Why am I bleeding one day after testing positive for pregnancy by frozen embryo transfer?

Hello,

Welcome to icliniq.com.

If you have been offered a frozen embryo transfer on the eleventh of this month, and the test is positive after five days, then the present bleed is likely to be an implantation bleed. However, the color of the blood is an important indicator of implantation. Also important is the total dosage of Progesterone being taken during the day.

Please share the complete detail of the prescription you are presently on to check on dosages. Progesterone is the key to support pregnancy during the primary and secondary city-trophoblastic invasion of embryonic villi into the uterine mucosa and myometrium to ensure implantation.

The implantation bleed can last for two to three days, but if the color of the bleed is bright red as of today, then Progesterone supplementation needs to be readjusted.

Please share the prescription as an attachment for review. Aspirin 75 mg once a day is to be continued. The bleeding is not because of the antiplatelet action of aspirin.

Hello,

Welcome back to icliniq.com.

I am afraid you are on a very low dose of Progesterone. At your age and with frozen embryo transfer, the requirement is 400 to 600 mg daily during the transfer and for the next ten days when implantation completes and to avoid such bleeding episodes.

We offer the following progesterone regimen:

1) Tablet Duphaston (Dydrogesterone) 10 mg twice a day.

2) Tablet Susten 400 SR (sustained-release) (Progesterone) orally at night (an hour before sleep).

3) Tablet Progynova (Estradiol Valerate) 1 mg thrice a day.

4) Aspirin 75 mg once a day to continue till fetal heart rate is achieved.

Your Progesterone has to be increased if it is only injectable 1 ml (50 mg) is being taken IM (intramuscular). The restricted activity also needs to be followed. You may discuss this with your doctor and make an informed decision.

I hope this was helpful.