What’s A Frozen Embryo Transfer
When I first began considering a frozen embryo transfer (FET), I had no idea what to expect or where to start! I had gone through a fresh cycle of in vitro fertilization (IVF), but I had never done a frozen embryo transfer.
Going through a frozen embryo transfer is just one small part of the IVF process, but it’s still full of unknowns and worries, especially if you’ve never done it before. I didn’t know anyone at the time who had gone through a FET, so I had lots of questions. Of course, I took to Google and that maybe wasn’t the best idea.
Because I have been in your shoes and had no idea what to expect with my first frozen embryo transfer, I decided to put this blog post together. A frozen embryo transfer doesn’t have to be scary and is actually a little “lighter” physically than a full IVF cycle. I’m excited to share with you what you can expect , which will hopefully calm your worries and fears and help you feel excited for this next step in your IVF journey.
⭐️Related Posts You May Find Helpful⭐️
- 12 Things You Need to Know Before Starting IVF
- What to Expect with Your First IVF Cycle: a Step-by-Step Guide
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Click here to grab the planner bundle!⤵️
Why Should You Do a Frozen Embryo Transfer
Starting a cycle for frozen embryo transfer (FET) can be both exciting and nerve-wracking. I know when I was ready to do my first frozen embryo transfer, I had no idea what to expect and didn’t know all the different reasons for needing a frozen embryo transfer.
If you’ve been through a full, fresh cycle of IVF, you may have had embryos leftover from that cycle to freeze. This was the case for me. You maybe also froze all embryos for genetic testing, ovarian hyper stimulation, or maybe you’re adopting embryos that have been frozen. There are many reasons why someone may do a frozen embryo transfer.
Understanding Frozen Embryo Transfer
A frozen embryo transfer is a procedure where a cryopreserved embryo (or embryos) from a previous IVF cycle is thawed and transferred into the uterus. This method offers many benefits, such as being able to schedule embryo transfers at certain times due to health reasons (ovarian hyperstimulation). Or for being able to use embryos at a later date if pregnancy was already achieved from a fresh cycle of IVF, which was my case. Some research and data from fertility clinics even suggests there’s a slightly higher success rate with frozen embryos, although no reason is indicated.
Preparing for the Frozen Embryo Transfer
When I decided to start the embryo transfer process, I simply called up my fertility clinic where my embryos were stored and asked them to schedule a visit to get the process started. I first needed an HSG to ensure my uterus was free of fibroids and would be in the best condition to accept the embryo. They also wanted to know things like which month I wanted to start the cycle, when the last date of my period was, and how many embryos I planned to transfer.
Medical Preparations
- HSG: This is something my doctor does before a fresh or frozen IVF cycle but yours may not. It’s a procedure where X-ray dye is injected into the uterus through a catheter to check for polyps, fibroids, or other issues that may impact IVF success.
- Birth Control: My doctor also put me on birth control the month before I started the frozen embryo transfer cycle. This ensured my cycle aligned with their treatment schedule and protocol. Your doctor may not do this, but be aware it could be a step in the process for you.
- Medications: Your doctor will prescribe medications to prepare your uterine lining for the embryo. This usually includes estrogen to thicken the lining and progesterone to make it receptive to the embryo. Follow your medication schedule exactly as your doctor prescribes it. This is important for the success of your cycle and unique for each person.
- Monitoring: Regular ultrasound scans and blood tests will be necessary to monitor your hormone levels and the condition of your uterine lining. These tests ensure that your body is ready for the transfer. Your doctor may do this before the cycle starts as well as during the cycle, before transfer. I found that I had far less ultrasounds and blood draws with my FET than I did during my fresh IVF cycle.
What to Expect the Day of the Frozen Embryo Transfer
On transfer day, your doctor will probably tell you to arrive at the clinic with a full bladder. This helps improve the visibility of your uterus during the ultrasound-guided procedure. The process is usually quick and painless, often compared to a pap smear. I found this to be pretty true!
What to Expect During the Procedure
- Preparation: You’ll be asked to change into a gown and lie down on the examination table.
- Transfer: The doctor will insert a speculum into your vagina to access your cervix. Using a thin catheter, the doctor will then carefully place the thawed embryo(s) into your uterus. This process is guided by ultrasound to ensure precise placement.
- Post-Transfer Rest: After the transfer, you might rest for a short period at the clinic. Some clinics have you lie down for about 30 minutes, while others allow you to leave shortly after the procedure. Mine allowed me to leave immediately!
Post-Transfer Physical Care
- Rest: Light activities are generally okay, but avoid heavy lifting, vigorous exercise, or anything that could strain your abdomen. Listen to your body and rest as needed.
- Medications: Continue taking any prescribed medications, particularly progesterone, as instructed by your doctor.
Post-Transfer Emotional Well-being
The two-week wait (TWW) until your pregnancy test can be an emotional roller coaster. Here are some tips to manage this period:
- Stay Occupied: Engage in hobbies, work, or activities that keep your mind busy.
- Support System: Lean on your spouse, friends, or support groups for emotional support. Talking to others who understand your experience can be incredibly comforting.
- Mindfulness and Relaxation: Continue with stress-relief practices such as meditation, prayer, walking, gentle yoga, or deep-breathing exercises.
Understanding the Outcome
Your doctor will schedule a blood test approximately 10-14 days after the transfer to check for pregnancy. While this waiting period can be difficult, try to remain patient and hopeful.
Dealing with Results
- Positive Result: If you receive a positive result, congratulations! Your doctor will guide you through the next steps to ensure a healthy pregnancy.
- Negative Result: If the result is negative, it’s natural to feel disappointed. Allow yourself to grieve and take the time you need to process your emotions. Discuss with your doctor the possible reasons and next steps, which might include another FET cycle or exploring other options.
Final Thoughts
Hopefully you found this blog post helpful as you prepare for your first frozen embryo transfer. By understanding the process, you should be better prepared and equipped for this next step in your fertility journey. No matter the outcome, please remember that you are so brave for going down this road. Your future babies are already proud of you! Keep going and don’t give up hope!
Love and prayers,
Meg