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Modern Fertility (YC S17) is a proactive way to test fertility at home

modernfertility.com

11–20 of 41 posts

Re: Modern Fertility (YC S17) is a proactive way to test fertility at home

#11
post #9

This is a great idea. I work in clinical diagnostics at a large academic health care center and the prices billed to patients are absurd once you see the actual costs of the testing. What’s your strategy to decrease the testing cost compared to reproductive endocrinology clinics? Is it simply a lower markup?

Thanks! Totally agree- this was my exact experience (billed $1500). Today, women typically get these tests when they are having issues and we are making them available to women before they start trying to conceive. There are only ~500 infertility clinics in the US so when you think about the volume of testing they do vs. a general healthy population being able to access these tests, we get different economies of scale and can pass on these savings. We have invested a lot in our processes to support this scale.

Re: Modern Fertility (YC S17) is a proactive way to test fertility at home

#12
post #8

Any plans for a male version?

As far as I'm aware male fertility decreases a bit with age, but there's no such thing as menopause and ovulation for men. So I doubt there is as much of a market for a male version. Besides, our male egos are way too fragile to risk learning we have fertility problems ;-)

Also your hormones may be fine, but your sperm can still be bad, e.g. your testicles can't get too warm.

Re: Modern Fertility (YC S17) is a proactive way to test fertility at home

#13
An excellent, important product — and stellar branding! While this product is a massive technical improvement, its biggest value might be getting couples to think about fertility earlier.

I admit as a career-minded professional, I underestimated how quickly the reproductive window closes biologically and how much higher the risks are for Mom and baby as the years pass.

My wife and I went through IVF and learned quite a bit, e.g.: You may have to wait a year before an insurer will begin to cover treatments or you may have to scrounge for cash to pay for them. Once you find a clinic, there's a multi-month process to get started. Maybe you miss a dose of the IVF drugs due to an illness and have to postpone for a cycle or two. In the case of IVF, you may not get viable embryos or they may not implant. If they do implant, there's a scarily high risk of miscarriage.

And if you want to have more than one child you need to factor in the 40 weeks of pregnancy, recovery, and adjusting to sleep deprivation before you get to start the whole process again. On their own, these are small delays, but compounded they can take up years, and if you're starting in your mid-30s and working with a five-year window, they can make the difference.

It took my wife and me two years of financially and emotionally draining treatments before we had success. Our second run was smoother, but our first child was diagnosed with Leukemia (she's good now) at the start of my wife's 2nd trimester. Had we waited another quarter, it's very likely we would only have had one child. I can say unequivocally in my career there has been no bonus, promotion, or professional recognition that comes close to matching that value.

Despite our challenges, we were lucky. We met a couple that struggled with infertility. Turned out after a lot of testing, the husband was sterile. The wife wanted to carry a child from an egg of hers fertilized by a donor. The man didn't want to raise a child that wasn't his biological offspring, so they split and she had to renter the partner market in her mid-30s under extreme time pressure.

Apologies for the overly personal PSA, but I wish I had this information in my twenties. If you want children, you need to treat the process with all the seriousness you treat your career. This product is a great tool to do so.

Re: Modern Fertility (YC S17) is a proactive way to test fertility at home

#14

An excellent, important product — and stellar branding! While this product is a massive technical improvement, its biggest value might be getting couples to think about fertility earlier. I admit as a career-minded professional, I underestimated how quickly the reproductive window closes biologically and how much higher the risks are for Mom and baby as the years pass. My wife and I went through IVF and learned quite…

Also, if you or your partner have ever had a STD/STI please be aware that this can affect your fertility. I was recently talking to a OB/GYN and he was telling me that one of the saddest things he has to do is inform a person that they are sterile due to an untreated STD/STI from their younger years when thoughts about fertility were the the furthest thing from their mind.

Re: Modern Fertility (YC S17) is a proactive way to test fertility at home

#15

How are you thinking about the increased growth of egg freezing? Is this something that is going to tell more women to freeze their eggs? From what I'm told by doctor family members, it's expensive and not necessarily a guarantee.

> How are you thinking about the increased growth of egg freezing

The actual number of babies that have been born worldwide from frozen eggs is only around 2,000, and most of those were done either to prove out the concept or else due to some specific medical condition (e.g. about to get chemo). Despite the fact that you read about it in the news all the time and it feels like everyone is doing it, the number of babies born to women who decided to just pre-emptively freeze their eggs is probably only a couple hundred, accounting for literally 0.00% of babies born each year.

Re: Modern Fertility (YC S17) is a proactive way to test fertility at home

#16

An excellent, important product — and stellar branding! While this product is a massive technical improvement, its biggest value might be getting couples to think about fertility earlier. I admit as a career-minded professional, I underestimated how quickly the reproductive window closes biologically and how much higher the risks are for Mom and baby as the years pass. My wife and I went through IVF and learned quite…

Wow- really appreciate you sharing your story (and thanks for the kind words). The main reason we started Modern Fertility was to give women the tools to start the conversation about our reproductive futures.

I think it is so important for stories like this to be shared and to start a transparent dialogue. We see celebrity pregnancies on the cover of magazines but typically no backstory about what went into them. Thank you.

Re: Modern Fertility (YC S17) is a proactive way to test fertility at home

#17

An excellent, important product — and stellar branding! While this product is a massive technical improvement, its biggest value might be getting couples to think about fertility earlier. I admit as a career-minded professional, I underestimated how quickly the reproductive window closes biologically and how much higher the risks are for Mom and baby as the years pass. My wife and I went through IVF and learned quite…

Also, if you or your partner have ever had a STD/STI please be aware that this can affect your fertility. I was recently talking to a OB/GYN and he was telling me that one of the saddest things he has to do is inform a person that they are sterile due to an untreated STD/STI from their younger years when thoughts about fertility were the the furthest thing from their mind.

Yes!

Re: Modern Fertility (YC S17) is a proactive way to test fertility at home

#18
post #12
post #8

Any plans for a male version?

As far as I'm aware male fertility decreases a bit with age, but there's no such thing as menopause and ovulation for men. So I doubt there is as much of a market for a male version. Besides, our male egos are way too fragile to risk learning we have fertility problems ;-) Also your hormones may be fine, but your sperm can still be bad, e.g. your testicles can't get too warm.

> So I doubt there is as much of a market for a male version

Sperm count has been cut in half in the last 40 years in the West. Sperm motility and morphology has also seen precipitous declines, along with increasing DNA fragmentation issues.

Male factor infertility is definitely a problem, but even attempting to discuss environmental estrogens is "men's rights activism" so we ignore it. To the extreme psychological detriment of women who tend to accept blame for fertility failures.

There is a problem in developed countries - that goes far beyond warm testicles - that we are ignoring. For reasons.

Re: Modern Fertility (YC S17) is a proactive way to test fertility at home

#19
post #8

Any plans for a male version?

Male factor is 50% of the equation and it is really important for both women and men to understand that from an education perspective. We are customers ourselves for our female fertility test and understand the female market well, but are interested in learning more about if males would proactively test / store their sperm.

As a man, I would certainly buy it. If my wife and I can't have kids, then it could be either of us with an issue. And I'm no more inclined to go to and pay for a lab test than she is, I imagine.

Re: Modern Fertility (YC S17) is a proactive way to test fertility at home

#20
Its a good idea, but I wonder how accurate your results will be. HCG tests (done via blood samples) are notoriously bad as a predictor for how many eggs are actually in the ovaries. Its a very broad indicator yes, but nothing more than that.

This is really quite different from say testing a mens sperm where you can accurately count the exact number to the nearest million.

Have you compared your accuracy with an HCG test? What is the delta between your home test results and an HCG test?

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