Admission – Treatment – Discharge Pathway

Pooyesh Fertility Clinic

WhatsApp

+989105901662

+989105901663

Telegram

+989105901662

+989105901663

Instagram

@pooyeshfertility

@pooyeshfertility.arabic

Website

www.Pooyeshfertility.com

Email

ipd@pooyeshfertility.com

Step-by-Step Treatment Journey

  • 1 Before Arrival
    • Send your medical history and records to our International Patient Department (IPD) via WhatsApp or email before visiting the clinic.
    • The IPD supervisor and medical team will review your documents and provide feedback within 72 working hours.
  • 2 If Arriving Without Prior Coordination
    • Plan your trip so that you arrive 2–3 days before the start of your menstrual cycle.
    • Male patients should abstain from sexual activity for 2–7 days before coming to the clinic.
  • 3 Upon Arrival at the Clinic
    • The IPD officer will accompany you through all admission steps.
    • Your midwifery file will be created, and you will submit your identification and recommended medical documents.
  • 4 Initial Consultation
    • You will first be evaluated by the IPD physician according to International Health Record (IHR) standards.
    • If there are no concerns, you will be referred to the gynecology specialist (for female patients).
    • Male patients, if needed, are referred to the urology specialist.
  • 5 VIP Option
    • Patients may choose the VIP pathway, which includes fast-track services with no waiting time.
  • 6 Specialist Consultation and Work-Up
    • Female patients undergo consultation and ultrasound.
    • Male patients, if required, are examined by a urologist and may need 2 months of treatment (advance planning is recommended).
    • Specialists may request laboratory tests or imaging before finalizing the treatment plan.
  • 7 Treatment Timeline
    • Ovarian stimulation medications (for IVF or IUI) begin on day 2 or 3 of the menstrual cycle based on the gynecologist’s recommendation.
    • Ovarian stimulation lasts about 12–15 days, after which oocyte retrieval is performed.
  • 8 Oocyte Retrieval Process
    • Two days before retrieval, revisit the clinic for file completion and pre-operative preparation.
    • The IPD physician ensures readiness for the procedure.
    • On the day of retrieval, admission to the operating room and pre-operative checks are completed.
    • The procedure is performed under strict safety protocols.
    • After surgery, patients are transferred to recovery, then to the inpatient ward under IPD supervision.
    • If stable, patients are discharged the same day.
  • 9 Post-Retrieval Follow-Up
    • Patients are monitored for 3–7 days to rule out Ovarian Hyperstimulation Syndrome (OHSS).
    • If OHSS occurs, embryo transfer is postponed, and embryos are frozen.
    • Patients may need to stay in Iran for 7–15 days for monitoring.
    • If no complications arise, fresh embryo transfer is performed 3–5 days after retrieval.
  • 10 Embryo Transfer
    • Performed under ultrasound guidance at Royesh Surgery Center.
    • After transfer, patients are monitored in recovery and then discharged.
  • 11 Discharge and Follow-Up
    • The IPD officer assists with final billing and provides your invoice and medical summary (via email, WhatsApp, or hard copy).
    • Contact details are collected for follow-up, and a feedback form is completed.
    • After transfer, patients may return home immediately or stay in Iran for up to 14 days until their pregnancy test.
  • 12 Freezing Option
    • If you choose to freeze eggs or embryos, the IPD officer will guide you through the necessary forms.
    • If no OHSS occurs, you may return to your home country 2–3 days after retrieval.
    • Embryo transfer can be planned at least 1 month later.
    • Freezing can also be renewed online from your home country.

Recommended Medical Documents

For Male Patients

  • 1 Recent semen analysis (after 1–2 days abstinence)
  • 2 Testicular ultrasound (if semen analysis is abnormal)
  • 3 Hormonal blood tests (LH, FSH, Testosterone, Prolactin) – if azoospermia is diagnosed

For Female Patients

  • 1 Pelvic ultrasound (uterus and ovaries)
  • 2 Hormonal blood tests (AMH, LH, FSH, TSH, Prolactin) – ideally on day 3 of the cycle
  • 3 Hysterosalpingography (HSG) – preferably 2–3 days after menstruation

Important Notes

  • Afghan nationals living in Iran for non-medical reasons are not considered international patients.
  • Iranians living abroad may choose to be registered as international patients upon request.

Surrogacy Care Timeline (if applicable)

  • 1 Pregnancy test: 15–17 days after embryo transfer
  • 2 Ultrasound to check gestational sac, fetal pole, and heartbeat: 14 days after positive test
  • 3 Second ultrasound to monitor fetal growth: 14 days later
  • 4 NT ultrasound and genetic screening (Double Marker, Cell-Free DNA): Week 12 of pregnancy
  • 5 If required: CVS at weeks 11–13 or Amniocentesis at week 14