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.

Adenomyosis is a frequently misunderstood condition that can significantly affect a woman’s quality of life—and in some cases, her ability to conceive. At Caperton Fertility Institute, serving patients in Albuquerque, NM, and El Paso, TX, we understand the concerns that come with this diagnosis. We’re here to provide clarity, compassion, and the most advanced fertility care available. What Is Adenomyosis? Adenomyosis occurs when the inner lining of the uterus (endometrial tissue) begins to grow into the muscular wall of the uterus. This abnormal tissue growth can lead to an enlarged, tender uterus and painful menstrual symptoms. Though similar to endometriosis, adenomyosis is a unique condition requiring its own approach to diagnosis and treatment. Common Symptoms of Adenomyosis: Heavy or prolonged menstrual bleeding Intense menstrual cramps Chronic pelvic pain Pain during intercourse Pelvic pressure or bloating Some individuals may be asymptomatic How Adenomyosis Can Affect Fertility Not all individuals with adenomyosis face infertility. However, the condition has been linked to reproductive challenges, particularly when inflammation and uterine changes interfere with the conception process. Here’s how adenomyosis may impact fertility: 🔹 Impaired Embryo Implantation The inflamed and thickened uterine wall may create an environment less hospitable for embryo implantation. 🔹 Abnormal Uterine Contractions Disruptive uterine movements can interfere with both sperm transport and successful implantation. 🔹 Hormonal Disruption Endometrial tissue affected by adenomyosis may not respond properly to reproductive hormones, making it harder to sustain early pregnancy. 🔹 Elevated Risk of Miscarriage Research suggests a possible increase in miscarriage rates among women with moderate to severe adenomyosis. Diagnosing and Managing Adenomyosis at Caperton Fertility Institute Adenomyosis can be challenging to diagnose, especially in its early stages or when symptoms are minimal. At Caperton Fertility Institute, we use state-of-the-art imaging tools, including transvaginal ultrasound and MRI, to identify the presence and severity of adenomyosis. Personalized Treatment Options: Pain and symptom management with medications Hormonal treatments (IUDs, GnRH agonists) to suppress symptoms Fertility treatments, including In Vitro Fertilization (IVF), to increase the chances of a successful pregnancy Every patient’s treatment plan is uniquely tailored based on their symptoms and reproductive goals. You Are Not Alone: Hope for Patients with Adenomyosis Receiving a diagnosis of adenomyosis can be overwhelming, especially if you're trying to build a family. But it’s important to remember that a diagnosis is not a final verdict—it’s the first step toward informed treatment and real solutions. Many of our patients with adenomyosis go on to have healthy pregnancies thanks to early diagnosis, strategic care, and the advanced fertility options available at our clinics. 🌟 Schedule Your Consultation Today At Caperton Fertility Institute in Albuquerque and El Paso, we specialize in complex reproductive health conditions like adenomyosis. Let us help you explore your options and take the next step toward your dream of parenthood. 📞 Call us or schedule online to speak with our compassionate fertility experts. Tags: Adenomyosis, Fertility Challenges, Uterine Health, Endometrial Disorders, Female Infertility, IVF, Caperton Fertility Institute, Albuquerque Fertility, El Paso Fertility, Reproductive Health

Uterine fibroids are a common concern for women of reproductive age, and while many are benign and symptom-free, others can significantly impact fertility and pregnancy outcomes. At Caperton Fertility Institute, with locations in Albuquerque, NM, and El Paso, TX, we provide expert care for patients navigating fibroids and fertility challenges. What Are Uterine Fibroids? Uterine fibroids, or leiomyomas, are non-cancerous tumors that grow within or around the uterus. They can vary in size, number, and location, which determines their impact on reproductive health. Fibroids are classified into four 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 to the uterus by a stalk How Fibroids Can Affect Fertility While not all fibroids cause fertility issues, certain types and locations are more likely to interfere with conception or pregnancy: Submucosal Fibroids: These are the most likely to impact fertility by distorting the uterine cavity, potentially preventing embryo implantation or increasing the risk of miscarriage. Intramural Fibroids: Large intramural fibroids can alter the uterus’ shape and decrease blood flow, which may affect embryo implantation. Fibroids Near the Fallopian Tubes: These can lead to tubal blockage, hindering sperm or egg passage. Cervical Fibroids: Rare but may impede sperm entry if located near the cervix. Common Symptoms of Fibroids Some patients with fibroids experience no symptoms, while others may notice: Heavy or prolonged menstrual bleeding Pelvic pain or pressure Pain during intercourse Frequent urination or constipation Recurrent miscarriages or infertility Many fibroids are discovered during a fertility evaluation or routine pelvic exam. Diagnosing and Treating Fibroids at Caperton Fertility Institute We utilize advanced imaging technologies, including high-resolution ultrasound and MRI, to accurately diagnose fibroids. Treatment plans are tailored based on your symptoms, fertility goals, and the specific characteristics of your fibroids. Treatment Options Include: Medical Management: Hormonal therapies to reduce symptoms Surgical Options: Myomectomy to remove fibroids while preserving fertility Minimally Invasive Procedures: Such as hysteroscopic or laparoscopic surgery for quicker recovery Your Fertility Journey Doesn’t End with a Fibroid Diagnosis A fibroid diagnosis doesn't mean infertility. With personalized care and proper management, many women go on to have successful pregnancies. At Caperton Fertility Institute, our fertility specialists in Albuquerque and El Paso are here to support your journey every step of the way. Schedule a Consultation Today If you suspect fibroids may be affecting your fertility, don't wait. Schedule a comprehensive consultation with our expert team and take proactive steps toward achieving your family-building goals.

What Is a Semen Analysis? A semen analysis evaluates the health and viability of a man's sperm. This non-invasive test measures multiple parameters that are crucial for successful conception: Volume The amount of ejaculate, with a typical normal range between 1.5 to 5 milliliters. Sperm Concentration The number of sperm per milliliter of semen. A normal sperm count is 15 million/mL or higher. Motility The percentage of sperm that are actively moving. A minimum of 40% motility is generally considered normal. Morphology The size and shape of sperm, assessed using strict criteria. A morphology score of 4% or more normal-shaped sperm is acceptable. pH Level Measures the acidity or alkalinity of semen, with a normal range from 7.2 to 8.0. White Blood Cells Elevated levels may signal infection or inflammation in the reproductive tract. Liquefaction Time Refers to how long it takes semen to liquefy after ejaculation. Normal liquefaction occurs within 20 to 30 minutes. What Do Abnormal Semen Analysis Results Mean? An abnormal result doesn’t automatically mean infertility. Semen quality can vary over time, so further testing is often needed to understand the full picture. Depending on the results, your provider may recommend: Repeat Semen Analysis: To confirm initial findings. Hormonal Testing: Evaluates hormone levels like testosterone, FSH, LH, and prolactin. Genetic Testing: For severely low sperm counts or azoospermia, this can reveal chromosomal abnormalities or Y chromosome deletions. Scrotal Ultrasound: Detects physical issues such as varicoceles or obstructions. Referral to a Urologist: For evaluation and management of urological or endocrine disorders. Tailored Treatment for Male Factor Infertility At Caperton Fertility Institute, we take a holistic and individualized approach to male infertility. Based on your specific diagnosis, treatment options may include: Lifestyle changes to improve sperm health Medical therapies to balance hormones or treat infections Intrauterine insemination (IUI) In vitro fertilization (IVF) with intracytoplasmic sperm injection (ICSI) Schedule a Fertility Consultation Today If you or your partner are considering fertility testing, our experienced team in Albuquerque and El Paso is here to support your journey. Schedule your consultation today to take the first step toward growing your family. Tags: Semen Analysis, Male Fertility, Sperm Count, Infertility Testing, Caperton Fertility Institute, Albuquerque Fertility, El Paso Fertility, IVF, ICSI, Male Factor Infertility