The most important phase of pregnancy happens before conception—and no one's talking about it. You're ready to start your family. You want to do everything right. But where do you even begin? There is a golden window of opportunity, one that is often overlooked but more important than ever: the months before conception, when your body, hormones, nervous system, and environment are quietly laying the foundation for pregnancy. Pretrimester is that missing chapter in women's health. After a decade-long battle with unexplained infertility, endometriosis, multiple surgeries, IVF cycles, and pregnancy loss, Dr. Laura Costello—a Doctor of Physical Therapy and women's health specialist—transformed her pain into purpose. She discovered what was missing from her own journey: a comprehensive, science-backed approach to preparing the body before trying to conceive. Now, through her Pretrimester Framework, Dr. Costello shares the knowledge she wishes she'd had—blending cutting-edge research with holistic wellness to help women take control of their fertility journey from the start. Inside, you'll discover how to: Feel more energized and balanced through hormone-supporting nutrition and nervous system care—no restrictive diets required - Identify your true fertile window and time conception with confidence - Create a safer home environment with simple, sustainable swaps that support fertility - Strengthen your foundation for conception by healing your gut and optimizing metabolism - Navigate PCOS, endometriosis, and other fertility challenges with evidence-based strategies - Reduce the hidden impact of stress and emotional overwhelm on your ability to conceive - Strengthen your partnership through better communication, healthy boundaries, and self-advocacy - Support male fertility with evidence-based strategies to optimize sperm quality and conception outcomes - Process grief, loss, and unmet expectations with self-compassion and hope - Step into motherhood feeling prepared and confident in who you're becoming This isn't about perfection—it's about preparation. Written by someone who's walked this path and emerged with both medical expertise and hard-won wisdom, Pretrimester empowers you with the knowledge and tools to make these months count. You’ll finish feeling informed, grounded, and deeply connected to your body—ready to conceive from a place of strength and intention. Your fertility journey doesn't begin with a pregnancy test. It starts here—with the Pretrimester .