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Continue hormone support while traveling; pregnancy test usually done after return."},"follow_up_visits":[{"purpose":"result_review","requirement":"routine","after":{"min":9,"max":14,"unit":"days","qualifier":"After Frozen donated embryo transfer: Blood hCG pregnancy test; timing depends on embryo stage and clinic protocol."}},{"purpose":"assessment","requirement":"conditional","after":{"min":28,"max":42,"unit":"days","qualifier":"After Frozen donated embryo transfer: Early pregnancy ultrasound, only if the pregnancy test is positive."}}],"indications":["Own eggs or embryos unusable (e.g., poor ovarian reserve, age)","Repeated IVF failure with own embryos","Risk of transmitting a genetic disease through own gametes","Both partners without usable eggs or sperm"],"main_risks":["Early miscarriage","Multiple pregnancy if more than one embryo is transferred","Ectopic pregnancy, including rare heterotopic pregnancy","Mild cramping, spotting, or rarely pelvic infection after transfer","Hormone side effects (bloating, mood changes, headache); rare thromboembolism","Pregnancy complications such as hypertensive disorders of pregnancy"],"pain":"Usually minimal. 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Mild cramping, spotting, bloating or breast tenderness can occur while waiting for the pregnancy test.","restrictions":["Avoid strenuous exercise","Follow clinic advice on intercourse, baths and swimming","Do not stop hormone medication unless the clinic advises"]},{"phase":"After the pregnancy test","description":"If positive, continue hormones as directed and plan early ultrasound. If negative, the clinic advises on stopping medication and next steps.","restrictions":["Return to strenuous exercise as guided by the clinic"]},{"phase":"At any time","description":"Seek prompt care for heavy bleeding, severe or one-sided pelvic pain, fever, fainting, shoulder-tip pain, leg swelling, chest pain or breathlessness.","restrictions":[]}],"rehabilitation_days":{"min":0,"max":0,"unit":"days","qualifier":"No formal rehabilitation needed; ordinary activity continues, with temporary strenuous-exercise precautions."},"result_longevity":"A successful transfer results in a pregnancy and a permanent outcome: the birth of a child. Unused frozen donated embryos can remain viable in storage for years, subject to local storage limits.","revision_rate_pct":{"min":50,"max":70,"unit":"percent","qualifier":"Share of recipients needing repeat transfer cycle after non-ongoing pregnancy; falls with embryo quality and good lining."},"scars":"No scars: the embryo is placed through the cervix with a catheter, with no incision.","sessions_or_stages":{"sessions":{"min":3,"max":4,"unit":"visits","qualifier":"Treatment visits per cycle: baseline scan, one or two lining checks, transfer. Excludes initial screening and pregnancy checks."},"stages":[{"code":"baseline_scan","label":"Baseline scan and start of estrogen preparation","after":{"min":0,"max":7,"unit":"days","qualifier":"After first consultation; timed to menstrual cycle start, with screening and consent completed."}},{"code":"lining_monitoring","label":"Ultrasound check of endometrial lining","after":{"min":10,"max":21,"unit":"days","qualifier":"After first consultation, typically after 10-14 days of estrogen; extra checks if lining is thin."}},{"code":"embryo_transfer","label":"Thawed donated embryo transfer","after":{"min":14,"max":35,"unit":"days","qualifier":"After first consultation; depends on lining readiness and progesterone start. Delayed or cancelled if lining is inadequate."}},{"code":"pregnancy_test","label":"Blood hCG pregnancy test","after":{"min":9,"max":14,"unit":"days","qualifier":"After transfer; timing depends on embryo stage and clinic protocol."}},{"code":"early_ultrasound","label":"Early pregnancy ultrasound, only if the test is positive","after":{"min":28,"max":42,"unit":"days","qualifier":"After transfer, if pregnant; usually about 2-4 weeks after a positive test."}}],"qualifier":"One frozen-thaw donated embryo transfer in a hormone-replacement cycle. Further cycles may be needed if no pregnancy results."},"success":{"metric":"Live birth per transfer","value":35,"unit":"percent","horizon":"Delivery after one transfer cycle, about 9 months","population":"Recipients with prepared lining receiving one frozen donated embryo; varies with embryo quality.","evidence_status":"limited"},"techniques":[{"name":"Single frozen-thawed donated embryo transfer after hormone-replacement endometrial preparation, ultrasound-guided","suits_whom":"Most recipients, especially with irregular cycles or no ovulation; the clinic controls timing.","recovery":"No recovery period; normal daily activity can resume the same day."},{"name":"Transfer in a natural or modified natural cycle","suits_whom":"Recipients with regular ovulatory cycles who prefer fewer hormones; requires closer timing of ovulation.","recovery":"No recovery period; normal daily activity can resume the same day."},{"name":"Double embryo transfer","suits_whom":"Selected cases after counseling about multiple pregnancy risk; single transfer is generally preferred.","recovery":"No recovery period; higher multiple pregnancy risk requires closer obstetric follow-up."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.25,"max":0.5,"unit":"hours","qualifier":"For the transfer procedure itself, including a short rest; excludes the weeks of preparation and monitoring."},"initial_assessment_documents":["Pelvic ultrasound report with uterine assessment","Hysteroscopy or saline sonogram report (if available)","Infectious disease screening results","Recent hormone panel results","Previous IVF or embryo transfer records (if available)","Recent cervical smear result"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Stay 2-5 weeks for monitoring and transfer, or a short trip if monitored at home. Test after return."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team who will treat you abroad","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Make sure you understand the possible complications and side effects before the treatment abroad","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check whether follow-up care is scheduled at the same facility as the procedure","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C4","text":"Check that you have been able to ask the team questions about your treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check that you are satisfied with the facilities and standards where you will be treated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C6","text":"Check how your aftercare will be coordinated before you agree to treatment abroad","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Heavy vaginal bleeding","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/22457-ivf","host":"my.clevelandclinic.org","quote":"There is heavy bleeding from your vagina.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Severe pelvic 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placed into the womb by ultrasound-guided catheter","source":{"url":"https://www.salisbury.nhs.uk/wards-departments/departments/fertility-centre/treatments/frozen-embryo-transfer-fet/","host":"salisbury.nhs.uk","quote":"Transvaginal ultrasound is used to guide the placement of the catheter through the cervix and into the uterus.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":0,"max":0,"unit":"days","label":"Same day","source":{"url":"https://my.clevelandclinic.org/health/treatments/22457-ivf","host":"my.clevelandclinic.org","quote":"After the transfer of your embryo, you should be able to resume normal activities.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"transfer-natural","name":"Transfer in a natural or modified natural cycle","how_it_works":{"text":"Transfer follows your own cycle, which is hard to 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