About
Mission
At Fertility Support Now, my mission is to support individuals and couples navigating the physical, emotional, and often overwhelming journey of fertility and sexual and reproductive health. I aim to be an understanding compassionate presence, educational platform, and trusted resource for you and the people you love—because these conversations matter and no one should have to go through this alone.
Vision
My vision is a world where everyone navigating fertility or facing sexual or reproductive health challenges feels truly seen, supported, and empowered—no matter their past, circumstances, timeline, or chosen path. I envision a future where these essential, yet often unspoken experiences are met with open dialogue, care, knowledge, and encouragement instead of stigma and shame.
Purpose
My primary goal is to offer personalized support through one on one sessions, couples support, and both online and in person group gatherings for those in need. This support includes validation, empathy, guidance, education, tools, and resources on all aspects of women's sexual and reproductive health, fertility, fertility challenges and pregnancy loss, including mental and emotional health. My objective is also to help those in the community, including family, friends, employers, caregivers, professionals, members of the congregation, and others in a supportive role understand what an individual or couple is going through and how to best support them.
Mariah Tuffy - Professional
Mariah Tuffy, MSW, is a trilingual (English, Spanish, and proficient in Portuguese) social worker with over 20 years of experience teaching and empowering people from all over the world to understand and improve their self worth, relationships, and sexual health while decreasing shame and guilt. Her knowledge spans comprehensive sexual education, women's sexual health and self-care, and fertility education with a specialty in unexplained infertility for women over 35 and recurrent pregnancy loss.
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Mariah earned her Master’s in Social Work from the University of Southern California and holds a bachelor’s degree in Human Development from Eckerd College. She has created mentor programs, served adolescent mothers, and worked in psychiatric hospitals and schools, to name a few. She has also written mental health curriculum for middle and high school students and leads the Fertility and Sexuality Program for Golden Girls Global. She is also the founder of Matching Couple Style, a fun website she made for couples who like to match!
Having lived and worked in seven countries, Mariah brings a culturally sensitive, real, dynamic, relatable style to her work, trainings, one on one, couples sessions, and groups. She builds communities where youth and adults of all backgrounds and genders can safely, openly and confidently navigate their relationships, sexuality, sexual health and fertility journeys. Participants leave feeling more knowledgeable, less alone, less stigmatized and with tools to support their physical, emotional, and mental health.
Mariah Tuffy - 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.
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Having lived all over in the Caribbean and Latin America for almost 15 years, and in various cities in the US, I have walked through many different 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. Over the past two plus decades, I’ve lived through a wide range of experiences with intimacy and connection—from many years of being super single, to dating and online dating, to long-term healthy and unhealthy cross-cultural relationships, and much much much more. Along the way, I’ve navigated the realities that come with these things, including but not limited to trying multiple forms of birth control and working through different sexually transmitted infections.
Most recently, my life has shifted to a super intense two year plus fertility journey with my amazing 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 my husband was much like our fertility journey meaning it was way more difficult than anything I could have ever imagined. If you're still single and want love, hold onto that little sliver of hope like we do on our fertility journeys even if the sliver is tiny. Miracles can happen. Me meeting Kemy at exactly the right time in exactly the right way is proof of that.
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Through it all though, I’ve been committed to speaking openly—both personally and professionally—about the things most people shy away from. Bodies in all their forms, sexual education, relationships, infidelity, sexuality, pleasure, fertility, fertility struggles, pregnancy loss, mental health, identity, shame, 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.
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Though I’ve had privilege, education, and community on my side, I’ve still found myself feeling very alone in regards to fertility and sexual health. That’s why this platform exists: to help others have the hard conversations and get support with whatever they’re experiencing in their bodies, their minds, their hearts, and their relationships.
Our Fertility Journey
My husband Kemy J and I began trying for a baby in March 2023, not long after we stopped using any substances. That very first month, we conceived—but soon after, I experienced bleeding. I thought it was implantation spotting. At our check-up, we found out I wasn’t pregnant. The shock and heartbreak hit hard. We tried again in May and conceived immediately, only to experience another loss—our second chemical pregnancy in a row.
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That moment shattered me. I spiraled into an overwhelming period of anxiety, fixation, and deep need for answers. I drastically changed my entire lifestyle, saw every kind of doctor—Eastern and Western—ran every test you can imagine, did different protocols, explored many alternative approaches, took supplements, tried all the fertility hacks, immersed myself in research, read countless books, followed every fertility person on Instagram, joined too many Facebook groups, and more. I tracked everything obsessively. 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.
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In February 2024, in the middle of wedding planning, we conceived again—and miscarried 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 to conceive for nine months. By August 2024, I knew something had to change. I had to shift my mindset, not just to survive, but to reclaim my life.
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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 itself for me wasn’t as physically hard as I feared, but the emotional toll—the waiting, the uncertainty—was brutal. When we learned the only two embryos we had 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 are still in it now—undergoing a four-month fertility program, and also talking about adoption, fostering and egg or embryo donation. 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.
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The journey is always full of ups and downs. I just turned 40, and feel my body changing. I am still trying to repair the hurt from the last two years with my husband. We still have differing opinions and feelings relating to our fertility journey, and although it's hard on us, we are deeply committed to navigating this journey together. Everything continues to be uncertain, but fertility itself doesn’t consume me the way it once did. I can’t let the desire for a baby define or control my whole life, even though my motherly instinct completely disagrees with that statement. I tried that—and it nearly cost me everything. That doesn’t mean I don’t have days where I cry, spiral, or feel disbelief that this is my life. I do. But I keep going.
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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.
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I want to share what I’ve learned—about fertility, sexual health, doctors, tests, treatments, different options, supplements, lifestyle, fertility blocks and hacks, relationships, sex, self-care, mental health, control, grief, spirituality, openness, vulnerability, trust, forgiveness, surrender, and acceptance. I’m here to support you in the anyway you need, wherever you are on your journey. These conversations matter. You matter.
I took all the nature photos on this website during my travels.
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. You will never see pregnant bellies here either. We don't need another reminder that we are not pregnant.
Disclaimer:
I offer personalized support, education, tools and resources—not medical advice or mental health services. Learn more in my Policies and Agreements.
"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