What to Expect on Day 7 After Embryo Transfer

1/2/2026 11:08:00 AM   Lotus IVF Team   

Day 7 after an embryo transfer can feel like the longest day of the “two-week wait.” Many people are hyper-aware of every sensation and wonder, "Is this implantation?" Are these symptoms a good sign? Should I test today?

A helpful truth to hold onto is this: symptoms (or no symptoms) on Day 7 usually don’t confirm success or failure, because many feelings during this time are caused by hormones and supportive medicines, not just early pregnancy.

Below is what Day 7 typically looks like, including what’s normal, what to avoid, and when to contact your clinic.

Day 7 timeline: what might be happening inside

Whether anything is “happening” on Day 7 depends on what type of embryo was transferred:

• If you had a Day-5 blastocyst transfer: implantation may have already started earlier in the week, and hCG may just be beginning to rise.
• If you had a Day-3 embryo transfer: implantation may be occurring closer to this point.

Either way, it’s still early—and it’s normal to feel uncertain.

Common feelings on Day 7 (and why they happen)

1) Mild cramping or pelvic heaviness

Light cramps can be due to:

• The uterus is settling after transfer
• Progesterone support
• Normal pelvic sensitivity during the luteal phase

2) Bloating, constipation, “fullness”

These are extremely common and are often linked to progesterone and hormonal shifts rather than being a reliable pregnancy sign.

3) Breast tenderness, fatigue, mood swings

Again, these can happen with early pregnancy or from medication and hormone levels—so they aren’t “proof” either way.

4) Spotting or light discharge

Some people notice light spotting or pink/brown discharge in the first two weeks. This can occur for many reasons (including cervical irritation, progesterone, or implantation).

Best line to remember (and to repeat to yourself today):
 “Symptoms can be caused by hormones and medications, and they aren’t a reliable way to predict whether IVF worked.”

Should you take a pregnancy test on Day 7?

Most clinics recommend waiting for the scheduled test because testing too early can lead to:

• False negatives (hCG not high enough yet)
• Unnecessary anxiety

Many fertility centers do a blood test about 9–14 days after embryo transfer (varies by clinic and transfer day).
 NHS guidance also emphasizes testing on the clinic’s advised date (often described relative to egg collection/transfer timing).

What you should do on Day 7

• Continue medicines exactly as prescribed (especially progesterone) until your clinic tells you otherwise.
• Keep activity normal and gentle—no need for strict bed rest unless your doctor advised it.
• Hydrate, eat simple food, and rest when you can.

When to call your clinic urgently

Contact your fertility team if you have:

• Heavy bleeding (like a period flow), or bright red bleeding that increases
• Severe one-sided pain, intense cramps, dizziness, fainting
• Fever, foul-smelling discharge
• Severe bloating with pain or breathing discomfort (rare, but needs evaluation)

A gentle note from a fertility clinic perspective

At centers like Lotus IVF (Bareilly), the goal during the two-week wait is to keep things stable: follow medication instructions, avoid panic testing, and watch only for symptoms that genuinely need medical attention. Dr. Shruti Ghate and the team would usually remind patients that your body’s signals during this week can be confusing—and that’s normal.