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Treatment topic · Frozen embryo transfer FET

Frozen embryo transfer FET in the United States: endometrial preparation, embryo thawing, transfer and follow-up

Frozen embryos have completed egg retrieval, fertilization and partial culture, but transfer is still an independent medical stage. Embryonic records, uterine conditions, endometrial preparation and subsequent medication need to be reconnected.

Amy ZhangUpdated on November 1, 2026
First confirm the embryo information and this assessment, and then determine the endometrium preparation and monitoring methods; the transfer date needs to follow the medical results.
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Before transfer, look at both the embryo and the body.

Embryos include storage location, date of formation and freezing, culture stage, quality records and existing test results. Personal aspects include previous transfer and pregnancy experience, uterine and endometrium conditions, diseases, and medications.

Just because eggs have been collected in the same hospital does not mean that all examinations are permanently valid. Checking whether it needs to be updated depends on the time, changes in medical history and the current plan; after repeated failures, it is not advisable to just copy the last medication.

What is the difference between the natural cycle and the drug preparation cycle?

ModeMain ideaNeed attention
Natural or modified natural cycleObserve or cooperate with the ovulation process to synchronize the endometrium with the embryonic stageA combination of ovulation, hormones and ultrasound is required, and the date depends on the monitoring results.
Drug preparation cycleUse corresponding medication to prepare the endometrium and connect to luteal support as plannedThe start and duration of medication, review and discontinuation of medication are all arranged by the doctor.

Regular ovulation, previous treatment, physical condition and actual monitoring conditions will all affect the choice. You can’t just choose a certain way because it seems “more natural” or “easier to book tickets.”

Several nodes from preparation to transfer

  1. 01

    Check Embryo and Examination

    Confirm whether the embryos and records planned to be used this time are complete, and whether there are any problems that need to be dealt with first.

  2. 02

    Intima Preparation and Monitoring

    In conjunction with ultrasound and possible hormone testing. Which doctor will review the results completed remotely and under what circumstances the date will need to be adjusted should be explained before cross-border connection.

  3. 03

    Determining Thawing and Transfer

    The team corresponds the endometrium preparation to the embryonic stage and arranges laboratory thawing and transfer operations. The status of the embryo after thawing still requires laboratory evaluation.

  4. 04

    Pregnancy test and early pregnancy follow-up

    Complete a blood pregnancy test on a given date, then schedule a follow-up test and ultrasound based on the results. Do not use home test strip results to make your own decision to stop taking medication.

How to discuss the number of transfers and the "success rate"?

Transfer of several embryos is related to the chance of pregnancy, as well as multiple pregnancy and maternal and infant risks. The doctor will discuss it based on the embryo, age, past conditions and relevant professional advice. It cannot simply be understood that the more transfers, the more cost-effective it is.

When reading the result data, distinguish between the calculation based on a single transfer and the cumulative results calculated based on all subsequent transfers after one egg retrieval. Clinical pregnancy, ongoing pregnancy and live birth are not the same outcomes.

Understand the denominator and outcome indicators of success rate

If the embryos are in other hospitals, they must be reviewed first

Receiving hospitals typically need to know the original culture and freezing methods, number and stage of embryos, test results, identity and authorization information. Discuss professional shipping after both parties have completed the review; do not arrange personal carrying or paid shipping first, and then find an agency willing to accept it.

Cross-border transshipment may also involve documentation, quarantine or regulatory requirements between the two places, and the shipping company's receiving conditions. The transfer plan should be connected after the receipt, storage and data verification are completed, and the transportation date cannot be directly regarded as the transfer date.

What nodes does the length of stay in the United States depend on?

If part of the monitoring can be completed locally, reporting formats, time zones, and review deadlines need to be clarified. After the doctor approves the examination, the post-US examination, thawing and transfer time will be further implemented; if the endometrium or hormone conditions are not suitable, the cycle may also be delayed.

The time of departure from the United States after transfer should be arranged based on physical condition, medications, follow-up examination location and doctor. Prepare a record of the number of medications and the time zone for taking them, and do not skip or double your medication during a long flight.

What records and contacts are needed after transfer?

Save at least the date of transfer, number and information of embryos, operation records, current medication schedule, pregnancy test time, report return method and emergency contact channels. After the pregnancy test is positive, you need to review the pregnancy as planned and enter the follow-up obstetrics follow-up.

Daily activities, work and travel are carried out according to the instructions of the personal treatment team, and the fixed number of days in bed on the Internet is not regarded as a unified standard.

Independent expense items for FET

The cost estimate may include consultation or updated examinations, monitoring, endometrial preparation medication, embryo thawing, transfer and pregnancy testing, and storage renewal fees, transportation and additional testing may be listed separately. When checking the "transfer cycle fee", check whether medications, monitoring and thawing are included.

If the embryo fails to be revived, the endometrial preparation is inappropriate or the cycle is cancelled, settlement should be based on the items that have occurred and the terms of the contract. Frozen embryo transfer fees also do not directly represent all previous IVF expenditures to create these embryos.

Frequently Asked Questions about Frozen Embryo transfer

The embryo has been tested, do I still need to update the test?

The test involves embryonic examination items and cannot replace the patient's own health, uterus and pre-transfer assessment.

Can a single remote ultrasound determine the transfer date?

Not necessarily. Information such as endometrium, hormones, and ovulation may need to be continuously observed and reviewed before subsequent arrangements are decided.

If the pregnancy test is negative, can I stop taking the medicine immediately?

The results should be handed over to the reception team, who will explain the review, discontinuation of medication and next arrangements. Do not change the plan by yourself according to the test strips or one test.