From a founding partner about to retire, to an associate just out of fellowship, all five REIs at Carolina Conceptions sat down to share their takes on staying private, staying aligned, and staying real.

Carolina Conceptions invited us in, and we talked real talk about:

• The golden parachute of private equity (and why they’ve resisted it)
  

• The tension between high-touch care and the operational demands of growth
  

• How they’re navigating succession, new tech, and alignment across multiple generations of REIs

I've captured and interrogated one of fertility doctors’ enemies…a lawyer.

But this one’s on your side.

Matthew Maruca has served as General Counsel for Inception Fertility since 2019, and he’s here to walk you through the legal threats and legislative currents shaping the future of fertility care. 

While this episode isn’t legal advice, Matt brings insight into how reproductive health is being fought for, and fought against, in the courtroom and the legislature.

In this episode, Matt covers:

- What’s behind the rise in lawsuits and how they’re modeled after personal injury cases

- The emerging legislative strategies from think tanks like the Heritage Foundation

- Which reproductive treatments are being targeted (like PGT)

- How to draft your consent forms to reduce liability

- The #1 thing providers can do to protect themselves from unnecessary litigation

- How to keep your premiums down when litigation is on the rise.

Listen and learn with Matt Maruca.

Fertility doctors are burnt out.

Not all of them, but enough to warrant a real conversation.

Dr. Jason Yeh is a full-time fertility physician, a national medical director, an academic-turned-industry leader—and very much in the thick of this discussion.

In this episode, we unpack the often unspoken reality of REI burnout and why so many are struggling to stay engaged after a decade in the field.

In this conversation, Dr. Yeh shares:

• What REIs are saying in private physician groups about exhaustion and disillusionment

• Why the 7–10 year career mark is so critical for burnout

• The impact of rising caseloads on quality of life (300+ cycles per year)

• How Inception is trying to stay physician-friendly (and why autonomy matters)

• Why executive roles don’t always protect physicians from burnout

• His take on corporate vs physician-led leadership in fertility care

Whether you’re a newer fellow just entering the field or a seasoned provider feeling the weight of your career, this conversation is for you.

What if your clinic could see 80 new patients while saving 80 hours of physician time… per doctor… per month?

That’s what Dr. Mark Amols and his team at New Direction Fertility Center are working toward—while maintaining a 9 out of 10 rating across hundreds of patient reviews.

In this episode, you’ll hear:

• The top-of-license model (From REIs to admin staff)

• How to structure visits to dramatically reduce physician hours

• What operational efficiency really means for patient experience

• The role of cost, time, and medications in improving access

• Why combining new patient and follow-up visits might be the next major shift in efficiency.
  

Dr. Amols proves that operational excellence is not the enemy of humanity in medicine—it’s what makes it possible.

Where do business insight and patient experience come together?

In this week’s episode, Dr. Eduardo Hariton shares his POV on cost reductions, business opportunities, and what fertility tech gets right (and wrong) when designing for doctors and patients alike.

We talk about:

• 70% or 10%, differences in IVF conversion rate

• How to reduce patient drop out

• How to measure real IVF conversion rates

• Where Cercle fits in the fertility tech stack

• How to balance human touch with scalable systems

What if 25–35% of patients in the U.S., Canada, or Europe left for equal-quality IVF at a quarter of the cost?

In this episode we take you back to Mexico City, round zero for what may be the next global IVF surge.

Juan Moctezuma, Co-Founder and Co-CEO of Reina Madre, and Daniel Madero, CEO of Fertilidad Integral, join the show to discuss:

• The hub-and-spoke model fueling their growth

• How they plan to scale egg freezing and IVF nationwide

• Why they’re betting big on automated IVF labs from Conceivable

• How tech, capital, and Ob/Gyn funnels could transform IVF care across Latin America

• Why this may be one of the biggest untapped investment opportunities in global fertility care.

IVIRMA is so big, they had 1,400 people just at their international congress. But what does it take to implement change, scale care, and keep the patient experience high inside an organization that large?

This week’s guest, Dr. Thomas Molinaro, Chief Medical Officer of IVIRMA North America, shares what’s working, what’s still being figured out, and what challenges fertility networks of every size should be preparing for.

Tune in to hear about:

• The AI solution they’re using to save REI time (and how it’s going so far)

• What they’ve learned from piloting patient journey platforms

• Their APP-to-REI ratio and how they approach shared workflows

• The evolving debate over who performs ultrasounds (REIs or sonographers?)

• The marketing on behalf of REIs before the patient walks in that is critical to care
  

If you’re curious about the operational future of large fertility networks—or want a blueprint for scaling thoughtfully—don’t miss this episode with Dr. Molinaro.

OB/GYNs are entering the IVF space—but what role should they play?

This debate is heating up in fertility medicine, and Dr. Stephanie Kuku, a former OB/GYN surgeon in the NHS and now Chief Knowledge Officer at Conceivable Life Sciences, offers her global, tech-forward perspective

In this episode, she talks through:

• What REIs and OB/GYNs really need from each other

• Where the line is on fertility care qualifications

• What REI oversight could look like in different countries

• How new tech may expand REI roles (not replace them)

• How Conceivable is building collaborative care models (including their current 100-patient IRB study)

The field is changing. How will REIs lead the way forward?

What standards should be non-negotiable in IVF labs?

In this week’s episode of Inside Reproductive Health, we’re joined by Dr. Sangita Jindal—lab director at five IVF centers and former SART president—to discuss the urgent need for standardized embryologist training, better oversight, and technologies that minimize catastrophic lab errors.

Tune in to hear Dr. Jindal’s insights on:

• Why embryologists need national certification (and why ASRM should lead it)

• The pros and cons of expanding training requirements for embryologists

• The limits of automation without skilled human oversight

• What she values most in the lab monitoring system Xiltrix (and why her other labs don’t have it)

• Whether every IVF lab should be required to implement e-witnessing

This episode was recorded just after news broke of another embryo loss lawsuit—highlighting the real-world consequences of our field’s biggest vulnerabilities. Don’t miss Dr. Jindal’s thoughtful, candid perspective on what needs to change.

What’s the biggest thing happening in the IVF lab?

It might just be automation. This isn’t hypothetical. It’s operating now.

We visited Hope IVF in Mexico City to see AURA, the fully automated IVF lab created by Conceivable Life Sciences. We sat down with co-founders Joshua Abram, Dr. Alejandro Chavez-Badiola, and Alan Murray to ask the questions you submitted—and some of our own.

Tune in as the founders share:

• The origin of AURA and what problems they set out to solve.

• How a team of 3 embryologist technicians could run 2,000+ cycles per year.

• What IVF cycles really cost (And why CFOs should pay attention)

• The commercialization strategy behind automation.

• How this might change costs, outcomes, and the embryologist role forever.