What the Horizon Program Is
If you have diminished ovarian reserve and you are still menstruating, you may feel a deep urgency to move forward—and a deep fear about running out of time. At Hanabusa IVF, we believe you deserve a chance at parenthood, regardless of age. You also deserve honesty, safety, and a plan designed around what is medically possible.
The Horizon Program is a structured pathway created for patients with diminished ovarian reserve who are still having periods. It offers a focused window of care with clear guidelines, required support, and defined milestones—so treatment stays intentional rather than open-ended.
Patients with diminished ovarian reserve who are still menstruating
Anyone over age 48 being considered for treatment with own eggs under this pathway
6 consecutive months of treatment or 3 egg retrievals (whichever comes first)
An egg retrieval must occur within the first 3 months
Psychological consultation before physician consultation
Each case is reviewed by an internal committee
A time-limited fertility treatment pathway for diminished ovarian reserve (DOR) with clear limits and decision points.
The Horizon Program is designed to provide a structured opportunity to pursue treatment with your own eggs, while balancing patient safety, realistic expectations, and the medical risks that increase with advanced maternal age and low ovarian reserve.
Lower success rates with assisted reproductive technology
Higher maternal risks during pregnancy
Higher fetal and neonatal risks
Complex emotional stress and high financial burden
Long-term considerations that deserve thoughtful planning
By participating, you acknowledge these realities and agree to a structured set of guidelines intended to support the best possible outcome while protecting your well-being.
Up to 6 consecutive months of fertility treatment or
A maximum of 3 egg retrievals, whichever comes first
Number of eggs retrieved across time (including banking strategy)
The 6-month countdown begins on the Day 3 baseline cycle start.
This structure is designed to prevent open-ended treatment without clear progress—and to support timely, realistic decision-making based on response and outcomes.
Participation in the Horizon Program requires a consultation with Dr. Natasha Radojevic, a licensed clinical psychologist, before your physician consultation. Important: This is not a psychological evaluation.
The risks and limits of success
The emotional realities of DOR treatment
Alternative pathways (donor eggs, donor embryos, gestational carrier) when appropriate
How to make decisions that protect your mental health and relationships
A summary of the consultation is sent to our office and saved in your medical records.
Patient is responsible for the $300 consultation fee.
Natasha Radojevic, Psy.D., Licensed Clinical Psychologist (PSY 28495)
Southcoast Psychological Associates
619 432 2407
tashradojevic@yahoo.com
You deserve a chance
You deserve honest guidance about what is realistic and safe
Many clinics use age cutoffs or avoid complex diminished ovarian reserve cases. Hanabusa IVF is known for individualized IVF and complex-care support, including poor responders and DOR. The Horizon Program formalizes how we care for this group—with transparency, structure, and guardrails that protect patients from endless cycles without direction.
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You’re a fit for Traditional Fertility Care if any of these statements resonate with you:
You’re just getting started
You want clear first steps
You’ve explored clinics, but still feel at the beginning
You need fertility testing
Your labs look reassuring
Your situation feels straightforward
You have fewer complicating factors
You’re considering IUI
You’re new to IVF
You’re planning an FET
You’re considering PGT
If anything, complex becomes evident, we smoothly upgrade your pathway.
You’re a fit for Complex Care if any of these statements resonate with you:
Low AMH/AFC or DOR concerns
You have Diminished Ovarian Reserve (DOR)
You have POI or high FSH concerns
You’re considering Ovarian Rejuvenation (PRP)
Age 40+ or time feels limited
Prior IVF didn’t respond as hoped
Low egg numbers / embryo growth issues
Unsuccessful embryo transfers
Recurrent pregnancy loss (2+ losses)
Male factor needs ICSI or TESE
You’ve been told your case is complex
If your case is complex from the start, we build the right strategy from day one.
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