Start your Pretrimester today — Grab your FREE 7-Day Reset

You want to get pregnant, soon (and you don't know where to start)

If you're feeling unsure about what actually matters in these months before conception, you’re in the right place. My work is all about making this season clearer, calmer, and more supportive, so you can move forward with confidence.

Download your FREE 7-Day GUIDE

If preparing for pregnancy feels overwhelming, you’re not imagining it.

Most women are told to “just start trying.” But that advice skips the most important trimester of all: the 3-6 months before conception. These months influence fertility, hormone balance, egg and sperm quality, nutrition, mental health, stress resilience, and your baby’s long-term health.

Infertility affects 1 in 6 people, yet conversations about preventing it are still surprisingly rare.

My mission is to change that.

Meet Dr. Laura Costello

Doctor of Physical Therapy, women’s health educator, and author with almost 20 years of clinical experience. My work brings together evidence-based medicine and simple, holistic strategies to make preconception health clearer and easier to understand.

My own decade-long fertility journey—living with endometriosis, undergoing surgeries, IVF cycles, and experiencing loss—shaped the work I do today. I’m here to share what I learned on that journey and help you find steadier ground during a time that can feel uncertain and out of your hands.

Start Your Preconception Journey With a Clear First Step

The 7-Day Preconception Reset gives you small, doable steps to support your hormones, ease stress, and reconnect with your body in a meaningful way.

Download the FREE 7-Day GUIDE

The Book That’s Redefining How Women Prepare for Pregnancy

For decades, women were told to focus on their health after a positive test. But research is clear: the months before conception play a powerful role in fertility, pregnancy outcomes, and a baby’s long-term health. 

Pretrimester is the first book to bridge that gap. It introduces the Pretrimester™—a science-backed, holistic framework that explains fertility, hormones, egg and sperm health, and preconception wellness in simple, practical steps. 

If you’re looking for clarity—not guesswork—this book shows you how to prepare your mind, body, and environment before conception, so you can enter pregnancy feeling informed and empowered.

Buy the Book

Speaking & Educational Events

I speak at clinics, wellness studios, community events, and corporate settings on women’s health, fertility, and the Pretrimester™—the critical months before pregnancy that shape long-term health and outcomes.

If you'd like to bring this education to your patients, clients, or community, you can learn more here.

Invite Dr. Costello to Speak

The information on this website—including blog posts, videos, resources, and downloadable guides—is for educational and informational purposes only. It is not medical advice and should not be used as a substitute for professional medical evaluation, diagnosis, or treatment. Dr. Laura Costello is a Doctor of Physical Therapy (DPT) and women’s health educator, not a physician. The content on this site does not establish a patient–provider, physical therapy, or coaching relationship. Always consult your physician or another qualified healthcare provider with any questions about your health, medical conditions, or fertility. Never ignore, delay, or discontinue professional medical advice because of information you read here. The Pretrimester™ and Dr. Laura Costello do not provide medical care, do not guarantee any specific results, and assume no liability for any decisions made based on this information.
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