Saturday, March 30, 2013

IVF-FAQs - When should I test for pregnancy after the transfer?

positive pregnancy test
The two week wait ( 2ww) is one of the most exciting as well as one of the most emotionally draining phases of an IVF cycle.  You are eagerly waiting to know what has happened to your embryos – did they implant or not ? The doctor’s done his best – now  it’s all upto you ! How well will your body perform ?

Most  IVF clinics want you to wait 14 days after the egg collection before doing a pregnancy test (a test which detects the HCG hormone produced by the cells of the developing embryo !)  But you can do a pregnancy test much earlier too. A blood test might tell you whether your embryo implanted or not as early as 7 days after the embryo transfer.  Very sensitive home pregnancy tests ( which detect the HCG hormone in urine ) are also available. They detect HCG even at very low levels – as little as 25 mIU/ml. Such tests appear to be a boon for women who cannot wait to know their result – those who cannot bear the suspense. But such tests are a bane as well ! Sometimes , even if you get a positive pregnancy test at home , or if you detect the HCG hormone in your blood earlier than 14 days past transfer, when you go in for the definitive test (14 days after egg collection) you might end up with a negative result. This can be heart-breaking , because all the dreams you built because of a positive pregnancy test will be shattered. 

A positive pregnancy test which later become negative can happen because of two reasons :
•    Chemical pregnancy – your embryo tried to implant , but failed to successfully embed into the lining
•    The HCG shot which you took for triggering ovulation was still in your body and the pregnancy test detected this HCG , which is why you got a false positive result !
Such false positive tests or short-lived positive pregnancy tests can cause enormous frustration !

You can also get a false negative if you test too early. As a result of this, you might spend the second half of your 2ww in tears, anger and disbelief – none of which will help your emotional well-being. Of course you will feel happy when you get a positive result 14 days after egg collection, but all the stress and negative emotions you go through because of the first negative pregnancy test result can make your 2ww  very unpleasant.

This is why it is wise to wait patiently for 14 days after egg collection before you can do a pregnancy test. 
Read more at : http://blog.drmalpani.com/2011/01/testing-for-pregnancy-after-embryo.html


This is an excerpt from our forthcoming, book, The Expert Patient's Guide to IVF. This being authored by our expert patient, Manju and me.


 You can email Manju at manjupadmasekar@yahoo.com


Her blog is at www.myselfishgenes.blogspot.com

Enhanced by Zemanta

3 comments:

  1. blossoms12:29 PM

    Me: 33yo, tubes patent, PCOS
    DH: 33yo, low motility
    TTC 3.5yrs
    2 failed IUI

    IVF#1:
    LMP: 05/04/2013
    Med: IVF-M Inj 150X3 for 8 days + IVF-C 5000 X 2 - 16/04/2013
    ER: 18/04, 5 eggs retrieved, ICSI, 5 fertilized.
    ET (3 embryos 5% fragmented) 20/04.
    5dt: 1 blastocyst 23/04 (2nd got arrested)
    Supplements: Susten 200X2 twice insertions daily, provynova trice daily

    Can i be hopeful now.. i am too scared to take HPT as they have always been negative for me

    ReplyDelete
  2. Dear Blossoms,

    I agree it's scary - but you will have to find out the truth at some point ! The suspense and waiting just makes the anxiety worse !

    Can you send me more details about your IVF cycle ? What were the meds which were used for
    superovulation ? What was the dose used ? How many follicles did you grow ? How many eggs were collected ? What was the E2 ( estradiol) level in the blood ? What was the endometrial thickness ?
    How many embryos were transferred ?
    What was the embryo quality ? DO YOU HAVE PHOTOS OF YOUR EMBRYOS ? You can see what embryos should look like at http://www.drmalpani.com/embryos.htm
    Can you please send me the printed treatment summary from your IVF clinic ?

    Please remember the Serenity Prayer
    God grant me the serenity to accept the things I cannot change;
    the courage to change the things I can;
    and the wisdom to know the difference.

    We look forward to helping you to have a baby !

    ReplyDelete
  3. blossoms1:00 PM

    What were the meds which were used for superovulation ? What was the dose used ?
    VF-M Inj 150X3 for 8 days + IVF-C 5000 X 2 - 16/04/2013

    How many follicles did you grow ?
    6 follicles on 18/04/2013

    How many eggs were collected ?
    5Eggs

    What was the E2 ( estradiol) level in the blood ?
    16/4: LH 7.41, Progesterone: 1.62

    What was the endometrial thickness ? How many embryos were transferred ? 3 on day 2 and 1 on day 5
    What was the embryo quality ?
    3 were fragmented, 1 was good.
    DO YOU HAVE PHOTOS OF YOUR EMBRYOS ? no
    You can see what embryos should look like at http://www.drmalpani.com/embryos.htm
    Can you please send me the printed treatment summary from your IVF clinic ?

    ReplyDelete

Related Posts Plugin for WordPress, Blogger...