Back in your own country
Administering progesterone Blood tests Closing your record Follow-up of possible pregnancy Prenatal and postnatal tests Follow-up studies organised by UZ Brussel
After returning to your own country, there will be a two week wait before you know the result of the ART treatment: pregnancy or period.
The day after egg retrieval - or possibly the day of insemination - you started taking progesterone. In the weeks after your return you continue doing so, until the DM tells you to stop.
Progesterone is taken:
- in the form of capsules, which you need to insert into your vagina three times a day, or
- in the form of a gel, which needs to be inserted once a day with an applicator into the vagina.
You are in complete control.
It is extremely important that for the entire duration of the progesterone treatment you strictly respect the specified schedule and that you don't miss a dose, including during your return trip. A higher-than-planned dose of progesterone carries no risk: a capsule or injection too many is better than too few.
The result of treatment, like for all other ART patients, is followed up with blood tests (pregnancy test):
- on day twelve after embryo transfer, or
- day fifteen after insemination.
However, if you should have a period in the meantime, a blood test must be performed on day three of the menstruation and the result has to be sent to us. It is very important you don't forget this: the aim of this blood test is to detect any late signs of a possible pregnancy.
Please fax the result to the DM.
Closing your record
After the CRG received the results of the blood tests (which show whether you are pregnant or not), we will send you a medical report about your treatment.
If this did not result in pregnancy, we also draw up a written recommendation about how to proceed. This recommendation is provided about a month after we received your result. It is based on a meticulous study of your record by the CRG's medical staff.
If it is possible to continue the treatment in one way or another, the necessary appointments can be made (start date, etc.) with the person responsible for planning. However, in case of IVF|ICSI treatment, this is only possible after receiving written confirmation about the number of frozen embryos.
Follow-up of possible pregnancy
If the ART treatment was successful we recommend that your own gynaecologist follows up the pregnancy. He/she can perform the necessary ultrasound scans and any other tests.
Pre- and postnatal diagnosis
- As part of an IVF or IVF|ICSI treatment it is often advisable to perform a flake test in the tenth week of pregnancy or an amniocentesis in the fourteenth week. Another option is to perform a trisomy 21 blood analysis (Down's syndrome) in the sixteenth week.
You can go to the Centre for Medical Genetics (CMG) of UZ Brussel for this, but usually it is more practical to perform the prenatal test in your own country.
- The CRG also strongly advises all ART couples who had a baby to have their child examined by the CMG of UZ Brussel after birth. Our overseas patients are also welcome to have their baby examined by our specialists, but usually it is more practical if they have this done in their own country.
Follow-up studies organised by UZ Brussel
Although the follow-up of your pregnancy and any pre- and postnatal tests can be performed by your own gynaecologist, UZ Brussel also wants to know about the progress of your pregnancy and the birth of your baby. We will send you two questionnaires:
- the first is sent at the end of the first term of your pregnancy,
- the second after the estimated delivery date.
Our questionnaires are, on the one hand, out of personal interest: we like to know whether the treatment was a success and whether you experienced any problems. On the other hand they are also part of the scientific study we conduct into pregnancies and children resulting from fertility treatment.
The aim is to improve the quality of our treatments and to map the effects of certain changes (e.g. in stimulation medication). We also have to meet legal obligations regarding the collection of statistical data on (the health of) our patients and their babies born from IVF/ICSI or AI(D).
We therefore insist that our patients complete and return the questionnaires. Not only does it help scientific research, it also helps many future patients. And one day you may be one again.
There is no need to worry about your privacy: all data is processed strictly anonymously. There is absolutely no chance that medical or other information you provide can be traced back to you personally.