Below are the steps you will need to take as part of your Frozen Embryo Transfer. There are 9 steps in total and should be completed in order:
- Order your prescription
- Start your oestrogen medication on day 1-3 of your period
- Let us know when you start your medication
- After this you will need to book your scan
- Print and review your consent forms
- Preparing for your scan
- Directions on how to take you post-scan progesterone support
- The day of your transfer
- What to do after your transfer
Frozen Transfer Checklist
Step 1. Order your prescription
If you don’t already have a prescription, please use our online service to order new, replacement or repeat prescriptions to be sent to the pharmacy.
Step 2. Start your oestrogen medication on day 1-3 of your period
For example start the oestrogen medication (usually Fematab/Estrafem tablets or oestrogen patches) with your period if you would like your transfer to take place within one month. The usual regime is that you will take three tablets of Fematab 2mg (or Estrafem 2mg) starting in the first three days of your period. It does not matter which day of your period you start the tablets, that is you can start on the first, the second or the third day. After you have been on the three tablets for three days, then increase to 4 tablets on the fourth day and stay on these all the way to your pregnancy test after the transfer. Please take the tablets together at the same time of the day. Sometimes oestrogen patches are given which are placed on the skin twice weekly starting at the same time. Also oestrogen gel can be used or you may instructed to place some of the tablets vaginally. These last options are not standard and you will be given specific advice for these.
**Please ensure you use protection if you have intercourse during the treatment cycle**
Step 3. Let us know when you start your medication
Please send us an email when you have started your medication to firstname.lastname@example.org.
- Please include your patient number in the subject heading
- Also include the date you started your oestrogen medication
Step 4. Book your scan
Book an ultrasound scan for 10-14 days after starting the oestrogen treatment. For example if your period started on the 1st of March, and you started the oestrogen treatment on the same day, you would book your scan between the 10th-14th of March (Inclusive) by emailing the clinic at the email below stating your 6 digit clinic ID number, name, date of birth and when you need the scan (please state which dates you will have been on the medication for 10-14 days).
Step 5. Print and review your consent forms
Please print and review your consent forms. They will need to be signed in person (including your partner) with a member of the First IVF team when you attend for your scan appointment .
Step 6. Preparing for your scan
On the day of the scan you need to bring with you the results of a negative COVID PCR test carried out within the previous 48 hours. This is to ensure you have a negative test result before coming to theatre on the day of your transfer.
- Ultrasound scan booked with reception in First IVF Clane or in First IVF Dublin
- Payment for the cycle must be made prior to or when attending for your scan: Make a payment.
- Bring your completed consent forms with you
- You may require EU viral bloods (partner included) on the day of the scan if these are out of date
- Please attend with an empty bladder
- Your embryo transfer date will be confirmed at this scan if you are ready to proceed
Step 7. Progesterone support
You will be instructed at the time of the scan when to start your progesterone support. This support is normally given as vaginal pessaries (Cyclogest), vaginal gel (Crinone) or sometimes into the skin (subcutaneous).
Dosage: Take your Cyclogest or Crinone pessaries twice daily up to and including the morning of the planned transfer.
Step 8. The day of your transfer
- Do not use any perfumed items on the day of the transfer.
- An hour before your appointment please empty your bladder and drink 750 ml (a pint) of water. This will help you to have a comfortably FULL bladder at the time of the transfer.
Step 9. After your transfer
After your transfer you will be asked to do a home pregnancy test 12-14 days later. If this home urinary pregnancy test is positive, please book a confirmatory beta-hCG blood pregnancy test with reception and continue all your support medications until your pregnancy scan.
Please order your prescriptions here for these support medications.