Preparing for Your Embryo Transfer: What to Expect

Dr. Marika Raff • June 12, 2025
Embarking on the embryo transfer phase of your IVF journey is a big step, and understandably, patients often ask what they can expect during this important stage. At Caperton Fertility Institute, we take great care in preparing your body to create the most welcoming environment possible for a developing embryo.
Here’s an overview of how we prepare you for a frozen embryo transfer, including the medications we use and why they matter.

1. Estrogen Patches to Build the Uterine Lining
The first step in the preparation process involves thickening the endometrial lining of your uterus so it can support an embryo. We use estrogen patches for this purpose. These patches deliver a consistent dose of estrogen through your skin, and you’ll typically wear several patches on your abdomen at a time, changed every other day as instructed.
Estrogen helps your uterine lining grow to the ideal thickness for implantation. We monitor this closely with ultrasound to ensure optimal conditions.

2. Adding Intramuscular Progesterone
Once your lining has reached the right thickness, we introduce intramuscular progesterone injections. Progesterone transforms the uterine lining into a receptive state, mimicking what happens naturally after ovulation.
These injections are given daily and are an essential part of making the uterus ready to accept an embryo. While the thought of intramuscular shots can be intimidating, our team will guide you through every step and offer tips to make the process more comfortable.

3. Timing the Transfer
The timing of your embryo transfer is carefully coordinated based on your hormone levels and the day your embryo was frozen. For example, if you're transferring a blastocyst (an embryo that developed for five days), we schedule your transfer five days after starting progesterone.
Precision is key, and we tailor the timing to closely replicate the conditions of a natural cycle.

4. Day of the Transfer
The transfer itself is a quick, gentle procedure that doesn’t require anesthesia. We use ultrasound guidance to place the embryo in the uterus, and many patients describe it as similar to a Pap smear. Afterward, you’ll rest briefly before going home.
Supporting You Through Every Phase

Every part of the embryo transfer preparation is designed with care and intention. We want to give you the best possible chance for success, and we’re here to support you emotionally and physically throughout the process.

If you have any questions about preparing for your embryo transfer or the medications involved, don’t hesitate to reach out. We’re with you every step of the way.

By Dr. Lee Caperton October 7, 2025
Uterine fibroids are a common diagnosis among women of reproductive age. While many fibroids are harmless and cause no symptoms, others can interfere with fertility and pregnancy. At Caperton Fertility Institute , we help patients understand how fibroids may affect reproductive health and provide personalized treatment options to optimize fertility outcomes. What Are Uterine Fibroids? Fibroids, also known as leiomyomas , are benign (non-cancerous) growths that develop in or on the uterus. They can vary greatly in size, number, and location. Depending on where they form, fibroids are classified into several types: Submucosal Fibroids: Grow into the uterine cavity Intramural Fibroids: Develop within the uterine wall Subserosal Fibroids: Form on the outer surface of the uterus Pedunculated Fibroids: Attached by a stalk extending from the uterus How Fibroids Can Affect Fertility Not all fibroids impact fertility. However, certain types and locations are more likely to interfere with conception, implantation, or pregnancy progression. Submucosal Fibroids: These are most likely to affect fertility because they distort the uterine cavity, which can prevent implantation or increase the risk of miscarriage. Intramural Fibroids: When large, these fibroids can change the shape of the uterus and affect blood flow, potentially reducing the chances of successful embryo implantation. Tubal Blockage: Fibroids located near the fallopian tubes can obstruct sperm or egg movement, preventing fertilization. Cervical Fibroids: Although rare, fibroids near the cervix can hinder sperm entry into the uterus. Common Symptoms of Fibroids Fibroid symptoms vary widely — some people experience significant discomfort, while others have no symptoms at all. Common signs include: Heavy or prolonged menstrual bleeding Pelvic pain or pressure Pain during intercourse Frequent urination or constipation Recurrent pregnancy loss or difficulty conceiving For many patients, fibroids are first discovered during a fertility evaluation or routine pelvic exam . Diagnosis and Treatment Options At Caperton Fertility Institute , we use advanced diagnostic imaging such as ultrasound and MRI to assess fibroid size, number, and location. Once diagnosed, treatment is tailored to your fertility goals and overall health. Treatment options include: Medical Management: Hormonal therapies to reduce symptoms and fibroid growth. Surgical Options: Myomectomy to remove fibroids while preserving the uterus. Minimally Invasive Procedures: Hysteroscopic or laparoscopic surgery for faster recovery and minimal scarring. Our approach is designed to preserve fertility whenever possible while alleviating symptoms and improving uterine health. Hope After a Fibroid Diagnosis A fibroid diagnosis doesn’t mean you can’t conceive. Many patients with fibroids go on to achieve healthy pregnancies — especially with proper evaluation and treatment. At Caperton Fertility Institute , our experienced fertility specialists in Albuquerque, NM , and El Paso, TX , provide compassionate, individualized care for every patient. We’ll guide you through diagnosis, treatment, and the next steps toward achieving your dream of parenthood. ✨ If you suspect fibroids may be affecting your fertility, schedule a consultation today. Let’s take the next step together toward your fertility goals.
By Dr. Marika Raff October 7, 2025
Every loss is unique. Every story matters. Every life is remembered.
Blonde woman in red sweater smiles while using a laptop and tablet at a cafe table.
By Dr. Kelly Caperton September 19, 2025
1. What is egg donation? Egg donation is the process by which a healthy woman donates her eggs to help another individual or couple conceive a child. These eggs may be fertilized through in vitro fertilization (IVF) and implanted into a recipient’s uterus or frozen for future use. 2. Who can become an egg donor? At Caperton Fertility Institute, we welcome egg donors who meet the following criteria: Ages 19–30 Physically and emotionally healthy Non-smoker, non-drug user Regular menstrual cycles No history of genetic or reproductive disorders Willing to undergo medical and psychological screening Able to commit to the time and responsibilities of the donation process 3. Why do people need egg donors? Egg donors help individuals and couples who are unable to conceive using their own eggs due to: Advanced maternal age Genetic conditions Medical treatments like chemotherapy LGBTQ+ family-building Unexplained infertility 4. Is egg donation safe? Yes. Egg donation is a common and generally safe medical process. It involves hormone injections to stimulate the ovaries and a minor outpatient procedure to retrieve the eggs. Risks are low but can include mild discomfort, bloating, or temporary side effects from medication. Serious complications are rare. 5. Will donating affect my fertility? No, egg donation does not impact your long-term fertility. Women are born with thousands of eggs, and donation uses only a small number that would naturally be lost in a normal cycle. 6. Is egg donation painful? Most donors report mild discomfort similar to menstrual cramps. The egg retrieval procedure is done under light sedation, so you won’t feel pain during the process. Recovery typically takes 1–2 days. 7. Will I be compensated? Yes. Caperton Fertility Institute offers generous, ethically guided compensation for your time, effort, and commitment. The amount is discussed during your initial consultation and complies with all legal and medical guidelines. 8. How long is the egg donation process? The process generally takes 6–10 weeks from initial screening to egg retrieval. It includes: Application and screening Medical and psychological evaluations Legal review Hormonal stimulation (approx. 10–14 days) Egg retrieval procedure 9. Can I still work or go to school during the donation process? Yes. Most of the process can be scheduled around your routine. However, you'll need to attend several clinic appointments and take medications on a strict schedule. During the last week, you'll need to reduce physical activity. 10. Will my identity be kept confidential? Absolutely. Donor confidentiality is strictly maintained. You can choose to remain anonymous, open, or semi-open, depending on your preferences and the recipient’s needs. 11. How do I get started? To begin the egg donor application process: Visit our Portal Fill out a questionnaire Our donor coordinator will contact you for next steps 12. Can I donate more than once? Yes, eligible donors can donate up to six times, as recommended by the American Society for Reproductive Medicine (ASRM). Each cycle is spaced out for your health and safety.
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