Step 1:
Virtual Consult- Physician
Virtual Consult- Physician
Your first visit experience happens in three clear steps:
Virtual MD consult → Phone consult with a Nurse → First in-office visit scheduled
Based on your persoanlized plan, we start virtually so you can get answers and a plan quickly, then we schedule your first in-office appointment only when instructed by our clinical team.
Your first appointment is a 60 minute virtual consult with a physician. This is where we learn your story, review what you already know, and build a personalized plan based on your biology and goals.
Your fertility and medical history
Prior testing, diagnoses, and treatments
What matters most to you: timeline, comfort, budget, and family goals
What additional testing or records are needed, if any
The best next treatment path for you and why
A clear plan
A list of next steps
A timeline for what happens next
After your virtual physician consult, you will have a call with your assigned nurse. This visit is designed to make your plan feel organized and manageable.
Review your treatment plan step-by-step
Explain the expected sequence of appointments and requirements
Go over medications and timing at a high level
Confirm what needs to be completed before treatment can begin
Answer practical questions so you feel prepared
This is how we protect your timeline and reduce avoidable delays. We do not skip required steps because details matter in fertility care.
Once your two orientation consults are complete, we schedule your first in-office appointment based on your plan.
Medication teaching
Pre-cycling testing
Baseline or follow-up testing as indicated
In-person coordination for a procedure or cycle start
Any evaluation that must be completed onsite
You may see your physician, sonographer, or another trained clinician depending on the purpose of the visit.
Most patients move forward in a structured sequence after the first visit flow is complete.
Completing any recommended testing or record review
Finalizing cycle timing and readiness
Starting your next phase of care such as IUI, IVF, FET, egg freezing, or specialized evaluation
At Hanabusa, more medication or more eggs is not always better. We focus on the approach that fits your biology, with careful timing and thoughtful decision-making designed to support quality and outcomes.
A plan that respects your body and your life
Medication choices tailored to your response and goals
A calm, steady process with fewer unnecessary steps
You will be supported by a focused team designed to keep your care consistent and moving forward.
Your primary physician will be will guide your treatment planning and overall care. On days when your doctor is unavailable due to scheduled procedures or time off, another experienced physician will step in to manage your care, ensuring there is no disruption in your treatment.
We follow a “doctor-of-the-day” model for in-office procedures such as egg retrievals. Depending on scheduling, either doctor may perform these. However, embryo transfers are always done by your primary physician, maintaining consistency during this critical step.
To ensure continuity of care and minimize the risk of clinical miscommunication, we do not accommodate physician changes once a treatment cycle has begun. If you’re not comfortable with receiving care from an alternative physician in your MDs absence, we kindly recommend postponing your cycle until you're able to proceed under his direct supervision.
You’ll also be assigned a primary nurse, though at times, other nurses from our small and committed team may assist to ensure timely and efficient care.
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Monitoring helps your team make time-sensitive decisions throughout care.
Monitoring appointments may occur in the office when clinically indicated
The purpose is to track response and timing
Your physician’s plan guides every decision, even when another clinician performs the scan
All clinical communication will take place through the nAble patient portal, which you are now registered for. Please be sure to turn on notifications and check your portal regularly for messages and updates.
Non-urgent messages are typically answered within 48 hours on weekdays and 72 hours on weekends.
Messages that require physician input may take a bit longer to resolve.
Physicians are not available for same-day calls or replies; your nurse will collect your questions and follow up after consulting with your doctor.
Follow-up appointments with your physician are usually scheduled about two weeks in advance. For urgent concerns, please call the clinic directly and leave a detailed voicemail for your nurse.
The Horizon Program is designed for patients where fertility care is especially time-sensitive and benefits from a defined plan, structured checkpoints, and clear expectations.
The Horizon Program may be recommended for patients with diminished ovarian reserve who are still menstruating, based on physician review.
The Horizon Program is required for any patient age 45+ pursuing treatment at Hanabusa IVF.
Up to 6 consecutive months of treatment or a maximum of 3 egg retrievals, whichever comes first
At least one egg retrieval within the first 3 months
The timeline begins at the Day 3 baseline cycle start
As part of the Horizon Program, patients complete a 60-minute telehealth consultation with Dr. Natasha Radojevic, Psy.D. This is a supportive, psychoeducational visit focused on decision support, expectations, and options. A brief summary is shared with our office and included in your medical record.
Fertility treatment can be emotionally demanding. Support can help you feel steadier, clearer, and more supported as decisions and outcomes unfold.
Feeling persistently anxious, sad, or overwhelmed
Trouble sleeping or concentrating
Decision fatigue or feeling stuck
Stress in relationships or daily life
Our phone lines are open Monday through Friday, 7:30 AM - 5:00 PM. On busy days, nurses may remain until 6 PM to complete patient care tasks.
For emergencies Monday through Friday after business hours, please call our main clinic number. Your call will be answered by our after-hours answering service, which will contact a staff member if your concern is urgent.
On weekends, a nurse is on call and can be reached through the main clinic number for urgent medical matters.
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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.
