ADVERTISEMENT

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

Answered by
Dr. Sameer Kumar
and medically reviewed by Dr. Sushrutha Muralidharan
This is a premium question & answer published on Sep 15, 2021

Hello doctor,

I had a frozen embryo transfer on the eleventh of this month of a genetically tested 5AA embryo. I got my first positive pregnancy test on the sixteenth of this month. Yesterday, I had red blood when I wiped it for a few hours. Today I had more blood when I wiped. I am on Estrogen and Progesterone supplements. What should I do, and what could be causing this? I bled with my past two pregnancies, which were successful, however, not until later in the first trimester. I am taking Aspirin, Vitamin D, and prenatal Vitamin tablets. Kindly give your opinion.

#

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.

Hi doctor,

Thank you.

I am on 1 ml daily by IM progesterone injection (50 mg/ml MDV 10 ml). Kindly give your opinion.

#

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.


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
The beta hCG levels of my wife are very high.Does this signify a healthy pregnancy?

We did serum beta hCG test ...   Read full

Is it normal to urinate often during implantation bleeding?

I have developed a large hard lump on the underside of my tongue. It does not hurt at all. It's a whitish greyish color. It developed in about two days.   Read full

I just found out I am pregnant. Is there any risk of malformation from Minoxidil?

I have developed a large hard lump on the underside of my tongue. It does not hurt at all. It's a whitish greyish color. It developed in about two days.   Read full

ADVERTISEMENT

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


Nipah Virus: Stay Safe from This Deadly Disease
The recent speculation about the spread of the Nipah virus in a Southern State in India has surely brought jittery feeli...  Read more»
What to Do When Someone Turns COVID-Positive At Home?
COVID-19 pandemic has affected so many people, and many of them are advised for home care. This article explains the pre...  Read more»
Guidelines for Management of COVID-19 In Children
Amidst the concerns that children will be the target in the third wave of COVID-19, they have come up with certain guide...  Read more»

Ask your health query to a doctor online?

Ask an Infertility Specialist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.