Dominion Fertility, located at 5255 Loughboro Rd NW, Washington, DC 20016, is one of the Washington area's most established and respected independent fertility practices. Situated in the Palisades neighborhood of upper Northwest DC — near the Maryland line and easily accessible from the American University area, Chevy Chase, and Bethesda — the practice (dominionfertility.com) has served the Washington metropolitan area for decades. Dominion Fertility's Loughboro Road address is convenient from MacArthur Blvd, River Road, and I-495, drawing patients from DC, Montgomery County, Fairfax County, and Arlington. The practice is listed in the DC fertility clinic directory.
Physicians and Clinical Team
Dominion Fertility was established by Dr. Andrew Toledo, a fellowship-trained reproductive endocrinologist whose career has been devoted to building an independent, patient-centered fertility practice in the Washington area. The Dominion Fertility physician team holds board certification in Reproductive Endocrinology and Infertility and brings decades of accumulated clinical experience across the full spectrum of ART diagnoses and treatments.
The practice's long-standing independence is significant in an era of increasing consolidation among fertility clinics: Dominion Fertility operates as a private practice focused on its patients rather than as part of a private equity-backed network, which can translate into clinical decision-making driven by individual patient needs rather than volume metrics. The physician-patient relationship at Dominion Fertility is built around continuity and sustained engagement with each case.
The clinical team includes experienced fertility nurses, cycle monitoring staff, embryologists, and patient coordinators who provide consistent, responsive communication throughout the treatment process. The practice's size and independence allow for the kind of personalized attention that patients who have felt lost in larger institutional programs often describe as their primary reason for choosing Dominion.
Services and Treatments
- IVF with fresh and frozen embryo transfer
- IUI with partner or donor sperm
- Egg freezing (elective and medical fertility preservation)
- Ovulation induction with monitoring
- Preimplantation genetic testing (PGT-A and PGT-M)
- Donor egg IVF (fresh and frozen)
- Donor sperm coordination
- Recurrent pregnancy loss evaluation
- Male-factor infertility assessment and ICSI
- Gestational surrogacy medical management
- Endometriosis evaluation and fertility management
- LGBTQ+ family-building services
Laboratory and Success Rates
Dominion Fertility operates an in-house embryology laboratory supporting IVF cycle management with blastocyst culture, vitrification, intracytoplasmic sperm injection, and preimplantation genetic testing biopsy. The practice's long operational history means the laboratory team has accumulated extensive experience with the procedures and quality measures that drive consistent outcomes.
Patients should review the most current cycle-level data published by the CDC's ART Surveillance program and the SART Clinic Summary Report. Dominion Fertility has reported data to SART over many years, providing a meaningful longitudinal record of outcomes that patients can evaluate using these tools.
Patient Experience
The Loughboro Rd NW address in DC's Palisades neighborhood is set in a relatively quiet residential area of upper Northwest, far from the congestion of downtown DC and the Dupont or Georgetown corridors. The location is reached most directly via MacArthur Blvd from Georgetown or the Virginia side via the Chain Bridge, and from Maryland via River Road. Parking on-site is generally available without the urban parking friction of downtown DC practices.
Dominion Fertility's patient base includes a significant proportion of Washington's policy, legal, diplomatic, and medical professional communities — patients who tend to be analytically sophisticated, research-oriented, and accustomed to direct, evidence-based communication with their physicians. The practice's communication style has evolved in response to this demand, and the physician-to-patient explanations at Dominion Fertility are typically detailed and contextually rich.
The DC metropolitan area's diversity — across race, ethnicity, religion, national origin, and family structure — is reflected in Dominion Fertility's patient population. The practice has longstanding experience serving LGBTQ+ couples, single parents by choice, international patients on diplomatic visa status, and patients with complex medical and social histories that require flexible, individualized clinical management.
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, DC does not have a comprehensive state fertility insurance mandate comparable to Maryland's or Virginia's varying coverage requirements. Insurance coverage for fertility treatment at Dominion Fertility is plan-dependent. Federal employees may have access to fertility benefits through certain FEHB plans, and many large DC-area private employers — law firms, consulting companies, think tanks, NGOs — include voluntary fertility benefits in their compensation packages.
Dominion Fertility's financial team can assist with insurance verification and prior authorization. The practice's long-standing relationships with insurance plans in the DC-Maryland-Virginia market can expedite the verification process. For patients who are self-pay or underinsured, financing through medical lending programs and payment arrangement options is available.
Frequently Asked Questions
How long has Dominion Fertility been operating in Washington, DC? Dominion Fertility has been an established independent fertility practice in the Washington area for decades, making it one of the longest-standing fertility programs in the region. Its historical continuity provides a meaningful data record for SART outcome evaluation.
Does Dominion Fertility operate as part of a larger network? No. Dominion Fertility operates as an independent private practice. This independence means clinical decisions are made by the physician team without the volume and protocol constraints that can affect network-affiliated programs.
Can patients from Northern Virginia and Maryland use Dominion Fertility? Yes. The Loughboro Rd NW location is accessible from Arlington and Fairfax County via the Chain Bridge, and from Montgomery County via River Road or the American Legion Bridge. Many of Dominion's patients travel from across the DMV region.
Is satellite monitoring available at Dominion Fertility for patients cycling remotely? Contact the practice directly to discuss satellite monitoring arrangements for patients whose primary care is based elsewhere. Dominion has experience coordinating with patients across the DC metropolitan area and beyond.