Fertility & Preconception Health

Q: How early should I start?

Ideally, three to six months before you start trying. That timeline gives nutrients time to replete, hormones time to optimize, and the body time to settle into the inputs you've chosen. That said, even starting one or two months out is meaningful.

Q: Will Nova Wellness do IVF or IUI?

No. We're a primary care integrative and longevity practice, not a reproductive medicine clinic. Patients who need IVF or IUI are referred and coordinated; we focus on the optimization that supports those procedures.

Q: My OB says everything looks fine. Why come here?

Conventional preconception screening is often light. A prenatal vitamin, a folic acid recommendation, a rubella titer. That's the floor. Nova's workup is built around the layer above that. The metabolic, nutritional, hormonal, and inflammatory inputs that quietly shape pregnancy outcomes and that conventional workups don't have time to investigate.

Q: Can Nova Wellness help with PCOS or recurrent miscarriage?

Yes. Within the integrative lane. Nova Wellness can address the metabolic and inflammatory contributors to PCOS, support thyroid and autoimmune contributors to miscarriage, and coordinate with your reproductive team on the rest.

Healthy pregnancies begin long before conception. At Nova Wellness, we believe fertility is often a reflection of overall health. Our root-cause approach focuses on optimizing nutrition, hormones, metabolism, thyroid health, sleep, stress resilience, and inflammation to help you enter pregnancy as healthy as possible.

When This Is the Right Fit

Nova Wellness’s fertility and preconception program is built for:

Women planning pregnancy who want to optimize their health before trying to conceive.
Couples preparing for or undergoing fertility treatment who want to improve nutrition, metabolic health, hormone balance, and overall wellness alongside their reproductive endocrinologist.
Women with PCOS, endometriosis, thyroid disease, or other chronic health conditions who want a more comprehensive, root-cause evaluation and treatment plan before pregnancy.
Patients with recurrent pregnancy loss seeking a deeper assessment of nutritional, metabolic, hormonal, immune, and lifestyle factors in collaboration with their fertility specialist or OB/GYN.
Women with autoimmune disease preparing for pregnancy and wanting to enter it as well-managed as possible.
Individuals or couples planning to delay pregnancy who want to preserve long-term metabolic, hormonal, and reproductive health while preparing for the future.

We partner with your OB/GYN and reproductive endocrinologist—we don’t replace them. If fertility treatment is part of your journey, we’ll work alongside your care team. Our focus is on the whole person, using a root-cause approach to optimize nutrition, hormones, metabolic health, thyroid function, sleep, stress resilience, and inflammation—because fertility is often a reflection of overall health.

What We Look At

Your Evaluation May Include:

Comprehensive hormone panel. Beyond the standard FSH/LH/estradiol, including thyroid (full panel), prolactin, and adrenal markers.
Metabolic health. Insulin sensitivity, glucose handling, lipid profile, body composition.
Nutrient status. Vitamin D, B12, folate (and the genetic variants that affect folate metabolism), iron, ferritin, magnesium, omega-3 index.
Inflammation markers. CRP, homocysteine, and others where indicated.
Autoimmune markers when indicated, particularly relevant for recurrent miscarriage and certain pregnancy complications.
Environmental and lifestyle factors. Sleep, stress, nervous system regulation, environmental exposures.
Gut health when symptoms or history suggest it may be contributing to inflammation, nutrient absorption, or overall health.

Every evaluation is personalized. We believe fertility is often a reflection of overall health. Our goal is to identify opportunities to optimize your health before pregnancy, helping you enter conception as healthy and resilient as possible.

How Nova Wellness Supports You

Personalized supplementation based on your laboratory results, health history, and goals—not a one-size-fits-all prenatal protocol.
Hormone optimization when clinically appropriate.
Thyroid optimization and monitoring, one of the most commonly overlooked contributors to fertility and healthy pregnancy.
Personalized nutrition guidance for preconception, fertility, and pregnancy preparation.
Sleep optimization and stress resilience to support hormonal balance and overall health.
Coordination with your reproductive endocrinologist or OB. We work alongside, not instead of.
Ongoing monitoring through preconception and (if you’d like) through pregnancy and postpartum.

Dr. Jennifer Knight

Women’s health at Nova is led by Dr. Jennifer Knight, a double board-certified physician and certified menopause specialist with advanced training in integrative and longevity medicine. Whether you’re navigating hormonal changes, unexplained symptoms, or simply want to optimize your health, our goal is simple: understand the whole story, identify the root causes, and create a personalized plan that helps you feel your best.

Frequently Asked Questions

Does Nova Wellness replace my OB or reproductive endocrinologist?

No. Nova is an adjunct. We work alongside your reproductive care team, not in place of them. We’re best at the optimization layer. The inputs you can address before conception, between cycles, or during early pregnancy.

How early should I start?

Will Nova Wellness do IVF or IUI?

My OB says everything looks fine. Why come here?

Can Nova Wellness help with PCOS or recurrent miscarriage?

Walk Into Pregnancy From the Strongest Version of You

If you’re planning, between cycles, or just thinking ahead. Let’s set you up properly.