Maureen Schulte Fertility Doc

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Maureen Schulte Fertility Doc Reproductive Endocrinology & Infertility Doctor
Passionate about building families and providing pe

This one is personal. 🤍 My husband and I went through our own miscarriages together, years ago now. One thing I've carri...
10/13/2026

This one is personal. 🤍

My husband and I went through our own miscarriages together, years ago now. One thing I've carried from that experience into how I practice: I make a point of checking in on male partners specifically, not just the patient carrying the pregnancy.

I didn't always know how to do that well. Looking back, I wish I'd met my own husband where he actually was, emotionally, instead of assuming I already knew.

Grief after a loss doesn't move in a straight line, and it doesn't move the same way for both partners. If you're in it right now — either of you — you're not alone, and this is not your fault.

If you need to sit with this post for a minute before scrolling on, that's allowed too.

People ask me how STL Fertility got started, and it's one of my favorite stories to tell. 🤍 Dr. Dayal and I began this p...
10/06/2026

People ask me how STL Fertility got started, and it's one of my favorite stories to tell. 🤍

Dr. Dayal and I began this practice together, with a shared vision: a place where physicians who see patients every day are the ones shaping how care is delivered, always with the patient's best interest at heart.

I call myself an “owning partner,” and it's a role I'm really proud of. Because we're physician-owned, the people caring for you are also the people who help guide the practice.

It started with the two of us. Today there are four double board-certified physicians and a wonderful team of NPs, and medicine truly is a team sport here. Complex cases are talked through together, so you benefit from more than one perspective before you ever hear a plan.

I'm so grateful to have built this alongside Dr. Dayal, and to be part of a team I admire so much.

Drop your questions below if you're curious what this looks like behind the scenes — I'd love to answer them.

Our family is here to help build yours. 🤍



Ovulation tracking questions come up in almost every consult, so let's simplify it. 📅 Here's what actually matters, roug...
09/29/2026

Ovulation tracking questions come up in almost every consult, so let's simplify it. 📅

Here's what actually matters, roughly in order of reliability:

1️⃣ Bloodwork and ultrasound monitoring (what we do here) — the most accurate way to confirm ovulation and timing

2️⃣ OPKs (ovulation predictor kits) — detect the LH surge; a solid at-home option, but can be thrown off by PMOS (formerly PCOS) or irregular cycles

3️⃣ Basal body temperature — confirms ovulation happened after the fact, useful for pattern-spotting over months, not same-cycle timing and can be inaccurate

4️⃣ Cervical mucus changes — a free, low-tech data point, best used alongside the others, not alone

None of these need to be perfect. You don't need three coordinated tracking apps and a spreadsheet to try to conceive. Pick what feels sustainable for you and know that if your cycles are irregular or the picture isn't clear, that's exactly what we're here to sort out together.

You don't have to figure this out alone.

Save this for your next cycle. 📌

'Have you tried just relaxing?' If you've heard this once during your fertility journey, you've probably heard it fifty ...
09/22/2026

'Have you tried just relaxing?'

If you've heard this once during your fertility journey, you've probably heard it fifty times. I want to address it directly, because I think it does real harm.

Here's the truth: stress does not cause infertility. The medical evidence does not support 'just relax and it'll happen' as a fertility treatment. Underlying causes — ovulation disorders, tubal factors, male factor, endometriosis, PMOS (formerly PCOS), and many others — exist whether you're relaxed or not.

What stress does do is make an already hard experience harder. And then, on top of that, well-meaning people tell you your stress is the problem, which adds guilt to a situation that already has plenty.

If you're in the middle of this, I want you to hear it plainly: this is not your fault. Not your stress level, not your job, not that vacation you didn't take.

Come to us for an actual evaluation. That's where the real answers are.

Tag a friend who needs to hear this today. 🤍

The two week wait might be the longest 14 days of your life. 🕰️ I hear this from patients constantly — the waiting is so...
09/16/2026

The two week wait might be the longest 14 days of your life. 🕰️

I hear this from patients constantly — the waiting is somehow harder than the treatment itself. Your mind runs through every twinge, every symptom (or lack of one), trying to read tea leaves your body isn't actually writing.

Here's what I tell my own patients: you cannot symptom-spot your way to an answer. Early pregnancy symptoms and PMS symptoms overlap almost completely, because they're driven by the same hormone — progesterone. Your body isn't giving you a secret signal either way.

What actually helps during this stretch? Keep your normal routine as much as you can. Move your body if that's usually part of your life. Let people support you, even if support just means someone to sit with you. And give yourself permission to not be okay every single day of it.

You are not alone in this wait. Our team is holding it with you, even when you can't see us doing it.

Save this 📌 for the next TWW. Tag a friend who's in it right now.

Our family is here to help you build yours.

What a special evening at the WashU Medicine OBGYN Dr. D. Michael Nelson Alumni Society Annual Members’ Dinner! D Michae...
09/16/2026

What a special evening at the WashU Medicine OBGYN Dr. D. Michael Nelson Alumni Society Annual Members’ Dinner! D Michael Nelson and Patti Sasse in one room?!!! YES PLEASE!

We loved reconnecting with old friends and colleagues and hearing our esteemed teacher and mentor, Dr. Michael Nelson, reflect on his remarkable 50-year journey through academic medicine. We are deeply grateful for his lasting influence on generations of physicians, including all of us at STL Fertility.

Although STL Fertility is a physician-owned private practice, academic medicine and medical education remain incredibly important to us. We are proud to continue contributing to the education of residents from local residency programs, as well as working with medical students as they begin their own journeys in medicine.

It was an inspiring evening filled with friendship, shared memories, and appreciation for the teachers who shaped us—and for the privilege of helping educate the next generation of physicians. ❤️

“I have PCOS. Am I going to be able to get pregnant?” I have heard some version of this question from so many patients o...
09/08/2026

“I have PCOS. Am I going to be able to get pregnant?”

I have heard some version of this question from so many patients over the years. And before we talk about labs or medications or treatment, I want you to hear this first:

A PCOS — now PMOS — diagnosis is not a verdict on your ability to build a family. 💙

PMOS can make getting pregnant harder, often because ovulation is irregular or isn’t happening consistently. But harder does not mean impossible — and having PMOS does not automatically mean you need IVF.

Where we start depends on you.

Are you ovulating? How old are you? What does your ovarian reserve look like? Are your fallopian tubes open? What does the semen analysis show? How long have you been trying? What are your goals?

Sometimes we begin by helping you ovulate more predictably. Sometimes IUI makes sense. Sometimes there are reasons to move to IVF sooner.

There is no “PMOS fertility protocol” I pull off a shelf and hand to every patient.

There is your plan.

And please don't spend hours Googling your diagnosis and decide what your future looks like before we've even had the chance to look at your individual situation together.

PMOS is common. We understand it better than we ever have. And we have very good tools for helping patients with PMOS build families.

Your diagnosis gives us information.

It does not get to write the ending of your story. 💙

PCOS — officially renamed PMOS (Polyendocrine Metabolic Ovarian Syndrome) this year through a global consensus process b...
09/01/2026

PCOS — officially renamed PMOS (Polyendocrine Metabolic Ovarian Syndrome) this year through a global consensus process backed by ASRM and dozens of other patient and medical organizations — is one of the most common and most treatable causes of infertility we see.

The new name isn't just a relabel: "polycystic" made it sound like the core problem was ovarian cysts. It isn't. What shows up on ultrasound isn't a true cyst at all — it's arrested follicles — and this condition is really a broader hormonal and metabolic picture, not just an o***y issue.

All next month, our whole team is going deep on it: the current diagnostic criteria, the real treatment ladder, the metabolic and mental-health pieces that don't get talked about enough. You'll see us use both PCOS and PMOS for now — we're in a three-year transition period, so both terms are still in circulation.

But I didn't want to wait until September 1st to say the most important part out loud: a PMOS (PCOS) diagnosis is not a verdict on your ability to build a family.

Tag a friend who needs to hear this before September starts. 📌

Not every hard day in this process comes from a bad result. Some of the heaviest days are the ordinary ones — another ba...
08/18/2026

Not every hard day in this process comes from a bad result. Some of the heaviest days are the ordinary ones — another baby shower invitation, another month of not knowing, another version of “just relax and it’ll happen.” I remember those days from my own journey more than I remember any single hard appointment. 💙

This kind of grief doesn’t get acknowledged as often, because there’s no single moment that explains it to the people around you. It’s cumulative. It’s the weight of still being in it, with no guaranteed date when it ends.

Something I tell patients: give yourself an actual window to feel it — a weekend, an evening, whatever you can carve out — and let yourself fully feel it, cry, be upset, whatever that looks like for you. Then pick a date, even a small one, to gather yourself and think about what's next. Sitting in it first isn't a delay. It's necessary.

And if you have a partner, ask them how they're carrying this too — grief in this process doesn't always land on both people the same way or at the same time, and it's easy for one partner's experience to get less attention than the other's.

If you're technically “still trying” and still functioning and still showing up to work and still smiling in photos — you're allowed to also be exhausted by all of it. Both things are true at once, and neither one cancels the other out. You are not alone in this, and you are not behind.

Our family is here to help you build yours. 💙



Save this. 📌 One of the most common questions I get before a patient even starts: “How many rounds will this take?” I wi...
08/11/2026

Save this. 📌 One of the most common questions I get before a patient even starts: “How many rounds will this take?” I wish I could give you a single number. I can’t — but I can tell you how to think about it, and I remember wanting exactly this answer myself. 💙

Age, diagnosis, and ovarian reserve all shift the realistic range, and cumulative live birth rates — the chance across multiple cycles, not just one — tend to look more encouraging than any single cycle's odds in isolation. That's part of why we build a plan for your likely path, not just your next appointment.

What I can promise: I’ll tell you your actual, personalized numbers — not a national average that may not reflect your situation — and I’ll revisit that plan with you after every cycle, not just the first one.

I really do believe human connection is medicine here, not just a nice phrase — the plan matters, but so does having someone who actually knows you revisiting it with you each time.



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St. Louis County, MO
63141

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+13149839000

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