Our First Trimester of Pregnancy After IVF The first trimester can be the most exciting time in your life as well as the most nerve-racking. The initial news of your pregnancy comes with great joy, but many women find that their worry doesn’t quite fade away. For those that have gone through infertility treatments, getting through the first trimester may be a very trying time. The average fertile couple trying to conceive will typically get a positive pregnancy test shortly after a missed period and will be seen by an OB-GYN a few weeks later.
For the infertile couple, the first pregnancy test will come just two weeks after conception; it will be followed by at least one more blood pregnancy tests 48 hours later. If the numbers rise correctly, an ultrasound will be scheduled for the patient to determine if there is a fetal pole and yolk sack. As you can imagine, each step in this process creates great anticipation for the couple. Once the initial ultrasound confirms everything is developing correctly another ultrasound may be scheduled a few weeks later.
Most infertility patients do not return to their regular OB-GYN until at least 8 weeks in pregnancy. For us, the initial news of our pregnancy was surprising and exciting. It was hard to believe that I was actually carrying another life, completely surreal. In the very beginning, I didn’t experience too many early symptoms, which often made me question if I indeed was pregnant. A home pregnancy test was a quick reassurance that I was pregnant, and I have to admit is was fun to see those “double lines.
” Since I was on a progesterone regime, I was required to insert a compounded progesterone cream twice a day for the first 11 weeks. Even before our positive pregnancy result I did notice a brown-flecked discharge. I did wonder if it was “old blood” from implantation bleeding or irritation from the applicator. (Early on, I did convince myself it was implantation bleeding, this is when I was searching for some sort of sign.
) I remember searching endlessly on the Internet for early pregnancy symptoms wondering if I really was experiencing anything super early on, or possibly it was simply wishful thinking. About 5-6 weeks into the pregnancy I began to notice the fatigue and nausea. The worst time of the day for me was evening. I would feel very tired, nauseous, and not much sounded good to eat. I quickly learned that orange juice and fruit seemed to hit the spot.
I was so glad that evenings were my worst time; this allowed me to get through the workday. I did have a few bags of Saltines at work to keep on hand, but was never “so sick” that I couldn’t teach a lesson or work with the students. I kept up my weekly acupuncture treatments until week 12. I do wonder if my fatigue and nausea would have been worse if I hadn’t been getting the acupuncture. I have had terrible skin problems and I’d like to think that I typically have great skin.
My forehead is constantly broken-out and I resemble a prepubescent teenager. I am hoping my skin begins to look better in the weeks to come. All in all, my first trimester has been great. Of course there were the evenings, I was so sick of lying on the couch, but I knew it could be worse. I’d gladly take all of the terrible symptoms in order to be pregnant; I’d go through anything! As the 1st trimester is coming to an end, I am feeling better and better each day.
I am really looking forward to the renewed energy that I keep hearing about in the second trimester. We are both looking forward to finding out whether we are having a little girl or little boy…that will probably be sometime in mid to late July. Looking forward to what the next 13 weeks hold in store and hoping that a little “baby-bump” pops out soon.See Also: Appliance Repair Boynton Beach
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When a couple has difficulty conceiving a child, several assisted reproductive technologies are available to achieve a successful pregnancy. One of these methods is a two-step process that involves fertilization of a woman's egg with her partner's sperm in the laboratory, called in vitro fertilization -- IVF -- followed by implantation of the resulting embryo in her uterus. The first signs of successful implantation and early pregnancy generally appear by about two weeks after the procedure.
Video of the Day When the embryo implants into the uterine wall, small capillaries in its lining may be damaged and bleed. This can cause spotting or a small amount of bleeding, although it might also be absent or not noticeable after embryo transfer. A woman could also experience some minor cramping as the embryo implants. On the other hand, many women experience neither bleeding nor cramping. One of the other early signs of pregnancy, whether from assisted technology or a pregnancy that results naturally, is a missed period.
A woman who's undergone embryo transfer might notice several other changes within two weeks of the procedure, although most of these physical symptoms appear later if they appear at all. Her breasts might become swollen or tender, or feel sore when touched, changes that reflect increases in female hormones during pregnancy. Sometimes, the tenderness subsides after a few weeks, but then returns later in pregnancy as the breasts grow and put pressure on their supporting ligaments.
The sudden rise in hormones could also cause headaches during the first weeks, although many women don't have this symptom. A woman might also experience nausea, or morning sickness, although this sign might not appear until later in the pregnancy, or not at all. Some signs that an embryo transfer has been successful can be extremely subtle. For example, a woman might feel slightly fatigued, a sign that can appear as early as the first week or two, and she might find herself taking a nap or a quiet rest during the afternoon.
It's also quite normal for a woman to have no change in how she feels and no clear sign that anything special is going on in her body after a successful embryo transfer. She may not have any cramping or spotting, especially if the embryo implants high up on the uterine wall, and other signs of pregnancy may not develop until later, a potentially stressful situation while she waits for testing to confirm that she's pregnant.
Generally, a couple who has undergone IVF and embryo transfer isn't sure of the procedure's success until about one or two weeks after it's completed. The first test to determine whether implantation has occurred involves measurement of a hormone called human chorionic gonadotropin, or HCG, which is produced by the cells surrounding the embryo. This measurement is usually made during the first week or two, but can be inconclusive until later stages and may be repeated every few days and accompanied by other testing, such as an ultrasound exam.
Research into more specific testing, published in the July 2012 issue of "The Journal of Assisted Reproduction and Genetics" suggests that measurement of a specific form of HCG called hyperglycosylated HCG could provide an extremely sensitive and reliable test for pregnancy as early as six days after embryo transfer. If you have questions about pregnancy testing or other aspects of embryo transfer, discuss them with your doctor.
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