Do I need bed rest after embryo transfer? What should I avoid during the two-week wait?

Research has not shown that bed rest after a transfer improves the chance of pregnancy, and some studies suggest strict bed rest may even be slightly worse, possibly due to stress and reduced blood flow. Most fertility specialists now advise returning to normal daily activities, including desk work, fairly soon after transfer. The embryo is placed inside the uterus and is not dislodged by walking, climbing stairs, sneezing, coughing or going to the toilet. Normal light activity is fine. Many doctors suggest avoiding very strenuous exercise, heavy lifting, hot tubs and saunas during this time, and taking medications such as progesterone exactly as prescribed. Ask your own doctor about intercourse and exercise, as advice varies. The two-week wait is often the most emotionally difficult part of treatment. Symptoms like cramps, spotting or breast tenderness are common with progesterone and can happen whether or not you are pregnant, so they're not reliable signs either way. Testing too early with home kits can give misleading results; follow your centre's advice on when to do the blood test. Contact your doctor if you have heavy bleeding, severe pain, fever or symptoms of OHSS. For leave from work, your centre can usually give a note for the procedure day.