Bleeding after embryo transfer: why and what to do?
Due to IVF, many children have already been born, but many women who decide to take this step are worried about whether menstruation is dangerous after embryo transfer? Definitely hard to say, and the need to transfer hgch analysis. Of course, menstruation after IVF may not be monthly, but bleeding, which is bad. There are also spotting secretions at 6–8 days after transplantation, which indicates instability of the hormonal background, but still successful conception, discharge indicates attachment of the fetus to the walls of the endometrium. IVF is similar to the symptoms of pregnancy, i.e. when it means that menstruation takes place at conception as if through a fetus, this happens after embryo transfer.
Ointment in the first days after IVF
Yet, in deciding to undergo IVF, women have to face many difficulties. A lot of time is devoted to preparation for the procedure, treatment. Hormonal background is unstable, and synthetic substances upon entry into the body, of course, can lead to cycle failure. Although, with the appearance of menstruation, before the embryo transfer, the procedure should be postponed, since the endometrium must return to normal, i.e., be loose and rather thick so that the embryo is well fixed. A woman should gain strength and patience before a long and not always justifying procedure.
Discomfort and the appearance of menstruation is often 7–8 days after embryo replanting. But, to panic early. Smearing like this does not always mean lack of success. Doctors recommend that you listen to your body in the first days after IVF and, of course, besides believing in luck, not burdening yourself with physical work, rest more, put sex life aside for a while.
What happens when an embryo is implanted into the uterus?
After embryo replanting, a woman in the first weeks remains under the supervision of doctors in order to avoid harming the process itself when staying at home in excessive anxiety and fear that suddenly it will not work. But not always the fears of women are justified.
Exactly on the 8–9th day after the embryo replanting, abundant bleeding can begin, which speaks only of the implantation (fixation) of the embryos. Even the appearance of menstruation at a given period, which cannot be considered late. Nevertheless, the secretions must be traced. There is no cause for concern if they are slightly leaking, insignificant and completely painless. If there is heaviness in the abdomen, swelling of the mammary glands, nausea, drowsiness, then the probability of pregnancy is high, so it’s too early to panic. It is best to seek help from a doctor.
Why does bleeding appear?
After embryo replanting, bleeding may well begin, and this does not mean that it is menstrual - the cause of the embryo survival. It happens that a woman overworked, which should not be allowed when replanting and need to take care. Or the reason lies in the lack of progesterone, other hormones in the body. Of course, the risk of miscarriage is huge. If they appeared:
- strong bleeding,
- heaviness in the stomach
- attempts to lower abdomen, as in menstruation, it is best to consult a doctor.
Although the symptoms should not lead to panic, because the uterus after the manipulation of doctors can be traumatized and any abnormal movement of a woman, namely lifting weights, excessive zeal can lead to painful sensations in the lower abdomen and small bruising.
This is the norm. This condition happens with a duration of up to 12-14 weeks, and you should not worry about it. In order to be sure whether the pregnancy occurred or IVF did not work, it is necessary to give a blood test for hCG on an empty stomach. A routine pregnancy test from a pharmacy may become erroneous.
Normally, even when bleeding occurs in the first 2-3 months after the replanting of the embryo, the lower abdomen should not hurt, and the discharge is only moderate. On the other hand, an attempt to become pregnant may be unsuccessful when menstrual periods after embryo replanting begin on day 7–8 and the reasons for this are:
- development of the inflammatory process in the cervix,
- reduced quantity and quality of sperm and ova,
- the presence of bad habits in a woman after replanting an embryo, drinking alcohol, smoking, sedentary lifestyle,
- genetic incompatibility in taking biomaterial from partners,
- strong growth of the endometrium beyond the uterus,
- the presence of low quality blastocysts or genetic defects.
What can be complications?
Only 40% of women manage to become pregnant after IVF. But in most cases, even with the conception of a complication, it often happens that interferes with the further normal course of pregnancy.
Possible development of a tumor or intrauterine pregnancy, requiring urgent surgery to remove the fallopian tubes. Or missed abortion, if the embryo stops developing at a certain time. Unfortunately, such phenomena in the form of complications even after the survival of the embryo often occur. More rarely, in women, overstimulation syndrome is detected during pregnancy, against the background of a failure of the menstrual cycle after embryo replanting. The menstrual cycle fails and the menstruation period is delayed, just at 7–9 days after embryo transfer.
Monthly can go a few months in a row, but modified by nature, duration, abundance. This is the norm. After such an artificial intervention on fertilization as eco menstruation may well be. Even in case of a successful IVF attempt, with ovarian hyperstimulation, the cyclical nature of the menses is disturbed.
If there are no periods, then the pregnancy is most likely to occur. Although, in order to make sure that the procedure passed normally, it is important for women to pass tests on time and undergo hCG, the results of which will show whether a long-awaited pregnancy has occurred.
What day are menstrual periods after embryo grafting?
As a rule, monthly go on day 6. When they appear, an attempt to in vitro fertilization again can not always be considered unsuccessful. Eco is a rather complicated procedure and you need to take into account many factors. Not many women manage to get pregnant on the first try, but you can not despair. If the discharge is pink and not abundant, then most likely it is implant bleeding, which means everything turned out. It speaks only of the successful introduction and attachment of the ovum to the walls of the uterus. When bleeding in women, there is some kind of discomfort and this is normal.
But menstruation may begin with hormonal imbalance in the body, so it is important for a woman to remain under the supervision of a doctor even after an IVF procedure. Special drugs may be prescribed to achieve balance and the required level of progesterone and estradiol. It happens that spotting occurs with this imbalance and urgent adjustment of the dose of medication is necessary. Nevertheless, the appearance of menstruation often indicates rejection of the ovum, when it is no longer necessary to urgently admit a woman to preserve the pregnancy, to keep the embryo in the uterus.
What signs indicate that pregnancy has come?
Signs after embryo replanting differ little from natural pregnancy. Appearance is possible:
- pulling pain in the lower abdomen and lower back,
- weakness and drowsiness
- breast swelling,
- high temperature
- causeless irritability, tearfulness, touchiness.
Symptoms only indicate pregnancy, intolerance to some odors. Tastes change, nausea appears in the morning. Although these symptoms are indirect, and of course, they can be compared with the premenstrual syndrome in women. With the appearance of menstruation after embryo grafting, you can use the test strip, which can be purchased at the pharmacy, but of course, it will not give 100% certainty about the beginning of pregnancy. Make the conclusion that the pregnancy took place at 100%, it is possible only after passing the analysis for hCG.
With eco-implantation, it can happen rather late, only on the 8th day, therefore it may well appear spotting bleeding, comparable with menstruation. But this is not the same thing. Implant bleeding is not abundant, faster and somewhat different from normal menses.
The appearance of menstruation on day 10 may indicate:
- injury to the uterus after puncture,
- hyperstimulation syndrome on the background of hormone therapy (Utrozhestan, Dyuhoston), when the sex glands have to work in a heightened mode, and in women there is an excessive overexcitation.
In addition, the perception of eco by women as an unsuccessful attempt may trigger a hormonal surge in the body, lead to irritation of the nerve fibers in the pelvic area, discomfort and an increase in the uterus, as a result - to bloody discharge.
After IVF is no exception, if there were monthly after transfer of the embryo. When fertilization does not result in egg immobility or ectopic pregnancy, there will be a strong discharge with blood clots from the genital tract. In such cases, an appeal to doctors is required. Maybe there are still chances of preserving pregnancy.
If the embryo managed to survive, and it was attached after replanting, then on day 10 you can check the onset of pregnancy with your usual home test. By this time, as a rule, the level of hCG is already markedly elevated. If everything is normal, then the woman, as in normal pregnancy, will have an ultrasound scan on day 21 to track the presentation and the formation of the fetus.
Of course, the absence of menstruation is the first sign that everything went fine. But even in the absence of pregnancy, menstruation may not be on the background of hormonal imbalance, experienced excitements and surgical manipulations carried out during the embryo landing period.
After an unsuccessful eco-attempt, it is possible to delay the menses for 2-3 weeks, although most women say that they start on time. The arrival of menstruation just in time says only about the coordinated work of the reproductive system and the high probability that the next attempt to conduct eco is likely to be successful.
Blood discharge in the first week
If the blood has gone after the embryo grafting, this does not mean that the IVF has failed and something has gone wrong according to the plan, on the contrary, it may mean that the pregnancy begins. Post-grafting is a common and often common occurrence. The discharge is accompanied by characteristic pulling pain in the lower abdomen, the same as during menstruation.
As with IVF and with natural conception, women can begin discharge, similar to menstruation. Difference from the monthly is the volume and color. The discharge in the first week is small in volume, smearing, from light pink to light brown. They last no longer than 2 days.
To accurately understand what it is, pregnancy or menstruation you need a blood test for hCG. If the analysis showed an increased result, this means that the implantation was successful and the pregnancy occurred. If the hCG has not increased, something has gone wrong, the implantation is most likely not to occur and strong discharge with blood clots may begin soon. Such secretions can be very painful.
With heavy discharge in the first week after the transfer, a correction of the hormone progesterone may be required. You may need to change the manufacturer of the drug or require an increased dose.
Very important! It is forbidden to engage in self. For bleeding, you should immediately consult a doctor!
After hormonal training, it is simply impossible to say with certainty that there will be irregularities in the cycle. The human body is unpredictable and very complex, any attempts to intervene in the regulation of its main processes are not without consequences.
It happens that the blood after the transfer - this can be a symptom of attachment of the embryo to the uterus or its rejection. The embryo can be rejected by the body for various reasons, for example, the embryo can be weak. With the help of bleeding woman's body cleans the uterus. Such situations can occur during natural pregnancy.
For example, the well-known toxicosis begins due to the fact that a woman’s immune system perceives the germ as a foreign body.
Also, after the transfer can blood. The embryo attaches to the uterus and the mother’s circulatory system, partially damaging the surface layer of the uterus. Starts to bleed. Therefore, it is very important to make an analysis of hCG, which will finally show whether there is a pregnancy or not. If hCG is low, the implantation did not occur (the embryo did not stick).
If literally a drop of blood was found immediately after the transfer procedure, there may have been a slight injury during replanting. This happens with complex transfer.
The reasons for the complex transfer:
- The blood after the transfer can be caused by contractions of the uterus in the process of replanting.
- It happens that when replanting damage the cervical canal.
- Sometimes there is a bend between the cervix and its body.
- Very low qualification of the doctor (low experience).
Therefore, if the transfer was difficult, the woman can detect a small light beige discharge for 2 days after transplanting.
Sometimes it happens that the discharge after the procedure is caused due to the onset of complications of the disease. For example, these may be polyps in the uterus, infection, oncology, cervical erosion, or chronic diseases that were not detected during the preparation for IVF.
What to do?
If bleeding occurs immediately after embryo transfer, you should immediately inform your doctor. If something serious happens, the doctor will provide first aid. Do not self-medicate. No need to rely on your knowledge, it is better to err. As we know, saved by God protects.
The fetus can be under threat, and only quick qualified help will save his life.
Report the bleeding to your doctor responsible for the protocol. Even if it is just a brown daub. The doctor will correctly assess the situation and prescribe, if necessary, bed rest and medications to stop the bleeding. Also, most likely, the doctor recommends that you adhere to the correct routine and lifestyle.
It is important! If there is heavy bleeding from the first week after embryo transfer, do not try to stop it yourself; go to the hospital immediately for help.
If a woman finds out that brown discharges started after embryo grafting, you need to lie down, do not lift any weights. She does not have to do housework; she needs complete rest. In order to relieve stress, it is recommended to drink a soothing tea with herbs (not strong).
Usually, after the transfer, the woman should be at home for at least one week. However, if the allocation began at work, you need to take time off or sick leave. At such an important moment a woman should completely relax and rest.
If the daub after IVF has already begun at a later stage, when the pregnancy is confirmed by the analysis of hCG, it may be necessary to do an ultrasound scan to exclude possible pathologies (multiple pregnancy, ectopic pregnancy, the onset of miscarriage, endometrial detachment).
Video about secretions in ectopic pregnancy:
Pregnancy is one of the most desirable and joyful events in life. On the way to this dream there are all sorts of obstacles. Most mothers, after embryo transfer, were exposed to secretions. Therefore, you need to treat them calmly. Adequate reaction of the future mother will be a consultation with a doctor on this topic. Timely prescribed treatment or prescription can save the life of the future baby and eliminate the bleeding.
Write in the comments if you had bleeding (or discharge) after the transfer. What did you do at that moment? Tell us how to act in this case expectant mothers. Share this article in your social networks, rate it. Thanks for visiting.
Physiological causes of excretion
The presence of mucous discharge from the vagina is absolutely normal. Rather, it is worth thinking about the health of the reproductive system in the complete absence of any secretion and vaginal dryness. In this case, the discharge with the following characteristics is considered normal:
- colorless transparent or light milky shades,
- have no smell
- are not abundant (about 1 teaspoon per day),
- have a uniform consistency (no clots),
- not accompanied by irritation and pain mucous.
In cases where, after IVF, the expectant mother is observing this type of discharge, you should not worry, since the body behaves naturally. Also, such discharge after IVF, if the process of embryo implantation is successful, may already indicate the presence of pregnancy, and the woman may notice the corresponding changes in her body.
Do not panic in the presence of such physiological secretions, but you need to be careful. In the event of a deviation from the norm, consult a doctor for advice.
Выделения из-за приема лекарственных препаратов
Для поддержания уровня необходимых гормонов (прогестеронов) лечащие врачи могут назначать лекарственные препараты, например, гели для влагалища. In the case of their use, excretions may have approximately the following description:
- cream color, with a yellow, pink, beige tint,
- have no smell
- are not abundant (same as physiological, or slightly more),
- have a heterogeneous texture, perhaps the presence of veins.
The period of occurrence of such discharge, as a rule, coincides with the period of medication. When termination of hormone levels is stopped using this approach, the secretions after IVF infusion described in this paragraph should also be stopped.
Discharge during embryo implantation
Most types of secretion after IVF are caused by changes in the uterus. The appearance of spotting does not necessarily mean the absence of pregnancy. In about a third of patients, the appearance of such bleeding may be associated with the natural implantation process. In this case, it is the so-called implant bleeding.
The appearance of such discharge up to 14 days is considered as a variant of the normal course of the IVF process. Usually these secretions may appear 5-8 days after the embryo is transferred to the female body. Their duration is from several hours to several days. Discharges appear in small quantities, are odorless, they may have a pale pink color, and brown discharges after IVF are also found.
The reason for the emergence of implantation bleeding is associated with damage to the small arteries of the uterus during invasion of embryos into the uterine lining.
When such discharge occurs, the expectant mother should immediately consult a doctor, who is observing the pregnancy and advising on the IVF process, to find out the cause of these bleeding and correct the appointment. They may be normal no later than 14 DPP (the day after embryo replanting), but they still require a visit to a doctor!
Unfortunately, not always excreta after IVF transfer are safe. There is a large number of pathological secretions that indicate the presence of certain problems with artificial insemination. In case of their appearance, the woman should immediately contact your doctor.
Pathological secretions include:
- bloody issues,
- cheesy itchy discharge,
- greenish or yellowish discharge with a smell.
Spotting is the most dangerous during the entire period of fertilization, implantation and pregnancy. Abundant bloody secretion indicates the presence of a serious pathology and requires immediate treatment to the doctor. Smearing of blood after IVF can be a sign of embryo implantation in the uterus and its fixation in it, if they last no more than a day and occur no later than 14 days after transfer. In the case of a longer secretion of this type, there is a possibility that the embryo ceased its development and could not settle down in the uterus. It requires the assistance of a specialist.
Bleeding can be a signal for missed abortion, disruption in a woman’s hormonal balance, or a threatened miscarriage. In most cases, with timely contact with a medical institution for help, all these problems are solved. It is very important not to ignore the problem, but to take urgent steps to fix it!
An unpleasant and discomforting disease “thrush” (which is also more scientific - “candidiasis”) can also haunt future mothers who have resorted to the procedure of artificial insemination. If white cheesy discharges are found on the linen or daily pads, and intimate parts are prone to itching and burning, this is it. Such secretions after IVF on day 10 or a little later are quite common and are associated with changes in the microflora and increased female hormonal levels.
One should not hope that “it will pass by itself, if we monitor cleanliness and hygiene,” such excretions should become the basis for a change in the prescription of one or another preparation after consulting a doctor.
Another type of secretion dangerous to the health of a pregnant woman and her future fetus is one that has a pronounced smell, as well as a yellowish or greenish tint. Its consistency is watery. Such discharge after IVF - direct witnesses of vaginosis. This disease must be cured in the early stages, because in a later period of pregnancy it can lead to various serious pathologies and abnormalities in the development of the embryo.
When should you be as attentive as possible?
The choice of IVF protocol is a long and extremely individual thing. It all starts with a lot of research on both the female and the male body, the eggs and sperm that will be used for artificial insemination outside the body. Growing an embryo in a test tube from connecting a sperm and egg to readiness for connecting it to the uterus takes about two to five days. At this time, the female body during inpatient or outpatient monitoring is prepared for pregnancy. Acceptance of hormonal drugs, adaptation of the uterus to the future connection of the embryo begins. A woman is in a state of such a "menopause", so the selection should be only normal physiological, without color, smell, moderate in quantity.
From the moment when the embryo is introduced into the uterus, until the conclusion about the occurrence or not of the long-awaited pregnancy, the first 14 days are considered the most important. During this period must undergo implantation. It is during the first two weeks after IVF that a woman should be as attentive as possible to all the secretions of her vagina in order to prevent all unpleasant consequences and avoid crises.
At the expiration of the 14th DPP, remain attentive to the secretion! Discharge in early pregnancy after IVF may also be different and always carry some information. About the occurrence of pregnancy and its normal course all the same physiological natural secretions testify. Smearing, bloody, brown discharge can speak of various detachments of the ovum, being the forerunners of infections and miscarriages. Abundant bleeding requires emergency treatment in the hospital.
Accompany pregnancy discharge after IVF of different nature. They differ in color, smell, their consistency and frequency of occurrence. It is important to remember that any deviation from the normal discharge should be a beacon for the future mother. It is forbidden to engage in self-diagnosis of the causes of certain phenomena, self-treatment, and even less to ignore possible or obvious problems! First of all, you should listen to your body and trust the maternal instinct. It is better to play it safe and contact a specialist once more than not to overlook.
It remains to wish all future parents health, patience and happy children!