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From Patient to Practitioner: The Knowledge & Support I Wish I Had

I’m Dr. Laura Costello, a Doctor of Physical Therapy, Certified Fertility Coach & Women’s Health Specialist with over 15 years of experience helping women optimize their health, fertility, & overall well-being. I’m also a wife, a mom, and someone who has walked the difficult path of infertility firsthand.

My journey to motherhood was anything but straightforward. For years, I had no idea I had severe endometriosis & adenomyosis —both masked by the pill, silently impacting my fertility. It wasn’t until years of trying & countless unanswered questions that a fertility doctor finally suspected endometriosis.

What followed was an emotional rollercoaster of failed cycles, multiple surgeries, endless injections & months of negative tests —all while investing tens of thousands of dollars in the hope of building our family.

After five rounds of IUI, three rounds of IVF, & two devastating miscarriages, I finally held my miracle son in my arms. That experience changed everything. I realized just how little support women receive when preparing for pregnancy—especially when facing fertility challenges or trying for baby #2.

That’s why I created The Pretrimester—to give women the knowledge, tools & support you deserve during this critical window of time. Science confirms that the three to six months before conception impact not only fertility but also the lifelong health of a baby. My mission is to ensure women feel prepared, confident & in control of their journey.

My Approach: Science-Backed, Holistic, & Personalized

Through concierge physical therapy and fertility coaching, I take a whole-body approach to women’s health—blending evidence-based medicine with functional wellness, movement, and lifestyle shifts that create real, lasting change. Whether you’re trying to conceive, navigating pregnancy and postpartum recovery, or managing pelvic floor dysfunction, my goal is to help you feel strong, supported, and truly at home in your body.

Beyond My Work

When I’m not working with clients, you’ll find me soaking up every moment with our IVF miracle son. I’m pretty sure they snuck a little extra magic in when they made him—he is truly our greatest blessing and worth every shot and tear.

Movement has always been medicine for me—whether it’s yoga, Pilates, or strength training—it’s how I reconnect with myself. If the weather is warm, you’ll find me at the lake or exploring new hiking trails. I’m a lifelong learner, constantly diving into research, personal development, and mindfulness practices—always looking for ways to grow and better serve my clients.

My Philosophy

I believe preconception is the greatest gift you can give your future child. The choices you make today don’t just impact your fertility—they shape the foundation of your baby’s lifelong health.

Every woman deserves clear guidance, expert support, and compassionate care on her journey to motherhood. Whether you’re preparing for pregnancy, recovering postpartum, or navigating women’s health concerns, I’m here to help you feel strong, confident, and in control—every step of the way. Let’s take this journey together.

Book a Complimentary Consultation

Whether you’re preparing for pregnancy, recovering postpartum, managing pelvic floor concerns, or simply prioritizing your health—you don’t have to do it alone. Let’s create a plan tailored to your body, your goals, and your lifestyle.

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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