Vivian's Product Design Blog

February 18, 2025

Design Reflection

My "Failure" Designing for IVF Patients

From Passion to Reality: Rethinking Digital Solution for Fertility Care

I started designing a tool for IVF patients, only to realize the real problem wasn’t what I thought, even though I was an IVF coordinator. Tracking IVF cycles wasn’t the problem. The real problem? A broken system patients feel powerless against.

If you don't know about IVF, you are lucky. In-vitro fertilization (IVF) is often seen as a medical miracle, a way for people struggling with infertility to have a chance at pregnancy. But for those who go through it, IVF is not just a treatment—it’s an emotional, financial, and physical rollercoaster that can take months or even years.

The process involves multiple steps: hormone injections, monitoring cycles, egg retrievals, fertilization, embryo transfers, and then the agonizing wait to see if it worked. Each stage comes with uncertainty, high costs, and intense emotional pressure. A single IVF cycle can cost anywhere from $12,000 to $30,000, and many patients need multiple cycles to succeed. Insurance coverage is inconsistent, and many have to pay out-of-pocket.

Beyond the financial burden, IVF takes a psychological toll. Patients experience hope and devastation in cycles, dealing with failed transfers, miscarriages, or the realization that their chances may be lower than expected. Clinics often fail to fully prepare patients for the real emotional and financial weight of the process, leaving many feeling overwhelmed, uninformed, and isolated.

A Passion Project Born from Real Frustration

While working as an IVF coordinator, I saw firsthand how outdated systems, inefficient EMRs, and a lack of patient-centered design made the process more stressful than it needed to be. Patients were juggling confusing medication schedules, endless clinic visits, and overwhelming emotions, yet the tools available to help them were either clunky, impersonal, or missing entirely.

IVF isn’t just medical. It’s emotional. The system treats patients like numbers, but they’re battling uncertainty and isolation. That’s when I started thinking:

What if I created something that actually helps?

Mapping Pain Points and Designing Kairo

I knew I couldn’t just build a tool based on assumptions. I mapped out the pain points I had seen in patients—everything from tracking confusion to emotional burnout. Then, I started brainstorming features:

  • Medication reminders and cycle tracking
  • Automated treatment task generation
  • Guided injection tutorials and procedure explanations
  • A centralized educational content feed
  • Community support and mental health resources

I ran competitive research, looking at existing fertility apps, and conducted user research through mild interviews, forums and discussions. I used persona, journey mapping, empathy-driven design methods, and iterative prototyping to conceptualize and design Kairo, my vision for a patient-first IVF tracking app.

Reality Check: Do IVF Patients Even Want This?

The real challenge came when I tried to validate the idea. I turned to Reddit (r/IVF) and other discussion platforms to gather insights, expecting to refine my design based on further real patient feedback.

But IVF patients weren’t exactly open to user testing. Many were defensive, skeptical, and emotionally guarded, which made sense. They weren’t just answering app feedback; they were resisting potential business to leverage their experience and feelings.

So, I switched strategies. Instead of directly asking about app features, I asked open-ended questions:

  • What has been the hardest part of your IVF journey?
  • What do you wish was different about your clinic experience?
  • What support do you feel is missing?

After rounds of collecting and analyzing data across different platforms, I had a conclusion that I subconsciously knew. The real frustrations weren’t about tracking or reminders. They were about:

  • The crushing financial burden of IVF
  • Lack of emotional support from partners, friends, and even clinics
  • The loneliness of the process—feeling like no one truly understands
  • Clinic inefficiencies and hidden costs that made patients feel powerless
  • The devastating reality of failed cycles and the struggle to accept needing donor eggs or embryos

A smart tracking app wasn’t the solution.

The Core IVF Problem Isn't Tracking—It's Systemic

The biggest stressors of IVF aren’t logistical; they’re psychological, financial, and clinical.

  • Patients aren’t stressed because they forget injections—they’re stressed because IVF is financially and emotionally crushing.
  • They aren’t frustrated by a lack of cycle tracking—they’re frustrated because clinics overpromise success, leading to unrealistic hope and devastating disappointment.
  • A better patient app focusing on treatment wasn’t a painkiller, it was a Band-Aid.

If I really wanted to build a problem-solving product, it wouldn’t just be an organizer—it would make IVF:

  • More affordable, with transparent pricing and cost comparison
  • More supportive, with better mental health resources and patient advocacy
  • More efficient for providers, so clinics run smoother and patients aren’t treated like numbers
  • More grounded in reality, so patients go in with true success predictions and don’t get misled into endless, expensive cycles

It made me realize something else:
Platforms like FertilityIQ charge for fertility education — which is ironic, because knowledge should be free.

What Can I Actually Do?

I’m a designer, not a VC-backed founder. I don’t have the resources to build a product that fixes all of IVF’s problems. But I do have a roadmap for what’s possible:

  • AI-enhanced clinic efficiency – Automating workflows so providers focus more on patient care
  • A transparent pricing platform – A way to force clinics to be upfront about costs
  • Free, accessible fertility education – Patients deserve to know real success rates without paying for it
  • Patient experience enhancements – Better tracking, injection help, and educational tools that support patients, not just clinics (This was what my project did)

These wouldn’t fix IVF, but they could make the process less of a black hole—less uncertainty, less misinformation, more control. This project won’t change the system overnight, but it can add value to what already exists—making IVF just a little bit easier for those going through it.

What This Project Taught Me as a Designer

IVF apps focus on tracking. But tracking isn’t the real issue—psychological stress and financial strain are. I realized design thinking is to dig out the true cause, instead of over focusing on the symptoms.

  • User research isn’t just about hearing answers—it’s about understanding the answers.
  • Some problems can’t be solved by digital products—but the right tools can still help patients navigate them.

This project was more than just an app—it was a reality check on what IVF patients truly need and a reminder that good design starts with DEEP empathy.

Even if I can’t build the perfect IVF solution right now, I now know where the real opportunities are—and that’s a powerful start.

What’s Next?

If you’re a designer, founder, or someone going through IVF, I’d love to hear your thoughts—what’s missing, and what can actually make a difference?

I’m still listening. Because this journey isn’t just about designing a product—it’s about designing a better experience for the people who need it most.

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