After embryo transfer, the “little seed” will be planted in the uterine cavity and will extend its blood vessels to establish blood circulation with the mother, just like a small tree taking root in the ground, also known as “embryo implantation”.
The pre-treatment of IVF can affect the function of the corpus luteum, and after embryo transfer, progesterone and estrogen need to be increased to facilitate embryo implantation. Commonly used medications include progesterone injections, deferiprone tablets, human chorionic gonadotropin, estradiol valerate, etc.
Within 2 hours after the embryo transfer, your doctor will assign you the proper medication for fertility preservation treatment. Make sure to remember it clearly, ask the nurse if you don’t understand it in time, and stick to the treatment every day on time and consistently. Do not stop the medication hastily, otherwise it may cause bleeding.
After 14 days after the transplantation procedure, come to the hospital to draw blood on an empty stomach to measure serum HCG, usually more than 50 Miu/ml indicates pregnancy, continue the fertility preservation treatment for 14-21 days, check the ultrasound, if you see the intrauterine gestational sac with fetal bud and fetal heartbeat, you can confirm the clinical pregnancy. Fertility treatment usually needs to be maintained until 55 days after embryo transfer and the condition is stable before the dosage can be gradually reduced.
If out-of-town patients cannot come to our center for follow-up, they can also have their blood HCG and ultrasound checked at a large local regular hospital and have their family members bring the results to the center for medication under the doctor’s guidance.
If you are pregnant, you can visit the obstetrics department 2 and a half months after transplantation, i.e. after the third month of pregnancy, and join the pregnant mothers. After that, the checkups are fixed in the obstetrics department.
Summary points.
1.Adhere to fetal preservation treatment after transplantation;
2.Take blood test for HCG 14 days after transplantation;
3.If pregnancy is indicated, continue the fertility treatment for 2-3 weeks and then do ultrasound to determine if the pregnancy is intrauterine and the embryo is alive;
4.If the ultrasound indicates normal pregnancy, continue the fertility treatment until 2 months after the transplantation, and gradually reduce the dosage under the guidance of the doctor.
Life guidance.
1. Diet can be similar to usual. If you like spicy food, you can continue to eat spicy food. You can eat more fresh fruits and vegetables; as well as milk, eggs, lean meat and other protein-rich foods. There are no scientific studies that show which foods increase the chances of pregnancy and which foods cause miscarriage. Don’t believe in online forums that have no scientific basis.
2, lifestyle, you can continue to work, housework, as long as you do not feel strained. There is no need to lie down for several months. It is best not to have intercourse or engage in strenuous exercise in the first three months of pregnancy.
3, during the treatment of birth control, relax, maintain a good, calm state of mind, no need to be nervous. Conditions are right, when it’s time to get pregnant, you will naturally get pregnant. Excessive anxiety will not help to get pregnant and will only lead to abnormal endocrine secretion in the body, which is not conducive to pregnancy. Peace of mind is most important!
What should I do if I have vaginal bleeding after transplantation?
Within 1-3 days after transplantation: vaginal bleeding at this stage does not need to be nervous, it may be cervical erosion, a small amount of bleeding after touching the cervical erosion surface during transplantation, or a small amount of bleeding after slight irritation of the cervical mucosa during transplantation. There is no need to be nervous at this point, rest for a few days and the bleeding will stop. If bleeding exceeds 1 week, please visit the clinic to rule out other problems.
7-14 days after transplantation: There is no need to be nervous about the small amount of vaginal bleeding at this stage, continue the treatment with birth control medication and come to the hospital 10-14 days after transplantation to have blood drawn to confirm whether you are pregnant or not.
14-28 days after transplantation: If pregnancy is confirmed by blood HCG, vaginal bleeding at this stage must be highly alert to ectopic pregnancy and you need to go to the hospital in time. This is because ectopic pregnancy is life-threatening in case of intra-abdominal bleeding. If the ultrasound examination indicates intrauterine pregnancy, continue the fetal preservation treatment.
After the ultrasound confirms intrauterine pregnancy and fetal survival after transplantation: There is no need to be nervous when a small amount of vaginal bleeding occurs at this time. Continue fetal preservation treatment, rest in bed as much as possible, keep your mood calm and review the ultrasound after 1-2 weeks. During the early pregnancy stage, the embryo erodes the uterine blood vessels and establishes blood circulation with the mother during its development in the mother’s uterus. During this process, 30-50% of pregnant women may experience vaginal bleeding, and most of them can continue the pregnancy after regular fetal preservation treatment.
In conclusion, vaginal bleeding after transplantation is low and does not exceed the usual amount of menstruation, and in all cases where ectopic pregnancy is clearly diagnosed and ruled out, fertility preservation treatment can be continued. The vagina is a long reproductive cavity and a small amount of bleeding may remain inside and a small amount of blood or coffee-colored or light pink discharge may still be discharged for the following 3-7 days without cause for alarm. As long as the vaginal bleeding does not exceed the amount of menstruation, ectopic pregnancy is ruled out, there is no abdominal pain, dizziness and weakness, and the fetus is treated under the doctor’s guidance to preserve the pregnancy, most cases will be resolved and the pregnancy will continue to be healthy and enter the middle pregnancy stage.