Many people opt to "cheat" and do a home pregnancy test during their two week wait, prior to finding out the results of their blood test. Why would someone do that? Well, it makes sense for a lot of reasons.
It takes about 2 weeks from the time an embryo implants in the uterine wall to start emitting enough of the hormone hCG (human chorionic gonadotropin) to be detected by a blood pregnancy test known as a beta. After that period of time has passed, we can be reasonably sure that the test results are accurate.
At Shady Grove Fertility, we do not recommend taking an at-home urine pregnancy test, as it can render either a false positive or false negative. A false positive result would show that you are pregnant when you are, indeed, not. A false negative result would show that you are not pregnant when you are, indeed, pregnant. Either way, the emotional burden of a false result can be a lot for a patient or couple to bear.
On average, two weeks after intrauterine insemination (IUI) or embryo transfer, patients will come back to our center for a pregnancy test. Unlike a home pregnancy test, the beta test administered in the office is blood-based and measures the hCG levels produced by a developing embryo. The most reliable pregnancy test available is the hCG blood test performed at your local Shady Grove Fertility office.
Additional beta tests are typically performed every 48 to 72 hours after the first positive test to confirm that hCG levels are continuing to rise. We look for the level of hCG to rise about 60 percent or more in each of the additional tests. If the number continues to increase, physicians become more confident that there is likely a viable pregnancy, as the rising levels indicate that the embryo is continuing to grow.
Your doctor or nurse will give you a date for a blood pregnancy test 12-14 days after your insemination/embryo transfer that will give accurate results. While the two-week wait can be stressful and testing at home can be tempting, I recommend against testing at home. If not timed properly, the results of your home pregnancy test may not be accurate, and could set you up for disappointment and confusion.
Your doctor may also have you start progesterone supplements right after your IUI. These are designed to thicken your uterine lining to make it more receptive to implantation. Progesterone can also help support pregnancy if your natural levels are low.
In most studies that have evaluated the outcome in IUI cycles, the insemination has been performed 24-36 hours following hCG administration [1,4]. This practice is based on data indicating that, in natural cycles, the ovulation takes place 32 hours (range 24-56 hours) after the onset of the luteinizing hormone (LH) surge , whereas in stimulated cycles, it takes place approximately 36-38 hours after the hCG injection . As the current assumption is that the oocytes are fertilisable for only 12-16 hours  and the spermatozoa survive only for a limited period of time in the female reproductive tract [8-10], it is rational to schedule the insemination to the time of expected ovulation, i.e., 24-36 hours after the administration of hCG.
The results of the study by Wilcox et al. (1995) do not totally support the current practice in IUI that hCG should be administered before the insemination but rather that it should be injected after the insemination. In our study, we observed an increase of 80% in pregnancy rate by postponing the hCG injection after the IUI. The change in hCG administration ensured that the spermatozoa were already present in the reproductive duct before ovulation took place, similar to the situation in successful natural cycles . Since sexual intercourse was allowed a couple of days before the insemination and also after it, spontaneous conception is possible although unlikely, since all of the couples had at least one year infertility even before the start of basic investigations.
Unfortunately for me I've never gotten that far - AF always shows (and I don't test to see that ovidrel is out of my system, seeing a positive and then negative would just drive me crazy. but that's just me).
Fourteen days after your prime conception time has occurred and a fertilization attempt has been made, you will take a pregnancy test. If the test is positive, you and your partner have successfully created a new life. If the pregnancy test is negative, you can begin the process again or seek an alternative fertility method.
Many couples struggle with fertility and getting pregnant isn't as easy as they make it look in the movies. Whether due to trauma, PCOS, or an unknown issue, the result is the same -- it can be emotionally, mentally, and physically challenging to face infertility. Fortunately, solutions like intrauterine insemination (IUI) and in vitro fertilization (IVF) are available, making conception a reality for many couples who haven't been able to on their own. If you're dealing with the ups and downs of infertility and have received treatment, the next step is the excruciating wait. How long should you wait after an IUI or IVF to take a pregnancy test?
With IUI and IVF, you'll typically receive a "trigger shot" of hCG a few days before your IUI or IVF procedure. This usually contains around 10,000 units of hCG, which ideally will help make the IUI or IVF successful by priming your body for the pregnancy. However, the hCG hormone is what causes a pregnancy test to be positive. If you take a home pregnancy test too early after your trigger shot, you're likely going to get a false positive.
It takes about a day for your body to eliminate 1,000 units of hCG, meaning that if you home test any time before 14 days after your trigger shot, a positive test could be picking up the hCG from the injection and not hCG naturally produced by a pregnancy. If you take a home pregnancy test at least 14-days post trigger shot or more and get a positive result, it's much more likely that the test is registering hCG produced by a pregnancy.
Before your treatment, ask your doctor when they offer blood tests to check for a positive pregnancy. Blood tests can detect a positive pregnancy result as soon as 11 days post-conception, meaning that you may be able to have a blood test done sooner than you can do a home pregnancy test. Additionally, blood tests are significantly more accurate than a home test. A false negative on home tests aren't uncommon. If you choose not to do a blood test and you do receive a negative result 14 days post-treatment, take another test in a week -- hCG levels double about every three days. If you are still testing negative three weeks after your treatment, schedule an appointment with your fertility specialist.
Typically, people will see a positive OPK for a few days after their initial positive test. Most women experience it for up to 72 hours, when the LH surge is still present in their urine. In fact, we almost always have a small amount of luteinizing hormone in our urine. This is why the test comes with a control line.
OHSS occurred in 4 of 236 (1.7 %) patients treated with Ovidrel®250 μg during clinical trials for ART and 3 of 99 (3.0%) patients treatedin the OI trial. OHSS occurred in 8 of 89 (9.0%) patients who received Ovidrel®500 μg. Two patients treated with Ovidrel® 500 μg developed severeOHSS. OHSS may be more severe and more protracted if pregnancy occurs. OHSSdevelops rapidly; therefore, patients should be followed for at least two weeksafter hCG administration. Most often,
The application of oocyte cryopreservation by reproductive practitioners has been slow and cautious . Most centers have first debated and analyzed the medical, ethical and psychological application of this new experimental procedure . Only after an organized and rigorously analyzed IRB approval process was our previous clinical research study of oocyte cryopreservation and thaw initiated . Significant discussion within the reproductive community continues, with special attention paid to the ethical, social and medical aspects of the research itself and ultimately the likelihood of the resultants oocytes altering the long-term fertility opportunities for patients. Strong nondirective medical and psychological counseling is recommended by the oversight committee within the reproductive community before studies are undertaken or this new technique is openly offered to patients . 2b1af7f3a8