It is definitely a moment of boundless joy to get that positive pregnancy test after an IVF procedure. But, as hopes rise, so do fears. A couple that has been battling with infertility is not sure if they can celebrate just yet or even share the news with family and friends.

Let’s look at the facts:

• The pregnancy test measures the hCG levels (Human Chorionic Gonadotropin levels) and confirms the pregnancy when this hormone is detected in the urine.
• The hCG levels have to rise steadily in the first few weeks. Hence, 4-5 weeks of monitoring is needed.
• By week 5-7, the doctor will do an ultrasound to visualize the “gestational sac” in the uterus, which would indicate the pregnancy is going well. If an ectopic pregnancy is noted, they will act quickly and remove it.
• In the first 12 weeks or 1st Trimester of pregnancy, you would be required to take medicines to ensure that your hormonal levels are optimal to sustain a healthy pregnancy. Along with medications, your doctor may also prescribe supplements such as Folic acid, Iron, and Calcium.
• IVF also increased the chances of multiple pregnancies so that would also be checked for.  
• By 10 weeks, your infertility specialist is likely to move you to a regular gynaecologist. Make sure you settle on someone who is approachable and not too far from where you live.
• As the first trimester ends by week 12, the pregnancy will be termed safe from early pregnancy loss.

You might experience implantation bleeding around 6-8 weeks. But, bleeding can be worrying if it comes with cramps. In such cases, you must immediately consult your doctor and get a scan done. Similarly, urine with pain or burning sensation can be indicative of an infection which must be checked. Immediately talk to your doctor.

The most important part is to keep your mind stress-free. It isn’t easy to keep the worries away. But, it's not impossible, either. Try breathing exercises, meditation and affirmations everyday. A positive mind will be your biggest support all these 9 months.

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