Intermenstrual spotting or bleeding can occur with any birth control pill. There are several causes for it to occur such as forgetting to take them, taking concomitant medications or having vomiting and diarrhoea that hinder its absorption. Most of the time, intermenstrual spotting is caused by the adaptation of the body to the hormones contained in the contraceptive. In spite of this, you should continue to take the contraceptive pill as usual and consult the corresponding professional.
Bleeding before transfer is uncommon. It is usually due to a shedding of the endometrium which indicates that the conditions for embryo transfer may not be adequate. If there is bleeding, it is necessary to check the reasons for it, either by ultrasound or by performing a hormonal analysis. It is usually due to a shedding of the endometrium which indicates that the conditions for embryo transfer may not be adequate.
Bleeding after embryo transfer is relatively frequent and does not necessarily imply a bad outcome. Despite this, it is a symptom that scares and alarms patients. Post-transfer bleeding may be due, although it’s not frequent, to the technique performed or to increased vascularisation of the cervix. However, more frequently, such bleeding can occur through the implantation of the embryo in the uterus, or the effect of the medication used in the treatment for endometrial preparation. Most of the time, it is not usually significant, but it is important to inform the professional in charge so that they can assess and review the treatment.
As noted before, the existence of genital bleeding in the first trimester of pregnancy is very common.
Bleeding can occur with any hormonal oscillation (usually a temporary drop in progesterone levels). In threatened miscarriages, therefore, bleeding is not easy to interpret and should be treated as a threatened miscarriage through a course of progesterone (since levels may be low) and physical rest to lower blood pressure and close off the blood vessels that are directing the blood outside.
Sometimes the threat of miscarriage stems from a more serious problem than a simple temporary hormonal oscillation, for example when the embryo has a physical or genetic alteration incompatible with life or there is a serious blood clotting disorder. Treatment for these threatened miscarriages is very different: if it is a genetic problem with the embryo, nothing can be done. The embryo already contains the genetic load of the egg and sperm, and if the genetic load is altered, miscarriage will be inevitable. Sometimes, when the embryo is already formed, it is possible to conduct a genetic study of it to determine whether the cause of the miscarriage has been genetic. At IFV, we offer patients the possibility of studying the genetic material of a miscarried embryo, and it is even possible to study it before implantation during an In Vitro Fertilisation treatment in which the embryo was generated in the IVF laboratory and this test could be done.
At other times, the threat of miscarriage is due to maternal factors, not related to the embryo. In this case, medical and immunological therapies can be established to prevent and prevent miscarriage. At IFV, maternal tests can be completed to determine whether this pathology exists and indicate the most appropriate treatment for each case.
