About
Mission
At Fertility Support Now, my mission is to support, guide and educate individuals, couples, and groups navigating the practical, physical, relational, emotional, and often overwhelming journey of fertility, pregnancy loss and sexual and reproductive health.
Vision
My vision is a world where everyone navigating relational, sexual, fertility, or reproductive health challenges feels truly seen, supported, and empowered, instead of alone and with shame—no matter their past, circumstances, timeline, or chosen path.
Purpose
My primary goal is to offer personalized support, education, guidance, tools and resources through one on one sessions, couples support, and both online and in person group gatherings. My objective is also to help those in the community, and others in a supportive role understand what an individual or couple is going through and how to best support them.
Mariah Tuffy Joseph- Professional
Hi! I'm Mariah, a trilingual Fertility Coach, Educator, and Social Worker offering personalized support, comprehensive education, and practical guidance for individuals, couples, and groups navigating fertility challenges, pregnancy loss and sexual health.
​
For 20+ years, I’ve helped people around the world strengthen their self-worth, relationships, sexuality, and reproductive and emotional health. My specialties are 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. STI's too!
​
I hold a Master’s in Social Work from USC and a Bachelor’s in Human Development. My background includes creating mentor programs, supporting adolescent mothers, working in psychiatric settings and schools, developing mental-health curriculum, and leading the Fertility & Sexuality Program for Golden Girls Global. I’m also the founder of Matching Couple Style, a fun website for couples who love to match!
​
Having lived and worked in seven countries, I bring a culturally sensitive, real, dynamic, grounded, and relatable approach to every session. My mission is to offer a safe, empowering space where people of all backgrounds and genders can navigate their relationships, sexuality, women's health, and fertility journeys feeling seen, clear on next steps, less alone, less stigmatized and with tools and resources to support their physical, emotional, and mental health.​
Mariah Tuffy Joseph - Personal
This support platform has been a lifetime in the making. I started attending and leading circles for girls when I was 12, and for as long as I can remember, I’ve been drawn to conversations about boys, love, relationships, sexuality, women’s sexual health and sex education—not just the joyful, fun parts, but the messy, complicated, and often unspoken aspects too. I love talking about it all.
​​
Having lived across the Caribbean, Latin America, and multiple U.S. cities, I’ve experienced many chapters of life. I like to say I've lived 20 lives at least. I've done it all and wouldn't change a thing. My path has been full of beaches, waterfalls, dancing, reggaeton, partying, men, friendships, family, job changes, heartbreak, betrayal, trauma, loss, grief, joy, pleasure, laughter, adventure, learning, and profound self-discovery. My journey with intimacy and connection spans years of single life, dating and online dating, to long-term healthy and unhealthy cross-cultural relationships, marriage, and navigating birth control and sexually transmitted infections. I also created a platform openly discussing the difficulties of dating during the pandemic!
​
Most recently, I’ve been on a beyond intense almost three-year fertility journey with my husband, Kemy, here in Hollywood, Florida with our cat, Magic, our dog, Chi, and all of our neon lights, matching outfits and tropical plants. Finding him was as challenging as our fertility path, proving that even tiny slivers of hope can lead to miracles.
​
Through it all, I’ve committed to speaking openly —personally and professionally about the things most people shy away from — bodies in all their forms, sexual education, relationships, infidelity, pleasure, fertility, pregnancy loss, mental health, identity, shame, and self-worth — nothing is off-limits. I am unapologetically myself, love sharing my story, and I welcome the conversations that society tends to hush across all cultures and backgrounds.
​
Though I’ve had privilege, education, and community, I’ve still felt alone and confused navigating fertility and reproductive health. This platform exists to help others have the hard conversations and access concrete support for their bodies, minds, hearts, and relationships.​​​​​
Our Fertility Journey
My husband Kemy J and I began trying for a baby in March 2023. We conceived the first month, but soon after, I experienced bleeding and learned I wasn’t pregnant. The shock and heartbreak hit hard. In May, we conceived again— only to experience a second chemical pregnancy in a row.
Those losses shattered me. I spiraled into overwhelming anxiety, obsession, and a desperate search for answers —changing my lifestyle, seeing every type of doctor, tracking everything, taking supplements, trying countless protocols, exploring many alternative approaches, reading constantly, researching, and joining too many online groups and more. I was completely losing myself, but honestly couldn’t see it. This all put a huge strain on my relationship with my then boyfriend, who in the middle of this became my fiancé, and is now my husband. Instead of enjoying being newly engaged and then later married, fertility had completely taken over our lives.
In February 2024, in the middle of wedding planning, we conceived again—and lost the pregnancy again, this time in the first trimester. That loss broke me in a way nothing had before. I slipped into a deep depression and realized I couldn’t keep living this way, but had no idea how to get out of it. I was not ok and neither was my relationship. Healing from three pregnancy losses in a single year took everything I had. We stepped back from trying for nine months, and by August, I knew I had to shift my mindset — not just to survive, but to reclaim my life.
​
When I was a somewhat "normal" person again after immense commitment and work, we began trying again, but nothing happened. In January 2025, we started IVF. The process for me was physically ok, but emotionally the waiting, the uncertainty was brutal, and since our only two embryos were chromosomally abnormal, it brought us right back to square one. The grief of not having the family I’d imagined since I was a little girl came rushing back in, along with the consistent heavy weight of the unknown. We’ve since completed a second round with one inconclusive embryo, and are exploring egg donation and adoption options. At 40 years old, I’m not ready to give up on my dream of having my own biological child yet, and don't think I ever will be; but I’m continuing to face the reality every day that our path to parenthood already looks very different than we imagined and quite possibly will stay that way.
​
I want to walk with others who are on this path. I’ve experienced so much grief, felt lost, confused, exhausted, frustrated and isolated—and I know how hard it is when no one around you truly understands—why don’t they just get it? They can’t, but I do. I get it with every cell in my body and soul. I’m here to share my knowledge, guidance, and loving support, wherever you are on your own unique fertility journey. ​​​​​​​​
Note: You will not see or hear me use the word infertility on my website or offerings. I prefer fertility challenges. The word infertility has a negative meaning attached to it, and the vast majority of people are not actually infertile. The root of their fertility struggles have not been uncovered yet!
Disclaimer: I offer personalized coaching, support and education—not medical advice or mental health services. Learn more in my Policies and Agreements.
P.S. I took all the nature photos on this website and on my social media during my travels!
"Mariah radiates a rare blend of wisdom and lived experience that you don’t just hear—you feel. Her presence is both grounded and vibrant, meeting each moment with clarity, responsibility, and an open, loving heart. She doesn’t just share wisdom; she embodies it. Working with her is an absolute gift, and I couldn’t recommend it more."
~ Manuela Welton, Healing Facilitator