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For clinics

You already own the equipment. The gap is coordination.

If your practice performs transvaginal ultrasound and venous draws, you can probably deliver IVF monitoring for patients who currently drive two hours to get it. Here is exactly what that involves — including the parts that are genuinely demanding.

Two people meeting with two clinicians across a desk in a clinic office

Why a practice takes this on

What a monitored cycle involves

Several early-morning visits over roughly two weeks per patient, booked in a predictable early window rather than scattered through the day.

Uses capacity you already have

Existing ultrasound equipment, existing phlebotomy, existing lab relationships. The marginal cost of an early slot is usually low.

Keeps patients local

Patients who would otherwise travel for every monitoring visit could stay with a practice they already know, for a service you can already provide. Early volume will be low and irregular.

No clinical hand-off risk

You are not managing the cycle. You report measurements to the clinic that is, on its terms and to its tolerances.

Real access impact

For patients far from a fertility centre, the monitoring schedule can make treatment hard to manage. Shortening that distance is where the commercial and the clinical argument point the same way.

Honest about the downside

Early mornings, weekend coverage, tight reporting deadlines, and low initial volume. If that does not fit your practice, it is better to know now.

What we assess

Assessment exists because treating clinics will only accept outside monitoring they can trust. Nothing here is a formality.

  • Licensure, ownership, and the named clinician holding responsibility
  • Ultrasound equipment, and who performs and documents the scans
  • Demonstrated competence in follicle counting and measurement
  • Laboratory arrangements and assay turnaround times
  • Reporting format, transmission method, and reliability
  • Early-morning and weekend capacity, and cover for absence
  • Malpractice and liability arrangements
  • Privacy, data handling, and record practices

What a monitoring morning looks like

  1. 01

    Appointment confirmed the day before

    Cycle monitoring is scheduled at short notice because the previous scan determines the next one.

  2. 02

    Patient seen early

    Usually early in the morning, sometimes at weekends, because dosing decisions are made the same morning.

  3. 03

    Scan and draw performed

    Follicle counts and measurements, endometrial thickness, and a venous sample for the required assays.

  4. 04

    Results reported before the deadline

    In the treating clinic's format, by its stated time. This is the single point on which partnerships succeed or fail.

How joining works

  1. 01

    Inquiry

    Tell us about your services and capacity. No fee, no commitment, no patient information.

  2. 02

    Assessment

    We review licensure, capability, turnaround, and capacity, and talk through the morning workflow.

  3. 03

    Agreement

    Clinical scope, quality expectations, reporting, privacy, liability, and commercial terms, in writing.

  4. 04

    Activation

    Only once a written agreement exists does any patient volume, or any public description of a partnership, follow.

Not a clinic, but you know one that should hear about this? Send them this page — a patient’s suggestion is a good way for that conversation to start.

Common questions

What would our office actually be doing?
Transvaginal follicular ultrasound with follicle counts and measurements, endometrial thickness, and a venous draw for hormone assays — typically estradiol, LH, and progesterone — performed early in the morning, with results reported to the patient's treating fertility clinic in its required format by its deadline.
Do we take on clinical responsibility for the cycle?
No. The treating fertility clinic remains responsible for the cycle: it sets the protocol, interprets results, makes dosing decisions, and manages the patient. Your responsibility is the quality and timeliness of the measurements you report, which is the same responsibility you already carry for any diagnostic you perform.
How much volume should we expect?
It depends entirely on how many patients in your area are cycling and whether their treating clinics accept outside monitoring. We will not pretend to forecast it for you. Early partners should plan for low and irregular volume that grows with the network.
What is the commercial arrangement?
Set in a written agreement after assessment. There is no fee to send an inquiry. We will not describe a relationship publicly, or represent your clinic as a partner, before that agreement exists.
What is the hardest part?
The morning window. Results usually need to be with the treating clinic before its dosing round, which means early appointments, a same-morning assay or a courier that genuinely runs on time, and someone reliably sending the report. If a clinic is going to struggle, it will most likely be here.
Do we need existing fertility experience?
Not necessarily. OB-GYN practices that already perform transvaginal ultrasound daily are exactly the kind of office we expect to work with. What matters is measurement competence against the treating clinic's tolerances, and consistency — which we assess rather than assume.

Tell us what your practice can already do.

Ultrasound, bloodwork, early appointments. If you have those, the conversation is worth having.