Cycle start notification

We require the following information to coordinate the examinations included in your treatment plan

Contact details

Name

E-mail address

First name

Phone number

Date of birth

Please tell us your date of birth:

Cycle information

When was the 1st day of your cycle

First day of the regular (red) menstrual bleeding. Spotting alone does not count as the start of the cycle

Did you have fertility treatment in your last cycle?NoYes, pregnancy test was negative

If yes, date of the negative pregnancy test

Average length of your cycle (from day 1 to day 1 of the following cycle)

For which planned measures are you reporting the start of your cycle?

Diagnostic cycle for examinations(fallopian tubes: HyCoSy, uterus: hysteroscopy, endometrium: biopsy)Cycle monitoring or inseminationIVF/ICSINatural Cycle/Mini IVF(without anaesthesia)Thaw cycle (Frozen Embryo Transfer)Other

Other

Appointment

Practice location

Comments, questions, wishes