

For couples facing failed IVF, “unexplained” infertility, or miscarriage.
Discover what’s been missed, apply daily steps, and finally know the path forward.
Watch below to learn more.
By providing your phone number, you agree to receive marketing, promotional, and appointment reminder text messages from us. Message and data rates may apply. Reply STOP to unsubscribe. Message frequency may vary.
At the heart of this program is Gabriela's proprietary F.E.R.T.I.L.E. Method®. The same evidence-based framework that underpins both The Fertility Challenge™ and our flagship clinical treatment program.
Applied within our Fertility Breakthrough Program™, this method has contributed to a 78.8% live birth rate, even in complex cases following failed IVF.¹
The next Fertility Challenge™ begins November 5, 2025. Early registrants receive priority access for their Complimentary Clinical Review and consultation.
14 days. Daily sessions. Daily tasks. Daily wins. Every step brings you closer to clarity and your fertility goals.



I posted some time ago that I was pregnant will I wanted to introduce to the group my baby Ayden he was born 12/13/2017 he is such a blessing I love him so much... thank you Gabriela Rosa’s fertility challenge… with all odds against me I was blessed naturally 😊. I couldn’t be happier in my life and it’s a dream come true!

I did the 14 day Challenge last year. I just wanted to say thank you Gabriela. After 5 miscarriages this beautiful boy joined our family in June. Forever grateful to you.

Little smidgy 6 weeks and 5 days... I'm so in love with my miracle... will forever be grateful for the advice from this challenge #TeamRosa ♡
Stay connected.
Add info[@]rosainstitute.com to your contacts so our emails don’t end up in spam or promotions.

Elowen was born in Melbourne, Australia. Participating in this challenge (twice) was an important part of realising my dream as well as sustaining a healthy pregnancu and delivering a very healthy baby. Hold onto your dream. xo.

Hi, my name is Helena and we are 16 weeks pregnant with a baby boy, due August 22. We've been on this road for almost 8 years. Before I joined Gabriela's program, we had 2 failed IUI's and 3 failed IVF's. At my last appointment, after my last failed IVF, my doctor told me that without the donor eggs I will never get pregnant. I knew there was something else I can do. At that time I came across Gabriela's 14 day fertility challenge and I knew that was it for me. It took little time to convince my husband to join me, but I was able to do so, and now he tell me how great this program is, not only because we got pregnant, but he lost over 60 lbs in only 5 months and he says he never felt better in his life. We got pregnant after a year being on a program. It was a natural pregnancy, no IVF, no donor eggs. We couldn't be happier and I know if I didn't join this program, I wouldn't be here pregnant today.
Thank you Gabriela, Alison and the whole team for your amazing help and support. We couldn't have done this without you. THANK YOU.

My husband and I have been trying for a little over 2 years to become pregnant. I was just getting ready to start our second round of fertility treatments with Clomid and IUI treatments at the beginning of October(waiting for my period to start) And we found out that im pregnant.
We were on Fermara from Febuary-April, and were unsuccessful. Also, had a laparoscopy and hysteroscopy done in Septemeber with no findings and everything was good. I took part of the last 14 day Fertility Challenge™, changed my eating habits, chemcials, you name it i did it! And I truly believe we are pregnant now becuase if the lifestyle choices we changed. That if it was not for this group, we would not have been successful.
Oh, and the little monkey was from a friend who also took part of the 14 day Fertility Challenge™ and gave this to me as a reminder to keep my hope as time will come! And here we are, almost 6 weeks!
Hi, I’m Gabriela Rosa, I am a fertility specialist awarded by Harvard. I have a Master’s in Reproductive Medicine and Human Genetics from The University of Sydney. I also have a Master’s in Public Health from Harvard, where I’m completing my doctorate.
I've helped thousands of couples who have been on the same journey. They have done it all—tests, treatments, even repeated failed IVF—and still have nothing to show for it.
But it doesn’t have to stay this way.
Through my proprietary and highly reproducible F.E.R.T.I.L.E. Method® with a 78.8% live birth rate¹, we’ve helped people just like you who have:
• Tried for years with no success
• Faced failed IVF, ICSI, or donor cycles
• Infertility - no matter the cause
• Endured miscarriages, chemical pregnancies,
or implantation failures
The FREE Fertility Challenge™ program is here to help you:
• Achieve deep and accurate diagnoses.
• Ensure the right evidence-based supplementation
and lifestyle-as-medicine prescriptions tailored
to your diagnostic test results
• Optimize conception timing and identify the
methods most suited to your specific circumstance
Hi, I’m Gabriela Rosa, I am a fertility specialist awarded by Harvard. I have a Master’s in Reproductive Medicine and Human Genetics from The University of Sydney. I also have a Master’s in Public Health from Harvard, where I’m completing my doctorate.
I've helped thousands of couples who have been on the same journey. They have done it all—tests, treatments, even repeated failed IVF—and still have nothing to show for it.
But it doesn’t have to stay this way.
Through my proprietary and highly reproducible F.E.R.T.I.L.E. Method® with a 78.8% live birth rate¹, we’ve helped people just like you who have:
• Tried for years with no success
• Faced failed IVF, ICSI, or donor
cycles
• Infertility - no matter the cause
• Endured miscarriages,
chemical pregnancies, or
implantation failures
The FREE Fertility Challenge™ program is here to help you:
• Achieve deep and accurate
diagnoses.
• Ensure the right evidence-
based supplementation and
lifestyle-as-medicine
prescriptions tailored to your
diagnostic test results
• Optimize conception timing
and identify the methods
most suited to your specific
circumstance



Stay connected.
Add info[@]rosainstitute.com to your contacts so our emails don’t end up in spam or promotions.

We know the journey has been long and heartbreaking. Every setback leaves you wondering if parenthood is slipping further out of reach.
It’s exhausting, and the thought of trying yet another approach might feel overwhelming.
But doing nothing means risking the same frustrating results over and over again.
The FREE Fertility Challenge™ program is here to change that.
• Time is precious: Without the
right action, the months ahead
may bring the same results. This
program helps you make
progress faster by identifying key
barriers within four weeks.
• A proven path forward: Unlike
past attempts, this program is
built on a 78.8% live birth success
rate for couples like you.¹
• Minimized effort, maximized
impact: Stop spinning your
wheels on overwhelming or
ineffective strategies. With clear
guidance, every step will feel
purposeful and manageable.
• A journey with support: You’ll
never feel alone. This program
provides expert, compassionate
guidance every step of the way.
• Your baby dream, closer than
ever: The clarity and direction
you’ll gain here will help you take
meaningful steps toward your
dream of parenthood.
We know the journey has been long and heartbreaking. Every setback leaves you wondering if parenthood is slipping further out of reach.
It’s exhausting, and the thought of trying yet another approach might feel overwhelming.
But doing nothing means risking the same frustrating results over and over again.
The FREE Fertility Challenge™ program is here to change that.
• Time is precious: Without the right action, the
months ahead may bring the same results. This
program helps you make progress faster by
identifying key barriers within four weeks.
• A proven path forward: Unlike past attempts, this
program is built on a 78.8% live birth success rate
for couples like you.¹
• Minimized effort, maximized impact: Stop spinning
your wheels on overwhelming or ineffective
strategies. With clear guidance, every step will feel
purposeful and manageable.
• A journey with support: You’ll never feel alone. This
program provides expert, compassionate guidance
every step of the way.
• Your baby dream, closer than ever: The clarity and
direction you’ll gain here will help you take
meaningful steps toward your dream of
parenthood.

Stay connected.
Add info[@]rosainstitute.com to your contacts so our emails don’t end up in spam or promotions.
The Fertility Challenge™ is 100% FREE.
You’ll get access to tools, resources, and expert guidance valued at over AU$15,000 at no cost.
By participating and completing the program, you’ll be entered into the draw to win one of the:
You’ll get access to tools, resources, and expert guidance valued at over AU$15,000 at no cost.
By participating and completing the program, you’ll be entered into the draw to win one of the:
✓ 2 x FULL scholarships to The Fast-Track to Baby Program™ (AU$2,999 each)
✓ Plus, be in the running for daily prizes that enrich your fertility journey and make
every day count.
✓ 2 x FULL scholarships to
The Fast-Track to Baby
Program™ (AU$2,999 each)
✓ Plus, be in the running for
daily prizes that enrich
your fertility journey and
make every day count.

Register now to access the group and the portal — even before the program begins. You will get vital resources to be ready and confident for this journey.

Receive guidance on essential diagnostic test interpretations for a complete understanding of your and your partner’s fertility.

Gain detailed treatment recommendations tailored to your test results and other important fertility factors.

We will look at some factors you may be unaware of that are affecting your fertility. Recordings are available only during the program duration. You can watch these valuable sessions as often as you like.

You can download handouts for each session. These handouts offer insights and actions backed by science, and we will help you apply each strategy as you advance through the program.

Take part in workshops to apply effective fertility strategies tailored to your specific needs. These will help you progress. You will have exclusive access to the recordings for the entire two weeks.

Join Gabriela Rosa and her expert team live each week to get support for your journey. Access all the Q & A recordings for the entire program duration.

Receive a science-backed plan that includes tailored advice on diet, supplements, exercise, and environmental changes to help you achieve your dream of holding your baby sooner.

Join a private, uplifting community. Connect with others on the same journey. Share experiences and find support in a safe, caring space.
Stay connected.
Add info[@]rosainstitute.com to your contacts so our emails don’t end up in spam or promotions.


Australia: AU$8,000–13,000 per cycle
AU$46,000–72,000 for 6 cycles (max. success ~73%)²⁻⁵

United States: US$12,000–14,000 per cycle
US$56,000–60,000 for a single live birth attempt⁶

United Kingdom: £5,000–13,000 per cycle
Up to £80,000 for 6 cycles (max. success ~65%)⁷⁻⁸
References:
2. Bennett, T., Finder.com.au, 2020
3. Chambers, G. M., BMC Health Serv Res, 2012
4. Khalife, D., Int J Fertil Steril, 2020
5. Malizia, B. A., Fertil Steril, 2013
6. Ha, M., J Assist Reprod Genet, 2023
7. Perrotta, M., Hum Fertil (Camb), 2025
8. Smith, A. D. A. C., JAMA, 2015


FREE: Your chance to experience expert guidance, proven strategies, and life-changing results—at no cost.

Proven success and personalized care: Backed by the F.E.R.T.I.L.E. Method® with a 78.8% live birth rate, delivering effective plans even when other treatments have failed.¹

Health and family support: Improved health, stronger relationships, and multi-generation health benefits for the whole family.

Australia: AU$8,000–13,000 per cycle
AU$46,000–72,000 for 6 cycles (max. success ~73%)²⁻⁵
United States: US$12,000–14,000 per cycle
US$56,000–60,000 for a single live birth attempt⁶
United Kingdom: £5,000–13,000 per cycle
Up to £80,000 for 6 cycles (max. success ~65%)⁷⁻⁸
References:
2. Bennett, T., Finder.com.au, 2020
3. Chambers, G. M., BMC Health Serv Res, 2012
4. Khalife, D., Int J Fertil Steril, 2020
5. Malizia, B. A., Fertil Steril, 2013
6. Ha, M., J Assist Reprod Genet, 2023
7. Perrotta, M., Hum Fertil (Camb), 2025
8. Smith, A. D. A. C., JAMA, 2015


FREE and LIVE: Your chance to experience expert guidance, proven strategies, and life-changing results—at no cost.

Proven success and personalized care: Backed by the F.E.R.T.I.L.E. Method® with a 78.8% live birth rate, delivering effective plans even when other treatments have failed.¹

Health and family support: Improved health, stronger relationships, and multi-generation health benefits for the whole family.
See the complete fertility map so you finally know what’s missing.
Pinpoint the hidden gaps that could be the real reason you’re not pregnant yet.
Discover the key tests that reveal answers fast without wasting months.
Learn a mindset shift that makes the right plan easier to follow and stick with.
Identify everyday toxins that quietly damage fertility and cut them out.
Leave with an “easy-swap” plan that starts improving results immediately.
Discover the exact nutrients that improve egg and sperm quality.
Remove the “healthy” foods silently working against conception.
Find your fertility-friendly exercise sweet spot. No guesswork.
Avoid common workout mistakes that disrupt reproductive balance.
Understand the deeper biological sequence that determines your fertility potential.
Gain the insight that could save you years of frustration and failed attempt.
Spot the mental patterns that create hidden stress and stall your progress.
Learn a method to replace them with clarity-driven thoughts that make the next steps easier and faster.
Discover how upgrading what you drink can improve hormonal balance and cellular health.
Make simple, sustainable changes that keep your body in the best state for conception.
Learn which targeted nutrients can close the gaps slowing your progress.
Walk away knowing how to support your fertility at the deepest level.
See why quality sleep is one of the fastest ways to restore hormonal harmony.
Wake up with more energy, less stress, and a body primed for reproductive health.
Apply for up to AU$15,000 in fertility program scholarships.
Use what you’ve learned to make a compelling case for selection.
Learn science-backed tools to quiet stress and self-doubt.
Replace draining thoughts with clarity, focus, and confidence.
Get expert answers to your most urgent questions.
Final chance to submit your scholarship application before the doors close.
Celebrate breakthroughs and see what’s next for the winners.
Carry the momentum into your own next fertility step.
Stay connected.
Add info[@]rosainstitute.com to your contacts so our emails don’t end up in spam or promotions.

See the complete fertility map so you finally know what’s missing.
Pinpoint the hidden gaps that could be the real reason you’re not pregnant yet.
Discover the key tests that reveal answers fast without wasting months.
Learn a mindset shift that makes the right plan easier to follow and stick with.
Identify everyday toxins that quietly damage fertility and cut them out.
Leave with an “easy-swap” plan that starts improving results immediately.
Discover the exact nutrients that improve egg and sperm quality.
Remove the “healthy” foods silently working against conception.
Find your fertility-friendly exercise sweet spot. No guesswork.
Avoid common workout mistakes that disrupt reproductive balance.
Understand the deeper biological sequence that determines your fertility potential.
Gain the insight that could save you years of frustration and failed attempt.
Spot the mental patterns that create hidden stress and stall your progress.
Learn a method to replace them with clarity-driven thoughts that make the next steps easier and faster.


Discover how upgrading what you drink can improve hormonal balance and cellular health.
Make simple, sustainable changes that keep your body in the best state for conception.
Learn which targeted nutrients can close the gaps slowing your progress.
Walk away knowing how to support your fertility at the deepest level.
See why quality sleep is one of the fastest ways to restore hormonal harmony.
Wake up with more energy, less stress, and a body primed for reproductive health.
Apply for up to AU$15,000 in fertility program scholarships.
Use what you’ve learned to make a compelling case for selection.
Learn science-backed tools to quiet stress and self-doubt.
Replace draining thoughts with clarity, focus, and confidence.
Get expert answers to your most urgent questions.
Final chance to submit your scholarship application before the doors close.
Celebrate breakthroughs and see what’s next for the winners.
Carry the momentum into your own next fertility step.

Stay connected.
Add info[@]rosainstitute.com to your contacts so our emails don’t end up in spam or promotions.
Stay connected.
Add info[@]rosainstitute.com to your contacts so our emails don’t end up in spam or promotions.
Tap on a question to uncover the answer.
We are offering The Fertility Challenge™ program completely free because we believe everyone deserves access to the answers and support they need to overcome fertility challenges.
For over two decades, we have seen the impact of incomplete, costly, and often ineffective treatments on couples struggling to conceive. Too many people say, “I wish we had known about you sooner.” By making this program free, we are removing financial barriers and helping as many people as possible take the right first step—one grounded in science, clarity, and proven success.
We also want to challenge the status quo. Expensive, invasive fertility treatments should not be the first option for couples trying to conceive—or a cycle that couples endlessly repeat after failed attempts.
Proper diagnosis and actionable solutions are critical. This program provides clear, evidence-based steps to uncover the root causes of reproductive challenges for both male and female fertility.⁴⁻⁵ From there, you will have the knowledge and confidence to take meaningful actions that bring you closer to holding your baby.
This is not just about providing tools; it is about delivering real, lasting results. By offering this program for free, we are honoring our commitment to support families and help you take charge of your fertility journey with clarity and confidence.
At the end of each Fertility Challenge™, we award:
Every day of the Challenge comes with a simple, actionable task designed to help you move forward on your fertility journey
• Complete the daily task and share your progress in the private Facebook group before the day’s deadline.
• Each completed task is your entry into that day’s prize draw with exciting rewards designed to support your health, wellbeing, and next steps.
• The more days you participate, the more chances you have to win.
In this program, you will gain the essential knowledge and tools to overcome infertility and recurrent miscarriages, even when other treatments have failed. Best of all, it is free.
The Fertility Challenge™ program is built on the proven framework developed at The Rosa Institute, the foundation of beautiful babies and families we have helped create since 2001. Originally offered from 2011 to 2021 in a different format, this program is back—more effective than ever—designed to provide clarity and actionable solutions for those facing fertility challenges.
The program addresses one of the biggest barriers to holding your baby: insufficient or unclear diagnoses. Many patients feel frustrated by unexplained infertility or miscarriage diagnoses, and rightly so. You deserve clear answers and a personalized path forward, which is exactly what this program delivers.
What you will receive:
The F.E.R.T.I.L.E. Method® is a science-based, integrative approach created by Harvard University-awarded fertility specialist Gabriela Rosa. The FERTILE Method® is the foundational framework for The Fertility Challenge™ program and all the signatures programs delivered at The Rosa Institute.
The results observed through the application of this method have been consistently reproducible. This method enables us to guide our patients on a comprehensive journey, addressing every aspect of fertility with precision and care. Combining diagnostics, personalized treatments, and foundational support, it turns what can feel like a confusing and overwhelming process into a clear, step-by-step path toward achieving your dream of parenthood.
1. Diagnostics: Comprehensive testing to uncover the root causes of infertility and recurrent miscarriage or fertility treatment failure. This includes evaluating obstacles to optimum fertility while addressing physical and biochemical imbalances.
2. Treatment: A holistic, personalized approach integrating epigenetic science to enhance reproductive health, targeting egg and sperm quality, hormonal balance, and overall wellbeing for optimal outcomes.
3. Foundations: Strengthening vital fertility pillars—nutrition, movement, mindset, relationships, emotional health, and intimacy—while preparing for parenthood ensures a strong, supportive foundation for both partners on the journey to a healthy pregnancy and family.

Unlike other treatments, The Fertility Challenge™ program is not tied to any specific method or approach to conception. Whether you are pursuing natural conception, IVF/ICSI, donor eggs, surrogacy, or another path, we remain impartial. Our focus is on uncovering the root causes of any existing challenges and addressing them effectively so you can achieve your ultimate goal and hold your baby sooner.
1. Uncovering the root cause
Traditional treatments often skip critical diagnostic steps, leaving unanswered questions about the underlying factors affecting fertility. Our program prioritizes comprehensive testing to identify and address the root causes of infertility and recurrent miscarriage, ensuring no stone is left unturned.
2. Tailored, personalized care
Grounded in the F.E.R.T.I.L.E Method®, we provide custom recommendations based on your diagnostic test results, health history, and personal circumstances. Each step is designed to meet your unique needs and optimize your fertility potential while addressing any complicating factors.
3. Whole-person approach
Beyond medical procedures, we evaluate key factors such as lifestyle, environmental exposures, emotional health, relationships, and other elements that impact fertility.⁶⁻⁹ That is why we place such a strong emphasis on optimizing overall health while addressing infertility and recurrent miscarriages—especially when the journey has not been straightforward. These are often signs of potentially hidden or silent health challenges later in life.¹⁰⁻¹¹ This comprehensive view helps improve both short-term outcomes and long-term quality of life and wellbeing.
4. Fertility is a team sport.
Fertility is a shared journey, and our program ensures both partners are actively involved in assessments and treatments. By working together as a team, couples can maximize their chances of success, leaving nothing to chance on their path to holding a healthy baby.¹²⁻¹³
5. Proven success and expertise
With a 78.8% live birth rate, even in cases where other treatments have failed, The Fertility Challenge™ program is backed by decades of experience, evidence-based methods, and a team led by a Harvard-awarded fertility specialist.¹ We focus not just on helping you conceive but also on maintaining the health and vitality needed to raise your baby or babies.
The Fertility Challenge™ program is designed for couples or individuals who have been struggling to conceive or maintain a healthy pregnancy to term. It is especially suited for those who have experienced failed treatments—or for those looking to prevent going down the path of failed attempts and unsuccessful treatments altogether.
We specialize in addressing complex cases, including unexplained infertility, recurrent miscarriage, failed IVF/ICSI or donor cycles, immunological factors, and both male and female factors affecting fertility or the ability to deliver a healthy baby.
This program focuses on achieving deep and accurate diagnoses, prescribing the right evidence-based supplementation and lifestyle-as-medicine strategies tailored to your diagnostic test results, and optimizing conception timing and methods specific to your circumstances.
The goal is to leave nothing to chance and no stone unturned. With our help, you will identify and address the obstacles holding you back, especially if you feel like you have tried everything but have yet to succeed.
At worst, The Fertility Challenge™ program will provide fresh, actionable ideas to help you finally hold your baby—as long as you are willing to invest the energy and effort needed to transform your results.
Delivering large-scale programs in a personalized way is an art—and one we have mastered. Having successfully delivered public health interventions to hundreds of thousands of people across 111 countries, we know it is possible to create an intimate and impactful experience, even for large groups.
Currently, we are limiting enrollment to ensure couples receive a level of support comparable to our signature Fertility Breakthrough Program™, which delivers a 78.8% live birth rate.¹
At The Rosa Institute, we pride ourselves on rolling out the red carpet for the couples we treat one-on-one, and we aim to bring that same level of care to the scope we will address in this program.
With over two decades of experience delivering fertility treatments since 2001, we know exactly what it takes to achieve real results and meet the unique needs of the couples who seek our support.
What you can expect:
1. Expert guidance and support
Each week, you will join live (or access recorded) sessions with Harvard-awarded fertility specialist Gabriela Rosa and our expert team. These sessions will establish the foundations of your fertility journey, offering opportunities to ask questions, receive advice, and address your concerns in a supportive environment. You will also benefit from weekly check-ins and 24/7 access to the program’s private community group, ensuring you stay on track and receive ongoing help when needed.
2. Personalized recommendations
You will learn which laboratory diagnostic tests are essential to gain clear answers on your journey to parenthood. Based on your test results, we will provide tailored advice on diet, supplements, and exercise to improve egg and sperm quality. Every recommendation is designed to enhance both your fertility and overall health.
3. Clear, actionable steps
We simplify complex fertility concepts into step-by-step actions. From adjusting your diet to managing stress, you will receive practical, easy-to-follow guidance to help you make real progress. If you are ever unsure about anything, we will be there to provide clarity and direction every step of the way.
The Fertility Challenge™ program is completely free of charge.
This program includes access to:
• Expert-led guidance and support.
• Comprehensive education on the critical steps to uncover and address fertility challenges.
• Evidence-based recommendations tailored to help you take meaningful steps toward your dream of parenthood.
As soon as you register, you’re officially in.
From there:
Over two decades, our proprietary and widely reproducible F.E.R.T.I.L.E. Method® has delivered a 78.8% live birth rate for the patients in our clinic.¹ These outcomes are a testament to the power of high-quality, personalized, science-backed care.
We published our initial results in 2022, as shown in the infographic below. Based on our latest analysis, we are now preparing a manuscript for peer review and scientific publication in 2025.

We are offering The Fertility Challenge™ program completely free because we believe everyone deserves access to the answers and support they need to overcome fertility challenges.
For over two decades, we have seen the impact of incomplete, costly, and often ineffective treatments on couples struggling to conceive. Too many people say, “I wish we had known about you sooner.” By making this program free, we are removing financial barriers and helping as many people as possible take the right first step—one grounded in science, clarity, and proven success.
We also want to challenge the status quo. Expensive, invasive fertility treatments should not be the first option for couples trying to conceive—or a cycle that couples endlessly repeat after failed attempts.
Proper diagnosis and actionable solutions are critical. This program provides clear, evidence-based steps to uncover the root causes of reproductive challenges for both male and female fertility.⁹⁻¹⁰ From there, you will have the knowledge and confidence to take meaningful actions that bring you closer to holding your baby.
This is not just about providing tools; it is about delivering real, lasting results. By offering this program for free, we are honoring our commitment to support families and help you take charge of your fertility journey with clarity and confidence.
At the end of each Fertility Challenge™, we award:
Every day of the Challenge comes with a simple, actionable task designed to help you move forward on your fertility journey
• Complete the daily task and share your progress in the private Facebook group before the day’s deadline.
• Each completed task is your entry into that day’s prize draw with exciting rewards designed to support your health, wellbeing, and next steps.
• The more days you participate, the more chances you have to win.
The F.E.R.T.I.L.E. Method® is a science-based, integrative approach created by Harvard University-awarded fertility specialist Gabriela Rosa. The FERTILE Method® is the foundational framework for The Fertility Challenge™ program and all the signatures programs delivered at The Rosa Institute.
The results observed through the application of this method have been consistently reproducible. This method enables us to guide our patients on a comprehensive journey, addressing every aspect of fertility with precision and care. Combining diagnostics, personalized treatments, and foundational support, it turns what can feel like a confusing and overwhelming process into a clear, step-by-step path toward achieving your dream of parenthood.
1. Diagnostics: Comprehensive testing to uncover the root causes of infertility and recurrent miscarriage or fertility treatment failure. This includes evaluating obstacles to optimum fertility while addressing physical and biochemical imbalances.
2. Treatment: A holistic, personalized approach integrating epigenetic science to enhance reproductive health, targeting egg and sperm quality, hormonal balance, and overall wellbeing for optimal outcomes.
3. Foundations: Strengthening vital fertility pillars—nutrition, movement, mindset, relationships, emotional health, and intimacy—while preparing for parenthood ensures a strong, supportive foundation for both partners on the journey to a healthy pregnancy and family.

Unlike other treatments, The Fertility Challenge™ program is not tied to any specific method or approach to conception. Whether you are pursuing natural conception, IVF/ICSI, donor eggs, surrogacy, or another path, we remain impartial. Our focus is on uncovering the root causes of any existing challenges and addressing them effectively so you can achieve your ultimate goal and hold your baby sooner.
1. Uncovering the root cause
Traditional treatments often skip critical diagnostic steps, leaving unanswered questions about the underlying factors affecting fertility. Our program prioritizes comprehensive testing to identify and address the root causes of infertility and recurrent miscarriage, ensuring no stone is left unturned.
2. Tailored, personalized care
Grounded in the F.E.R.T.I.L.E Method®, we provide custom recommendations based on your diagnostic test results, health history, and personal circumstances. Each step is designed to meet your unique needs and optimize your fertility potential while addressing any complicating factors.
3. Whole-person approach
Beyond medical procedures, we evaluate key factors such as lifestyle, environmental exposures, emotional health, relationships, and other elements that impact fertility.⁶⁻⁹ That is why we place such a strong emphasis on optimizing overall health while addressing infertility and recurrent miscarriages—especially when the journey has not been straightforward. These are often signs of potentially hidden or silent health challenges later in life.¹⁰⁻¹¹ This comprehensive view helps improve both short-term outcomes and long-term quality of life and wellbeing.
4. Fertility is a team sport.
Fertility is a shared journey, and our program ensures both partners are actively involved in assessments and treatments. By working together as a team, couples can maximize their chances of success, leaving nothing to chance on their path to holding a healthy baby.¹⁷⁻¹⁸
5. Proven success and expertise
With a 78.8% live birth rate, even in cases where other treatments have failed, The Fertility Challenge™ program is backed by decades of experience, evidence-based methods, and a team led by a Harvard-awarded fertility specialist.¹ We focus not just on helping you conceive but also on maintaining the health and vitality needed to raise your baby or babies.
The Fertility Challenge™ program is designed for couples or individuals who have been struggling to conceive or maintain a healthy pregnancy to term. It is especially suited for those who have experienced failed treatments—or for those looking to prevent going down the path of failed attempts and unsuccessful treatments altogether.
We specialize in addressing complex cases, including unexplained infertility, recurrent miscarriage, failed IVF/ICSI or donor cycles, immunological factors, and both male and female factors affecting fertility or the ability to deliver a healthy baby.
This program focuses on achieving deep and accurate diagnoses, prescribing the right evidence-based supplementation and lifestyle-as-medicine strategies tailored to your diagnostic test results, and optimizing conception timing and methods specific to your circumstances.
The goal is to leave nothing to chance and no stone unturned. With our help, you will identify and address the obstacles holding you back, especially if you feel like you have tried everything but have yet to succeed.
At worst, The Fertility Challenge™ program will provide fresh, actionable ideas to help you finally hold your baby—as long as you are willing to invest the energy and effort needed to transform your results.
Delivering large-scale programs in a personalized way is an art—and one we have mastered. Having successfully delivered public health interventions to hundreds of thousands of people across 111 countries, we know it is possible to create an intimate and impactful experience, even for large groups.
Currently, we are limiting enrollment to ensure couples receive a level of support comparable to our signature Fertility Breakthrough Program™, which delivers a 78.8% live birth rate.¹
At The Rosa Institute, we pride ourselves on rolling out the red carpet for the couples we treat one-on-one, and we aim to bring that same level of care to the scope we will address in this program.
With over two decades of experience delivering fertility treatments since 2001, we know exactly what it takes to achieve real results and meet the unique needs of the couples who seek our support.
What you can expect:
1. Expert guidance and support
Each week, you will join live (or access recorded) sessions with Harvard-awarded fertility specialist Gabriela Rosa and our expert team. These sessions will establish the foundations of your fertility journey, offering opportunities to ask questions, receive advice, and address your concerns in a supportive environment. You will also benefit from weekly check-ins and 24/7 access to the program’s private community group, ensuring you stay on track and receive ongoing help when needed.
2. Personalized recommendations
You will learn which laboratory diagnostic tests are essential to gain clear answers on your journey to parenthood. Based on your test results, we will provide tailored advice on diet, supplements, and exercise to improve egg and sperm quality. Every recommendation is designed to enhance both your fertility and overall health.
3. Clear, actionable steps
We simplify complex fertility concepts into step-by-step actions. From adjusting your diet to managing stress, you will receive practical, easy-to-follow guidance to help you make real progress. If you are ever unsure about anything, we will be there to provide clarity and direction every step of the way.
The Fertility Challenge™ program is completely free of charge.
This program includes access to:
• Expert-led guidance and support.
• Comprehensive education on the critical steps to uncover and address fertility challenges.
• Evidence-based recommendations tailored to help you take meaningful steps toward your dream of parenthood.
As soon as you register, you’re officially in.
From there:
Over two decades, our proprietary and widely reproducible F.E.R.T.I.L.E. Method® has delivered a 78.8% live birth rate for the patients in our clinic.¹ These outcomes are a testament to the power of high-quality, personalized, science-backed care.
We published our initial results in 2022, as shown in the infographic below. Based on our latest analysis, we are now preparing a manuscript for peer review and scientific publication in 2025.

References:
1. Fertility 2022 Rising to global challenges
5–8th January 2022: Online The joint
conference of the Association of
Reproductive & Clinical Scientists, British
Fertility Society, and the Society for
Reproduction & Fertility. Hum. Fertil. 25,
776–802 (2022).
2. Bennett, T. (2020, October 28). How much
does IVF cost in Australia?
Finder.Com.Au. https://www.finder.
com.au/health-insurance/pregnancy-
health-insurance/ivf-cost
3. Chambers, G. M., Hoang, V. P., Zhu, R., &
Illingworth, P. J. (2012). A reduction in
public funding for fertility treatment—An
econometric analysis of access to
treatment and savings to government.
BMC Health Services Research, 12, 142.
https://doi.org/10.1186/1472-6963-12-142
4. Khalife, D., Nassar, A., Khalil, A., Awwad,
J., Abu Musa, A., Hannoun, A., El Taha, L.,
Khalifeh, F., Abiad, M., & Ghazeeri, G.
(2020). Cumulative Live-Birth Rates by
Maternal Age after One or Multiple In
Vitro Fertilization Cycles: An Institutional
Experience. International Journal of
Fertility & Sterility, 14(1), 34–40. https://
doi.org/10.22074/ijfs.2020.5855
5. Malizia, B. A., Dodge, L. E., Penzias, A. S., &
Hacker, M. R. (2013). The cumulative
probability of liveborn multiples after in
vitro fertilization: A cohort study of
more than 10,000 women. Fertility and
Sterility, 99(2), 393–399. https://
doi.org/10.1016/j.fertnstert.2012.10.018
6. Ha, M., Drees, A., Myers, M., Finkelstein, E.
R., Dandulakis, M., Reindorf, M., Roque, D.
M., Beall, S. A., Slezak, S., & Rasko, Y. M.
(2023). In vitro fertilization: A cross-
sectional analysis of 58 US insurance
companies. Journal of Assisted
Reproduction and Genetics, 40(3),
581–587. https://doi.org/10.1007/
s10815-022-02697-5
7. Perrotta, M., Smietana, M., Adesina, M., &
Wilkinson, J. (2025). Exploring fertility
treatment add-on use, information
transparency and costs in the UK:
Insights from a patient survey. Human
Fertility (Cambridge, England), 28(1),
2469533. https://
doi.org/10.1080/14647273.2025.2469533
8. Smith, A. D. A. C., Tilling, K., Nelson, S. M.,
& Lawlor, D. A. (2015). Live-birth rate
associated with repeat in vitro
fertilisation treatment cycles. JAMA,
314(24), 2654–2662. https://
doi.org/10.1001/jama.2015.17296
9. Carson, S. A. & Kallen, A. N. Diagnosis and
Management of Infertility. JAMA 326, 65
76 (2021).
10. Garolla, A. et al. Practical Clinical and
Diagnostic Pathway for the Investigation
of the Infertile Couple. Front. Endocrinol.
11, 591837 (2021).
11. Emokpae, M. A. & Brown, S. I. Effects of
lifestyle factors on fertility: practical
recommendations for modification.
Reprod. Fertil. 2, R13–R26 (2021).
12. Sakali, A.-K. et al. Environmental factors
affecting female fertility. Endocrine 86,
58-69 (2024).
13. Ramsay, J. M. et al. Environmental
exposure to industrial air pollution is
associated with decreased male fertility.
Fertil. Steril. 120, 637–647 (2023).
14. Sharma, A. & Shrivastava, D.
Psychological Problems Related to
Infertility. Cureus 14, e30320.
15. Del Giudice, F. et al. The Association
between Mortality and Male Infertility:
Systematic Review and Meta-analysis.
Urology 154, 148–157 (2021).
16. Murugappan, G., Li, S., Alvero, R. J., Luke,
B. & Eisenberg, M. L. Association of
Infertility and All-Cause Mortality:
Analysis of US Claims Data. Am. J.
Obstet. Gynecol. 225, 57.e1 57.e11 (2021).
17. Lukish, D. A., Cross, C. I., Gornet, M. E. &
Christianson, M. S. Teaming in the
contemporary fertility clinic: creating a
culture to optimize patient care. Fertil.
Steril. 117, 15–21 (2022).
18. Grande, G., Colesso, W., Gava, S., De
Conto, U. & Cusinato, M. A
Multidisciplinary Quality of Care Path
For Couple Infertility: Development of
An Integrated Approach Founded on
A Multidisciplinary, Personalistic, and
Ecological Model For Couple Fertility.
Linacre Q. 89, 165–177 (2022).
1. Fertility 2022 Rising to global challenges 5–8th January 2022:
Online The joint conference of the Association of Reproductive &
Clinical Scientists, British Fertility Society, and the Society for
Reproduction & Fertility. Hum. Fertil. 25, 776–802 (2022).
2. Bennett, T. (2020, October 28). How much does IVF cost in
Australia? Finder.Com.Au. https://www.finder.com.au/health
insurance/pregnancy-health-insurance/ivf-cost
3. Chambers, G. M., Hoang, V. P., Zhu, R., & Illingworth, P. J. (2012). A
reduction in public funding for fertility treatment—An econometric
analysis of access to treatment and savings to government. BMC
Health Services Research, 12, 142. https:/
doi.org/10.1186/1472-6963-12-142
4. Khalife, D., Nassar, A., Khalil, A., Awwad, J., Abu Musa, A., Hannoun, A.,
El Taha, L., Khalifeh, F., Abiad, M., & Ghazeeri, G. (2020). Cumulative
Live-Birth Rates by Maternal Age after One or Multiple In Vitro
Fertilization Cycles: An Institutional Experience. International
Journal of Fertility & Sterility, 14(1), 34–40. https://doi.org/10.22074
ijfs.2020.5855
5. Malizia, B. A., Dodge, L. E., Penzias, A. S., & Hacker, M. R. (2013). The
cumulative probability of liveborn multiples after in vitro
fertilization: A cohort study of more than 10,000 women. Fertility and
Sterility, 99(2), 393–399. https://doi.org/10.1016/
j.fertnstert.2012.10.018
6. Ha, M., Drees, A., Myers, M., Finkelstein, E. R., Dandulakis, M., Reindorf,
M., Roque, D. M., Beall, S. A., Slezak, S., & Rasko, Y. M. (2023). In vitro
fertilization: A cross-sectional analysis of 58 US insurance
companies. Journal of Assisted Reproduction and Genetics, 40(3),
581–587. https://doi.org/10.1007/s10815-022-02697-5
7. Perrotta, M., Smietana, M., Adesina, M., & Wilkinson, J. (2025).
Exploring fertility treatment add-on use, information transparency
and costs in the UK: Insights from a patient survey. Human Fertility
(Cambridge, England), 28(1), 2469533. https://
doi.org/10.1080/14647273.2025.2469533
8. Smith, A. D. A. C., Tilling, K., Nelson, S. M., & Lawlor, D. A. (2015). Live-birth rate
associated with repeat in vitro fertilisation treatment cycles. JAMA, 314(24), 2654–
2662. https://doi.org/10.1001/jama.2015.17296
9. Carson, S. A. & Kallen, A. N. Diagnosis and Management of Infertility. JAMA 326,
65–76 (2021).
10. Garolla, A. et al. Practical Clinical and Diagnostic Pathway for the
Investigation of the Infertile Couple. Front. Endocrinol. 11, 591837
(2021).
11. Emokpae, M. A. & Brown, S. I. Effects of lifestyle factors on fertility:
practical recommendations for modification. Reprod. Fertil. 2,
R13–R26 (2021).
12. Sakali, A.-K. et al. Environmental factors affecting female fertility.
Endocrine 86, 58–69 (2024).
13. Ramsay, J. M. et al. Environmental exposure to industrial air
pollution is associated with decreased male fertility. Fertil. Steril.
120, 637–647 (2023).
14. Sharma, A. & Shrivastava, D. Psychological Problems
Related to Infertility. Cureus 14, e30320.
15. Del Giudice, F. et al. The Association between Mortality and Male
Infertility: Systematic Review and Meta-analysis. Urology 154,
148–157 (2021).
16. Murugappan, G., Li, S., Alvero, R. J., Luke, B. & Eisenberg, M. L.
Association of Infertility and All-Cause Mortality: Analysis of US
Claims Data. Am. J. Obstet. Gynecol. 225, 57.e1-57.e11 (2021).
17. Lukish, D. A., Cross, C. I., Gornet, M. E. & Christianson, M. S.
Teaming in the contemporary fertility clinic: creating a culture to
optimize patient care. Fertil. Steril. 117, 15–21 (2022).
18. Grande, G., Colesso, W., Gava, S., De Conto, U. & Cusinato, M. A
Multidisciplinary Quality of Care Path For Couple Infertility:
Development of An Integrated Approach Founded on A
Multidisciplinary, Personalistic, and Ecological Model For Couple
Fertility. Linacre Q. 89, 165–177 (2022).