Q: How long do I have to wait for a new consultation?
A: We can usually arrange your first consultation within 7-10 days.
Q: Once we have seen the specialist, is there a wait before we can start treatment?
A: The good news is that there is no waiting list to start fertility treatment at Herts & Essex. You will need to book a Treatment Information Appointment (TIA) with a Nurse Coordinator to begin the process.
Q: Do we both have to attend the treatment information appointment?
A: Yes, because both of you will need to complete and sign the consent forms.
Q: What are the screening blood tests we need before we start treatment?
A: We run standard screening tests for HIV, hepatitis B surface antigen, hepatitis core antibody, hepatitis C and chlamydia (urine) for both partners. The female partner will also need a full blood count and Rubella.
Q: When does the treatment have to be paid for?
A: We ask you to settle your account once stimulation has started.
Q: Does my husband/partner have to come with me to the scan appointments?
A: It is entirely your choice. Many people find it reassuring and rewarding when both partners attend scans especially pregnancy scans which present a great opportunity to see the progress of the newest member of your family!
Q: How many times do I need to attend during the course of my treatment?
A: After your initial consultation, you will need to attend the nurse Treatment Information Appointment, and an average of three ultrasound scans before the egg collection. Your embryo transfer is carried out a few days later.
Q: How long do the scan appointments take?
A: An ultrasound scan usually takes about 15 minutes. Afterwards you will also need to see a nurse for a few minutes to get your medication and further instructions.
Q: At what time should I do my injections?
A: You can choose whichever time of the day suits you best for your injections, but remember that you need to inject at the same time every day. Cetrotide, however, should be taken in the morning.
Q: Do the drugs have to go in the fridge?
A: We would like you to store most fertility drugs in the fridge, but there are a few drugs which can be kept safely at room temperature. We will tell you exactly how to store each drug during your consultations.
Q: Do I need time off work after Egg Collection?
A: You will be sedated for the egg collection operation, which means that you will not be able to drive, operate machinery of any kind or even sign legal documents for at least 24 hours.
Q: Do I need time off work after the Embryo Transfer?
A: The Embryo Transfer is like having a smear test. You can return to work afterwards.
Q: Can I exercise while having treatment?
A: You can exercise as normal but after the Embryo Transfer, you should avoid heavy lifting and strenuous exercise for a couple of days just as you would with any pregnancy.
Q: What kind of side effects will I have with the medication?
A: You may not always have side effects. Common side effects for the down regulation drugs are those of the menopause (tiredness, hot flushes, night sweats, mood swings, headaches).
You may have bloating of the abdomen and breast tenderness with the stimulation drugs. Your consultant will discuss all possible side effects when prescribing drugs.
Q: When and where do I use my pessary on the day of transfer?
A: You will need to use your Cyclogest pessary on the day of your transfer and we advise that you administer it rectally. Do not use Crinone gel until after the embryo transfer.
Q: Will I bleed after egg collection?
A: As we collect your eggs through your vagina using a needle, you may experience some discomfort after the procedure and a small amount of bleeding is perfectly normal. The bleeding should stop in a day or two.
Q: Will I bleed between egg collection and embryo transfer?
A: There is an initial small post-operative bleed for a day or so.
If the treatment has failed, you will get a bleed around the pregnancy test day. It is possible to have a bleed even when you have successfully become pregnant. If you experience bleeding and your pregnancy test is positive please get in touch with us for further advice.