1. Patient Evaluation:
2. Initial Consultation
   • Discuss medical history and fertility concerns.
   • Review family planning goals.
3. Physical Examination
4. Blood Tests & Baseline Hormone Levels
   • Measure Follicle Stimulating Hormone (FSH), Estradiol, AMH levels.
   • Evaluate thyroid function tests if indicated.

2. Transvaginal Ultrasound:
3. Initial Antral Follicle Count (AFC)
4. Measurement of Ovarian Reserve (follicles per ovary)

3. Ovarian Stimulation Protocol:
4. Selection Based on AFC & Hormonal Profile
   • Determine suitability for stimulation.
   • Start Oral Medication (e.g., Clomiphene Citrate or Letrozole).
   • Begin Injectable Gonadotropins.
5. Monitoring Ovulation
   • Blood Estrogen Levels Monitoring
   • Triggering Ovulation (Ultrasound Guided HCG Injection)

4. Egg Retrieval Procedure:
5. Pre-Retrieval Assessment
   • Assess physical and medical conditions check.
   • Ensure patient is fit for anesthesia and procedure.
6. Retrieval Method (Transvaginal Ultrasound Guidance)
7. Collection of Mature Oocytes

5. Sperm Preparation:
6. Semen Analysis
   • Assess sperm count, motility, morphology.
7. Selective Isolation Techniques (e.g., Microfluidics)

6. Fertilization Process:
7. In Vitro Culture & Fertilization
   • Use of Controlled Proliferation.
   • Optimize conditions for fertilization.
8. Observation of Embryo Development

7. Embryo Evaluation and Selection:
8. Morphological Assessment (Stage, Symmetry)
9. Genetic Testing (e.g., Preimplantation Genetic Screening/Testing [PGS/PGT])
10. Select best-quality embryos based on multiple factors.

8. Embryo Transfer Procedure:
9. Timing & Site Selection (Endometrial Condition Check via Hysteroscopy)
10. Transfer Technique and Safety Measures

9. Post-Transfer Care:
10. Patient Monitoring for Implantation Success Signs
11. Follow-up Assessments (Blood HCG Levels, Ultrasound Scan)

10. Outcome Evaluation & Reporting:
11. Confirmation of Pregnancy Test
12. Documentation of IVF Process Outcome
13. Counseling Session (Discuss Results and Next Steps)