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Monday 8am - 6pm Tuesday 8am - 6pm Wednesday 8am - 6pm Thursday 8am - 6pm Friday 8am - 6pm

The Evewell, 61 Harley Street, London (2026)

26/04/2026

Dr Sevasti Koulouraki is a fertility specialist and gynaecologist at The Evewell Harley Street. Sevasti specialises in fertility preservation, PGT-A and low ovarian reserve, and is passionate about empowering patients to understand and plan for their future fertility.

Sevasti believes fertility care is deeply personal, and is known for the calm, compassionate connections she builds with her patients, guiding them with clarity through every step of their journey.

24/04/2026

Step 9: Embryo transfer, you're nearly there 🌸

This is the moment everything has been building towards. Your carefully nurtured embryo is placed into the uterus, bringing you one step closer to pregnancy.

Here's what to expect:
✔️ Quick procedure, no anaesthesia required
✔️ A fine catheter guides the embryo into the uterus under ultrasound guidance
✔️ You can watch it happen in real time on the screen
✔️ You'll rest briefly before heading home

After transfer, stay hydrated, take it easy, and follow your clinic's guidance. Then comes the two-week wait.

The TWW is a special kind of emotional rollercoaster, every twinge analysed, every symptom Googled. Be gentle with yourself. Whatever you're feeling is completely valid. 💛

Check out our Linkinbio for an article on how to survive The Two Week Wait, by Nursing Director, Trudi.

23/04/2026

Does cause early ? It is one of the most common questions patients ask.

Dr Nikolaos Blontzos explains how IVF works in simple terms, why the eggs collected during treatment would not have developed in a natural cycle, and why having IVF does not reduce your future fertility or bring on early menopause.

22/04/2026

Step 8: Fresh or frozen transfer, what's right for you? ❄️🌸

Not everyone follows the same path after egg collection, and that's completely okay.

If your embryos reach the blastocyst stage, a fresh transfer typically happens on day five. The best-quality embryo is placed into the uterus using a fine catheter; no anaesthesia is needed. Any remaining high-quality embryos can be frozen for future attempts.

Some patients have a frozen transfer instead; this might be due to a family planning strategy, concerns about overstimulation, or further testing such as PGT-A. Neither path is better or worse. Both can lead to the same beautiful outcome.

Either way, by the time your egg collection is done, you'll know the plan that's right for you.

21/04/2026

Step 7: Embryo monitoring, the wait begins 🌱

After fertilisation, the embryology team carefully watches your embryos grow, looking for key milestones:

📊 Cell division rate, the speed and pattern indicate embryo health
🏆 Embryo grading, a scoring system to assess quality
🌟 Blastocyst development, reaching this stage, gives embryos the highest chance of implantation

Throughout this period, you'll receive regular updates. It's one of the most emotionally charged parts of the process, the waiting, the hoping, the checking your phone every five minutes.

At the end of this stage, a decision is made about the next steps: fresh or frozen transfer, or further testing such as PGT-A (preimplantation genetic testing).

You'll always be kept informed, every step of the way.

20/04/2026

Step 7: Embryo monitoring, the wait begins 🌱

After fertilisation, the embryology team carefully watches your embryos grow, looking for key milestones:

📊 Cell division rate, the speed and pattern indicate embryo health
🏆 Embryo grading, a scoring system to assess quality
🌟 Blastocyst development, reaching this stage, gives embryos the highest chance of implantation

Throughout this period, you'll receive regular updates. It's one of the most emotionally charged parts of the process, the waiting, the hoping, the checking your phone every five minutes.

At the end of this stage, a decision is made about the next steps: fresh or frozen transfer, or further testing such as PGT-A (preimplantation genetic testing).

You'll always be kept informed, every step of the way.

19/04/2026

Step 5: What happens to your eggs in the lab? 🧬

Once your eggs are collected, your embryology team takes over, and this is where the real science happens.

🔬 Each egg is isolated and placed in a carefully controlled culture environment
🌡️ Temperature, pH levels, and conditions are all monitored to replicate the natural environment
🧪 The eggs are transported to a mini incubator while the embryologist carefully searches for each one

For IVF/ICSI: a few hours after retrieval, your eggs are fertilised using s***m from your partner or donor, either via IVF (thousands of s***m in a dish) or ICSI (a single s***m injected directly). By the following morning, the team checks how many eggs have fertilised successfully.

For egg freezing, mature eggs are frozen using a rapid process called vitrification, protecting them from ice crystal damage. They can stay in liquid nitrogen for up to 55 years. Your eggs won't age while frozen. When you're ready, they can be thawed, fertilised, and used in treatment. 🥚✨

18/04/2026

Honestly? A mix of relieved, tired, crampy, and emotional, and all of that is completely normal.

After your procedure, you'll spend some time in the recovery room while the sedation wears off. Common post-retrieval symptoms include:

🌿 Mild cramping or bloating
🌿 Light spotting
🌿 Fatigue and some nausea from the anaesthesia

Most people go home the same day and are back to normal within a day or two. Rest, hydrate, and be kind to yourself. You just went through something significant.

One thing to keep an eye on: signs of ovarian hyperstimulation syndrome (OHSS), significant bloating, nausea, or rapid weight gain. It's rare, but always contact your clinic if something doesn't feel right. You know your body. 💛

17/04/2026

Here's what actually happens in the room (spoiler: it's quicker than you'd think).

Once you're sedated and comfortable, your doctor uses a fine needle attached to a transvaginal ultrasound probe to gently access each follicle. The follicular fluid, which contains the eggs, is carefully aspirated into tubes.

Your embryologist is right there, immediately checking the fluid under a high-powered microscope and identifying each egg. The procedure continues until every available follicle has been accessed.

Most egg collections take around 20–30 minutes. You won't feel anything. You'll wake up in recovery, probably a little groggy, and someone will tell you how many eggs were collected. 🥚

That number can bring a rush of emotions, relief, joy, disappointment, or all three at once.

16/04/2026

"My heart was pounding." Whatever the result, remember: this result does not define your strength, your worth, or your future.

Trudi: "Today may bring joy, sadness, or more waiting. Allow yourself to feel whatever you feel without judgment. If your test was positive, congratulations, now we begin the next phase. If not, know that you are not alone, and there is support for you.

Amy: "This time, my test was positive, but the fear didn’t go away. And I quickly discovered the anxiety I'd felt all the way through the , would remain. The stakes felt even higher, especially as this was the furthest we'd ever got to.

I realised I needed ongoing emotional support, not just medical. And the only way I got through the rest of my pregnancy was to focus on getting one step in front of another, and take every day as it comes.”

Daily Tip:
Whatever your result, talk to someone you trust. Cry if you need to. Celebrate if you want to. You’re allowed all your feelings. Be proud of yourself for getting through this.

Have support nearby, or on standby. And whatever happens, take it slow today.

15/04/2026

The Test Day (or almost!) hCG should be detectable by now, but if you’re bleeding or still symptom-free, that’s still not a clear sign either way.

Trudi: If today is your test day, follow your clinic’s instructions. If you’re waiting one more day, hang in there. Either way, remember that symptoms, or lack thereof, don’t always predict the outcome.

Amy: “This was a weird day for me. I’d been waiting for what felt like FOREVER to do the test, and now it was here, I didn’t want to do it.

I was still PUPO, but then I also knew I *had* to find out the result, to know what’s next.

The nurses told me to take the test first thing in the morning, but I couldn’t bring myself to do it, and I had to go into the office knowing the result. So I waited all day until we were both home from work.

I didn’t even look at the test right away - I walked away and let it develop.

And then...it was positive. For the first time ever, we saw two pink lines. And that’s when the anxiety and fear *really* started...

Because that’s what years of TTC and IVF do to you: it robs you of any kind of joy. And replaces these joyous moments with fear.

My mind was full of questions... What if it’s a chemical pregnancy? What if there’s no heartbeat on my first scan? What if there’s something wrong at the next scan? What if…what if...what if...

That fear didn’t leave me for the entire pregnancy. And I want you all to know, that’s normal.”

Daily Tip:
Whether you test today or tomorrow, know this: you’ve already shown courage, strength, and resilience. Be gentle with yourself, whatever the outcome.

14/04/2026

Day 11 of your Toolkit – Breathe through it. Hormones can make your mood unpredictable. It’s not just you.

Trudi: "It’s totally normal to feel on edge. You’re at the finish line now. Whether you feel symptoms or nothing at all, try not to assign too much meaning. The only confirmation is the test.

Amy: "I went from hopeful to hopeless in 30 seconds. This wait is emotional whiplash. So I leaned into getting one foot in front of the other. No more spiralling. Just one breath at a time.

Daily Tip:
Let your feelings be what they are. You don’t have to stay positive all the time.

What’s one emotion you’re feeling today? No judgment here.

The Evewell

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Monday	8am - 6pm
Tuesday	8am - 6pm
Wednesday	8am - 6pm
Thursday	8am - 6pm
Friday	8am - 6pm