Why this sequence matters
Clinical and operational context
In the clinic: ESHRE and ASRM psychosocial care guidelines emphasize that unsuccessful attempts and treatment pauses are common, emotionally demanding parts of fertility care. Patients need structured follow-up conversations, consistent accommodations, and access to counseling or clinical callbacks without unwanted automated reminders.
Across handoffs: In many clinic systems, marking a patient 'inactive' blocks them from messaging their care team, while sending a message flips their chart back to 'active' and restarts automated drip reminders. Separating the episode's pause state from confidential support routing protects both access and peace of mind.







