Three to five days following the Egg Retrieval the patient will have the Embryo Transfer (ET).
During this time the fertilized eggs (embryos) have been allowed to grow and divide in the incubator. The patient would have also been started on Progesterone injections and suppositories one day after the egg retrieval to prepare the uterine lining for implantation.
The day before ET the patient will be contacted and given a specific time to come to VCRM for ET the next day. (Please see Pre-Transfer Instructions).
Before the transfer, Dr Sharara will meet the couple or individual and discuss the number and quality of the embryos at hand. A decision will be made by the couple or individual and Dr Sharara as to the number of embryos that will be transferred, and the number to be frozen or discarded. The embryos will be separated into a separate dish and then transferred to the transfer catheter. Meanwhile the patient is taken to the operating room for the ET. This is very similar to an artificial insemination procedure except that embryos are transferred to the uterus instead of sperm. A speculum is inserted in the vagina, the cervix is washed and cleansed. The embryologist will then deliver the catheter to the physician who introduces it through the cervical canal into the uterine cavity where the embryos are released under ultrasound guidance at a specific point in the uterus. The embryologist will then check the catheter to make sure none of the embryos are in the catheter.
The whole procedure takes approximately 15 minutes. The patient will remain in a supine position for about 15 minutes. She will then be discharged home. It is recommended that the patient rests at home for 1 or 2 days following the transfer.
Post-Transfer Instructions for Conventional IVF
- The day of transfer, you should go directly home or to your hotel and rest for 24 hours. You can use the restroom but do not shower. You may have some watery discharge. This is from the vaginal wash and not the embryos “coming out”.
- The day after your transfer, you may resume light normal activities although we prefer that you rest one more day.
- No intercourse. No high impact activities. No lifting more than 10 pounds.
- Please follow your Calendar’s instructions for all your medications!
- Call if you have a fever greater than 101º F or 38.1º C
- Call VCRM at (703) 437-7722 with any questions and at any time!