Pregnancy After IVF

What to Expect During the Early Stages of IVF Pregnancy

Woman smiling at a positive pregnancy test after IVF
Pregnancy after IVF can be exciting and anxiety provoking. Don't be afraid to ask your doctor questions. Tara Moore/The Image Bank/Getty Images

Finally, after treatment with IVF, you’re pregnant. Congratulations! Here's what to expect during the early stages of an IVF pregnancy.

Feeling Excited -- But Also Scared

You've most likely been trying to get pregnant for years. You may have even gone through many cycles of fertility treatments. Finally, you've achieved a pregnancy.

You’re likely really excited and happy. But you may also feel anxious.

You may even wonder if it’s all really happening. If you have friends who are still trying to get pregnant, you may experience some survivor’s guilt.

This is completely normal.

Feeling nervous and not too hopeful about the pregnancy is understandable. If you’ve experienced miscarriages in the past, this is especially true.

Don't feel guilty for feeling the way you do. But do find someone -- whether a friend or a therapist -- to talk to about your feelings. It will help.

Women who have experience infertility are at-risk for developing pregnancy and/or postpartum depression. The sooner to talk to someone, the more likely it is you'll feel better.

Feeling Unsure of When to Tell People

This is a big moment! However, you may or may not be ready to share the news with the world.

If you’ve shared your treatment progress with friends and family, especially if you’ve shared details of this particular cycle, you may be expected to tell them sooner than later.

If they knew when you had your embryo transfer, they are naturally going to want to know if the cycle worked!

However, for those who weren’t in the loop, you can choose to wait.

When should you tell? When you see your hCG doubling? After ultrasound confirmation? After you see the heartbeat? After the first trimester?

It’s entirely up to you. There is no right or wrong answer.

Continued Progesterone Support

Your doctor may keep you on progesterone hormone support if pregnancy is confirmed. How long he will continue progesterone treatment will be dependent on your particular situation.

If you're taking progesterone in oil through injections, you may be able to switch to vaginal suppositories or gel.

Ask your doctor about your options.

Continued Blood Tests for Monitoring

Your fertility doctor will also likely continue to check your hormone levels for at least a few weeks following a positive pregnancy test. There are a few reasons for this:

  • to look for rising hCG hormone levels (pregnancy hormones), in order to ensure the pregnancy is healthy and to look out for very high levels (which may indicate a multiple pregnancy)
  • to monitor estrogen levels, especially if symptoms of ovarian hyperstimulation syndrome (OHSS) are present
  • to monitor progesterone levels

Ultrasound Follow-up

Before releasing you to a regular obstetrician, your fertility doctor will most likely order an ultrasound or two during early pregnancy. This is mainly to check for a multiple pregnancy.

Depending on what week the ultrasounds take place, you may even get to see the baby's heartbeat.

If you’re pregnant with twins, when might you find out? The first ultrasound may be too early to really know.

However, by your second (and most certainly by your third), you should know if you’re expecting one or more than one.

If You Have OHSS, It'll Take Time to Feel Better

If you unfortunately developed a case of OHSS during treatment, your symptoms may last several weeks. They may even get worse.

Be sure to stay in contact with your doctor. Let her know of any worsening symptoms right away.

OHSS can be dangerous and life-threatening if left untreated.

Release to a Regular Obstetrician

Usually an IVF pregnancy is handled by a regular obstetrician (OB) and not a high-risk obstetrician.

Your fertility doctor will transfer you over to the regular OB at about the 8-week mark.

You may be excited to see a "normal" doctor - finally! But you may also feel nervous.

It can be quite a shock to go from the intense monitoring of IVF to the more laid back, once-a-month visits of a regular OB/GYN.

Don’t hesitate to talk to your doctor.

If an extra ultrasound would help calm your nerves, go ahead and ask. Your doctor knows how much you've gone through to get pregnant. Feeling nervous is completely normal and understandable.

More about pregnancy after infertility:


Falker, Elizabeth Swire. (2004). The Infertility Survival Handbook. United States of America: Riverhead Books.

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