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Struggling to Conceive?

Let's Optimize your Health, Boost Fertility & Give your Baby the Best possible Start.

Your Preconception Plan Starts HERE

Expert support for your journey to motherhood - before, during & beyond pregnancy. You have more control than you think.

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Feeling Overwhelmed Trying to Get Pregnant?

You’re ready to grow your family, but no one prepared you for how confusing this process can feel.

Maybe you’re...

  • Tracking your cycle but still unsure if you’re timing things right.
  • Trying to eat healthier but not sure what actually supports fertility.
  • Wondering if your past pregnancy (or loss) is affecting your fertility now.
  • Feeling frustrated by advice like “just relax and it’ll happen.”
  • Learning that sperm health plays a huge role—but not sure what your partner should be doing.
  • Wishing you had a clear plan and expert support to guide you.

You don’t have to figure this out alone. I’ll help you take the guesswork out of fertility, optimize your health, and create a personalized plan—so you can conceive faster and feel confident in your journey to motherhood.

Hi, I’m Dr. Laura Costello!

As a Doctor of Physical Therapy and Certified Fertility Coach specializing in preconception wellness, women’s health, and pelvic floor physical therapy, I help women take control of their fertility and confidently prepare for pregnancy.

Whether you’re trying for your first baby or growing your family, I know how overwhelming this journey can feel. That’s why I’m here—to clear the confusion, provide evidence-based guidance, and walk with you every step of the way.

From hormone balance and nutrition to pelvic health and fertility optimization, we’ll create a personalized plan to support your body, boost fertility, and give your baby the best possible start.

You don’t have to navigate this alone. Let’s get started together!

Expert Guidance with Personalized for You

Get one-on-one support from Dr. Laura Costello, a Doctor of Physical Therapy and Certified Fertility Coach specializing in preconception wellness, fertility, and pelvic health. Together, we’ll create a customized plan tailored to your body’s unique needs—so you feel confident and in control on your journey to motherhood.

Holistic Approach to Optimize Fertility

True fertility health goes beyond just tracking cycles. We take a whole-body approach—addressing nutrition, movement, stress, gut health, and environmental toxins—to balance hormones, improve egg and sperm quality, and prepare your body for a healthy pregnancy.

Clarity, Confidence and Control on Your Journey

No more guesswork. You’ll get a step-by-step, science-backed plan to optimize your fertility, backed by expert support every step of the way. Feel empowered, informed, and in control as you move closer to growing your family.

What is the pretrimester?

"The pretrimester is the intentional phase preceding conception, dedicated to the mental, physical and emotional preparation.This proactive approach lays the foundation for a smoother conception, healthier pregnancy and lifelong benefits for your future child." - Dr. Laura Costello

Psst… I’ve Been Where You Are

I remember the hope, the excitement… and then the frustration. We wasted over a year "trying"—hundreds of dollars on pregnancy tests and ovulation kits—only to be told by my OB-GYN there was “nothing she could do.”

I was frustrated, scared, and honestly? A little pissed off. It felt like my dream of becoming a mom was slipping away.

What followed was six years of relentless appointments, painful procedures, hormone injections, five rounds of IUI, devastating losses, and tens of thousands of dollars spent—until finally, we welcomed our miracle son through IVF.

But through my journey, I connected with hundreds of women around the world and realized one thing: we deserve better.

That’s why I created The Pretrimester—to educate, empower, and support future mothers through preconception health. Whether you’re just starting out or have been trying for a while, you’re not alone.

I’m here to help. Let’s take the guesswork out of fertility and create a plan that puts you back in control.

 Ready to take the next step? Let's build your personalized plan together.

Take the Right Next Step Toward Your Future Baby

Not sure where to start? Let’s chat!

In this free 1:1 consultation, we’ll dive into your unique fertility journey, uncover what’s holding you back, and create a personalized plan to optimize your health and boost your chances of conception. Whether you’re just beginning or looking for expert guidance, you don’t have to navigate this alone—I’m here to help every step of the way.

Find Out More

One-on-One Coaching

For women who want expert support every step of the way. We’ll create a customized preconception wellness plan based on your unique health history, lifestyle, and goals—so you feel confident and in control of your fertility journey.

âś” Tailored nutrition, lifestyle & hormone optimization strategies

âś” Ongoing support & accountability

âś” Expert guidance to help you navigate TTC, IUI, IVF, or egg freezing

Find Out More

Online Course Access

Want expert knowledge at your fingertips? My step-by-step preconception course gives you everything you need to optimize fertility—on your own schedule. 

âś” Science-backed strategies for nutrition, movement & hormone balance

âś” Actionable guides & checklists to follow each week

âś” Lifetime access so you can go at your own pace

Find Out More

Infertility Rates are Skyrocketing - Take Control of Your Journey

Whether you’re preparing for your first baby or trying to grow your family, the best thing you can do is support your fertility now. That’s why I created this free guide—to help you feel confident that you’re doing everything you can to optimize your health and give your future baby the best start.

Download your FREE copy today!

The information provided on this website, including coaching services, courses, blog posts, and downloadable resources, is for educational and informational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Dr. Laura Costello is a Doctor of Physical Therapy and Certified Fertility Coach, but this content does not establish a doctor-patient relationship. Always consult your physician or qualified healthcare provider with any questions about your health, medical conditions, or fertility. Never disregard professional medical advice or delay seeking treatment because of information on this site. The Pretrimester and Dr. Laura Costello do not guarantee specific results and assume no liability for any decisions made based on this information.
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