Light bleeding 24 – 48 hours following your procedure is to be expected.

If you were prescribed a Decapeptyl trigger, your period can begin within days of the trigger.

If you were prescribed an Ovidrel trigger your period can begin 10 – 14 days of the trigger.

If you are experience heavy bleeding, filling a pad more frequently that 1 every 2 hours, attend the nearest emergency department.

Any bleeding should be reported to nursing staff for assessment the following clinic day. If bleeding is heavier than a period or associated with clots, please seek advice from a healthcare professional, urgent care or hospital emergency.

If you are undergoing a planned cycle start, bleeding is to be expected. use pads or period underwear only.

For all other cycles, notify urgent@stellarfertility.com.au for follow up from a nurse the next clinic day.

Around 1 – 4 women experience bleeding in early pregnancy. Bleeding may be caused by implantation following a transfer, changes to the cervix, infection and is serious circumstance it may be a sign of miscarriage or ectopic pregnancy. If you are experiencing light spotting, or bleeding that is pink, brown or red staining

• monitor your symptoms and notify urgent@stellarfertility.com.au
• continue progesterone pessaries and all prescribed medications
• use pads rather than tampons
• rest and maintain hydration with water and electrolytes

If you are experiencing mild pain rated no higher that 4/10, monitor your symptoms and notify urgent@stellarfertility.com.au.

Manage pain with paracetamol every 4 – 6 hours if required and a heat pack if required. Continue to rest and maintain hydration with water and electrolytes.

If you are experiencing any of the following symptoms, please attend an emergency department

• Heavy bleeding (using 2 pads within 1 hour) or passing clots
• Severe abdominal pain or pelvic pain rated 5+/10
• Shoulder tip pain (sign of ectopic pregnancy)
• Dizziness, fainting or feeling lightheaded
• Passing clots or tissue
• Feeling very unwell

Contact urgent@stellarfertility.com.au with the name of the medication and your concern. A nurse will contact you the following clinic day.

Medications dispensed by HealthSmart Pharmacy

If your current cycle medications were dispensed by a HealthSmart Pharmacy, they will have your prescriptions on file. If your supply is running low, contact your HealthSmart Pharmacy. HealthSmart Pharmacy – Peter MacCallum Cancer Centre is open until 11pm Monday – Sunday.  Please ensure you have a copy of your Stellar Fertility Medication Schedule to confirm your prescription.

Other pharmacies

If your current cycle medications have not been dispensed by a HealthSmart Pharmacy, you will not be able to use your Stellar Fertility Medication Schedule to collect medications. Notify urgent@stellarfertility.com.au for a nurse to contact you the following clinic day for a prescription.

If you have missed taking a scheduled medication

If you have missed your trigger less than 2 hours after your instructed time

If you have missed your trigger more than 2 hours after your instructed time