IVF is structured medical treatment, but the experience of going through it isn't. It's 6–8 weeks of small uncertainties piling up: "is this twinge normal?", "should I take this medication now or after dinner?", "what does my AMH actually mean for cycle 2?".
Most fertility clinics in India don't have the bandwidth for daily handholding — and they shouldn't need to. The Miro Cycle Companion is built to be the daily support layer between clinic visits. Here's what it does.
What the Cycle Companion is
A daily-touchpoint feature inside the Miro patient app that gives you, on each day of your cycle:
- Where you are in the cycle and what's next
- Any medications due today (with dose and timing)
- Any clinic visits or test reminders
- Plain-language explanations of what's happening physiologically (without diagnostic claims)
- Practical "what to do today" guidance — sleep, hydration, what to avoid
- An anxiety-management nudge for the harder phases (TWW especially)
- Quick links to call the clinic if anything feels off
The phases the Companion covers
Pre-cycle workup
Tracks tests being ordered and completed, helps you keep your Fertility Passport up to date, surfaces what to bring to your next consultation.
Stimulation
Most-active phase. Daily injection reminders with dose and timing, tracking of any dose changes the doctor makes, scan result summaries, what bloating / fatigue / mood changes are normal.
Trigger and retrieval
Trigger night gets specific timing reminders (the most time-critical event of the cycle). Retrieval day gets pre-op checklist, what to pack (links to our retrieval-day pack list), and post-procedure self-care prompts.
Embryology updates
The 5 days between retrieval and transfer or freeze can feel like silence. The Companion tracks each lab update — Day 1 fertilisation, Day 3 cleavage, Day 5 blastocyst — as the clinic shares them.
Embryo transfer
Pre-transfer prep, post-transfer instructions, the "rest as much as you want, but bed rest doesn't change the outcome" honesty.
Two-week wait
Where the Companion is most active. Daily check-ins with gentle reframing, distraction prompts, and clear guidance on what's normal symptom-spotting vs what to actually call the clinic about. Pairs with our piece on surviving the TWW.
After beta-hCG
Whatever the result. If positive, transition to early pregnancy tracking. If negative, the Companion shifts to a recovery-and-debrief mode and gently surfaces what to ask at the failed-cycle consult — see surviving a failed cycle.
How the Companion thinks about boundaries
Three principles shape what the Companion will and won't do:
- It supports, doesn't replace. The clinic is the source of clinical decisions. The Companion never overrides a doctor's instruction.
- It defaults to "call your clinic" when in doubt — fever, severe pain, heavy bleeding, breathlessness. Better to surface a concern early than reassure falsely.
- It doesn't hype. No "your embryo is implanting today!"-type marketing language. The Companion is calm and frank about what is and isn't known on any given day.
Privacy
Cycle data is sensitive. The Companion runs under DPDP Act 2023 patient-control principles: your data is yours, you can export or delete at any time, no third-party advertising, no data resale. Your clinic sees only what you've shared with them via the Fertility Passport.
How it pairs with other Miro tools
- Fertility Passport — the Companion uses passport data to know what cycle you're in
- Treatment Timeline — the Companion tracks against the timeline you generated
- Cost Calculator — for the financial side, separate from the daily emotional load
The bottom line
IVF is hard partly because the silence between clinic visits is louder than the visits themselves. The Cycle Companion is built to fill that space — calmly, factually, and without the over-promising tone that most fertility content has. It's free for patients, and worth using from consultation through to whichever way the cycle ends.
Frequently asked questions
What is the Miro Cycle Companion?
A daily support feature inside the Miro app that combines IVF cycle tracking with practical, plain-English guidance for each phase — what to expect today, what's coming up, and what to do or not do based on where you are in the cycle. It's built to be the gentle, daily piece of the journey rather than a clinical record.
Is the Cycle Companion free for patients?
Yes — free for patients. The patient-side Miro features are not paywalled. Miro is paid for on the clinic side as part of the IVF EMR subscription.
Does the Companion give medical advice?
No. The Companion provides general information aligned with mainstream evidence-based fertility care — it doesn't diagnose, prescribe, or override clinical instructions. If something feels wrong, the Companion's default is 'call your clinic'. It's a daily-life support tool, not a replacement for medical care.
Can I track medications and appointments through the Companion?
Yes — medication schedule, dose adjustments your doctor makes, scan and visit reminders, and any clinic messages flow through the Companion. Pairs with the Miro Fertility Passport so the data sits in one place.
Does the Companion help during the two-week wait?
Particularly during the TWW. That's when most patients struggle most emotionally and have the least to do. The Companion provides daily check-ins, distraction prompts, gentle reframing of common anxieties, and clear guidance on what's normal vs what to call the clinic about. See our piece on surviving the TWW for the broader context.
Does the Companion replace seeing a fertility counsellor?
No. The Companion is a daily support tool; it's not therapy. For patients struggling significantly with anxiety, depression, or relationship strain during fertility treatment, a fertility counsellor is the right call — see our guide on when and where to find one in India.