What are the signs of successful implantation?

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1 fertility expert(s) answered this question

Answer from: Raúl Olivares, MD

Gynaecologist, Medical Director & Owner Barcelona IVF
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The main sign is going to be a positive test because, unfortunately, this is the only way to be sure that you are pregnant. Sometimes, you may see the implantation spotting, you might be feeling bloated. However, since these are artificial cycles in which you are going to be under the hormones, you’re going to be hyperstimulated, or you’re going to be under hormone replacement therapy, they don’t have to be, let’s say, related to what happens in a natural cycle. It’s really difficult to say whether the cycle has been successful or not before you have your pregnancy test.

The only sign that sometimes makes sense is the implantation spotting, the fact that you may have some light bloatedness like 2-3 days before the pregnancy test that comes and suddenly disappears in 24-36 hours, and that’s it. This sometimes means that the embryo has implanted. Anything else is going to be related to hormonal levels. These hormonal levels are usually going to be of a higher dose than in a natural cycle.

Don’t expect to feel the same thing that when you got pregnant naturally. That sometimes happens with patients that have had miscarriages, they say they feel different. I had patients that felt nothing and got twins.  I had patients who were sure that they were pregnant because of the signs and symptoms, but the outcome was negative.

About this question:

How I can make sure that the implantation is successful?

What are the symptoms of successful implantation? How soon after implantation will I have them? How can I know that implantation is successful?

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