Symptoms of Body Changes After Embryo Transfer Day by Day

by | Apr 4, 2023 | IVF

What is an Embryo Transfer?



Embryo transfer is the process of placing an embryo, created through IVF, into the uterus of a woman who is trying to conceive. This procedure can involve either fresh or frozen embryos. A frozen embryo transfer (FET) refers specifically to the transfer of a previously frozen embryo that has been thawed for the procedure. But why would someone opt for a frozen transfer over a fresh one?


Fresh vs. Frozen Embryo Transfer

Embryo transfers can be classified into two main types: fresh and frozen. In a fresh embryo transfer, the embryos are transferred to the uterus shortly after fertilization, typically within three to five days. On the other hand, a frozen embryo transfer (FET) involves using cryopreserved embryos that have been stored for future use. FET can be beneficial for several reasons, including:

  • Improved success rates due to better endometrial receptivity
  • Reduced risk of ovarian hyperstimulation syndrome
  • Flexibility in scheduling the transfer procedure
  • The ability to store and use surplus embryos from a previous cycle


What Happens on the Day of Embryo Transfer?

The IVF frozen embryo transfer procedure is relatively simple and can often be completed in under 30 minutes. Here’s a breakdown of the key steps involved in the process:

  1. Thawing the Embryo: Before the transfer, the embryologist will carefully thaw the frozen embryo. The success rate for thawing embryos is quite high, with over 90% of embryos surviving the process.
  2. Preparing the Uterus: On the day of the FET, the woman’s uterus is prepared for embryo transfer. This typically involves a final ultrasound to confirm the optimal lining thickness and to ensure there are no unexpected issues.
  3. Transferring the Embryo: The actual embryo transfer is a quick and painless procedure. Using a thin catheter, the doctor will guide the embryo into the woman’s uterus. The embryo is then gently placed in the uterine lining, where it will hopefully implant and result in a successful pregnancy.


What to Expect Following IVF Frozen Embryo Transfer

After your frozen embryo transfer, it’s normal to experience a range of emotions and physical symptoms. Here’s what you can anticipate in the days and weeks following the procedure:

Emotional and Physical Symptoms

  • Mild cramping: Some women experience mild cramping after the transfer. This is generally temporary and not a cause for concern.
  • Spotting: Light spotting can occur in the days following the procedure. This is typically normal, but you should report any heavy bleeding to your doctor.
  • Emotional fluctuations: Hormonal changes and the stress of the IVF process can cause emotional ups and downs. It’s essential to practice self-care and seek support from friends, family, or a counsellor if needed.

The Two-Week Wait

The period between the embryo transfer and the pregnancy test is often referred to as the two-week wait. During this time, it’s crucial to follow your doctor’s instructions regarding medications and activities. Some tips for coping with the two-week wait include:

  • Staying positive: Focus on the things you can control and try to maintain a positive mindset.
  • Distraction: Keep yourself busy with hobbies, work, or social activities to help pass the time.
  • Rest and relaxation: Make sure you get enough rest and practice relaxation techniques, such as meditation or gentle yoga.
  • Avoid symptom-spotting: Resist the urge to obsessively search for early pregnancy signs, as this can increase stress and anxiety.

Pregnancy Test and Follow-Up

Approximately two weeks after the embryo transfer, you’ll return to the clinic for a pregnancy test. This is typically a blood test that measures the levels of the hormone human chorionic gonadotropin (HCG), which is produced during pregnancy.

If the test is positive, your doctor will schedule a series of follow-up appointments to monitor the progress of your pregnancy. If the test is negative, your doctor will discuss your options for further treatment, which may include another IVF cycle or other fertility treatments.

Embryo transfer, specifically IVF frozen embryo transfer, is an essential step in the journey to parenthood for many couples struggling with infertility. Understanding the process, knowing what to expect on the day of the transfer, and being prepared for the emotional and physical symptoms that follow can help make the experience less daunting and more empowering. Remember, it’s essential to lean on your support system and keep an open line of communication with your healthcare team throughout the process.


Symptoms After Embryo Transfer Day by Day:

It’s important to remember that every woman’s experience after an embryo transfer is unique. However, here is a general day-by-day guide to the symptoms you may encounter:

Days 1-3: The Early Days

  • Mild cramping: Some women may experience mild cramping in the first few days after the procedure. This is normal and can be attributed to the transfer itself.
  • Spotting: Light spotting or bleeding may occur as the embryo settles into the uterus.
  • Fatigue: Feeling tired is a common side effect of the IVF process and the medications used during treatment.

Days 4-6: Implantation Window

  • Implantation bleeding: As the embryo implants itself into the uterine lining, some women may experience light bleeding or spotting. This is typically a pinkish or brownish discharge.
  • Implantation cramping: Some women may feel mild cramping or twinges as the embryo burrows into the uterine lining.
  • Increased basal body temperature: A slight increase in basal body temperature may be observed during the implantation window.

Day 7 and Beyond: Early Pregnancy Symptoms

  • Breast tenderness: Hormonal changes can cause breast tenderness, which may be similar to what you experienced before your period.
  • Frequent urination: Increased blood flow to the pelvic area and hormonal changes may cause you to urinate more often.
  • Mood swings: The fluctuating hormone levels can lead to mood swings and irritability.
  • Nausea: A common early pregnancy symptom, some women may begin to feel nauseous or experience morning sickness.


Body Changes After Embryo Transfer:

After an embryo transfer, you may notice a few physical changes as your body adjusts:

  • Bloating: Hormonal medications used during IVF treatment can cause bloating and fluid retention.
  • Weight gain: Some women may experience slight weight gain due to fluid retention or hormonal changes.
  • Enlarged breasts: As hormone levels change, breasts may become more tender and swollen.
  • Increased cervical mucus: An increase in cervical mucus production is a common change after embryo transfer, as the body prepares for a possible pregnancy.

Also Read: Positive Signs After Embryo Transfer

7 Days After Embryo Transfer Symptoms:

Implantation Bleeding

By day 7, the embryo has likely implanted itself in the uterus. In some cases, this process can cause light bleeding, known as implantation bleeding. This is generally lighter and shorter-lasting than a regular period. Not everyone experiences implantation bleeding, so don’t worry if you don’t see any.

Mild Cramping

Some people may experience mild cramping or discomfort in the lower abdomen during this time. This is due to the embryo embedding itself into the uterine lining. Again, this is not a universal symptom, so don’t be alarmed if you don’t feel any cramping.


Feeling tired is a common symptom during this stage, as your body adjusts to the hormonal changes that come with pregnancy.


8 Days After Embryo Transfer Symptoms:

  1. Sore Breasts: As your body starts producing more progesterone, you may experience sore or tender breasts. This is similar to the feeling some people experience before their menstrual cycle. It’s important to remember that hormonal medications taken during IVF treatment can also cause this symptom.
  2. Changes in Appetite: You might notice a change in your appetite around this time. Some people may experience cravings or aversions to specific foods. Again, hormone levels play a significant role in these changes, so don’t be surprised if your taste buds start acting differently.
  3. Mild Headaches: Progesterone can cause blood vessels to constrict, leading to mild headaches. While this can be a symptom of early pregnancy, it’s also a common side effect of IVF medications. Stay hydrated, and don’t hesitate to reach out to your healthcare provider if the headaches persist or become severe.


14 Days After Embryo Transfer Symptoms:

Missed Period: By day 14, you might have missed your period if the embryo transfer was successful. If you’re unsure, you can take a home pregnancy test or consult your healthcare provider for a more accurate blood test.

Frequent Urination: As hormone levels continue to rise, you may find yourself needing to use the restroom more often. This is a common early pregnancy symptom and can be a sign that your embryo transfer has been successful.

Nausea: It’s not uncommon to experience mild to moderate nausea, with or without vomiting, around this time. This is usually referred to as “morning sickness,” although it may occur at any time of day.


When to Take a Pregnancy Test After an Embryo Transfer?

The timing of a pregnancy test after an embryo transfer is crucial. To avoid false negatives or positives, it’s essential to wait the appropriate amount of time before testing. Typically, you should wait at least 10 days after a fresh or frozen embryo transfer before taking a pregnancy test. This allows for adequate time for the hormone human chorionic gonadotropin (HCG) to build up in your system.

Understanding HCG Levels

HCG is a hormone produced by the placenta after the embryo implants into the uterine lining. It is the key indicator of pregnancy, and its levels can be detected through blood tests or at-home pregnancy tests. However, it’s important to remember that HCG levels can vary significantly between individuals and pregnancies. So, what might be a normal level for one person might not be the same for another.

When to Expect Accurate Results

Blood tests, which measure HCG levels directly, can provide accurate results earlier than at-home pregnancy tests. These tests can be taken around 7-9 days after an embryo transfer. At-home pregnancy tests, on the other hand, rely on the presence of HCG in urine, which takes a bit longer to reach detectable levels. As mentioned before, it’s best to wait at least 10 days after the transfer to use an at-home pregnancy test.


How Many Days After Period Should A Embryo Transfer Take Place?

Frozen embryo transfer (FET) is a process where embryos that were previously cryopreserved are thawed and transferred to the uterus. The timing of a frozen embryo transfer is typically based on your menstrual cycle and the specific protocol your doctor recommends. The goal is to ensure that the uterine lining is receptive to the embryo at the time of transfer.

Natural Cycle FET

In a natural cycle FET, the transfer is timed based on your body’s natural ovulation. Typically, embryo transfer occurs 5-6 days after ovulation. If you have regular cycles, this can be roughly 19-21 days after the start of your period.

Medicated Cycle FET

In a medicated cycle FET, hormone medications are used to prepare the uterine lining for implantation. In this case, the timing of the embryo transfer is more controlled, and it usually takes place around 15-18 days after the start of your period.

Your doctor will closely monitor your hormone levels and the development of your uterine lining to determine the optimal time for your frozen embryo transfer.

Precautions After Embryo Transfer:

After the embryo transfer, it is essential to take certain precautions to ensure the best possible outcome. These include:

  1. Rest and relaxation: Immediately after the procedure, it is crucial to rest for at least 24 hours. This allows the body to recover and gives the embryo the best chance to implant. After this initial rest period, you can return to your daily activities, but it is still important to avoid strenuous activities and excessive stress.
  2. Avoid heavy lifting and vigorous exercise: For the first two weeks after the transfer, avoid heavy lifting and high-impact exercises. These activities can cause strain on the body, potentially affecting the implantation process.
  3. Limit sexual activity: While there is no definitive evidence to suggest that sexual intercourse negatively impacts embryo implantation, it is generally recommended to avoid it for at least two weeks after the transfer. This precaution helps minimize the risk of infection and ensures the uterus remains as undisturbed as possible, providing an optimal environment for implantation.
  4. Stay well-hydrated: Proper hydration is essential for overall health, and it is especially important during this critical period. Drinking plenty of water helps maintain a healthy uterine lining and supports the implantation process.
  5. Follow your doctor’s instructions: Your doctor may prescribe certain medications or supplements to support the embryo transfer, such as progesterone or estrogen. It is essential to follow their instructions and take the prescribed medications as directed.

 Also Read: Do You Need Rest After Embryo Transfer?

Foods to Avoid After Embryo Transfer:

Diet can play a significant role in the success of an embryo transfer. Here are some foods to avoid and general dietary recommendations to follow during this critical period:

  1. Avoid raw or undercooked seafood, meat, and eggs: Consuming raw or undercooked animal products can expose you to harmful bacteria and parasites, which can negatively impact the implantation process and your overall health.
  2. Limit caffeine intake: Excessive caffeine consumption has been linked to an increased risk of miscarriage. It is recommended to limit your caffeine intake to no more than 200 milligrams per day, equivalent to about two cups of coffee.
  3. Avoid alcohol: Alcohol can negatively affect fertility and pregnancy outcomes. To increase the chances of a successful embryo transfer, it is best to avoid alcohol altogether during this period.
  4. Steer clear of processed foods: Processed foods can be high in unhealthy fats, sugars, and preservatives, which can hinder your body’s ability to provide the best environment for implantation. Opt for whole, unprocessed foods instead.
  5. Focus on a balanced diet: A balanced diet rich in fruits, vegetables, lean proteins, whole grains, and healthy fats can provide your body with the nutrients it needs to support a healthy pregnancy. Consuming a variety of nutrient-dense foods can help create an optimal environment for embryo implantation.


What To Do After Embryo Transfer To Increase Success Rate?

In addition to the precautions and dietary recommendations discussed above, several lifestyle changes can increase the chances of a successful embryo transfer:

  1. Manage stress: Chronic stress can negatively impact fertility and pregnancy outcomes. Practice stress-reducing techniques such as meditation, yoga, or deep breathing exercises to help maintain a more relaxed state of mind.
  2. Maintain a healthy weight: Being either underweight or overweight can affect fertility and pregnancy outcomes. Aim for a healthy weight by combining a balanced diet with regular physical activity.
  3. Quit smoking: Smoking can harm fertility and increase the risk of complications during pregnancy. If you smoke, consider quitting to improve your chances of a successful embryo transfer.
  4. Get adequate sleep: Sleep plays a vital role in overall health, and it is particularly important during this critical period. Aim for at least 7-8 hours of quality sleep each night to support your body’s ability to maintain a healthy pregnancy.


Leg Pain After Embryo Transfer:

Experiencing leg pain after an embryo transfer can be concerning, but it is essential to understand that mild discomfort is relatively common. Let’s explore some possible causes and how to address this issue.

Potential Causes of Leg Pain After Embryo Transfer

  1. Cramping: Some women may experience mild cramping after embryo transfer. This can be due to the uterus contracting and adjusting to the presence of the embryo. Cramping can sometimes cause referred pain, which may be felt in the legs.
  2. Ovarian hyperstimulation syndrome (OHSS): In some cases, fertility medications used during IVF can cause the ovaries to become swollen and painful. This condition, known as OHSS, can result in leg pain due to the enlargement of the ovaries.
  3. Nerve irritation: The embryo transfer procedure can sometimes cause temporary irritation to the nerves in the pelvic area, which may lead to leg pain.
  4. Stress and anxiety: The stress and anxiety associated with the IVF process can manifest in physical symptoms, including leg pain.

How to Address Leg Pain After Embryo Transfer

  1. Rest and relaxation: Give your body time to recover after the procedure. Rest and take it easy, as overexertion can exacerbate leg pain.
  2. Apply a warm compress: A warm compress can help alleviate leg pain by increasing blood flow to the affected area and relaxing tense muscles.
  3. Gentle stretching: Light stretching exercises can help relieve tension in the legs, but avoid any strenuous activities or heavy lifting.
  4. Consult your doctor: If leg pain persists or worsens, consult your doctor to rule out any underlying issues that may require medical attention.


HCG Levels 15 Days After Embryo Transfer:

HCG levels can vary significantly from one pregnancy to another. In general, the normal range for HCG levels 15 days after embryo transfer is between 50 and 300 mIU/mL. These levels double approximately every 48 to 72 hours in the early stages of pregnancy.

Factors Affecting HCG Levels

Several factors can influence your HCG levels, such as:

  • The type of embryo transfer: HCG levels may differ between fresh and frozen embryo transfers.
  • The number of embryos transferred: Multiple embryos can result in higher HCG levels.
  • Individual variation: Each woman’s body is unique, and HCG levels can vary accordingly.


Negative HPT 14 Days After Embryo Transfer:

A negative HPT result 14 days after embryo transfer can be confusing and discouraging. Some of the possible reasons for this outcome are:

  1. Low HCG levels: HPTs have varying sensitivities, and some may not detect lower HCG levels.
  2. Late implantation: If the embryo implants later than expected, HCG production may not be sufficient for detection.
  3. Test accuracy: HPTs can yield false negatives, so it’s crucial to use a reliable test and follow instructions carefully.


What to Do if You Get a Negative HPT

If you receive a negative HPT result in 14 days after embryo transfer, don’t panic. Consider taking the following steps:

  1. Wait a few days and retest: HCG levels may not yet be high enough for detection.
  2. Consult your fertility specialist: Discuss your concerns and HCG levels with your doctor to gain a clearer understanding of your situation.
  3. Consider a blood test: A quantitative HCG blood test is more sensitive than an HPT and can provide a more accurate result.



the journey following an embryo transfer is an emotional and physical rollercoaster. As we’ve discussed, various symptoms may arise day by day, including cramping, spotting, bloating, and mood swings, among others. It’s essential to remember that each individual’s experience is unique, and not every symptom guarantees a successful or unsuccessful outcome. Patience and self-care during this period are crucial. If you’re concerned about any symptoms or have questions, always consult with your fertility specialist or healthcare provider to ensure you receive the proper guidance and support throughout this delicate stage of your fertility journey.



Q: How many days after embryo transfer do pregnancy symptoms start?

A: Pregnancy symptoms can start as early as a few days after embryo transfer, but typically they don’t show up until a week or two after the transfer.

Q: What should I feel 4 days after embryo transfer?

A: Four days after embryo transfer, you may not feel anything different, as it’s still early in the pregnancy. However, some women report mild cramping, spotting, or a feeling of fullness in the pelvic area.

Q: What are the good signs after embryo transfer?

A: Good signs after embryo transfer include a rise in basal body temperature, positive pregnancy test results, and symptoms such as breast tenderness, fatigue, nausea, and frequent urination.

Q: How do I know if embryo transfer worked?

A: You can confirm if embryo transfer worked by taking a pregnancy test a few weeks after the transfer, or by monitoring your basal body temperature and tracking any symptoms of pregnancy.

Q: How should I feel 1 week after embryo transfer?

A: One week after embryo transfer, you may feel some mild cramping or discomfort, but otherwise, you may not feel any different. Some women report feeling tired, bloated, or having mood swings.

Q: How do you feel after embryo transfer day by day?

A: After embryo transfer, you may feel some mild cramping or discomfort, but otherwise, you may not feel any different for the first few days. As the days and weeks progress, you may start to feel symptoms of pregnancy.

Q: Is it normal to feel no symptoms after embryo transfer?

A: Yes, it’s normal to feel no symptoms after embryo transfer, especially in the early stages of pregnancy. Not all women experience symptoms, and some may experience them later on in the pregnancy.

Q: Can I bend after embryo transfer?

A: It’s generally recommended to avoid strenuous activities, including bending and heavy lifting, for a few days after embryo transfer. However, light activities such as walking and stretching are usually fine. It’s best to follow your doctor’s advice regarding physical activity after embryo transfer.

Q: Can you test 4 days after embryo transfer?

A: It’s not recommended to test for pregnancy 4 days after embryo transfer, as it may be too early to get an accurate result. It’s best to wait at least a week after the transfer before taking a pregnancy test.

Q: Can implantation happen 4 days after transfer?

A: Implantation can happen 4 days after transfer, but it’s more likely to occur around 6-10 days after transfer. It’s during this time that the fertilized egg implants in the uterus and begins to grow.

Q: How do you feel 3 days after the transfer?

A: Three days after transfer, you may feel some mild cramping or discomfort, but otherwise, you may not feel any different. It’s still very early in the pregnancy, so you may not experience any pregnancy symptoms yet.

Q: Is it normal to feel dizzy 3 days after embryo transfer?

A: Feeling dizzy 3 days after embryo transfer is not necessarily a common symptom. However, some women may experience dizziness or lightheadedness due to changes in hormone levels or stress.

Q: How many days after IVF implantation do symptoms start?

A: Symptoms of pregnancy may start to appear around 1-2 weeks after IVF implantation. However, it’s important to note that not all women experience symptoms, and some may not experience them until later in the pregnancy.

Q: What happens on the 7th day after embryo transfer?

A: On the 7th day after embryo transfer, the fertilized egg should be implanted in the uterus. It’s during this time that the placenta begins to form and the embryo starts to grow.

Q: Can you test positive 7 days after embryo transfer?

A: It’s possible to test positive for pregnancy 7 days after embryo transfer, but it’s still very early in the pregnancy and the results may not be accurate. It’s best to wait at least a week or two after the transfer before taking a pregnancy test.

Q: What happens on day 8 after embryo transfer?

A: On day 8 after embryo transfer, the fertilized egg should be firmly implanted in the uterus. The embryo will continue to grow and develop, and pregnancy symptoms may start to appear in the coming days or weeks.

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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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