Join The Free
November 2025
Fertility Challenge™.​

Because IVF Was Never Meant to Be Your First Step.

Join by November 11 before this round closes.

3Days22Hours:21Minutes:36Seconds

A Free 14-Day Educational Program

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.

FREE Registration.
Up to $15K worth of Scholarships and Prizes.

Enter your information below.

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Led by Harvard-Awarded Fertility Specialist Gabriela Rosa

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.

Love From Our Community

What participants have said about
The Fertility Challenge™

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.

If you've already been through so much and feel lost or let
​down, we're here to help you find your way forward.

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

Trusted by thousands, recognized by leaders.

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

Reclaim your hope and take the right next step.

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.

How much does it cost?

The Fertility Challenge™ is 100% FREE.

Scholarship and Prize Opportunities

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.

Get instant access to the private Facebook group and portal

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.

Fertility insights from test result analyses

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

Personalized roadmap to fertility success

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

Recorded breakthrough sessions to uncover fertility blockers

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.

Practical handouts for seamless session follow-through

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.

Live, action-driven workshops for rapid progress

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.

Support from a Harvard University-awarded team

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.

Foundational lifestyle-as-medicine prescription for fertility

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.

Exclusive Facebook community for unwavering support

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.

Imagine being a parent without the cost and strain of failed IVF/ICSI cycles. And, most likely, without them altogether.

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.

Imagine being a parent without the cost and strain of failed IVF/ICSI cycles. And, most likely, without them altogether.

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.

Your 14-Day Fertility Challenge™ Journey

Every day delivers a win you can use immediately: building clarity, confidence, and momentum

Your 14-Day Fertility Challenge™ Journey

Every day delivers a win you can use immediately: building clarity, confidence, and momentum

Day 1 The Big Picture: How Fertility Really Works

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.

Day 2 Mindset Shifts & Diagnostics That Save Time

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.

Day 3 Clearing Hidden Environmental Roadblocks

Identify everyday toxins that quietly damage fertility and cut them out.
Leave with an “easy-swap” plan that starts improving results immediately.

Day 4 Fertility Nutrition That Works Now

Discover the exact nutrients that improve egg and sperm quality.
Remove the “healthy”  foods silently working against conception.

Day 5 Movement for Hormone Balance & Reproductive Health

Find your fertility-friendly exercise sweet spot. No guesswork.
Avoid common workout mistakes that disrupt reproductive balance.

Day 6 The Biggest Fertility Mistake You Might Be Making

Understand the deeper biological sequence that determines your fertility potential.
Gain the insight that could save you years of frustration and failed attempt.

Day 7 Thinking Traps That Quietly Sabotage Your Fertility

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.

Day 8 Hydration Habits That Support Fertility

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.

Day 9 Supplement Strategies That Actually Work

Learn which targeted nutrients can close the gaps slowing your progress.
Walk away knowing how to support your fertility at the deepest level.

Day 10 Sleep as a Fertility Multiplier

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.

Day 11 Scholarship Applications Open

Apply for up to AU$15,000 in fertility program scholarships.
Use what you’ve learned to make a compelling case for selection.

Day 12 Live Workshop: Shifting Mindsets & Reducing Stres

Learn science-backed tools to quiet stress and self-doubt.
Replace draining thoughts with clarity, focus, and confidence.

Day 13 Live Q&A + Scholarship Deadline

Get expert answers to your most urgent questions.
Final chance to submit your scholarship application before the doors close.

Day 14 Scholarship Winners Announced

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.

Day 1 The Big Picture: How Fertility Really Works

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.

Day 2 Mindset Shifts & Diagnostics That Save Time

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.

Day 3 Clearing Hidden Environmental Roadblocks

Identify everyday toxins that quietly damage fertility and cut them out.
Leave with an “easy-swap” plan that starts improving results immediately.

Day 4 Fertility Nutrition That Works Now

Discover the exact nutrients that improve egg and sperm quality.
Remove the “healthy”  foods silently working against conception.

Day 5 Movement for Hormone Balance & Reproductive Health

Find your fertility-friendly exercise sweet spot. No guesswork.
Avoid common workout mistakes that disrupt reproductive balance.

Day 6 The Biggest Fertility Mistake You Might Be Making

Understand the deeper biological sequence that determines your fertility potential.
Gain the insight that could save you years of frustration and failed attempt.

Day 7 Thinking Traps That Quietly Sabotage Your Fertility

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.

Day 8 Hydration Habits That Support Fertility

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.

Day 9 Supplement Strategies That Actually Work

Learn which targeted nutrients can close the gaps slowing your progress.
Walk away knowing how to support your fertility at the deepest level.

Day 10 Sleep as a Fertility Multiplier

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.

Day 11 Scholarship Applications Open

Apply for up to AU$15,000 in fertility program scholarships.
Use what you’ve learned to make a compelling case for selection.

Day 12 Live Workshop: Shifting Mindsets & Reducing Stres

Learn science-backed tools to quiet stress and self-doubt.
Replace draining thoughts with clarity, focus, and confidence.

Day 13 Live Q&A + Scholarship Deadline

Get expert answers to your most urgent questions.
Final chance to submit your scholarship application before the doors close.

Day 14 Scholarship Winners Announced

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.

This could be you, finding clarity after a long challenging journey.

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

Still have questions? We’ve got you!

Tap on a question to uncover the answer.

CUSTOM JAVASCRIPT / HTML

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:

  • • 2 x 50% scholarships to The Fast-Track to Baby Program™ (valued at AU$1,000 each)
  • • 2 x FREE Fertility Diagnostic Reports (valued at AU$995 each)

To be eligible, you simply need to fully participate in the Challenge.
Over the 14 days, you’ll have multiple opportunities to engage, take action, and get the absolute most from this experience. All while increasing your chances of winning one of these prizes.

Here’s the real win:

The challenge itself delivers thousands of dollars in treatment value. Many participants tell us that, regardless of the scholarship, they’ve already won simply by joining and participating. You’ll get insights, strategies, and the tools to overcome infertility, miscarriage, and failed treatments. Through this program, you will gain knowledge that other clinics would charge thousands for.

Whether your name is drawn or not, you’ll finish the Challenge with life-changing clarity and a clear next step toward parenthood.

How to enter:
1. Register now to secure your place.
2. Show up and engage in each day’s session.
3. Stay tuned for the winners’ announcement on Day 14.

No matter what, if you participate, you win.

Let’s begin.


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.


These daily prizes are in addition to the scholarships announced at the end of the Challenge, so you have opportunities to win every single day.


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:

  • • Guidance to ensure you and your partner have the correct, essential diagnostic tests to ensure a complete and accurate understanding of your fertility and the exact possible obstacles hindering it.

  • • Detailed recommendations tailored to your laboratory diagnostic test results to help you make informed treatment decisions.

  • • Actionable solutions to address gaps and identify opportunities for effective intervention, ensuring no stone is left unturned.

We believe fertility is a team sport, so the program includes tailored recommendations for both partners. Focusing on clarity and actionable steps, it is designed to transform your results and help you take precise steps to achieve your dream of having a baby—even if previous treatments or attempts have been unsuccessful.

Why it works:

The Fertility Challenge™ program leverages the F.E.R.T.I.L.E Method® framework, which has achieved a 78.8% live birth rate for our clinic patients.¹ Through live and recorded sessions, workshops, handouts, medical referral letters, and more, you will receive the tools and support needed to conceive, carry a healthy pregnancy to term, and hold your baby.

With decades of experience in addressing even the most challenging fertility cases, our expert team provides evidence-based strategies and unwavering support to help you achieve real, lasting results.

By the end of this program, you will have the knowledge and tools you need to take meaningful action and transform your fertility outcomes once and for all.

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.

The method focuses on:

    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.


Gabriela Rosa's FERTILE Method

Here is how the F.E.R.T.I.L.E. Method® works to empower you on your journey:

F – Fact-find
We begin by identifying the factors blocking your path to parenthood. Our experts provide a clear, supportive, and proven approach to uncovering what is holding you back.

E – Educate
We teach you about your fertility using focused, evidence-based methods. Our team reviews your test results, biochemistry, lifestyle, environment, and diet to craft a treatment plan. Through effective interventions that leverage epigenetic science, we focus on increasing your chances of a healthy pregnancy and baby, even after past setbacks.

R – Recommend
We analyze gaps and opportunities in your unique biochemistry to develop a personalized treatment plan. These custom recommendations, grounded in integrative, evidence-based science, ensure that your care is tailored to your specific needs and challenges.

T – Treat
We continuously refine our treatment methods to reflect the latest advancements in reproductive medicine and science. This evidence-based approach enables our clinicians to address each patient’s unique challenges with personalized solutions, delivering consistently reproducible outcomes. This approach maximizes efficiency and effectiveness, providing the best chance of success on your journey to parenthood.

I – Incubate
This phase is about providing unwavering support, guidance, and ongoing accountability. We address the physical, biochemical, and emotional factors contributing to your success, ensuring you stay on track to create your dream.

L – Liberate
At this stage, we continue to focus on freeing you from the root causes of any remaining challenges. We address any lingering barriers with targeted support—biochemical, physical, and emotional—to eliminate what may still hold you back. This phase involves moving you through past limitations, restoring balance, and building a strong foundation for lasting reproductive and overall health.

E – End Result
This journey concludes with a new beginning. For most, this means finally holding a healthy baby after years of struggle. For all, it marks the start of a life enriched by clarity, better health, and renewed strength. The F.E.R.T.I.L.E. Method® ensures no stone is left unturned, equipping you with the tools and resilience to move confidently into your next chapter.

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.

Here is what differentiates us:

    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.


This program is not some well-marketed “fertility solution.” It is a robust, science-based journey designed to provide clarity, build confidence, and offer actionable insights to help you create your dream of parenthood. For those seeking answers—whether starting now or after a long road of previous challenges—The Fertility Challenge™ program delivers the support and tools needed to make real progress toward a successful outcome.

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.

By the end of the program, you will feel confident, supported, and equipped with the tools and a clear plan to improve your fertility and overall health, bringing you closer to your dream.

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.


Our mission is to provide clarity, support, and actionable insights at no cost, helping you to make informed decisions and progress confidently on your fertility journey.


As soon as you register, you’re officially in.

From there:

  • • You’ll start receiving daily emails during the Challenge, guiding you straight to that day’s resources and action steps.

  • • You’ll also get access to the program portal: your central hub for all Challenge resources in one place, available anytime you want to dive deeper.

  • • And if you want to take part in the daily tasks and prize draws, you can join our private Facebook group where the community and activities happen.

No extra forms. No delays. Just register, and you’re ready to go.

We’ve made it simple, convenient, and easy to follow so you can focus entirely on making progress.

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.

Gabriela Rosa's FERTILE Method


CUSTOM JAVASCRIPT / HTML
CUSTOM JAVASCRIPT / HTML

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:

  • • 2 x 50% scholarships to The Fast-Track to Baby Program™ (valued at AU$1,000 each)
  • • 2 x FREE Fertility Diagnostic Reports (valued at AU$995 each)

To be eligible, you simply need to fully participate in the Challenge.
Over the 14 days, you’ll have multiple opportunities to engage, take action, and get the absolute most from this experience. All while increasing your chances of winning one of these prizes.

Here’s the real win:

The challenge itself delivers thousands of dollars in treatment value. Many participants tell us that, regardless of the scholarship, they’ve already won simply by joining and participating. You’ll get insights, strategies, and the tools to overcome infertility, miscarriage, and failed treatments. Through this program, you will gain knowledge that other clinics would charge thousands for.

Whether your name is drawn or not, you’ll finish the Challenge with life-changing clarity and a clear next step toward parenthood.

How to enter:
1. Register now to secure your place.
2. Show up and engage in each day’s session.
3. Stay tuned for the winners’ announcement on Day 14.

No matter what, if you participate, you win.

Let’s begin.


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.


These daily prizes are in addition to the scholarships announced at the end of the Challenge, so you have opportunities to win every single day.


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.

The method focuses on:

    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.


Gabriela Rosa's FERTILE Method

Here is how the F.E.R.T.I.L.E. Method® works to empower you on your journey:

F – Fact-find
We begin by identifying the factors blocking your path to parenthood. Our experts provide a clear, supportive, and proven approach to uncovering what is holding you back.

E – Educate
We teach you about your fertility using focused, evidence-based methods. Our team reviews your test results, biochemistry, lifestyle, environment, and diet to craft a treatment plan. Through effective interventions that leverage epigenetic science, we focus on increasing your chances of a healthy pregnancy and baby, even after past setbacks.

R – Recommend
We analyze gaps and opportunities in your unique biochemistry to develop a personalized treatment plan. These custom recommendations, grounded in integrative, evidence-based science, ensure that your care is tailored to your specific needs and challenges.

T – Treat
We continuously refine our treatment methods to reflect the latest advancements in reproductive medicine and science. This evidence-based approach enables our clinicians to address each patient’s unique challenges with personalized solutions, delivering consistently reproducible outcomes. This approach maximizes efficiency and effectiveness, providing the best chance of success on your journey to parenthood.

I – Incubate
This phase is about providing unwavering support, guidance, and ongoing accountability. We address the physical, biochemical, and emotional factors contributing to your success, ensuring you stay on track to create your dream.

L – Liberate
At this stage, we continue to focus on freeing you from the root causes of any remaining challenges. We address any lingering barriers with targeted support—biochemical, physical, and emotional—to eliminate what may still hold you back. This phase involves moving you through past limitations, restoring balance, and building a strong foundation for lasting reproductive and overall health.

E – End Result
This journey concludes with a new beginning. For most, this means finally holding a healthy baby after years of struggle. For all, it marks the start of a life enriched by clarity, better health, and renewed strength. The F.E.R.T.I.L.E. Method® ensures no stone is left unturned, equipping you with the tools and resilience to move confidently into your next chapter.

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.

Here is what differentiates us:

    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.


This program is not some well-marketed “fertility solution.” It is a robust, science-based journey designed to provide clarity, build confidence, and offer actionable insights to help you create your dream of parenthood. For those seeking answers—whether starting now or after a long road of previous challenges—The Fertility Challenge™ program delivers the support and tools needed to make real progress toward a successful outcome.

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.

By the end of the program, you will feel confident, supported, and equipped with the tools and a clear plan to improve your fertility and overall health, bringing you closer to your dream.

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.


Our mission is to provide clarity, support, and actionable insights at no cost, helping you to make informed decisions and progress confidently on your fertility journey.


As soon as you register, you’re officially in.

From there:

  • • You’ll start receiving daily emails during the Challenge, guiding you straight to that day’s resources and action steps.

  • • You’ll also get access to the program portal: your central hub for all Challenge resources in one place, available anytime you want to dive deeper.

  • • And if you want to take part in the daily tasks and prize draws, you can join our private Facebook group where the community and activities happen.

No extra forms. No delays. Just register, and you’re ready to go.

We’ve made it simple, convenient, and easy to follow so you can focus entirely on making progress.

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.

Gabriela Rosa's FERTILE Method


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).