FAQ

Our dedicated team of expert providers help you build the family you desire. Our scientific technologies offer state-of-the art care, but our team doesn’t stop there. Throughout your journey, we provide support and compassion, with your goal becoming our goal- working toward the family of your dreams. Further, the state of Vermont offers a safe-haven for reproductive therapies and reproductive rights, ensuring your needs are met and that you are safe with us, every step of the way. 

You may have heard that you should wait a year before seeing a fertility specialist- this isn’t always true! If you have irregular periods, known endometriosis, other gynecologic problems, or have a known sperm concern, schedule an appointment right away. If you are >35 years old or desire 2 or more children, meeting early with a fertility specialist is key so that you can plan for your family without having regrets. Empower yourself with knowledge! Appointments don’t commit you to any treatment plans, they simply allow you to gain information so you can decide what is right for you.

Yes! Our providers prefer to meet with you early in your journey, so that we can empower you with information about fertility and provide you personal data about your fertility through basic testing (such as blood work to look at egg reserve, ultrasound to confirm if your fallopian tubes are open and if your uterine cavity is normal, and/or semen analysis to confirm whether there are enough moving and normally-shaped sperm). For females or those with ovaries, fertility is highest with young eggs, and infertility and miscarriage increase with increasing ages. Empower yourself now with knowledge so that you can make the best choices for your future.

If you are between the ages of 28-38, and now is not the right time to start your family, make sure you understand your fertility and your biological clock! Schedule a consult with our providers to educate yourself about your specific ovarian reserve testing and how to best plan for your future. Fertility can’t always wait! Don’t have regrets later- empower yourself with knowledge now. 

The doctors at NRM take into account your history when creating your plan for evaluation. Often, more than one factor often contributes to infertility. Therefore, it may make sense to complete the basic fertility evaluation prior to investing time and money into therapy, to ensure the best possible chances for success. Discuss with your physician the most cost-effective plan for you.

• A consult with your physician to review your history and your goals and desires.

• Semen analysis, if applicable

• Hormonal evaluation

• Sonohystergram - helps us assess the health of the reproductive organs, including the uterus, fallopian tubes and ovaries.

• Genetic carrier screening, to ensure the egg and sperm source do not carry any matching recessive diseases, so that we can minimize the risk of disease in your baby.

Yes. Intrauterine Insemination (IUI) is a basic fertility procedure in which washed sperm are deposited into a uterus at the time of ovulation. The sperm source can be fresh or frozen, from a partner or a donor. 

The providers at NRM have been helping our local LGBTQ+ community for over 2 decades. Through word-of-mouth regarding the safe-haven status of Vermont, and our legally and logistically streamlined environment, individuals from New York, Pennsylvania, Washington DC, and throughout New England and Canada began utilizing our services. This grew to national and even global parents-to-be seeking our services. The environment for family building in Vermont offers safety for you as the parents, and for any embryos you desire to preserve for the future. Our educated, supportive team is here to help you every step of the way.

NRM has a healthy population of educated, young egg donors to help you build the family of your dreams. Our Vermont donors are highly screened, genuine, open-minded individuals and our program comes with an inherent egg donor guarantee — just ask for details!

Most insurance plans will cover diagnostic testing so you can gather data on your specific fertility, Some plans also cover fertility therapy, and we are seeing more and more employers offer fertility coverage. If yours does not, or if you do not think the coverage is equitable to your situation, we encourage you to ASK! Visit allpathsfb.org to learn more. Our team is here to help! NRM’s financial navigators are always available to help you understand your coverage and financial options.

Common indications for PGT include:

• Patients who have known genetic disease in themselves or their family

• Patients with previous failed treatments such as failed IVF

• Patients of advanced reproductive age

• Patients with a history of recurrent miscarriage

Absolutely. We are excited to offer acupuncture on-site! We’ve partnered with Integrative Acupuncture to offer our patients acupuncture as a natural pathway to release those pressure points before, during and after treatment.

Learn more here about local options for yoga for infertility, acupuncture, acupuncture and oriental medicine, and other forms of naturopathic medicine and integrative therapies supported by your physicians at NRM.

Most carriers don’t have a family history OR any symptoms of disease, therefore most people don’t know they are carriers until they undergo screening.

Being a carrier is not the same as having the disease. We all have two copies of each gene. Carriers have one gene with a mutation and one gene that works correctly. Carriers for some diseases are fairly common in the general population. For example, in a room of 30 people, chances are at least one person would be a carrier for Cystic Fibrosis.

Finding out if you or your partner are carriers of a disease is important information to help you plan your fertility therapy.

You may consider undergoing Pre-Implantation Genetic Testing to test for embryos that are not affected by the disease.Even if you wouldn’t manage your fertility care differently, some individuals find it helpful to know about their risks so they have time to prepare in case they have a child with a genetic disease.

NRM offers the use of a Gestational Carrier, meaning that the individual carrying the pregnancy has no genetic tie to the baby. As the patient and Intended Parent, you create an embryo either with your egg, a donor egg, your partner’s sperm, or a donor sperm — and that embryo can be placed into the uterus of a Gestational Carrier.

Yes! To schedule an appointment with a French-speaking provider, simply call us at 802-655-8888. We also work with a translation service to assist with most languages. Please let us know! 

At NRM, we help all individuals build the family of their dreams. Our collaborative family building program uses donor sperm, donor eggs, or a gestational carrier to help you on your path to parenthood.