General
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1Is this my period?
First day of full flow is considered Day 1 of your period. Some people experience spotting before their full flow.
2Preparation for Day 3 ultrasound
Please drink 1 litre of clear fluid 1 hour prior to your appointment time.
Diagnostic Cycles
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1Sonohysterogram Preparation
Please take an Advil or Tylenol 1 hour prior to your appointment. You do not need a full bladder for this procedure.
2Doxycycline instructions
If your doctor has prescribed Doxycyline for your sonohysterogram please start the medication the day before your procedure. You should take 1 pill twice a day until your pills are completed.
**Please be aware that not all patients will be given Doxycycline for their
3I forgot to take my Doxycyline
Please start the medication as soon as you remember. Do not take a double dose. When you come in for your sonoysterogram please advise the staff before your procedure that you missed a dose so that we can add it to your chart and revise the directions we have previously given you.
Timed Intercourse Cycles
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1I forgot to take my oral medication yesterday.
Do not take a double dose today, just continue your regular dose until the pills are completed.
2I forgot to take my oral medication on time today
There will not be a negative effect to your cycle, take the dose as soon as you can. We recommend setting an alarm on your phone to remind you of your mediation administration time.
3I forgot to take my injectable medication on time today
Don’t worry, there will not be a negative effect to your cycle. Take the dose as soon as you can and return to your regular time from tomorrow. We recommend setting an alarm on your phone to remind you of your mediation administration time. The next time you are in clinic for bloodwork & ultrasound please inform one of the nurses.
4Can I have intercourse with my partner
Yes, you can at any point during your cycle, unless you have been advised otherwise. The nurses will also tell you the optimal window for intercourse to achieve pregnancy as your cycle progresses.
IUI Cycles
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1I forgot to take my oral medication yesterday
Do not take a double dose today, just continue your regular dose until the pills are completed.
2I forgot to take my oral medication on time today
There will not be a negative effect to your cycle, take the dose as soon as you can. We recommend setting an alarm on your phone to remind you of your mediation administration time.
3I forgot to take my injectable medication on time today
Don’t worry, there will not be a negative effect to your cycle. Take the dose as soon as you can and return to your regular time from tomorrow. We recommend setting an alarm on your phone to remind you of your mediation administration time. The next time you are in clinic for bloodwork & ultrasound please inform one of the nurses.
4I thought I had medication at home, but actually I have no medication to take for tonight's dose
Call the clinic in the morning and advise the nurse.
5 I forgot to take my Ovidrel injection at the time advised by my nurse
Take it as soon as you remember and when you come in for you procedure let the nurse know.
6I was told to take Ovidrel tonight but I do not have the medication
Call your clinic tomorrow morning and speak with a nurse to discuss your plan.
7Can I have intercourse with my partner
Yes, until the nurse advises you that you have a follicle of 1.6 or greater, unless you have been advised otherwise. Once your follicle is 1.6 or greater we recommend no further intercourse or ejaculation to enusure an adequate sample on your IUI procedure day.
8My partner will be away unexpectedly and I cannot do my IUI
Call the clinic in the morning to let the staff know and discuss next steps with a nurse.
9I forgot my instructions on when to use my progesterone support
If advised, you start progesterone support the day after your IUI.
10I am out of progesterone, do I need to continue
Yes, continue progesterone support until you have received your pregnancy test results. If positive, continue until advised to stop
IVF Cycles
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1I forgot to take my injectable medication on time today
Don’t worry, there will not be a negative effect to your cycle. Take the dose as soon as you can and return to your regular time from tomorrow. We recommend setting an alarm on your phone to remind you of your medication administration time. The next time you are in clinic for bloodwork & ultrasound please inform one of the nurses.
2I took a partial dose of medication and then wasted some
If you know how much you missed, take additional medication to complete your dose. If you do not have any additional medications left call your clinic in the morning and advise the nurse of how much medication was taken so we can record it on your file.
3I thought I had medication at home, but actually I have no medication to take for tonight's dose
Call the clinic in the morning and advise the nurse. After discussing it with the doctor we will advise you on next steps
4My abdomen feels bloated and sore
As you take stimulation medications and your ovaries respond, you may feel a sense of fullness or tenderness. This is common, please discuss it with your nurse at your next visit.
5Can I have intercourse with my partner
Yes, up to and including Day 8 of injections. After your 8th day of injections we recommend no further intercourse or ejaculation to ensure an adequate sample on your retrieval day and to minimize the risk of a multiple pregnancy.
6Do I need a full bladder for my OPU (egg retrieval) procedure
No, and please remember you need to have nothing to eat or drink from midnight the day of your OPU procedure
7I am booked for my OPU and was supposed to take my trigger shot but forgot
If it is within 3 hours of when you were to take your trigger shot, take it now. Call the clinic in the morning and speak with a nurse. She will discuss and decide whether any adjustments are necessary.
Post Egg Retrieval
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1After my retrieval I am having spotting and cramping
This is normal for the next 3 days. Please call the clinic if it is increasing in intensity.
2My stomach feels bloated and sore still
Continue or start the following: Drink gatorade and eat high sodium foods. Call the clinic during business hours to speak to one of our nurses.
3My stomach feels bloated and I am having difficulty breathing
Go to the nearest emergency room. Call the clinic during business hours to update us of your ER visit.
4I was given medications after my egg retrieval procedure, when do I stop them
Continue the medications you were given until you have completed them all.
5I ran out of medications that were given after my egg retrieval procedure, do I need to get more
No, the clinic would have provided you with all the medications you needed for the entire course required.
FET Cycles
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1I forgot to take my oral medication yesterday
Do not take a double dose today, just continue your regular dose until the pills are completed.
2I forgot to take my oral medication on time today
There will not be a negative effect to your cycle, take the dose as soon as you can. We recommend setting an alarm on your phone to remind you of your medication administration time.
3I forgot to take my Ovidrel injection at the time recommended by the nurse
Take it now and advise the nursing staff in the morning
4I forgot to take my progesterone support today
Take the dose as soon as you can and return to your regular time from tomorrow. We recommend setting an alarm on your phone to remind you of your medication administration time. The next time you are in clinic for bloodwork & ultrasound please inform one of the nurses
5Do I need a full bladder for my frozen embryo transfer procedure
Yes, please drink 1 litre of clear fluid 1 hour prior to your appointment time.
6Doxycycline instructions
If your doctor has prescribed Doxycyline for your frozen embryo transfer please start the medication so that it will be completed the day before your procedure. You should take 1 pill twice a day until your pills are completed.
Pregnancy
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1I am feeling nauseous
This is a common concern in early pregnancy. Try to eat small meals and call the clinic to speak with a nurse tomorrow.
2I am having spotting
Some spotting and even occasional light flow can occur during pregnancy. It is not always a negative sign. Please rest, continue any medications the clinic has asked you to take and contact the clinic in the morning
3I am bleeding
We understand how concerning this is for you. Please rest, continue any medications the clinic has asked you to take and contact the clinic in the morning unless you are having severe cramping. If you are experiencing severe cramping and/or heavy bleeding (soaking a sanitary pad in an hour) please go to your nearest Emergency Room.
4I am having very strong painful cramping
If you are experiencing severe cramping please go to your nearest Emergency Room.
5I forgot to take my progesterone support today
Take the dose as soon as you can and return to your regular time from tomorrow. We recommend setting an alarm on your phone to remind you of your medication administration time. The next time you are in clinic for bloodwork & ultrasound please inform one of the nurses.
