Your roadmap to clarity
Fertility StrategySession
When your IVF journey needs a strategic reset. Expert review and high-level planning after complex or unsuccessful IVF treatment — so you can move forward with clarity and confidence.When your IVF journey needs a strategic reset. Expert reviewand high-level planning after complex or unsuccessful IVFtreatment — so you can move forward with clarity andconfidence.
Request a Consultation
Strategic, not standard
Deep-dive analysis, not a template review
Board-certified REI
15 plus years of experience
Goldilocks IVF™
Precision dosing for quality, not quantity
Why a Strategy Session?
When Repeating the Same Plan Isn't EnoughWhen Repeatingthe Same Plan Isn'tEnough
If you have experienced a failed IVF cycle, poor ovarian response, recurrent embryo arrest, implantation failure, or unexplained outcomes, you are not alone — and you are not out of options.If you have experienced a failed IVF cycle, poor ovarian response,recurrent embryo arrest, implantation failure, or unexplained outcomes,you are not alone — and you are not out of options.
Our Fertility Strategy Session is designed specifically for women and couples seeking expert review and high-level strategic planning after complex or unsuccessful IVF treatment. Rather than repeating the same protocol, we focus on identifying what can be optimized.Our Fertility Strategy Session is designed specifically for women andcouples seeking expert review and high-level strategic planning aftercomplex or unsuccessful IVF treatment. Rather than repeating the sameprotocol, we focus on identifying what can be optimized.
This service is ideal for patients who want clarity, deeper analysis, and a refined plan before moving forward with another IVF cycle.This service is ideal for patients who want clarity, deeper analysis,and a refined plan before moving forward with another IVF cycle.
Expert-Led Review
What Makes ThisDifferent?
Dr. Jennifer Kulp-Makarov, MD, is a board-certified Reproductive Endocrinologist with more than a decade of experience managing highly complex IVF cases. She specializes in helping patients whose cycles have failed at other fertility centers, particularly those with:Dr. Jennifer Kulp-Makarov, MD, is a board-certified ReproductiveEndocrinologist with more than a decade of experience managing highlycomplex IVF cases. She specializes in helping patients whose cycleshave failed at other fertility centers, particularly those with:
- Low AMH or diminished ovarian reserveLow AMH or diminished ovarian reserve
- Poor ovarian response or low egg yieldPoor ovarian response or low egg yield
- Recurrent IVF failureRecurrent IVF failure
- Recurrent miscarriageRecurrent miscarriage
- Embryo arrest or poor blastocyst developmentEmbryo arrest or poor blastocyst development
- Advanced maternal age and egg quality concernsAdvanced maternal age and egg quality concerns
Your Session
What Dr. Jenn Will Review
Prior to your visit, we conduct a comprehensive review of your previous medical records, stimulation sheets, embryology reports, and transfer outcomes.Prior to your visit, we conduct a comprehensivereview of your previous medical records, stimulationsheets, embryology reports, and transfer outcomes.
Prior Protocol Analysis
Analyze prior IVF protocols and identify opportunities for refinement in stimulation, medication, and timing.Analyze prior IVF protocols and identifyopportunities for refinement in stimulation,medication, and timing.
Stimulation & Dosing Review
Evaluate ovarian stimulation dosing and medication selection to determine if adjustments could improve response.Evaluate ovarian stimulation dosing andmedication selection to determine ifadjustments could improve response.
Embryology Assessment
Assess egg maturity, fertilization method, and embryo development patterns to uncover laboratory-level insights.Assess egg maturity, fertilizationmethod, and embryo developmentpatterns to uncover laboratory-levelinsights.
Lab & Timing Factors
Review laboratory factors, trigger timing considerations, and cycle-specific variables that may have influenced outcomes.Review laboratory factors, trigger timingconsiderations, and cycle-specificvariables that may have influencedoutcomes.
Advanced Strategies
Discuss advanced or alternative strategies — including cycle priming, adjuncts, PRP, and sequencing — when appropriate.Discuss advanced or alternativestrategies — including cycle priming,adjuncts, PRP, and sequencing — whenappropriate.
Personalized Plan
Present a personalized, written plan to optimize your next cycle, with clear rationale and actionable next steps.Present a personalized, written planto optimize your next cycle, with clearrationale and actionable next steps.
Your Session
What Dr. Jenn Will Review
Prior to your visit, we conduct a comprehensive review of your previous medical records, stimulation sheets, embryology reports, and transfer outcomes.Prior to your visit, we conduct a comprehensivereview of your previous medical records, stimulationsheets, embryology reports, and transfer outcomes.
Prior Protocol Analysis
Analyze prior IVF protocols and identify opportunities for refinement in stimulation, medication, and timing.Analyze prior IVF protocols and identifyopportunities for refinement in stimulation,medication, and timing.
Stimulation & Dosing Review
Evaluate ovarian stimulation dosing and medication selection to determine if adjustments could improve response.Evaluate ovarian stimulation dosing andmedication selection to determine ifadjustments could improve response.
Embryology Assessment
Assess egg maturity, fertilization method, and embryo development patterns to uncover laboratory-level insights.Assess egg maturity, fertilizationmethod, and embryo developmentpatterns to uncover laboratory-levelinsights.
Lab & Timing Factors
Review laboratory factors, trigger timing considerations, and cycle-specific variables that may have influenced outcomes.Review laboratory factors, trigger timingconsiderations, and cycle-specificvariables that may have influencedoutcomes.
Advanced Strategies
Discuss advanced or alternative strategies — including cycle priming, adjuncts, PRP, and sequencing — when appropriate.Discuss advanced or alternativestrategies — including cycle priming,adjuncts, PRP, and sequencing — whenappropriate.
Personalized Plan
Present a personalized, written plan to optimize your next cycle, with clear rationale and actionable next steps.Present a personalized, written planto optimize your next cycle, with clearrationale and actionable next steps.
Precision Over Protocol
A Goldilocks IVF™Perspective
Many patients come to Fleura Fertility after undergoing aggressive or standardized IVF protocols that did not yield the expected results or came with uncomfortable side effects and stress.Many patients come to Fleura Fertility after undergoing aggressiveor standardized IVF protocols that did not yield the expectedresults or came with uncomfortable side effects and stress.
Dr. Jenn is known for her Goldilocks IVF™ approach — a precision-based stimulation strategy that focuses on achieving the right number of mature, high-quality eggs rather than simply maximizing egg quantity.Dr. Jenn is known for her Goldilocks IVF™ approach — a precision-basedstimulation strategy that focuses on achieving the right number ofmature, high-quality eggs rather than simply maximizing egg quantity.
Strategic adjustments in medication dosing, trigger timing, cycle priming, embryo strategy, or sequencing of treatment can significantly impact outcomes. Experience matters — especially when navigating nuanced fertility biology.Strategic adjustments in medication dosing, trigger timing, cyclepriming, embryo strategy, or sequencing of treatment can significantlyimpact outcomes. Experience matters — especially when navigatingnuanced fertility biology.
Is This Right for You?
Who This Is For
This service is ideal for patients who feel stuck, confused, or discouraged after one or more unsuccessful IVF cycles and want a thoughtful, expert-driven strategy before moving forward.This service is ideal for patients who feel stuck,confused, or discouraged after one or moreunsuccessful IVF cycles and want a thoughtful,expert-driven strategy before moving forward.
- Patients who have experienced failed IVF cycles at other clinicsPatients who have experienced failed IVF cycles at other clinics
- Those with poor ovarian response despite high stimulation dosesThose with poor ovarian response despite high stimulation doses
- Women with recurrent embryo arrest or implantation failureWomen with recurrent embryo arrest or implantation failure
- Patients with unexplained IVF outcomes seeking deeper analysisPatients with unexplained IVF outcomes seeking deeper analysis
- Anyone feeling stuck, confused, or discouraged after unsuccessful cyclesAnyone feeling stuck, confused, or discouraged afterunsuccessful cycles
- Those seeking a second opinion and a strategic reset before their next cycleThose seeking a second opinion and a strategic reset before their next cycle
Common Questions
Strategy Session FAQ
A Fertility Strategy Session goes deeper than a first-time consult. Dr. Jenn reviews your prior stimulation sheets, embryology reports, and cycle outcomes to identify what can be optimized — then presents a strategic, written plan for your next steps.
Prior to your visit, we review previous medical records, stimulation sheets, embryology reports, and transfer outcomes. The more complete your records, the more tailored your strategy session will be.
Goldilocks IVF™ is Dr. Jenn's precision-based stimulation strategy — calibrating medication dosing and timing to achieve the right number of mature, high-quality eggs rather than simply maximizing quantity.
Yes. This service is designed specifically for patients who have experienced complex or unsuccessful IVF treatment and want expert review and high-level strategic planning before moving forward with another cycle.
Yes. You'll receive a personalized, written plan to optimize your next cycle, with clear rationale and actionable next steps.
Consultations are available virtually via secure video or in-person at our New York City location.
Move Forward With Renewed Confidence
If you are seeking clarity, precision, and a tailored plan built on years of experience managing challenging fertility cases, a Fertility Strategy Session at Fleura Fertility can help you move forward with renewed direction.If you are seeking clarity, precision, and a tailored plan built on years ofexperience managing challenging fertility cases, a Fertility Strategy Session atFleura Fertility can help you move forward with renewed direction.