Embryo Transfer Preparation & What to Expect

Embryo Transfer Preparation & What to Expect

IVF is the magic behind surrogacy!  Through IVF (in vitro fertilization), intended parents create embryos using their own or donor genetic material. These embryos are then transferred to the surrogate’s uterus, where they can grow into a baby. The transferring of these embryos is the final major step in the IVF process, marking the culmination of weeks of preparation and treatment. To ensure the best possible outcome, it is important to take the necessary steps to prepare yourself. This can include following your doctor’s instructions on medication, maintaining a healthy lifestyle, and managing stress. Understanding the steps involved, discussing any concerns with your healthcare provider, and following our embryo transfer tips can help ensure a smooth, seamless experience. 

What is the Embryo Transfer Procedure?

There are two main types of embryo transfers: fresh and frozen.  In a fresh transfer, embryos are transferred to the uterus shortly after fertilization, typically within a few days. In contrast, frozen embryo transfers (FET) involve thawing previously frozen embryos before transferring them to the uterus.  Gestational surrogates most commonly undergo frozen embryo transfers, as this allows for greater flexibility in timing and preparation.  Regardless of method, the embryo transfer preparation guidelines and tips remain the same.  

Embryo Transfer Preparation & Tips

In the months leading up to your embryo transfer, it is important to prepare physically and mentally for this procedure and the journey ahead. Members of our surrogacy agency, such as your Surrogate Coordinator and Case Manager, will be there to guide you through this process, giving you suggestions for preparation and always being available to answer any questions. Most of them are previous surrogates themselves, so they fully understand the entire process and are extremely helpful! For the best experience, follow your fertility team’s advice and use our guide of embryo transfer preparation tips. 

Follow Fertility Medication Plan

As part of the IVF embryo transfer prep, your fertility doctor will create a detailed medication schedule to ensure your body is in the best possible condition for the procedure. This often includes: 
  • Birth Control Pills: To synchronize the surrogate’s cycle with the embryo transfer schedule. 
  • Lupron: An injection to prevent premature ovulation. 
  • Estrogen: To thicken the uterine lining, administered via pills, patches, or injections. 
  • Progesterone: To support the uterine lining and embryo implantation, usually given as injections. 
  • Antibiotics: To prevent any potential infections. 
  • Low-Dose Aspirin: To improve blood flow to the uterus. 
  • Prenatal Vitamins: To ensure overall health and readiness for pregnancy. 
Following this schedule helps prepare your uterus for implantation and makes sure your body is hormonally ready for this journey, supporting the overall success of the transfer. It is also important to discuss any over-the-counter medications or supplements you are taking with your doctor.  Sticking to the prescribed plan and keeping open communication with your healthcare team can make a substantial difference in your surrogacy journey and can help ensure a positive, triumphant experience for everyone involved. 

Prepare Yourself Mentally and Emotionally

While the medication schedule will help you prepare your body for the embryo transfer, as the day of the embryo transfer approaches, it is important for surrogates to ensure that they are mentally and emotionally ready.  While stress does not impact the chances of success, managing it can make the process smoother and more positive.  Finding ways to relax and de-stress, such as through meditation, journaling, taking walks, or engaging in light exercise, can be incredibly beneficial. These activities help maintain a calm and balanced mindset, making it easier to navigate the journey. Additionally, staying connected with supportive friends, family, or a counselor can provide a valuable outlet for any concerns or anxieties. Our team can set you up with a therapist and/or support groups if you seek either as part of your benefits of being a surrogate.  By prioritizing self-care and finding effective ways to relax, you will be better equipped to handle the embryo transfer process with confidence and peace of mind. 

Eat Balanced Meals & Stay Hydrated

Going back to physically preparing for the embryo transfer, to create and maintain an optimal environment for a transfer, good nutrition is vital.  A balanced diet with fruits, vegetables, lean proteins, and whole grains supports implantation, hormone regulation, and energy levels.  Staying hydrated is equally important.  Proper hydration optimizes blood flow and circulation, ensuring essential nutrients reach the uterus. Drinking plenty of water also helps manage medication side effects and maintains overall health.  Together, good nutrition and hydration are key to preparing for an embryo transfer. 

Refrain From Alcohol & Smoking

Unsurprising to most, alcohol and smoking are not only prohibited during surrogacy pregnancies but also leading up to an embryo transfer.  An assisted reproductive technology treatments study shows the both actions disrupt endometrial receptivity, blood flow, and hormone imbalance as well as cause inflammation in the reproductive tract.  Together, these factors increase the risk of implantation failure and lower the success rates of fertility treatments. Avoiding these substances helps create a healthier environment for the embryo and supports a pleasant surrogate pregnancy. 

Limit Caffeine Intake

As with during the pregnancy, prior to the transfer, it is recommended that woman limit their caffeine intake.  This does not mean one must fully cut out caffeine, but it is best to limit your intake to about 200 milligrams per day, which is roughly one 12-ounce cup of coffee. Caffeine can impact hormone levels and blood flow, making your body less receptive to implantation. Additionally, cutting back on caffeine can improve your sleep quality and reduce stress and anxiety, helping you feel more relaxed and prepared for the procedure. 

Plan Ahead 

Planning ahead is always best. Pack a bag the day before with essentials like clothes, medications, books, and anything else you might need.  You may need to travel out of state for this process as this is one of the two times throughout your journey where you will go to the fertility clinic selected by the intended parents. Do not worry, this trip will be set up for you by our team and all costs, including lost wages and childcare, are covered by the intended parentsYour fertility doctor will provide specific day-of instructions, but remember, you will need to arrive with a full bladder.  Being well-prepared can help reduce stress and ensure a great experience on the day of the transfer. 

What to Expect During the Embryo Transfer Procedure

When surrogates arrive at the fertility clinic on the day of the embryo transfer, they can expect a warm and supportive environment.  To begin, an embryologist will carefully thaw or prepare the embryos for transfer, making sure they are ready for implantation. The embryo transfer process itself is straightforward and usually takes about 10 to 15 minutes. The surrogate will lie on an exam table, and the doctor will use a thin catheter to gently place the embryos into the uterus, guided by ultrasound.  After the transfer, the surrogate may rest briefly before heading home. You will want to take it easy for a few days before getting back to your usual routine. Some clinics might suggest bed rest or limited activity, while others might say you are good to go right away.  Follow your doctor’s recommendations to give those embryos the best chance possible! 

What You Will Feel During the Embryo Transfer

As mentioned, the embryo transfer procedure is relatively quick and straightforward process.  Most women describe the embryo transfer as uncomfortable at worst, less so than a pap smear or menstrual cramps.  It is normal to experience mild cramping or spotting afterward, but severe pain is rare and should be immediately reported to your healthcare provider. 

How to Improve Chances of Success After Embryo Transfer

Post embryo transfer, to improve the chances of a prosperous outcome, it is necessary to follow any instructions given by your fertility doctors. They will provide you with tailored advice based on your specific situation. Here are some helpful general tips to follow post-transfer: 
  • Maintain a balanced diet to support overall health and hormone balance. 
  • Avoid high-intensity workouts and strenuous activities to reduce stress on your body. 
  • Abstain from sex to prevent any potential complications. 
  • Avoid smoking, drinking alcohol, and limit caffeine intake to create a healthy environment for implantation. 
  • Stay hydrated to ensure optimal blood flow and nutrient delivery. 
By following these recommendations, you can create the best possible conditions for an amazing embryo transfer and a healthy pregnancy. 

Embryo Transfers & Surrogacy With The Fertility Agency

Overall, being prepared for your embryo transfer is key to a smooth and successful experience. Although the procedure is quick and simple, following your doctor’s advice and taking the right steps afterward is essential.  We highly recommend choosing an agency to help guide and support you through this process. Going through this process with a surrogacy agency adds an extra layer of support and expertise. Our team’s firsthand experiences with surrogacy allow for an ideal support system, ensuring that you have the best possible experience. With the right preparation and support, you can confidently navigate your embryo transfer and look forward to an extraordinary surrogacy journey
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