What should you know about two weeks after embryo transfer?

The waiting period ends with a planned pregnancy test, often using blood or urine as directed by the fertility team. Mild cramps, pelvic heaviness, breast tenderness, tiredness or light spotting can occur with hormonal treatment or an early pregnancy, while having no symptoms is also common. These sensations cannot reliably show whether implantation occurred. A trigger injection containing pregnancy hormone can also make an early home test misleading, depending on timing.

Use the exact test date and method supplied by your clinic, and tell them the result even if bleeding has started. Continue prescribed support such as [Micronised Progesterone](/materials/micronised-progesterone/) unless the fertility team tells you to stop. Do not change doses or add medicines without checking. Gentle normal activity is generally reasonable, but follow any individual restrictions. Your clinic can explain the next stage of [IVF](/treatments/fertility-and-assisted-reproduction/ivf/) care and arrange a scan if the test is positive.

Contact your clinic urgently or seek emergency care for severe or one-sided pain, heavy bleeding, fainting, shoulder-tip pain, breathing difficulty, chest pain, or rapidly increasing abdominal swelling. These symptoms need assessment for complications, including ectopic pregnancy or ovarian hyperstimulation.

Ask when and how to test, what to do with a negative or unclear result, when medicines should stop, and which symptoms need a same-day call. If positive, ask when an ultrasound is planned and whether any activity or medication advice changes.