IVF Embryo Transfer

IVF Embryo Transfer


IVF Embryo Transfer


What is IVF Embryo Transfer?


IVF Embryo Transfer takes place after ovarian stimulation, egg retrieval or eggs have been accumulated and fertilized in the laboratory. Depending on your condition, one to three of the best quality embryos is selected and then transferred to the woman’s womb or uterus. An embryo must efficaciously attach itself to the wall of the womb for pregnancy to begin

IVF Embryo Transfer is the critically important and last procedure in the in vitro fertilization process. The process needs to be performed very carefully as all the process can get ruined if performed carelessly, so this process needs extra care. It involves the placement of the embryos near the middle of the endometrial cavity ( with minimal trauma and manipulation). The objective of embryo transfer is to start conception following fertilization from the in vitro fertilization procedure. Ivf embryo transfer is also a simple procedure and hardly takes 5-10 minutes, but as already mentioned it needs to be done with care. No anesthesia is given and no recovery time is needed.


You may be asked by your physician to have a full bladder good ultrasound visualization.

Sometimes the decision about how many embryos needs to transferred is complicated. It is decided to get the best rate for pregnancy with the lowest chance of multiples – twins or triplets. Multiple pregnancies are sometimes risky and may lead to some problems both during the pregnancy and delivery. The doctor checks all the condition and factors like embryo quality and the age of the embryo and makes the final decision on how many numbers of embryos need to be transferred.  The doctor also takes in account day 3 or day 5-7 blastocyst stage embryo.  Mostly only 2 embryos are transferred to a woman under the age of 38, 2-3 embryos for a woman in the age of 38-40 and 3-4 embryos for a woman above the age of 41.

If you are under 37 and it is your first cycle of IVF, or you earlier had a successful cycle of IVF, and you have good quality blastocyst you can also go for single embryo transfer as it reduces the rate of having twins or triplets. This situation can also be called as Elective Single Embryo Transfer (eSET)

(eSET) means that the patient has decided to have only one embryo transferred, even though she has more than one embryo available.

You should know that even after choosing (eSET) there are chances of having twins as embryo can spontaneously divide in the uterus.


Exact location for placement of the embryos at transfer:

The embryo transfer catheter is loaded with the embryos, and the doctor passes it through the cervical opening up to the middle of the uterine cavity. The process is also visible on the abdominal ultrasound it also helps to watch the catheter tip. When the catheter tip reaches the exact location, the embryos are then "transferred" to the endometrial lining of the uterine cavity. After the embryos have been transferred, then the catheter is taken out and checked if there is any embryo left. If any embryo is left in the catheter, the process is repeated.

If your having cough or cold embryo transfer is not advisable on that day.


Things to do after embryo transfer:


IVF Embryo Transfer


  • If you are on medications that support the uterine lining (help to maintain a pregnancy), you can continue that. A woman can also take their recommended prenatal vitamins.
  • You should take complete bed rest for almost 24 hours and should always try to put your feet up.
  • You can go to work or do normal things still it is advised to take as much rest as possible. You should avoid exercising and sexual relations.
  • You should avoid traveling, and if there's any emergency contact your doctor as soon as possible
  • You should not take any stress and should always stay happy



When to do the pregnancy test after IVF?

It depends on the day transfer, nine days for 5-day transfer and 11 days for three days transfer. It can be also up to two weeks. You should check with your physician about this. You should not go for home pregnancy as it can give you false results.

Chances of getting pregnant after embryo transfer:

40.6% for women under 35 years of age
35.5% for women between 35-37 years of age
28.1% for women between 38-39 years of age
21.2% for women between 40-42 years of age
11.2% for women between 43-44 years of age
3.4% for women over 45 years of age

(Average data collected by our team)

IF YOU GET POSITIVE PREGNANCY TEST AFTER IVF 

Your doctor will tell you the hCG level that your test showed. This number will increase rapidly in healthy pregnancies. Multiple beta tests will be done over the next several days to confirm the pregnancy is proceeding normally. A blood hCG level greater than 100 is a good first result, sometimes ongoing pregnancies start out with a beta hCG level below that number. Then you’ll be asked to repeat the test in two to three days. Your hCG should get double every three days. 

If all the tests indicate a healthy pregnancy, then a vaginal ultrasound will be done between the six to eight week. The doctor will be looking for a heartbeat and a gestational sac. You may continue your hormone medications throughout this eight-week period to support the developing pregnancy.

IF YOU GET NEGATIVE PREGNANCY TEST AFTER IVF 

It will be very disappointing and we pray you don't get a negative pregnancy test. Patients can consult with their doctor and may start a new IVF cycle on their next menstrual cycle. You may have to wait a month or two longer. You should remember that all IVF are not successful on their first cycle but that doesn’t mean pregnancy can not happen next time. 


If you have any questions or any doubts related to IVF and IVF embryo transfer feel free to comment. You can also share your stories that may help other women. 

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