### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Ivf I had 2 Blastocyst embryo one was good quality and the other one was not very good ( the rating is according to the embryologist) On Friday October the 17th, they transfer 2 embryo back, and both were Blastocyst (D5T) I was asked to preform ChatDoctor blood test on the 28th and after the result the Dr asked me to have other test on the October 30 then Dr said more blood work is needed on NOV 4 and NOV 6. There was dark brown spotting but not bleeding from Oct 25 for 5 days Then I had light bleeding not my normal period bleeding from October 30 for 3 days the bleeding was coming throw with the brown spots ( Dr said this can be normal) The blood result I did my first ChatDoctor blood test on the OCT 28 ( 12DPT) result was 22.55 I did my second ChatDoctor blood test on OCT 30 ( 14DPT) result was 79.76 I did my third ChatDoctor blood test on NOV 4 (18DPT) result was 83.36 my doctor asked me to continue on my medication (aspirin,folic acid and 3 times a day cyclogest progesterone (pessaries) Kindly explain to me can this be a late implantation of the embryos, early indication of miscarriage, ectopic pregnancy or there is a chance of normal pregnancy. I am very confused of the results and what to do or expect

### output:

Hello, thanks for your query. Your question suggests me few things.1. The fact that beta Chat Doctor is positive tells that implantation has happened which means to say the embryo has embedded in the uterine lining that is endometrium.2. Any pregnancy that shows up as beta Chat Doctor positive(above 5) but is not evident in ultrasound even by more than 2 weeks post transfer is called biochemical pregnancy which you are experiencing now.3. The ultimate fate of such a pregnancy can be two things- a failing intrauterine pregnancy or an ectopic pregnancy. But in your case it looks quite unlikely for the pregnancy to continue. But the chances that it can be ectopic is tiny. Sometimes it can happen that even though embryo has grown till day 5 its ability to continue to grow in the womb is compromised. So it results in biochemical pregnancy. But its tells you have a fairly good chance of conception through IVF next time due to positive implantation.  You can now wait for another beta Chat Doctor result as your doc suggests and if no good rise, your doc may ask you to stop medication and follow up your beta Chat Doctor levels or wait for your periods to resume whichever is the earliest. Take care.