Your Treatment Cycle Timeline – ERA/EMMA/ALICE-MOCK (Satellite)

This is a general guide that will take you through what to expect during your upcoming treatment cycle. Please note that your personalized treatment cycle and timeline will depend on how your body responds throughout your cycle. According to your protocol, your treatment cycle will take approximately 3-4 weeks. Please note that monitoring appointments will be scheduled between 7:00 a.m. and 9:00 a.m. during your treatment cycle. This ensures that there is enough time to process your tests within our lab so that your doctor can review your test results and provide you with same-day instructions.

Arranging Treatment at a Satellite Clinic

If you are not already a patient at the Satellite Clinic you wish to monitor at, please contact the Satellite Clinic as soon as possible.

You must be seen by the physician at the Satellite Clinic prior to reporting your Day 1 to begin treatment. The Satellite Clinic will discuss the process and applicable fees with you.

Once arrangements have been made with the Satellite Clinic, you will be ready to report your Day 1 to start treatment.

1) Reporting Your Day 1

Your Day 1 is considered the first day of full flow (not spotting) of your period. When you are ready to report your Day 1, please email your Satellite Clinic in addition to the Day 1 Team at day1@triofertility.com with the following information:

• Your Full Name (as it appears on your Health Card)
• Your Date of Birth
• The Date of Your Day 1
• Your TRIO Physician
• Treatment Type (ERA/EMMA/ALICE)
• Your Monitoring Location (name of Satellite Clinic)
• Any days you will be unavailable to come to the clinic

Please note: TRIO requires all patients and applicable partners to have up-to-date infectious diseases bloodwork on file in order to proceed with treatment. Up-to-date means within one year, except for patients using a donor or gestational carrier. For these patients, please confirm with the Third Party Coordinator.

2) Receiving Your Initial Appointment Details

Within 48 hours of reporting your Day 1, you will receive an email from your Satellite Clinic which will include your appointment details for Day 2-5 testing.

3) Attending Your Assessment Day Appointment

When you arrive at your Satellite Clinic for your scheduled appointment time, you will sign in for your tests and to speak with your nurse.

After your appointment, please pick up your medication.

Later that day, your Satellite Clinic nurse will contact you with instructions for taking medication (if required) and when to return to the clinic for further monitoring.

4) Lining Check & Bloodwork

After approximately 2 weeks of taking Estrace, you will return to the clinic for an empty bladder transvaginal ultrasound, bloodwork, and to meet with your nurse to assess how your endometrial lining is progressing.

5) Starting Progesterone

If your bloodwork and endometrial lining look optimal, your Satellite Clinic Nurse will provide you with instructions for starting Progesterone. Your nurse will confirm when you are to take your last dose of progesterone (this is usually done on the morning of your biopsy). You will continue taking Estrace until your nurse advises you to stop.

6) Biopsy Day

The biopsy will take place at TRIO’s downtown clinic (655 Bay St., Toronto). For more information about this location, parking, and accommodations, please email your Patient Care Coordinator to request a copy of TRIO’s Downtown PDF guide.

Your biopsy will be scheduled approximately 6 or 7 days after taking your trigger medication. Please note that the fee for your biopsy will be due in full on this day.

7) Next Steps

Once your cycle is complete, you will need to arrange a follow-up appointment with your TRIO physician to discuss your results and next steps.

Example Biopsy Treatment Cycle

Please note that this calendar is intended for example purposes only. Your personalized treatment cycle and timeline will depend on how your body responds throughout your cycle.