Embryo Transfer Do's and Don'ts by Dr. Aruna ashok, Clinical Director of A4 Hosptial and A4 Fertility Centre, Chennai

1. After Embryo
Transfer
Do’s & Don’ts
Dr. Aruna Ashok
Clinical Director,
A4 Fertility Centre & A4 Hospital

2. PROCEDURE
OF
EMBRYO
TRANSFER
• After Embryo transfer , you will
resting in couch for 10-15 minutes.
• You can pass urine and rest in your bed
for 3 hours
• If done under Anesthesia, diet can be
taken only after 3 to 4hours
• Otherwise, normal diet
• Will get a shot of Injection Progesterone
and or Hcg

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UTERUS
AND
ENDOMETRIUM

4. IMPLANTATION
OF
EMBRYO

5. AFTER 1 DAY OF EMBRYO TRANSFER

6. Rest After
Embryo
Transfer
• For 3 to 4 hours in Hospital
If needed, can stay in Hospital for a
day.
• Mostly can get back home in Car
• Rest for a day or two
• After that can go ahead with
Modified Physical rest

7. MODIFIED PHYSICAL REST
•No Strenuous activity, lifting heavy
weight
•Avoid Twisting, Jerky movements
•Can be active in home or work
•Plan to be stress free
•Can do cooking , except using
Grinder / Mixer

8. EXERCISE AND YOGA AFTER ET
•Can continue exercises that are
safe during pregnancy like Walking
•Can do arm, leg and Back
strengthening exercises with
Proper warmup and Stretching
•Can do Yoga that are safe during
pregnancy

9. SLEEPING
POSITION
AFTER
EMBRYO
TRANSFER
•Think you are in first trimester
of Pregnancy
•No lying on Stomach
•Can lie down on Back or sides
•Need not getup and turn

10. TRAVEL AFTER EMBRYO TRANSFER
• Can go in car for short shopping, Movie
• But be careful on road bumps.
• Relax and enjoy safely
• Not Happy with bike or auto travel

11. Can I climb stairs - Yes
Can I use Indian Toilet - Yes
Can I drink Hot Water - Yes
Can I bath daily - Yes
Can I bath in Hot Water - No
Can I take Head Bath - Yes
Can I have sex after ET - No

12. EFFECTS OF STRESS/ POSITIVE ATTITUDE!
• Stress hormones can lower your
Reproductive hormones like Progesterone
and estrogen , having negative effect
• Toxins accumulate in body with stress
• Don’t be bedridden and get stressed
Both in general and infertile population, distress was
respectively associated with decreased conception
rates and long menstrual cycles (≥35 days) and lower
outcomes of reproductive medicine, including oocytes
retrieved, fertilization, pregnancy and live birth rates

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WATER INTAKE AFTER EMBRYO TRANSFER
•Can continue exercises that are safe
during pregnancy like Walking
•Can do arm , leg and Back
strengthening exercises with Proper
warmup and Stretching
•Can do Yoga that are safe during
pregnancy

14. Add Text Here
DIET AFTER EMBRYO TRANFSER
High Calorie Fruits to avoid VegetablesFruits
• Pomegranate
• Orange
• Sweet lime
• Berries
• Apple
• Kiwi
• Melons
• Pear
•Banana
•Chikoo
•Mango
•Grapes
•Jack Fruit
• Raw papaya
• Pineapple
•Potato with skin
•Spinach soup
•Tomatoes
•carrot
•Beetroot
•Almost all
vegetables are
good to have

15. FOODS TO EAT
• Better to take foods Containing
Vitamin B6, B12
• Calcium rich foods

16. LINK TO SEARCH AND
UPDATE
https://americanpregnancy.org/pregnancy-
health/diet-during-pregnancy/
https://www.nhs.uk/conditions/pregnancy-and-
baby/healthy-pregnancy-diet/
https://www.choosemyplate.gov/myplatekitchen

17. FOODS TO AVOID DURING PREGNANCY
• Caffeine ( Coffee, Tea, Chocolate) , not more than 200
milligrams per day
• Papaya, Pineapple, lots of grapes
• Mercury in some types of fish – shark, swordfish, king
mackerel
• Liver of Meat /chicken should not be taken often, as it
contains more Vitamin A
• Cakes, biscuits, cookies, chips and candy
• Raw / under cooked – veggies, egg, meat
• Alcohol and smoking

18. 1
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Virus Source Cases
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19. SUPPLEMENTS AFTER EMBRYO TRANSFER
* Vitamin C - 500mg per day
* Vitamin E – vegetable oil, nuts,
spinach
* Vitamin D 60,000k weekly once for
8 weeks with milk and then monthly
once during pregnancy

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PPT
TEMPLATES
MEDICATIONS AFTER EMBRYO TRANSFER
Estrogen – Progynova / Evatone
Ecospirin – 75mg
Progesterone – Oral – Duphaston
_ Per vaginal- 400mg twice daily
Injections HCG - 5 days once
Injections Heparin - Daily if need

21. Per Vaginal
Inserion
After
Embryo
Transfer
• Wash the private area with vaginal wash
• Insert capsule with one finger atleast ¾ th
finger should be inserted
• Can lie down for 30min
• Need not lie down , if situation doesn't permit

22. WHAT ARE THE SYMPTOMS AFTER ET
•Some might have – Mild cramps,
spotting, breast tenderness, nausea,
vomiting, bloatedness
•Some may not have any of these.
•No need to worry, stay positive and
do the test at the prescribed time

23. How to Confirm Pregnancy?
After ET,
15 days later can do serum beta Hcg
Value more than 50 mIU/ml - +ve
+ve - Congrats on the result but stay relaxed
during pregnancy
-ve – Donot worry, we have done the best , so
we will be together and fight infertility

24. ADVANCED
TREATMENT
OPTIONS
• Better quality injections
• Growth Hormone supplementation
• ERA- Endometrial Receptivity Array
• Day 5 culture
• PGS- PreImplantation Genetic Screening
• PRP instillation

25. THANK YOU
Next lets finish Delivery Process
Natural birthing – How to make it
happen…
Cesarean – How to make it comfortable
and recover fast..