Your Treatment Cycle Timeline – Natural/Ovulatory Egg Thaw & Transfer (Satellite)

This is a general guide which 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 be advised that you are not to have unprotected intercourse during this treatment cycle. This will lead to cancellation of your treatment cycle.

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 (Egg Thaw & Transfer)
• 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) Receiving Your Invoice

After reporting your Day 1, you will receive your invoice (if applicable) from our scheduling coordinator.

Your invoice (if applicable) will be due in full prior to your embryo transfer.

4) Attending Your Assessment Day

Your Assessment Day appointment includes bloodwork and both a full bladder abdominal ultrasound and a transvaginal ultrasound. You will also sign up to speak with your nurse to review your ultrasound results and see how your cycle is progressing.

After your appointment, please pick up your medication (if required).

If your Assessment Day test results are within the normal range and your Engaged MD videos have been watched, your Satellite Clinic nurse will contact you with instructions for taking medication (if required) and when to return to the clinic for further monitoring.

5) Monitoring

If your initial test results are within normal range, you will be instructed to return to the clinic for bloodwork and an empty bladder transvaginal ultrasound on approximately Day 10 of your cycle. You will be monitored every 1-3 days until your follicles and endometrial lining are optimal.

6) Starting Medication for Luteal Support

If your endometrial lining looks optimal, your Satellite Clinic nurse will provide you with instructions for taking your trigger medication.

If your protocol includes medication for luteal support, such as Progesterone, you will be advised when to begin taking this medication.

At this time, you will also receive detailed instructions about your upcoming embryo transfer procedure.

7) Egg Thaw & Fertilization

Once your egg thaw has been scheduled, your Satellite Clinic nurse will provide you with this date.

Please note that if a fresh sperm sample is being provided, it must be produced or dropped off at TRIO’s downtown clinic (655 Bay St., Toronto) on the morning of the egg thaw If you are using a frozen sperm sample, TRIO’s lab will thaw the sample on the morning of the egg thaw.

8) Receiving Lab Updates

The day after your Egg Thaw & Fertilization, you will receive a call from TRIO to tell you the number of eggs that were fertilized.

9) Embryo Transfer Day

The embryo transfer 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 embryo transfer will be scheduled approximately six days after taking your trigger medication.

10) Post-Embryo Transfer

After your embryo transfer, the OR nurses will assist you to the Recovery Room.

Before you leave, the nurse will provide you with detailed discharge instructions, including the administration of post-embryo transfer medication. 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 48 hours, you will receive a call from TRIO 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.

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Example Egg Thaw 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.