but it’s more likely to occur around 6-10 days after transfer. It’s during this time that the fertilized egg implants in the uterus and begins to grow.

Q: How do you feel 3 days after the transfer?

A: Three days after transfer, you may feel some mild cramping or discomfort, but otherwise, you may not feel any different. It’s still very early in the pregnancy, so you may not experience any pregnancy symptoms yet.

Q: Is it normal to feel dizzy 3 days after embryo transfer?

A: Feeling dizzy 3 days after embryo transfer is not necessarily a common symptom. However, some women may experience dizziness or lightheadedness due to changes in hormone levels or stress.

Q: How many days after IVF implantation do symptoms start?

A: Symptoms of pregnancy may start to appear around 1-2 weeks after IVF implantation. However, it’s important to note that not all women experience symptoms, and some may not experience them until later in the pregnancy.

Q: What happens on the 7th day after embryo transfer?

A: On the 7th day after embryo transfer, the fertilized egg should be implanted in the uterus. It’s during this time that the placenta begins to form and the embryo starts to grow.

Q: Can you test positive 7 days after embryo transfer?

A: It’s possible to test positive for pregnancy 7 days after embryo transfer, but it’s still very early in the pregnancy and the results may not be accurate. It’s best to wait at least a week or two after the transfer before taking a pregnancy test.

Q: What happens on day 8 after embryo transfer?

A: On day 8 after embryo transfer, the fertilized egg should be firmly implanted in the uterus. The embryo will continue to grow and develop, and pregnancy symptoms may start to appear in the coming days or weeks.

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Dr Mona Dahiya

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Dr Mona Dahiya has performed over 5,000+ IVF cycles and is considered a global expert in IVF, ICSI, IUI and male fertility treatment. She is an eminent writer on Infertility Treatment and has over 100 Publications in both International and National Journals. Dr Mona Dahiya has immensely contributed to the field of infertility through her Research and articles.

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Do’s and Don’ts after your Embryo Transfer

• Uncategorized
• by Dr. Firuza Parikh

The embryo transfer is the final and most crucial step in the IVF implantation process. I would describe it as the most awaited episode in a thrilling season of a TV serial. The transfer itself is relatively quick and painless, but it is the waiting period that can be the most difficult. For two long weeks, patients must wait and hope that the embryos have successfully implanted and begun to grow. It is a time of great anxiety and anticipation. You may be wondering what you should do after your embryo transfer — and what you should avoid doing.

I would like to share some advice about the Do’s and Don’ts after your Embryo Transfer that can increase IVF success. Read this blog to find out more.

Things to remember after Embryo Transfer 

After your embryos have been transferred back into your uterus, there are a few things to remember after undergoing embryo transfer.

You can cough and sneeze if you have to. That will not dislodge your embryo. You can get up from the procedure 5 to 15 minutes after ET. After your embryo transfer, you can go home within an hour. You may have some cramping and spotting which is not unusual. Let us know if this happens.

Sneezing and coughing do not affect embryo implantation as the embryo is cushioned inside the uterus and burrows into the bed of the uterus. It does not float freely in the uterus.

Take things easy that day. You can move around but avoid strenuous activity and heavy lifting. Many people move very slowly. You can walk at your average speed.

What not to do after your embryo transfer? 

In order to increase the IVF success after embryo transfer, you need to remember a few things. Here are all those things you should not do after embryo transfer.

Don’t go near the cooking place 

Be away from the heat of the cooking range, as that can make you uncomfortable. Raising your body temperature can potentially affect the implantation of the embryo and lead to a lower success rate. So, don’t do this after your embryo transfer.

Avoid sexual intercourse

To ensure success after embryo transfer, doctors recommend avoiding sex intercourse for a week to 10 days after the embryo transfer in order to increase the chances of pregnancy success.

Stay away from polluted areas 

You can resume your work after a day or two. You do not need to stop working or going to the office. However, there are few restrictions after embryo transfer, for example, do not go to places which are heavily polluted. It might affect your success rate.

Don’t inhale strong-scented substances 

Avoid inhaling petrol and diesel fumes by travelling through areas with less traffic or travelling at a time when the traffic is minimal. If you have any concerns, please contact us . You will have to wait for 2 weeks to confirm the pregnancy.

What can you do after your embryo transfer?

You should not forget about the things that decrease the chances of IVF success after embryo transfer. Read below to find more information.

Carry on with your daily chores 

Bending, bathing, and taking care of your daily needs are permitted. You can perform light cooking. You can also give yourself a few days off. Just pamper yourself to relax and rest.

Blood Pregnancy Test Results

There are a few things that you can do after you have gotten your blood pregnancy test results. If your hCG levels increase by 60% over 4 days from one test to the next, it’s very likely that the pregnancy is doing well.

If your hCG levels are lower than what is mentioned on the chart, it is recommended that you carry out timely bhCG tests to see the values. This will determine the healthiness of the pregnancy. Ideally, we recommend doing the b hCG till your values reach 20,000 units.

Positive Signs

After that, we will ask you to do your first early pregnancy scan. You can expect to experience a range of pregnancy symptoms, including nausea, vomiting, fatigue, and bloating.

After embryo transfer, it is important to take some precautions and follow a few do’s and don’ts in the first few days. Here are the basics that you need to remember in order to ensure a healthy pregnancy after embryo transfer.

Once again, these symptoms are normal and usually resolve within a few weeks. Be calm. Take support from friends & family.

If you have any questions or concerns, be sure to contact our team of experts at our IVF centre in Mumbai . We would be happy to help guide you through this exciting time!

Also read: 2 in1 IVF: Dual Stimulation IVF Saves your Cost

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Are you undergoing IVF or frozen embryo transfer and curious about your estimated due date? Look no further! Our IVF Due Date Calculator is here to help.   Simply input the date of transfer and the type of transfer you had, whether it’s a day 3 or day 5 embryo transfer, and whether you’re using your own eggs or fresh donor embryos.   Our calculator will provide you with an estimated due date tailored to your specific situation.   Say goodbye to uncertainty and track your IVF pregnancy with confidence!

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• Disclaimer: Our IVF due date calculator gives an estimate, but your baby might come before or after that. Each pregnancy is unique, and health issues could cause early labor. It’s important to talk to your doctor or fertility specialist during pregnancy. With procedures like IVF or Frozen Embryo Transfer, regular checkups are extra important. Your fertility doctor knows your medical details and can give personalized advice. The calculator is helpful, but it’s not a guarantee, like ultrasound measurements.

Track Your IVF Pregnancy with The Accurate IVF Calculator

You can track your IVF pregnancy accurately with the In vitro fertilisation (IVF) calculator. Whether you’re undergoing IVF or FET, this calculator can help you calculate your due date and monitor the progress of your pregnancy.

The IVF due date calculator takes into account the date of transfer and the type of transfer, whether it’s a day 3 embryo transfer or a day 5 embryo transfer. It also considers whether you’re undergoing IVF with your own eggs or with fresh donor embryos.

Calculating your due date is important for tracking the progress of your pregnancy and preparing for the arrival of your little one. The IVF calculator takes all the necessary factors into account to provide you with an accurate due date.

By entering the relevant information, such as the date of transfer and type of transfer, the calculator will calculate your estimated due date. If you’re new and want to learn about how the IVF calculator works , you can read our dedicated article on it

Using the IVF due date calculator is simple and convenient. It eliminates the need for manual calculations and provides you with a reliable estimate. By keeping track of your due date, you can plan ahead, schedule appointments, and prepare for the arrival of your baby.

I love this tool! This tool was quite relieving for me throughout my pregnancy. I came here repeatedly to calculate my weeks left, and every time it was exact and satisfying. It went In the same way as my practitioner told me.

– Ava Parker

Finally, I found some real stuff. Most of the calculators online are not precise enough for my day’s calculations. But this went all spot on.

– Amelia Carter

What is IVF Treatment

If you’re curious about the process, IVF treatment involves pharmacological treatment and surgical procedures to assist with reproduction. During IVF treatment, medications are used to stimulate the ovaries to produce multiple eggs. These eggs are then retrieved and fertilized in a lab.

After fertilization, the embryos are transferred into the uterus through a surgical procedure called embryo transfer. This procedure can be done on either day 3 or day 5 after fertilization, depending on the specific IVF cycle.

IVF Treatment

The main goal of IVF treatment is to assist individuals and couples in achieving pregnancy. The success of IVF pregnancies can vary, and it is important to note that not all IVF cycles result in a pregnancy.

However, with advancements in technology and medical techniques, IVF has become a widely utilized option for individuals and couples facing fertility challenges.

One of the key aspects of IVF treatment is the calculation of the pregnancy due date. The due date for IVF pregnancies is typically calculated based on the date of the embryo transfer.

For a day 3 embryo transfer, the due date is calculated by adding 263 days to the transfer date. For a day 5 embryo transfer, the due date is calculated by adding 261 days to the transfer date. IVF treatment for twins adds an additional dimension to this process, as it increases the potential for multiple pregnancies. It is important to note that these calculations are estimates and may vary depending on individual factors.

This Is How Your Doctors Pursue Your Case Through IVF

During IVF treatment, doctors pursue your case by conducting various tests to determine the reason for infertility and using medication to stimulate egg production. Once the eggs are retrieved, the next step is the embryo transfer.

This is when the fertilized eggs are placed back into your uterus. It is an important milestone in the IVF process, as it marks the beginning of your potential pregnancy journey.

After the embryo transfer, one of the things you may be curious about is your IVF due date. It’s natural to want to know when you can expect to meet your baby.

This is where a pregnancy due date calculator specific to IVF or FET (frozen embryo transfer) can come in handy. By inputting the date of your embryo transfer and the type of transfer (day 3 or day 5), you can calculate your IVF due date.

Calculating IVF due dates can be a bit different from natural pregnancies because the conception date is known in IVF. For a day 3 embryo transfer, you would add 263 days or 38 weeks to the transfer date and subtract three days.

For a day 5 embryo transfer, you would add 261 days or 38 weeks and subtract five days. These calculations provide an estimated due date for your IVF pregnancy.

It’s important to remember that due dates are just estimates and can vary. Ultrasound measurements throughout your pregnancy will provide more accurate information about your baby’s growth and due date.

Additionally, each pregnancy is unique, so your experience may differ from others. But having a rough idea of your IVF pregnancy due date can help you plan and prepare for the exciting journey ahead.

Things To Ask From Your Embryologist for IVF Calculation

One important thing to ask from your embryologist is the type of embryo transfer, whether it’s a day 3 or day 5 transfer. This information is crucial for calculating your IVF due date. To help you understand the importance of this, here are four key points:

• IVF Due Date Calculator: Use our IVF due date calculator to estimate your due date based on the date of transfer. This tool takes into account the type of transfer and provides you with an estimated due date.
• Date of Transfer: The date of transfer refers to the day when the embryo is transferred into the uterus. This date is used as a starting point for calculating your due date.
• Estimated Due Date: By using the IVF due date calculator, you can calculate your estimated due date. This gives you an idea of when your baby is expected to arrive.
• Accuracy of IVF Due Date Calculator: The IVF due date calculator provides estimates, and it’s important to remember that due dates are not an exact science. The calculator takes into account the type of transfer and provides you with a window of time for your estimated due date.

Difference between Natural Pregnancy and IVF/FET Pregnancy

Understanding the difference between a natural pregnancy and an IVF/FET pregnancy can help you grasp the unique aspects of each journey.

In a natural pregnancy, your due date is typically calculated based on the first day of your last menstrual period. However, in an IVF/FET pregnancy, the due date is determined based on the date of embryo transfer.

When using a due date calculator for IVF, it takes into consideration the type of transfer, whether it’s a day 3 or day 5 embryo transfer. For a day 3 transfer, the due date is calculated by adding 263 days or 38 weeks to the transfer date. If it’s a day 5 transfer, 261 days or 38 weeks are added to the transfer date.

It’s important to note that IVF due date calculations may vary and are not always as accurate as non-IVF due dates. While the due date provides a window of time for labor, it’s not guaranteed to be the exact arrival date of your baby.

In a natural pregnancy, the due date is estimated based on the last menstrual period, date of conception, or the first ultrasound scan. However, in an IVF/FET pregnancy, the due date is primarily based on the embryo transfer date.

Read More: How many weeks am I pregnant

Why this is the Best Due date calculation for IVF Pregnancies

Now that you understand the difference between natural pregnancy and IVF/FET pregnancies, let’s talk about why the IVF due date calculator is the best option for calculating due dates for IVF pregnancies.

When it comes to IVF pregnancies, the conception date is known because it occurs during the embryo transfer. This makes it easier to calculate the due date accurately. By entering the conception date and selecting the type of IVF in the calculator, you can get precise due date estimates.

For IVF with your own eggs or fresh donor egg cycles, you can add 266 days to the egg retrieval date to calculate the estimated due date. This formula applies to both IVF with or without ICSI and provides a due date window of 38 weeks.

For 3-day FET, you subtract 3 days from the transfer date and then add 266 days to the result. This formula provides an estimated due date, but adjustments may be necessary based on the exact age of the embryos.

Similarly, for 5-day FET, you subtract 5 days from the transfer date and add 266 days for blastocysts. Again, adjustments may be needed for the blastocysts’ exact age.

Read More: Sex During My IVF Pregnancy

How Can I Use IVF Due Date Calculator

To use the IVF due date calculator, simply enter the relevant dates and select the appropriate options. It will provide you with an estimated due date for your pregnancy.

Whether you had a three-day or five-day embryo transfer, the calculator takes into account the date of transfer and the type of transmission. It calculates your due date by adding the specific number of days to the transfer date.

The IVF due date calculator estimates the week of pregnancy and provides you with an estimated due date window. Knowing your due date is important for planning and preparing for your pregnancy. It allows you to track your progress and anticipate the different stages of pregnancy.

By entering the date of conception or the IVF transfer date, you can get a more accurate estimate of your due date. This information is especially helpful for determining the trimester you are in and for scheduling important prenatal appointments.

Once you have entered the necessary information, the IVF due date calculator will provide you with an estimated due date for your pregnancy. It is important to note that this is just an estimate and may vary slightly from the actual due date. To confirm your pregnancy, it is recommended to take a pregnancy test and consult with your healthcare provider.

How to Track Your IVF Pregnancy Week After Week

Track your IVF pregnancy week after week by monitoring the development of your baby and keeping track of any changes or symptoms you may experience. Using an IVF due date calculator, you can calculate your IVF or FET due date based on your embryo transfer date. It’s important to note that every pregnancy is different, so it’s best to consult with your doctor for accurate information.

To calculate your IVF due date, you will need to know the date of your embryo transfer. This is typically three or five days after your egg retrieval. For a three-day transfer, you can calculate your due date by adding 263 days or 38 weeks and subtracting three days from your transfer date.

If you had a five-day transfer, add 261 days or 38 weeks and subtract five days from your transfer date. These calculations may vary if your embryo transfer date is longer or if you used donor eggs.

Once you have calculated your due date, you can track your IVF pregnancy week after week. Start counting from the first day of your last period, even though you may not have been pregnant at that time.

Each week, you can monitor the development of your baby and any symptoms or changes you may experience. It’s important to remember that every pregnancy is different, so don’t be alarmed if your experience differs from others.

Tracking your IVF pregnancy week after week can be an exciting and informative journey. By staying informed about the development of your baby and keeping track of any changes or symptoms, you can feel more connected to your pregnancy. Remember to consult with your doctor for any concerns or questions along the way.

Enjoy this fantastic IVF journey, and congratulations on your pregnancy!

Read More: Best Sleeping Position After IVF Pregnancy

Frequently Asked Questions (FAQs)

Welcome to our Frequently Asked Questions (FAQs) section dedicated to answering all your queries regarding “IVF due date calculator.” We know that you may have many questions about the science of IVF and how our tool functions.

Therefore, we have gathered a list of common questions and provided detailed answers to help you gain a better understanding of the process.

Yes, you can use the IVF due date calculator for a frozen embryo transfer (FET). Just enter the transfer date and choose the FET option in the calculator. It will provide an estimated due date based on that information.

Factors that can affect the accuracy of your IVF due date calculations include the type of IVF, the date of transfer, and the age of the embryos. Adjustments may be necessary for more precise results.

No, the length of an IVF pregnancy is not different from a natural conception pregnancy. Both types of pregnancies follow the same timeline and have similar due dates.

Yes, the IVF due date calculator can be used for pregnancies conceived through donor eggs. Simply enter the transfer date and choose the type of IVF in the calculator to calculate the estimated due date.

No, IVF due dates are not more accurate than non-IVF due dates. Both types provide a window of time for labor. Keep in mind that only 4% of babies are born on their actual due dates.

Our Expert Team

Dr. Edward Sinclair, OB/GYN, MD (Founder and Chief Medical Advisor)

Dr. Edward Sinclair is an accomplished and certified Gynecologist and Obstetrician specializing in reproductive medicine. After graduating from the University of Toronto Faculty of Medicine in 2002, he spent 15 years dealing with IVF pregnancies. He has launched his groundbreaking IVF Due Date Calculator after extensively testing in laboratories to revolutionize how due dates are predicted in IVF pregnancies.

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After Unexplained Infertility, Carli Lloyd Is Pregnant And Sharing Her Story For The First Time

“In times of struggle, we see what we are made of.”

Being a mom was always something I wanted, but it wasn’t necessarily something that was always on my mind. As a professional soccer player, I was on the sole mission of becoming the best in the world. In order to get there, I knew soccer had to be my number one priority. It would require a selfish mindset.

My husband, Brian, and I met in high school, so we’ve been together for 24 years. He supported me through every step of my career, and without his support, I never would have reached the heights I did.

When I retired in 2021 at age 39, I’d spent 34 years of my life playing soccer, 17 of them professionally. Having a baby was on our mind, and I thought putting it off for a little bit longer to enjoy life wouldn’t pose an issue. For the first time, soccer wasn’t my priority. I could actually choose what I wanted to do and spend time with Brian, my family, and my friends without soccer consuming my mind and body. (In retrospect, I wish I had been more educated about pregnancy and how to prepare for it, and that I looked years ago into the options I had for freezing my eggs.)

The only thing that changed when I retired was that I wasn’t training or playing. I was very grateful for the opportunities that continued to come my way. I was flying all over for appearances, shoots, speaking engagements, and filming for the Special Forces show, and I got to play in an amazing charity soccer match.

In the summer of 2022, Brian and I thought it was time to try to get pregnant and see where it would lead us. My whole life revolved around defying odds and proving people wrong. Soccer taught me how to work hard, persevere, be resilient, and never give up. I would do whatever it took to prepare, and usually when I prepared, I got results. But I found out that I didn’t know much about this world. I was very naive to think that we wouldn’t have any issues getting pregnant. And so it began. The casual whatever happens, happens turned into disappointment month after month. I was starting to feel like this was a race against the clock—my 40-year-old biological clock.

The journey began to eat me alive and consume me.

I kept saying to myself, “Why is my body failing me?” I had taken such good care of myself, was never a smoker, didn’t drink much. I started talking to a former teammate who had gone through similar struggles, and she helped guide me and encourage me. She suggested I start building a support team around me. I began doing acupuncture and going to a health and wellness center that could help with the process. Brian and I also decided to both get checked out to make sure there were no issues going on.

After getting all the necessary tests done, there was nothing standing in our way except my age. I left that visit with the doctor asking when I wanted to start in-vitro fertilization. I was taken aback, as we were in the early stages and I hadn’t even thought about IVF. I wasn’t ready to go down that road. In my mind, we could still get pregnant naturally and just needed to give it some time.

The months continued to pass, with the thought of trying to get pregnant constantly on my mind. I decided to schedule a consultation with another fertility doctor. I asked around about other doctors, and Dr. Louis Manara at the Center for Reproductive Medicine and Fertility in Voorhees, New Jersey, came highly recommended. At this point, my COBRA insurance that I had for a year after I retired was expiring. We didn’t have any insurance at the consult, but I didn’t care, as I wanted to hear what he had to say.

I met with Dr. Manara, who has been a fertility doctor since 1985. He gathered some information about myself and Brian. He was empathetic, knowledgeable, and honest. He said, “With your age and the timing, the best and most straightforward route is to do IVF.” I fought it so much up until this point. As a woman, I wanted to get pregnant naturally because that’s what our bodies are supposed to be capable of. I felt like my body let me down. But at that moment, I was ready to take the next steps.

The first time I sat in the waiting room, I remember feeling really ashamed and embarrassed. I wanted to put my head down, afraid that people would recognize me. I felt as if I shouldn’t be there. But as time went on, I realized that we’re all human and many women are going through similar struggles. There’s a stigma that comes with needing help or needing to go through fertility treatments. It isn’t talked about enough, but it’s just a different process ​​to get to the same end goal: becoming a parent.

We began our first round of IVF in April 2023.

Our plan was to stash as many embryos as we could because we would love to have two children, and now was the time to retrieve my eggs at a younger age. So, again, being a bit naive, I’m thinking, We’ll get four on the first one. Totally. Not a problem .

During my career, I put myself through rigorous workouts, did ice baths every day, and had a very high pain tolerance. I was always “no pain, no gain.” So, for me, the injections were the easy bit, and I did all of them myself. The hardest thing was the emotional toll. The uncertainty. The waiting. The constant worrying about what if .

I had 20 eggs retrieved, but we expected those numbers to dwindle after they were fertilized by day five and six. Then the numbers are expected to dwindle even more when the embryos are sent for genetic testing. So it was a waiting game that we literally had no control over. And it’s hard. I felt all the emotions during my career—stress, worry, fear, anxiety—but I’d never felt all the emotions that IVF brought on. I felt completely out of control. It’s an indescribable roller coaster unless you go through it.

After my first egg retrieval, I was waiting for the call to find out how many embryos had made it after day six. I was in Washington, D.C., in the dining hall of the Capitol building, doing media and meeting with senators about the excitement of the upcoming 2023 Women’s World Cup with the team at Fox Sports.

When the nurse called, I had to excuse myself. She told me that three embryos had made it, which meant we would likely end up with even less than that after genetic testing. The nurse needed an answer on whether we wanted to hold off on genetic testing and do another retrieval. We could group the first and second rounds together to save money, or go ahead with sending these three off to get tested. Genetic testing results usually took one to two weeks.

.css-1cugboc{margin:0rem;font-size:2.125rem;line-height:1.2;font-family:Domaine,Domaine-roboto,Domaine-local,Georgia,Times,Serif;color:#f7623b;font-weight:bold;}.css-1cugboc em,.css-1cugboc i{font-style:italic;font-family:inherit;}.css-1cugboc b,.css-1cugboc strong{font-family:inherit;font-weight:bold;} “I felt all the emotions during my career—stress, worry, fear, anxiety—but I’d never felt all the emotions that IVF brought on. I felt completely out of control.”

I started tearing up. The emotion hit me like a ton of bricks, and all I wanted was to be alone in private. I hadn’t said anything to my colleagues at Fox. I felt incredibly rude and apologized profusely, and they supported me even though they had no idea what was going on. Meanwhile, we started our tour around the Capitol building.

I called Brian and shared the news with him and couldn’t control my emotions. But I had to pull it together. I called my other friend who had gone through the IVF journey and was supporting me every step of the way, asking her if we should do another cycle right away or wait for the genetic results.

I was just so gutted. My expectation was that we would get enough embryos this first round, we would do a transfer, I would get pregnant, and then I would go work at the World Cup in July, and everything would be absolutely perfect. But life is never perfect and never how you plan it. That was when I realized you cannot have any expectations going through this process.

We decided to try a second round of IVF the following month.

We chose to pay to send the embryos off for genetic testing. We wanted to know how many genetically normal ones we had before we started a second round. Two of our embryos came back genetically normal, so now we had a bit of a dilemma. If we wanted two kids, both embryos would have to work. We went back and forth about whether to do another cycle, and there’s never a right or wrong answer. You just make a decision that inevitably decides the path. It’s also a costly decision.

A lot of this was paid out of pocket, because our health insurance didn’t cover it. I know that many people struggle to even be able to consider fertility treatments, so we were very grateful that more rounds of IVF was an option for us.

My schedule was insanely packed throughout this process, but this cycle was particularly challenging. Anyone who has gone through IVF knows that you are at the mercy of your body and you don’t control the timing. It took a lot of patience and understanding when my agent would tell some of the brands I was working with that, confidentially, I was going through this and we may need to reschedule some events. Believe it or not, I was able to get through everything seamlessly. One shoot I had with Delta required stopping the shoot so I could do my injections. We were shooting all over D.C., and I had a 15-minute window to duck into a hotel bathroom, do my shots, and come back out.

My body responded well to the medication and there were no issues retrieving eggs. The issue I was faced with was finding quality eggs that would fertilize and become strong embryos. This time, three made it to day six, and next was the genetic testing process.

I was in Los Angeles, about to host my soccer clinic, when the nurse called. I was walking to get breakfast with my cousin Jaime and my coach and friend Shaun. The nurse told me that zero embryos had come back genetically normal. The entire cycle was a wash—a complete waste of time and money.

My clinic was starting 30 minutes later in front of 100 kids, and once again I had to wipe away tears and carry on. My cousin Kerrie, who lives in Los Angeles, met us for dinner that night. Thankfully I was not alone and had Kerrie, Jaime, and Shaun by my side. I cried to Kerrie and Jaime in my hotel room, explaining the journey. They both said to stay hopeful and that it will work out the way it is supposed to work out.

At this point, I didn’t have time to do another retrieval cycle. I was leaving for Australia for the Women’s World Cup with Fox Sports at the beginning of July. I also was so emotionally drained that I needed a break. My thoughts were consumed with this. It was time to get away, let loose, have a cocktail or two, and enjoy my experience. And that is exactly what I did. I was surrounded by an incredible team of people working the Women’s World Cup, and it was the exact break I needed.

But I was still left with the decision of what to do. I s two embryos enough? Do we take our chances? Do I go through another retrieval? Brian was ready to go through with a transfer, but I wasn’t quite sure, and he knew I wasn’t ready to make a decision. But I didn’t need to have an answer right away. I had plenty of time to think.

We went ahead with our first embryo transfer in October.

When I came home from Australia in August, I purposely waited to start the transfer process until I had adjusted back to the time zone and was feeling good. No matter how much you want to speed up this process, you can’t. It is very time consuming and unpredictable. We had two frozen embryos, and we decided to take the chance with one. We felt that maybe these two were meant to be our children.

The embryo transfer was quick and easy. You don’t have to be put under anesthesia like you do with an egg retrieval. I was still feeling as if I could somehow control this journey, so I went to the grocery store and purchased all I could to help allow my body to accept this embryo—pomegranate juice, pineapple, nuts, teas. I kept my socks on daily. I did a medicated transfer, which required daily progesterone shots on my butt, alternating sides every day. It was much easier having Brian do these for me while I lay on my stomach. He never liked having to do these. I didn’t like them either. I bled and had bruises and knots on each side of my butt.

So now the waiting began. To be honest, it was torture. My life stopped completely, as I felt like I needed to control everything for this embryo to take. I was traveling around this time and needed to wait an extra few days to go to the doctor’s office to get blood work to see if I was pregnant. Usually I would have gone in nine days after the embryo transfer. In my case, it was 12 days later.

I was driving to our local dump to throw trash and cardboard out, which I do quite often, when I received a call from Dr. Manara right before I pulled in. My heart was beating so fast, and I was holding my breath.

He shared the bad news: I wasn’t pregnant. I felt sick to my stomach. He was heartbroken for us. He said that even when you take all these steps, there’s only a 60 percent chance of a successful transfer with genetically normal embryos, and sometimes it just doesn’t work out. He suggested we go ahead with another retrieval since now was the time to get as many embryos as we could for future children. That afternoon, I had to put a smile on my face, wipe away tears, and shoot some social media content. Life went on.

I wanted answers. I thought maybe there was something I did wrong. I felt hopeless. I didn’t see light at the end of the tunnel. I had never been this broken in my life, ever.

My life had been revolving around all of this, consuming me. Everything I ate or drank, anything I did, there would be guilt. Should I have this? Should I not have this? Should I work out? Should I not work out? I was literally driving myself crazy. Throughout this entire process, my schedule was busy and I was juggling so much. I’d have to leave my home, go speak or do a shoot, put on a happy face, and pretend that none of this was going on in my world when it was eating me up every single moment of the day.

I’ve felt every emotion throughout this process. When I look back at all the things I went through on the soccer field—whether it was a poor performance, getting benched, or missing a penalty kick in a World Cup final—there was always something I felt I could do to control the situation. I would go out and work 10 times harder. I was incredibly focused during my career. The majority of the time, the world saw me in competitor mode. A machine. I was often emotionless and numb because that’s the only way I felt I was able to survive and thrive.

But this situation hit me so differently. I wasn’t emotionless or numb. Some nights I would lie in bed crying uncontrollably to Brian. I cried and worried a lot. I leaned on Brian more than I ever had, as well as on my family and friends. For the first time in my life, I needed their support to keep going.

Ultimately, we chose to do a third round of IVF.

Growing up, my parents attended church and would take me and my sister and brother. We attended Sunday school and some youth group events, but it wasn’t something I necessarily enjoyed. Throughout my career, I had many teammates who would hold Bible study on the road, and I would occasionally join in. It wasn’t until after our failed transfer, where I felt lost and completely hopeless, that my faith kicked in. Former teammates of mine would send me prayers and encouragement. I truly believe that everything in our lives happens for a reason. You can’t always see it or feel it in the moment, but when you look back in time, you understand it.

When I called my parents to tell them our transfer didn’t work, they both said, “It just wasn’t meant to be. For whatever reason, God has other plans for you. Don’t lose hope.” And while hearing this was hard to process, it was the only thing I could hold on to. I had to believe that what is meant to be will be and to trust the process. It sounded familiar. Something I would constantly tell myself during my career.

At the start of our third cycle, my mindset was totally different. I finally surrendered. Whatever was meant to be would be, and I had to continue to live life. Life is short. I didn’t want time to pass on by and look back and say I didn’t enjoy my life while we were going through this. You don’t get time back. So I tried to stop thinking about the future and started living in the present, one day at a time. We have chickens, so I spent time outside in nature with them, and that was very therapeutic. I started to journal every day. I wrote down my fears and worries, I read, and I prayed. For once, I became vulnerable and leaned on all the support I had around me.

Brian and I had a vacation planned to the Bahamas in December, and of course, here we are on unplanned IVF cycle number three at the mercy of my body’s timing. We hoped it wouldn’t interfere with our trip, but we knew we couldn’t control that. Thankfully, our third retrieval ended up being a week prior to our departure. The nurse called and left a voicemail as we were flying to the Bahamas letting us know we had four embryos that made it to day six, which was great news for us. Those got shipped off for genetic testing—more waiting. Two of those four ended up being genetically normal. After three retrievals, we had three embryos, and we felt good about that. Dr. Manara felt good about it as well.

“I tried to stop thinking about the future and started living in the present, one day at a time.”

We started the transfer process at the beginning of January, and our transfer was at the end of the month. Of course we had another trip scheduled. This time, I was invited to play in the Waste Management Pro-Am in Phoenix. I was now worried whether it would be okay to play and swing a golf club while we waited to see if this embryo took. I consulted with Dr. Manara, and he said it would be okay. It was nice to be away and have a distraction. Since we were traveling, I wouldn’t be able to go into the office to get my blood drawn to see if I was pregnant. So, instead of having to wait until we got home, the office wrote me a script to go while in Scottsdale.

We got up early, took an Uber, and walked into a Labcorp. I expected the results to come back three days later, since it was a Friday. The next morning I woke up early and noticed an alert in my portal that I could view the results. Since this was a Saturday, no one was at Dr. Manara’s office, so I got the news before they could call to tell me. Without clicking on the downloaded version, I saw only my beta hCG level. I texted my friend—the one who had been supporting me throughout this journey—a screenshot of the number. She texted in all caps: “OMG CARLI!!!!! YOU ARE PREGNANT.” Brian was just waking up as I shared the news. We hugged and held each other and, for the first time in a long time, felt at peace.

I was finally pregnant, but we weren’t ready to celebrate just yet.

While I wanted to jump up and down and celebrate, we knew we weren’t out of the woods. We would have four more blood tests to make sure my hCG levels were rising, and the ultrasounds would follow. Every appointment brought anxiety. Our first ultrasound was to confirm that the gestational sac was inside the uterus and everything was looking good. Since we had a ski trip coming up the following week, we went back to the office two weeks later.

During our second ultrasound, we were thrown a curveball. The baby still had a heartbeat, but the measurement was calculated at five days behind, and Dr. Manara was concerned to see this in a genetically tested embryo for which we knew the exact date of the transfer. I immediately thought I did something wrong.

Dr. Manara assured me this had nothing to do with skiing or traveling. He did say, “I’m still hopeful, but I am concerned that this could potentially lead to a miscarriage.” We left that visit extremely uneasy and worried. And I was leaving for Mexico the next day. We now had to wait another week after I returned from my travels to go back and make sure that everything was okay. Again, we held on to that faith that God has a plan and it will work out the way it is supposed to work out. I continued to journal. But it was never off my mind. I feared I’d miscarry at any moment.

This next appointment couldn’t come any faster. To say we were anxious and worried was an understatement. I felt as if everyone in the office was anxiously waiting as well. The ultrasound tech was quick to get in and make sure there was a heartbeat. And we had a heartbeat! What a relief. And the baby had gained a day and was now measuring four days behind. Dr. Manara was feeling a lot better after this visit, but he still wanted to check again, so we came back four days later to do another ultrasound.

Each week we went back, we would go in holding our breath. The ultrasound tech would say, “Okay, there’s a heartbeat,” and we all could breathe again. We didn’t want to let ourselves get too excited. But with every appointment since then, the baby’s been steadily progressing each week.

After 10 weeks of monitoring this pregnancy, it was time to graduate. In the IVF world, you graduate from your fertility clinic and then start going to your ob-gyn. It was bittersweet, and I knew I would miss everyone in the office. The most exciting moment was when I was done with the daily progesterone shots. I had some serious scar tissue, knots, and bruises that I couldn’t wait to go away.

Dr. Manara’s office is a very small practice with very special people. They made me feel comfortable and truly cared about me as a patient. Dr. Manara is the best; I am so grateful for the way he handles his patients, the knowledge and expertise he provides, and the care and empathy he showed throughout our entire journey. At every visit he is face to face with his patients, going over everything and answering any questions. I couldn’t have been any happier with my experience there.

It is still hard to believe I am pregnant. It truly is a miracle, and we are so excited to be parents!

I want to show other women going through IVF that they are not alone, and that good can come from this.

I’ve conquered the soccer world and I consider myself to be really strong, but I was at my weakest during this entire process. I want to show other women that it’s okay to struggle. It’s okay to feel broken and to feel hopeless, but to never give up and to keep going. We don’t know the future chapters of our lives, and it is important to just keep putting one foot in front of the other.

I went from feeling embarrassed, ashamed, and afraid to tell people that I was going through IVF to now wanting to share my story to help others. In times of struggle, we see what we are made of. We grow. We learn. And most important, we have more appreciation for the things we do have in life.

Going through something like IVF also puts things into perspective. I’ve been blessed with many things in my life. It was not easy for Brian and me to navigate the journey from high school to attending different colleges, to a professional career, and then a long-distance relationship as I traveled the world. Our relationship continues to be tested and strengthened. This experience brought us closer than I had ever imagined. I couldn’t have gotten through it without him. He kept me going. He would say, “Just trust. Trust that it’s going to work out.” His strength and calmness was something I never realized I needed.

I always try to extract positive things or lessons that come out of struggle. And there are many things, but the one that is truly special is that it brought me closer to my parents, as well as my sister and my brother, after years of not speaking. We can never get back lost time, but we can soak up all the present and future times together, and I am grateful for that. We are truly blessed with the family and friends we have in our lives who were there for us when we needed them the most.

Since I retired, my heart has come alive. I have felt I can be more like myself. I am not in the pressure cooker anymore. I can let my guard down and be more vulnerable. For those who have never experienced the national team, it’s hard to truly understand how cutthroat it is. For 17 years, I was a machine. I was on a mission. And the only way I felt I could achieve my dreams was to be like this. The women’s national team either makes you or breaks you. Only the strong survive. And now for the first time in my life, I needed others to help carry me along.

“I want to show other women that it’s okay to struggle. It’s okay to feel broken and to feel hopeless, but to never give up and to keep going.”

I have been told that nothing I have accomplished or faced in my soccer life will ever be as great as being a mom. I know this will change me forever, and I am so excited for the journey. This was not an easy journey, but that’s true of most things in life that are worthwhile. Brian and I look forward to loving and raising a strong little one to be the best version of themselves.

My story is currently a happy one, but I know there are other women who are facing challenges in their pregnancy journey. I see you and I understand your pain. My hope is that more and more women will speak up about this topic, because their stories helped me. I also wish for more resources, funding, and education around fertility treatments. There is much to be done, and I hope I can play a role in helping.

—As told to Amanda Lucci

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Khloé Kardashian Admits She Felt 'Detached' for the Entirety of Her Surrogate's Pregnancy: 'In Denial'

"I couldn't really face it," Kardashian says of welcoming son Tatum via surrogate in July 2023

Khloe Kardasdhian/Instagram

Khloé Kardashian is opening up about her journey to welcoming her son Tatum.

The Good American founder and mom of two, 39, appeared on the SHE MD podcast on Tuesday, May 7, speaking with hosts Dr. Thaïs Aliabadi and Mary Alice Haney about her experience welcoming her baby boy. Kardashian, who is a patient of Dr. Aliabadi, shares that she had difficulty viewing the pregnancy as a real thing since she was not the one physically carrying her son.

Speaking about the initial embryo transfer, Kardashian says she never told anybody she ended up doing the transfer after news came to light that her ex Tristan Thompson , whom she was with at the time, had fathered another baby.

"So it was a couple days before Thanksgiving and I ended up doing the transfer. And then the first week of December, I found out that my ex was actually having a baby with somebody else," Kardashian remembers.

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"And I never told my family I did the transfer. I wasn't going to tell anyone until it took, because I wanted to surprise everyone. So no one knew."

As the pregnancy progressed, Kardashian says that she couldn't make the situation real for herself, especially as she wasn't the one carrying her son.

"And then the entire pregnancy of my surrogate, I admittedly buried my head in the sand and I said to Dr. A, 'I can't do this.' And the whole surrogacy pregnancy, I was really detached," the mom of two shares.

"I couldn't really face it. I very much think I was in denial that this is happening. So I didn't get to really attach during the pregnancy part," Kardashian says, before adding that she had "one of the world's best surrogates."

Kardashian welcomed her son Tatum via surrogacy in July 2023 but admitted during a season 3 episode of The Kardashians that she was still having difficulty bonding with her son in a conversation with her mom, Kris Jenner.

"Compare it to True and him, it’s a different experience," Kardashian admitted, speaking about her daughter True , now 6. "The connection ... took days with True. With him, it's taking months and we still don’t have a complete bond."

She admitted to feeling guilty about her struggles and said she questions “why isn’t it the same?"

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