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    pink loader
    in vitro fertilisation (ivf)

    Early Pregnancy Symptoms after IVF Embryo Transfer

    • 4.5   (1 Votes)
    Medically Reviewed by Dr. Deepika Tiwari - MBBS on 16 Apr 2019 - Written by Dr. Chetna Jain - MBBS - Grammatically Approved by Dr. Kavita Jaggi Agrawal - MBBS

    Early pregnancy symptoms generally appear after two weeks of IVF embryo transfer. The first signs of pregnancy after embryo implantation are missed period, nausea, spotting, tiredness, increased BBT, Fatigue and breasts changes.

    IVF or In vitro Fertilization is one of the assisted reproductive technologies, which are available to achieve a successful pregnancy for a couple that has problems in conceiving naturally. IVF is a process that includes various steps from stimulation of ovaries to embryo transfer.

    In this article, you will get to know about:

    1. Pregnancy Symptoms after Frozen Embryo Transfer

    After IVF embryo transfer, a patient is recommended to take two weeks rest. As two weeks is the time period in which the embryo implantation is expected to occur. The patient starts experiencing early pregnancy symptoms after her Human Chorionic Gonadotrophin (HCG) hormone begins to rise. 

    Note: High HCG levels have a higher rate of having twins. 

    2. Early Pregnancy Symptoms after IVF Embryo Transfer

    Some early pregnancy symptoms after embryo implantation are:

    • Nausea or morning sickness: Nausea is also known as morning sickness and it is the second most commonly reported early pregnancy symptoms. Nausea typically occurs between two to eight weeks during pregnancy. (1)
    • Spotting or vaginal discharge: When the embryo implants into the uterine wall, impaired small capillaries in uterine lining may cause bleeding. This small amount of bleeding is known as spotting. However, the embryo generally implants between 6 to 12 days after conception. (1) Another reason for blood spotting is progesterone supplementation through vaginal suppositories. Whereas it can cause cervix to be extra sensitive.
    • Cramping after embryo transfer: Mild cramping and pelvic discomfort are very common after embryo implantation. Cramping usually occur when the uterus expands and the ligaments and the muscles stretch to support it. (2) While it is normal to have mild to moderate cramping but if in case a patient feels severe cramping then one should contact the doctor immediately. As having severe cramping is also a sign of Ovarian Hyper stimulation Syndrome (OHSS) or Ovarian Torsion. Implantation bleeding can be caused between 10 to 14 days (week 4) after conception, as the blastocyst will implant in the endometrium, the lining of the uterus. (3)
    • Frequent urination and excessive thirst: A woman may experience frequent urination and excessive thirst between 6 to 8 weeks of her pregnancy. It is because of the increasing size of the baby, which is why uterus places pressure on her bladder. (1)
    • Mood swings: Moods swing is caused due to significant changes in hormone levels. As, the hormones can affect the level of neurotransmitters, which are chemicals secreted in the brain for mood regulation. Mood swings are mostly experienced during the first trimester of pregnancy between - six to ten weeks and then again in the third trimester of pregnancy. However, it is also important to note that a woman might also start experiencing depression, which is also very common. (4)
    • Increased basal body temperature: The BBT (basal body temperature) is high during embryo implantation as well as it can be a way to determine pregnancy. As BBT rises at the time of ovulation due to an increase in progesterone hormone and remains elevated when implantation occurs. 

    Note: BBT temperature remains higher throughout the two-week wait. 

    • Irregular Bowels: The expanded levels of progesterone in the body make various changes in muscles function. This change in the hormonal level makes the muscles to work slowly, and thus the food may pass gently through the intestine, which can lead to irregular bowel movement or constipation. (5)
    • Changes in breasts: After IVF embryo transfer, a woman may notice softness, firmness, or swelling in her breast than usual as a woman’s hormonal levels changes rapidly. (6) She may feel that her nipples are tendered with darker areolas. These changes occur due to the process of milk formation in the breasts. (7)
    • Fatigue or tiredness: Fatigue or Tiredness can be another significant pregnancy symptom after embryo implantation. As it is common to feel tiredness during the early pregnancy stages. However, a woman can also feel tired because of excess hormones in the body. (8) This hormone helps the fetus to grow.  
    • Nasal congestion: The blood vessels in the nasal passages can increase in early pregnancy, which can lead to congestion. Nasal congestion can also occur with a cold or the flu. (9)
    • Missed periods: One of the earliest and the most significant signs of pregnancy are missed period. As the medications and IVF process make quite an impact on the reproductive organs of a woman. However, when fluid builds up around the ovaries it causes bloating and pelvic tenderness. (10)

    3. Early Pregnancy Symptoms Highlights:

    • 25 percent of women indicated that nausea was their first pregnancy symptom. (1)
    • 29 percent of women surveyed by the American Pregnancy Association reported a missed period as their first pregnancy symptom. (1)
    • 17 percent reported that a change in their breasts was the early symptom of pregnancy. (1)

    You can also get to know about various infertility treatments such as IUI, ICSI, TESA, Surrogacy, MESA, and many others by visiting or else you can also contact us on +918929020600.

    Dr. Chetna Jain

    Written by

    Dr. Chetna Jain is an infertility specialist and gynecologist who specializes in PCOD, Uterine Fibroid treatment, Dysmenorrhea treatment and Urinary Tract Infection (UTI). Dr. Chetna completed her MBBS and MS in Obstetrics and Gynecology from RNT Medical College, Udaipur in the year 1990 and 1995 respectively. Then, she got Membership of Royal College of Obstetricians and Gynecologists, London (MRCOG) in the year 2003. Presently, Dr. Chetna Jain is practicing her expertise at Dr. Chetnas Clinik NEMA Healthcare, Miracles Mediclinic and Apollo Cradle Sector-14 in Gurgaon. For more information about Dr. Chetna Jain, visit



    1 Comment


    Shamindra Kaisth

    Dec. 10, 2018, 6:59 p.m. 4.5

    Leave a Comment



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