Fertility and Conception Midwifery Care

I provide insemination services in the midwifery care model for individuals who are ready to conceive. is a critical factor the conception process, and it is recommended that insemination takes place within 12 hours of ovulation. To ensure optimal care, I am available for insemination outside of typical business or clinic hours. I offer two types of insemination services, including ICIs (intracervical insemination) and IUIs (intrauterine insemination).

*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. I am 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.

ICIs (intracervical inseminations) are where the semen or sperm are deposited within your cervix with a needle-less syringe.

An ICI can be done with:

• fresh samples that contain sperm and seminal fluid

• prepared and washed samples containing only sperm, such as from the sperm bank

• unwashed samples from sperm bank

IUIs (intrauterine inseminations) are where washed and prepared sperm are deposited directly in your uterus with a thin tube called a catheter.

IUI requires washed and prepared sperm, where the seminal fluid has been washed away. Washed sperm is necessary because an IUI is bypassing the body’s systems of separating sperm and seminal fluid at the cervix. Using unwashed sperm for an IUI can cause intense abdominal cramping and pain.

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 either ICI or IUI.

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

My fees for insemination care are:

• ICI/IUI: $300 each

• 2nd ICI/IUI in the SAME cycle: $150

• Sperm washing: $100 each​

- Ways to support your body in maximizing the chances of conception through ideal cycle timing, nutrition, sleep, smoking cessation, and recommendations for complementary care such as acupuncture and herbs.
- How to chart your cycles, look over previously charted cycles together, and/or discuss of insemination or intercourse with ovulation.
- Support in exploring different options for getting pregnant, including donor sperm, donor eggs, sperm banks vs. known donors, medicated vs. unmedicated cycles, or various insemination options.
- Discussion of the timing and process of stopping hormones prior to conception for those who have been on estrogen, progesterone, and/or testosterone hormones.
- Counseling care via telehealth for those who are not in the travel radius.

My fees for fertility and preconception consults are:

• Initial 1.5 hour consult: $200

• Follow-up 60-minute visit: $125

• Follow-up 30-minute consults: $75