Fertility & Family Planning
Fertility care that meets you where you are.
Physician-guided fertility support and pregnancy planning is coming to kindr — thoughtful evaluation, honest guidance, and education for every step of trying. Join the waitlist to be first.
Who this is for
Trying longer than expected
Months are going by. You want an actual plan, not more Google.
Planning ahead
Not pregnant yet, but you want to understand your body before you start trying.
Irregular cycles
Ovulation timing is hard to figure out when your cycle is not textbook.
Starting the conversation
You want a licensed provider to walk through what a real evaluation looks like.
Understanding fertility care
How ovulation and timing actually work
A typical menstrual cycle ranges from 21 to 35 days, with ovulation occurring roughly 12–14 days before the next period (ACOG). The fertile window is the five days leading up to ovulation plus the day of — sperm survives in the reproductive tract for up to five days, the egg for about 12–24 hours (NIH). Cycle length varies widely, so ovulation predictor kits, basal body temperature charting, or hormone tracking beat a calendar for most people.
What a fertility evaluation looks at
A first evaluation with a licensed provider typically reviews menstrual history, ovulation patterns, prior pregnancies, medical and surgical history, and lifestyle factors. Common initial testing includes cycle-day-3 FSH and estradiol, AMH (ovarian reserve marker), TSH, prolactin, and — for the partner — a semen analysis (ASRM). Imaging like a hysterosalpingogram (HSG) to check tubal patency or transvaginal ultrasound to visualize the ovaries and uterus happens in-person at a clinic.
The role of ovulation-support medications
When ovulation is absent or irregular, licensed providers may discuss oral ovulation-induction medications. Letrozole (an aromatase inhibitor) has become the first-line agent for women with PCOS per ASRM guidance, based on evidence from the PPCOS II trial. Clomiphene citrate is an older alternative. These are prescription medications; a provider decides whether they are appropriate based on the full clinical picture, and monitoring is part of the standard of care. This is educational information, not a treatment recommendation.
Lifestyle and preconception health
CDC and ACOG recommend at least 400 mcg of folic acid daily starting three months before conception to reduce the risk of neural tube defects. Body composition, thyroid status, smoking, alcohol, and untreated chronic conditions all influence fertility (WHO). This is standard preventive medicine, not a supplement claim.
Male factor
Approximately 40–50% of infertility cases involve a male-factor contribution, alone or combined with a female-factor issue (ASRM). A semen analysis measuring count, motility, and morphology is inexpensive, non-invasive, and one of the highest-yield tests in the workup. Any real evaluation includes the partner.
When to see a specialist
A reproductive endocrinologist (REI) is the right next step, per ACOG and ASRM, when:
- You are under 35 and have been trying for 12 months without pregnancy.
- You are 35–39 and have been trying for 6 months.
- You are 40 or older — a specialist consult is reasonable to start immediately.
- Cycles are absent or very irregular, or you have a known condition (endometriosis, PCOS, prior pelvic surgery, thyroid disease).
- There is a known or suspected male-factor concern.
- There have been two or more consecutive pregnancy losses.
kindr is not a fertility clinic. When a specialist is the right call, we will say so directly. Building trust matters more than capturing every visit.
Honest FAQ
Is fertility care possible via telehealth?
Some parts of fertility care fit telehealth well — cycle history review, patient education, coordination of at-home hormone panels, and pre-conception planning conversations with a licensed provider. Other parts do not: transvaginal ultrasound, follicle monitoring, IUI, and IVF require in-person clinical settings. Honest scope matters.
Will medication be part of my plan?
Only a licensed provider can determine whether medication is clinically appropriate. Ovulation-support medications like letrozole and clomiphene are prescription treatments that a provider may discuss when the clinical picture calls for it — nothing about outcomes is promised, and many people benefit from evaluation, timing education, and lifestyle work first.
What is ovulation induction?
Ovulation induction is a category of care in which a licensed provider uses oral medication (per ASRM, most commonly letrozole for women with PCOS or unexplained anovulation) to encourage the ovaries to release an egg. It requires monitoring by a clinician and is discussed only when clinically indicated.
When should we see a fertility specialist?
ACOG and ASRM guidance suggests a fertility evaluation after 12 months of unprotected intercourse without pregnancy for people under 35, after 6 months for people 35–39, and sooner (or immediately) for people 40 and over, or when known factors like irregular cycles, endometriosis, or male-factor concerns are present. Sooner is always fine.
Does age affect fertility?
Yes, and honestly. Per ACOG, monthly natural fecundability declines gradually from the late 20s and more steeply after 35. Age is one factor among many — cycle regularity, tubal patency, and male factor matter too — but it is meaningful, and understanding it early tends to expand options rather than narrow them.
What about male fertility?
ASRM data attributes roughly 40–50% of infertility cases to a male-factor contribution — either alone or combined with a female-factor issue. A basic semen analysis is inexpensive, non-invasive, and one of the highest-yield tests in the entire fertility workup. Any real evaluation should include the partner.
What can I do while I wait for kindr fertility care to launch?
Track your cycle so you know your patterns. Get a preconception visit with your primary care provider or OB/GYN. If your cycles are irregular or you have been trying for the timeframes above, book with a reproductive endocrinologist directly — do not wait for us. Our /fertility page also offers evidence-based supplements (this is a supplement line, not treatment).
When does kindr fertility care launch?
We are building it now, carefully. Join the waitlist and we will email you first, before public launch. No date promises — building the right clinical model matters more than shipping fast.
Part of The Kindr Cycle
Care for every chapter — from your first period to healthy longevity.
Medically reviewed by Dr. Ana Lisa Carr, MD, MBA · Last reviewed July 14, 2026