"I'd been told to just keep trying for 18 months. One appointment, and I had a PCOS diagnosis, a Letrozole prescription, and a monitoring plan. I was pregnant four months later."
Triple board-certified — REI · OB/GYN · Lifestyle Medicine20+ years of clinical experienceUniversity of Washington Clinical FacultyCo-author, Getting to Baby (BenBella Books, 2024)
Who this is for
There is a whole world of evidence-based fertility care between your OB and IVF. Most women don't know it exists.
No provider nearby
You live hours from the nearest OB, let alone a fertility clinic. You've been trying, you have questions, and there is simply no one to ask. You didn't know a specialist could see you from your phone.
Access in theory, but not in practice
You're in a city. There's a fertility clinic across town. But the wait is three months, the first appointment alone runs $300–$500, usually more once labs are added. And you already know their answer is probably going to be IVF, which feels financially and emotionally out of reach right now.
Women are resourceful. They find care where they can — acupuncturists, naturopaths, wellness coaches, and the internet. Many of these approaches have real value. But none of them can order labs, make a diagnosis, or prescribe treatment. That's the gap LeapFertility fills. IVF should be the last step, not the first.
Sources: Raymer et al., Reproductive Sciences, 2022 (PMC9181892) · SREI/SART/ASRM workforce data, Fertility & Sterility, 2019
You deserve a real diagnosis — not another "wait and see."
Years of being told everything looks normal, or to just keep trying. LeapFertility starts with the question nobody asked: what is actually going on?
Most people never need IVF. We find out what you actually need.
There is a wide spectrum of evidence-based care between your OB and IVF — and most of it is accessible, affordable, and effective. We find the right starting point for you.
If IVF is the answer, you'll go in ready — not starting from scratch.
A warm handoff to the right clinic, with the right workup already done. You arrive prepared, optimized, and with a care team who knows your full history.
"Our goal is to get as many people pregnant as possible with the least intervention necessary — naturally, or with low-tech treatments first. For those who do need IVF, we make sure they go in fully prepared, so that every cycle has the best possible chance of working."
What we treat
Expert care across the full spectrum — before IVF.
Every visit ends with a clinical diagnosis, a 30-day care plan, and labs or prescriptions written — same visit.
What to expect
Book online — scheduling opens soon
25-minute video visit. No app required — just a browser link sent to your email.
Diagnosis, care plan, lab orders, and prescriptions sent same day.
We respond to questions within 3 business days.
Also available alongside your care
Ferti6 — 90-day lifestyle coaching across six evidence-based pillars: nutrition, movement, sleep, stress, endocrine disruptor reduction, and connection.
Learn about Ferti6 →If you've been trying without success, the first step is understanding why. We order a targeted hormonal workup, assess ovulation, and identify any correctable factors — then treat directly. Ovulation induction with Letrozole or Clomid, trigger shots, and timed intercourse protocols can all be managed by telehealth, with labs ordered through LabCorp or Quest.
PCOS is the most common cause of ovulatory infertility — and one of the most under-diagnosed. We perform a complete metabolic and hormonal workup, confirm or establish the diagnosis, and build a personalised management plan: ovulation induction, insulin sensitisation, lifestyle protocols, and monitoring. No more being told to lose weight and come back.
A thorough pre-conception evaluation covers ovarian reserve (AMH, antral follicle count), cycle day 3 hormones, thyroid function, and uterine anatomy assessment guidance. For male partners, we review semen analysis results and advise on optimisation. We also order preconception carrier screening so you have the full picture before you conceive.
Losing more than one pregnancy is devastating — and too often dismissed as bad luck. We conduct a comprehensive RPL workup: clotting disorders, hormonal insufficiency, uterine structural assessment, chromosomal factors, and thyroid function. You leave with a diagnosis, a management plan, and a provider who will actually investigate why.
Not ready now, but want to preserve your options? We assess your ovarian reserve honestly — AMH, antral follicle count, age-adjusted context — and give you a clear, unbiased picture of what egg freezing can and can't do for you. We help you find the right clinic nationally or internationally, with no financial incentive to push you toward any particular program.
The first eight weeks carry the highest anxiety and the highest stakes. We provide early pregnancy monitoring, progesterone support where indicated, beta hCG trending, and early ultrasound coordination — so you're not waiting weeks for your first OB appointment without any clinical oversight.
If IVF is the right path, we make sure you arrive prepared. That means the right workup already done, the right questions already asked, and a warm referral to the clinic that best fits your situation — anywhere in the world. We review clinic success rates, protocols, and costs with you objectively. No referral incentives, no financial relationships with any IVF program.
Co-Author
Getting to Baby
A Food-First Fertility Plan
with Judy Simon, RDN
Meet the founder
Dr. Angela Thyer, MD
Triple Board-Certified · REI · OB/GYN · Lifestyle Medicine
"So many people delay getting care, or they simply don't know where to go. I built LeapFertility so that anyone can get answers, a real diagnosis, and start treatment early — and for those who do need IVF, they'll walk in ready, not starting from scratch."
Co-Founder — Seattle Reproductive Medicine — largest fertility practice on the West Coast
Clinical Faculty — University of Washington, Department of OB/GYN
National Leadership — ASRM & ACLM — American Society for Reproductive Medicine · American College of Lifestyle Medicine
M.Sc. — Behavioural Science, London School of Economics
Pricing
Transparent pricing. No surprises.
Cash-pay only · HSA & FSA eligible · Superbills on request
Not sure yet?
$125
Discovery Call · 15 min
A conversation — not a clinical visit. You get your questions answered and a clear sense of whether LeapFertility is right for where you are now.
- Is LeapFertility right for my situation?
- What happens at the $299 consult?
- What will this cost me overall?
- Should I go straight to IVF — or is there another path?
Most popular
Ready to start?
$299
Clinical Consult · 30-min video · No app required
One visit. You leave with a diagnosis, a 30-day plan, and everything ordered — labs, prescriptions, and next steps — by a fertility-trained OB/GYN or ARNP.
- A clinical diagnosis
- Your 30-day care plan
- Lab orders via LabCorp or Quest (billed to your insurance)
- Prescription if appropriate — Letrozole, Clomid, trigger shots, and more
- Honest IVF / egg freezing guidance if needed
- Clinic-agnostic referral support
HSA & FSA accepted · Superbills on request · Labs billed to your insurance · Prescriptions sent to your local pharmacy
You could have answers by next week.
No referral needed · 100% telehealth · TX · CO · UT · WY
Patient stories
"Two other clinics pushed me straight toward IVF. LeapFertility found a much simpler path — ovulation induction with monitoring. It worked on the second cycle. I didn't need IVF at all."
"Three OB appointments, zero answers. One consult here and I understood exactly what was happening and had a plan in my hands the same day. I wish I'd found this sooner."
Not in a covered state?
GetFerti — your AI fertility navigator, available everywhere.
Evidence-based fertility education, personalized to you. No state restrictions, no waiting. Available now while we expand LeapFertility's clinical footprint.