Why First Steps Fertility & Women’s Health
Compassionate, Lower-Tech Fertility Care
Your first steps into fertility care can feel overwhelming. You shouldn’t be pushed into treatments you aren’t ready for. First Steps was created for people who want an expert, lower tech path with clear guidance and honest support. I focus on less invasive, more affordable options that move at your pace.
Personal care, start to finish
Choosing fertility care is personal. With Eliza Martin, ARNP, it also feels human. Eliza brings 20 years in women’s health and fertility, a calm way of explaining options, and a commitment to lower-tech paths that fit your goals and budget. You meet with the same clinician every time. She reads your messages, sets your schedule, reviews your results, and guides each visit, so your story never gets lost and your plan stays clear.
Supportive, Low-Pressure Environment
IVF can be the right choice for some. It is not the first step for everyone. Because IVF is not a service I provide, you will never feel pressured to do it. When IVF is the best path, I will explain why and refer you to a trusted center.
Thoughtful Fertility Assessments
I start with a complete look at both partners so we understand your unique fertility picture before suggesting any treatment. Testing may include hormone and ovarian reserve labs, ultrasound imaging, and semen analysis. From there, I explain what the results mean in plain language and outline next steps that fit your goals and comfort level.
Gentle Treatments with Clear Guidance
My lower-tech fertility treatments focus on timing, balance, and support—not pressure. Whether it’s ovulation induction, intrauterine insemination (IUI), or cycle monitoring, I’ll walk you through every stage so you always know what’s happening and why. My goal is steady progress that respects your body’s natural rhythm.
Frequently Asked Questions
Who benefits from lower tech?
People with irregular cycles, mild male factor, unexplained infertility, LGBTQ+ family building, or single parents by choice often start here. Lower-tech care also supports patients who want a gentler first step or who are preparing for IVF.
Will this work for me?
Results depend on age, ovarian reserve, semen parameters, hormones, and history. Your assessment gives me the information I need to recommend the right plan. I explain the “why” behind each option so you can choose confidently.
If lower tech isn’t the best fit, what happens?
If testing shows IVF is the most effective route, I’ll say so, explain what that means, and connect you with a trusted partner clinic. You’ll leave with a clear plan either way.
What treatments do you offer?
Ovulation induction, cycle monitoring, timed intercourse with trigger shots, intrauterine insemination with partner or donor sperm, and early pregnancy monitoring through about 8 to 10 weeks.
How many IUI cycles should I try before changing course?
Many patients try three to four cycles. The right number depends on age, ovarian reserve, semen parameters, and medication response.
What is HyFoSy and why use it instead of HSG?
HyFoSy is a tubal patency test that uses ultrasound and a foam contrast rather than X-ray or iodine. It’s typically gentler and avoids radiation exposure.
What are the expected success rates with IUI?
Per-cycle success varies with age and diagnosis. Many patients see 10 to 20 percent per cycle. Your assessment helps narrow down your personal range.
How much does lower-tech care cost?
Learn more about insurance acceptance, payments, and pricing here.
Do you work with donor sperm or known donors?
Yes. I support partner and donor IUI. I don’t do fresh known-donor IUI—all donor sperm, whether anonymous or known, must be previously frozen at a sperm bank. I can guide you through screening, timing, and required paperwork.
Is this a good path for LGBTQ+ family building?
Yes. Lower-tech options like monitored cycles and IUI often fit well. I tailor the plan to your goals and provide clear, respectful guidance.
Can single parents by choice start here?
Absolutely. Many do. I map out screening, timing, and donor selection, and outline the steps from assessment to insemination.
What medications are used for ovulation induction?
Common choices include letrozole or clomiphene. I choose the lowest effective dose, monitor your response, and adjust only if needed.
How often are monitoring visits?
Most cycles include one to three ultrasounds and targeted labs. I keep visits efficient and aligned with your schedule whenever possible.
Where are you located and how do I schedule?
I’m located in Edmonds. You can schedule online or contact me to talk through whether a lower-tech path feels like the right fit.
Patient Experiences
Patient Reviews
Your first step, supported
Book online today or or request a free phone consultation.