Fertility, IUI and Family Building

Midwifery care begins before conception

Although our practice is focused on helping pregnant people through pregnancy and birth, Neva is also available to assist in making babies and growing families.

Laoch strives to apply the midwifery model of care to fertility and family building to ensure each family has individualized holistic fertility care that takes into account each personal road to pregnancy and parenthood.

Newborn baby bundled in golden basket


If you are trying to conceive or considering insemination and would like to learn about optimizing fertility please start with by scheduling a preconception visit.

Bring all of your questions about fertility and I will give you a short class on tracking cycles, charting fertility signs, recommended supplements for overall health, as well as a list of resources and education to help you create the best chances to conceive.

Two parents with newborn baby after IUI / Fertility Support


If you are seeking IUI as an LGBTQ+ family, a single parent by choice, or if you are a heterosexual couple in need of low risk fertility services, let's start with a family building visit.

Here, we can discuss fertility tracking more specific to your needs and create the IUI schedule that will work best for you. If you have been tracking your cycles already, we can even schedule inseminations for your upcoming fertility windows. If needed, I can sign as the provider for your chosen sperm bank during this visit.

On the chosen day (or night) of your insemination, your comfort and safety are of the utmost importance. You can choose to have the procedure in the comfort of your home or if you’d prefer, I offer IUI in the peaceful environment of our Puyallup office.

If you have a partner, they are welcome and encouraged to participate in the process.


Preconception Visit $160 (60 minutes)
Family Building Visit $200 (90 minutes)
Return Client Planning Phone Call (30 minutes Free)
IUI in home $250
IUI in office $250

Neva Gerke Licensed Midwife (2)

Neva learned IUI & Fertility Support from the best!

I trained in IUI and feritlity support with Liam Kristin Kali, LM at Maia Midwifery in Seattle, WA is THE definitive leader in using the midwifery model of care to build families. For the past 30 years, Liam has been specializing in holistic perinatal health and education for families and health professionals. In addition to offering fertility and family building in Seattle, Maia Midwifery offers pregnancy, parenting and lactation support groups as well as professional training online. Liam literally wrote the book about it: QUEER CONCEPTION: The Complete Fertility Guide for Queer & Trans Parents-to-be. You can purchase it here.