Your conception, your way
Making dreams come true one family at a time
Centering LGBTQ+ and Solo Parent Families
Family Building & Fertility Care
Get one-on-one support for your family building process from author and midwife Liam Kali - no matter where you live! Liam meets with you over Zoom to provide broad access to queer-centered, gender-affirming, trauma-informed, anti-racist, body-positive, evidence-based fertility and pre-pregnancy care. Let Liam's decades of experience guide you from preparing for pregnancy and navigating the donor insemination process to conceiving in the way that is right for you, including in-home IUI in the Seattle area.
Read Liam's latest publication in Fertility & Sterility journal, Therapeutic donor insemination for LGBTQ+ families: a systematic review.
STEP ONE
Family Building Consultation
Care begins with a Family Building Consultation to discuss your overall family building plan and create a timeline informed by methods of conception and success rates over time. Liam will provide information about donor selection, navigating sperm banks and considerations for known donors. Understand how our practice works and what to expect throughout your course of care, whether you are ready to start trying right away or you are making a longer term plan.
Family Building Consultations can also be used for assistance in formulating your family vision, exploring co-parenting, clarifying your decision to become a parent, or integrating family-building goals with plans for gender-affirming medical treatments. $200 (60 min on Zoom)
STEP TWO
Fertility Care
Your first Fertility Care visit includes a thorough health history, orders for blood work (insurance or cash pay options) that can be drawn at your local lab, orders for genetic carrier screening, and a comprehensive plan for supporting your fertility and preparing for pregnancy. We will discuss methods of tracking ovulation and make sure you know how to get the info you need for accurate timing of your conception attempts.
At your Follow Up visit, we will go over lab results, review your cycle chart and create your timing plan. Additional follow up visits take place every 3 cycles or as needed. Once you conceive, we will discuss early pregnancy monitoring, address any discomforts you are experiencing, and transition you to prenatal care.
First visit: $200 (60 min on Zoom) / Follow up visits: $100 (30 min on Zoom)
Questions? Visit our FAQ or schedule a Meet the Midwife visit.
STEP THREE
Intrauterine Insemination
Liam provides in-home intrauterine insemination (IUI) in the greater Seattle area. Whether you are in care with Liam or you have been referred by a local fertility clinic for in-home IUI, you must schedule an IUI Cycle Prep visit within the first seven cycle days of every IUI cycle. We will discuss insemination timing and logistics, make sure you have any supplies you need and then wait for you to text or call when ovulation is pending.
Liam approaches pelvic care with the utmost sensitivity and respect, which means your IUI's will be gentle and trauma-informed, inviting your consent every step of the way and ensuring your comfort throughout the procedure.
IUI Cycle Prep visit: $100 (15 min on Zoom + on call availability)
IUI Procedure: $400 (including 30 min travel to your home)
DID YOU KNOW?
Needing donor sperm to get pregnant does not mean you have infertility!
New research on donor insemination contradicts traditional methods still commonly used in infertility clinics. Ovarian stimulation with medications such as Clomid or Femara and ovulation induction with ultrasound and hCG "trigger" shots do NOT increase success rates in donor insemination, yet they certainly do inflate costs for conceiving families who also have donor gamete expenses, and they increase the likelihood of a high-risk, multiple pregnancy four-fold. As midwives, we have always known that the best way to support fertility is to nourish the whole person, and ovulation symptoms are easily identifiable through self-directed methods of fertility monitoring, without increasing cost or clinical risk. As a growing body of evidence emerges in support of what we have always known, Queer Conception and Maia Midwifery bridges the best in available science with over 30 years of clinical experience in patient-centered donor conception care.
Read more in Queer Conception: The Complete Fertility Guide for Queer and Trans Parents-to-be
Frequently Asked Questions
Still not sure which appointment to choose, or whether Maia is right for you?
Schedule a "Meet the midwife" appointment. This is a 10-minute, introductory consultation.
Can I work with Maia if I do not live in the greater Seattle area?
Though Maia midwifery is based in Seattle, WA, all appointments are provided online using a secure video connection. We provide in-home IUI services in the greater Seattle area. If you are not in Seattle, we can provide everything but the IUI, unless you want to travel to our clinic for your IUI procedure. We also provide orders for lab work throughout the US.
Do you take insurance?
We are not contracted with any health insurance companies, however if you have out-of-network benefits, we will provide you with a superbill that you can submit to your insurance company for reimbursement. Lab work will be billed to your insurance company directly by the lab. Many clients utilize their Health Savings Account to pay for fertility care and IUI services.
I’m inseminating on my own, I just need a signature on my sperm bank release form. Can you do this for me?
Preconception health care is important, and sperm is expensive! We take our role as health care providers very seriously, ensuring that your fertile health is in order, your body is ready for pregnancy, and you’ve got the timing right so that your money on donor sperm is well spent. We require that you establish care before signing a consent form acknowledging that care has been provided.
Visit our FAQ to find answers to more of our commonly asked questions
Get a Jump On All You Need to Know Before Your First Appointment
Listen as midwife Liam Kali talks about why preconception care is important and what the Maia midwifery approach looks like. Discover why this model of care is especially valuable for LGBTQ+ families, single parents by choice, and those who are conceiving over age 40.
Listen to the Creating Families Podcast
You are a MAGICIAN! No one else has been able to get through my cervix without pain and trauma.