The Fertility Care Journey – Grace Fertility

Embarking on the fertility journey

Every fertility journey, like every person, is unique. As such, our duty at Grace Fertility is to guide you in finding the best approach for your situation and to help support you in creating the family you’ve been hoping for.

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Consultation with a fertility specialist

Your first visit is the perfect opportunity for both you and our specialists to get more familiar with one another. We’ll go over your medical history and perform diagnostic fertility tests and assessments to better advise you on a customized fertility plan. We’ll take time to review any questions or concerns you might have about the process to ensure you have all the knowledge you need to be prepared for the journey ahead.

Routine tests you can expect during or after your first visit:

Physical exam

Transvaginal ultrasound (assessment of antral follicle count for ovarian reserve, ovaries, endometrium, and uterus)

Baseline hormonal evaluation & blood work

Vaginal culture & PAP test

Semen analysis

SIS/HyCoSy (saline infusion sonohysterogram/ hysterosalpingo-contrast-sonography)

Treatments & solutions

After analyzing your test results and assessing your personal health status, we’ll recommend fertility solutions adapted to your needs. Our approach to fertility care is to always start with simpler treatment options before considering more invasive ones. Our team will be there to guide you and ensure that your treatments align with your medical needs as well as your level of comfort, both emotionally and financially.

Common treatments include:

Natural cycle monitoring

Fertility medication

Fertility guidance when using gender-affirming hormones

Ovulation induction (hormonal therapy to stimulate follicle development and ovulation)

Intrauterine insemination (IUI), whether medically assisted or not

In vitro fertilization (IVF), with or without intracytoplasmic sperm injection (ICSI), or pre-implantation genetic testing for aneuploidies (PGT-A)


Donor gametes & surrogacy solutions

When conceiving with your own eggs or sperm, or with your own uterus isn’t possible or is difficult, donor gametes, surrogacy, or adoption are potential options that can provide another way of building a family.

Egg, sperm & embryo donations

Relying on donated, eggs, sperm, or embryos might be recommended if you’re unable to conceive using your own eggs or sperm, or in a same-sex couple. In some cases, patients might still carry and give birth to their child, in others, a surrogate may be necessary.

Gestational carrier (surrogate)

For those unable to carry and give birth to their child, or for whom successfully bringing to term the pregnancy would be difficult, finding a surrogate can be a helpful family-building option.


If conceiving a child that is biologically related to you is not possible, adoption could be another pathway to growing your family.

Prenatal testing & innovative enhancements

Before undergoing certain treatments such as IVF, we may also recommend preimplantation genetic testing and an endometrial receptivity analysis. To increase your chances of carrying a healthy pregnancy to term, we may recommend non-invasive prenatal testing (NIPT-Harmony), which screens for common trisomies (chromosomal conditions).

These innovative enhancements are available to you at an additional cost. Ask our team to learn more.

Fertility wellness

Fertility can be impacted by many factors including your lifestyle choices, and physical and emotional well-being. That’s why we work with affiliated professionals and partners to provide a range of complementary services to support you in your conception journey.

Planning for a family in the future?

Learn more about freezing your eggs to plan a pregnancy later on or to simply keep your options open.

LGBTQ2SIA+ family building

We’re proud to support everyone’s dream of building a family through a thoughtful and inclusive approach to fertility care.

Start your fertility journey