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Embryos and clinical readiness are reviewed together
Having an embryo available is one part of transfer planning. The medical team also reviews the uterus, endometrium and hormone findings, together with the patient’s history and the proposed embryo pathway.
The plan may involve a fresh transfer or a later frozen transfer. For a frozen transfer, the clinician discusses how endometrial preparation and monitoring will be organized before the procedure date is confirmed.
Uterine reports and earlier treatment
Share ultrasound reports, any previous uterine-cavity investigations or surgery records, and the history of earlier transfers. Polyps, adhesions, fibroids or other reported findings may need discussion as part of the individual assessment.
The doctor decides whether further investigation, such as hysteroscopy, is relevant. A list of possible investigations is not a requirement that every patient undergo the same procedure.
Natural-cycle and medication-prepared approaches
Natural-cycle preparation involves review of menstrual and ovulation findings. A medication-prepared approach uses prescribed treatment to prepare the endometrium, with the timing adjusted to the clinical plan.
The approach depends on the assessment and monitoring. A lining measurement or another patient’s calendar should not be used on its own to select a transfer date or to start medication.
What to confirm before the appointment
Scroll across to view all columns.
| Area | Information to confirm |
|---|---|
| Clinical review | Which ultrasound, hormone, uterine or previous transfer reports are needed? |
| Medication | What should be taken before and after the procedure, and at what times? |
| Nursing instructions | What are the instructions for food, drink and bladder preparation on the day? |
| Laboratory plan | Which embryo findings have been reviewed, and how many embryos are proposed for transfer? |
| Travel and follow-up | When can travel be arranged, and how will the first pregnancy test and later reports be reviewed? |
The day of transfer
Follow the instructions given for your appointment. In particular, confirm bladder preparation and the timing of any vaginal medication with the nursing team instead of copying instructions from a previous cycle.
Ask the team to explain the procedure and any comfort concerns before it begins. The appointment also provides an opportunity to confirm the medication and testing schedule for the days afterwards.
If preparation happens locally
Send complete, dated monitoring reports with the result, units and laboratory ranges. Ensure that the local clinician and INCITA know which plan is being followed and who is reviewing the next result.
See medication and monitoring, single embryo transfer and care after transfer.