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.
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 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 Engaged MD videos have been completed, and your consent forms have been returned, then your Satellite Clinic nurse will contact you with instructions for starting your Estrace medication.
5) 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.
6) 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.
7) Egg Thaw & Fertilization
The day you begin progesterone, your frozen eggs will be thawed and fertilized.
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 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.
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 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.
| Day | What to Expect |
|---|---|
| January 1 | Report Day 1 to Day 1 Team & Satellite Clinic Engaged MD Videos Watched |
| January 2 | Receive Invoice Receive Appointment Details from Satellite Clinic Receive Consent Forms from Day 1 Team |
| January 3 | Consent Forms Due |
| January 4 | Assessment Day Pick Up Medication Start Estrace |
| January 18 | Lining Check Pick Up Medication |
| January 20 | Sample Produced and/or Thawed Egg Thaw & Fertilization Start Progesterone |
| January 21 | Call From Nurse Regarding Embryo Development |
| January 25 | Invoice Due Embryo Transfer |
| February 8 | Pregnancy Blood Test |