The 20 questions patients ask us most

It's a structured review of your fertility picture, not a sales call. We go through your history, your cycle, any testing you've already had, what's been tried, and what hasn't. You'll leave understanding how we read your situation and what we'd suggest looking at next — including when the honest answer is that you should be talking to a reproductive endocrinologist rather than to us. The evaluation is $100, with a $50 deposit to hold the appointment and $50 when you arrive.

Be honest with yourself about this before you start. Treatment is typically weekly visits, and the parts that happen outside the office — sleep, food, supplements, timing — matter as much as the visits. The first phase is usually about 90 days, because that's roughly the window in which egg and sperm development responds to change. If your schedule genuinely can't support weekly visits right now, say so on the call and we'll tell you whether it's worth starting.

Yes — bring him. Roughly half of what we see involves a male factor component, and it's frequently the piece nobody has looked at closely. If there's a semen analysis, bring it. If there isn't one, that's usually the first thing we'd suggest. Male factor is often the faster side of the equation to work on, so it's worth knowing early rather than a year in.

Alongside, always. We don't replace your OB/GYN or your reproductive endocrinologist, and we don't ask you to choose. We'll work around your IUI or IVF calendar rather than against it, and we're happy to be in contact with your physician's office. If your care team says something conflicts with what we're doing, their call wins.

Partly. The hands-on treatment obviously requires being in Huntington, so if you're not on Long Island or within reach of NYC, we can't do that part. Some of what we do — reviewing your history and testing, the metabolic and immune side, coordination with your existing physicians — can be done remotely. The triage call is the right place to find out which category you're in, and we'll tell you plainly if the answer is no.

No. Nobody honest does, and anyone who does should worry you. We can tell you how we read your situation, what we'd address, and how we'd know whether it's working. We can't promise a pregnancy or a live birth, and we won't imply one.

The 10-minute triage call is free. The Metabolic & Immune Fertility Evaluation is $100 — $50 to hold your spot, $50 when you arrive. After that, cost depends entirely on what your case needs, and the range is genuinely wide: from a $1,800 Fertility Audit at one end to a $32,000 12-month Fertility Concierge treatment plan at the other. Most people land somewhere in between. Nobody is quoted a number before the evaluation, because before the evaluation any number would be a guess — and you'll see the full cost of your plan in writing before you commit to a single session. Every price we charge is published here.

Sometimes, and sometimes not, and you deserve a straight answer rather than an encouraging one. Age changes what's realistic, and no amount of acupuncture reverses that. What we can look at is whether anything metabolic or immune has gone unaddressed across your cycles, which is a different question from egg quantity. If we don't think we can add anything, we'll say so on the call.

Most of the people we see arrive with a folder of normal results and no explanation. Standard workups are built to rule out the big structural causes; they're not built to look at insulin and glucose together, at inflammatory and immune contributors, or at the pattern across your cycles rather than one snapshot. Bring everything you have — the value is often in what nobody has connected yet, not in ordering more tests.

We don't publish success rates, and we're wary of anyone who does — the number depends entirely on who a clinic accepts. What we can show you is what patients have said in their own words on our stories page, and what we'd track in your own case: your cycle, your markers, your symptoms. Those are yours, they're measurable, and they don't require you to trust a statistic.

The honest framing is: what changes first is usually not pregnancy. It's cycle regularity, sleep, energy, pain, and the markers we're tracking. Those tend to move in the first 60–90 days if the approach is right for you. We'll define at the start what "working" would look like for you specifically, so neither of us is guessing at month four.

We review. What moved, what didn't, what the retesting shows. From there it's one of three conversations: keep going as-is, change the approach, or tell you that continuing isn't the best use of your money and time. That third conversation happens more often than you'd expect, and it's the reason the first two are worth anything.

Yes. Some people don't conceive, and some conceive and lose the pregnancy. Anyone who tells you otherwise is selling. What we try to control is that you're never left without a plan or an explanation, and that you're not spending month after month on something that clearly isn't moving.

Realistically: you spend the money and the time, your markers improve, and you don't get pregnant with us. That's the risk, and you should weigh it. The other risk worth naming — the one that argues for starting sooner — is spending another year on a plan nobody is reviewing.

The mechanisms with the best support are blood flow to the uterus and ovaries, effects on the stress axis, and effects on cycle regulation — plus a well-documented effect on nausea and on pain in pregnancy. What we don't do is claim it "cures" infertility. In our practice acupuncture is one part of a plan that also addresses metabolic and immune contributors; on its own it is rarely the whole answer.

The situations we see most: PCOS and insulin resistance, endometriosis, irregular or absent cycles, recurrent pregnancy loss, unexplained infertility with a clean workup, male factor including DNA fragmentation, and support alongside IUI and IVF. If your situation is structural — blocked tubes, for instance — that's a surgical or REI question, and we'll point you there instead of taking your money.

Because we agree on what we're watching before we start. Depending on your case that's cycle length and regularity, basal patterns or LH data, specific labs retested at a set interval, symptom load, and how you actually feel. You get to see the same tracking we do. "Trust the process" is not a metric.

Cycle and symptom changes often show up within one to three cycles. The metabolic markers usually need the full 90-day window, because that's the biology of egg and sperm development. Anyone promising you faster is guessing.

People who need a structural or surgical fix, people who want a guarantee, people who can't commit to the first 90 days, and people who want acupuncture instead of their medical care rather than alongside it. We'd rather tell you on a free 10-minute call than after you've paid.

Your own data in one place over time — the markers we're tracking, your cycle history, what changed after each phase, and what's due for retesting. The point is that you can see the trend yourself instead of taking our word for it.