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OvaFlow
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For patients & families

Tonight's instruction first, and a person behind every question.

IVF asks a lot of you: timed injections, late-night questions, waiting. The patient companion is being designed so the current instruction always comes first and a real person is behind every question.

See the patient companionWatch Elena's walkthrough
iPhone patient companion (design prototype): tonight's signed trigger instruction, then the safeguard shown when an older reminder link is opened. Fictional patient data.
  • Old links open the current instruction
  • “Call me” never marks a dose as taken
  • Urgent help, one tap away
Design prototype · Fictional patient data

Who this is for

Patients, spouses and support people, and intended parents going through IVF.

Elena's trigger night

One evening, screen by screen.

Elena is a fictional patient. Her phone shows the current instruction first, takes her report in her own words, and always says who has her callback.

Design prototype · Fictional patient data
  1. Today

    Tapping an older text link and following a time that has changed.

    With OvaFlow

    The current signed instruction first; older links open the current one instead.

  2. Today

    Feeling afraid to report a late injection.

    With OvaFlow

    A simple, honest way to report what actually happened.

  3. Today

    Not knowing who will call back this evening.

    With OvaFlow

    Care-team status in plain words: who has your callback, and what is still with the doctor.

  4. Today

    Being left to judge symptoms alone after retrieval.

    With OvaFlow

    Recovery check-ins that point to the clinic's 24/7 line and 911, never automated advice.

Everything else mapped for this role10 more

Also gets in the way

  • Reminders that keep coming after a loss or a chosen pause.
  • Asking for support and having treatment prompts restart.
  • Consent filed under the wrong person.
  • Private requests showing up in a shared thread.
  • Interpreter or accessibility needs forgotten between visits.

Also designed in

  • “Call me” without marking the dose as taken.
  • “Your pause, your pace”: routine reminders stop until you are ready.
  • A private channel to a clinician.
  • Each person's chart and consent kept separate.
  • Accessibility and interpreter needs carried to every visit.

A day in the cycle

What it looks like from your side.

Drawn from the prototype walkthroughs. Times are from the fictional demonstration day.

Fictional patient data

  1. Elena opens her phone and sees the current signed trigger instruction first.

  2. She taps an older text link. It opens the current instruction instead of the old time.

  3. She asks for a quick call about her syringe. Asking doesn't mark the dose as taken.

  4. 8:20 PM

    She injects at 8:20 PM and reports it. The clinic receives her report at 8:22 PM, in her words.

  5. After retrieval, her check-in goes to her nurse, with the 24/7 line and 911 shown.

  6. Watch it happen

From your side · Trigger night, recovery after retrieval, and taking a pause

Going through IVF means managing refrigerated syringes, exact evening injection times, partner or donor appointments, and emotional waiting periods—all after work hours when clinic phones roll to on-call. ASRM informed consent ethics guidance, ESHRE psychosocial care guidelines, and NICE fertility principles emphasize plain-language clarity, honest two-way communication, and honoring patient-chosen pauses without intrusive automated nudges [1, 2, 3].

  1. 015:15 PM, Oct 30
    Revised trigger instruction arrives on your phone
    What starts this moment

    Dr. Mira Lee signs Trigger v3 (8:00 PM, Oct 30) and Nora Ruiz, RN publishes it

    Where it can slip today

    Tapping an earlier afternoon text notification opens an outdated PDF that still tells you to inject at 8:30 PM.

    How OvaFlow keeps it in view

    Shows the current signed 8:00 PM instruction first; tapping any older text link opens the current card instead

    Current instruction · Old link redirected
  2. 025:24 PM, Oct 30
    Pre-dose question about the syringe
    What starts this moment

    Elena wants to double-check her prefilled syringe before the 8:00 PM injection

    Where it can slip today

    Replying to a portal reminder to ask a question accidentally checks the box that says you already took the dose.

    How OvaFlow keeps it in view

    'Ask for a quick call' requests a nurse callback while leaving the 8:00 PM dose marked Not taken yet

    Question sent · Dose stays open
  3. 038:20 PM, Oct 30
    Reporting the actual injection time honestly
    What starts this moment

    Elena finishes injecting at 8:20 PM and submits her note at 8:22 PM

    Where it can slip today

    Portals only offer a binary 'Taken' button or make you feel afraid to admit the shot happened 20 minutes after 8:00 PM.

    How OvaFlow keeps it in view

    Lets you record 8:20 PM in your own words; clinic receives it at 8:22 PM alongside the 8:00 PM signed order

    Reported 8:20 PM · Received 8:22 PM
  4. 048:28 PM, Oct 30
    Knowing who has your callback tonight
    What starts this moment

    Alex Kim, RN accepts the evening callback; Dr. Mira Lee holds the clinical review

    Where it can slip today

    After submitting a late-dose note at night, you stare at a spinner wondering if anyone on call saw it.

    How OvaFlow keeps it in view

    Plain-language status: 'Alex Kim, RN has your callback · Timing review is with Dr. Mira Lee'

    Named nurse & doctor shown plainly
  5. 05After retrieval / Pause
    Recovery check-in or choosing 'Your pause, your pace'
    What starts this moment

    Post-retrieval recovery check-in, or Maya Chen choosing to pause treatment after a hard cycle

    Where it can slip today

    Automated symptom bots give generic tips, or automated cycle reminders keep pinging your phone after a loss or pause.

    How OvaFlow keeps it in view

    Recovery check-ins go to your nurse with the 24/7 clinic line and 911; a pause stops routine reminders immediately

    Human care team · Pause respected
Five moments from the patient and family side on trigger night and after retrieval, using 12-hour clock times from Elena Rivera's and Maya Chen's walkthroughs.Fictional clinic day · Fictional patient data

Worked patient stories · Elena Rivera (8:20 PM report) & Maya Chen (Your pause, your pace)

Designed for 8:20 PM at the kitchen counter—and for the weeks when you need quiet.

See how the patient companion is designed to protect Elena Rivera on trigger night when her injection time changes from 8:30 PM to 8:00 PM on Oct 30, and how it respects Maya Chen's privacy and pace when she pauses treatment.

Fictional patient data

Why this moment matters in an IVF clinic

Patients are asked to perform time-sensitive subcutaneous or intramuscular injections at home while navigating intense uncertainty. ESHRE psychosocial guidelines and NICE NG257 principles call for clear, accessible information at every stage, explicit support during early pregnancy waiting periods, and immediate respect for patient-chosen pauses [1, 2, 3, 4].

  1. Step 01Elena Rivera · Patient companion

    5:15 PM, Oct 30 · Older text links always open the current signed instruction

    After Dr. Mira Lee signs a revised 8:00 PM trigger time on Oct 30, Elena taps an older text link from earlier in the afternoon. Instead of displaying the superseded 8:30 PM instruction, OvaFlow opens the current 8:00 PM instruction with a clear banner explaining what changed.[1][3]

  2. Step 02Elena Rivera → Alex Kim, RN & Dr. Mira Lee

    8:20 PM & 8:22 PM, Oct 30 · Reporting what actually happened without fear

    Elena asks a quick question at 5:24 PM before dosing—which never marks the shot as taken—and then injects at 8:20 PM. She logs 8:20 PM in her own words; the clinic receives her note at 8:22 PM. At 8:28 PM, her screen shows plainly that Alex Kim, RN has her callback and Dr. Mira Lee is reviewing the 20-minute difference.[1][3]

  3. Step 03Elena Rivera · Recovery & Early Pregnancy Care Team

    Post-Retrieval & Early Pregnancy · Real clinicians, never automated symptom advice

    During post-retrieval recovery and early pregnancy serial beta-hCG / ultrasound follow-up (where NICE NG126 emphasizes careful clinical follow-up for pregnancy of unknown location or ectopic symptoms), every check-in routes to the clinic's human team while prominently displaying the clinic's 24/7 phone line and 911.[4]

  4. Step 04Maya Chen · Private clinician channel

    Any Day · 'Your pause, your pace' and confidential support

    When Maya Chen decides to pause treatment, routine medication and appointment prompts stop right away. If she reaches out through a private channel to request counseling or speak with her clinician, asking for support never restarts automated cycle reminders, and her accessibility or interpreter preferences stay attached to future visits.[2][3]

What stays protected

What you see on trigger night, and what happens when you pause

Fictional patient record
01 · Current signed instruction · Oct 30

Tonight's trigger instruction on Elena's phone

Current signed time
8:00 PM, Oct 30 (version 3)Tapping an older 8:30 PM text link opens this current instruction instead
What you reported
Injected at 8:20 PM, Oct 30 (sent 8:22 PM)Saved in your own words; asking for a call never marks the dose taken
Who has your update
Alex Kim, RN (callback) · Dr. Mira LeeShows which nurse accepted your call and that your doctor is reviewing
02 · Safety and privacy rules

A real clinician behind every question, and separate records for each person

Recovery check-ins go to your clinic team with the 24/7 phone line and 911 visible. Private messages stay out of shared family threads.

03 · Maya Chen · Avery & Sam

Pausing care and keeping your own record

Your pause, your pace
Routine reminders stop right awayAsking for a support call never restarts medication or visit prompts
Separate charts
Each person keeps their own medical recordSharing a family plan never merges charts or consent forms
Visit preferences
Interpreter and sensory needs stay with your chartVisible to reception, nursing, and procedure teams at every visit

The patient companion is planned for after the first pilot. OvaFlow never gives medical advice; urgent symptoms always go to your clinic's 24/7 line or 911.

How Elena Rivera's phone shows her current 8:00 PM instruction and callback owner, and how Maya Chen's pause stops routine reminders.

What stays where it belongs

A report is the patient's own account. Acknowledging an instruction doesn't establish that a dose was taken or understood, and symptom questions always go to the clinic.

The patient companion is planned for after the first pilot. During the pilot, patients keep using the clinic's existing channels.

How clinical authority works
What OvaFlow shows this role
  • The current signed instruction firstAlways opens the newest clinician-signed time and dose, even if you tap an older text or email link.
  • 'Call me' separate from 'Dose taken'Lets you ask a question about a syringe or instruction without accidentally marking the medication as completed.
  • Plain-language care-team ownershipTells you the name of the nurse who accepted your evening callback and what is still with your physician.
  • Pause controls, private threads, and visit preferencesStops routine reminders during a pause or loss, protects private clinician messages, and remembers interpreter/accessibility needs.
What OvaFlow never does (stays with you & your EMR)
  • Never gives medical advice or triages symptomsOvaFlow never scores pain, bleeding, or bloating. Recovery check-ins point directly to your clinic's 24/7 line and 911.
  • Never punishes or hides an honest time reportReporting that you injected at 8:20 PM instead of 8:00 PM on Oct 30 is recorded respectfully in your words so your doctor can guide you safely.
  • Never restarts reminders when you ask for supportReaching out for counseling or a check-in during a treatment pause never triggers automated scheduling prompts.
  • Never shares private messages or merges partner chartsA sensitive request stays in a private clinician channel, and each person keeps their own chart and consent record.

Standards, regulations & norms shaping patients & families

ASRM Informed Consent Ethics (2023)

Comprehension, plain language, and individual autonomy

ASRM's Ethics Committee opinion on informed consent in assisted reproduction frames consent and treatment instructions as an ongoing, understandable conversation—supporting language assistance, clear revision visibility, and separate consent for each participant.[1]

ESHRE & NICE Care Principles

Psychosocial support and respecting treatment pauses

The ESHRE Guideline on Routine Psychosocial Care in Infertility and Medically Assisted Reproduction and NICE NG257 Principles of Care emphasize stage-specific emotional support, clear expectations during waiting windows, and respecting a patient's decision to pause or discontinue without automated pressure.[2][3]

Post-Procedure & Early Pregnancy Safety

Direct human escalation for post-retrieval and early pregnancy symptoms

Clinical guidance on post-retrieval OHSS monitoring and NICE NG126 on early pregnancy and ectopic pregnancy evaluation underscore why abdominal pain, dizziness, or bleeding require prompt human clinical assessment rather than automated chatbot advice.[4]

Key terms in the glossary

Prototype walkthroughs

See it in the prototype.

Recorded from the interactive design prototype with fictional patient data. Open one to play it here with chapters and captions.

Patient and clinic, side by side

The patient's phone and the clinic's workspace side by side, so each reassuring screen shows the safeguard behind it.

0:26Presentation

All 6 walkthroughs for patients & families

Common questions & sources

Questions from patients & families.

How OvaFlow handles edge cases, clinical authority, and source-system boundaries for this role.

Q01What if I accidentally tap an older text message link on trigger night?

OvaFlow checks whether that instruction has been replaced by a newer signed version. If your doctor signed an updated time (for example, moving your shot from 8:30 PM to 8:00 PM on Oct 30), the older link automatically opens the current 8:00 PM instruction and tells you that the earlier time was retired.

Q02What happens if I take my trigger shot a few minutes late?

You can enter the exact time you took it (such as 8:20 PM) in your own words. OvaFlow sends that report to your care team right away so your physician can review whether your retrieval time needs any adjustment, and shows you which nurse has your callback.

Q03Does OvaFlow answer questions about symptoms after egg retrieval?

No. OvaFlow never gives medical advice or judges whether a symptom is normal. Questions about doses or symptoms always go to your clinic's human care team, and every recovery screen shows your clinic's 24/7 phone number and 911.[4]

Q04If I pause treatment or experience a loss, will I keep getting automated reminders?

No. Under 'Your pause, your pace,' routine cycle reminders stop immediately. You can still message your clinician or ask for support resources without restarting automated treatment prompts.[2][3]

Next step

Want your clinic to see this?

Share this page with your care team. OvaFlow is a design prototype and never gives medical advice; questions about your care always go to your clinic.

See the patient companionLearn the IVF journey