Frequently Asked Questions.

We are a couples-based clinic and require both partners to be involved. Fertility is a team sport. We routinely work with male-factor infertility (low count, poor motility, low morphology, high DNA fragmentation) and, when needed, we dig deeper on the male side: hormones, toxins, gut health, sleep, medications, even semen microbiome. Every plan is built for both partners, not just one.

Reproductive endocrinologists (REIs) are trained to stimulate ovaries and run IVF/IUI cycles. Their testing is mostly built to answer: “Will this protocol or procedure work?”

Our clinic is built to answer a different question: “Why isn’t this couple getting or staying pregnant?”

We look at gut health, immune system, hormones, toxins, metabolism, nervous system, and male factor, using advanced testing and data-driven protocols. We often work alongside REIs or NaPro physicians to improve implantation, egg and sperm environment, and overall chances of success — whether you conceive naturally or through IVF.

We are not anti-IVF. IVF is a tool; it’s just often used without enough investigation beforehand.

Many couples work with us because they:

• Want to avoid IVF if reasonably possible, or
• Want to go into IVF/IUI with better odds and fewer unknowns.

We help you decide when to pause for health work, when to move ahead with a cycle, and how to optimize your body and protocol so each attempt has the best possible chance.

No. We work with:

• Couples who want to avoid IVF if reasonably possible
• Couples preparing for IVF or IUI who want better odds and fewer unknowns
• Couples on the fence who want clearer data before deciding

We help you understand what’s been missed, what’s modifiable, and where IVF or other interventions fit into a thoughtful long-term plan.

Our clinic is fully virtual so couples can get high-level, root-cause support without having to live near a specific city. Here’s what that looks like in real life:

• Visits: All appointments happen over secure video, usually with both partners present. You can be at home, at work, or wherever you have privacy.
• Labs: Many test kits are shipped to your home for you to collect there. Blood work and some specialty tests are done at local draw centers or partner labs near you. We time and choose labs carefully around your cycle.
• Supplements: Practitioner-grade supplements are shipped directly to your home through our dispensary partners, based on your personalized protocol.
• Imaging & procedures: Ultrasounds, HSGs, hysteroscopy, surgeries, and other in-person diagnostics are done locally with your OB/RE/NaPro/surgeon. We help you decide which tests make sense, time them correctly, and interpret results through a fertility and whole-body lens.

In some cases, we’ll recommend that you also have an in-person provider (OB, midwife, pelvic PT, etc.) for hands-on care. Think of us as your root-cause and strategy team working alongside your local providers — making sure nothing critical is missed and that all the pieces actually fit together.

Yes. PCOS/PMOS is one of the most common patterns we see. It’s a metabolic and inflammatory condition that touches multiple systems — this isn’t just an ovary problem.

In our clinic, PCOS/PMOS workups typically include:

• Full metabolic picture: blood sugar, insulin, lipids, liver markers
• Androgen and hormone rhythm (not just “day-3 labs”)
• Gut health and inflammation
• Thyroid and adrenal patterns
• Environmental and lifestyle factors (sleep, stress, movement, food)
• Male factor — because sperm is half the equation

We don’t just hand you a supplement stack because you have a diagnosis. We want to understand the root causes underneath the label and actually control your symptoms. We build phased plans to calm inflammation, stabilize blood sugar, support ovulation, and improve egg and sperm environment — always in the context of your real fertility goals and timeline, not just lab numbers.

We start with your endo story and surgical details (op notes, imaging), then look at the systems that drive inflammation and implantation:

• Gut microbiome and gut permeability
• Immune and inflammatory markers
• Hormones and estrogen clearance
• Detox pathways and environmental toxins
• Vaginal/uterine and seminal microbiomes
• Infections and co-conditions (e.g. adenomyosis, SIBO, candida overgrowth)

Treatment is usually phased: targeted gut work, immune modulation, hormone support, environmental and lifestyle changes, and partner optimization — all timed with your cycles and TTC/IVF plans.

Yes, many women do conceive naturally after well-done excision surgery. Surgery can remove lesions and reduce pain, but it doesn’t automatically fix why the disease and inflammation developed.

We focus on post-excision support: gut health, immune balance, hormones, pelvic environment, toxins, infections, and male factor — to give you the best chance of natural conception or better IVF outcomes in the months and years after surgery.

That’s the classic “unexplained infertility” story we see all the time. Standard workups often miss or under-value things like:

• Subtle thyroid or blood sugar issues
• Hidden gut inflammation or infections
• Autoimmunity and immune activation
• Toxic load (mold, metals, chemicals)
• Male factor issues that are “borderline normal”
• Microbiome and implantation-related factors

Our job is to connect your symptoms + advanced labs + history into one coherent, root-cause picture — and then build a plan around that, not around “normal.”

Yes. A large part of our practice is 35–45 year-olds with diminished ovarian reserve (DOR), secondary infertility, or failed IVF cycles.

We’re honest about age-related probabilities. We focus on:

• Improving egg and sperm environment
• Optimizing implantation and pregnancy health
• Supporting clear decision-making around IVF, timing, and, when appropriate, donor options

The goal is to make the time and options you have count more — not to pretend age doesn’t matter.

Yes, autoimmune activity (e.g. positive ANA, thyroid antibodies, Rheumatoid factor) can impact implantation, miscarriage risk, and how your body handles pregnancy.

We run deeper immune and inflammatory workups when appropriate and address common drivers like:

• Gut permeability and microbiome balance
• Infections
• Nutrient status and methylation
• Stress and nervous system load
• Toxins and hormones

We never treat autoimmunity in a vacuum — your plan integrates immune support with your fertility and pregnancy goals.

Your gut is the front door to your immune system and nutrient status. When it’s not working well, you often see:

• Systemic inflammation
• Nutrient deficiencies
• Hormone imbalances
• Immune activation

All of that can disrupt ovulation, implantation, cycle quality, and sperm health. We use tools like advanced stool testing plus detailed history to find dysbiosis, infections, and digestion issues — then build phased protocols to repair the gut as part of your fertility plan, not as a separate side quest.

Yes. Chronic genital and pelvic infections (ureaplasma, endometritis, disruptive vaginal microbiome, recurrent BV/yeast) can meaningfully affect implantation and miscarriage risk.

We look at:

• Vaginal and, when relevant, uterine microbiome
• Seminal microbiome
• Prior biopsy / pathology findings
• Antibiotic and treatment history

When needed, we treat both partners, clear infections, and rebuild a healthier reproductive environment before or alongside TTC/IVF.

Yes. Recurrent early losses are almost always multifactorial. Common layers include:

• Hormonal issues and luteal phase defects
• Immune and autoimmune factors
• Infections (including endometritis, ureaplasma, microbiome shifts)
• Clotting issues and inflammation
• Sperm DNA damage and male factor
• Toxins and nutrient deficiencies

We investigate these with advanced testing and careful history, then build phased plans for both partners to improve health and the implantation environment before trying again.

Yes. Many of our couples have one child and are now facing secondary infertility or recurrent loss. We look at what’s changed since your last pregnancy:

• Age and time
• Nutrient depletion and postpartum recovery
• Birth trauma or C-section impacts
• New diagnoses (thyroid, autoimmunity, metabolic, gut issues)
• Life load and stress

Then we apply the same root-cause process — for both partners — to help you build the next phase of your family as intentionally and healthfully as possible.

Sometimes yes, sometimes no — it depends on what we find.

• If there are significant risks (e.g. high heavy metals, active infections like ureaplasma/endometritis, severe uncontrolled autoimmunity), your practitioner may advise pausing TTC while those are treated.
• If we’re mainly optimizing gut, hormones, sleep, nutrition, and stress, you can often keep trying while working the plan.

Your practitioner will be very clear about which group you’re in and why.

Not automatically.

We always start by collecting and re-interpreting the labs you’ve already done through a fertility-specific functional lens. Only after that do we recommend additional testing, and only when we believe the results will change your plan or reveal new leverage points.

You will never be asked to re-run a test “just because.”

A basic semen analysis is a starting point, not the whole story. We often look deeper at:

• Overall health of the male — cholesterol, blood sugar, liver enzymes, kidney function, etc.
• Sperm DNA fragmentation and morphology trends
• Male hormones
• Toxins (PFAS, heavy metals, endocrine disruptors)
• Sleep, stress, medications, and gut health

Even when the first report says “normal,” we frequently find ways to improve male fertility as part of the couple’s plan.

Yes. Many of our couples arrive after:

• Failed IUIs
• Multiple IVF cycles with poor response or embryos that don’t stick
• Early miscarriages still labeled “unexplained”

We focus on what hasn’t been fully explored yet: immune and inflammatory drivers, gut health, toxins, hormonal rhythm, male factor, microbiome, nervous system, and how all of this interacted with your prior protocols.

The goal is to stop repeating the same inputs and expecting a different outcome.

Absolutely. Many couples have us act as the root-cause and strategy team while they continue with a local OB, RE, NaPro physician, surgeon, or therapist. We can:

• Share labs and findings
• Suggest protocol or timing changes
• Help you prepare for procedures and cycles

You get the best of both: conventional tools and functional fertility care that looks at the whole picture.

We don’t have a one-size-fits-all panel, but depending on your case we may use:

• Comprehensive blood work (thyroid, nutrients, metabolic markers, immune panels)
• Comprehensive stool analysis
• Vaginal, uterine, and seminal microbiome tests
• Advanced hormone panels (e.g. dried urine hormone patterns)
• Methylation and nutrient utilization testing
• Environmental toxins including heavy metal panels and mold assessments
• Sperm DNA fragmentation and male hormone testing
• Comprehensive immune panels
• Comprehensive infection panels

You will not do all of these. Your practitioner will prioritize based on your history, symptoms, and goals.

We’re a clinical practice, not a therapy clinic, but we take your nervous system and mental health seriously. Many couples come in anxious, burnt out, or traumatized by past medical experiences. Your plan may include:

• Sleep and circadian rhythm work
• Nervous-system supports and stress practices
• Pacing changes so the plan is actually sustainable
• Referrals to trauma-informed therapists or other professionals when needed

We don’t bypass the emotional load — we build a plan that respects it.

Most couples have no idea what they’re walking into with IVF. They’re handed a protocol, told “this is your chance,” and expected to just go along. We do it differently.

We still use Clarify → Correct → Conceive with IVF couples:

Clarify. We review your full history, prior cycles, labs, and protocols and ask: “Is IVF actually the next right step?” and “What’s been missed so far?” We use data to decide when to move into IVF and how to prepare your body — not just emotions and timelines.

Correct. We work on gut, hormones, immune system, toxins, male factor, sleep, and stress so your body is in the best possible state going into stimulation and retrieval. The goal is a better internal environment for egg and sperm, embryo development, and implantation.

Conceive. We support you through the cycle. We help you understand your meds and monitoring, script questions for your clinic so you feel empowered, and consult on decisions like fresh vs. frozen transfer, whether to pause between cycles, and what to do if a cycle doesn’t go as planned.

Afterward, we help you detox, rebalance, and decide on next steps rather than jumping straight into “try again” mode. We’re not here to fight your IVF clinic — we’re here to make you the most prepared, informed version of yourself going through it.

We track both live-birth outcomes and objective health changes.

Across ages and diagnoses, couples who fully engage with our program for at least 6 months and involve both partners see a live-birth rate of around 70%, and nearly 100% see meaningful improvements in labs, symptoms, and quality of life (energy, digestion, pain, mood, cycles, etc.).

Individual results always vary based on age, diagnosis, and how closely you can follow the plan. We never guarantee pregnancy or specific timelines. We focus on changing the inputs in your favour as much as possible.

Yes. Our goal was never just a positive test — it’s a healthy parent, healthy pregnancy, and healthy baby. When you conceive, we:

• Shift you from heavy “Correct” work into a pregnancy support phase
• Adjust supplements and protocols for safety in each trimester
• Monitor key labs (as appropriate) and symptoms through pregnancy
• Coordinate with your OB/midwife when useful (sharing labs, flagging concerns)
• Start preparing you for postpartum recovery and nutrient repletion

Many couples stay with us through pregnancy and into postpartum (often 3–12 months after birth) to rebuild nutrient stores and iron status, support thyroid, hormones, and cycles as they return, address gut and pelvic-floor changes, and plan for future pregnancies, if desired.

You’re not “discharged” the moment you see two lines — we walk with you through the whole arc: fertility, pregnancy, and postpartum.