Embryo Transfer with Dr Ashleigh Smith

 The embryo transfer is a simple, quick procedure that usually does not require sedation. If however, you are feeling really nervous, you are welcome to ask for a pre-med to ease any anxiety. 

It may remind you of ‘a pap smear’ as the Doctor utilizes a speculum to visualize the cervix before passing a thin, soft catheter into the uterine cavity. Concurrently, our nurse will be performing a transabdominal ultrasound to help guide the embryo transfer. The ultrasound helps show your Doctor the best spot for embryo placement. This has been linked to higher pregnancy rates than transfers done without ultrasound guidance. 

Having a comfortably full bladder can make the procedure easier by improving the ultrasound view and straightening the path to the uterus. 

Before the embryo is transferred, staff will perform an identity check ("time-out") to confirm the correct patient and embryo. Staff will also confirm how many embryos will be transferred. 

Number of embryos and what to expect afterward

Transferring a single embryo reduces the risk of twins or higher-order multiple pregnancies, while still giving a good chance of pregnancy. Any additional good-quality embryos can be frozen for future use. 

After the transfer, progesterone support usually continues, and a pregnancy blood test is typically scheduled about 10–14 days later. 

It is safe to resume light normal activities afterward, since embryo transfer does not require the same recovery time as egg collection.

Understanding success rates

It's helpful to know that transfer doesn't guarantee pregnancy — overall, only about one-third of transfers result in pregnancy. Success depends heavily on maternal age, embryo genetics/quality and uterine receptivity.