No Risk, No Regrets

The Rosa Institute provides effective reproductive treatments for couples and individuals seeking solo reproduction support when conception has been delayed, failed treatments, chemical pregnancy, or pregnancy loss has occurred. The clinic’s founder and program director is world-renowned fertility specialist, author, and Harvard University-awarded scholar, Gabriela Rosa.

Our recently conducted seven-year analysis of 544 patients demonstrated a 78.8% live birth rate for the patients who underwent The Fertility Breakthrough Program™ (the program). The majority of our patients (47.7%) conceived naturally and delivered healthy babies compared to those who conceived via assisted reproductive treatments (ART) and others and took home healthy babies (31.1%). On average, our patients have been infertile for 3.6 years (plus or minus 2.65 years).

Additionally, despite many of our patients being told their egg quality was inadequate for getting pregnant and having a baby with their eggs, only 5.6% required an egg donor. Before embarking upon the program, 51.5% of patients had experienced miscarriage(s) compared to 13.5% after our treatment.

Similarly, 45.6% of patients had experienced failed ART (IVF/ICSI) treatments before the program. After the program, 45.8% of patients who previously experienced failed ART (IVF/ICSI) took home healthy babies; 40.4% of those patients conceived naturally versus 30.3% who conceived via ART (IVF/ICSI). This program is effective in helping couples overcome infertility and recurrent miscarriages to take home healthy babies, even when other treatments have failed multiple times.

Moreover, as a testament to our unwavering commitment to our patients’ success and confidence in our services, we offer a Triple-Baby Guarantee, which includes our 30-day trial period and a money-back guarantee for patients accepted into The Fertility Breakthrough Program™ (group and one-on-one services).

Before we can accept a new patient or couple, our founder, program director, and fertility specialist, Gabriela Rosa, assesses all prospective patient cases to determine if our treatment would benefit your situation.

At The Rosa Institute, we only work with complex cases and don’t restrict patient access because of age. However, we must also be realistic with the types of cases we cannot assist while also doing all we can to maintain our program’s effectiveness and proven track record in helping couples overcome or prevent failed treatments, infertility, and recurring miscarriages when all else has failed.

The first step is to schedule a complimentary fertility assessment and have a preliminary conversation with one of Gabriela’s clinical assistants, who will aid you in scheduling a time to have an initial complimentary consultation with Gabriela.

All interested patients are required to have a complimentary fertility assessment so we can assess our ability to add value to your particular case. Get started here.

In short, no.

Although we do not have an age cut-off for treatment, each year, we educate and inspire thousands of couples facing infertility, miscarriage, or failed treatments–and our priority is to thoroughly assess each couple’s circumstances to determine if we can provide the help they need and if we are a suitable fit for working together. 

We aim to ensure that both partners (except those pursuing solo reproduction) are aligned in their commitment to implementing our recommendations and taking the necessary steps to achieve a healthy pregnancy.

If both partners are not on the same page and do not demonstrate commitment to overcoming reproductive challenges, we may determine that our program is unsuitable for working together, regardless of payment ability. However, it is important to note that circumstances can change over time, and we are open to reassessing a couple’s situation if needed.

Due to high demand, our program has limited capacity, allowing us to accommodate a maximum of four couples or individuals per cohort. If you are offered a place in the program but cannot start immediately at the beginning of the upcoming month, we will place you on a waiting list for the next opening. Please be aware that the waiting period can sometimes extend for several months.

Our patient intake happens only at the beginning of each month, and to ensure we prioritize the utmost care for our patients currently in treatment, we have a very limited capacity to accept new patients.

We can only intake a maximum of four new couples (or solo reproductive patients) in our one-to-one program and eight new cases in our group program. 

Priority is given to action-takers. Delays in completing pre-consultation intake questionnaires may place new prospective patients on a long waiting list.

Before coming to us, many of our patients have done what they feel is “everything” or have been told “everything is normal” just ‘keep trying’ or ‘there’s nothing else you can do.’

But here is an important question for you.

How could you have already done everything or know everything is, in fact, “normal” if the outcome you desire is not yet what you are experiencing?

For instance, if you are still not holding the healthy baby of your dreams in your arms, or if the difficult symptoms you persistently experience are still a regular occurrence…

How could this “everything is normal” narrative really hold truth?

Sure, you may already have done 98% of what you need to overcome your health or reproductive challenges, which is great. However, the missing 2% still represents 100% no baby, or at best, mediocre results if we are talking about optimal general health.

Consequently, our job is, in fact, the hardest. Amidst ‘everything’ (and much more)-we must identify the missing 2% and effectively address it.

The good news is that we have a proven track record of doing that and more because optimizing general and reproductive health is not simply a matter of ‘improving’ or ‘bypassing’ disordered systems; it is a holistic body-mind-life endeavor.

We are ready to journey with you.

Watch the presentation of our full results by our program director, Gabriela Rosa, here.

In a seven-year (2014-2021) per-protocol analysis of 544 patients, our program delivered an overall 78.8% live birth rate for patients who previously had been trying to conceive for over two years and experienced reproductive challenges. 

Before our treatment, most patients experience difficulties ranging but not limited to egg and sperm or embryo quality issues, failed drug therapy/ovulation induction or failed IVF/ICSI treatment associated with poor fertilization and implantation rates (among other problems), and chemical pregnancies or miscarriage.

Despite their previous challenges, after our intervention, most patients went on to experience a natural conception (47.7%) versus ART (IVF/ICSI) and others (31.1%). 

Before joining The Fertility Breakthrough Program™, 45.6% of patients had experienced failed ART (IVF/ICSI) treatment. Following the program, 45.8% experienced a live birth despite previously failed ART treatment attempts. Most of these patients conceived naturally compared to those who still opted for ART (IVF/ICSI) (40.4% versus 30.3%). There was also a decrease in miscarriage rates upon program completion (51.5% versus 13.5%). 

Our full study was originally presented at the Department of Epidemiology at Harvard T.H. Chan School of Public Health and the British Fertility Society International Fertility Conference in January 2022. A summary of our published results follows:

Yes, we do. Our fertility program comes with a 30-day trial and a money-back guarantee.

Reach out to us, and we are happy to provide more information.

We have had to develop excellence in treating various health conditions within different bodily systems and functions to ensure clinical effectiveness because an optimal reproductive function is driven by (systemic and) general health. Some of the major areas we must effectively treat range and are not limited to endocrine, metabolic, sexual, gynecological (female factors), and urogenital (male factors).

For females, some conditions include and are not limited to:

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For males, some conditions include and are not limited to:

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Specific ART (IVF/ICSI) and natural conception concerns The Fertility Breakthrough Program™ addresses effectively may also include and are not limited to the following:

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We are the first clinic in the world to provide a fully telehealth-based treatment program (2013) and have been serving patients in every continent (other than Antarctica) since 2001.

Consequently, our message to patients is frequently copied as others try to approximate and compare themselves to us. The fact remains, however, that we are constantly evolving, improving upon our service and offering, and in doing so, remaining at the forefront of delivering care and results.

Moreover, we are the only integrative medicine clinic in the world with validated, peer-reviewed, published results presented in international professional forums such as Harvard University and The British Fertility Society Conference in the United Kingdom.

We are heavily focused on finding the root cause of our patients’ challenges so we can conquer them and have our patients finally hold the healthy baby of their dreams in their arms. And because we blend the best of self-care with the latest science within our formalized seven-step F.E.R.T.I.L.E. Method® within our clinic, our results are highly reproducible.

Other service providers take on patients and ‘hope’ their service might be helpful for the couples who come to them. 

We do not hope. We know what we deliver.

We achieve reproducibility in our treatment by implementing what we know about the types of patients who best benefit from what we offer. Therefore, we evaluate all cases before offering patients a place in the program because we believe in delivering highly effective treatment to those we can best assist. Thus, maintain our success rate at the highest possible level in the best interest of both parties.

In conclusion, we only take on patients who have experienced reproductive challenges (or would like to avoid them proactively). Typically, we treat challenging and complex cases; many of our patients are over 40. However, age (in either direction) is not a prerequisite for our effective treatment.

Absolutely, our program is designed to substantially improve the success rates of ART (IVF/ICSI). While nearly half of our patients join us after unsuccessful attempts with standard therapies, we take a uniquely systematic and methodical approach to each case, tailoring strategies from initial planning to the very last steps of the ART process. Our expertise not only enhances reproductive function, including egg, sperm, and embryonic quality, but also significantly elevates the likelihood of a full-term, healthy pregnancy. Compared to the general population, where up to eight cycles are often required for a nearly 80% live birth rate, most patients successfully conceive and carry to term within one to three cycles.

Our patient-centered care sets us apart—unlike other programs where you might feel like just a number, we provide constant support and timely course corrections throughout your treatment cycle. Most importantly, our results speak for themselves. After our program, most patients who had initially undergone failed ART cycles conceived naturally. Our success rate stands at a remarkable 78.8%, validating our approach as financially prudent and physically, emotionally, and psychologically beneficial. With a track record dating back to 2001, our expertise is your best investment for overcoming infertility and miscarriage.

[1] McLernon, DJ, et al. Cumulative live birth rates after one or more complete cycles of IVF: a population-based study of linked cycle data from 178,898 women. Human Reproduction, 2016. 31(3).

[2] Salih Joelsson, L, et al. Investigating the effect of lifestyle risk factors upon number of aspirated and mature oocytes in in vitro fertilization cycles: Interaction with antral follicle count. PLoS One, 2019. 14(8).

[3] Karayiannis, D, et al. Adherence to the Mediterranean diet and IVF success rate among non-obese women attempting fertility. Human Reproduction, 2018. 33(3). 

[4] Purewal, S, et al. A systematic review and meta-analysis of lifestyle and body mass index predictors of successful assisted reproductive technologies. Journal of Psychosomatic Obstetrics and Gynecology, 2019. 40(1).

[5] Purewal, S, et al. A systematic review and meta-analysis of psychological predictors of successful assisted reproductive technologies. BMC Research Notes, 2017. 10(1).

[6] Kumar, S, et al. Role of environmental factors & oxidative stress with respect to in vitro fertilization outcome. Indian Journal of Medical Research, 2018. 148(Suppl).

Yes, and not always.

Our most recent analysis (2022), presented at Harvard University and The British Fertility Society in the UK, demonstrated that out of 544 patients included in a (per protocol) seven-year analysis, 45.6% had experienced failed ART (IVF/ICSI) before embarking on The Fertility Breakthrough Program™.

Following the intervention, 40.4% delivered babies conceived naturally versus 30.3%  conceived via ART despite previously failed treatments. Only 5.6% of all our patients required a donor egg despite most being told before working with us that a donor egg would be the only chance they would have to conceive.

We are completely impartial regarding the conception method, enabling our patients to hold their healthy babies.

The fact that we do not run an IVF clinic enables us to be objective regarding the best treatment centers worldwide should they still require ART (IVF/ICSI/donor) in their particular situation. The lack of bias regarding conception methods allows us to assess your situation holistically, methodically, and comprehensively. Only then can we advise whatever method is most appropriate for you to create the family of your dreams. For some individuals or couples in our program, the best strategy may include ART (IVF/ICSI or even donor programs)-but substantially fewer than the average eight cycles couples need in the general population to have a close to 80% live birth rate. [1]

Furthermore, we can guarantee that you will not go around in circles being told to do cycle after cycle without any kind of reevaluation or recommendation on improving your chances of success through treatment, which is the opposite of what most couples experience when reproduction isn’t straightforward.

Our ultimate goal is to ensure our patients are adequately prepared (physically, mentally, and emotionally) regardless of the conception strategy needed to achieve the best possible results and hold their healthy babies–sooner.

Toward this outcome, we apply a holistic strategy underpinned by effective diagnosis and treatment, reproducibly reducing the need for ART (IVF/ICSI) altogether and/or improving its success rates when it is still the needed conception strategy.[2-6] 

[1] McLernon, DJ, et al. Cumulative live birth rates after one or more complete cycles of IVF: a population-based study of linked cycle data from 178,898 women. Human Reproduction, 2016. 31(3).

[2] Salih Joelsson, L, et al. Investigating the effect of lifestyle risk factors upon number of aspirated and mature oocytes in in vitro fertilization cycles: Interaction with antral follicle count. PLoS One, 2019. 14(8).

[3] Karayiannis, D, et al. Adherence to the Mediterranean diet and IVF success rate among non-obese women attempting fertility. Human Reproduction, 2018. 33(3). 

[4] Purewal, S, et al. A systematic review and meta-analysis of lifestyle and body mass index predictors of successful assisted reproductive technologies. Journal of Psychosomatic Obstetrics and Gynecology, 2019. 40(1).

[5] Purewal, S, et al. A systematic review and meta-analysis of psychological predictors of successful assisted reproductive technologies. BMC Research Notes, 2017. 10(1).

[6] Kumar, S, et al. Role of environmental factors & oxidative stress with respect to in vitro fertilization outcome. Indian Journal of Medical Research, 2018. 148(Suppl).

Navigating the emotionally charged journey of infertility and miscarriage requires more than a cookie-cutter approach; it demands a comprehensive, evidence-based strategy tailored to each unique case. That’s precisely what we offer. Through our pioneering F.E.R.T.I.L.E. Method®, we significantly reduce miscarriage rates from 51.5% to a strikingly low 13.5%. Our multidimensional diagnostic framework meticulously explores nine key categories—including endocrine issues, genetic factors, reproductive toxicants, and more—to identify and address the root causes often overlooked in standard practice.

The traditional medical landscape often requires couples to endure the heartbreak of three miscarriages before initiating any investigative action. We find this unacceptable. When you arrive at our clinic for treatment, we proactively screen and investigate because we know even one miscarriage is too many. Whether you’ve experienced recurrent miscarriages or implantation failures or have struggled to conceive for over two years, our methodical approach leaves nothing to chance. Our ultimate goal is to ensure you don’t just conceive but take home a healthy baby, transforming your results and fulfilling your dream of parenthood.

Numerous patients over the years have joined The Fertility Breakthrough Program™ due to failed donor egg or donor embryo cycles. Over 95% of them managed to take home healthy babies after our intervention.

Despite a vast majority of our patients being told at some stage along their fertility journey that the reason they have not been able to conceive or experience a viable pregnancy is due to poor egg quality (and that they need donor egg), in our seven-year analysis of 544 patients, only 5.6% ended up having babies via this method and the majority of our patients conceived naturally compared to ART (IVF/ICSI) and other (47.7% versus 31.1%).

The take-home message is that if you are not yet holding the healthy baby of your dreams in your arms right now, there is more to be done, and we have a proven track record of helping our patients do just that.

Furthermore, our patients have an immense advantage when they work with us because after comprehensively assessing their situation, understanding the root cause of their challenges through in-depth diagnostics, and gaining the clarity necessary about what and how we must intervene to ensure they achieve their outcome, we can make very specific recommendations about the clinics we use worldwide to consistently achieve their desired outcome.