A six-month, physician-led program to optimize your whole health for conception.
Trying to conceive is more than tracking ovulation. Fertility is shaped by hormones, thyroid and metabolic health, nutrition, sleep, stress, cellular health, and environment. This program takes a whole-person approach: your provider evaluates you as an individual, not just a reproductive system, and builds a personalized six-month roadmap around three pillars: clinical and reproductive optimization, metabolic and cellular optimization, and nutrition, lifestyle, and behavioral optimization.
Not currently offered at Austin or Boulder. Our care team can coordinate a visit at the nearest clinic.
Meet Dr. Roxanne Pero
Dr. Pero leads the Fertility Optimization Program, bringing both her clinical expertise and her own fertility journey to how she practices.
Designed for specific patterns, not everyone.
Individuals and couples planning a first pregnancy, or preparing for pregnancy again
Those having trouble conceiving, or with irregular or unpredictable cycles
Patients managing PCOS or endometriosis, or concerned about ovulation or ovarian reserve
Anyone preparing for IVF or other fertility treatment who wants to optimize first
Those recovering from a previous pregnancy loss
The full scope of care.
Provider visits
Six monthly provider visits, one dedicated clinical review each month.
Health coaching
Twelve health coach sessions, two per month, turning your plan into daily habits.
Individualized lab work
Repeated at baseline, during the program, and at completion to track real change.
Metabolic breath analysis
PNOE testing at the start and end of the program.
Fertility monitoring
An Inito at-home fertility monitor plus six months of monitoring supplies.
Wellness therapies
Monthly hyperbaric oxygen (HBOT), red light, and sauna sessions.
Your plan going forward
A final personalized fertility plan for whatever comes next.
We read every value against functional optimal ranges and your own history, then explain what each one means for the plan.
The three pillars
Clinical & reproductive optimization
Hormone, cycle, and reproductive health evaluation and support.
Metabolic & cellular optimization
Metabolic testing and cellular health support built into your plan.
Nutrition, lifestyle & behavior
Personalized nutrition, sleep, stress, and environment guidance.
Your six-month journey.
Your program moves through six phases, each building on the last, with labs repeated to track real progress.
Month 1: Assessment
Comprehensive history, individualized baseline labs, metabolic testing, and your fertility monitor.
Month 2: Foundations
Personalized nutrition strategy and lifestyle optimization with your provider and coach.
Month 3: Cellular support
Provider-directed therapies supporting cellular and mitochondrial health.
Month 4: Reassess and refine
Repeat labs, review progress, and adjust the plan.
Month 5: Preconception
Medications, supplements, prenatal strategy, and environmental review.
Month 6: Readiness
Final testing, a complete before-and-after review, and your personalized plan going forward.
Individualized care, honest expectations.
- ✓Your testing and plan are individualized. Your provider selects what's appropriate for you rather than running every test on every patient.
- ✓The program optimizes the health foundations that support fertility. No program can guarantee conception, and your provider will always be honest with you about what they find.
- ✓It works alongside conventional care. Many patients use it to prepare for or complement fertility treatment, and referrals are made whenever they're the right step.
- ✓At six months, you'll have a clear picture of what improved and a personalized plan, whether that's transitioning into pregnancy care or coordinating next steps with a specialist.
From patients who've been through it.
“I did research to find a doctor that could help me after having a horrible experience with an OBGYN. I found Dr. Pero and decided to see her and it's the best decision I ever made.”
“I will sing Dr. Pero's praises for the rest of my life! After over a year of trying to get pregnant, countless appointments with a fertility specialist, and several failed clomid attempts I made an appointment with Dr. Pero. She immediately got to the ROOT of why I wasn't getting pregnant.”
“One of the best, if not the best, doctors I have seen. She takes the time to listen to you. Makes you feel supported and seen. Love that she is an OBGYN but does functional medicine now. My husband and I have been dealing with infertility for 6 years.”
“I promise this isn't an oversell, but it just doesn't get better than Dr. Pero. She has been the only provider who stood by my side after I lost a baby born still and has helped me heal from years and years of chronic pain and years of fertility struggles.”
“I felt seen, heard, and accepted with Svetlana. It felt like Svetlana wasn't just focusing on clearing symptoms out of my body, she was trying to figure out why they were there in the first place.”
Before you book.
Does this replace my fertility clinic?
No. This program is complementary to conventional fertility care, not a replacement. If you need reproductive endocrinology, imaging, or assisted reproduction, your provider will refer or co-manage with those specialists.
Is insurance accepted?
The program is self-pay. A superbill is available on request for you to submit to your insurance or HSA/FSA administrator. Reimbursement varies and isn't guaranteed.
What happens after the six months?
You can continue month-to-month, for as long as you'd like the support: a Comprehensive Continuity Plan ($1,200/mo, with a provider check-in, two health coach check-ins, and wellness center access) or a Foundational Support Plan ($600/mo, with a health coach check-in and wellness center access).
The Fertility Optimization Program supports preconception health and general wellness and does not guarantee conception or pregnancy. It is not a substitute for conventional fertility evaluation or treatment where indicated. All care is provider-directed; testing, therapies, and any medications are individualized and prescribed at your provider's clinical judgment. Eligibility and recommendations may be affected by your health history.
Weight Loss Program
We integrate lab testing, coaching, education modules, and prescribed GLP-1 medications to support sustainable weight loss without strict dieting. Built on a functional medicine foundation that targets the root drivers of weight gain, not just the number on the scale.
Discovery Diagnostics & Lab TestingAdvanced Biomarker Testing
This blood test provides insights into your current health and detects early signs of issues like diabetes, hormonal imbalances, and heart disease, promoting a proactive approach to wellness.
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