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Two week wait: 10 great tips for IVF patients

The two week wait. Read the IVF forums and you’ll see what an emotionally difficult time it is. For those who find it tough, there are ways to cope and even to improve your chances of a positive pregnancy result. Based on our own experience, and those of our patients, these are our top 10 tips for surviving the two week wait.

1. Go easy after your transfer.

The two week wait begins the moment your embryo transfer is over. Starting from then, avoid heavy lifting, hot baths and rigorous exercise. If you’re having your IVF treatment abroad, you’ll have a suitcase. Don’t touch it after ET day. Get your partner to take care of it – especially when it needs to be stuffed in the overhead locker on the plane home.

2. Take the whole two weeks off – or at least the first.

Okay, so you took time off to have your IVF treatment. Don’t be shy about asking for more time away from the office. This is your life and your baby. Nothing is more important. Embryo implantation takes place one to five days after transfer. Stress and anxiety don’t help.

If you can’t take the entire two week wait off, go for the first seven days. Stay at home, watch Netflix, and talk to the cat if your partner’s not around. If you’re worried your extra holiday request will backfire, get a doctor’s note. (You could even ask your clinic or patient coordinator for this.)

3. Take your medication – religiously.

It’s actually quite easy to forget to take your medication in the two week wait. You’re lulled into a false sense of security: the hard bit’s over. But your fertility drugs are keeping your embryo alive and your uterine environment optimal. Create a chart or reminder system, ideally on your phone, for your daily medication regime. Use your phone alarm for added peace of mind.

If you’re taking estrogen pills, say three pills daily, it’s fine (and easier to remember) to take one pill each mealtime. Spacing them every eight hours of not needed. If you’re on twice-daily progesterone (e.g. Utrogestan) a 12-hour gap is best. Crinone? Bedtime application is a good idea – again, easy to schedule. If you’re on daily Clexane injections, taking it at exactly the same time each day is important, So set the loudest alarm for that.

4. Spotting and bleeding? Don’t panic.

Spotting and light bleeding can happen in the two week wait. And brown discharge. Try not to worry: it’s statistically more likely to be okay than not. Your uterus is under pressure from your meds and your embryo. Leakage (can’t think of a better word) can happen.

Talk to your clinic if you’re concerned. It may say you shouldn’t increase your estrogen and progesterone support (to counteract the bleeding) until the two week wait is up. Remember the adage: bleeding is not always bad.

5. Consider blood thinners – kill that clot.

The jury’s out on whether blood thinners, like low-dose aspirin and Clexane, protect a pregnancy. Ask your clinic if you should take either, or both, from transfer day or before. Small clots can cause implantation failure or miscarriage. Thinning the blood may help.

It all depends on your fertility history, but since the two week wait is a key moment, anticoagulants might just help. Baby aspirin is the low-cost, low-risk option. Talk to your doctor at transfer – clinics sometimes need a push on this.

6. Eat well – and get lots of rest (but not too much).

The two week wait isn’t pleasant – we can all agree on that. Emotions and nerves can, if you let them, get the better of you. But avoid that chocolate cake, ditch the caffeine and put the wine back in the fridge. Now’s the time, more than ever, to eat a balanced, healthy diet.

Ignore the nonsense online about eating particular foods to aid implantation. Go for an even mix of vegetables, fruit, pulses, carbs and proteins. Read our blog post on the perfect IVF diet. And don’t spend too long in bed: the latest research says prolonged bed rest post-transfer won’t improve your pregnancy chances and might make them worse.

7. Don’t test early, or expect pregnancy symptoms.

Testing early – e.g. half way through the two week wait – is pointless. After an own-egg IVF cycle, the HCG in your body could give you a false positive or negative. Wait for 14 days after your transfer, then test. Had donor eggs or an FET? Test early if you must. But you’ll only do another one at the right time. Patience can be less stressful. So put that Clearblue box back in the box and watch another series of Better Call Saul.

Patience applies to pregnancy symptoms as well. I didn’t feel pregnant at all in my two week wait. But I still had a beautiful baby 36 weeks later. So try your best not to obsess.

8. No sex – your uterus won’t like it.

Sex immediately after an IVF cycle is not a good move. Infections can happen and your uterus can do without the commotion. Leave your partner to his own devices, comforting as the idea of sex might be during the two week wait. You may even feel a bit sexy: blame that on the hormones you’ve been taking. Masturbation? Not recommended.

9. Twinges and cramps – oddly reassuring?

Twinges and cramps during the two week wait are common. Try not to panic: your womb is in overdrive. In fact, those feelings may mean implantation. If you experience more intense cramping, with or without bleeding, call your doctor. But do remember: most uterine movements in the two week wait are nothing to worry about. Chances are, there’s some serious baby making going on.

10. Expect the worst and hope for the best.

No IVF cycle is guaranteed – and we always tell our patients to set realistic expectations. The two week wait is make or break: that’s a fact. But follow the above tips to keep your pregnancy chances as high as possible. Avoid social media, keep positive and hunker down. And if it’s a positive result, there’s no better time to calculate your IVF due date! 

For the latest fertility news, tips and updates, like us on Facebook and follow us on Twitter. 

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Learn MoreSours: https://www.yourivfjourney.com/two-week-wait-10-great-tips-for-ivf-patients/
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Infertility

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Hi gang. I am 6 days past my 5 day transfer where they transferred two beautiful blasts. I was super crampy from transfer day until yesterday but today it's mostly gone. Has anyone had this kind of cramping end in the 2ww and gotten their BFP? I felt like I was cramping for a reason and that something was happening but now I am afraid that feeling almost no symptoms now means that this cycle will be a BFN. I POAS yesterday and this morning and the line was so faint that I am thinking it's an evaporation line.

Any thoughts?

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Sours: https://forums.thebump.com/discussion/12390905/6dp5dt-cramping-stopped
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BFP after a headwrecking 2WW

I wanted to share my story as I was all over this site and others during my 2WW (really 10 days wait) - googling symptoms and trying to feel better about how I was feeling.

This was our second cycle of IVF after our DS was born, had to do a freeze all and our first FET ended as a chemical back in Feb. Had one more embryo to use and had agreed if it didn't work this would be the end of the journey, so it was an emotional wait ...

So my symptoms post the 6 day transfer were:

1DP6DT - nothing much to report, feeling tired

2DP6DT - getting a few cramps - similar to AF cramps

3DP6DT - cramping getting worse, really tired in the evenings

4DP6DT - cramps, and lower back ache, feeling a bit sick and shivery going to bed, like a stomach flu coming on

5DP6DT - cramps easing a little but lower back ache getting worse

6DP6DT - lower back ache, feeling hungry and tired , feel a bit 'spaced out' headaches

7DP6DT - still have lower back ache, very similar to AF back ache, getting very worried it has not worked, feeling hungry, peeing more than usual, tired. Did a HPT - Clearblue - BFP

8DP6DT - back ache easing, peeing a lot, feeling sick unless I eat, tired - FRER test BFP

9DP6DT - back ache gone, cramps gone, craving carbs, thirsty, headaches -BFP test line darker than control line

Did my Beta this morning but going by the numerous pregnancy tests I have done and the line getting darker I am confident its an official BFP. But the wait was torture, and holding out to test was torture, I couldnt face testing and getting a faint line and having another chemical and the back ache was SO similar to AF back ache that I was convinced it had not worked. Fingers crossed I get a good high beta today and I can get through the next few weeks.

Hope everyone else going through the 2WW get positives xxx

ReplyQuote

Topic starterPosted : 29/06/2015 10:46 am
Sours: https://rollercoaster.ie/community/fertility-issues/bfp-after-a-headwrecking-2ww/

Cramping After IVF: What You Should Know By on August 28, 2019

Cramps during fertility treatmentCountless people in the greater Los Angeles, CA area have come to our practice for in vitro fertilization (IVF). Dr. Marc Kalan and Dr. Nurit Winkler have helped these patients build families and experience the joys of parenthood.

This isn’t to say that an IVF cycle is easy and free from any issues. Patients can experience various side effects during the treatment process that they may not have been anticipating. With this in mind, we want to examine cramping during an IVF cycle and what it could mean.

Are Cramps from IVF a Bad Thing?

Not necessarily.

Cramping occurs for many patients during different stages of the IVF process. It may be a normal response to changes in hormones and the use of fertility drugs. It can also be a natural response to the process of becoming pregnant.

We do want to note that severe cramping accompanied by spotting should be a cause for concern. If you do experience such an issue or any other severe side effects during IVF treatment, it should be brought to our attention as soon as possible.

Fertility Drugs and Cramps

Fertility drugs help regulate a woman’s hormone levels so that the timing of her cycle can be precisely controlled. This increases the chances of IVF success. Cramps experienced as a result of fertility drug use are normal, and they subside as your hormone levels balance out again.

Embryo Transfer and Cramps

Cramping sometimes happens once the embryo has been transferred to mother. This is not uncommon given the nature of the procedure and the nature of embryo implantation. The cramps often feel like the cramps that women experience during their normal monthly cycle. The similarity of sensations may cause some worry that the IVF cycle did not succeed. We want to emphasize that these sensations are not a sign of success or failure, but just your body’s response to the procedure.

Post-IVF Anxiety and Cramps

One thing we’ve noticed at the Los Angeles Reproductive Center is that anxiety can lead to cramping and other side effects from treatment. After embryo transfer, patients are often anxious about the results of the IVF procedure. The official pregnancy test is two weeks later, and there are many concerns and worries that can run through a patient’s mind. These can lead to cramping, or make the natural cramping experienced seem more severe.

Just know that your anxiousness is natural and that many others have experienced just what you’re going through. Try to relax and de-stress during this period to the best of your ability. Maybe just knowing that what you’re feeling is normal can help you feel calmer and more assured.

How Long Does the Cramping Last?

Usually patients will experience cramping during IVF for a few days at a time, though it can vary from patient to patient. It is only temporary, however.

We encourage our patients to follow all of our instructions closely as these can help reduce the severity and duration of side effects. We can offer you more tips on managing cramps and other side effects during the consultation process.

Learn More About IVF Treatment

For more information about IVF, what to expect during treatment, and other common issues that arise during the treatment process, be sure to contact our skilled team of fertility specialists. You can reach the Los Angeles Reproductive Center by phone at (818) 946-8051.

Related to This

Sours: https://www.losangelesreproductivecenter.com/blog/2019/08/28/cramping-after-ivf-what-you-201007

Cramping ivf stopped 2ww

After Your IVF Procedure

What To Expect After Your Embryo Transfer

Dr. Ramirez discusses what to expect after the IVF Embryo Transfer:

The Day Of The Transfer

After we discharge our patients from our surgery center, we send them home with instructions to go about the rest of the day and ensuing two weeks with normal, reduced activity. There is no need to be on bed rest. All our patients have different medication protocols that they go home with.

The 8-14 Day Wait (often referred to as the “two week wait (2WW)”:

So we have now come to the end of the IVF procedure and the maximum that our technology can help a person to achieve a pregnancy. We are at the point where we have to wait to see if the next steps happen on their own. If a day #3 transfer was done, it will take approximately 7 days for the remainder of the process to be completed and for the pregnancy test to be positive. For that reason, I do my pregnancy tests at 8 or 9 days post transfer. For a blastocyst transfer, you only need three more days to get a positive pregnancy test.

I know that some clinics want to be absolutely sure so they wait for 14 days but the problem with that protocol is that an early chemical pregnancy will be missed, and in my opinion, it is important to know if a chemical pregnancy occurred or not. This event is important to know because it verifies that the patient can become pregnant with IVF and that the last steps the body needs to take naturally (implantation) actually occurred. With that knowledge the patient can be reassured that this treatment can work, that her body can do what it needs to do, and it is just a matter of getting a perfect embryo into her womb for her to be successful. The majority of chemical pregnancies occur because the embryo is genetically abnormal. It would be good to know that those last steps, those steps that are beyond our technology, can occur on their own.

Post Transfer Pains

The body is a fluid and dynamic structure and there will be many sensations that patients report during this period. Some will report many types of “pains”, some will have “cramping” and some will have “bleeding”. Most of these symptoms are not of any consequence but cause patients to needlessly worry.  Some doctors have referred to these “pains or cramping” as implantation related. That may be the case but no one knows for sure. Certainly with implantation, the uterus is undergoing changes and cramping tends to be one way that uteri react. So, if the timing is appropriate, namely at the point where implantation would be expected as described above, then these sensations could certainly be related to it. Of course, onset of ones period can also be heralded by cramping but this is usually accompanied by bleeding.  If adequate hormone replacement is given in the luteal phase of the process, then the period should not start until the medications are stopped.  That is the cause of the onset of the bleeding and cramping associated with a period; it is the withdrawal or abrupt drop in hormone levels.  Some will claim that this is the uterus “stretching or growing” but this could not be the case at this point in the pregnancy. The embryo is like a mere fleck of dust within the cavity and not big enough for the uterus to begin “growing.”

Some patients will experience sharp or stabbing pains, on the other hand, that may not be from implantation but more from the ovaries.  About three days after the retrieval, the ovaries will refill with fluid and this stretching of the follicles and ovaries certainly can cause “pain” in one side or both sides.  I believe this is the “pain” sensation that most patients have during this period of time. If this pain becomes severe and not relieved with simple pain medication such as Motrin, Ibpuprofen, Naproxen or others, then it could be a serious problem. Post IVF complications causing severe pain include Ovarian Hyperstimulation Syndrome (OHSS), Ovarian torsion (twisting), Ovarian hemorrhage, Ectopic pregnancy and Pelvic infection. If the pain is mild, then intervention is probably not required but if severe, it could be one of these serious medical problems that will require medical treatment because they could be life threatening. You should know, however, that these complications are very rare. On the other hand, if you have had a positive pregnancy test and these symptoms occur, impending miscarriage could be another source of cramping or pain.

Bleeding After Embryo Transfer

Bleeding within this period of time is also a very common complaint.  In my blog, “Women’s Health & Fertility”, it is the most common subject searched and commented on (see “Bleeding After Embryo Transfer” for my post as well as my answers to all 229 questions from women all over the world regarding this subject)! In most cases, this is a very light bleeding (pink or red) or spotting. Some will refer to this as “implantation bleeding” although, I don’t think this can explain all of the causes because the timing is often not right. Again, in most cases this bleeding is inconsequential but it could also indicate problems such as inadequate hormone support for the luteal phase, thereby causing the endometrial lining to start to slough.  It could also indicate that the period is starting or that an abnormal pregnancy exists or is being miscarried. When the bleeding is light, I usually will reassure my patients that no intervention is required.  For one, there is no intervention that can be done, other than checking hormone levels and increasing the progesterone if the level is inadequate.  Secondly, this could be normal, if in fact it is implantation bleeding.  Thirdly, if vaginal progesterone is used, the progesterone may be causing the cervix to be more delicate or friable and therefore cause cervical bleeding. This is the most common reason in my opinion though this is unproven or based on studies.

One cause of light bleeding that does need medical attention is when it occurs after the pregnancy has already been diagnosed. This bleeding may be a sign of an ectopic pregnancy (pregnancy in the tubes, ovaries or elsewhere but not in the uterus).  Your doctor needs to be made aware of this if you have already been diagnosed with a positive pregnancy test.  In my experience, where I use vaginal progesterone on all patients, I see almost 90+% of them complain of some light bleeding.

The only worrisome bleeding is if the bleeding is heavy like a period or more. This could mean that the period is starting, because no implantation occurred or could be an early miscarriage if it did. It can also occur in a multiple pregnancy, such as a twin, if one of the fetus’ is lost. When we went through IVF over a decade ago, my wife also had heavy bleeding after our IVF cycle. It occurred at about 8 weeks gestational age and was very heavy, with large clots. I was sure that she had lost the pregnancy but an ultrasound showed that the pregnancy was still there and viable. She went on to have a successful pregnancy and delivered a beautiful, normal and smart daughter.  I never did figure out what this bleeding was from. So if bleeding occurs, it is not necessarily indicating the end of the pregnancy. There are other medical causes of bleeding once the pregnancy is established, but that would be a totally different topic and is more pregnancy related than IVF related.

Sours: https://www.montereybayivf.com/contents/services-1/infertility-services/after-your-ivf-procedure
1st Baby - TWW Symptoms Day by Day - Successful Embryo Transfer - BAD Cramping - Becoming a SMBC

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