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    In Vitro Fertilization (IVF)

    Positive Signs After Embryo Transfer: What to Look Out For

    Updated on 15 June 2023

    Medically Reviewed by

    Kusum Sabharwal

    Obstetrician & Gynecologist - MBBS| DGO

    View Profile

    If you're reading this, chances are you've recently undergone embryo transfer procedure, or you're planning to do so soon. Congratulations on taking this big step towards starting or expanding your family! As you wait for the results, it's natural to feel a mix of emotions, from hope and anticipation to anxiety and uncertainty. However, there are several positive signs after embryo transfer that you can look out for that may indicate a successful pregnancy.

    In this article, we'll day by day symptoms after embryo transfer and what they mean, so you can stay informed and empowered throughout your journey. Let's get started!

    What is Embryo Transfer?

    Embryo transfer is a crucial step in the process of assisted reproduction, specifically in vitro fertilization (IVF). It involves the careful placement of fertilized embryos into the uterus of a woman who is trying to conceive. This procedure is typically performed by a skilled fertility specialist in a clinic or hospital setting. The embryos are usually created by combining eggs and sperm in a laboratory, allowing for controlled fertilization and early development.

    Understanding The Process of Embryo Transfer

    Before undergoing embryo transfer, patients usually undergo an extensive preparation process, which may include hormone therapy to optimize the chances of successful implantation. The embryos are carefully selected based on their quality and developmental stage. The number of embryos transferred may vary depending on the patient's age, medical history, and the recommendations of the fertility specialist.

    During the actual procedure, the patient lies on an examination table, and a speculum is gently inserted into the vagina to provide access to the cervix. A thin catheter containing the embryos is then guided through the cervix and into the uterus. The embryos are delicately released, and the catheter is carefully withdrawn. The entire process is generally painless and takes only a few minutes to complete.

    What to Expect After Embryo Transfer?

    After the embryo transfer, patients often experience a mixture of emotions, ranging from excitement to anxiety. It is essential to remember that each person's experience may vary, and there is no one-size-fits-all answer to what to expect.

    The waiting period between the embryo transfer and the pregnancy test can be emotionally challenging, as patients eagerly anticipate any positive signs after embryo transfer that may indicate a successful implantation.

    Day by Day Symptoms After Embryo Transfer

    Following embryo transfer, it is common for patients to closely monitor their bodies for any potential signs of pregnancy. It is important to note that body changes after embryo transfer may not be exclusive to pregnancy and can also be caused by hormonal changes or the procedure itself. Therefore, it is crucial to consult with a healthcare professional to obtain an accurate assessment.

    Here are some common symptoms that one may experience day by day after embryo transfer:

    Days 1-3: Mild cramping, spotting, fatigue

    In the first few days after embryo transfer, it is normal to experience mild cramping, bloating and fatigue. These symptoms are often attributed to the hormonal changes and the physical manipulation of the uterus during the procedure.

    Days 4-6: Implantation bleeding and increased BBT

    Around five days after embryo transfer, some women may notice an increase in body basal temperature along with implantation bleeding. It's a pink or brown vaginal discharge that some women may observe 3-7 days after the transfer, which may be accompanied by cramping.

    Day 7: Continued cramping and bleeding

    Light spotting or mild implantation bleeding can continue even after a week of embryo transfer. But it is not necessarily an indication that something is wrong and usually indicates that implantation is taking place.

    It is important to note that symptoms don't necessarily indicate success. Some women may experience no symptoms after embryo transfer, is that normal? Yes, it's normal to experience no symptoms after an embryo transfer. The waiting period can be challenging, but it's important to wait until the recommended time to take a pregnancy test.

    Positive Signs After Embryo Transfer

    While the absence of symptoms does not necessarily indicate a negative outcome, many patients eagerly search for positive signs that suggest a successful implantation.

    1. Absence of menstrual bleeding

    One of the most encouraging signs is the absence of menstrual bleeding during the expected time of menstruation. This can be an early indication that the embryo has successfully implanted into the uterine lining.

    2. Light spotting or implantation bleeding

    Another positive sign is the presence of light spotting or implantation bleeding, which may occur around one to two weeks after embryo transfer. This is a result of the embryo attaching itself to the uterine wall and can be accompanied by mild cramping. However, it is important to note that not all patients experience implantation bleeding, and its absence does not necessarily indicate a negative outcome.

    Body Changes After Embryo Transfer

    As the embryo continues to develop, some patients may notice subtle changes in their bodies. These changes can include increased sensitivity to smells, changes in appetite, or a heightened sense of fatigue. These symptoms can be attributed to the hormonal changes that occur during early pregnancy. However, it is essential to remember that these symptoms can also be caused by other factors and may not necessarily indicate a successful implantation.

    No Symptoms After Embryo Transfer, Is it Normal?

    It is entirely normal for some patients to experience no noticeable symptoms after embryo transfer. The absence of symptoms does not necessarily indicate a negative outcome or a failed implantation. Each person's body is unique, and the way it responds to the procedure can vary significantly. Some individuals may only experience subtle or no symptoms at all, while others may have more pronounced signs of early pregnancy.

    Coping with No Symptoms After Embryo Transfer

    The waiting period after embryo transfer can be emotionally challenging, particularly for individuals who do not experience any positive signs after embryo transfer. It is crucial to remember that the absence of symptoms does not definitively indicate a negative outcome.

    Engaging in relaxation techniques, such as deep breathing exercises, meditation, or gentle yoga, can help manage anxiety and stress during this waiting period. Additionally, seeking support from loved ones or joining support groups with individuals who have gone through similar experiences can provide emotional comfort.

    Factors That May Affect the Outcome of Embryo Transfer

    Several factors can influence the success of embryo transfer. The quality and developmental stage of the embryos, the age and overall health of the patient, and the expertise of the fertility specialist all play crucial roles.

    Additionally, lifestyle factors such as smoking, excessive alcohol consumption, and obesity can impact the chances of successful implantation. It is important to discuss these factors with a healthcare professional to ensure the best possible outcome.

    You may also like: Sleeping Position After IVF & Other Precautions That Can Boost Your Chances of Success

    Tips for Managing Anxiety and Stress During the Waiting Period

    The waiting period after embryo transfer can be filled with anxiety and stress. To manage these emotions effectively, it is essential to adopt healthy coping strategies.

    Engaging in activities that promote relaxation and well-being, such as practicing mindfulness, engaging in light exercise, or pursuing hobbies, can help distract from negative thoughts and reduce stress levels.

    It is also important to maintain open communication with a healthcare professional to address any concerns or questions that may arise.

    When to Consult Your Doctor After Embryo Transfer?

    While it is normal to experience some anxiety during the waiting period after embryo transfer, there are certain situations in which it is advisable to consult with a healthcare professional. If severe pain, heavy bleeding, or fever occurs, it is essential to seek immediate medical attention, as these symptoms may indicate a potential complication.

    Additionally, if there are any concerns about medication, lifestyle choices, or emotional well-being, it is important to reach out to a healthcare professional for guidance and support.


    Embryo transfer is a significant milestone in the journey towards achieving pregnancy through assisted reproductive techniques. While it is natural to eagerly search for positive signs after embryo transfer, it is important to remember that every person's experience may be different. Some individuals may experience noticeable symptoms, while others may not. The waiting period can be emotionally challenging, but it is crucial to maintain a positive mindset and seek support when needed.


    Bortoletto P, Bakkensen J, Anchan RM. (2018). Embryo transfer: timing and techniques. Minerva Endocrinol.

    Sõritsa D, Mäestu E, Nuut M; et al. (2020). Maternal physical activity and sedentary behaviour before and during in vitro fertilization treatment: a longitudinal study exploring the associations with controlled ovarian stimulation and pregnancy outcomes. J Assist Reprod Genet.

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    Medically Reviewed by

    Kusum Sabharwal

    Obstetrician & Gynecologist - MBBS| DGO

    View Profile

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