Fresh IVF Cycle & Embryo Transfer in Ahmedabad

Frequently Asked Questions

• How do I know if a fresh cycle is right for me, or if I should freeze all embryos?

  This decision is made in real-time during your cycle — not at your first appointment. At the trigger day monitoring (approximately Day 12), Dr. Shah checks: (1) your serum progesterone — if >1.5 ng/mL, fresh transfer is cancelled and all embryos are frozen. (2) Your endometrial thickness and pattern. (3) Your ovarian response — if OHSS risk is high. If all three are favourable, fresh transfer proceeds. If any one raises a red flag, freeze-all protects your embryos and your outcome.

• How many injections will I need during a fresh IVF cycle?

  For a standard antagonist protocol, approximately 10–15 injections in total: FSH/HMG daily for 8–12 days, GnRH antagonist for 5–6 days, a single trigger injection, then progesterone pessaries (not injections) for luteal support. The FSH injections are subcutaneous — most patients self-administer confidently within 2 days of the nursing training session. The needles are very small. For a long protocol: add 14–21 days of agonist nasal spray or injections before stimulation.

• Does a fresh IVF cycle hurt?

  The injections: minimal discomfort — subcutaneous needles in the abdomen are well tolerated by most patients. Some mild bruising at injection sites is common. The egg retrieval: performed under IV sedation — you are asleep and feel nothing. Post-retrieval: mild cramping for 1–2 days, similar to period pain. Paracetamol is adequate. The embryo transfer: no sedation, no pain — a soft catheter through the cervix. Most patients compare it to a smear test. The procedure takes 5–10 minutes.

• What happens to embryos that are not transferred in a fresh cycle?

  All surplus good-quality embryos — those that are not transferred in the fresh cycle — are vitrified (frozen) and stored at Wellspring IVF. These embryos remain yours and are available for future Frozen Embryo Transfer (FET) cycles. If the fresh transfer succeeds and you want a second child later, you may have frozen embryos available — eliminating the need for another full stimulation cycle. Frozen embryos can be stored for years. Full FET guide: Frozen Embryo Transfer at Wellspring IVF

• What is the success rate of a fresh IVF cycle at Wellspring IVF?

  For women under 35 with good ovarian reserve, the fresh transfer success rate at Wellspring IVF is approximately 60–75% per cycle. This depends on: your age, your embryo quality, your endometrial response, and whether Dr. Shah’s fresh vs frozen decision framework supports fresh transfer at your trigger day. The overall Wellspring IVF success rate (across all protocols and patient groups) is 70%+. Dr. Shah gives you a personalised probability at your first consultation — not a generic clinic average.

• Can I work during a fresh IVF cycle?

  Yes — most patients continue working throughout stimulation. You will need to attend the clinic on approximately 3–4 weekday mornings for monitoring scans (each takes 30 minutes). Egg retrieval day requires a full day off — sedation means you cannot drive. Embryo transfer day: many patients take a half-day and return to light work the same evening. The 2-week wait: normal activity is fine. Physical exertion and hot environments should be avoided from trigger day onwards.

• How soon after egg retrieval is the embryo transferred in a fresh cycle?

  For a Day 5 blastocyst transfer (Dr. Shah’s default): 5 days after egg retrieval. Egg retrieval on Day 14 of the cycle → blastocyst transfer on Day 19–20. For a Day 3 cleavage embryo transfer (when indicated): 3 days after retrieval. From the first stimulation injection to the embryo transfer: approximately 3 weeks.

• What should I do and avoid during the 2-week wait after embryo transfer?

  Continue: all prescribed progesterone and oestrogen medications exactly as directed. Light walking. Normal diet (high protein, avoid raw or unpasteurised foods). Normal sleep routine. Paracetamol for any pain (not ibuprofen). Avoid: hot baths, saunas, vigorous exercise, alcohol, smoking, heavy lifting. Do not stop progesterone even if you have spotting — spotting is common in early pregnancy and does not indicate failure. Wait for the blood beta-hCG on Day 14 post-transfer — do not rely on home urine pregnancy tests, which can mislead in both directions.