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Ask Monika Hearne, M.D. Your Own Question
Monika Hearne, M.D.
Monika Hearne, M.D., Board Certified OB/GYN
Category: OB GYN
Satisfied Customers: 5180
Experience:  With experience and compassion, I treat my patients like family.
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Started to bleed yesterday on day 5 post blastocyst transfer.

Customer Question

Started to bleed yesterday on day 5 post blastocyst transfer. Bleeding continues, but have also had a positive ona home pregnancy test ( clear blue digital and first response ) test was negative yesterday and Friday. What do you think are the chances that this is an implantation bleed or one failed embryo ?
Submitted: 3 years ago.
Category: OB GYN
Expert:  Dr Owen replied 3 years ago.

Dr Owen :

Hello

Dr Owen :

hi

JACUSTOMER-b9k73cns- : Hi as you can imagine I am really stressed
Dr Owen :

This 'sounds' like implantation

Dr Owen :

Are you taking progesterone?

JACUSTOMER-b9k73cns- : Yes 400 mg BD
Dr Owen :

perfect

Dr Owen :

Well I think this is bleeding due to implantation -

Dr Owen :

If you start to bleed heavy, more like a period, then this is more likely to be a miscarriage

JACUSTOMER-b9k73cns- : Always heard that the clear blue digital are less likely to pick up so hopeful with a positive
Dr Owen :

I would suggest doing HCG levels every 48 hours to see if they are rising appropriately

Dr Owen :

so I am hopeful for you too

Dr Owen :

Please if you have more questions, please ask

Dr Owen :

keep me informed, I'm online daily too

JACUSTOMER-b9k73cns- : In uk they don't not official due to do a hpt until friday
Dr Owen :

okay - I understand

Dr Owen :

I wish you well and hope for the best for you

JACUSTOMER-b9k73cns- : started as spotting now bright red but no clots
Dr Owen :

spotting is okay, as long as you are not bleeding heavy

JACUSTOMER-b9k73cns- : its heavier than I would like but so not sure
Dr Owen :

well keep taking the progesterone - do not stop

JACUSTOMER-b9k73cns- : it would be classed as spotting
Dr Owen :

also make sure you are drinking plenty of fluids and resting

JACUSTOMER-b9k73cns- : i had 2 embryos back could it be loss of one ?
Dr Owen :

it could be

Dr Owen :

hard to say until you have an ultrasound done

JACUSTOMER-b9k73cns- : just wait and see really then
Dr Owen :

that is the best thing you can do at this time, besides making sure you do not stop the progesterone

JACUSTOMER-b9k73cns- : Would not stop I know that really would not help if I did
Dr Owen :

If you could get these HCG levels - it might help you to see results -

Dr Owen :

I wish you well

Dr Owen :

If you have more questions, please ask

JACUSTOMER-b9k73cns- : I know if it doubles it is positive but no such luck in uk
Dr Owen :

Private doctors can sometimes help - I know it costs you money - but if you want to know - that would be the only way

Dr Owen :

also, the HCG only needs to increase by 66% or more every 48 hours, not 100% (which is double)

JACUSTOMER-b9k73cns- : Think I will wait and see. You would say if you thought it was all over
Dr Owen :

IF just spotting - no, I still think you have a good chance

Dr Owen :

so keep your spirits up

JACUSTOMER-b9k73cns- : Thank you
Dr Owen :

you are welcome

Dr Owen :

please click on Excellent for helping you today

Dr Owen :

and please come back and chat with me any time

Dr Owen :

thank you

Dr Owen :

Please don't forget to click on a positive rating

Dr Owen :

that would be fair for helping you this monring

Dr Owen :

Hello

Dr Owen :

Are you there?

Dr Owen :

Please click on Excellent for helping you

Dr Owen :

Thank you

Dr Owen :

I see you clicked on poor as you left, I hope that was an accident

Dr Owen :

Please try to click on Excellent for helping you

Dr Owen :

thank you

Dr Owen :

Hello

Dr Owen :

Are you there?

Dr Owen :

It looks like you came back online

Dr Owen :

Please don't forget to click on a positive rating for helping you today

Dr Owen :

Thank you

Dr Owen :

Hello

Dr Owen :

Please click on Excellent

Dr Owen :

Thank you

Dr Owen :

Please type the word "Excellent" since you are unable to click on Excellent

Dr Owen :

thank you