Medical Disclaimer
The Pretrimester | Dr. Laura Costello, PT, DPT
Effective Date: October 18, 2026
1. General Information and Educational Purpose
The information provided by The Pretrimester and Dr. Laura Costello through this website, blog, books, online courses, digital downloads, workshops, newsletters, social media, and other educational materials is intended for general informational and educational purposes only.
Our content may address women's health, menstrual health, preconception health, fertility awareness, fertility preservation, egg freezing, assisted reproductive technologies, pregnancy preparation, pelvic health, nutrition, movement, lifestyle habits, environmental exposures, and emotional well-being.
Although this information draws upon professional training, clinical experience, scientific research, and personal experience, general educational content is not a substitute for individualized medical advice, diagnosis, treatment, or care from an appropriately qualified healthcare professional.
Information presented through these resources may not be appropriate for every individual or circumstance.
2. No Automatic Healthcare Provider-Patient Relationship
Accessing this website, reading educational materials, purchasing a book or online course, subscribing to a newsletter, or participating in general educational programming does not, by itself, establish a physician-patient, physical therapist-patient, or other licensed healthcare provider-patient relationship with Dr. Laura Costello or The Pretrimester.
General educational content should not be interpreted as an individualized medical assessment, diagnosis, treatment plan, prescription, or professional recommendation for a particular medical condition.
An individualized healthcare provider-patient relationship may arise when Dr. Laura Costello provides licensed physical therapy services, as determined by the nature of the services, applicable law, and the circumstances of care.
Such relationships carry professional responsibilities that cannot be waived or eliminated through this website disclaimer. Separate clinical documentation, informed consent procedures, applicable privacy requirements, and patient rights govern those services.
3. Licensed Physical Therapy Services
The Pretrimester may offer individualized women's health physical therapy services, including in-person, concierge, or virtual care where legally permitted and clinically appropriate.
These services are distinct from the general educational information available through this website and its associated products.
When licensed physical therapy services are provided, the scope of care, professional responsibilities, clinical evaluation, documentation, informed consent, and applicable patient protections are governed by the established clinical relationship and relevant laws and professional standards.
The availability of virtual or remote physical therapy services may depend upon the patient's location, applicable licensure requirements, and the clinical appropriateness of remote care.
Educational materials, general coaching interactions, and website content should not be treated as substitutes for an individualized physical therapy examination or treatment plan.
Nothing in this disclaimer is intended to limit professional duties or legal obligations that arise within an established healthcare provider-patient relationship.
4. Fertility Coaching, Consultations, and Educational Support
Fertility coaching, preconception coaching, workshops, consultations, and related support services may provide education, practical strategies, organization, encouragement, and assistance navigating health information and personal decisions.
These services are not intended to replace care from a reproductive endocrinologist, obstetrician-gynecologist, primary care provider, mental health professional, or another appropriately qualified healthcare professional.
Unless provided within an established, appropriately authorized clinical relationship, educational coaching does not include medical diagnosis, prescribing medications, directing fertility treatment protocols, or independently providing medical treatment.
The designation of a service as coaching, consultation, or education does not, by itself, determine whether that service constitutes regulated healthcare. The nature of the services actually provided, the professional role involved, applicable laws, and any separate service agreement determine the scope and obligations of the engagement.
Clients should make medical decisions in consultation with their treating healthcare professionals.
5. Fertility, Egg Freezing, and Reproductive Treatment
Information about fertility, ovarian reserve, menstrual cycles, egg freezing, egg retrieval, IVF, IUI, endometriosis, pregnancy, and reproductive health is provided for educational purposes.
Fertility and reproductive outcomes depend upon numerous factors, including age, medical history, underlying health conditions, individual physiology, treatment protocols, and other circumstances that cannot be fully evaluated through general educational materials.
The Pretrimester does not guarantee improved fertility, successful egg retrieval, egg quality, fertilization, embryo development, implantation, pregnancy, live birth, or any other reproductive outcome.
Educational programs, including Retrieval Ready, are designed to supplement, not replace, individualized instructions from a treating fertility clinic or healthcare professional.
These resources do not provide individualized medication dosing, stimulation or trigger-shot protocols, clearance for physical activity, or postoperative medical instructions.
Participants should follow their treating medical team's specific guidance regarding medications, injections, procedures, activity restrictions, recovery, and symptoms requiring medical attention.
If information provided by The Pretrimester appears to differ from instructions given by a treating clinician, participants should seek clarification directly from their medical team rather than independently changing their treatment.
6. Nutrition, Supplements, Exercise, and Lifestyle Information
Content discussing nutrition, dietary supplements, physical activity, strength training, pelvic floor health, environmental exposures, sleep, stress management, and other lifestyle topics is intended to provide general education.
Individual needs and circumstances vary. Medical conditions, medications, allergies, pregnancy status, fertility treatment, and other personal factors may affect the safety or appropriateness of particular recommendations.
Consult an appropriately qualified healthcare professional before beginning, discontinuing, or substantially changing medications, supplements, exercise programs, dietary practices, or other health-related interventions, particularly when pregnant, preparing for pregnancy, undergoing fertility treatment, or managing an existing medical condition.
Do not discontinue prescribed medications, alter fertility treatment protocols, or delay recommended medical care solely because of information provided through The Pretrimester.
7. Personal Experiences, Testimonials, and Results
Dr. Laura Costello may share personal experiences involving endometriosis, infertility, reproductive treatments, pregnancy, pregnancy loss, and motherhood.
These experiences are shared to provide education, perspective, and connection. They should not be interpreted as evidence that another individual will have the same experience or achieve a similar result.
Testimonials, case examples, and personal stories describe individual experiences and do not establish that particular outcomes are typical or reasonably expected.
The Pretrimester makes no guarantee that purchasing or participating in a book, course, coaching program, workshop, or other offering will produce a specific medical, reproductive, physical, or emotional outcome.
Any representations about the benefits of products and services remain subject to applicable advertising and consumer protection laws. This disclaimer does not replace the obligation to support health-related claims with appropriate evidence.
8. Research, Accuracy, and Evolving Medical Knowledge
The Pretrimester strives to provide thoughtful, evidence-informed information based on available research, professional experience, and relevant clinical guidance.
However, medical research, professional guidelines, and treatment recommendations evolve. Content may become outdated or may not reflect the most recent developments or recommendations.
The Pretrimester does not warrant that all information is complete, error-free, current, or applicable to every individual's circumstances.
Readers are encouraged to confirm health information relevant to their own circumstances with appropriately qualified healthcare professionals.
9. Mental Health and Emotional Well-Being
Information addressing stress, emotional well-being, infertility-related distress, relationships, pregnancy loss, or coping strategies is provided for general educational and supportive purposes.
Unless expressly provided by an appropriately licensed professional within an established therapeutic relationship, these materials and services do not constitute psychotherapy, psychiatric treatment, mental health diagnosis, or individualized mental healthcare.
Individuals experiencing significant emotional distress, persistent psychological symptoms, or other mental health concerns should seek support from a qualified mental health professional.
10. Medical Emergencies and Electronic Communications
This website, its contact forms, newsletters, email communications, social media accounts, online courses, and general coaching channels are not intended for medical emergencies or urgent clinical communication.
If you believe you are experiencing a medical emergency, call 911 in the United States or your local emergency services immediately.
For urgent symptoms or complications related to fertility treatment, egg retrieval, pregnancy, medication, or another medical procedure, contact your treating healthcare team or seek urgent medical care as appropriate.
Do not wait for a response from The Pretrimester or Dr. Laura Costello.
General website contact forms, email, social media messages, course discussions, and nonclinical coaching communications should not be used to transmit urgent medical concerns or detailed sensitive medical information.
Individuals receiving established clinical services should follow the communication procedures provided for their care.
The availability of an electronic contact method does not mean it is monitored continuously or suitable for confidential clinical communications.
11. Privacy, Confidentiality, and Clinical Records
This Medical Disclaimer does not replace The Pretrimester's Privacy Policy, any applicable Notice of Privacy Practices, or clinical informed consent documentation.
Personal information submitted through this website is addressed separately in the applicable privacy documentation.
Where licensed healthcare services are provided, the collection, storage, use, and disclosure of patient information are subject to applicable privacy laws and the policies governing those services.
The privacy protections applicable to clinical patient information may differ from those applicable to general website inquiries, newsletter subscriptions, and educational product purchases.
Individuals should avoid submitting detailed medical histories, test results, or other sensitive health information through general-purpose website forms unless specifically instructed to use an appropriate communication channel.
12. Third-Party Resources and External Information
The Pretrimester may reference external websites, scientific publications, professional organizations, products, services, or other third-party resources.
These references are provided for informational purposes and do not necessarily constitute endorsements.
The Pretrimester does not control third-party resources and is not responsible for their accuracy, availability, privacy practices, or content.
Visitors should independently evaluate third-party information and consult qualified professionals when making decisions affecting their health.
13. Individual Responsibility and Legal Limitations
General educational information cannot account for every individual's health status, medical history, circumstances, or treatment needs.
Visitors and participants are encouraged to exercise informed judgment and seek individualized guidance from qualified healthcare professionals when making decisions about their health or medical treatment.
No particular medical, reproductive, physical, emotional, or other health outcome is promised or guaranteed through the use of this website, its educational materials, courses, or coaching services.
Nothing in this disclaimer excludes, waives, or limits professional duties, patient rights, statutory protections, or legal responsibilities that cannot lawfully be excluded, waived, or limited.
This disclaimer is not intended to supersede applicable laws, professional standards, informed consent requirements, clinical agreements, or other legally enforceable obligations.
14. Contact
For general questions regarding this Medical Disclaimer or The Pretrimester's educational offerings, please use the Contact page on this website.
Please do not submit urgent medical concerns or sensitive medical information through the general website contact form.
The Pretrimester
Dr. Laura Costello, PT, DPT
