Your Fertility Journey Starts with Understanding Your Body
Struggling to conceive isn't a diagnosis — it's a signal. Dr. Goel's functional medicine approach investigates the root causes behind infertility, optimizing your hormones, nutrition, and health to improve your natural chances of conception.
Functional Medicine Fertility Support
Most fertility clinics jump straight to medications or IVF without asking the most important question: why isn't conception happening? At Prime Vitality, Dr. Goel takes a root-cause approach — investigating the hormonal, metabolic, and nutritional factors that may be silently undermining your fertility.
This isn't an IVF clinic. It's functional and integrative fertility optimization designed to prepare your body for conception naturally — or to complement treatments you may be receiving at a fertility center.
- Hormonal imbalances (estrogen, progesterone, testosterone, DHEA)
- Thyroid dysfunction & subclinical hypothyroidism
- PCOS & insulin resistance
- Nutrient deficiencies (folate, Vitamin D, iron, CoQ10)
- Chronic stress & HPA axis dysfunction
- Gut health & systemic inflammation
Physician-Led & Partner-Inclusive
Dr. Goel personally manages every fertility case — not NPs or PAs. When possible, we evaluate both partners to identify all contributing factors and maximize your chances.
Comprehensive Fertility Treatments: Hormone, Thyroid & More
Every fertility journey is unique. Dr. Goel creates personalized protocols targeting the specific factors affecting your ability to conceive.
Hormone Optimization
Balancing estrogen, progesterone, testosterone, and DHEA to restore regular ovulation and create an optimal environment for conception and implantation.
Thyroid Correction
Subclinical thyroid dysfunction is a hidden cause of infertility. Even “normal” TSH levels can impair ovulation. We optimize your full thyroid panel for fertility.
PCOS Management
Insulin sensitization, anti-inflammatory protocols, and targeted ovulation support. We address the metabolic root of PCOS — not just manage symptoms with birth control.
Nutrient Therapy
Targeted supplementation of key fertility nutrients: methylfolate, CoQ10, Vitamin D, iron, omega-3 fatty acids, and zinc — based on your lab results, not guesswork.
Stress & Cortisol Management
Chronic stress disrupts the HPA axis, suppressing ovulation and progesterone. We use targeted protocols to restore hormonal signaling and fertility potential.
Gut Health Optimization
Your gut's estrobolome directly influences estrogen metabolism and inflammation. We optimize gut health to support hormonal balance and reduce immune-driven fertility barriers.
Why Prime Vitality for Fertility
Most clinics treat infertility as a single problem. We treat you as a whole person — and that makes all the difference.
Root-Cause Fertility Approach
We don't just prescribe medications and hope for the best. We investigate why conception isn't happening — hormonal, metabolic, nutritional, and lifestyle factors that others overlook.
Comprehensive Lab Testing
40+ markers including a full hormone panel, complete thyroid panel, nutrient levels, inflammatory markers, insulin, and metabolic health — far beyond a standard fertility workup.
Personalized Protocols
No cookie-cutter plans. Your supplementation, nutrition, lifestyle, and hormonal support are tailored to your unique lab results, health history, and fertility goals.
Collaborative Care
We work alongside your OB/GYN or fertility specialist, complementing IVF/IUI treatments with metabolic optimization to give you the best possible chance of success.
Fertility Optimization Journeys
Every journey is different, but the approach is the same — find the root cause, optimize the body, and create the conditions for conception.
“After 18 months of trying and being told ‘just relax,’ Dr. Goel found my progesterone was severely low and I had undiagnosed insulin resistance. Four months of targeted treatment later — we got our positive test.”
“Two failed IUI cycles before finding Dr. Goel. He optimized my thyroid, corrected my Vitamin D deficiency, and improved my egg quality markers. My third IUI with his protocol worked.”
“PCOS had me convinced I'd never conceive naturally. Dr. Goel's insulin-sensitizing protocol restored my cycles within 3 months. I'm now 20 weeks pregnant with our first baby.”
Results may vary. Individual outcomes depend on baseline health, underlying conditions, and adherence to the treatment protocol. These accounts represent individual experiences.
The Process
From first visit to conception support, here's how we walk with you through every step of your fertility journey.
Fertility Assessment
A comprehensive 60-minute evaluation covering your complete health history, menstrual cycle patterns, previous pregnancies, lifestyle factors, and symptom profile. We leave no stone unturned.
Advanced Fertility Panel
40+ lab markers including a full hormone panel, complete thyroid panel, insulin & glucose, inflammatory markers, nutrient levels (Vitamin D, iron, folate, CoQ10), and fertility-specific markers.
Personalized Fertility Protocol
Dr. Goel builds a custom plan — targeted supplements, nutrition optimization, lifestyle modifications, and hormone support if needed — all designed around your specific results.
Cycle Monitoring & Optimization
Regular follow-ups to track your progress, adjust protocols, monitor cycle improvements, and optimize timing. We stay with you through conception and early pregnancy support.
“We tried for two years. Every doctor said ‘everything looks normal.’ Dr. Goel ran labs nobody else had run and found subclinical hypothyroidism, critically low Vitamin D, and early insulin resistance. After four months on his protocol, I saw two pink lines. Our daughter is now six months old, and I tell every woman I know about Dr. Goel.”
Thyroid + Nutrient + Metabolic Optimization • Conceived in 4 Months
Pricing & Memberships
Investing in your fertility is investing in your future family. No hidden fees, no surprise bills.
Fertility Assessment
Waived with membership enrollment
- 60-min consult with Dr. Goel
- Complete fertility history review
- Symptom & cycle evaluation
- Personalized lab order
Comprehensive Fertility Panel
Based on panel complexity
- Full hormone panel (E2, P4, T, DHEA)
- Complete thyroid panel
- Nutrient & inflammatory markers
- Insulin, glucose & metabolic markers
- Dr. Goel reviews results with you
Monthly Optimization
Ongoing fertility support
- Monthly physician follow-ups
- Cycle monitoring & tracking
- Protocol adjustments
- Supplement & nutrition guidance
- Direct physician access
Concierge Membership
+ $749 initiation fee
- Everything in Monthly Optimization
- Fertility assessment included
- Quarterly comprehensive labs
- Same-day/next-day appointments
- Full wellness program access
Frequently Asked Questions
Honest, thorough answers from a physician who treats fertility with the depth it deserves.
Traditional fertility clinics focus on procedures like IUI and IVF. We focus on why your body isn't conceiving — hormonal imbalances, thyroid issues, nutrient deficiencies, insulin resistance, and inflammation. We optimize your body's natural fertility potential, which can help you conceive naturally or significantly improve IVF/IUI success rates. Think of us as the foundation that makes everything else work better.
Absolutely. Many of our patients are simultaneously working with a reproductive endocrinologist. Our metabolic and hormonal optimization can improve egg quality, uterine lining thickness, and overall receptivity — which directly impacts IVF success rates. We coordinate care with your fertility specialist to ensure protocols complement each other.
Our comprehensive fertility panel includes 40+ markers: estradiol, progesterone, testosterone, DHEA-S, FSH, LH, AMH, prolactin, full thyroid panel (TSH, Free T3, Free T4, TPO antibodies), fasting insulin, glucose, HbA1c, Vitamin D, ferritin, folate, B12, zinc, omega-3 index, hs-CRP, homocysteine, and a complete metabolic panel. We test what others don't.
Most patients see measurable lab improvements within 6–8 weeks. Cycle regularity often improves within 2–3 months. Conception timelines vary, but many of our patients conceive within 3–6 months of starting their optimized protocol. Egg quality improvements typically require a full 90-day maturation cycle, so we recommend at least 3 months of optimization before actively trying.
Yes. Up to 40% of infertility cases involve male factors. Dr. Goel can evaluate and optimize your partner's hormones, nutrient levels, and metabolic health as well. We offer comprehensive male panels including testosterone, sperm-supportive nutrients, and lifestyle optimization. Treating both partners dramatically increases conception rates.
Absolutely. PCOS is one of the most common causes of infertility — and one of the most treatable with the right approach. Dr. Goel addresses the insulin resistance and inflammation at the root of PCOS, rather than just masking symptoms with birth control or jumping straight to Clomid. Insulin sensitization, anti-inflammatory nutrition, targeted supplements, and hormone balancing can restore regular ovulation in most women with PCOS.
As a concierge functional medicine practice, we don't bill insurance directly. However, many of our lab tests can be submitted to insurance for reimbursement, and some patients use HSA/FSA funds for fertility consultations and supplements. We provide detailed superbills upon request. Most patients find that our comprehensive approach is far more cost-effective than repeated unsuccessful fertility treatments.
Yes. Dr. Goel offers secure video fertility consultations for patients who can't come to our San Antonio office. Initial assessments, lab reviews, and ongoing follow-ups can all be conducted virtually. Lab work can be completed at any Quest or Labcorp location near you, and supplements are shipped directly to your door.
