Seattle Reproductive Medicine (SRM) is one of the Pacific Northwest's largest and most established fertility practices, headquartered at 1505 Westlake Ave. N., Suite 400, in Seattle, Washington. Founded by reproductive endocrinologists who trained at the University of Washington — long one of the nation's preeminent academic programs for reproductive medicine — SRM has grown from a single-site practice into a multi-location network spanning greater Seattle, Bellevue, Kirkland, Tacoma, Everett, and Spokane, with six clinic sites serving patients across western Washington and beyond. The practice has helped bring more than 12,000 babies into the world and fields a team of fourteen board-certified physicians alongside twelve advanced registered nurse practitioners. In 2022, SRM joined Pinnacle Fertility, the nation's fastest-growing physician-centric family-building platform, a partnership that expanded access to technology infrastructure and national clinical resources while the founding physician team retained clinical leadership. For patients comparing fertility clinics in Washington, SRM stands out for its depth of subspecialty expertise, in-house ancillary services, and decades-long presence in the Seattle market.
Physicians and Clinical Team
SRM's physician roster comprises fellowship-trained reproductive endocrinologists and infertility specialists, each board-certified in obstetrics and gynecology and reproductive endocrinology and infertility (REI).
Nancy A. Klein, MD — One of SRM's founding physicians, Dr. Klein trained in reproductive endocrinology at the University of Washington and co-built the academic and clinical foundation on which the practice rests. Her decades of leadership in Pacific Northwest fertility medicine helped establish SRM as the region's benchmark REI practice. Dr. Brenda Houmard completed her own REI fellowship under Dr. Klein and founding partner Dr. Michael Soules at UW, a lineage of mentorship that has distinguished SRM's training culture.
Paul S. Dudley, MD — A founding physician and long-tenured partner, Dr. Dudley is board-certified in OB/GYN and REI and has cared for Pacific Northwest fertility patients for more than two decades. His clinical focus encompasses all assisted reproductive technologies, with particular depth in IVF, recurrent pregnancy loss, and complex infertility diagnoses.
Brenda S. Houmard, MD, PhD — Dr. Houmard holds dual qualifications as a physician and research scientist, earning both her MD and PhD before completing her REI fellowship at the University of Washington under SRM founders. She is board-certified in OB/GYN and REI and has contributed to published research in reproductive biology. Her combined laboratory science background and clinical training make her a particularly strong resource for patients with complex or unexplained infertility.
Gerard S. Letterie, DO — Board-certified in reproductive endocrinology, Dr. Letterie completed his REI fellowship at the National Institutes of Health (NIH) in Bethesda, Maryland — one of the most selective research training environments in the country. His clinical interests include advanced reproductive surgery and the management of uterine and tubal factor infertility.
Paul C. Lin, MD — Medical Director of the Pinnacle Fertility WA clinical program, Dr. Lin completed his REI fellowship at the University of Louisville School of Medicine. He oversees clinical operations and quality initiatives across the network's Washington locations.
Anna Vanderhoff, MD — Dr. Vanderhoff earned her undergraduate degree in Human Biology from Stanford University and her medical degree from the University of Washington. She completed her OB/GYN residency at Brigham and Women's Hospital and Massachusetts General Hospital, then returned for a fellowship in Reproductive Endocrinology and Infertility at Brigham and Women's Hospital. Her training bridges the Pacific Northwest's academic tradition with the clinical rigor of Harvard-affiliated programs.
Erik C. Mazur, MD — Board-certified in OB/GYN and REI, Dr. Mazur received his medical degree in Houston, completed a residency in obstetrics and gynecology, and earned a Master of Science alongside his REI fellowship. His research interests center on progesterone receptor signaling and uterine receptivity, with a particular clinical focus on reproductive aging and fertility preservation.
Amanda Hurliman, MD — Dr. Hurliman trained at Oregon Health and Science University (OHSU) in Portland and completed her REI fellowship at the University of Vermont. She brings more than a decade of experience in fertility medicine to SRM, including prior service as Medical Director at ORM Fertility. She serves patients at both the Seattle and Bellevue locations and has been recognized as a Top Doctor in the Pacific Northwest since 2015. Her clinical emphases include egg donation, egg freezing, and personalized fertility care for individuals and couples.
The physician team is supported by twelve advanced registered nurse practitioners, a dedicated nursing and medical assistant staff, and an in-house team of embryologists, genetic counselors, psychologists, and acupuncturists — allowing SRM to provide more than 90% of its services without external referrals.
Services and Treatments
SRM offers a comprehensive menu of fertility diagnostics and assisted reproductive technologies under one organizational roof:
- Initial fertility evaluation and diagnostic workup
- In Vitro Fertilization (IVF), including conventional, mini-IVF, and natural-cycle approaches
- Intrauterine Insemination (IUI) with partner or donor sperm
- Egg freezing and elective fertility preservation
- Oncofertility — fertility preservation for cancer patients before gonadotoxic treatment
- Embryo freezing and frozen embryo transfer (FET)
- Preimplantation Genetic Testing — aneuploidy (PGT-A) and monogenic/chromosomal rearrangements (PGT-M / PGT-SR)
- Donor egg program (fresh and frozen donor cycles)
- Donor sperm coordination
- Gestational surrogacy coordination and third-party reproduction support
- LGBTQ+ family building, including reciprocal IVF and known-donor insemination
- Male infertility evaluation and treatment, including two on-site reproductive urologists
- Fertility-enhancing laparoscopic and hysteroscopic surgery
- Endometriosis diagnosis and surgical management
- Polycystic ovary syndrome (PCOS) management
- Recurrent pregnancy loss evaluation and treatment
- Tubal reversal and vasectomy reversal surgery
- Reproductive aging assessment and ovarian reserve testing
- In-house acupuncture, psychological counseling, and infertility support groups
- In-house genetics consultation
- In-house diagnostic imaging and andrology laboratory
Laboratory and Success Rates
SRM operates an accredited embryology laboratory supporting all six Washington locations. The lab performs fertilization, embryo culture, vitrification (rapid egg and embryo freezing), embryo biopsy for preimplantation genetic testing, and cryopreservation for long-term storage. SRM's emphasis on in-house genetic testing reflects its high volume of PGT cycles — a feature noted in SART clinic commentary, which acknowledges that the practice performs a significant number of preimplantation genetic screening and diagnosis cycles. Because PGT cycles selectively transfer chromosomally normal embryos, this practice pattern can influence reported live birth rates and should be factored into any clinic-to-clinic comparison.
According to 2023 SART data reported under the Pinnacle Fertility WA program, the practice completed 5,859 total cycles — one of the highest cycle volumes in Washington state. Live birth rates using a patient's own eggs across all transfer types were 52.2% for patients under 35, 42.4% for patients 35–37, 26.4% for patients 38–40, and 13.7% for patients 41–42. These figures compare favorably with national averages for high-volume programs, particularly in the under-35 and 35–37 cohorts. Medical Director Paul Lin, MD notes that the clinic serves a patient population in which insurance coverage for IVF remains inconsistent, meaning many patients arrive having already attempted less-intensive therapies — context that affects case-mix complexity. Patients seeking the most current, comparable outcome data should consult the CDC ART National Summary Report and SRM's clinic profile on the SART website for year-by-year detail.
Patient Experience
SRM has built its patient reputation around accessibility, clinical depth, and the convenience of keeping nearly all fertility care within a single practice ecosystem. The ability to see a genetic counselor, psychologist, acupuncturist, and reproductive urologist in the same network — without managing external referrals — is consistently cited as a differentiator, particularly for patients navigating multi-year fertility journeys involving male factor infertility, recurrent loss, or complex surgical history. The practice's six Washington locations mean that most greater Seattle-area residents can access satellite monitoring closer to home and reserve Seattle or Bellevue visits for procedures.
Patient feedback highlights the clinical competence and communication style of the individual physicians, especially for patients who feel their diagnosis requires specialist-level attention rather than a protocol-driven approach. For patients seeking treatment using donor eggs or gestational carriers, SRM's established third-party program and in-house coordination resources reduce the logistical complexity of multi-party arrangements.
As with any high-volume program, some patients note that administrative responsiveness and financial coordination can vary. Prospective patients are advised to clarify billing expectations and insurance verification timelines early in the intake process. Patients who qualify for time-sensitive cycles — whether due to fertility preservation before a medical treatment or a narrow ovarian reserve window — should communicate urgency at first contact to ensure appropriate scheduling priority.
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 enacted one of the more comprehensive fertility insurance mandates in the country, effective for health plans issued or renewed on or after January 1, 2024. The law requires fully insured health plans to cover the diagnosis of infertility, treatment for infertility, and standard fertility preservation services. Covered treatments include fertility testing, medication, surgery, IUI, and IVF, with plans required to cover up to four completed oocyte retrievals with unlimited embryo transfers. The mandate applies to fully insured employer plans regulated by Washington state; self-insured (ERISA) plans governed by federal law are exempt, meaning coverage still varies by employer.
SRM's billing team assists patients with insurance verification, benefits review, and prior authorization coordination. For patients whose plans do not include fertility coverage, or whose benefits have been exhausted, the clinic offers financial counseling on out-of-pocket IVF cycle costs — which in the Seattle market typically range from $12,000 to $18,000 per cycle inclusive of monitoring, retrieval, and single embryo transfer, with PGT-A and frozen embryo transfers billed separately. Financing options, including multi-cycle packages and third-party medical financing through programs compatible with the broader Pinnacle Fertility network, are available for qualifying patients. Understanding your IVF treatment cost structure before the initial consultation allows financial coordinators to present the most relevant package options and insurance maximization strategies.
Frequently Asked Questions
Which Seattle Reproductive Medicine location should I contact first? Most new patients begin at the Seattle flagship at 1505 Westlake Ave. N., Suite 400, which houses the broadest concentration of physician and ancillary services including reproductive urology, genetics, and psychology. Patients in the Eastside corridor frequently prefer the Bellevue location for initial consultations. When calling, ask which location offers the earliest available appointment with a physician whose subspecialty matches your primary diagnosis — SRM's multi-site model allows some scheduling flexibility.
Does SRM treat male infertility, and do I need a separate urology referral? SRM employs two reproductive urologists in-house, which distinguishes it from most fertility practices that refer male factor cases to outside urology groups. Couples where the male partner has known or suspected sperm abnormalities — including low count, poor motility, or prior vasectomy — can receive evaluation and treatment within the SRM network. This coordination is particularly useful for couples pursuing surgical sperm retrieval combined with IVF and ICSI.
How does Washington's 2024 fertility insurance mandate affect my coverage at SRM? If your employer uses a fully insured health plan issued or renewed in Washington on or after January 1, 2024, your plan is likely required to cover IVF and related infertility treatments under state law. SRM's financial team can verify your specific benefits, confirm prior authorization requirements, and identify whether your plan qualifies under the state mandate. Self-insured employer plans — common at large national corporations — are regulated federally and may not carry the same mandate requirements.
Can I freeze my eggs at SRM if I am not currently trying to conceive? Yes. SRM offers elective egg freezing for patients who wish to preserve fertility for personal or medical reasons. The program includes an ovarian reserve assessment, ovarian stimulation, egg retrieval, and vitrification for long-term cryopreservation. Oncofertility consultations — for patients facing cancer treatment that may affect fertility — are prioritized for rapid scheduling. SRM physicians have noted successful pregnancies achieved from eggs stored for over a decade.