Bleeding After IVF Embryo Transfer [Symptom FAQ]

After undergoing an embryo transfer as a surrogate, you might be wondering which symptoms to look out for and which indicate successful implantation.

Bleeding after an IVF embryo transfer can be a concerning experience, but it's often not a cause for alarm. In fact, light spotting might indicate successful implantation.

However, there aren’t any specific signs that guarantee a successful transfer. To be sure, you will need to wait until the pregnancy is confirmed with your clinic.

If you have questions about what to expect after the embryo transfer, check out our article about potential side effects and symptoms.

How Much Bleeding Is Normal After an Embryo Transfer?

Mild bleeding and discharge after an embryo transfer are fairly common. The transfer itself may cause minor bleeding if the cervix was irritated during the process or as a result of hormone treatments.  Generally, this symptom only lasts three to five days.  

Bleeding after an embryo transfer could also be a result of implantation. Implantation bleeding can occur when the embryo attaches to the uterine lining, which is a normal part of early pregnancy.

Here are two things to keep in mind:

  • Amount

    Light bleeding after an embryo transfer is normal, but you should report heavy or prolonged bleeding to your physician.

  • Color

    The blood may range from pink to brown. Brown discharge is usually older blood that has taken longer to exit the body and usually isn’t cause for concern.

While light bleeding after an embryo transfer is not uncommon, every individual's situation is unique, and only a qualified medical professional can provide you with the care and advice that is right for you. The information provided in this article is for educational purposes only and is not intended as medical advice.

When Does Implantation Bleeding Occur After an Embryo Transfer?

You can typically expect implantation bleeding seven to 10 days after an embryo transfer. The bleeding is usually lighter than a regular period, but you may want to wear a panty liner or pad in anticipation of this symptom.

Just keep in mind that not everyone will experience bleeding after an IVF embryo transfer. A 2023 study found that only 149 out of 320 women who underwent a frozen embryo transfer had this symptom. This means there’s about a 47% chance you might have implantation bleeding.

You can learn more about how embryo implantation works to better understand this part of the transfer process.

What You Can Do About Implantation Bleeding After Embryo Transfer

If you experience bleeding after an embryo transfer, there are a few easy things you can do to make yourself more comfortable:

1

Wear a pad. You can protect your clothing and avoid an accident by wearing a panty liner or pad around the seven-day post-transfer mark. This will also allow you to monitor the amount, color and duration of any bleeding.

2

Avoid tampons. Although tampons are typically a viable option for bleeding, you don’t want to use them after an embryo transfer. They could pose an infection risk, irritate vaginal tissues and interfere with the implantation process.

3

Get enough rest. It’s best to avoid strenuous activities and intense exercise to avoid the risk of pregnancy loss.

Call Your Doctor About Heavy Bleeding After Embryo Transfer

Heavy bleeding after an embryo transfer can indicate something more serious, such as health or pregnancy complications. If you’re experiencing this symptom, call your physician as soon as possible.

Generally, implantation bleeding is like spotting or discharge. It shouldn’t be heavy enough to soak through a pad.

It’s important to talk with your doctor if you experience heavy bleeding similar to a period or if you pass clots. Even if the bleeding is not severe, your healthcare provider can provide peace of mind and ensure that everything is progressing as it should.

Other Common Symptoms After Transfer

You may experience other symptoms related to the embryo transfer. This includes:

  • Spotting

  • Twinges

  • Cramping

  • Sore or tender breasts

  • Nausea or upset stomach

  • Bloating

  • Fatigue

  • Mood swings

If any symptoms become severe, don’t hesitate to reach out to your doctor for advice and support. Your healthcare provider should be your first call if you have any concerns.

To learn more about what comes after the transfer process as a surrogate, contact us today.