Cycle monitoring overview

1. Initiate your plan

Select the plan you wish to proceed with in your patient app.

2. Report day 1 of your period

It is important that you report your day 1 on the day you get full flow, bright red bleeding. It is not spotting or brown discharge.

You can do this through your app once you have accepted, paid and checked out of your treatment plan. Go to My Journey, then Upcoming Milestones, then Report day 1.

3. Book your first appointment (baseline testing)

After reporting your day 1, you will be sent another milestone to book your first cycle monitoring appointment. This is baseline testing, made up of two appointments:

1. Baseline pelvic and transvaginal ultrasound (full bladder: drink 4–5 cups of water an hour before your appointment)
2. Blood work (no preparation required)

Please book these between day 2 and 5 of your period, on the same day and around the same time.

4. Your first appointment (baseline testing)

Check in at the front desk for your appointments. You will complete blood work first and then your ultrasound. When you’re done:

• If you have a medication pickup appointment, please wait to see a cycle monitoring nurse.
• If you wish to see the nurse, please tell the front desk.
• Otherwise, you may leave the clinic.

Following your appointment, a cycle monitoring nurse will contact you before the end of the day with your next steps.

5. Your second appointment and onwards

Each following cycle monitoring appointment will be a transvaginal ultrasound (empty bladder) and blood work.

Your next appointment will depend on your cycle length. You may return to the clinic anywhere from day 8 to 12 of your cycle. If you are taking medications, you may be advised to return earlier than day 8. The cycle monitoring nurse will make sure you know your return date.

From your second visit, you can expect to return daily or every few days as advised by the cycle monitoring nurse. We continue to monitor until ovulation is confirmed by your blood and ultrasound results. This can take up to one week or more.

After every cycle monitoring appointment, you can expect to hear from a cycle monitoring nurse who will guide you on your next steps and review your results with you.

If you are in an insemination plan, we will provide specific instructions for this. Please see the IUI handout for more information.

If no ovulation occurs by a certain point in your cycle, your plan will be cancelled. At this point, we may have gathered enough information about your cycle. The next step would be to ensure you have a follow-up in place with your physician to review all results in context.

6. Once ovulation is confirmed

No further monitoring is required. Cycle monitoring is now complete.

• If you are in an intercourse treatment plan, you will be advised of the best time for intercourse. You will then be advised to book a pregnancy test about 14 days later.
• If you are in an IUI treatment plan, you will be advised of your insemination date and time. You will then be advised to book a pregnancy test about 14 days later.

Depending on your results, the cycle monitoring nurse will advise you of the appropriate next appointments. Please make sure you confirm your appointments.

Cycle monitoring blood work

Cycle monitoring ultrasound