Listen as MAIA midwife Kristin Kali talks about why preconception care is important and what the midwifery approach looks like – and discover why this model of care is especially valuable for LGBTQ families, single parents by choice, and those who are conceiving over age 40.
Our comprehensive approach provides all you need to:
Get started building your family
Conceive quickly and easily in a way that works for you
Regroup if you’ve tried a few cycles without success
Address infertility in a holistic midwifery model of care
Fertility care with MAIA is available anywhere in the world! Appointments take place in person at our Seattle office or online using a secure video connection.
MAIA’s fertility and conception expertise is designed to meet your needs, whether you are already trying to conceive, you are planning to start sometime within the coming year, or you are merely exploring the idea of becoming a parent.
We are dedicated to centering the needs of queer and transgender parents-to-be while being inclusive of all family structures and orientations. All care providers at MAIA utilize an intersectional, anti-racist and trauma-informed approach.
Fertility and Preconception Care
At your initial visit, we will:
- Take a comprehensive health history
- Conduct a nutrition and lifestyle assessment
- Review your cycle charts or get you started with charting
- Order lab work and/or review labs from another provider
- Sign your sperm bank release form
- Order a semen analysis for your partner, coparent or known donor
- Start your IUI intake
- Create an individualized fertility enhancement plan for you
At your follow-up appointment, we will:
- Assess your next cycle chart
- Provide a timing plan that is based on your body’s unique signs of peak fertility
- Go over your lab results and order additional lab work as needed
- Review of semen analysis if indicated
- Complete your IUI intake
- Check in on how your fertility enhancement plan is going
- Revise your fertility enhancement plan as needed based on your cycle chart assessment,
lab results or personal preference
Additional follow-up appointments can be scheduled to:
- Review monthly cycle charts and revise your timing plan as needed
- Update your care plan based on life changes, new donor, health concerns, etc
- Address sperm health for your partner, coparent or known donor
- Perform a donor STI risk assessment
- Discuss early pregnancy concerns and miscarriage prevention
- Answer any questions you may have
Click here to book your appointment online
60-Minute Initial Visit: $150
30-Minute Follow-up: $75
15-Minute Cycle Chart Review Only: $50
15-Minute Blood Draw Appointment: $20
Read more about our unique model of fertility care below.
Wondering if MAIA services are appropriate for you? Read about Who We Serve.
Still have questions about fertility care at MAIA? Set up a free 15-Minute “Meet the Midwife” Appointment.
Intrauterine Insemination Services (IUI)
Studies show that when conceiving with cryopreserved sperm, intrauterine insemination doubles the chances of conception, regardless of your age. Because the sperm are placed directly inside the uterus, they can travel quickly to the fallopian tubes and get ready to fertilize an egg.
IUI timing is precise and works most effectively when timed as close to ovulation as possible, ideally within 12 hours of the release of your egg. As part of our Fertility and Preconception Care, MAIA provides individualized timing plans to provide you with the know-how to determine your best time to inseminate. Once ovulation is about to occur, you will call the midwife to schedule your IUI appointment.
If you are receiving Fertility and Preconception Care at MAIA, the IUI Intake is included in your care. Otherwise, you must schedule an IUI Intake Appointment ($75) in order to access IUI services. This appointment and all paperwork must be completed BEFORE the cycle when you plan to do IUI.
A note about our fee schedule:
We *really* believe in the value of preconception care. Getting health care in preparation for pregnancy helps you make sure your body is as healthy as it can be for supporting a growing baby. Our unique approach to preconception care is designed to help you get pregnant quickly and easily, which reduces stress as well as overall costs related to conception. For this reason, we offer discounted rates for IUI when clients are receiving preconception care with us. Click here to review what is included in Fertility and Preconception Care at MAIA.
Intrauterine Insemination (IUI) Fees:
Clients receiving IUI services only: $350
Discounted rate for current fertility clients: $250
Additional fees apply for evenings, weekends, holidays, and home visits outside our service area.
See the complete list of IUI Services and Fees here.
Family Building Consultations
Common topics addressed:
- Clarify your desire to become a parent
- Formulate your family vision
- Create a timeline for conceiving
- Decide whether to use a known donor or a sperm bank
- Explore considerations for coparenting
- Address questions and concerns of your known donor and their partner(s)
- Facilitate communication between you and your known donor as you create a donor agreement
- Assist you in navigating gender transition or coming off hormones in relation to conceiving
MAIA's Midwifery Model Approach to Fertility
MAIA’s model of individualized care is tailored to your specific situation and addresses your unique needs. Appointments are geared towards helping you conceive as swiftly and comfortably as possible, regardless of the means or method. We provide complete step-by-step instruction and advice to prospective parents at any stage of the conception process.
Preconception and fertility care begins with a personal interview and health history, so that we can understand who you are – your lifestyle, your family structure, how you work, how you play, and what you already do to nurture yourself. During your care, we will identify and address any issues that may be preventing you from reaching the full capacity of your fertile health. Together we will create a fertility enhancement plan that takes all of these things into account, focusing on what makes you feel most vibrant and alive. This holistic model invites you to bring your full self to the journey of becoming a parent or expanding your family, even before you have conceived.
IDENTIFYING YOUR BODY’S BEST TIMING
Your body is as unique as you are. While there are certain ways we might expect your body to tell you when it is fertile, how those signs manifest is unique to you and may even change from month to month. What makes MAIA timing plans so successful is your central role in that process. We will teach you what to look for and how to interpret your own body’s signs of peak fertility – not just relying on statistical averages from standardized tests, but instead relying your own body’s indicators that ovulation is occurring.
Supporting Sperm Health
We will discuss ways to support your body in making the highest count, most functional, and healthiest sperm cells possible. In addition to your fertility enhancement plan, you will be given advice regarding ejaculatory habits to increase your sperm count in between attempts to conceive, as well as instructions for how to produce the best sample when the time arrives for conception. If you are a sperm donor, you will be given the opportunity to ask questions about the donation process, logistics, and what to expect.
Choosing a Donor
We understand the many questions you may be considering when creating your family with intention. Your choice of a sperm donor will also be unique to you.We can assist you in exploring the intricacies of working with a sperm bank, using a donor who is known to you, coparenting with your donor, working with a donor who lives far away from you, basic legal considerations, and how different donor choices might feel to you as time goes on. We also provide donor consultations, so that your donor of choice can benefit from their own fertility enhancement plan and get their questions answered by a donor conception expert. No matter what type of donor you choose, we will help you make sure you are getting the best quality sperm available to you.
Monthly Fertility Chart Review
Review of your monthly fertility charts is an integral part of your follow-up care at MAIA. As you track your body’s hormonal shifts throughout the cycle, a picture of your fertile health appears. We will assess your charts every month, providing you with insights based on what we see. The chart review process allows us to perfect your timing plan while observing how your fertility enhancement efforts are taking effect. This information not only helps you conceive quickly and easily, it also provides direct feedback and encouragement for all you are doing to support your fertile health.
If you have been having difficulty conceiving, we can help you determine if there is a timing issue (which is more common than you might think) or if there is an underlying health issue that is interfering with your ability to conceive. Many people diagnosed with “unexplained infertility” start to find answers in consultation with us. MAIA’s functional approach utilizes lab tests, health history, lifestyle assessment and review of your cycle charts to determine the best course of action to bring your body into an optimal state of fertile health. Your plan may consist of dietary changes, recommendations regarding exercise and stress reduction, herbal and nutritional supplement support, and referrals to specialized healing modalities such as naturopathic medicine, acupuncture, or Arvigo Techniques of Mayan Abdominal Therapy. You may also be referred to an OB/GYN or fertility clinic for further diagnostic tests, or to your primary care provider for assessment and treatment of conditions that may be indirectly affecting your fertile health. Together, we will determine the most appropriate course of action in support of your physiological needs, your budget and the choices that are best for you.
EGG/SPERM CRYOPRESERVATION PREP
Whether you are banking your genetic material prior to gender transition, preserving your eggs or sperm while you are still young but not yet ready to conceive, or you are donating your eggs or sperm to a conceiving family, MAIA can help you to bring your body and your reproductive cells to their highest and healthiest potential. Special care is taken to support the body’s underlying fertile health, along with focused antioxidant support to harbor and protect your eggs or sperm until they time they are collected for storage.
TRANSGENDER FERTILITY CARE
In a medical system that is still struggling to understand the complexities and nuances of gender identity and expression, know that at MAIA, you will be honored, upheld and treated with respect. We understand that delaying or discontinuing cross-gender hormones for the sake of conceiving can bring about a great deal of dysphoria for many transgender people. Our goal in assisting you is to help you conceive as swiftly as possible in the way that is most empowering for you, and to do so with the utmost level of sensitivity and respect.