Midwifery Care for Fertility + Insemination

We offer midwifery-style fertility care. For many families, the childbearing year begins long before a positive pregnancy test. We offer care for individuals just beginning to explore their conception options to those seeking holistic fertility support to regulate their cycles and determine optimal conception timing and to families and individuals ready to conceive through insemination (ICI/IUI).

We approach fertility care from a Health At Every Size (HAES) perspective, and we specialize in working with LBGTQ folks, transgender folks who have previously used hormone affirming therapy, single parents by choice, individuals with PCOS and hormone irregularities. Informed consent is deeply woven into our care; our insemination processes move at the pace you choose and are comfortable with. Additionally, we are on call for ovulation-timed care and to help you determine optimal insemination timing. We provide home IUI within 30 minutes of Montpelier and office IUI for folks outside our service area. We also offer virtual fertility appointments for clients outside the service area.

Empowered Preconception Care

At your 90 minute fertility consultation, we will thoroughly review your medical history, screening for common causes of infertility and working together to create an individualized plan to optimize your fertility through nutrition, lifestyle changes, supplements and herbs. We can review your charting if you have already started, and we will help you learn about detecting and tracking fertility signs in your body to optimize intercourse or insemination timing. We can also order any relevant lab work.

Following your visit, we will be available to you for three months over phone and email to review your cycle charting, follow-up on lab work, and checking in about your personalized fertility plan. 

Intrauterine Insemination Care (IUI)

Timing is one of the most important elements of conception; insemination is most effective within 12 hours of ovulation. We are on call for inseminations each cycle, to optimize your chances of pregnancy.

We provide intrauterine insemination (IUI). IUI is a simple procedure where washed or frozen sperm is placed in the uterus with a thin tube (catheter) to achieve pregnancy. IUI is twice as effective as vaginal insemination. (Carroll 2001, Cohlen 2011).

Donor sperm from a sperm bank is most often washed and ready for an IUI, but the sample will be marked when you purchase it as appropriate for IUI or intravaginal insemination (unwashed sperm).

If you are using a fresh semen sample or unwashed sperm from a bank, we can provide the sperm washing along with your IUI for an additional fee.

Families choosing home or office IUI get all of the perks of home birth midwifery – a personal relationship with your midwife, the comfort of being in your own home or our cozy office, and care uniquely tailored to your family’s needs. An initial preconception visit is required to utilize home IUI services, see our payments and fees section.

*If you are interested in an IVI (intravaginal insemination a.k.a.the “turkey baster” approach) this is something that many people find easy to do at home without the help of a professional. We are happy to discuss the best approach with you beforehand or, if you do not feel comfortable doing this on your own, discuss helping you in person.

**We provide home IUIs to locations within 30 minutes of Montpelier, or in our Montpelier office.

Payment + Fees

Fertility Counseling Initial Consult: $150 (includes chart review and 3 months of phone/email consultations)

Fertility Counseling + IUI Package (1.5 hour consult with tracking support + 2 IUIs)
Fresh Sperm with Prep: $800 - $1000
Frozen Sperm: $600 - $800

IUI with Frozen Sperm: $250 - 450
IUI with Fresh Sperm: $350 - 550 (includes sperm washing)
2nd IUI in the SAME cycle: frozen $150 or fresh $200