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 6-8 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 (FET)
- 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 the Day 1 Team, which will include your Electronic Consent Form instructions.
Please Note: Consent forms must be completed and returned to TRIO prior to your Assessment Day in order for your cycle to proceed.
You will also receive your appointment details for Day 2-5 testing from your Satellite Clinic. If applicable, they will also provide you with your invoice for your treatment cycle.
3) Attending Your Initial 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) Starting Pre-Treatment Medication
If the results of your Day 2-5 tests are within the normal range and your Engaged MD videos have been completed, then you will be starting birth control pills for approximately 1-3 weeks.
You may experience some bleeding while on the birth control pill and/or once you stop taking the pill. Please note that this is normal, and you do not need to report this bleed.
While taking birth control pills, you will receive instructions for taking your Depot Lupron injection.
You will also be advised on when to return to the clinic for your Assessment Day.
5) Receiving Your Personalized Treatment Calendar
While you are taking pre-treatment medication, you will receive the following from our scheduling coordinator:
- Your Personalized Treatment Calendar with specific details about your cycle
- Invoice (if applicable)
- Next Steps (including your Assessment Day details)
Your invoice (if applicable) will be due in full prior to your embryo transfer.
Please note that it may take up to 11 days to receive this information via email.
6) FET Assessment Day
Your Assessment Day appointment includes Day 2-5 bloodwork. You will also sign up to speak with your nurse to see how your cycle is progressing.
After your appointment, please pick up your Estrace medication.
If your Assessment Day test results are within the normal range, your Satellite Clinic nurse will contact you with instructions for starting your Estrace medication.
7) Lining Check
After approximately 2 weeks of taking Estrace, you will return to the clinic for an empty bladder transvaginal ultrasound and meet with your nurse to assess how your endometrial lining is progressing.
8) Starting Progesterone
If your endometrial lining looks optimal, your Satellite Clinic nurse will provide you with instructions for starting Progesterone. You will continue taking Estrace until your nurse advises you to stop.
At this time, you will also receive detailed instructions about your upcoming embryo transfer procedure.
9) Embryo Transfer Day
Your embryo transfer will take place either at TRIO’s downtown clinic (655 Bay St., Toronto) or at our Burlington location (3115 Harvester Rd., Burlington), depending on where your egg retrieval and embryo freezing took place. For more information about your procedure location, parking, and accommodations, please contact your satellite clinic to request a copy of the appropriate PDF location guide.
Your embryo transfer will be scheduled on approximately the 6th day of Progesterone.
10) Post-Embryo Transfer
After your embryo transfer, the OR nurses will assist you to the Recovery Room.
Before you leave, the nurse will review your detailed discharge instructions with you, including post-embryo transfer medications. Any required prescriptions will be sent to the pharmacy for pickup before you leave the clinic. Please ensure you have enough medication to continue until at least your pregnancy test.
11) Pregnancy Blood Test
Approximately 2 weeks after your embryo transfer, you will be scheduled to return to the clinic for a pregnancy blood test. Within 24 hours, you will receive a call from your satellite nursing team with your test results and next steps.
12) Next Steps
If your pregnancy test is positive, you will be scheduled for a second blood test to make sure your hCG levels are rising appropriately.
If your pregnancy test is negative, you will need to arrange a follow-up appointment with your TRIO physician to review your cycle and discuss your next steps.
Example FET 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.
| Day | What to Expect |
|---|---|
| January 1 | Report Day 1 to Day 1 Team & Satellite Clinic Engaged MD Videos Watched |
| January 2 | Receive Appointment Details & Content Forms From Satellite Clinic Receive Consent Forms from Day 1 Team |
| January 3 | Initial Appointment Pick Up Pretreatment Medication Start Birth Control Pill |
| January 12 | Receive Treatment Calendar, Invoice and Next Steps Depot Lupron Injection |
| January 25 | Consent Forms Due |
| January 26 | Assessment Day Pick Up Medication Start Estrace |
| February 8 | Lining Check |
| February 9 | Start Progesterone |
| February 14 | Invoice Due Frozen Embryo Transfer |
| February 28 | Pregnancy Blood Test |