Frequently asked questions

Here you can find answers to some of the most frequently asked questions we receive from patients who are or will be undergoing treatment.

Medication

When should I take my medication?

It is important to take the medication that you have been informed about at the clinic.

FSH (Menopur, Meriofert, Gonal-F, Bemfola, Pergoveris, Puregon or Rekovelle) you can decide when you take it. Just roughly the same time every day (+/- 1 to 2 hours)

Ganirelix/Fyremadel should always be taken in the morning.

Your ovulation syringe is important to take at the time of day we inform you about.

It is always important to follow your treatment schedule and take the amount of medication daily that we have prescribed.

How should I take my medication?

Under “My IVF-SYD” you can access medication instructions and get help with the administration of the various drugs via short video sequences made by the pharmaceutical companies.

If you are still in doubt, you should always contact the clinic if possible during telephone hours.

Can I buy medication at all pharmacies?

Yes, you can buy the medicine we prescribe for you at any pharmacy. Simply contact the pharmacy well in advance of your start date so they can order the medicine for you. Most pharmacies do not have the medicine in stock.

Do I have enough medication?

Keep track of your medication by downloading the app “Apoteket” (only for patients with a danish cpr-number). Here you can see what we have stored for you on the prescription server and which medicine you can pick up more of.

When you start a course of treatment, we will provide you with the medicine you need for your treatment. We will keep you informed about which medication you need and when.

When you come for a scan, we will help you assess whether you have enough medication or are running low.

How do I take Cyclogest/Crinone?

Cyklogest is a suppository that is inserted high up in the vagina with a finger. The active ingredient in the suppository (progesterone) dissolves and is absorbed through the endometrium. The rest is discharged as ‘milky white’ vaginal discharge. Cyclogest should typically be taken morning and evening. Time of day may vary slightly.

Crinone is a gel that is placed in an insertion sheath. The sheath is placed in the vagina and the gel is squeezed out. The hormone is also absorbed into the emdometrium. You may find that the residual product comes out again as small lumps.

Crinone should typically be taken morning and evening. Time of day may vary slightly.

I have a local reaction after taking Ganirelix/Fyremadel

It is completely normal for the skin around the injection site to react with redness and some burning when you take these medications. This is not dangerous and is a well-known side effect. The irritation will disappear again.

I get bruises on my stomach after injections

It is perfectly normal to hit small blood vessels in the skin when injecting the medicine. This can cause bruising and some bleeding after injection. Both are harmless and the bruising will disappear again.

I have started down-regulating and are bleeding

Once you have started your down-regulating medication (Synarela or Gonapeptyl) you should expect to experience some bleeding. This is normal and part of the treatment.

Maybe the bleeding has come a little earlier than expected or a little later. That’s perfectly fine.

What are the side effects of hormones?

The most common side effects of hormones are bloating, nausea, breast tenderness, headaches, increased discharge and fatigue.

If you are undergoing long-term IVF treatment and are taking down-regulating medication, you may experience a tendency towards headaches, viginal dryness, hot flushes and moodiness.

Pregnancy

My pregnancy test is only slightly positive. Am I pregnant?

It is normal for the test line on a urine test to be slightly weaker than the control line.

It is important to continue with your progesterone supplement (Cyclogest) even if your test is slightly positive.

My pregnancy test is negative. What should I do?

If your test is completely negative, you need to stop your medication and wait for your period.

Send us an email to let us know what the result of your test is.

When we receive your result, we will contact you and agree on the next step in your treatment programme.

I’m in the very beginning of my pregnancy and are bleeding. What should I do?

A little spotting bleeding can be normal during pregnancy. You can wait and see if it passes.

If you are bleeding heavily, you should contact the clinic. We will help you assess whether you need a blood test or an early pregnancy scan.

It is important that you continue taking your progesterone supplement even if you are bleeding.

Sex, symptoms, discomfort and vaccinations

Can I have sex while I am in treatment?

Yes, we have no restrictions on sex and intercourse.

If the man needs to do a sperm sample for the treatment, we recommend that he does not ejaculate a few days before the sample is to be delivered

I have more vaginal discharge than usual

It’s perfectly normal to have more discharge when you are in treatment and on hormones. As long as it’s light/white in colour and doesn’t smell different than normal, it’s fine. You should react if your discharge becomes smelly or changes colour.

I have pain in my lower abdomen during my treatment

It is completely normal to feel your abdomen a little more during treatment in the form of slight pain and bloating. This is because the hormones affect the ovaries to produce more egg follicles than normal.

You can take light painkillers during treatment (Pamol/Panodil/Pinex).

Treatment with progesterone (Cyclogest/Crinone) often causes gastrointestinal discomfort, which can manifest itself as bloating, abdominal pain and a sluggish stomach.

I have symptoms of vaginal thrush

You can get vaginal thrush when you take hormones during fertility treatment.

The symptoms of vaginal thrush are redness, burning and itching in the vagina, swollen labia and grainy white discharge.

You can buy over-the-counter medication at the pharmacy (e.g. Canesten) which you can start even if you are taking other hormones.

If the over-the-counter medication does not work, you should contact your doctor.

Can I get vaccinated while in treatment?

You can read more about vaccinations in connection with pregnancy on the Danish Health Authority’s website. Here you can find answers to whether you can be vaccinated in relation to pregnancy.

When I show up for treatment

I need to do a semen sample – what should I take into account?

When submitting a semen sample, we recommend that you have not ejaculated in the last 2 days. The semen sample can be made at home and must be max. 2 hours old at the time of delivery. If you make the semen sample at home, keep it warm on the way to the clinic. Keep it close to your body.

It is also possible to do the semen sample at the clinic if you have too much travelling time.

You can always get a jar for the sample at the clinic.

When should I arrive with urine in my bladder?

When you are going to be inseminated or come for a transfer of a fertilized egg, it is important to arrive with a half-full bladder.

When you have an egg retrieval, you must empty your bladder before the procedure.

If you are just coming for a scan or a pregnancy scan, you can empty your bladder before the scan itself.

I need an egg retrieval – should I fast?

No, do not fast prior to an egg retrieval. We always recommend that you eat breakfast at home and show up as scheduled.

Can I drive home after egg retrieval?

If you have been administered strong painkillers (morphine) in an IV line in connection with your egg retrieval, you are not allowed to drive yourself home. We recommend that you do not drive until the following day.

If you have not been given strong painkillers, you can drive yourself home.

How do I sign up for treatment?

When you have your first full day of bleeding, sign up for treatment.

Write us an email and inform us of the date of your first bleeding in the current cycle.

If you have a secure email, simply use it. Alternatively, you can send an email to www.info@ivf-syd.dk. If you use this email just include your name and date of birth.

Remember that the first day in your cycle is the day you bleed a real period before noon. You don’t need to sign up when it’s just spotting bleeding.

How do I make a semen sample?

Preparation

The sample can be made at home or at the clinic.

If made at home, you can get a semen cup at the clinic prior to your delivery. Or you can buy one at your local pharmacy. 

The semen sample must be up to 2 hours old and kept warm during transport – keep it close to your body.

There must always be identification on the semen cup (name and CPR/birthday).

Do not ejaculate (through intercourse or masturbation) 2-3 days before your delivery. This ensures that the semen sample is of the best possible quality. Abstinence is not advisable – a maximum of 7 days is recommended since the last ejaculation.

Make the sample

If you make the semen sample at the clinic, we have a separate room with magazines – where you have peace and quiet to do it.

The sample is made by masturbation and the semen is collected in the semen cup upon ejaculation. Hold the cup close to the head of the penis before ejaculation and try to collect as much of the semen as possible in the cup without spillage or contamination.

Submitting the sample

Samples made at home: When you arrive at the clinic with a semen sample, you can check-in in the main building and then go to the laboratory to hand it over to the staff.

Samples made at the clinic: The laboratory staff will show you to the room, where you can make the sample. Afterwards you can hand it over to the staff as agreed.

If you have any concerns regarding your semen sample, you can always talk to the laboratory staff about it.

The semen analysis

When your semen sample is submitted, it will be cleaned and analyzed and you will receive an assessment of your sperm quality.

If the sperm sample is to be used for fertility treatment, sperm quality will be crucial in choosing the treatment and fertilization method.