Couples Fertility Review

The Couples Fertility Review is a structured, systems-based review for individuals and couples who are trying to build their family and feel stuck, pressured, or out of options.

Some have tried naturally.
Some have been told IVF failed.
Some have been advised to move directly to donor eggs.

What they share is this: they have never been given a clear explanation for why things are not working.

This review exists to pause the rush to the next recommendation and look carefully at what has been missed.

This service works alongside your existing medical care. It does not replace your clinical team.

Who This Is For

This review is appropriate if you:

• Have tried to conceive naturally without success

• Have been told you have low AMH, high FSH, diminished ovarian reserve, or premature ovarian insufficiency

• Have been advised to pursue donor eggs without a clear explanation

• Have experienced IVF failure, embryo arrest, or recurrent pregnancy loss

• Have been told results were “normal” but still have no answers

Most clients are couples.
Individuals pursuing pregnancy independently are also supported.

The scope and investment are based on complexity, not relationship status.

How the Review Begins

Rather than focusing on a single diagnosis or number, the review looks across systems and timelines.

The review typically includes:

• Detailed review of fertility history and prior treatment

• Blood work review for both partners when applicable

• Food, stool, and genetics testing for the female partner

• Semen analysis review for the male partner when applicable

This approach highlights patterns often missed when fertility is reduced to one marker.

What’s Included

• Review of fertility history, diagnoses, labs, and IVF or embryology reports when applicable

• Identification of metabolic, inflammatory, hormonal, immune, and partner-related patterns

• Guidance on what should be evaluated before repeating treatment, pursuing donor options, or moving forward naturally

• Focused support during key review and decision periods

This is not ongoing coaching.
Support is intentional and decision-focused.

Testing and Supplements

Functional testing for the female partner (food, stool, genetics) is included in the review process. Testing is paid directly to the labs.

Additional testing may be recommended based on findings, such as adrenal function, vaginal microbiome, nutrient status, or environmental exposures. These are discussed in advance and billed separately.

For the male partner, testing includes review of blood work and semen analysis. Additional testing is recommended only when indicated and billed separately.

Supplement recommendations may be made. Supplements are not included and are purchased separately.

After the Review Period

After the six-month review phase, many clients continue with monthly support to prepare the body for pregnancy and improve the likelihood of success.

Ongoing support focuses on:

• Implementing and refining recommendations over time

• Monitoring response and adjusting based on follow-up testing

• Supporting metabolic, hormonal, immune, and inflammatory balance

• Preparing for natural conception, IVF, or transfer when appropriate

This work recognizes that fertility timelines are individual and require ongoing assessment rather than one-time recommendations. Monthly support is billed separately.

Pregnancy timelines vary. With consistent follow-through, many clients continue support over a 12–18 month period as their body moves toward readiness.

Entry

Participation is by application only.
The appropriate scope of review is determined by biology, not diagnosis or preference.

Program fees do not include the cost of laboratory testing, supplements, shipping, or services provided by third parties. These costs vary based on individual needs and location and are discussed in advance.

Disclaimer

The Couples Fertility Review is an educational and decision-support service. It does not provide medical advice, diagnosis, or treatment and does not establish a physician–patient relationship.

All medical decisions and care remain with your licensed healthcare providers.
Outcomes vary, and pregnancy is not guaranteed.

Any testing, supplements, or services recommended outside of the review are optional and paid directly to third-party providers.

Optional Expanded Pathway

The Couples Fertility Review with Expanded Partner Testing

Used when sperm contribution, shared biology, or later-stage embryo development patterns need to be evaluated more fully from the start.