Embryo transfer is the final step of an IVF cycle, when an embryo is placed in the uterus. It is a short, usually painless procedure, but it is natural to feel nervous. Knowing what to expect can make the day easier.
What is embryo transfer?
Embryo transfer is a procedure in which one embryo (sometimes two) created in the laboratory is placed in the uterus using a thin, soft tube called a catheter. It can be done a few days after egg collection (a fresh transfer) or in a later cycle using a frozen embryo. See frozen embryo transfer and the embryo transfer process step by step.
How to prepare
- Take your medicines exactly as prescribed, especially progesterone
- You may be asked to come with a moderately full bladder, which helps the ultrasound view
- Wear comfortable clothes and bring your partner or a support person if you wish
- Ask any questions about the number and quality of embryos beforehand
What happens during the transfer?
- The embryologist confirms your identity and prepares the embryo
- You lie on your back, and a speculum is placed, as for a smear test
- Guided by an abdominal ultrasound, the doctor passes the catheter through the cervix and gently releases the embryo into the uterus
- The procedure usually takes 10 to 15 minutes and most women feel little or no discomfort
How many embryos are transferred?
Transferring a single embryo is increasingly common, because it lowers the risk of twins, which carry higher risks for mother and babies. Your doctor will advise based on your age and embryo quality. Read can I have twins with IVF?
After the transfer
- You can usually go home shortly afterwards
- Light daily activity is fine; strict bed rest is not needed
- Continue your medicines until told otherwise
- A pregnancy blood test is done about 10 to 14 days later
Some women notice mild cramping or spotting, while others have no symptoms at all. Neither is a reliable sign of whether treatment has worked. Read signs after embryo transfer.
Coping with the wait
The days before the pregnancy test can feel long. Gentle activity, support from loved ones and counselling can help. See coping with the emotional impact of infertility.
Frequently asked questions
Is embryo transfer painful?
Most women feel little or no pain. It may feel similar to a smear test.
Do I need bed rest after embryo transfer?
No. Strict bed rest is not needed. Light daily activity is usually fine.
When can I take a pregnancy test?
A blood test is usually done about 10 to 14 days after transfer. Home tests taken too early can give misleading results.
If you have questions about your own situation, you can meet our doctors at our Basavanagudi, Koramangala and Ballari centres, or contact us to book an appointment.
This article is for general information and does not replace medical advice. Treatment decisions should be made with a qualified doctor who knows your history.