Frequently Asked Questions

Everything you need to make informed, empowered choices

If you don't see your question below, reach out directly here.

About Fifth Avenue Fertility Wellness

  • To support your reproductive health from preconception through perimenopause. Through Traditional Chinese Medicine, somatic healing, and evidence-based protocols, we address root causes rather than managing symptoms. Our work honors the body's innate capacity to heal when given the right conditions.

  • Whether you're trying to conceive, moving through perimenopause, or seeking greater vitality, we offer integrative care that goes beyond acupuncture. We address the underlying causes of imbalance affecting your fertility and health, creating space for physical, emotional, and nervous system healing. Many women come for one concern and stay because they feel better in their bodies and their lives.

  • We are the only fertility clinic in Manhattan that is fully green and non-toxic, integrating Traditional Chinese Medicine, somatic healing, biohacking, and longevity medicine under one roof. All of our practitioners are trauma-informed, trained to work with the nervous system and the ways stress and past experiences live in the body.

    We've spent 25 years developing an approach that blends time-honored wisdom with research-informed practices. We take the time to listen deeply and craft personalized protocols. We work with your body rather than override it. No templates, no surface-level fixes, just whole-person care that meets you where you are.

  • You're committed to enhancing your physical, emotional, and hormonal health through personalized, integrative care. You may be navigating fertility challenges, preparing for pregnancy, recovering from loss, or moving through perimenopause or menopause. What matters most is your openness to growth, healing, and trusting your body again.

  • Yes. We work alongside leading fertility physicians in New York City and coordinate care with your team of providers. Dr. Angela Le and Dr. Sami David built their practices together, forming the only green, integrative, and somatic fertility practice in the country. We offer pre and post transfer acupuncture at CCRM and support patients from fertility clinics throughout Manhattan.

  • Our Upper East Side Manhattan clinic, at Fifth Avenue and 86th Street directly across from Central Park, is a sanctuary in the city. Many women tell us that when they're here, they can finally exhale. We're committed to results and to creating space for rest and reconnection.

About the Practice

  • Yes. Research shows acupuncture can improve blood flow to reproductive organs, regulate hormones, reduce stress, and support IVF outcomes. Our team has supported thousands of women through fertility challenges using acupuncture alongside herbal medicine and somatic healing. Many come to us after failed IVF cycles and go on to conceive.

  • Acupuncture needles are hair-thin and most people feel little to no discomfort. You may feel a brief sensation when the needle is inserted, followed by deep relaxation. Many patients fall asleep during treatment.

  • Traditional Chinese Medicine is a comprehensive medical system with over 5,000 years of history. It prioritizes treating root causes rather than just symptoms and recognizes the interconnectedness of body, mind, and emotions. For fertility, TCM addresses underlying factors affecting conception, including irregular cycles, PCOS, endometriosis, diminished ovarian reserve, egg quality, uterine blood flow, recurrent miscarriage, unexplained infertility, sperm function, and stress.

  • Acupuncture involves inserting fine needles into specific points on the body to regulate energy flow. For fertility, it can balance the endocrine system, improve blood flow to reproductive organs, improve ovarian function, optimize sperm parameters, regulate cycles, and reduce stress. Your practitioner will customize your treatment plan based on your specific symptoms and needs.

  • Soma means body. Somatic healing is a mind-body approach that helps release stress and tension stored in your body. When we experience stress or trauma, it becomes held in the body and affects our nervous system, often without our conscious awareness.

    For anything to grow, whether a baby or your potential in life, there must be a baseline of safety in your body. When your nervous system is in survival mode, your body deprioritizes reproduction. Through practices like breathwork, movement, and touch, somatic work helps regulate the nervous system and create the internal safety your body needs.

About the Healing Process

  • The earlier the better. Because this is natural medicine, your body benefits from time to respond. Three months before an IVF cycle is ideal, but if your timeline is shorter, we'll work with what you have and still create meaningful results.

  • Your first visit is comprehensive and designed to give you clarity, direction, and immediate support. We'll conduct a thorough assessment to understand your health and challenges, create a personalized treatment plan, recommend targeted supplements, and provide acupuncture. You'll leave with a clear plan and the knowledge that you're being comprehensively cared for.

  • Most women feel deeply relaxed after treatment. Some notice increased energy, better sleep, or a sense of calm that lasts for days. Occasionally you may feel tired or emotional as your body processes the session. We recommend drinking water and resting when possible after your appointment.

  • Because the body holds experiences that the mind may not consciously remember, and those experiences affect your physiology. When practitioners understand how trauma and chronic stress live in the nervous system, they can work with your body more skillfully and create a safer healing environment. This approach allows us to address what's actually affecting your fertility and vitality, not just the surface symptoms.

  • Yes. Trauma doesn't have to mean something catastrophic happened to you. It's simply stress that didn't complete its cycle in your body. Most of us carry some of this, whether from difficult relationships, medical procedures, losses, or the accumulated stress of daily life. Addressing what's stored in your body can shift what's been stuck, even if you wouldn't use the word trauma to describe your experience.

  • Yes. We've helped many women transition from unsuccessful IVF cycles to successful natural conception. We can never promise you'll get pregnant, but we can assure you that you will feel better working with us if you commit to the process. Our approach addresses the underlying factors affecting your fertility and prepares your body for conception, whether you pursue natural conception or return to assisted reproduction.

  • We support women at every stage:

    Preconception: Prepare your body for pregnancy and egg freezing support.

    Infertility: PCOS, endometriosis, hormone imbalance, male factor, recurrent loss, unexplained infertility, low AMH, high FSH, diminished ovarian reserve, fibroids, and more.

    IVF and IUI: Preparation and day-of treatment support, including pre and post transfer acupuncture at CCRM.

    Pregnancy: Morning sickness, fatigue, anxiety, pain, sleep, labor preparation.

    Postpartum: Lactation, mastitis, postpartum depression, C-section recovery, fatigue.

    Perimenopause and Menopause: Hot flashes, sleep issues, mood changes, hormone imbalances, energy and libido changes.

  • Yes. Most of the women we see are actively in fertility treatment and seeking additional support to improve their outcomes. We address factors that may not be getting attention in conventional treatment, including stress, nervous system regulation, nutrient status, and the underlying patterns affecting your body's capacity to conceive.

  • Yes. We support men for male factor infertility, sperm health optimization, and stress reduction. Fertility is a shared journey, and addressing both partners often improves outcomes.

  • We are sorry for your loss. Yes, many patients come to us after pregnancy loss. We offer both physical support to prepare your body for future pregnancy and emotional support to process grief, fear, and anxiety. This is tender work, and we hold it with care.

  • Yes. Traditional Chinese Medicine has been supporting women through perimenopause and menopause for thousands of years. Through acupuncture, herbal medicine, and personalized protocols, we address hot flashes, sleep disruption, mood changes, hormone imbalances, low libido, and fatigue.

    Our approach looks at the root causes of your symptoms rather than managing them one by one. Many women find that treatment brings relief they didn't experience with conventional approaches alone.

    For women who want to go deeper, we also offer Embodied Perimenopause Coaching, a 6-month program addressing the nervous system and emotional shifts that come with this transition.

  • Yes. While we offer comprehensive care beyond acupuncture, you are welcome to receive acupuncture treatment only.

  • If you've been doing everything right and still feel stuck, there may be something deeper asking for attention. Nervous system patterns, stored stress, relationship dynamics, or life circumstances that no amount of acupuncture can address on its own. Our Embodiment and Healing programs and Rebirth and Reclaim mentorship work with these deeper layers. We'll help you discern what's right for you.

The Three Paths

  • We offer three paths to meet you where you are:

    Path 1: Fertility and Health. Acupuncture, herbal medicine, and health optimization to restore balance in your body. Support for PCOS, endometriosis, hormonal imbalances, male factor infertility, pregnancy loss, diminished ovarian reserve, fibroids, autoimmune conditions, and more.

    Path 2: Embodiment and Healing. Embodied Fertility Coaching and Embodied Perimenopause Coaching for women ready to go deeper. This path addresses how chronic stress, stored experiences, and nervous system patterns affect your fertility and vitality. Both are 6-month programs available virtually or in person at our Manhattan clinic.

    Path 3: Rebirth and Reclaim. Transformational mentorship for women ready to come home to themselves. A year of personalized work addressing relationships, health, career, sexuality, spirituality, and purpose.


  • Path 1 is for women who want to optimize their physical health and fertility through Traditional Chinese Medicine. You may be preparing for pregnancy, supporting an IVF or IUI cycle, navigating a diagnosis like PCOS or endometriosis, or seeking relief from perimenopause symptoms.

    This path is grounded in acupuncture, herbal medicine, and personalized protocols. It's the foundation of our work and where most women begin. For more Information, click here.

  • Path 2 is for women who sense that their fertility or perimenopause challenges have roots beyond the physical. You may have been doing everything right, following protocols, taking supplements, showing up for treatment, and still feeling stuck.

    This path is for women ready to explore how chronic stress, stored experiences, and nervous system patterns affect their capacity to conceive or to feel fully alive. Path 2 includes Embodied Fertility Coaching and Embodied Perimenopause Coaching, both 6-month programs available virtually or in person. For more information, click here.

  • Path 3 is for women ready for whole-life transformation. You may have done significant healing work and sense there's another level available to you. Or you may be at a crossroads, feeling called to examine how you're showing up in every area of your life.

    This path is for women who want more than fertility support or symptom relief. You want to come home to yourself and are ready to do the deep work of reclaiming your life. For more information, click here.

  • Embodied Fertility Coaching is a 6-month program for women who sense that something beyond the physical is affecting their ability to conceive. Through somatic practices, nervous system regulation, and trauma-informed care, you'll address the stored stress and survival patterns that may be interfering with your fertility.

    This isn't talk therapy. We work directly with your body, where stress actually lives. Many women come to this work after trying everything else and discover their bodies were waiting for permission to feel safe enough to conceive.

    Available virtually or in person at our Upper East Side Manhattan clinic.

  • Embodied Perimenopause Coaching is a 6-month program for women navigating perimenopause and menopause who want more than symptom management. Through nervous system regulation, health optimization, and embodiment practices, you'll move through this transition with more ease, vitality, and self-connection.

    This program addresses the physical symptoms, yes, but also the emotional and relational shifts that come with this life stage. Available virtually or in person at our Manhattan clinic.

  • Transformational mentorship is a year-long program for women ready to come home to themselves. This isn't coaching for a single issue. It's a comprehensive exploration of your relationships, health, career, sexuality, spirituality, and sense of purpose.

    Through personalized guidance with Dr. Le, you'll examine how you're living and relating in every area of your life. This path is selective and for women who are resourced, committed, and ready to create lasting change.

Practical Information

  • 1045 Fifth Avenue, Suite 1A, at 86th Street on Manhattan's Upper East Side, directly across from Central Park. Monday through Friday, 8 AM to 5 PM. Weekends by appointment. In-person and virtual sessions available.

  • You can call us at 212.432.1110 or email info@fafwellness.com. We'll schedule your initial 90-minute visit and answer any questions before you come in.

  • Initial visits are 90 minutes and include comprehensive assessment, treatment planning, and acupuncture. Follow-up sessions are 60 minutes.

  • It depends on where you are on your journey. Most patients see us one to two times per week initially, then adjust as your body responds. We'll create a plan based on your specific needs during your first visit.

  • We are out-of-network providers. We can provide superbills for you to submit to your insurance for potential reimbursement. Many patients use HSA or FSA funds for acupuncture, herbal medicine, and supplements.

  • Call us at 212.432.1110 or email info@fafwellness.com to schedule your first visit. We're here to support you.