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IVF Cycle Tracker

Estrogen Priming Antagonist Protocol
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Welcome

Set your start date to begin

What to do today

Cycle progress

Where you are in the Estrogen Priming Antagonist protocol.

⚠ Important rules for all medications

  • Give medications at the same time every day (within 1 hour).
  • Cetrotide is time-sensitive — inject as close to 11:00 AM as possible.
  • Take Rekovelle and Menopur at the same time, between 4:00–7:00 PM, same time daily.
  • Do not stop any medication until you have spoken with a nurse.

Today's medication schedule

Full medication reference

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Upcoming appointments

✓ Do

  • Both partners: stop or reduce smoking, avoid second-hand smoke
  • Take 0.4 mg–1 mg of folic acid daily, or a prenatal multivitamin
  • Eat a balanced diet
  • Stay well hydrated
  • If using fresh sperm: ejaculate every 2–4 days once injections start (nurse will tell you when to abstain)
  • Tell a nurse if either partner gets an infection or needs new medication (e.g. antibiotics)
  • Tylenol (acetaminophen) is OK for pain if needed
  • Bring printed schedule to every ultrasound appointment

✕ Don't

  • Don't take Aspirin or ibuprofen (Advil, Motrin)
  • No alcohol during treatment (both partners)
  • Max 2 caffeinated drinks per day (both partners)
  • No high-impact exercise: jumping, bending, twisting, weights, jogging, yoga
  • No saunas, hot tubs, or hot baths — especially for sperm provider
  • No intercourse while on injections
  • Don't stop any medication without speaking to a nurse first
  • On trigger day: no scented products (both partners) — harmful to gametes
  • Nothing to eat or drink after midnight before retrieval

When to call the nurse

  • Ext. 201 — to report your period (day 1 full flow), or a positive ovulation test (OPK)
  • Ext. 617 — questions during your cycle, or if OPK is not positive by cycle day 17, or if you finished all patches without a period, or no period 3 days after New Expected Menses (NEM)
  • 613-722-7000 — after-hours emergencies, ask for the IVF doctor on call
  • 1-800-387-8479 — My Momentum 24/7 medication support line

Clinic documents

Your official Ottawa Fertility Centre protocol documents. Open or download them anytime.

Estrogen Priming Antagonist Protocol
Ottawa Fertility Centre · 2024-11-18 · Aline's schedule
Open PDF →
Trigger Instructions
Ottawa Fertility Centre · 2023-Jan-13 · Follow on trigger day
Open PDF →

How to access the injection videos

  1. Go to conceive.ca
  2. Click Videos (top right) → Injection teaching
  3. Enter password OFCNurse2022
  4. Click Access my MOMENTUM on the right
  5. Enter the DIN number of your medication to play its video

Medication video links & DIN numbers

Key contacts

What this app does

This tracker is built around one question: "What do I do today?" You enter key dates as your nurse confirms them — the app does the rest. Every task you see on the Today tab is computed from those dates in real time. Nothing is hardcoded to a calendar; everything follows from when your cycle actually started.

The protocol encoded here is the Estrogen Priming Antagonist protocol from the Ottawa Fertility Centre, drawn directly from the printed PDF instructions provided by the clinic. The section below walks through every rule the app enforces, so you can cross-check it against your own copy of the PDF.

How to use the app — step by step

  1. Go to Setup and fill in dates as your nurse confirms them. Leave fields blank until you know them — the app adapts as you add more.
  2. Open the Today tab each morning to see exactly what to do: which injections, which patches, which tests, which precautions.
  3. Check off tasks as you complete them. Checkmarks are saved and reset the next day automatically.
  4. Use the Timeline tab to see your full cycle at a glance — past events, today, and future milestones.
  5. Use the Medications tab for a quick view of today's scheduled meds and a full reference list with injection video links.
  6. Add appointments in the Appointments tab — they'll appear in Today's task list on the day of, and in the Timeline.
  7. Export a backup weekly using the ↓ Export button at the top. The app stores everything in your browser locally — if you clear browser data, it's gone. Keep a backup.

How the app decides what to show you

Every time the page loads or you save a date, the app runs through today's date against all your setup dates and builds the task list from scratch. Think of it as a set of if / then rules — one per protocol step. Here's the full decision tree:

PHASE 1 — Priming (Cycle Day 1 → Stim Day 1)

  • Once Cycle Day 1 is entered: the app tracks what cycle day it is and shows that in the hero banner.
  • From Cycle Day 10 onward (if no positive OPK date is entered yet): the app shows a daily task — "Take OPK with first morning urine (ClearBlue). Call ext. 201 if positive."
  • If today is Cycle Day 17 or later and still no positive OPK: an additional warning task appears — "OPK not positive by day 17 — call ext. 617."
  • Once a positive OPK date is entered: the OPK task disappears. You are expected to call ext. 201 at that point (the app shows this reminder in the task).
  • From the First Patch date onward: the app calculates which of the 8 patch days land on today (patch days are every 2 days). If today is a patch day, the task "Apply estradiol patch #N of 8" appears.
  • During the patch phase (until Stim Day 1 is entered): a standing reminder appears every day — "When your period starts, call ext. 201 to report it. A nurse will advise when to stop your medication. Do NOT stop any medication on your own."
  • After the last patch (day 15+ from patch 1) if Stim Day 1 has not been entered yet: an urgent reminder appears — "Last patch applied — if your period has not started, call ext. 617 to speak with a nurse."

PHASE 2 — Stimulation (Stim Day 1 → Trigger Day)

  • From Stim Day 1 (and until the trigger date): the app shows these three tasks every day:
    • Rekovelle 15 mcg injection at your configured evening time (default 18:00)
    • Menopur 150 IU injection at the same time
    • Decadron 0.5 mg by mouth, once daily
  • From the Cetrotide start date (typically Stim Day 6, or as advised — you enter it manually): the app adds a daily Cetrotide 250 mcg task at your configured time (default 11:00 AM). It is marked time-sensitive — within 1 hour.
  • During stim phase: an info reminder appears every day — "No Aspirin or ibuprofen. Tylenol is OK. No high-impact exercise. No alcohol."
  • The stim-phase hero banner shows the current stim day number and days remaining until trigger or retrieval.

PHASE 3 — Trigger Day

  • On the trigger date: all stim injections (Rekovelle, Menopur, Decadron) are automatically removed from the task list.
  • Cetrotide still appears on trigger day (last dose), then stops.
  • A highlighted "★ TRIGGER DAY" task appears with the reminder: last Cetrotide, stop Decadron, trigger injection at exact prescribed time.
  • A second task appears: "Take Milk of Magnesia at bedtime" (may cause diarrhea — this is expected per protocol).
  • 2 days before trigger: a warning reminder appears — "Trigger in N days — confirm pickup of trigger medication from Green Valley Pharmacy."

PHASE 4 — Retrieval Day (and the day before)

  • 3 days before retrieval: an urgent reminder appears — "Egg retrieval in N days — arrange a driver."
  • Day before retrieval: two tasks appear:
    • "Stop using scented products today (both partners)" — harmful to eggs and sperm.
    • "Nothing to eat or drink after midnight" — you may brush your teeth in the morning.
  • On retrieval day: a "★ EGG RETRIEVAL DAY" task appears with key reminders: weigh yourself, bring water bottle, need a driver, no driving for 24 hours.

⚠ Assumptions hardcoded — verify these with your nurse

The app encodes this protocol as written in the PDF provided to us. Some values are specific to this patient's prescription and may differ from what other patients receive. Cross-check each of these against your printed instructions:

What the app assumes Source Verified ✓
8 estradiol patches total, applied every 2 days PDF checkbox (patches selected, not Estrace) □
Patch dose: 100 mcg PDF □
Rekovelle dose: 15 mcg, subcutaneous pen, evening PDF □
Menopur dose: 150 IU, same time as Rekovelle PDF □
Decadron dose: 0.5 mg by mouth, once daily PDF □
Cetrotide dose: 250 mcg, subcutaneous, 11:00 AM (configurable in Setup) PDF — time-sensitive □
Cetrotide starts Stim Day 6 (you enter the date — app doesn't calculate it automatically) PDF — "or as advised by nurse" □
Trigger: app marks the day but does NOT track which trigger medication — follow your paper trigger sheet Varies per patient (Ovidrel, HCG+Decapeptyl, or Decapeptyl alone) □
OPK testing starts Cycle Day 10, warning if no positive by Day 17 PDF □
Patch 1 starts 2 days after positive OPK (you enter the date as confirmed by nurse) PDF □
NEM (New Expected Menses) is not tracked — this applies to Estrace patients only. This patient is on patches, so the app instead warns after patch #8 if no period has started. PDF (Estrace path — not applicable here) N/A

Note: The app does not currently track Dostinex (if prescribed post-trigger), Flagyl/Metronidazole (retrieval day), or Endometrin/Prometrium/Progesterone (post-retrieval). If any of these apply to your prescription, add them as Appointment notes or verify separately.

What the app does NOT track — verify manually

  • Your nurse's verbal instructions always override the app. The PDF is the source; the app interprets it. When there's any conflict, call ext. 617.
  • Dose adjustments — your nurse may call after each ultrasound to change Rekovelle or Menopur doses. The app shows the PDF starting doses only.
  • Which trigger medication — follow the separate trigger instruction sheet provided by the clinic.
  • Dostinex (cabergoline vaginally, every 3 days × 4 doses, if prescribed after trigger) — not currently tracked.
  • Flagyl / Metronidazole (on retrieval day, with sips of water, if prescribed) — not tracked.
  • Post-retrieval progesterone support (Endometrin, Prometrium, or injectable Progesterone) — if prescribed, these start after retrieval and are not tracked here yet.
  • Partner sperm instructions — the clinic will tell your partner when to abstain and when to ejaculate to optimize sample quality. The app does not track this.

Your data & privacy

  • Data is stored in Cloudflare D1 — a private database on your own Cloudflare account. No third-party services have access to it. The header shows "✓ Synced" after every save.
  • A local copy is also kept in this browser as an offline cache. If the network is unavailable, the app falls back to local data automatically and shows "Offline — local only".
  • Both partners see the same data because it is a single shared record — no per-user accounts. Last save wins if both edit at exactly the same moment (rare in practice).
  • Access to the app, the API, and the clinic PDF documents is restricted to the two authorised email addresses configured in Cloudflare Access. Nobody else can reach any of it.
  • Use the ↓ Export button periodically to keep a local JSON backup as an extra safety net.
  • The app contains no analytics, no tracking, no third-party scripts of any kind.

Cycle dates

Fill in dates as your nurse confirms them. Everything saves automatically. Leave blank what you don't know yet.

Cycle day 1 — when you reported your period to ext. 201.
The day your ovulation test turned positive.
Usually 2 days after positive OPK. Patches go on every 2 days (8 patches total).
First day of Rekovelle + Menopur + Decadron.

Times

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