Is it normal to have one dark and one light test line on day thirteen after embryo transfer?

Apr 27, 2025 Source: Cainiu Health
Dr. Zhang Lu
Introduction
Whether it is normal to have one dark and one faint line on the pregnancy test on day thirteen after embryo transfer depends on the developmental status of the embryo. If the embryo implants normally and develops according to the normal physiological process, having one dark and one faint line on the test is a normal manifestation. However, if embryonic development is impaired, whether due to its own chromosomal issues or abnormal implantation location, leading to abnormal hCG secretion, having one dark and one faint line on the test is an abnormal sign.

Generally speaking, whether a pregnancy test shows one dark line and one faint line on the thirteenth day after embryo transfer is considered normal depends on the developmental status of the embryo. If the embryo implants successfully and develops according to normal physiological processes, hCG levels will rise regularly, and a test showing one dark and one faint line is a normal manifestation. However, if embryonic development is impaired, whether due to chromosomal abnormalities or abnormal implantation location, hCG secretion will be abnormal, and a test showing one dark and one faint line may indicate an abnormal condition. Detailed analysis is as follows:

After embryo transfer, hCG levels begin to rise in the female body. On the thirteenth day post-transfer, if the embryo has implanted only recently, the hCG concentration may still be relatively low, and the pregnancy test may show a weak positive result with one line darker than the other. As time progresses, if the embryo develops normally, hCG levels will increase rapidly, and subsequent tests will show progressively darker lines. In this case, a test showing one dark and one faint line is normal.

When embryonic development is abnormal—for example, due to chromosomal issues that prevent normal proliferation and differentiation—the rate of hCG secretion may increase slowly or not at all. Even by the thirteenth day after transfer, hCG concentrations may still be insufficient to produce a clearly positive test result, resulting in a weak positive (one line dark and one faint). Another possibility is ectopic pregnancy, where the embryo implants outside the uterine cavity. Due to the suboptimal implantation environment, the development of trophoblastic cells may be limited, leading to hCG levels lower than those seen in normal intrauterine pregnancies, which can also result in a weakly positive test. In such cases, a test showing one dark and one faint line may indicate an abnormal condition.

After embryo transfer, patients should strictly follow the guidance and recommendations of their doctors, undergoing timely hCG testing and ultrasound examinations to monitor the embryo's development. At the same time, maintaining a balanced diet, engaging in moderate exercise, and ensuring adequate sleep can help enhance the body's immunity and resistance, providing a favorable internal environment for embryonic development.

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