The Grand Finale: What really happens on embryo transfer day?
by Chrysa Karakosta, last updated 02 Jun 2025,
3 min read
After weeks of anticipation, medications, and monitoring, the embryo transfer marks a pivotal moment in your IVF journey. It's often called the "grand finale" because it's the day your precious embryos are carefully placed back into your uterus, hopefully to implant and begin a pregnancy. But what exactly happens on this significant day?
The Prep: A Full Bladder and Final Checks
You'll likely arrive at the clinic with a comfortably full bladder. This isn't just for comfort; a full bladder helps to straighten the angle of your uterus, making the transfer easier and more transparent for the doctor to visualize on ultrasound.
Before the procedure, the embryologist will confirm the number and quality of the embryos selected for transfer. This is a moment many patients find incredibly moving, as they often get to see a picture of their embryos for the first time. The team will also confirm your identity through our "RI witness" identification system, ensuring safety and transparency to transfer the correct embryos.

The Procedure: Gentle and Precise
The embryo transfer is typically a quick and painless procedure, requiring no anaesthesia. You'll lie on an examination table like a routine gynaecological check-up.
- Ultrasound Guidance: An abdominal ultrasound will be used to guide the doctor, allowing them to visualize your uterus and precisely place the embryos.
- Speculum Insertion: A speculum will be gently inserted into the vagina, just like during a pap test, to allow the doctor to see the cervix.
- Catheter Insertion: A very thin, flexible catheter containing the embryos (suspended in a tiny drop of culture medium) is carefully passed through the cervix and into the uterus. You might feel a slight pressure, but generally, it's not uncomfortable.
- Embryo Release: Once the catheter is in the ideal spot, the doctor will push a plunger to release the embryos into the uterine cavity. This is often visible as a small, bright flash on the ultrasound screen – a truly awe-inspiring sight!
- Catheter Removal: The catheter is then slowly withdrawn and immediately checked under a microscope by the embryologist to ensure all embryos have been successfully transferred.
The entire process usually takes just a few minutes, from start to finish.
After the transfer
Immediately after the transfer, you'll typically be advised to rest for a short period, often lying down for 15-30 minutes. Some clinics recommend taking it easy for the rest of the day, while others suggest resuming light activities. Your doctor will provide specific instructions.
Then begins the "waiting game" – the period of anxious anticipation until your pregnancy test. It's a time filled with hope, nerves, and often, a lot of symptom-spotting. Remember, early pregnancy symptoms can be very similar to pre-menstrual symptoms, so try to distract yourself and avoid over-analyzing every sensation.
Your journey continues with Newlife IVF Greece
Embryo transfer day is a monumental step, a testament to your perseverance and hope. At Newlife IVF Greece, we understand the significance of every stage of your IVF journey, especially this "grand finale." Our experienced team, state-of-the-art lab, and compassionate care ensure the most precise and gentle embryo transfer, always with your comfort and success in mind.
Ready to take the next step on your path to parenthood? Contact Newlife IVF Greece today to learn how our personalized approach can make your embryo transfer day a confident and hopeful experience.
Chrysa Karakosta, BSc, MSc
Chrysa is the International Department Director at Newlife IVF Greece, in Thessaloniki Greece.