A blood pregnancy test is performed 10-14 days after an embryo transfer.
If the test is positive, you will be instructed to continue all medications (i.e. progesterone) and repeat the test in two days (or on Monday if it falls on a weekend).
If 2nd blood test shows levels rising appropriately, you will be instructed to continue medications and schedule 1st OB ultrasound 7-10 days later. If levels are not rising appropriately, you will be instructed to return for further monitoring (lab draw and possible ultrasound as directed by your physician).
The 1st OB ultrasound is to determine that the pregnancy is, in fact, inside the uterine cavity and to confirm how many gestational sacs are seen. A fetal heartbeat is often times not heard at this time as it is too early. You will be instructed to continue all medications and to schedule a 2nd OB ultrasound about a week later and possibly an OB closeout.
At 2nd OB ultrasound, a fetal heartbeat should be present. You will be instructed to continue medications and to schedule an OB closeout within the next week or so.
At the OB closeout, you will receive a final ultrasound and have a consultation with your physician. Your physician will let you know exactly how far along you are, when to stop all medications as well as your due date. Please, also provide your OB/GYN information. We will provide your OB/GYN your records as well as a letter explaining the details of your pregnancy.