Bleeding during IVF - what’s normal and What isn’t?

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One of the most difficult and challenging in IVF patients have to deal with the fact that is there
are no external symptoms or signs of what’s happening inside their bodies.
Bleeding after Egg collection and Embryo Transfer
You may have some bleeding after the egg collection because the doctor has stuck a needle
through your vaginal wall in order to retrieve eggs. Usually, this is minimal and stops very
quickly. Excessive bleeding is extremely unusual and if you do this, you should consult to
doctor.
Bleeding during the 2-week wait with IVF
During this time if you are bleeding it is not common. Because you are taking luteal phase
support with estrogen, and progesterone to help your uterine lining. This is the reason you are
worried that this represents the start of your period. This means that your IVF cycle is failed.
Also, this bleeding doesn’t always mean that the cycle has failed. In many women, this bleeding
is self-limited and stops as suddenly as it started, which means we can never figure out where it
came from and why. On another side, it is actually a good sign of implantation bleed.
Unfortunately, there’s no way a doctor can judge what happens because ultrasound scanning
does not give us any useful information. It may be a great idea to do a blood test to check
progesterone levels. If the progesterone level is low, the doctor can increase your dose to
provide additional support to the endometrium
Contact your doctor if the period is less than 12 days after your embryo transfer in spite of
medications. And you have requested your doctor to test your progesterone levels 3 days of
your embryo transfer in your next IVF cycle. The doctor may change the way of giving you
progesterone by using an alternative way if these are low.

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