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Washington, D.C. Newsroom, Aug 26, 2025 / 09:00 am (CNA).

President Donald Trump’s administration has started to incorporate some elements of pro-life reproductive health care into its policy goals, which pro-life advocates argue are alternatives to in vitro fertilization (IVF) procedures meant to address fertility problems.

So far the inclusion of these efforts has been limited and the president has remained consistent in supporting IVF as the major solution to fertility issues. Yet some Catholics and others in the pro-life movement have been urging these alternative approaches amid ethical concerns surrounding IVF, such as the millions of human embryos killed through the procedure.

Life-affirming options tend to focus on curing the root causes of infertility. This health care, which many practitioners call “restorative reproductive medicine,” can include charting one’s menstrual cycle, lifestyle and diet changes, and diagnosing and treating underlying conditions that lead to fertility struggles.

The Department of Health and Human Services (HHS) is currently considering grant applicants for an “infertility training center,” which is the most concrete plan to date to incorporate pro-life fertility care options within the administration’s policy goals.

The potential $1.5 million grant would use federal Title X family planning funds to help the recipient “educate on the root causes of infertility and the broad range of holistic infertility treatments and referrals available.” The money would also help “expand and enhance root cause infertility testing, treatments, and referrals.”

When reached for comment, an HHS spokesperson told CNA the agency could not comment on “potential or future policy decisions.”

Restorative reproductive medicine was also discussed at a recent event hosted by the MAHA Institute, named after HHS Secretary Robert F. Kennedy Jr.’s “Make America Healthy Again” slogan. The institute is run by Del Bigtree, who is Kennedy’s former communications director.

“Traditional women’s health and fertility care has relied heavily on Big Pharma Band-Aids and workarounds that circumvent a woman’s reproductive system rather than working in harmony with it and doing the work of deeper investigation to find and treat underlying causes of infertility,” Maureen Ferguson, a commissioner on the Commission on International Religious Freedom, said at the event.

Ferguson introduced a roundtable of doctors who practice restorative reproductive medicine.

“Restorative reproductive medicine is effective, affordable, it leads to healthier moms and babies, and it’s far preferred by couples, most of whom wish to conceive naturally,” Ferguson said.

Reproductive medicine policy opportunities

Emma Waters, a policy analyst at the conservative Heritage Foundation, told CNA there are several ways the government can promote restorative reproductive medicine.

“This needs to be a project that both states and the federal government prioritize,” she said.

Waters said current insurance coding “doesn’t account for the kinds of care that [restorative reproductive medicine] is offering” or “doesn’t cover each step.”

She noted that insurance will often cover surgeries to fix endometriosis, which often causes infertility, but will not cover the initial exploratory surgery needed to properly diagnose the condition.

She said this could be improved with broader coverage or a restorative reproductive medicine “bundle package for care,” similar to an OB-GYN bundle package for when a woman is pregnant, to “simplify the billing process.”

Additional policy options, Waters noted, include grant funding for research and training. 

Restorative reproductive medicine “is aiming to ensure that that man and woman’s body is the healthiest it can be for the pregnancy journey,” she said.

Waters noted that this health care “recognizes that infertility is not a disease but is a symptom of underlying conditions.” As opposed to IVF, restorative reproductive medicine focuses on “the root, rather than bypassing the body,” and helps ensure the body is healthy enough to “sustain that embryo through pregnancy and a live birth.”

Theresa Notare, who serves as the assistant director of the natural family planning program at the U.S. Conference of Catholic Bishops, told CNA restorative reproductive medicine is often practiced in a way consistent with Catholic Church teaching, such as natural procreative technology and fertility education and medical management.

“You’re trying to basically healthfully address whatever problem a patient is having and you’re trying to restore them to the balance that they should have … to naturally conceive,” she said.

IVF alternatively violates Church teaching because it destroys human embryos and because “conception would be taking place outside of the marital embrace,” Notare said. 

She said marriage is a covenant in which “the man and the women are coming together in this one-flesh union.”

“That communion of persons — that environment — is where the Lord God gave husband and wife stewardship over the power of life and love,” Notare said.

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