Most patients want to know two things before committing: how much of this can be done from home, and how long they will need to be in Phnom Penh. Both depend on the protocol, but the structure below is what a typical cycle looks like.
You send your history and any previous investigations. A physician reviews them and replies with an initial assessment: which protocol is likely to suit you, what further tests are needed, and what the realistic timeline is. There is no charge commitment at this stage.
Most baseline tests can be done at a clinic in Malaysia, Singapore or elsewhere and sent to us electronically. Typical items include:
Doing these at home shortens the stay in Phnom Penh considerably, which is the main reason we recommend it.
Daily injectable medication stimulates the ovaries to develop multiple follicles. During this period you attend the clinic for monitoring scans and blood tests every few days, so the dose can be adjusted. This stage is the main reason a stay of around two weeks is needed.
When follicles reach the target size, a trigger injection matures the eggs. Retrieval takes place roughly 36 hours later; it is a short procedure under sedation, and most patients go home the same day.
Eggs are fertilised by conventional IVF or ICSI. Embryos are cultured for five to six days to the blastocyst stage. Where PGT is planned, 3–5 trophectoderm cells are biopsied and sent for testing.
PGT results generally take 5–7 days. Because testing cannot be completed within a fresh cycle, PGT cycles are usually managed as freeze-all: embryos are frozen and transferred in a later, prepared cycle. Without PGT, a fresh transfer may be possible in the same trip.
The uterine lining is prepared with oestrogen and progesterone. Transfer itself is a brief outpatient procedure and does not require anaesthesia in most cases.
A blood test is taken roughly 10–14 days after transfer. If positive, monitoring continues with ultrasound, and we advise on luteal support. If negative, the physician reviews the cycle before any further attempt.