IVF Embryo Transfer: Procedure, Risk & Cost

by | Apr 7, 2023 | IVF

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What is IVF?




IVF, or In Vitro Fertilization, is a medical procedure that assists couples and individuals with fertility issues in achieving pregnancy. It’s like having a helping hand to guide the union of sperm and egg when natural conception is not happening. The process involves collecting mature eggs from a woman’s ovaries, fertilizing them with sperm in a lab, and then the IVF embryo transfer back into her uterus. And voila! With a little luck and some medical expertise, the miracle of life begins.


What is an IVF Embryo Transfer?

The embryo transfer process is the final step in the IVF process. It’s the moment of truth when the tiny, microscopic embryos are placed into the woman’s uterus, giving them the chance to implant and grow into a beautiful baby.


Frozen Embryo Transfer Procedure Step by Step:

The embryo transfer procedure is a delicate dance between medical professionals and nature. Under ultrasound guidance, a thin catheter is gently passed through the cervix and into the uterus. The embryos are then released, and if all goes well, they find their new home and implant into the uterine lining. The embryo transfer procedure is usually painless and takes only a few minutes.

The frozen embryo transfer process involves several steps:

  1. Embryo Cryopreservation: After fertilization, embryos are cryopreserved and stored for future use.
  2. Endometrial Preparation: Your fertility specialist will monitor your hormone levels and endometrial lining, often using medications to prepare your uterus for the transfer.
  3. Embryo Thawing: The selected embryos are carefully thawed and assessed for viability before the transfer.
  1. Embryo Transfer: The thawed embryo(s) are transferred into the patient’s uterus, similarly to a fresh embryo transfer.
  2. Progesterone Supplementation: You may be prescribed progesterone support the implantation process and early pregnancy.
  3. Pregnancy Test: Approximately two weeks after the transfer, you’ll undergo a blood test to determine if the transfer was successful and if you’re pregnant.


Who Needs IVF Embryo Transfer?

IVF is a ray of hope for many people who face fertility challenges. Here are some common reasons why couples and individuals might need IVF:

  1. Tubal Factor Infertility: Damaged or blocked fallopian tubes can prevent the egg and sperm from meeting.
  2. Male Factor Infertility: Low sperm count, poor sperm motility, or abnormal sperm morphology can hinder conception.
  3. Endometriosis: This condition can affect the ovaries, fallopian tubes, and the lining of the uterus, making natural conception difficult.
  4. Unexplained Infertility: Sometimes, despite a thorough evaluation, the cause of infertility remains unknown.


Why Do People Opt for IVF Embryo Transfer?

People choose IVF embryo transfer for various reasons, but the common thread is the desire to create a family. For some, it’s a chance to overcome the heartache of infertility, while for others, it’s an opportunity to have a biological connection with their child. IVF also allows for genetic screening, which can help couples avoid passing on certain hereditary conditions to their children.

The journey of IVF and embryo transfer is filled with hope, success, and new beginnings. For many, it’s a second chance at parenthood after years of trying to conceive. IVF has made it possible for countless people to experience the joy of holding their own children, watching them grow, and creating a family they once only dreamed of.

Navigating the Emotional Rollercoaster

The IVF journey is not just a physical process; it’s an emotional one too. Couples and individuals often face a rollercoaster of emotions, from the excitement of starting the process to the anxiety of waiting for results. It’s essential to have a strong support system to help navigate this emotional journey, whether it’s family, friends, or a support group.

IVF and embryo transfer have opened the door to parenthood for many who once thought it impossible. As we’ve explored the world of IVF, the delicate process of embryo transfer, and the reasons people opt for this treatment, we’ve come to understand the importance of hope, perseverance, and the support of loved ones. IVF is a testament to the power of modern medicine and the resilience of the human spirit in the pursuit of creating a family.

Types of IVF Embryo Transfer:

Embryo transfer is a critical stage in the IVF process, and there are two main types: fresh and frozen. Understanding the differences and benefits of each is essential in making an informed decision about your IVF journey.

Fresh Embryo Transfer:

In a fresh embryo transfer, the embryos are transferred to the uterus shortly after being fertilized in the lab, usually within 3 to 5 days. This type of transfer closely mirrors the natural conception process, as it occurs during the same menstrual cycle as egg retrieval.

Frozen Embryo Transfer:

Frozen embryo transfers (FET) involve freezing the embryos after fertilization and culturing them in the lab. The embryos are then thawed and transferred to the uterus at a later date. This type of transfer allows for greater flexibility in scheduling the transfer and may lead to higher success rates in some cases.

Fresh vs Frozen Embryo Transfers:

Deciding between fresh and frozen embryo transfers can be a complex decision, as each comes with its own set of benefits and considerations. So, which one is right for you?

Pros and Cons of Fresh Embryo Transfer:


  • It follows a more natural timeline, closely mimicking natural conception.
  • There’s no need for additional appointments or medications for a separate frozen transfer cycle.


  • There’s a higher risk of ovarian hyperstimulation syndrome (OHSS) in some cases.
  • There may be a lower success rate in certain situations, such as women with polycystic ovary syndrome (PCOS).


Pros and Cons of Frozen Embryo Transfer:


  • The endometrial lining has more time to recover from the stimulation medications, creating a more receptive environment for the embryo.
  • It offers flexibility in scheduling the transfer.
  • It may result in higher success rates for some patients.


  • The freezing and thawing process may not work for all embryos.
  • There might be a higher risk of certain complications, such as placenta previa.

Ultimately, the decision between fresh and frozen transfers should be made in consultation with your fertility specialist, considering your unique circumstances and medical history.

How to Prepare for IVF Embryo Transfer?

Preparing for an IVF embryo transfer involves both physical and emotional readiness. Here are some essential steps to help you gear up for this crucial stage in your IVF journey:

  1. Follow Your Doctor’s Instructions: Adhere to your doctor’s recommendations regarding medications, appointments, and any necessary tests.
  2. Maintain a Healthy Lifestyle: Focus on a balanced diet, regular exercise, and stress management to create the best possible environment for your future baby.
  3. Stay Informed: Educate yourself about the IVF process and embryo transfer, so you know what to expect and can make informed decisions.
  4. Build Your Support Network: Surround yourself with people who understand your journey, including friends, family, or support groups.


What to Expect Before the Embryo Transfer?

In the days leading up to the transfer, your doctor will monitor your hormone levels and the thickness of your endometrial lining to ensure the ideal environment for the embryo. You may be prescribed progesterone supplements to support implantation. It’s essential to follow your doctor’s instructions and maintain a healthy lifestyle during this time.

What to Expect During the Embryo Transfer?

The embryo transfer is typically a quick and painless procedure. Using ultrasound guidance, your doctor will insert a thin catheter through your cervix and into your uterus, then carefully release the embryo(s). The entire embryo transfer process usually takes around 15-20 minutes. You might experience mild discomfort, but it’s generally well-tolerated.

What to Expect After the Embryo Transfer?

After the transfer, you’ll be advised to rest for a short period at the clinic. You can then resume your daily activities, but it’s essential to avoid strenuous exercise and heavy lifting. You’ll need to wait for about two weeks before taking a pregnancy test, which can be an emotionally challenging time. Make sure to surround yourself with support and stay positive.

IVF Embryo Transfer Timeline:

The IVF embryo transfer timeline is crucial for understanding the different stages and milestones in the process. Here’s a brief overview:

  1. Day 0: Egg retrieval and fertilization
  2. Day 1: Confirmation of fertilization
  3. Day 3: Embryo reaches the 6-8 cell stage (possible day for embryo transfer)
  4. Day 5: Embryo reaches the blastocyst stage (common day for embryo transfer)
  5. Day 14: Pregnancy test

Also Read: Symptoms of Body Changes After Embryo Transfer Day by Day

Day 3 Embryo Transfer Symptoms:

After a day 3 embryo transfer, it’s natural to be curious about the symptoms you may experience. However, it’s important to remember that every person’s body reacts differently. Some common symptoms may include:

  • Mild cramping or bloating
  • Spotting or light bleeding
  • Fatigue

It’s crucial to note that these symptoms don’t necessarily indicate the success or failure of the embryo transfer, as they can also be related to the hormonal medications used during the IVF process.

Day 5 Embryo Transfer Symptoms:

Following a day 5 embryo transfer, you may experience similar symptoms to those after a day 3 transfer. These may include:

  • Mild cramping or bloating
  • Spotting or light bleeding
  • Fatigue
  • Breast tenderness

Again, it’s essential not to read too much into these symptoms, as they can be attributed to hormonal fluctuations and may not necessarily reflect the success of the transfer.

Signs of Successful IVF Embryo Transfer:

It’s essential to note that each person’s IVF journey is unique, and there are no guaranteed indicators of success. However, some potential signs may indicate that the embryo transfer has been successful:

Implantation Bleeding

Implantation bleeding is light spotting that occurs when the embryo implants itself into the uterine lining. This may happen around 5-10 days after the transfer, but keep in mind that not all successful transfers result in implantation bleeding.

Pregnancy Test

A positive pregnancy test is the most reliable indicator of a successful embryo transfer. It’s typically recommended to wait for about 14 days after the transfer before taking a pregnancy test to ensure accurate results.

Positive Signs After Embryo Transfer

While there are no surefire signs of a successful transfer, some women may experience symptoms that can be seen as positive signs of embryo transfer:

  • Mild cramping or bloating
  • Breast tenderness
  • Fatigue
  • Increased sensitivity to smells
  • Food cravings or aversions

Remember that these symptoms can also be caused by the hormonal medications used during IVF and may not necessarily indicate a successful transfer.

Factors Affecting IVF Embryo Transfer Success

Several factors can influence the success of an IVF embryo transfer:

Maternal Age: Maternal age plays a significant role in IVF success rates, with younger women generally having higher chances of success.

Embryo Quality: The quality of the embryos transferred is a critical factor in determining the success of the procedure. High-quality embryos have a better chance of implanting and resulting in a successful pregnancy.

Uterine Receptivity: A receptive uterine lining is essential for successful implantation. Factors that can affect uterine receptivity include endometrial thickness, hormone levels, and any underlying medical conditions.

Lifestyle Factors: Maintaining a healthy lifestyle can improve your chances of a successful embryo transfer. Factors such as diet, exercise, stress management, and avoiding tobacco and alcohol can all play a role in your overall reproductive health.

How Many Embryos Should You Transfer?

The number of embryos to transfer depends on several factors, including your age, the quality of your embryos, and your medical history. It’s essential to discuss these factors with your fertility specialist to make an informed decision.

Age Considerations

For women under 35, transferring a single high-quality embryo is generally recommended to reduce the risk of multiple pregnancies. As maternal age increases, the chances of IVF success decline, leading to a higher likelihood of transferring two or more embryos in women over 35.

Embryo Quality

Embryo quality plays a significant role in determining the appropriate number of embryos to transfer. High-quality embryos have a better chance of implanting and resulting in a successful pregnancy, potentially allowing for a single embryo transfer. Lower-quality embryos may warrant transferring multiple embryos to increase the odds of success.

Medical History

Your fertility specialist will consider your medical history and any previous IVF cycles when determining the number of embryos to transfer. Previous failed IVF attempts or a history of miscarriage may influence the decision to transfer multiple embryos.

Fresh vs. Frozen Embryo Transfer Success Rates

The choice between fresh and frozen embryo transfers is a crucial decision that can affect the success of your IVF cycle. Recent studies have shown that the success rates between fresh and frozen embryo transfers are similar, with some advantages to each approach.

Fresh Embryo Transfers

Fresh embryo transfers usually occur shortly after the egg retrieval & fertilization process. This approach may be more convenient for some patients, as it avoids the need for additional cycles. However, the use of fertility medications during fresh cycles can sometimes lead to hormonal imbalances that may impact implantation success.

Frozen Embryo Transfers

Frozen embryo transfers involve cryopreserving the embryos and transferring them in a subsequent cycle. This approach allows for more natural hormone levels during the transfer and can reduce the risk of ovarian hyperstimulation syndrome (OHSS). Some studies have found that the frozen embryo transfer process may result in higher chances of pregnancy rates and better neonatal outcomes.

What to Do After Embryo Transfer to Increase Success?

Following an embryo transfer, there are several steps you can take to help boost your chances of success:

  1. Rest and Relax: Give your body time to recover from the procedure and focus on relaxation to minimize stress.
  2. Maintain a Healthy Lifestyle: Eat a balanced diet, stay hydrated, and engage in gentle exercise to support your overall health.
  3. Avoid Heavy Lifting and Strenuous Activities: Refrain from activities that may strain your body during the days following the transfer.
  4. Stay Warm: Keep your feet and abdomen warm to promote blood flow and support implantation.


Benefits of IVF Embryo Transfer:

  1. Overcoming Infertility: IVF embryo transfer provides an opportunity for couples who have difficulty conceiving naturally to achieve pregnancy.
  2. Preimplantation Genetic Testing: Embryos can be tested for genetic abnormalities before the transfer, increasing the likelihood of a healthy pregnancy and reducing the risk of certain genetic disorders.
  3. Single Embryo Transfer: By transferring a single high-quality embryo in a patient, the risk of multiple pregnancies can be minimized.
  4. Increased Success Rates: Advances in IVF technology now have led to improved success rates for embryo transfers.


Risks of IVF Embryo Transfer:

  1. Multiple Pregnancies: Transferring multiple embryos increases the likelihood of multiple pregnancies, which carries higher risks for both the mother and babies.
  2. Ectopic Pregnancy: There is a small chance of an ectopic pregnancy sometimes, where the embryo implants outside the uterus.
  3. Ovarian Hyperstimulation Syndrome (OHSS): Although more associated with the egg retrieval process, OHSS is still a risk to consider in the overall IVF journey.
  4. Emotional and Financial Stress: The IVF process can be emotionally and financially challenging for couples.


Costs Associated with IVF Embryo Transfer

The cost of IVF can vary significantly depending on the fertility clinic, geographic location, and the specific needs of the couple. Some factors influencing the cost of IVF embryo transfer include:

  1. Fertility Clinic Fees: The cost of IVF treatment can differ between clinics, and may include consultation fees, IVF cycle fees, and embryo transfer fees.
  2. Medications: Fertility medications used throughout the IVF process can be expensive and may not be covered by insurance.
  3. Preimplantation Genetic Testing: Genetic testing of embryos can add to the overall cost of IVF.
  4. Cryopreservation: If you choose to freeze any extra embryos for future use, there will be additional costs for cryopreservation and storage.


IVF Embryo Transfer Cost in India:

India has become a popular destination for fertility treatments due to the high-quality care and lower costs compared to many Western countries. The cost of IVF embryo transfer in India can range from ₹1,00,000 to ₹2,50,000 per cycle (approximately $1,300 to $3,300). Factors influencing the cost include:

  1. Geographic Location: The cost of IVF in metropolitan cities may be higher than in smaller towns.
  2. Clinic Reputation: High-profile fertility clinics with experienced doctors may charge more for their services.
  3. Additional Treatments: Supplementary treatments, such as intracytoplasmic sperm injection (ICSI) or preimplantation genetic testing, can increase the overall cost.



IVF embryo transfer is a critical step in the IVF journey, offering hope to many couples struggling with infertility. By understanding the benefits and risks associated with this procedure, along with the costs involved, you can make well-informed decisions about your fertility journey. Researching fertility clinics, seeking expert guidance, and being aware of the emotional and financial aspects of this process can help you navigate this life-changing experience with confidence. Remember, you are not alone on this journey, and with the right support and information, you can take each step towards your dream of parenthood with optimism and determination.



Q: How many days are pregnant at IVF transfer?

A: Technically, a woman is not pregnant until the embryo implants in the uterus, which usually happens around 6-10 days after the IVF transfer. So, at the time of the transfer, the woman is not yet pregnant, but rather in the process of attempting to become pregnant.

Q: Is IVF embryo transfer painful?

A: The IVF embryo transfer is generally not a painful procedure, although some women may experience mild cramping or discomfort. It is usually performed using a speculum and a catheter to guide the embryos into the uterus.

Q: What is the process after an embryo transfer in IVF?

A: After the embryo transfer, the woman will usually rest for a short period before being allowed to go home. She may be advised to take it easy for a few days and avoid strenuous activities. The woman will then wait for approximately 10-14 days before taking a pregnancy test to determine if the IVF treatment was successful.

Q: What should you not do after the embryo transfer?

A: It is recommended that women avoid vigorous exercise, sexual intercourse, hot baths or saunas, and anything else that may increase body temperature or stress levels for a few days after the embryo transfer. Additionally, women should follow any other instructions provided by their doctor or fertility clinic.

Q: What is the 2-week wait after the embryo transfer?

A: The 2-week wait after embryo transfer refers to the period of time between the embryo transfer and the pregnancy test. During this time, the woman will typically avoid strenuous activities and may experience some mild symptoms, such as cramping or bloating.

Q: What are the signs of successful IVF?

A: The signs of a successful IVF treatment include a positive pregnancy test, the presence of pregnancy symptoms such as nausea or breast tenderness, and confirmation of a fetal heartbeat through ultrasound.

Q: Does IVF need bed rest?

A: Bed rest is generally not necessary after an IVF embryo transfer. However, women may be advised to take it easy for a few days and avoid strenuous activities.

Q: Can you choose gender with IVF?

A: Yes, it is possible to choose the gender of a baby through IVF using a process called pre-implantation genetic testing (PGT). However, this is typically only done for medical reasons, such as to prevent the transmission of genetic disorders. It is generally not done for non-medical reasons.

Q: Is IVF successful the first time?

A: The success of IVF can vary from person to person and depends on several factors, including age, fertility issues, and the quality of the embryos. While some people may have success with IVF on their first try, others may require multiple cycles to achieve a successful pregnancy.

Q: Can I use an Indian toilet after the embryo transfer?

A: It is generally recommended to avoid using Indian toilets or squatting after an embryo transfer, as this may cause unnecessary strain on the abdominal muscles. It is advisable to use a Western-style toilet and avoid any activities that may cause stress or discomfort.

Q: What age is IVF most successful?

A: The success of IVF tends to decline with age, with the highest success rates observed in women under the age of 35. However, success rates can still be good for women up to the age of 40, and some women over the age of 40 may also have success with IVF.

Q: What to avoid during IVF?

A: It is generally recommended to avoid or quit habits like smoking, drinking alcohol, and using recreational drugs during IVF treatment. Additionally, women may be advised to avoid certain medications and herbal supplements, as well as strenuous exercise, hot baths or saunas, and anything else that may increase body temperature or stress levels.

Q: What is good luck after the embryo transfer?

A: While there is no scientific evidence to support any specific rituals or activities that may improve the success of IVF, some people may choose to engage in activities that they believe bring good luck, such as wearing lucky clothing, eating specific foods, or practising relaxation techniques.

Q: Can I walk after the embryo transfer?

A: It is generally safe to walk after an embryo transfer, but women should avoid strenuous activities or anything that may cause discomfort or stress. It is best to follow any specific instructions provided by the doctor or fertility clinic.

Q: Can I do housework after the embryo transfer?

A: Women are generally advised to avoid strenuous activities or anything that may cause discomfort or stress for a few days after an embryo transfer. It is best to rest and take it easy during this time, and avoid any activities that may interfere with the success of the IVF treatment.

Q: What happens 14 days after the embryo transfer?

A: 14 days after an embryo transfer, a pregnancy test can be taken to determine if the IVF treatment was successful. If the test is positive, further testing may be done to confirm the pregnancy and monitor its progress.

Q: Why wait 14 days after the embryo transfer?

A: It takes approximately 10-14 days for the embryo to implant in the uterus and for the pregnancy hormone hCG to be detectable in the woman’s urine or blood. Waiting 14 days after an embryo transfer ensures that the test will be accurate and reliable.

Q: Are IVF babies born early?

A: There is some evidence to suggest that IVF babies may have a slightly increased risk of being born premature or with low birth weight, although the overall risk is still relatively low. However, many IVF babies are born healthy and at full term.

Q: Does the transfer day count as day 1?

A: Transfer day is typically not counted as day 1 of pregnancy. Instead, the first day of pregnancy is usually counted as the day of the woman’s last menstrual period, or the day of ovulation if this is known.

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    Dr Mona Dahiya

    Dr Mona Dahiya

    IVF Specialist & Consultant

    Dr Mona Dahiya has performed over 5,000+ IVF cycles and is considered a global expert in IVF, ICSI, IUI and male fertility treatment. She is an eminent writer on Infertility Treatment and has over 100 Publications in both International and National Journals. Dr Mona Dahiya has immensely contributed to the field of infertility through her Research and articles.

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