23 March 2017

Our clients always wonder about the symptoms of IVF pregnancy and if the feelings are the same as with natural pregnancy. Basically, what happens after embryo transfer is all natural process, so the symptoms for IVF pregnancy are the same as for usual pregnancy, and appear two weeks later after the procedure.

Early signs

Implantation of an embryo to uterine wall can cause spotting or a small amount of bleeding, although it might also be absent or not noticeable after embryo transfer. A woman could also experience some minor cramping as the embryo implants. Swollen breasts, fatigue, headaches, a little rise in temperature, nausea and morning sickness are among other symptoms that might appear. However, each case is personal and many women experience none of these when pregnant. Don’t be upset, it is quite normal for woman not feel any changes when she is pregnant. One of the most reliable early signs of pregnancy, whether from assisted technology or a pregnancy that results naturally, is a missed period.

Earliest testing

As hard and tiring as waiting for any confirmation might be, you still will need to wait for around two weeks, before any reliable confirmation can be done.

Urine test. The most impatient ones can use ordinary urine pregnancy test a week after the embryo transfer. Even if the second mark is barely seen, it is okay, the main thing here is dynamics. This test needs to be done each day from 7th day after the transfer and up until the day of pregnancy blood testing. If the mark becomes more visible, the pregnancy is likely to be achieved.

HCG test. Two weeks after embryo transfer woman is recommended to do the HCG test, which involves measurement of a hormone called human chorionic gonadotropin, which is produced by the cells surrounding the embryo. But this measurement can be inconclusive by itself only.

Ultrasound examination. A week or two after the HCG test the ultrasound will be carried out to provide more information about pregnancy development. It should be carried out between 5th and 7th weeks of pregnancy, therefore between 3d and 5th weeks after embryo transfer. To calculate the pregnancy after IVF, we always set a theoretical last menstruation start date 14 days before egg retrieval. It is a great time to carry out the scan and see clearly if the pregnancy is progressing or not. If this is done sooner, we can create confusion and uncertainty since most of the time it will not be conclusive at earlier stage.