Angela Thyer, MD | The READY Fertility Framework Skip to main content
Reproductive Endocrinologist  ·  Lifestyle Medicine

Get Fertility READY.

This will take longer, cost more, and ask more of you than anyone told you. If it's been six months or a year, it's not too early. You're right on time.

Trying naturally, mid-IUI or IVF, or just considering what's next: sometimes what helps most is 45 minutes with an outside perspective. I'm not your clinic, not selling supplements or IVF, just giving you an honest read and a full written report, before you walk into a clinic or start your next cycle.

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

Angela Thyer, MD
Co-Author Getting to Baby

PCOS, endometriosis, and being over 35 are the most common causes of infertility. Getting READY can help.

You can optimize your fertility with any of the three. Having one isn't the end of the story. It's a set of levers you can still move. Learn how →

The Framework

Reality: Know the real timeline, cost, and odds, not the version everyone assumes going in.

Equip: prepare your body before you need to, with nutrition, sleep, supplements, and stress load.

Anchor: your support system, named before you need to lean on it.

Define: your limits on money, time, and treatments you will and won't do, decided in advance.

Yield: the resilience to pivot, pause, or stop, without it being failure.

More on the READY Fertility Framework →

About

The short version

I've been through infertility and IVF, and I know what that uncertainty and fear feels like. Wanting a baby so badly. Feeling damaged.

That's why I'm here. To explore options with you, even the ones you may not know about. I've helped thousands of women move past infertility and miscarriage, and get a handle on PCOS.

After 20 years of seeing patients, and a master's in behavioral science, I know how to work through what may be holding you back. I'll help you move forward, wherever you are.

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

I also advise health organizations on using AI in care. More at angelathyer.com.

Why I Built It

Nobody prepares you for how hard this gets. I built READY so you would be.

This is where the framework above comes from, not theory, but twenty years of watching women hit the same wall I did.

PCOS, endometriosis, and being over 35 are the most common causes of female infertility. I built READY because it didn't exist. No one tells women how to prepare adequately for this: what they wish they'd known going in, until they've lived it. I went through infertility and IVF myself: my first cycle during my fellowship, my second while I was already on faculty at the University of Washington. It's stressful, even when you know everything as an insider. Knowing women could be better prepared for the challenges they'll face is why I built READY, to make the journey easier.

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.

Women come to me with questions 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 can't lose weight and think I may have PMOS/PCOS.
  • I've had a miscarriage and I don't know why.
  • Should I start GLP-1s?

These are the exact questions you can get answered with me, now.

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.

This isn't a fertility clinic appointment: no pressure, no protocol, no insurance department. You'll leave with a full written report and know exactly what your next step is. That's the whole point.

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.

The READY Consult: 45 Minutes, One Visit, A Written Report
$600
45-minute educational consultation, one on one, followed by a full written report

One conversation. Everything you need to walk in ready, for a fraction of what one wasted IVF cycle costs. Already helped thousands of women trade guessing for clarity.

Here's exactly what the READY Consult gives you:

  • A full written report, yours to keep and reread whenever you need it
  • What your labs actually mean, not just whether a number falls "in range"
  • Which supplements and lifestyle changes move the needle, and which ones are wasting your money or doing harm
  • Your treatment options, laid out with no pressure to start any of them
  • What IVF really costs, and a real budget instead of a guess
  • Whether you're at the right clinic, judged on what actually matters, not the marketing
  • Whether overseas treatment makes sense for you, and where to actually look
  • Factory or boutique, which doctor, which lab: the questions nobody hands you before you sign
  • Your actual next step, in writing, before you spend another dollar or another month not knowing

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

Limited availability. I take up to 10 consultations a month.

If you don't leave with a clear next step, I'll refund the session. No questions asked.

Get READY with me →

Prefer to start smaller? See upcoming workshops →

Live Workshops

60 minutes. One topic. Actual answers.

Not ready for the full 1:1 consult? Start here. 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.

October 2026

PCOS was recently renamed Polyendocrine Metabolic Ovarian Syndrome (PMOS) to reflect what's actually happening in the body. The four Rotterdam phenotypes, the insulin-hormone connection, and the lifestyle strategies with the strongest evidence: what the new name means for your fertility, weight, and long-term metabolic health.

Reserve your spot →
November 2026

A live group introduction to the five-part framework behind every consult I give: Reality, Equip, Anchor, Define, Yield. This isn't personalized. It's the overview, so you can see whether it fits your situation before you book the individual consult built around you.

Reserve your spot →
December 2026

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.

Reserve your spot →

If you've been told everything looks fine but nothing is working, this is for you. What standard workups check, what they miss, and what questions to ask next.

Join the waitlist →

One of the three most common causes of infertility, and one of the most misunderstood. What it actually does to fertility, why it's so often missed or delayed in diagnosis, and what the evidence says actually helps.

Join the waitlist →
Live Workshops

Reserve your spot: Understanding PMOS

Scheduled for October 2026. Get on the list to hold your seat.

Live Workshops

Reserve your spot: Intro to READY

Scheduled for November 2026. A live group overview, not personalized. Get on the list to hold your seat.

Live Workshops

Reserve your spot: Fertility After 35

Scheduled for December 2026. Get on the list to hold your seat.

Live Workshops

Join the Unexplained Infertility waitlist

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

Live Workshops

Join the Endometriosis and Fertility waitlist

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

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 physiology, not a wellness trend. 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. The window that matters most is the 90 days before retrieval, roughly how long it takes a follicle to develop from its earliest stage to the one your doctor retrieves. Sleep, stress, specific nutrients, and dietary pattern all have real evidence at that stage. The fertility supplement industry makes this hard to sort through: most of what's marketed is expensive and unsupported, and some of it can actually interfere. I can tell you 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 behavioral 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.

Want to learn more? Take a workshop →

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.

Want the fertility skinny? Sign up for The Fertility Brief →

Get in Touch

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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