What First Fertility does

First Fertility, LLC operates a nationwide network of 50+ fertility centers across 15 U.S. states, structured as a partnership/MSO platform that brings independent reproductive endocrinology practices under a shared brand, shared services infrastructure, and a PhD-directed Lab Advisory Board for network-wide lab quality oversight. The network delivers core assisted reproductive technology services — including in vitro fertilization (IVF), intrauterine insemination (IUI), preimplantation genetic testing (PGT-A and PGT-M), fertility preservation and egg freezing, ovulation induction, fertility surgery, male infertility treatments, egg donation, and third-party reproduction — alongside LGBTQ+ family building and oncofertility offerings. Advanced lab capabilities such as time-lapse embryo monitoring and advanced sperm selection are deployed across partner labs, and reported clinical outcomes exceed SART national averages (55% live birth rate per intended egg retrieval for patients under 35 versus the 51% national benchmark; 94% elective single embryo transfer rate versus 88% national). An academic affiliation with the UConn School of Medicine supports fellowship and clinical research pipelines.

The company's revenue model combines subscription/recurring fees from partner clinics for membership and shared services access with transaction-based economics from financing partnerships (PatientFi, CapexMD) and affiliate/referral relationships with employer-sponsored fertility benefit providers (Progyny, Maven, Carrot). Patient acquisition flows through partner clinic locations, physician referrals, community outreach, employer benefit networks, content marketing, industry conference presence (ASRM, ASPIRE), and paid search remarketing, with virtual consultations available for initial assessments. The company is led by CEO Cara Reymann (appointed September 2023) with a C-suite including CFO Mike Rzendzian, CSO Alison Bartolucci (Ph.D., HCLD), Chief Experience Officer Char Learson, Chief Development Officer Cameron Weiner, and CHRO Lori Stanger. No revenue, funding, or PE/VC ownership is disclosed in available sources.

Name

First Fertility

Legal name

First Fertility, LLC

Website

https://firstfertility.com

Company type

Private

Founded year

1998

Operating status

Operating

Headcount range

251–500 employees

Short description

First Fertility is a private U.S. network of 50+ fertility clinics across 15 states, operating as an MSO platform that partners with independent reproductive endocrinology practices to deliver IVF, IUI, PGT, fertility preservation, and LGBTQ+ family building services under a shared brand with network-wide lab quality oversight.

Ownership category

akta.pro rank

Product category

Reproductive Healthcare Services

NAICS

Family Planning Centers (62141), Family Planning Centers (621410)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Health Services (8000)

akta.pro primary industry

Fertility, Reproductive Endocrinology & IVF Centers (HLAFAJAD)

akta.pro secondary industries

Reproductive Endocrinology & Infertility (IVF/Fertility) (HLAKAJAC), Fertility & Reproductive Endocrinology Telehealth (IVF/IUI, infertility evaluation) (HLALAHAA), Prenatal, Newborn & Reproductive Diagnostics (NIPT, IVF/PGT, newborn screening) (HLAAALAJ)

Keywords

• Fertility treatments
• IVF services
• Reproductive medicine
• Fertility preservation
• Assisted reproduction

Headquarters

HQ city

Avon

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Fertility Treatment Services: First Fertility generates revenue through its network of partner fertility clinics providing IVF, IUI, fertility preservation, and other assisted reproductive technology treatments. Partner clinics pay for membership and access to the network's shared services infrastructure, strategic support, and brand affiliation.
2. Fertility Financing Partnerships: Revenue through financing partnerships with PatientFi and CapexMD, where patients access financing for fertility treatments and the network earns referral or processing benefits.
3. Employer Benefit Program Partnerships: Partnerships with employer-sponsored fertility benefit providers including Progyny, Maven, and Carrot to facilitate coverage for employees seeking fertility treatments at network clinics.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels6 records

Core offering

First Fertility operates a network of fertility clinics across the United States that provide assisted reproductive technology services to individuals and couples. The company offers IVF (In Vitro Fertilization), IUI (Intrauterine Insemination), fertility preservation, Preimplantation Genetic Testing (PGT), and fertility surgery delivered through its partner clinic network. Its fundamental product is clinical fertility care, not software or hardware products.

Product overview

First Fertility operates as a network of fertility clinics offering a coordinated platform of assisted reproductive technology and fertility care services. The core portfolio centers on clinical fertility treatments — including In Vitro Fertilization (IVF), Intrauterine Insemination (IUI), fertility preservation/egg freezing, fertility surgery, Preimplantation Genetic Testing (PGT), ovulation induction, male infertility treatments, egg donation, and third-party reproduction — supported by comprehensive fertility testing and diagnostic services. These clinical services are delivered through partner clinic locations across 15 U.S. states. The network is differentiated by supporting infrastructure including PatientFi (a financing digital wallet for treatment payment), a Fertility Finance eBook for cost transparency, and medication savings programs via TrumpRx and FertilityInstantSavings.com. Additional offerings include LGBTQ+ family building services and virtual consultation capabilities.

Differentiator

Problem solved

Functional benefit

Products and services

• In Vitro Fertilization (IVF) Clinical IVF service in which eggs and sperm are combined in an embryology lab to create embryos, with subsequent embryo transfer; offered to individuals and couples experiencing infertility or seeking fertility treatment at partner clinics.
• Intrauterine Insemination (IUI) Clinical IUI service involving placement of prepared sperm into the uterus to facilitate conception; offered to patients seeking less invasive fertility treatment prior to or instead of IVF at partner clinics.
• Fertility Preservation Service encompassing egg, sperm, and embryo cryopreservation for patients seeking to preserve future fertility options, including those undergoing medical treatments that may impair fertility or those electing preservation due to age or personal circumstances; delivered at partner clinics.
• Preimplantation Genetic Testing (PGT) Genetic testing of embryos created via IVF prior to transfer, used to screen for chromosomal abnormalities or specific genetic conditions; offered to patients undergoing IVF who wish to assess embryo genetic status before implantation at partner clinics.
• Fertility Surgery Surgical procedures to address reproductive conditions affecting fertility (such as tubal, uterine, or other corrective surgeries); offered to patients whose infertility has a surgically treatable cause at partner clinics.

Quantifiable outcome

• 55% live births per intended egg retrieval (all embryo transfers) for patients under 35 — exceeding SART national average of 51%
• +3 more outcomes

Named customers6 records

Segments4 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

Feature5 records

Partnerships

Five partnerships are on record, tiered major and minor.

• ProgynymajorChannel Partner/ Reseller/ DistributorProgyny is an employer-sponsored fertility benefit provider. First Fertility participates in Progyny's benefit network, enabling employees with Progyny coverage to access fertility treatments at network clinics.
• MavenmajorChannel Partner/ Reseller/ DistributorMaven provides employer-sponsored fertility and family-building benefits. First Fertility is a participating provider in the Maven network for employees seeking fertility services.
• CarrotmajorChannel Partner/ Reseller/ DistributorCarrot offers employer fertility benefit programs. First Fertility participates as a network provider, offering employees covered by Carrot access to fertility treatments.
• EMD Serono (FertilityInstantSavings.com)minorGTM or Marketing PartnerEMD Serono offers a manufacturer fertility medication pricing program through FertilityInstantSavings.com and TrumpRx.gov, providing discounted medications such as Gonal-F, Ovidrel, and Cetrotide to First Fertility patients.
• UConn School of MedicinemajorStrategic or Co-development PartnerThe Center for Advanced Reproductive Services is an academic affiliate of UConn School of Medicine, bringing academic partnership and clinical excellence to the network. This affiliation supports fellowship opportunities and medical education.

Scale indicators5 records

Recent moves14 records

Expansion highlights6 records

Others

• Maven Clinic: Maven Clinic operates a digital women's and family health platform including employer fertility and family-building benefits. It is a First Fertility partner for clinical delivery and increasingly competes for employer benefit budgets that route patients to fertility clinics.
• Carrot Fertility: Carrot Fertility is an employer-sponsored fertility, family-forming, and hormonal-health benefits platform that partners with First Fertility for clinical delivery. As a benefit administrator and payer-side ecosystem participant, it influences the demand funnel and coverage economics for fertility networks.
• Progyny: Progyny is a public employer-sponsored fertility benefits manager that funnels covered patients to network clinics including First Fertility. It is a major distribution channel (partner relationship) rather than a direct clinical competitor, but it shapes pricing and volume dynamics across the fertility services market.

Direct peers

• US Fertility: US Fertility is the largest U.S. fertility clinic network (formerly Shady Grove Fertility + RMANJ + others) and the closest direct competitor to First Fertility's MSO-style multi-clinic network model offering IVF, IUI, PGT, and fertility preservation nationwide.
• Aspire Fertility: Aspire Fertility is a multi-clinic fertility network operating across several U.S. states with comparable IVF, fertility preservation, and reproductive surgery services — directly competing with First Fertility in shared Sun Belt geographies.
• CCRM Fertility: CCRM Fertility is a multi-location fertility clinic network known for proprietary lab protocols and strong success rates in IVF and PGT — overlapping heavily with First Fertility's lab-quality and outcomes-differentiated positioning.
• Inception Fertility: Inception Fertility operates the Prelude Network and Vivere Health, a multi-clinic fertility and reproductive medicine platform offering IVF, egg freezing, and third-party reproduction. It is one of the largest competing fertility networks in the U.S. and the most directly comparable scale-stage peer.
• Boston IVF: Boston IVF is a multi-clinic fertility network serving the Northeast with IVF, IUI, egg freezing, and LGBTQ+ family-building — directly comparable to several First Fertility partner clinics in CT, MA, NH, ME, RI, and NY.
• Reproductive Medicine Associates of New York (RMA of NY): RMA of New York is a leading standalone fertility practice offering IVF, IUI, PGT, and egg freezing with strong success rates; it overlaps with First Fertility's RMA Long Island IVF subsidiary and competes directly in the Tri-State area.

Emerging players

• Kindbody: Kindbody is a venture-backed fertility and women's health network building employer- and direct-pay clinics with strong tech-enabled patient experience. It overlaps with First Fertility on core IVF services and employer-benefit channel strategy, though at an earlier network-build stage.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks7 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/YourFertilityFirst

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Subsidiaries9 records

Funding overview

Funding rounds

Investors

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 First Fertility