FAQ – Frequently Asked Questions
If your bleeding starts over the weekend when the clinic is closed, follow your treatment plan. You can contact the clinic on Monday. You can also review your treatment plan on Omakanta (https://www.kanta.fi) for reference.
If bleeding starts before the scheduled pregnancy test, it is important to continue the medications until the actual test date. However, please contact the clinic for further instructions if you are unsure.
If you realize that you forgot your injection on the scheduled day before 11:59 PM, go ahead and administer the trigger shot as soon as possible. Inform the clinic about the timing of the injection the following morning. If you completely forgot to administer the trigger shot, please contact the clinic.
You can take the medication as soon as you realize the omission or continue with the medication following the instructions for the next dose. If you’re using injectable medications, such as a “blocking” medication like Fyremadel or Ganirelix, administer the medication immediately upon realizing the omission and inform the clinic.
If vomiting occurs very shortly after taking the medication (within 30 minutes), you can take the medication again.
Do not use a defective medicine. Take the pack to the pharmacy, where you can get a replacement dose.
You should reserve/collect medications from the pharmacy well in advance of your planned treatment. However, if you do not have a prescription, the pharmacy can contact the clinic, or you can also call or send an urgent message through the app, and we will arrange a prescription for you. If you need a prescription when the clinic is closed, you can call Pihlajalinna’s phone service (010 312 010) and ask them to contact your own doctor. Additionally, Pihlajalinna’s emergency service in Munkkivuori, Helsinki, can provide missing prescriptions if needed. You can check from the https://www.apteekki.fi
or https://www.yliopistonapteekki.fi/ link which pharmacy has the prescribed medication available through the medication search.
It is not dangerous. You should press the injection site firmly for a while.
It is recommended to take the coronavirus and influenza vaccine also during treatment/pregnancy. Due to the possibility of a vaccine reaction, it is not advisable to take the vaccine on the day before the procedure or on the day of the procedure.
In general, you can exercise and do normal activities during the treatment. You should avoid heavy physical activity for a few days before and a few days immediately after egg collection. If there are a lot of follicles, follow the instructions given.
Alcohol is not prohibited during treatments.
The embryo cannot drop.
After procedures, you may experience discomfort/lower abdominal pain/spotting for a couple of days. Swelling and tenderness are also common. You can take pain relievers as needed (preferably paracetamol). It’s advisable to avoid physical exertion for a few days. Contact the clinic if the pain is bothersome, if your temperature rises above 38 degrees Celsius, or if the bleeding becomes heavier than menstrual bleeding. During emergencies, please get in touch with the nearby hospital with gynecological emergency services.
After the sample collection, you may experience light brownish spotting and some discomfort/lower abdominal pain for a few days. If the post-sample bleeding becomes heavier or foul-smelling, if you experience lower abdominal pain or fever, please contact the clinic.
Your doctor will advise you separately if abstinence from sexual intercourse is recommended.
There are different types of ovulation tests. Follow the instructions on each package.
It is a good idea to buy ovulation tests from a pharmacy so that we know they are reliable. There is no single recommended ovulation test. Reliable ovulation tests are available in both strip and digital formats, but digital tests are the most accurate.
You can have laboratory tests done at Dextra Fertility Clinic, but you also have the option to visit various Pihlajalinna locations, go through your occupational health care, or use HUS-lab facilities. For Pihlajalinna locations, an electronic referral is sufficient, but if you choose HUS-lab, you will need a printed paper referral, which you can obtain from your doctor. Please note that some laboratory tests at Dextra Fertility Clinic are less expensive than elsewhere within Pihlajalinna.
When planning pregnancy, it is recommended to take folic acid 400-500µg/day and vitamin D 20µg/day. A varied and healthy diet is important. No vitamins or natural supplements should be taken in excess of the recommended doses.
For up-to-date nutrition recommendations for pregnancy and breastfeeding, see the THL website
https://thl.fi/fi/web/elintavat-ja- nutrition/nutrition/nutrition/recommendations/pregnancy-and-breastfeeding
DHEA and Ubiquinol continue until a positive pregnancy test.
Phone calls are not free, the doctor charges for longer calls according to the time used.
On the Dextra Fertility Clinic website you can find price estimates for consultations, tests and treatments. When you plan your treatment, your doctor will give you a more accurate estimate of the cost of your planned treatment. You can find the prices of medicines at https://www.apteekki.fi or https://www.yliopistonapteekki.fi
During the NIPT visit, you will be given advice about the test and have an ultrasound (abdominal) check of the foetal heart beat. If you would like a more extensive ultrasound scan at the same time, please mention this at the time of your appointment. The scan is charged separately.
The first day of your period is when the actual bleeding starts. Spotting does not count.