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Is Fertility Treatment Right for Me?

Is Fertility Treatment Right for Me?

You have questions. That’s exactly where every successful fertility story begins. Here’s how to know when it’s time to take the next step — and what that step looks like at Arbor Fertility in St. Louis.

Schedule a Consultation See the Signs

You’re Not Alone

One in Six Couples Faces Fertility Challenges

If you’ve been trying to conceive without success, you’re not alone — and it’s not your fault. Infertility affects roughly one in six couples worldwide, according to the World Health Organization. The decision to see a fertility specialist can feel overwhelming, but it’s also the single most empowering step you can take.

At Arbor Fertility in Chesterfield, MO, we believe the right time to explore treatment is whenever you’re ready to ask the question. There’s no minimum amount of pain, no threshold of “trying long enough.” If you’re wondering whether fertility treatment is right for you, that curiosity itself is the signal.

When to See a Specialist

Six Signs It May Be Time for a Fertility Evaluation

Any one of these is reason enough to schedule a consultation. You don’t need to check every box.

You’ve Been Trying for 12+ Months

If you’re under 35 and have been trying to conceive for a year without success, medical guidelines recommend a fertility evaluation. The earlier you start, the more options you have.

You’re Over 35

Fertility naturally declines with age. If you’re 35 or older, specialists recommend evaluation after just 6 months of trying. At 40+, seeking help right away gives you the best chance.

Irregular or Painful Cycles

Cycles that are very irregular, extremely painful, or absent altogether can signal conditions like PCOS or endometriosis — both treatable, especially when caught early.

Known Medical History

Prior surgeries, cancer treatment, endometriosis, PCOS, thyroid conditions, or a partner with low sperm count — any of these warrant early specialist consultation.

Recurrent Pregnancy Loss

Two or more miscarriages may indicate an underlying cause that a fertility specialist can identify and address — often with treatments that dramatically improve outcomes.

LGBTQ+ Family Building

Same-sex couples and single individuals who want to start a family often need fertility services like donor sperm, donor eggs, reciprocal IVF, or gestational surrogacy from the beginning.

Your First Visit

What to Expect at Your Fertility Consultation

Your first appointment at Arbor Fertility is designed to answer your questions, not overwhelm you. Here’s the process — from the first call to your personalized plan.

01

Schedule & Intake

Book online or call (314) 806-BABY (2229). We’ll send you intake forms to complete at home, so your consultation time is spent on you — not paperwork.
02

Consultation with Dr. Zarek

A 30-minute visit with Dr. Zarek to review your medical history, discuss your goals, and answer every question. No rushing, no assembly-line care.
03

Diagnostic Testing

Bloodwork, ultrasound, and semen analysis (if applicable) — often completed the same week. Results help us understand your unique fertility picture.
04

Your Personalized Plan

Dr. Zarek presents a treatment plan tailored to your biology, timeline, and budget — with transparent pricing. You decide if and when to begin.

Why a Specialist Matters

Fertility Specialist vs. Traditional OB-GYN

Your OB-GYN is excellent for routine care. But fertility is a subspecialty — and the difference in training, tools, and outcomes is significant.

Category Arbor Fertility Traditional OB-GYN
Training REI Fellowship OB-GYN Residency
Diagnostic Depth Full Panel Basic Screening
Treatment Range IUI to IVF+ Clomid / Referral
Lab & Embryology On-Site External Lab
Consultation Time 30 min 10–15 min
Same Doctor Every Visit Always Varies
Transparent Pricing Published Varies

Your Options at Arbor

Treatment Paths Available in St. Louis

From the gentlest interventions to advanced reproductive technology, every treatment is offered right here at our Chesterfield clinic — with transparent, all-inclusive pricing.

Arbor by the Numbers

Results That Speak for Themselves

52.6%
Live Birth Rate (Under 35)
30 min
Average Consultation
5.0 ★
Google Rating (20+ Reviews)
12
Transparent-Priced Services

Patient Stories

They Were Where You Are Now

Real reviews from real patients who asked the same question you’re asking.

Dr. Zarek and her team are nothing short of incredible. After being at a fertility clinic at the public hospital for 3 and a half years, we transferred to Arbor hoping to get better results, a deeper connection to our care team, and ultimately to feel comfortable and supported during such a difficult journey. Arbor exceeded every expectation.

Logan D.

The main reason we chose Arbor Fertility was because of the immaculate care from Dr. Zarek! I had never spoke with a doctor so in tune with my emotions and goals… She was so compassionate, making sure my husband and I both felt comfortable.

Katie M.

We love Dr. Zarek and the whole team at Arbor Fertility! Let’s be honest, infertility is basically one of the worst, most heavy experiences that someone can walk through. Yet everyone keeps everything so light at appointments that I forget the suck of the situation for a bit, which I appreciate.

Alicia A.

Dr. Zarek changed our lives in so many ways. Not only did she help us achieve a life long dream of becoming parents, but she restored my faith in medical providers through her kind and caring personality. No matter what happened, she worked tirelessly to help us get our miracle baby and was with us every step of the way.

Katie S.

The first time we met Dr. Zarek we instantly knew how deeply she cares about her patients. She guided us through our journey with her caring personality, which led us to be able to remain calm and trust the process. We are forever grateful for Dr. Zarek and her team.

Cortnie V.

Common Questions

Fertility Treatment FAQ

How do I know if I need fertility treatment?

If you’ve been trying to conceive for 12 months (or 6 months if you’re over 35) without success, a fertility evaluation is recommended. Known conditions like PCOS, endometriosis, low sperm count, or recurrent pregnancy loss are also reasons to see a specialist sooner.

What does a fertility evaluation include?

A comprehensive evaluation typically includes blood hormone testing (AMH, FSH, estradiol), a transvaginal ultrasound to assess ovarian reserve and uterine health, and a semen analysis for male partners. Additional tests like an HSG (hysterosalpingogram) to check fallopian tube patency may be recommended.

Does insurance cover fertility treatment in Missouri?

Missouri does not mandate comprehensive fertility treatment coverage, but many employer-sponsored plans — especially those from major St. Louis employers — do include infertility benefits. Arbor Fertility’s team will verify your coverage before treatment begins and help you understand your out-of-pocket costs. Our transparent pricing means no surprise bills regardless of your coverage.

How much does IVF cost at Arbor Fertility?

A single IVF with ICSI cycle at Arbor is $10,000 all-inclusive — covering two consultations, monitoring, retrieval, ICSI fertilization, embryo culture, transfer, and first-year storage. No hidden fees, no surprise add-ons. View our complete pricing page for all 12 services.

What’s the difference between IUI and IVF?

IUI (intrauterine insemination) places prepared sperm directly into the uterus around ovulation — it’s less invasive and less expensive ($800 at Arbor). IVF (in vitro fertilization) retrieves eggs, fertilizes them in our lab, and transfers the resulting embryo. IVF has higher success rates per cycle and is recommended for more complex cases. Dr. Zarek will help you determine which path is right for your situation.

Can I have a virtual first consultation?

Yes. Arbor Fertility offers telehealth consultations, so you can meet with Dr. Zarek from home before committing to any in-person visits. This is especially convenient for patients in greater St. Louis, mid-Missouri, or Southern Illinois who may be traveling to our Chesterfield office.

Do you treat LGBTQ+ patients and single parents by choice?

Absolutely. Arbor Fertility provides inclusive care for all family structures — including same-sex couples, single parents by choice, and non-binary individuals. We offer donor sperm coordination, reciprocal IVF for female couples, and coordination with surrogacy agencies.

How long does fertility treatment take?

Timelines vary by treatment. An IUI cycle takes about 2–4 weeks from start to insemination. An IVF cycle typically spans 4–6 weeks from stimulation to transfer. The evaluation and planning phase usually takes 2–3 weeks. Dr. Zarek will give you a realistic timeline during your consultation.

Fertility Care Near You

Arbor Fertility Locations

Our Chesterfield main office and satellite locations across the St. Louis metro bring expert fertility care closer to you.

Arbor Fertility — Arnold

Address

12 Municipal Dr
Suite D
Arnold, MO 63010
United States

Hours Call for availability

Arbor Fertility — Columbia

Address

3301 Berrywood Dr
Suite 206
Columbia, MO 65201
United States

Hours
Monday: 11:00 am - 5:00 pmDr. Zarek on site
Tuesday - Thursday: Closed
Friday: 11:00 am - 5:00 pmDr. Zarek on site
Saturday - Sunday: Closed

Ready to Find Out?

The answer to “Is fertility treatment right for me?” starts with a conversation. Schedule a consultation with Dr. Zarek — in person at our Chesterfield office or via telehealth from anywhere in the St. Louis region — and get a clear, honest answer with zero pressure.

Get Started See Our Pricing First