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Dear Barbara:
The normal sequence of findings is the gestational sac, yolk sac, fetal pole, and fetal heart beat. At this time, it is too early to declare the outcome for the pregnancy.
Progesterone suppositories can be associated with local irritation and hence spotting. Brown color is small amounts of blood whose color is changed by the acidity of the vagina.
Abdominal pain can be due to an ovarian cyst. Less common with IVF embryo transfer is an ectopic pregnancy (ultrasound is the best way to detect this).
Keywords: IVF, detection of pregnancy
This information is provided for education purposes and is not a medical consultation. If you have specific quesitons, please speak with your physician.