Angela Thyer, MD, Reproductive Endocrinologist & Fertility Educator Skip to main content
Reproductive Endocrinologist  ·  Lifestyle Medicine

Angela Thyer, MD knows ovaries. Want to understand yours?

Your next step, clarified.

One hour with a board-certified fertility doctor who isn't selling you an IVF cycle or a supplement stack on the other side of this call — just someone who's spent years watching patients struggle with knowing what to do. Get ahead of the game.

"You can't control the outcome. You can control how prepared you are for it."

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Angela Thyer, MD

PMOS/PCOS is the most common cause of infertility. It's also the most treatable. Most women with PCOS who get the right information never need IVF.

About

The short version

I've been through IVF myself, twice. I know what it feels like to sit with uncertainty and want it to stop. To want to be on the other side of this, raising a family.

I want you to know what I know.

The research exists. Most of it never makes it into a fifteen-minute appointment, and what fills the gap is usually someone selling something. I translate it instead.

Fertility is what I'm known for, but my work doesn't stop there. I see women navigating PCOS, unexplained infertility, IVF, egg freezing decisions, perimenopause, and the metabolic shifts that come with each of those. If it involves your hormones or your ovaries, I've probably spent twenty years reading about it.

Two decades caring for women through fertility, irregular cycles, and perimenopause. First as faculty at the University of Washington, then as a co-founding partner of Seattle Reproductive Medicine, and through the Food for Fertility program I built with dietitian Judy Simon.

Board Certified: REI & OB/GYN Lifestyle Medicine Clinical Asst. Professor, UW Past-Chair, ASRM Nutrition SIG
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AMWA Physician Fertility Summit 2026
Presenter: Fertility Facts vs. Fiction
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ASRM Congress 2026
Presenter: AI & Nutrition in Fertility Care
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Formidable Women's Health Summit 2026
Panelist: Debunking Birth Control & Fertility Misinformation
Work With Me

What most women actually need is one honest conversation.

A lot of women put off that first fertility appointment because they're afraid of what they'll hear. That they need IVF. That it's going to cost $20,000.

So they wait. Hope this month is different. Put their name on a clinic waitlist and sit with the uncertainty for weeks.

One woman I spoke with suspected something was wrong. She lied to her gynecologist to get a referral. Told her she'd been trying longer than she had. She just wanted answers sooner.

Fertility clinics are set up to see patients when they're more likely to need treatment. Most ob/gyns honestly don't know much beyond the basics of fertility testing because their training focuses on obstetrics and contraception.

Another woman had been at her fertility clinic and had gone through an IVF cycle that did not work. She had rarely seen her actual doctor. Information came in fragments, delivered when she needed to know something instead of the big picture. She didn't realize that there were different protocols and with her diagnosis of endometriosis, a different protocol might have worked better. She came to me to think through whether she should switch clinics. She did.

A third woman watched a friend freeze eggs through her employer's insurance benefit and decided to do the same. Her clinic quoted her one cycle at $10,000. Nobody told her that a single cycle at her age and reserve might only give her a 20% chance of a future live birth. Most women would prefer to know how many eggs they need to freeze for an 80% chance of success. That may take multiple rounds. She found that out during our consult and felt better knowing what to expect.

I got a master's in behavioural science because fertility decisions are genuinely hard in a specific way. Should I freeze my eggs? Is now the right time for IVF? Do I have to wait a year before I can get help? Online searching doesn't always give you the answers you need. What helps is having a physician who understands your situation and can help you make a decision on what to do next.

You don't have to wait to get answers. An educational consultation with me isn't a fertility clinic appointment. There's no pressure, no protocol, no bill from an insurance department you don't understand. It's an hour with a physician who'll tell you what's going on and what your options are. And what you can do this month, whether that's a lifestyle change, a specific test to ask for, or yes, a referral to the right clinic.

You'll leave knowing exactly what your next step is. That's the whole point of the hour.

What most women don't know going in

Fertility clinics are not all equal, and the differences matter more than the marketing suggests. Egg freezing is the most technically demanding procedure in reproductive medicine. The lab conditions, the embryologist, the stimulation protocol. It varies enormously and none of it shows up on a clinic's website.

Overseas treatment is a real option for some women, with high expertise and a fraction of the cost, and almost nobody talks about it honestly. Some clinics are high-volume factories optimized for throughput. Others are boutique practices where the surgeon you meet is the surgeon who operates. Profit, patient experience, and success rates don't always point in the same direction.

Success rates are reported in ways designed to look good, not to help you compare. This is the kind of information that exists inside the system and almost never makes it out. That's what this session is for.

Educational consultation only. No physician-patient relationship is created. I cannot order labs, prescribe medications, or provide medical advice. Always work with your licensed care team for clinical decisions. Available to women in all 50 states.

Women come to me when they're asking things like...

  • My AMH is low. Now what?
  • It hasn't been a year, but I want answers now.
  • My doctor recommended IVF and I'm not sure I'm ready.
  • I wonder if I should switch clinics.
  • I'm 38 and just starting to think about this.
  • My gyne isn't helping me. What should I really be doing?
  • My friends are considering egg freezing but it's so expensive.
  • I'm 35 and single. Should I freeze eggs or consider donor sperm?
  • I'm having symptoms that might be perimenopause but I think I'm too young.
  • I can't lose weight and think I may have PMOS/PCOS.
  • Should I start GLP-1s?
One Visit. This Week.
$750
60-minute educational consultation, one on one

You'll walk away with insider knowledge, personalized to you:

  • What your labs actually mean for your situation, not just whether they're in range
  • Which supplements are worth taking, which are marketing, and which could be harmful
  • What treatment options exist and how to think through them without pressure to start IVF in the room
  • Whether you're at the right clinic, and if not, how to find a better fit based on your specific diagnosis, not their marketing
  • Whether overseas treatment makes sense for your situation, and where to look
  • Factory or boutique-style clinic, which doctor, which embryology lab. The questions nobody tells you to ask
  • Your actual next step, owned by you

Clarity from an insider that you can't get anywhere else. No more months of waiting.

Limited availability. Small number of consultations each month.

Get clarity now →
Common Questions

Things worth knowing.

If you've been carrying a question around for a while and nobody has given you a straight answer, this is a start.

If you're doing the math every month, wondering whether it's "too soon" to ask for help: the standard guideline is 12 months of trying if you're under 35, 6 months if you're 35 or older. But those numbers were designed for a medical system, not for you. If something feels off, if your cycles are irregular, if you have a known diagnosis like PCOS, or if you're just not willing to wait and wonder, that's a good enough reason to get information now. Waiting doesn't improve your odds. Understanding your picture does. If you want to get oriented before you commit to a clinic, a Deep Dive session is exactly that.
It's a particular kind of frustrating: normal labs are reassuring, but they don't tell the whole story. Standard fertility workups check a handful of things and miss a lot. Sperm function, egg quality, the uterine environment, immune factors, timing, and lifestyle variables don't always show up in basic panels. "Everything looks fine" often means "we didn't find an obvious problem," not "nothing is wrong." If this is where you are, a session can help you figure out what questions to ask next and what your workup may have missed.
Confusing, I know: same condition, updated name. PCOS was recently renamed Polyendocrine Metabolic Ovarian Syndrome (PMOS) to more accurately describe what is actually happening in the body. It is a metabolic condition that affects the ovaries, not just an ovarian condition. That distinction matters because the treatment approach changes when you understand the root. The insulin-hormone connection that drives most cases responds meaningfully to what you eat, how you sleep, and how you move. Judy Simon and I spent years documenting this in the Food for Fertility program. It's not a wellness claim. It's physiology. Most doctors and labs still say PCOS, so you'll keep seeing both. I use both for exactly that reason.
Yes — and if a low AMH or a high FSH sent you spiraling after you read it, you're not alone. It's one of the most common reasons women book. Those numbers are alarming to read in a lab result and almost never explained well in the appointment that follows. What those numbers actually mean depends on your age, your cycle, your full picture. They tell you something about ovarian reserve, not about whether you can get pregnant. Understanding the difference is what changes what you do next. If you want that conversation, book a session.
The anxiety around turning 35 is real, and so is the biology, but maybe not in the way you've been told: the decline in fertility after 35 is real, and it's also slower and less uniform than the headlines suggest. Population averages hide a lot of individual variation. What matters most is your specific picture: your ovarian reserve, your cycle, your health, and what you do with the next 90 days. The worst version of this situation is waiting another six months because you're not sure it's worth acting. The right time to understand your options is now, not after months of trying in the dark.
Yes — and if IVF has felt like something happening to you instead of something you're steering, this is one place you actually have leverage: the window that matters is the 90 days before retrieval. That's roughly the time it takes for a follicle to develop from its earliest stage to the one your doctor retrieves. Sleep, stress physiology, specific nutrients, and dietary pattern all have real evidence at that stage. The problem is that the fertility supplement industry has made this genuinely hard to navigate. Most of what's marketed is expensive and unsupported. Some of it can actually interfere. I can help you figure out what's worth doing and what's noise, so you go into retrieval as prepared as you can actually be.
The supplement aisle is genuinely overwhelming, so start simple: a prenatal that contains folic acid. It's the one supplement with strong evidence behind it, shown to reduce the risk of neural tube defects. That's the foundation. Add vitamin D if you're deficient (most people are and most people don't check). Beyond that, the evidence gets thinner and more context-dependent. Omega-3s, CoQ10, choline, and others have a role in specific situations. The supplement industry has built an entire category around fertility anxiety, and a lot of what's sold has no meaningful evidence behind it. Taking the wrong things can do more harm than good. If you want to know what actually applies to your situation, that's a good use of a session.
It's one of the loneliest decisions to sit with by yourself, and the honest answer is: it depends. On your ovarian reserve, your age, your relationship status, your finances, and your risk tolerance, and none of those point in the same direction for most people. Egg freezing has real success rates and real limitations that are almost never explained clearly when someone is considering it. The decision is also time-pressured in a way that makes it hard to think through without getting pulled into urgency that may or may not reflect your actual situation. This is exactly the kind of high-stakes, information-dense decision I trained specifically to help people think through — a master's in behavioural science, put to actual use. A session won't make the choice for you. It will help you actually think it through.
Most women don't find out there's a real difference between clinics until they're already mid-treatment, when it's hard to switch. Success rates vary significantly, and they're reported in ways that make direct comparison almost impossible without knowing what to look for. Lab quality, stimulation philosophy, embryo culture conditions, and how a clinic handles your specific diagnosis all matter and none of it shows up in the marketing. I spent 20 years inside the REI system and I know how to read a clinic's numbers and approach. If you're not confident you're in the right place, or if you're considering starting and don't know how to choose, that's worth a conversation.

Live Workshops

75 minutes. One topic. A physician who'll actually explain it.

PCOS and Fertility. Fertility After 35. Unexplained Infertility. $129 per session. Get on the waitlist and we'll let you know when it's scheduled.

See the workshops →
Before you book
No. These are educational consultations, not medical appointments, and are not billable to insurance. Payment is due at booking via credit card.
No. No physician-patient relationship is created through these sessions. I cannot order labs, prescribe medications, or provide medical advice. What I can do is help you understand your situation so you can have better, more informed conversations with your own care team.
Often more so. Many women come to me mid-treatment wanting to understand what they're being told, what their numbers mean, and what they can actually do about it. This session is designed to complement your existing care, not replace it.
No. You can come with nothing, or you can come with a folder of results. Either works. If you have labs, bring them. If you don't, we'll talk through what you know and what would be useful to get.

The Fertility Brief

The explanation your appointment didn't have time for.

Clinical depth. Plain language. Free.

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Live Workshops

75 minutes. One topic. Actual answers.

Live, small-group workshops on the fertility topics women ask me about most. $129 per session. Get on the waitlist and we'll let you know when it's happening.

PCOS and Fertility

The most common and most treatable cause of fertility struggles. The four Rotterdam phenotypes, the insulin-hormone connection, and the lifestyle strategies with the strongest evidence. What PMOS means and why the name change matters.

$129

Join the waitlist →
Fertility After 35: What the Research Says

The decline is real. It's also slower and less uniform than the headlines suggest. What the data actually shows about your mid-to-late thirties, what your numbers mean, and when it's worth acting.

$129

Join the waitlist →
Unexplained Infertility: What Your Workup May Have Missed

If you've been told everything looks fine but nothing is working, this is for you. What standard workups miss, what questions to ask your clinic, and what you can actually do next.

$129

Join the waitlist →
Live Workshops

Join the PCOS and Fertility waitlist

We'll let you know as soon as it's scheduled.

Live Workshops

Join the Fertility After 35 waitlist

We'll let you know as soon as it's scheduled.

Live Workshops

Join the Unexplained Infertility waitlist

We'll let you know as soon as it's scheduled.

Getting to Baby book cover
The Book

Judy and I wrote the book we couldn't find.

Co-authored with reproductive dietitian Judy Simon, Getting to Baby distills the food-first approach we developed at the Food for Fertility program, built from years of clinical work helping women improve their odds of conceiving naturally.

"If you're looking for fertility-friendly advice on nutrition with an evidence-based approach, look no further. I am thrilled to have this resource to recommend to my patients."

Lora Shahine, MD, FACOG  ·  Reproductive Endocrinologist
Visit the Book Site → Amazon Barnes & Noble Bookshop.org Books-A-Million
Get in Touch

Have a question?

Angela Thyer, MD
Triple board-certified physician, Reproductive Endocrinology & Infertility, OB/GYN, and Lifestyle Medicine. Clinical Assistant Professor, University of Washington. Co-founder, Seattle Reproductive Medicine.
Real physician. Real science. Honest answers.

Educational content only. This website provides general health information for educational purposes only. It is not medical advice and does not replace consultation with a qualified healthcare provider. Always consult your doctor before making health decisions.

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