IVF: the two week wait (2WW)

You have just had your embryo transfer, taken a home pregnancy test and told which day to do the test now what?

Well the first day or two you are likely just recovering from the procedure. You may feel tired, bloated and have some abdominal discomfort similar to period pain. You may also suffer from mild to severe Ovarian Hyperstimulation Syndrome (OHSS).

You can use a hot water bottle to help with the pain but remember not too hot and not directly in contact with the skin.

You can take baths but not too hot. Sometimes it is recommended to resist the use of bubble bath during the next two weeks. Some research suggests that bubble bath can irritate your already delicate vagina and cause thrush or another form of infection.

Common questions:

I’m so bloated / Am I pregnant already?

It is normal to feel the size of a house and look about 5 months pregnant during the two week wait. You can thank good old progesterone for that.

You can drink herbal teas like peppermint to help combat the bloat. It is recommended to up your intake of water as this can help flush out any trapped fluids / constipation.

I’ve got terrible pain / discomfort in one or both my ovaries.

You’ve been through a lot the last few days and weeks. The stimulation medication will have left your ovaries slightly larger than normal (think tennis balls). This can cause discomfort and or pain on one or both ovaries. This symptom shouldn’t be ignored entirely as it could be mild OHSS. Sometimes (but it is rare) OHSS can be severe and lead to serious illness or death. Mild OHSS should resolve itself within 7-10 days (or by your next period if you are not pregnant)

If you are experiencing severe pain and any of the following seek medical attention:

  • rapid weight gain 15 – 20kg (33-44 pounds) within about 5-10 days
  • severe abdominal pain
  • severe or persistent nausea and vomiting
  • blood clots in one or both legs
  • decrease in urination
  • shortness of breath
  • tight or enlarged abdomen.

You can self-help with mild OHSS by increasing your fluid intake preferably with electrolytes. Rest as much as possible and increase your daily protein (at least an extra 60grams).

I have sore boobs / itching nipples

Once again our friend progesterone and the HCG trigger show injection are to blame. This may feel like a very very early sign of pregnancy which is driving you mad. Whatever you do refrain from doing you home pregnancy test. You could get a false positive due to the trigger shot days before.

I feel so sick is this normal

Remember you’ve been through a lot the last couple of days / weeks. You are likely to feel nauseated from the hormones you are still using. That combined with nervous excited can leave a nauseous butterfly sensation in your stomach. Try to eat little but often and plain foods if easier like toast. Also it is worth noting that early pregnancy can cause a decrease on your immune system making you susceptical to germs, coughs and colds.

It’s been a week and I feel like I’m about to have my period

Early pregnancy and your period have a lot in common with each other. Try not to focus too much on the cramping sensations just yet. It could be implantation which usually occurs about day 9. Implantation can cause bleeding (but not everyone gets this). It is usually brown in colour. Some ladies have a little spot of blood in their pants and others a little bit more. Bleeding can last a couple of hours to a day or so. If the flow has increased and / or you are starting to fill a pad every couple of hours unfortunately it is likely your period has arrived. Still wait until test day just to confirm.

Try not to focus on the implantation bleeding if you haven’t had any and your on day 10-12. Not everyone gets this.

I feel pregnant already should I do my test early?

You should only do your test on the day that the clinic told you. This is because they have worked out approximately 14 days after transfer is when the artificial trigger shot of HCG should be out of your system. If you have fallen pregnant your ovaries will take over the production of HCG and this is what is picked up on a urine home pregnancy test.

Can I go on holiday during my two week wait?

Yes, why not. You may feel a tad uncomfortable first couple of days after the transfer. Whether you want to go abroad for a week or just have a long weekend away with your significant other anywhere where the two of you can focus on one another is nice.

Can I have sex during two week wait?

Yes, however if it is uncomfortable hold off for a bit until you feel ready.

Is it true I should only use the first pee of the day for my test?

Yes and no. If you are pregnant the test will say so regardless of when you pee on the stick. It is true that the concentration of the pregnancy hormone HCG is slightly higher in your first urine of the day.

Help the line is really pale does this mean it’s negative?

No. Some tests are much more sensitive than others. If you can see the additional line regardless or dark or pale you are likely to be pregnant.

Some ladies rush out and get brands such as clear blue with digital indicator. These tests are the same as the cheaper versions but actually say pregnant or not pregnant.

My test was positive now what?

Congratulations you are pregnant. Now you need to ring the clinic. You will be asked to pop in. You will be given your maternity file notes and additional progesterone if required. You will likely be booked a viability scan for around week 7.

My test was negative

Unfortunately for some this can happen. You will still need to phone your clinic and let them know the outcome. You will still need to take your progesterone until advised when to stop.

I feel alone and ignored by my clinic

Now that you are in the two week wait you are left in natures hands. You have likely had daily contact with your clinic over the last few weeks and now feel abandoned. It is true that you don’t really speak to the clinic but the nurses are available to answer any queries you may have.

There are several support groups on social media available from Facebook to instagram. You may enjoy the silence and peace or you may wish to speak to ladies in a similar situation.

Katherine xo

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