When your fertility needs more than a plan.
Tier 2 pairs Madre's analysis, pathway, and app with the clinical team at the Holistic Fertility Institute, the fertility practice Dr. Aumatma Simmons has led for nearly two decades. Real clinicians, real labs, and a protocol that changes as you do.
Not sure which level fits? Compare Tier 1 and Tier 2 →- 900+
- couples supported by HFI
- 18 yrs
- of fertility-focused clinical practice
- 32–45
- age range across our featured cases
- 1 team
- one plan, one record, one app
For moderate-plus analysis results, recurrent loss, PCOS, endometriosis, thyroid issues, failed IUI or IVF cycles, and trying in your late 30s and 40s.
Madre finds what's going on. HFI's clinicians treat it.
Most people never need more than Tier 1. But some cases call for a clinician who can order labs, read them in context, and adjust your protocol month to month. Instead of sending you somewhere new, we bring that clinical team into the program you already use.
- Smart Fertility Analysis™ and your score
- Custom Fertility Pathway
- Practitioner-grade supplements
- My Journey app and advisor chat
- Licensed clinicians and nutrition specialists
- Comprehensive labs, clinically interpreted
- The Restorative Fertility Method
- 900+ couples of case experience
- Your analysis and history shared with your clinician
- One protocol, updated as you respond
- Everything tracked in one app
- Coordination with your REI or IVF clinic
Histories that needed more than time.
Four patients from Dr. Aumatma's practice, each with a history that made "just keep trying" the wrong answer. This is the kind of care Tier 2 is built to deliver.
23 eggs retrieved at 44, and a healthy baby at 45
23 eggs retrieved at 44, and a healthy baby at 45

Meet Dr. A
Dr. Aumatma is a double board-certified Naturopathic Doctor and Endocrinologist who has spent nearly two decades on one question: why are so many people told "everything looks normal" when it clearly isn't? Her answer became the Restorative Fertility Method, the root-cause approach behind every HFI protocol, and later the Smart Fertility Analysis™ at the heart of Madre.
In Tier 2, her method is delivered by the clinicians she trained, with Dr. A overseeing the approach. It's the same care her private patients receive, now connected to Madre's analysis and app.
- Board-certified
- Naturopathic Endocrinology
- 2× best-selling author
- Fertility Secrets and (In)Fertility
- Podcast host
- Egg Meets Sperm, top 5% globally
- Medical advisor
- Mira, Ellement, Feminade
- Recognized
- Women in Medicine, 2020 & 2021
- As seen on
- ABC, FOX, CBS, mindbodygreen
Trained in Dr. A's method.
Licensed clinicians and nutrition specialists who work Dr. A's approach every day, with your Madre data in front of them.
Tier 1 or Tier 2?
Tier 2 includes everything in Tier 1. The difference is who's steering: you and your advisor, or a clinical team.
How Tier 2 works
- 01Take the analysis
Your Smart Fertility Analysis™ gives the clinical team a head start. Already a member? Your results carry over.
- 02Apply and consult
A short application, then a consultation with the HFI team to confirm Tier 2 is the right fit and walk through the program.
- 03Your first month
Complete labs and a full clinical workup, then a fertility pathway planned with your clinical team.
- 04Ongoing clinical care
Regular check-ins and protocol adjustments, typically over 6–8 months, all tracked in My Journey.
FAQs
HFI is the clinical fertility practice founded by Dr. Aumatma Simmons, Madre's co-founder and Chief Medical Officer. Tier 2 care is delivered by HFI's licensed clinicians in partnership with Madre, so your analysis, pathway, and app all stay connected.
Ready for a clinician in your corner?
Apply in two minutes. Someone from the HFI team will reach out to schedule your consultation and walk you through the program and pricing.
Not sure yet? Start with the 10-minute analysis →


