Fertility and Preconception Support in Toronto
Whether you're thinking about pregnancy, have started trying to conceive, or are already navigating fertility testing, IUI or IVF, you don't have to figure out every next step on your own.
I'm Dr. Fiona Callender, a Naturopathic Doctor and Pelvic Therapist in Toronto. I help you understand what matters for your fertility, what may be worth investigating, and what actually makes sense for you.
YOU DON’T NEED TO DO EVERYTHING PERFECTLY.
Fertility advice can get very overwhelming pretty quickly.
What supplements should I take? Should I have my hormones tested? Am I exercising too much? Should I stop drinking coffee? What if I have PCOS or endometriosis? When should we get help?
My approach is evidence-based, but it isn't one-size-fits-all.
We'll look at your health history, menstrual cycle, fertility goals, timeline, lifestyle and any testing you've already had. I'll help you understand what the evidence tells us, where the answers are less clear, and how we can navigate the potential risks and benefits of the options available. You are an important part of the decision making process. Sometimes I'll recommend further testing or a referral to another healthcare provider, but the answer isn’t always to do more.
The goal isn't to optimize every part of your life as you try to conceive. It’s often more about making intentional changes based on the evidence, your goals, and your capacity.
FERTILITY SUPPORT THAT STARTS WHERE YOU ARE
“I’m thinking about getting pregnant”
You don't need a year-long preconception protocol before you're allowed to start trying, but this can be a great time to take an audit on your health, lifestyle, medications and supplements, nutrition, menstrual cycle and any factors that may affect fertility or pregnancy. If you have the opportunity, the 3–6 months before trying can be a useful time to review the foundation of health, but there's no perfect time to start.
“We have started trying”
Let's make sure you understand your fertile window and signals your cycle is giving you. We can address what supplements actually matter and whether anything in your health history deserves a closer look.
“We’ve been trying for a while”
Taking longer than you expected doesn't automatically mean something is wrong but this is often a good time to seek more support and assessment. We can look at what's already been investigated, what may be missing, and when it makes sense to involve your family doctor or a fertility clinic.
“We're starting IUI or IVF”
I can work alongside your fertility team to help you navigate supplements, nutrition, exercise, symptoms, blood work and the questions that come up throughout treatment.
“I have PCOS or endometriosis”
These diagnoses can affect fertility, but they don't determine exactly what your fertility journey will look like. They often mean we want to start investigating and supporting you earlier.
“I want my partner involved too”
Fertility isn't solely the responsibility of the one carrying the baby. We can also discuss male-factor fertility and the health and lifestyle factors that can influence sperm health.
MEET DR. FIONA CALLENDER, ND
As a Naturopathic Doctor and Pelvic Therapist, I have a clinical focus that supports fertility, pregnancy, postpartum, endometriosis and pelvic health.
A big part of my role is helping patients navigate the grey areas of fertility and step away from the online noise. I'll help you understand the evidence, your options, and their potential risks and benefits so we can make decisions based on your health, fertility goals and what matters most to you.
I also believe good fertility care means knowing when another practitioner should be involved. I work alongside fertility clinics, family doctors and other members of your healthcare team and can support you in advocating for further investigation or referrals when needed.Evidence guides our care, but you are still at the centre of it.
Your fertility team can be bigger than one practitioner
At Crafted Balance, we believe care works best when you are more fully supported. With your consent, our fertility-focused practitioners can collaborate on your treatment plan to simplify the experience for you. Explore our Circle of Care to learn more.
And when you get that positive test?
Your care doesn't stop.
We can shift our conversations from trying to conceive to navigating early pregnancy, including any changes to supplements and medications, nutrition, exercise guidance, supporting pregnancy symptoms and managing any individual risk factors.
As your pregnancy progresses, care can evolve again to include birth preparation and pelvic floor therapy.
→ Explore Pregnancy Care
Frequently Asked Questions
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Not necessarily!
If you're under 35, a fertility assessment is generally recommended after 12 months of trying to conceive, and after 6 months if you're 35 or older. But those aren't rules that mean we can't ask questions sooner.
Irregular or absent periods, known PCOS or endometriosis, recurrent pregnancy loss, concerns about your partner's fertility, or other aspects of your medical or reproductive history may be reasons to investigate earlier.
And if you're simply planning ahead, we can still review your health, menstrual cycle, medications, supplements and any existing blood work before you've started trying. The goal isn't to test everything "just in case", but rather to be proactive based on your individual health and risk factors.
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Yes. I regularly support patients who are also working with a fertility clinic for IUI, IVF or other fertility treatment.
Care might include reviewing your supplements and medications, discussing nutrition and exercise, helping you manage symptoms, reviewing blood work, or helping you understand the information and decisions coming from your fertility clinic.
Recommendations may also change depending on where you are in treatment. What makes sense before IVF isn't necessarily appropriate during ovarian stimulation, around an embryo transfer or after a positive pregnancy test.
My role is to work alongside your fertility care, not replace it.
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As a Naturopathic Doctor in Ontario, I can order many blood tests that may be relevant to fertility and preconception care.
That doesn't mean everyone needs a long list of fertility tests. We'll first review your health history, menstrual cycle, how long you've been trying and any testing you've already completed. From there, we can decide whether additional blood work would actually give us useful information.
There are also fertility investigations that require your family doctor, specialist or fertility clinic. When that's the case, I can help you understand what's needed and advocate for appropriate next steps or referrals.
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Yes. While I'm not associated with one specific fertility clinic, I regularly work alongside fertility clinics, family doctors and specialists. I can help you understand testing and treatment recommendations, prepare questions for appointments and navigate your options as another member of your healthcare team.
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Absolutely! I encourage partners to be part of the fertility conversation.
Male factors contribute substantially to infertility, yet much of the testing, lifestyle change and emotional burden can still fall on the person trying to become pregnant.
For male partners, we can discuss semen analysis and whether further investigation may be warranted, as well as nutrition, exercise, medications, supplements and other health and lifestyle factors that may influence sperm health.
Your partner can book their own appointment so their health history and fertility concerns can receive the same individualized attention as yours.
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Yes. PCOS (Now, PMOS) is one of the common conditions I work with in fertility care.
Because PCOS/PMOS can affect ovulation and menstrual-cycle regularity, our first step is often understanding what's happening with your cycle rather than assuming everyone with PCOS/PMOS needs the same fertility plan.
Depending on your situation, we may discuss ovulation, metabolic health, blood work, nutrition, exercise, supplements, medications and when additional fertility investigation or treatment makes sense.
Having PCOS/PMOS doesn't tell us exactly what your fertility journey will look like. Your care should still be individualized to your cycle, health and family-building goals.
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Yes. Endometriosis and pelvic pain are a significant part of my practice, often going hand-in-hand with fertility support.
Endometriosis can affect fertility, but having endometriosis does not automatically mean you will experience infertility. Your age, symptoms, previous surgeries, ovarian reserve, how long you've been trying and your family-building goals can all influence what makes sense next.
We can discuss fertility planning and appropriate investigation while also addressing symptoms and pelvic health when needed. Because I'm also trained in pelvic floor therapy, we can incorporate support for pelvic pain, painful sex and pelvic-floor concerns into your care rather than treating them as completely separate issues.
When earlier fertility-clinic involvement or specialist care makes sense, I'll help you navigate that too.
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Yes. Naturopathic fertility appointments are available virtually to patients located in Ontario, as well as in person at Crafted Balance Clinic in Toronto.
Virtual appointments can work particularly well for fertility care because much of our work involves discussing your history, reviewing blood work and fertility testing, answering questions and developing or adjusting your care plan.
If your care would benefit from an in-person assessment, such as pelvic floor therapy, we can discuss whether adding an in-clinic appointment makes sense for you.
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No. You don't need a referral to book a naturopathic or pelvic health appointment with me.
You can book whether you're preparing for pregnancy, have just started trying, have been trying for a while, have PCOS or endometriosis, or are already working with a fertility clinic.
If you're not sure whether an appointment makes sense for where you are right now, you can also book a complimentary 15-minute Meet & Greet to ask questions and learn more about my approach.
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Though I may make some intentional and targeted supplement recommendations, the goal is to keep this to a minimum. You should always understand the reason behind anything I recommend.
My approach to nutrition is non-restrictive and weight-inclusive. We’ll focus on adding what supports your health and fertility, rather than handing you a restrictive diet or making weight loss the goal.
I welcome conversation and shared decision-making when it comes to nutrition and supplements.
Still have questions? Feel free to give us a call or send us a note.