Pacific Northwest Fertility and IVF Specialists (PNW Fertility), located at 1101 Madison St in Seattle, Washington, is one of the Pacific Northwest's most established independent fertility practices. Situated on First Hill — Seattle's primary medical campus, home to major hospitals including Swedish, Virginia Mason Franciscan, and Harborview — the clinic is embedded in a dense healthcare corridor that facilitates coordination with the broader medical community. Patients across Washington State can explore all available providers through the Washington fertility clinic directory.
Physicians and Clinical Team
PNW Fertility's physician team consists of board-certified reproductive endocrinologists who completed fellowship training at ACGME-accredited programs. The practice has operated in Seattle for decades and has developed deep roots in the Pacific Northwest medical community. Its physicians are involved in professional societies including ASRM and contribute to the regional medical education ecosystem. Fellowship-trained REIs bring expertise across the spectrum of fertility diagnoses, from ovulatory dysfunction and endometriosis to male-factor infertility and recurrent implantation failure.
The clinical team includes reproductive nurses who guide patients through stimulation protocols and monitoring, sonographers experienced in reproductive ultrasound, embryologists certified in clinical embryology, and patient care coordinators who manage the logistical demands of IVF and IUI cycles. Seattle's progressive patient population often brings high medical literacy and specific expectations about shared decision-making — qualities that PNW Fertility's established team is well-positioned to meet.
Services and Treatments
Pacific Northwest Fertility offers a comprehensive range of reproductive medicine services appropriate to the needs of Seattle and broader Northwest patients, including:
- Comprehensive fertility consultation and diagnostic evaluation
- Ovarian reserve testing and endocrine panel
- Semen analysis and male-factor evaluation
- Ovulation induction with oral and injectable medications
- Cycle monitoring with transvaginal ultrasound and bloodwork
- Intrauterine insemination (IUI)
- In vitro fertilization (IVF) — see also our IVF guide
- Intracytoplasmic sperm injection (ICSI)
- Preimplantation genetic testing (PGT-A, PGT-M)
- Frozen embryo transfer (FET)
- Egg freezing (oocyte cryopreservation)
- Embryo banking for future family planning
- Donor egg and donor sperm programs
- Gestational carrier support and coordination
- Recurrent pregnancy loss workup and management
- Oncofertility consultation
Laboratory and Success Rates
PNW Fertility's IVF laboratory operates under the oversight of certified laboratory directors and embryologists and meets federal CLIA standards as well as Washington State Department of Health requirements. The lab handles the full in vitro phase of IVF: insemination, fertilization check, extended embryo culture to blastocyst, biopsy for PGT when elected, and vitrification. The practice's longevity in the Seattle market means its laboratory team has accumulated significant experience and has refined its protocols over many years of continuous operation.
Patients should review the most current cycle-level data published by the CDC's ART Surveillance program and the SART Clinic Summary Report.
Patient Experience
The 1101 Madison St address on First Hill places PNW Fertility in the geographic heart of Seattle's medical community. First Hill is walkable from Capitol Hill, the Central District, and downtown Seattle, and is accessible via multiple Metro Transit routes and the First Hill Streetcar. For patients who rely on public transit — which is a meaningful segment of Seattle's patient population — this location is significantly more accessible than suburban clinics. For patients driving from the Eastside (Bellevue, Redmond, Kirkland, Mercer Island), the access via I-90 and SR-520 is generally straightforward.
Seattle has one of the country's most diverse and inclusive LGBTQ+ communities, and PNW Fertility's urban location positions it as a natural choice for same-sex couples, transgender individuals, and other patients whose family-building goals require the full range of third-party reproductive services. The city's tech-driven economy means many patients have employer-provided fertility benefits through large companies, which affects the financial experience of fertility care in this market.
Considering At-Home Insemination?
Not every fertility journey begins in a clinic. At-home intracervical insemination (ICI) is a lower-cost, private option that suits patients with no known fertility diagnosis — including single parents by choice, same-sex couples, and people who want to try a few cycles before committing to clinical treatment.
At-home insemination kits like those from MakeAMom come with step-by-step instructions designed for donor or partner sperm. Kits are a one-time purchase that can be reused until conception succeeds, require no clinic visit, and arrive in plain, discreet packaging. Many patients use them as a first step while working toward a fertility consultation — or alongside ovulation tracking while they wait for an appointment slot.
If you have a known fertility diagnosis, have been trying for 12 months without success (six months if you're over 35), or your physician has already recommended IUI or IVF, a board-certified reproductive endocrinologist is the right next step.
Insurance and Financing
Washington State does not have a state-mandated infertility insurance benefit. However, Seattle's concentration of large technology and biotech employers — including Amazon, Microsoft, Boeing, Starbucks, and numerous startups — means that employer-sponsored fertility benefits are relatively common compared to national averages. Many patients at PNW Fertility arrive with some level of employer fertility coverage, though the extent varies widely by company and plan.
For patients without employer fertility benefits, out-of-pocket IVF costs in Seattle typically range from $13,000–$18,000 per fresh retrieval cycle, with medication costs of $3,000–$6,000 additional. PNW Fertility can assist with financial counseling, insurance verification, and referrals to healthcare financing programs. Patients are encouraged to thoroughly review their plan's benefits before beginning treatment and to consult with the clinic's financial team about bundled pricing or multi-cycle arrangements where available.
Frequently Asked Questions
Is PNW Fertility the right clinic for same-sex male couples needing egg donation and gestational carrier services? Yes. Pacific Northwest Fertility has experience coordinating third-party reproduction pathways for same-sex male couples, including egg donation and gestational carrier (surrogacy) arrangements. The practice can assist with the medical coordination — selecting donors, synchronizing cycles, performing embryo creation, and preparing the carrier — while working alongside reproductive law attorneys for the legal components of the arrangement.
Does the clinic offer telehealth or remote monitoring options? Many Seattle-area fertility clinics have developed telehealth consultation capabilities, and some monitoring can be arranged with local OB/GYN providers for patients in outlying areas. Patients in the San Juan Islands, Olympic Peninsula, or other remote Washington communities should inquire about remote monitoring coordination when scheduling their initial consultation.
What is the First Hill neighborhood like for medical appointments? First Hill is a dense urban neighborhood with several major hospital campuses, medical office buildings, and transit access. Parking is available in nearby garages, though it can be expensive; the First Hill Streetcar and multiple bus routes provide alternatives. The neighborhood is generally safe and well-trafficked during business hours, with coffee shops and food options nearby for patients who need to wait before or after appointments.
How does Seattle's tech industry affect fertility care access? Many major Seattle-area tech employers have added fertility benefits in recent years as part of competitive compensation packages. Amazon, for example, has offered fertility coverage including IVF cycles and egg freezing for qualifying employees. Microsoft and other major employers have similar programs. For patients at these companies, the out-of-pocket burden of fertility treatment may be substantially lower than the sticker price suggests. Confirm your specific coverage with HR before assuming anything.