No Risk, No Regrets
Only clarity and peace of mind on your journey to baby
The Rosa Institute is proud to offer our
Triple-Baby Guarantee
Since 2001, we have been helping couples overcome infertility and recurrent miscarriage even when other treatments have failed.
Yet, trying to “describe” how we do it, as thorough as we are, still does not do our service and your questions complete justice–and we are often mistakenly compared with services people think are “like ours,” and they end up making choices that still leave them with no baby.
Ultimately, no matter how much we describe or how much evidence-based, peer-reviewed research data we show, words do not teach. Lived experience is an infinitely better teacher.
So, in the interest of our patients experiencing what can best support them, we have introduced The Rosa Institute’s Triple-Baby Guarantee.
Because we want those we serve to have complete clarity about the path that can best serve them on their journey to parenthood, we know it is impossible to make that choice without experiencing our expertise, care, and ability to deeply address the root cause of their fertility challenges.
And that is why our Triple-Baby Guarantee delivers the peace of mind you deserve.
What Does the Triple-Baby Guarantee Mean For You?
1. No Regrets
We guarantee that you will leave with no regrets by joining the program and following our guidance and protocols. There will be no unanswered questions or lack of clarity; instead, there will be peace of mind.
2. We Will Hold Your Hand From Beginning to Baby and Beyond
We guarantee to be with you every step of your journey to guide and support you when it matters most. That includes guiding you on the most efficient and direct path to parenthood, regardless of the path for your unique circumstances. Every effective strategy will be considered and discussed, and every effort will be made to achieve your comfort and confidence in each choice.
3. 30-Day Trial and Money-Back Assurance
We make every effort to accurately assess your situation before offering you a place in the program to ensure we are a good fit for working together. However, in the unlikely event that within 30 days of joining, you do not believe the program is a good fit for you, we will refund 50% of the total initial program fee or stop any future payments.
You may also be entitled to a full initial fee refund at the end of your treatment with us if you do not have a baby–conditions apply*.
When we say No Risk, No Regrets, we want you to know we really, truly mean it.
If, after an initial fertility assessment, we are a good fit for working together and we can help you, then it means we respect you, your trust, your body, and your dreams.
And our Triple-Baby Guarantee is our way of showing it.
Need help having a baby?
Additional Information
If you decide not to continue within the 30-day trial, future guarantees are nullified, and rejoining would necessitate paying the full original fee again. However, when you remain with us, we make this promise: You will successfully conceive, or we will refund your initial fee.
Terms & Conditions
Eligibility for our Triple-Baby Guarantee requires adherence to specific criteria. These include timely compliance with all diagnostic tests and an 80% treatment adherence rate throughout the program.
Specific Requirements
Onward to Parenthood
We are honored to guide you through your journey to parenthood.
Frequently Asked Questions
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:
.row:after {
content: “”;
display: table;
clear: both;
}
- Overall hormonal imbalances
- Egg quality concerns
- Dysmenorrhea (painful periods)
- Amenorrhea (absent periods)
- Polymenorrhea (short periods)
- Luteal phase defects
- Oligomenorrhea (infrequent periods)
- Menorrhagia (heavy periods)
- Metrorrhagia (irregular cycles)
- Premenstrual mood disorders (PMS, PMDD, PME)
- Perimenopause
- Polycystic ovaries/ polycystic ovarian syndrome (PCO/PCOS)
- Adult Acne
- Obesity/ metabolic syndrome
- Blood sugar regulation conditions (e.g., diabetes, insulin resistance, etc.)
- Post oral contraceptive pill imbalances
- Thyroid imbalances
- Adrenal imbalances
- Stress and the physiological effects
- Endometriosis
- Fibroids
- Adenomyosis
- Dyspareunia (difficult or painful sexual intercourse)
- Pelvic Inflammatory Disease (PID)
- Infections
- Recurrent urinary tract infections (UTI’s)
- Recurrent bacterial vaginosis (BV)
- Recurrent thrush/candida
- Sex, sexual function and sexual satisfaction
- Low libido
For males, some conditions include and are not limited to:
.row:after {
content: “”;
display: table;
clear: both;
}
- Overall sperm quality issues
- Azoospermia (no sperm in ejaculate)
- Oligozoospermia (low concentration or count)
- Teratospermia (low morphology)
- Asthenospermia (low motility)
- Raised DNA fragmentation
- Testicular dysgenesis syndrome
- Erectile dysfunction
- Premature ejaculation
- Delayed ejaculation
- Retrograde ejaculation
- Primary hypogonadism
- Secondary hypogonadism
- Hormonal imbalances (eg low testosterone, elevated estrogen, FSH, LH)
- Gynecomastia (man boobs)
- Thyroid and adrenal imbalances
- Obesity/ metabolic syndrome (high cholesterol etc)
- Blood sugar regulation conditions (eg diabetes, insulin resistance, etc)
- Low libido
- Sex, sexual function and sexual satisfaction
Specific ART (IVF/ICSI) and natural conception concerns The Fertility Breakthrough Program™ addresses effectively may also include and are not limited to the following:
.row:after {
content: “”;
display: table;
clear: both;
}
- Egg quality concerns
- Low ovarian reserve
- Premature ovarian failure
- Low follicle count for age
- Poor drug response during ART cycle
- High numbers of immature eggs
- Egg quality
- Poor fertilization rates
- Poor embryo development
- High percentage of aneuploid embryos
- Failed implantation
- Recurrent miscarriage after embryo transfer
- Poor semen quality (including low morphology and high DNA fragmentation)
- Low semen concentration and motility
- Microscopic testicular sperm extraction (micro-TESE)
- Tubal health and patency
- Genetic factors and variations
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.
Here is an important question for you.
How could you have already done everything or know everything is, in fact, “normal” if you are still not holding the healthy baby of your dreams in your arms?
Sure, you may already have done 98% of what you need to overcome your reproductive challenges, which is great. However, the missing 2% still represents 100% no baby.
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.
The Rosa Institute Team
Founder and Director of The Rosa Institute and Harvard University-awarded scholar.
Gabriela Rosa is the founder and director of The Rosa Institute, an organization dedicated to improving clinical results and advancing scientific knowledge in reproductive medicine to help couples create healthy babies, despite previous challenges. Gabriela and her team of clinicians have treated and educated over 142,000 couples and individuals in more than 111 countries through various programs since 2001, such as her flagship Fertility Breakthrough Program™ known for its validated 78.8% live birth rate, its alternative Group Fertility Breakthrough Program™ (the flagship program delivered in shared consultations), and the free, self-paced, and interactive Fertility Accelerator Program™ helping couples fast-track their journey to parenthood. She has translated over two decades of knowledge and experience into four books on natural fertility solutions, including two bestsellers. You can find Gabriela's latest book, Fertility Breakthrough: Overcoming infertility and recurrent miscarriage when other treatments have failed, at quality booksellers. Furthermore, she is also the host of the TalkSex with Gabriela Rosa™ podcast, where reproductive health, science, education, self-discovery, love, and lust meet. She and guest experts explore a holistic conversation around desire, pleasure, and satisfaction, aiming to help create a new path of self-discovery for those on and off the fertility journey. In addition to her work in reproductive treatment, Gabriela is also launching the Wellbeing Within™, a men’s and women’s health program expanding the support The Rosa Institute offers patients beyond fertility treatments. It is designed to help individuals optimize their health at every stage of life, from puberty to meno- / andro-pause and beyond, through a holistic and integrative approach. Like her signature fertility programs, it is underpinned by her unique F.E.R.T.I.L.E. Method®, which stands for Fact-find, Educate, Recommend, Treat, Incubate, Liberate, and End Result. Gabriela has completed clinical research programs, including her Master’s in Public Health (Clinical Effectiveness) degree at Harvard University’s T.H. Chan School of Public Health. In addition, she was awarded The Scholar Award for academic excellence. Currently undertaking the Doctor of Public Health program at Harvard, Gabriela already holds a Master of Science in Medicine (Reproductive Health and Human Genetics) and a Bachelor of Health Science and is trained in numerous health disciplines, including naturopathy, nutrition, and botanical herbal medicine. For updates on Gabriela's latest initiatives, visit www.fertilitybreakthrough.com.