What Twig Fertility does

Twig Fertility is a privately held Canadian fertility clinic and reproductive health company operating multi-location clinics in Toronto (Downtown and Midtown) and Vancouver (Fairview), serving individuals and couples across all genders, sexual orientations, and family structures. Founded by Erin and Tanner Kohara following their own multi-year fertility journey, the company provides comprehensive reproductive services spanning family building consultations, fertility assessments, IVF, ICSI, IUI, egg and sperm freezing, preimplantation genetic testing, genetic counselling, donor and surrogacy coordination, and early pregnancy care through week 12.

The clinic's core differentiator is its in-house embryology and andrology laboratory, which integrates Fairtility's CHLOE AI platform for non-invasive embryo and oocyte quality assessment, timelapse incubation with the patient-facing MyEmbryoViewer video platform, RI Witnessing electronic chain-of-custody tracking, and LifeAire hospital-grade air purification. Layered on top of clinical services is the Flourish x Twig in-house wellness clinic (naturopathy, acupuncture, pelvic floor physiotherapy, reproductive counselling) and a network of community partners covering mental health, surrogacy support, and postpartum care.

Twig operates a direct-to-consumer, fee-for-service model with transparent per-cycle pricing (IVF at $13,500, egg freezing at $8,600, IUI at $1,500, FET at $2,850–$2,950) plus annual cryostorage subscriptions. Patients self-book online with no referral required and can complete initial consultations via Zoom. The clinic is in-network with employer fertility benefit providers Progyny and Carrot Fertility, offers patient financing through humm (up to $30,000), and was designated as a participating clinic in the Ontario Fertility Program in October 2025, granting access to publicly funded IVF cycles for eligible Ontario residents. The company has raised approximately $8.25 million across a 2021 seed round and a 2023 Series A led by Rhino Ventures, and is actively monitoring the development of British Columbia's publicly funded IVF program.

Name

Twig Fertility

Legal name

Twig Fertility Inc.

Website

https://twigfertility.com

Company type

Private

Founded year

2020

Operating status

Operating

Headcount range

11–50 employees

Ownership category

akta.pro rank

Product category

Reproductive Health and Fertility Clinic Services

NAICS

Ambulatory Health Care Services (621)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

Fertility, Reproductive Endocrinology & IVF Centers (HLAFAJAD)

akta.pro secondary industry

Reproductive Endocrinology & Infertility (IVF/Fertility) (HLAKAJAC)

Keywords

• Fertility clinic services
• Assisted reproductive technology
• In vitro fertilization
• Fertility preservation services
• Reproductive health clinic

Headquarters

HQ city

Toronto

HQ country

Canada

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Supply Chain, Marketing or Sales, Infrastructure

Revenue model

1. Fee-for-Service Fertility Treatments: Patients pay per individual treatment cycle or procedure. Services include IVF, IUI, egg freezing, sperm freezing, fertility assessments, genetic counselling, and frozen embryo transfers. Some services are partially covered by provincial health insurance (OHIP in Ontario, MSP in BC). Government-funded IVF is available through the Ontario Fertility Program for eligible patients.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels5 records

Core offering

Twig Fertility operates a multi-location Canadian fertility clinic network delivering assisted reproductive technology services, including IVF, ICSI, IUI, egg freezing, sperm freezing, fertility assessments, genetic counselling and testing, and early pregnancy care through week 12. Treatments are supported by an in-house embryology and andrology laboratory equipped with Fairtility's CHLOE AI for embryo and egg quality assessment, MyEmbryoViewer, RI Witnessing electronic tracking, and LifeAire air purification. The clinic operates physical locations in Toronto (Downtown, Midtown) and Vancouver (Fairview), with virtual consultations, no-referral self-booking, and access to Ontario Fertility Program-funded IVF.

Product overview

Twig Fertility operates a multi-location fertility clinic network offering a unified platform of fertility services across Toronto and Vancouver, Canada. The core offering consists of diagnostic consultations, fertility assessments, and assisted reproductive technology treatments including IVF, ICSI, egg/sperm freezing, and genetic testing. Supporting services include early pregnancy care, LGBT2SQ+ family building, and the Flourish x Twig wellness partnership for integrated holistic support. The company differentiates through advanced laboratory technology including CHLOE AI for embryo and egg quality assessment, MyEmbryoViewer for patient-accessible embryo monitoring, RI Witnessing electronic tracking, and LifeAire air purification systems. Government-funded IVF through the Ontario Fertility Program is available for eligible patients.

Differentiator

Problem solved

Functional benefit

Brands

• Flourish x Twig: A fertility-focused wellness partnership offering integrative services including naturopathy, acupuncture, nutrition, pelvic floor physiotherapy, and registered massage therapy.

Products and services

• Family Building Consult & Assessment Initial fertility consultation service for individuals and couples that includes medical history review, family-building goal discussion, and a diagnostic testing plan (blood work, ultrasound, semen analysis). Often covered by provincial health plans (OHIP in Ontario, MSP in BC).
• Fertility Check Entry-level assessment of reproductive health for people with eggs (AMH blood test plus transvaginal ultrasound) or people with sperm (semen analysis), including a virtual review session with a fertility specialist and a personalized results report.
• IVF & Fertility Treatments Comprehensive assisted reproductive technology treatments including in vitro fertilization (IVF), intracytoplasmic sperm injection (ICSI), preimplantation genetic testing (PGT), cycle monitoring, intrauterine insemination (IUI), fresh embryo transfer, and frozen embryo transfer. Includes CHLOE AI Embryo Quality Report, CHLOE Embryo Viewer, RI Witnessing electronic tracking, timelapse incubation, and first-year complimentary embryo storage.
• Egg Freezing Fertility preservation service that includes an egg freezing consult, ovarian stimulation, egg retrieval, and cryopreservation of eggs with a CHLOE Egg Insights Report. First year of storage is complimentary. Multicycle pricing available; recommended target of 15–20 eggs for optimal future outcomes.
• Sperm Freezing Sperm cryopreservation service for fertility preservation or future use in IUI or IVF procedures. First three months of storage are complimentary.
• Genetic Counselling & Testing Comprehensive genetic services including carrier screening, preimplantation genetic testing (PGT-A, PGT-M, PGT-SR), prenatal screening, and family history assessment, delivered with an in-house genetic counsellor.
• Early Pregnancy Care First trimester care with monitoring, genetic counselling, and support through week 12 of pregnancy, including services for early pregnancy loss and recurrent pregnancy loss.
• LGBT2SQ+ Family Building Inclusive fertility services for LGBT2SQ+ individuals and couples including reciprocal IVF, donor sperm, donor eggs, and gestational surrogacy support, delivered under a trans-affirming care philosophy.
• Government-Funded IVF (Ontario Fertility Program) Publicly funded IVF cycles through the Ontario Fertility Program for eligible Ontario residents (valid OHIP, under 43, no prior OFP-funded cycle, approved IVF plan). Funding covers cycle monitoring, fertilization, blastocyst culture, embryo freezing, fresh/frozen embryo transfer, and surgical sperm retrieval.
• Cryostorage (Annual) Annual cryostorage subscription for eggs, sperm, and embryos after the initial complimentary storage period included with freezing or IVF cycles.

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability3 records

Feature6 records

Partnerships

16 partnerships are on record, tiered minor and core.

• Alma CareminorGTM or Marketing Partner · 25 February 2026Partnership to provide in-home postpartum support to Canadian families. Families completing Twig's Extended Pregnancy Program receive a $200 credit towards Alma Care's holistic postnatal services including mom and newborn care, nutrition, wellness, and housekeeping. Addresses critical gaps in the postpartum care continuum, with Twig supporting patients through week 12 of pregnancy and Alma Care providing follow-up care after birth.
• Ontario Fertility Program (Government of Ontario)coreStrategic or Co-development Partner · 9 October 2025Twig Fertility was designated as a participating clinic in the Ontario Fertility Program, enabling it to provide publicly funded fertility treatments to eligible Ontario residents. This inclusion is part of a broader $150 million government investment over two years to expand fertility services, support more clinics, and reduce wait times. OFP funding covers cycle monitoring, fertilization, blastocyst culture, embryo freezing, fresh/frozen embryo transfers, and surgical sperm retrieval for eligible patients.
• FlourishcoreStrategic or Co-development PartnerFlourish is an in-house fertility-focused wellness clinic located within Twig's Toronto locations (Midtown second floor and Downtown). Offers naturopathy, acupuncture, nutrition counselling, pelvic floor physiotherapy, registered massage therapy, and reproductive counselling to complement fertility treatment. Most services eligible for insurance reimbursement or HSAs. Flourish offers direct insurance billing wherever possible.
• ProgynycoreGTM or Marketing PartnerLeading fertility benefit provider. Twig Fertility is an in-network clinic giving Progyny members access to comprehensive, streamlined coverage for IVF, egg freezing, IUI, and more.
• Carrot FertilitycoreGTM or Marketing PartnerFertility benefit platform providing coverage for fertility treatments. Twig Fertility is an in-network clinic, giving eligible Carrot members access to comprehensive coverage for IVF, egg freezing, IUI, and related services.
• Fertility Friends FoundationminorGTM or Marketing PartnerTwig Fertility has partnered with the Fertility Friends Foundation to provide grants covering IVF treatments, egg and sperm donation, and gestational surrogacy costs for eligible patients. Twig's team supports applicants through each step of the grant process.
• BRIAminorGTM or Marketing PartnerVirtual mental health care platform providing comprehensive, integrated care for those experiencing mental health challenges across the reproductive lifecycle. Offers assessments, individual, couples, and group therapies, psychiatric care, allied health services, and care coordination.
• Choice Mom CoachingminorGTM or Marketing PartnerCoaching support for single women navigating pregnancy as a solo mother. Offers personalized coaching, comprehensive resources, and lived experience to empower women to move forward beyond fears and connect with the strength to take control of their motherhood journey.
• Day 1minorGTM or Marketing PartnerPodcast and community dedicated to the unspoken side of the fertility journey. Features stories from individuals, couples, physicians, specialists, and healers to break stigmas and build community.
• Mindfulness for FertilityminorGTM or Marketing PartnerOnline, 8-week evidence-based mindfulness programs following the MBSR curriculum, providing a safe, supportive space for people going through fertility experiences to connect and share.
• Not My TummyminorGTM or Marketing PartnerSupport service for intended parents finding a gestational surrogate. Provides social, digital, and traditional media coaching, content creation, editing support, and media pitching to help families tell their story.
• Oasis Fertility Support NetworkminorGTM or Marketing PartnerCommunity offering peer-led, cost-free support groups across Canada (in-person and virtual) for individuals using fertility treatment or adoption. Oasis Fertility Podcast features heartfelt stories from the fertility community.
• Supportive TherapyminorGTM or Marketing PartnerNicole Waldston at Supportive Therapy provides individual, partner, and family therapy with evidence-based, strength-based, and attachment/trauma-informed approaches, specializing in supporting those experiencing infertility.
• Energy Tree StudiosminorGTM or Marketing PartnerIntegrative acupuncture and Chinese medicine practice founded by Anne Matthews. Provides safe, affordable fertility acupuncture for people trying to conceive.
• Best Weight with Sasha High MDminorGTM or Marketing PartnerCanada's leading telemedicine and coaching program for sustainable women's weight loss. Cognitive behavioural approach addresses consistency, sustainability, and resilience in health behaviours, including medical treatment for obesity.
• Live & Love NutritionminorGTM or Marketing PartnerTeresa Maiorano provides women's health and fertility dietitian services, offering education and plans for boosting health and nutrient profiles through foods and supplements to improve fertility outcomes.

Scale indicators3 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• Hannam Fertility Centre: Toronto-based full-service fertility clinic offering IVF, IUI, egg freezing, and genetic services. Directly comparable operating model and geographic overlap with Twig's Toronto footprint.
• Markham Fertility Centre: Ontario fertility clinic providing IVF, IUI, fertility preservation and PGT. Same clinical scope and GTA catchment; OFP-designated competing clinic.
• CReATe Fertility Centre: Toronto fertility clinic and research center offering IVF, ICSI, PGT and comprehensive REI services. Heads-on competitor for Ontario REI patients and high-complexity cases.
• Olive Fertility Centre: Vancouver-based fertility clinic with multiple BC locations. Direct competitor in Twig's newly opened Vancouver Fairview market with overlapping IVF, egg freezing and genetic services.
• Pacific Centre for Reproductive Medicine (PCRM): BC-based full-service fertility clinic with multiple locations, providing IVF, IUI, egg freezing and genetic testing. Direct competitor in British Columbia market.
• Generation Fertility: Canadian fertility clinic network offering IVF, egg freezing, IUI and reproductive endocrinology services across Ontario. Comparable D2C clinic model and patient demographic.
• TRIO Fertility: Toronto-based boutique-style fertility and reproductive medicine practice offering IVF, IUI, egg freezing and LGBTQ+ family building. Competes on patient experience and inclusive positioning.
• Grace Fertility Centre: Canadian fertility clinic focused on personalized, technology-enabled IVF care. Comparable boutique positioning and use of advanced lab technology.
• Newlife Fertility: Ontario-based fertility clinic network with multiple GTA-area locations providing IVF, IUI, egg freezing and PGT. OFP-designated competing clinic.

Broad incumbents

• Prelude Fertility: U.S.-based network of fertility clinics offering comprehensive IVF and reproductive services. Larger incumbent demonstrating the multi-clinic fertility platform model that Twig is scaling in Canada.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• Instagraminstagram.com/twigfertility
• Xx.com/twigfertility
• Facebookfacebook.com/Twig-Fertility-104098088462033

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

Funding overview

Funding rounds2 records

Investors2 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Twig Fertility