FAQ

A fertility coach at Fertility Support Now, is a dedicated specialist who provides practical, educational, emotional, relational, and lifestyle support to individuals and couples navigating fertility challenges, IVF, and pregnancy loss. My specific areas of support: Understanding doctors, testing, diagnoses, treatments, protocols Lifestyle changes and supplements Unexplained “infertility” & secondary “infertility” Identifying root causes of fertility challenges & recurrent losses  Preparing for natural conception or egg/sperm freezing IVF, IUI, donor options, gestational carriers, & adoption  Trying to conceive (TTC) after loss  Holistic & integrative fertility approaches  Healthcare navigation and doctor advocacy  Mental health support (coping with fear, grief, overwhelm, & more)  Mind–body connection, empowerment, & reducing shame  Relationships & intimacy   Changes in identity & interpersonal relationships  Women’s groups & community connection Women’s sexual health & sexual self-care  Comprehensive sexual education, including STI support  I also have my Master's in social work so am equipped to provide up to date information, education, and emotional support more than other fertility coaches.

Here is a brief breakdown of the differences: Medical Doctor (RE, OBGYN, Primary Care, Naturopathic Doctor etc): Focuses on the clinical protocol. They handle the "mechanics" of the journey, such as bloodwork, testing, treatments, ultrasounds, egg retrievals, and transfers. Fertility Therapist: Focuses on emotional healing. They help you process deep-seated trauma, grief, or clinical mental health conditions related or not related to fertility challenges or pregnancy loss. Fertility Coach (MSW): Focuses on both the clinical and emotional aspects, and helps look at your unique fertility situation from a whole outside perspective. As a coach with a clinical social work background, I bridge the gap by helping you navigate all of the physical, practical, emotional, and relational aspects of the fertility journey. I help you with all of the things that your doctors and therapist are not helping you with. Think what doctors to see, tests to do, treatments that are available, supplements, lifestyle, mind and body.

My prices for coaching sessions are as follows: One on One sessions cost $150 for one hour. Packages of One on One sessions are also available with 4 sessions for $550 (Save $50 — Ideal for immediate clarity and navigating your current fertility cycle), and 8 sessions for $1,000 ($200 savings—The best value for long-term fertility marathons), valid for up to 6 months and 12 months respectively. Couples sessions cost $180 for one hour. Packages of Couples sessions are also available with 4 sessions for $650 ($70 off) and 8 sessions for $1,200 ($240 off), valid for up to 6 months and 8 months respectively. Intimacy, Sexuality and Sexual Health One on One sessions cost $130 per hour. Packages of sessions are also available with 4 sessions for $480 ($40) off and 8 sessions for $880 ($160 off), valid for up to 6 months. In Person and Online Groups are Free to Donation Based. It is deeply important to me that my services are accessible to everyone. If you do not have the finances to schedule a session, please email me and we will figure out a way to work together.​​​​

I do not accept insurance. However, I do offer sliding scales and payment plans. Please feel free to email me at Mariah@FertilitySupportNow.com with any questions or to discuss pricing.

Ideally, 3–6 months before you begin a treatment cycle (like an egg retrieval or transfer), or when or before you decide to start trying. This gives us time to focus on everything we need to support egg and sperm quality (which takes 3-4 months), along with lifestyle optimization and mental and emotional support tools. However, I also work with clients who are in the middle of a cycle, or trying naturally and need immediate practical and emotional support. It is really up to you, when you feel you need the extra guidance, I am here!

I am available to meet with you as little or as often as you would like! No time commitments. Many clients choose to meet with me weekly, or monthly, or depending on where they are in their fertility journey or treatment process. For example, we could meet multiple times in the weeks leading up to a retrieval or a transfer to make sure you feel prepared practically, mentally, and emotionally.

That is entirely up to you. I work with individuals and couples alike. If you have a partner, they are always welcome to join to ensure you are both on the same page with getting questions answered, clinical decisions, lifestyle changes, and emotional support tools. This would be booked as a Couples Session. My Couples Coaching Sessions include many different aspects, besides just fertility to help you thrive as a couple. We know that fertility can take a toll on our sex life and our relationships, and I am available and equipped to support you both. Areas of Support: Comprehensive couples coaching—including fertility support and LGBTQAI+ inclusive care Identifying attachment differences and root patterns Communication skills Conflict resolution Building emotional safety Setting healthy boundaries Reigniting intimacy  Navigating differing orientations and visions towards parenthood Managing varying ways of processing grief and emotions Understanding doctors, testing, diagnoses, treatments, protocols, supplements & lifestyle changes Natural conception, egg/sperm freezing, IVF, IUI, donor options, gestational carriers, adoption, & fostering    Mental health support (coping with fear, grief, overwhelm, & more) Tools and resources

While I do not provide medical advice or speak for you, I empower you to speak to your medical team. We prepare for appointments together by reviewing your labs and clinical history, so you know exactly which questions to ask, and how to advocate for yourself. I am available to speak to your therapist (if you have one), if that would be supportive. Proper forms would need to be filled out for us to disclose any personal information about you with your consent.

Absolutely not! I work closely with people who are trying to conceive naturally, as well as with people who are thinking about freezing their eggs in the future, or who are doing any type of ART (Assisted reproductive Technology), like IUI or IVF.

Yes! Fertility is a human experience, not a binary one. I am committed to providing inclusive, culturally competent care that honors your unique identity, gender, and family structure. Whether you are navigating solo parenthood, LGBTQ+ family building, or third-party reproduction, you will find a safe, supportive, and knowledgeable space here.

Absolutely! I work with client's who are on every different type of journey to parenthood: Fertility Preservation: For individuals and couples undergoing egg, sperm, or embryo freezing for personal, or medical reasons. Third-Party Reproduction: For people using donor eggs, sperm, or embryos, as well as intended parents working with a gestational carrier. Solo & Single Parents: For solo parents and single parents by choice or circumstance. LGBTQ+ Family Building: For Reciprocal IVF, known donor arrangements, and gender-expansive and trans-inclusive clients. Secondary "Infertility": For people who already have children (or a child), but are navigating the challenges of struggling to conceive and/or carry to term again. Medical & Genetic Necessity: For individuals or couples who are using IVF for PGT-M (genetic testing), or other medical reasons. Adoption & Fostering: For people navigating the adoption or foster process.

Yes! I am fluent in Spanish and proficient in Portuguese. I have lived in 7 different countries across Latin America and the Caribbean. I have worked with people from over 20 countries, and absolutely love meeting and working with people from all over the world!

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