Reviewed by: Dr. Priyadatt Patel, Senior Gynecologist · Advanced Laparoscopic Surgeon · IVF and Endometriosis Programme Lead. Last updated: 26 May 2026.
Advanced ART · Embryo Transfer
Embryo Transfer – The Final Step
Embryo transfer is the final step of the IVF cycle. Despite its apparent simplicity, transfer technique, timing, and embryo selection significantly affect implantation success.
What happens
The transfer procedure
The embryo (or embryos) is loaded into a thin, soft catheter and gently deposited in the upper uterine cavity under ultrasound guidance. The procedure takes minutes and requires no anaesthesia. Most patients describe it as similar to a routine smear.
Single vs double embryo transfer
Why we usually transfer one
Modern IVF favours single embryo transfer (SET) where embryo quality is good. Cumulative live birth rates from sequential single transfers equal or exceed double embryo transfer, while eliminating multiple pregnancy risk.
Post-transfer
What to do and avoid
Resume normal activities within 24 hours. Strict bed rest is not recommended and may not improve outcomes. Continue prescribed progesterone support. Avoid heavy lifting, smoking, and unnecessary medications.
Common questions
Frequently asked
Should I rest after embryo transfer?
A brief rest of 15-30 minutes immediately after transfer is reasonable. Prolonged bed rest does not improve outcomes and may be detrimental. Normal daily activity is encouraged.
How many embryos should be transferred?
Single embryo transfer is preferred whenever embryo quality is good. Double transfer may be considered in older patients or after repeated failures, with clear counselling about twin pregnancy risks.
When can I take a pregnancy test?
Reliable beta-hCG testing is performed 9-14 days after transfer. Earlier home tests can be misleading – either falsely negative (too early) or falsely positive (trigger injection residual).
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Dr. Priyadatt Patel
Senior Gynecologist · Advanced Laparoscopic Surgeon · IVF and Endometriosis Programme Lead
MS OBGyn · Pregnancy Care · Advanced Gynaecological Ultrasound · Fertility Preservation
ESHRE / ESGE / AAGL / ASRM guideline-aligned practice. 3D Karl Storz precision technique. Fertility-preservation-first philosophy. Evidence-based decisions, honest counselling, long-term outcomes orientation.
Endometriosis
Superficial to deep infiltrating, fertility-preserving excision
IVF & Fertility
Individualised protocols, ART Level 2 lab, transparent outcomes
Advanced Laparoscopy
3D Karl Storz precision, nerve-sparing technique
Pregnancy Care
Antenatal care, high-risk pregnancy, advanced ultrasound
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