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The Fertility Field Guide by Alexandra Ryder, MD
A Field Guide 312 pages 2026 Edition

The fertility book everyone said didn't exist yet.

Honest answers about eggs, sperm, IVF, egg freezing, donor paths, and every option in between. Written by a reproductive endocrinologist. No panic, no marketing, no fluff. Just the math, the medicine, and the decisions that are actually yours.

$78.00 Today $39.00
Instant PDF + EPUB 30-day refund Free updates
A comprehensive, compassionate, unapologetically honest guide.
Lisa Damour, PhD · Author of Untangled
Who this is for

If any of these is you, read this guide first.

Most fertility books are written for one reader. This one isn't. It treats every path as a full path, not an afterthought.

01

The man quietly hoping he is fine

You have never had your sperm tested, you assume the issue is your partner's, and the test could change everything in one week. Roughly half of cases involve a male factor.

02

The 35-year-old weighing egg freezing

Single, time-pressured, tired of the clinic sales pitch. You need the honest math on cycles, costs, and what egg freezing actually buys you.

03

The couple looking at IVF

You have tried for a year, the workup came back unexplained, and a clinic is recommending you escalate. You want to know what to push back on before you sign.

04

The solo and LGBTQ+ family builders

Donor sperm, reciprocal IVF, surrogacy, adoption. The book treats your path with the same rigor as every other, not as a chapter bolted on the end.

Inside the guide

Nine parts. 38 chapters. Every option covered.

From the biology of conception through donor gametes, surrogacy, loss, mental health, finances, and the choice not to pursue parenthood at all.

I

Foundations

The state of fertility today and how the system actually works.

II

Female Fertility

Anatomy, hormones, the cycle, age math, PCOS, endometriosis, fibroids.

III

Male Fertility

The under-covered half. Sperm parameters, the count decline debate, hormonal health.

IV

Trying to Conceive

The TTC year, tracking and timing, when to seek help, the full workup.

V

Assisted Reproduction

IUI, IVF, ICSI, egg freezing, donor gametes, and surrogacy in depth.

VI

Loss & Complications

Miscarriage, recurrent loss, genetic testing, the difficult decisions.

VII

The Human Side

Mental health, couples under stress, disclosure, the financial reality.

VIII

Alternative Paths

LGBTQ+ family building, solo parents, the child-free decision, AI in fertility.

IX

Designing Your Path

Choosing clinics, evaluating recommendations, FAQ, and 8 reference appendices.

By the numbers

The scale of the problem you're navigating.

The data the industry uses selectively, gathered into one place and read honestly.

1 in 6
Couples globally now meet the WHO definition of infertility.
40–50%
Of cases involve a male factor. Most go undiagnosed for months.
$30K+
Typical full-cycle IVF in the US. Often paid out of pocket.
12M+
IVF births globally since Louise Brown in 1978.
What you will walk away with

Specific answers, not soft reassurance.

The honest math on age and ovarian reserve

Per-cycle probabilities, cumulative pregnancy rates, miscarriage rates, and what AMH actually does and does not predict.

What to ask a fertility clinic before you sign

The four questions that separate honest clinics from sales-driven ones, and the red flags to watch for in IVF recommendations.

Egg freezing: cycles, costs, and per-egg outcomes

Real success rates per egg thawed, how many cycles you may actually need, and when freezing makes sense versus when it does not.

The male fertility chapters most books skip

Plain-English interpretation of WHO sperm parameters, the testosterone caution every man should read, and what to do this week.

Scripts for hard conversations

Word-for-word templates for telling your partner, family, employer, and friends, and for responding to the unhelpful things people say.

A financial worksheet and stopping framework

Set limits before crisis, evaluate cost versus benefit honestly, and know when continuing is wise and when stopping is.

AR
About the author

Alexandra Ryder, MD

Board-certified reproductive endocrinologist with more than a decade in fertility care. She has guided thousands of patients through IVF, egg freezing, donor cycles, and the decisions in between. She wrote this guide because she got tired of watching the same misinformation collide with the same exhausted patients in her own waiting room.

Her posture in this book is the one her patients say they wish more clinicians shared: calibrated, evidence-led, respectful of every reader's situation, and uninterested in selling you anything beyond clearer thinking.

— Dr. Alexandra Ryder
Get the guide

One book. Every path. Half off.

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The Fertility Field Guide

Complete digital edition

$39 $78
Launch price · 50% off
  • Full 312-page PDF, mobile-optimized EPUB, and audiobook chapters
  • 9 parts, 38 chapters, 8 reference appendices
  • Conversation scripts, financial worksheet, decision checklist
  • Free lifetime updates as the science evolves
  • 30-day refund, no questions asked
Add to cart · $39

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What early readers said

From people who walked the same road.

★★★★★

The first book that didn't make me feel sold to. I was three IUIs in, exhausted, being pushed to IVF, and the unexplained-infertility chapter alone changed the conversation I had with my clinic.

Hannah M. · 36, IVF cycle 1
★★★★★

My wife handed me this and pointed at one paragraph. I got tested the next week. Result wasn't what either of us expected. Wish someone had said this to me a year ago.

Marcus T. · 34, partner of 8 months TTC
★★★★★

I read the egg freezing chapter twice and the solo parents chapter once. Then I cancelled my second clinic consultation and made an appointment with a fertility counsellor instead. Best money I've spent on this.

Priya K. · 35, weighing options
Common questions

Questions readers ask before buying.

Is this written by an actual doctor? +
Yes. Dr. Alexandra Ryder is a board-certified reproductive endocrinologist. Every clinical claim in the book is sourced from peer-reviewed research or major society guidelines (ASRM, ESHRE, WHO, RCOG), and the book points you to those sources when you want to read further.
What format will I get? +
Three formats, delivered as instant download after checkout: a polished PDF for desktop and print, a reflowable EPUB for Kindle, Apple Books, and other readers, plus the chapters as an audiobook companion.
Does this replace a fertility specialist? +
No, and the book is the first to say so. It is a field guide for thinking clearly, asking the right questions, and walking into a clinic prepared. It does not diagnose or prescribe.
I am a man. Will this be useful to me? +
Especially to you. Part Three is written specifically for men who have never had a semen analysis, and a separate section addresses partners who have not been reading the rest of the book. Most male fertility content is buried in the back of other books. Here it sits at the centre.
What is your refund policy? +
Thirty days, no questions asked. If the book is not what you needed, reply to your receipt and we will refund you in full.
Why is it 50% off right now? +
This is a launch offer for the 2026 edition. The list price is $78, and the launch price of $39 is available for a limited window.

The book the fertility industry was not going to write for you.

Honest, evidence-led, calibrated. Eggs, sperm, IVF, donor paths, loss, finance, and every option in between. Yours for the price of one supplement bottle.

Buy now for $39
$78.00 Launch price $39.00