The fertility formula
Five steps to enhance your fertility naturally — start here.
With Sacha WelshFertility, IVF, adoption, surrogacy, and the mental load of waiting. Whatever the route to your family looks like, there’s a class and a person for it.

Five steps to enhance your fertility naturally — start here.
With Sacha WelshIBCLCs, doulas, PMH-C therapists, sleep consultants, OBs — bring your situation.

Case consultation, training, and CE-eligible sessions for the Gaux professional bench.


I am an empathetic listener who provides pelvic wellness care that builds personal strength and supports a lasting bloom.

Dr. Kirti Patel is an ob/gyn with over 25 years of experience and host of The Gynarchy, a podcast at the intersection of women's health and feminism.

Functional medicine practitioner supporting women’s hormonal and metabolic health from pregnancy through menopause.
Start with three signals: your period dates, your basal body temperature, and changes in cervical mucus. Together they point to your fertile window — the few days each cycle when conception is possible. An app helps, but the goal isn’t perfect data, it’s knowing roughly when to pay attention.
The general guidance: if you’re under 35, after about a year of trying without success; if you’re 35 or older, after about six months. Sooner if your cycles are irregular, you’ve had miscarriages, or you have a known condition like PCOS or endometriosis. There’s no prize for waiting.
Name it out loud — the two-week waits, the calendar math, the questions from family. The load is real and it’s heavy. Build a small support system, set limits on late-night research, and consider a perinatal therapist who works with fertility. You don’t have to white-knuckle it.
There are many: trying to conceive on your own, IUI or IVF, working with a donor, surrogacy, adoption, and fostering. Each has its own timeline, cost, and emotional terrain — and none of them is a backup plan. The right path is the one that fits your family.
It varies widely by clinic, location, medication, and how many cycles you need — and insurance coverage differs a lot from plan to plan. Start by asking your clinic for an itemized estimate and checking exactly what your insurance covers. We can help you build the list of questions to ask, but Gaux isn’t a financial advisor.
Schedule the conversation rather than letting it surface mid-argument. Name what each of you is carrying — the appointments, the money, the grief — and split the logistics so it doesn’t all live on one person. If you keep hitting the same wall, a couples therapist who knows this terrain can help.
Classes, the experts, and the guides you keep — free for your first month.
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