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The Fertility Treatment Journey

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All fertility experiences are unique. As a result, there is no “typical” fertility treatment journey. Whichever path is determined to be the best one for you, you can trust that you’ll be treated with care, compassion and understanding, every step of the way.

  1. Your First Visit & Fertility Testing

  2. Treatments and Solutions

  3. Donor & Surrogacy Solutions

  4. Innovative Enhancements

  5. Fertility Wellness

Your First Visit & Fertility Testing

During your first consultation, your physician will take your medical history, review any previous treatments, discuss the results of your tests, and answer any questions you might have.


Before determining the right treatment for you, it’s important to uncover key insights about your fertility health. As part of your initial fertility consultation, we’ll determine the right diagnostic assessments to recommend, which may include:

  • Physical exam

  • Transvaginal ultrasound to measure your ovarian reserve

  • Blood work and baseline hormone evaluation

  • Vaginal culture and PAP test

  • Semen analysis

  • Sonohysterogram (ultrasound)

  • Laparoscopy

Fertility Testing

Treatments and Solutions

In general, we opt to start with simpler treatments and consider more involved procedures only as needed. Our care specialists will guide you through each procedure and provide options that best suit your medical needs, emotional comfort and financial situation.


As part of your treatment plan, your physician may recommend the following procedures:

  • Natural cycle monitoring

  • Awareness/support while using gender affirming hormones (for conception and sperm production)

  • Fertility medication with intercourse Intrauterine insemination (IUI) with/without medication

  • Ovulation induction

  • In vitro fertilization (IVF) with/without Intracytoplasmic Sperm Injection (ICSI)

  • Surgery

Fertility Treatments

Donor & Surrogacy Solutions

There are many paths to becoming a parent. Some other options you may want to consider include:

  • Donor Egg – Recommended when you are unable to get pregnant with your own eggs, but would like to carry and give birth to a baby (Anonymous egg donor program currently offered through our partners, EliteIVF)

  • Donor Embryo* – A path for those who are unable to conceive a child with their own sperm and eggs, but who would like to carry and give birth to a baby

  • Donor Sperm – Recommended for male factor infertility, single females and same-sex female couples wishing to create a family

  • Gestational Carrier (Surrogacy)* – A path for those who are unable to carry a baby to term or have a uterine problem which may cause early delivery or reduce the chance of success

  • Adoption – A path for those who are unable to, or choose not to, have a biologically related child

*For Donor Embryo and Gestational Carrier (Surrogacy) solutions, talk to our Heartland team for additional information.

Donors & Surrogacy Solutions

Innovative Enhancements

In addition to the above options, Heartland Fertility also offers innovative technologies that are integral to treatment plans to ensure the healthiest possible outcomes when combined with fertility treatments such as IVF. Some options our team may recommend include: Preimplantation genetic testing (PGT-A/PGT-M) or Endometrial receptivity analysis (ERA).


Many of these innovations are included in the cost of treatment, while others may incur additional costs.

Innovative Enhancements

Fertility Wellness

Your overall lifestyle, physical and emotional wellbeing has a vital influence on your fertility health. To nurture your body and mind for optimal fertility, Heartland Fertility works with a trusted network of external professionals to enhance your fertility journey with the following services:

  • Acupuncture

  • Emotional wellbeing and stress management

  • Nutrition counseling and weight management

  • Counseling

Fertility Wellness

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