Pregnancy after embryo transfer: what to know

After an embryo is placed in the uterus, the fertility team gives you a date for a pregnancy test. Testing too early can be confusing because fertility medicines may affect results. A positive test is followed by clinical review and, when appropriate, an ultrasound to confirm the pregnancy location and development.

Mild cramping or light spotting can occur, but symptoms alone cannot confirm whether implantation has occurred. Continue or change treatment only according to the fertility team's instructions. [Micronised Progesterone](/materials/micronised-progesterone/) may be part of some treatment plans.

Use medicines at the prescribed dose and time, keep the testing appointment, and ask before taking new medicines or supplements. Normal gentle activity is usually discussed with the clinic; follow any restrictions they gave you. Arrange ongoing maternity care after a positive result, and keep the fertility clinic informed about bleeding, pain, or other concerns. Learn more about [IVF](/treatments/fertility-and-assisted-reproduction/ivf/).

Contact the fertility clinic promptly for increasing bleeding, one-sided or severe lower-abdominal pain, shoulder-tip pain, faintness, or marked dizziness. These symptoms can need urgent assessment, including checking where the pregnancy is developing. Seek emergency care for collapse, severe pain, or heavy bleeding.

Ask when to test, which medicines should continue after a positive result, when an ultrasound is planned, whom to call at night, and which activities or symptoms should prompt a same-day review.