You’re managing the appointments, the lab results, the supplements, the lifestyle changes, plus the intense emotions — all while trying to live a normal life.
Truth is, fertility affects everything: your body, your finances, your mental health, your relationships, your identity.
It can also be so confusing! The good news? You don’t have to figure it all out on your own.
Get the personalized support, guidance, education, tools and resources you need — from testing and treatment options to navigating partnerships, sexuality and the mind body connection.
You deserve a space where your questions, grief, and hope all have room.
Hi, I'm Mariah Tuffy Joseph!
Hi, I’m Mariah Tuffy Joseph — a Fertility Coach and Educator with a Master's in Social Work and more than 20 years of experience in reproductive health across seven countries.
I support individuals, couples, and groups — guiding them through fertility challenges, pregnancy loss, intimacy issues, relationship strain, and the sexual health conversations that often stay hidden. I specialize in helping clients uncover and address root causes of fertility challenges and recurrent pregnancy loss, as well as providing guidance for natural and IVF conception, especially for women over 35.
My goal is to help you go from feeling confused, overwhelmed and alone to clarity, calm and connection on your journey.
Todos mis servicios se ofrecen en español. Proficiente em português também.
I am also on this journey with you — after more than 2½ years, three pregnancy losses, multiple fertility programs, one IVF cycle that didn’t work, and one inconclusive embryo, we still don't have our baby...
One on One Fertility Support
One on One Fertility Support how you need it. Now. Whether it's answering your questions, offering comprehensive fertility education including discussing doctors, testing, diagnoses, treatments, supplements, lifestyle, next steps, providing relationship, mental health, and emotional support tools, or simply being heard and validated by someone who actually gets what you are going through, I am here with you.
Couples Fertility Support
Couples Fertility Support specifically designed for you and your partner. Whatever is supportive is what we will focus on including offering fertility education, providing perspective, relationship skills or guidance on how best to support each other, discussing boundaries, intimacy, sex, communication or receiving emotional and mental health tools and resources, you name, it we can talk about it.
Fertility Support Groups
Join our bi-weekly open In Person and Online Fertility Support Groups, a compassionate space for women navigating their unique fertility journeys. No matter how long you have been on the journey, where you are in the process, whatever way you are trying to have a baby, whether you are in a partnership or doing it on your own, you don't have to go through it all alone.
Sex, Love and Health
Coaching and support for every stage of your sexual, relational, and women’s health journey. I also offer fully comprehensive sex education and sexual self-care, tailored to the people or population it is served to. I can also meet with you to discuss sexually transmitted infections including education, disclosure, support and acceptance for adults or teens.
A chance to share, ask questions, and explore whether we are a good fit for your needs and goals!
30 min
Free
"Mariah inspires me and so many others to reclaim our voices and stand in our power with dignity and courage. In a time when so many feel silenced and unseen, Mariah’s work is a powerful reminder that healing, truth, and justice begin when we dare to be fully human together."
~ Claudine Migisha, MSW, Village Institute Program Coordinator
Join Our Community
Subscribe to receive support, education, tools, and resources for whatever relational, sexual or reproductive journey you are on.
