Find the cause. Restore the body.
Years of appointments. Still no answer.
You know this map.
You described the pain, the cycles that made no sense, the pregnancies that didn't come or didn't stay, and heard it was normal.
Tests came back fine. Your body said otherwise.
You were handed a prescription to quiet the symptoms, and the search for why never started.
For years, you were talked over and left on your own.
- “It’s normal.”
- “Just take the pill.”
- “Your tests are normal.”
- “Lose weight.”
- “It’s all in your head.”
- “Come back when you want kids.”
- Labeled drug-seeking.
- “Unexplained.”
- Years later, still searching for why.
NAVIGATE is built around what you've been asking for.
A clinician who listens to the whole story and believes you.
A workup that looks for what’s actually wrong: your charted cycle read as real diagnostic information, with tests timed to it.
Treatment aimed at the cause, with the whole person in view.
A trained care navigator who coordinates the steps with you, so you no longer carry them alone.
What care on these pathways aims to include
Member clinicians practice independently. NAVIGATE's pathways and training encourage care that:
- Starts with a full history, including commonly skipped symptoms: bowel changes, pain with sex, family history.
- Asks about your cycle and treats your charts, apps and symptom diaries as clinical information.
- Times blood work and ultrasounds to your cycle, because hormone levels shift across the month.
- Explains, in plain words, what the pattern may point to and what testing could confirm it.
- Lays out your options, and eases pain now while the search for the cause continues.
- Puts the plan in writing, including next steps and when they happen.
- Uses your cycle over time to track how well treatment is working.
Which of these sounds like you?
Five situations, and what the model of care is designed to look for in each.
Pain that scans don't explain
Pain with periods, sex or bowel movements, and a scan called clear. Endometriosis and adenomyosis can be missed on imaging, so the model of care is designed to weigh your symptoms as heavily as the scan.
Irregular or missing periods, and being told to lose weight
Late or missing periods, and weight offered as the whole explanation. The model of care is designed to check insulin, androgens and thyroid, and to look for PCOS, now also called PMOS (polyendocrine metabolic ovarian syndrome).
Every test normal, and no explanation
Losses, a pregnancy that hasn't come, or symptoms with no name, and every result back normal. The model of care is designed to keep looking past “unexplained,” starting with your cycle and, when pregnancy is part of the picture, both partners.
Mood that follows your cycle
Two good weeks, then two hard ones, month after month, and no one asked about your cycle. The model of care is designed to read your mood log against your cycle, because the timing is the clue.
If you're in crisis, call or text 988 to reach the 988 Suicide and Crisis Lifeline (US), any time, day or night.
Read the researchSymptoms no one has taken seriously
Heavy bleeding, exhaustion or pain, blamed on stress, anxiety or your age. The model of care is designed to start with a careful history and tests chosen for your symptoms.
From her first question to a measured outcome
Eight stops, in order. Each one is a letter of the name.
Network
Six funded pilot sites join one line Next stopA national network of restorative clinics, surgeons, researchers and educators, convened by the Foundation.
6funded pilot sites across five regionsAssessment
Testing timed to her own cycle Stop 2 of 8Cycle charting as a diagnostic tool, read the way a clinician reads an ECG, with laboratory and ultrasound testing timed to the patient's own cycle.
Diagnosis from the patient's own cycleValidation
Three or more shared pathways, published by Month 9 Stop 3 of 8Standardized root-cause pathways, written with the pilot sites and published openly, so a woman receives the same rigorous workup at any member site.
3+pathways published by Month 9Innovation
The pathway runs through the record itself Stop 4 of 8The pathways encoded into the medical record itself, timed to the patient's cycle, with outcomes captured once as part of ordinary care.
Cycle-timed EMR templatesGuidance
One hundred clinicians trained by Month 18 Stop 5 of 8Competency-based training that gives a whole care team one shared clinical language.
100clinicians trained by Month 18Access
Member telehealth licenses cover all 50 states, DC and the US Virgin Islands Stop 6 of 8Patients in the network are meant to be offered a trained human navigator, who supports them between visits and teaches them about their own cycles.
50states covered by member telehealth licenses, plus DC and the USVITreatment
Medical and surgical tracks meet at the root cause Stop 7 of 8Medical and surgical care directed at the underlying condition, treated at its root rather than managed indefinitely.
Root-cause care, medical and surgicalEvaluation
The evaluator rides outside the Consortium Stop 8 of 8An evaluator from outside the Consortium studies results across every site. The people delivering the model do not grade it.
Independent, published, free to adopt
Network for Assessment, Validation, Innovation, Guidance, Access, Treatment and Evaluation
End of the line: a measured outcome, studied by an independent evaluator and published for any clinic to adopt.
Between them, member clinicians are licensed in all 50 states
Member clinicians already practice in person across five service regions, and their telehealth licenses together cover all 50 states, DC and the US Virgin Islands, the reach NAVIGATE is meant to build on.
Questions you'll want answered
What will it cost, and will insurance cover it?
Cost and insurance coverage aren't known yet. Both depend on the member sites, and NAVIGATE hasn't named them or opened patient care through this site. Sign up below and you'll hear when that changes.
Is there a clinic near me?
The pilot sites haven't been announced yet. The plan pairs in-person sites in several regions with telehealth, so distance matters less for some parts of care. Sign up below to hear when sites are named and open to NAVIGATE patients.
Can I sign up for care now?
NAVIGATE can't book visits or take patients through this site yet, and no start date is set. Sign up below to hear when member sites open. Meanwhile, the guides above and the research library are free to read, and RRM Academy is building a verified clinician directory.
Do I have to be trying to get pregnant?
Pregnancy plans aren't a requirement. Endometriosis, PCOS / PMOS, and hormone and cycle problems are health conditions in their own right. The model of care is designed to treat them that way, whether or not you ever want children.
Will I just be handed the pill again instead of answers?
NAVIGATE's pathways are designed to start by looking for what's behind your symptoms. They aim treatment at the underlying condition when one is found, and at pain in the meantime. Decisions about your care, including any medication you take now, stay yours.
Are you selling supplements?
NAVIGATE has no store and sells no supplements or products. The shared care pathways and the toolkit will be free for any clinic to use. An independent evaluator from outside the consortium studies the program's results.
Will it come back after treatment?
Some conditions can return, and endometriosis can grow back even after surgery. A plan built on this model is designed to include follow-up after treatment.
What if my tests really are normal?
Normal results rule some things out, and some conditions, endometriosis among them, can be missed on a scan. The model of care is designed to look further, through your cycle and your history. If nothing is found, the plan still treats the symptoms you came in with.
Who pays for NAVIGATE, and who runs it?
An award from the U.S. Department of Health and Human Services, Office on Women's Health, funds NAVIGATE, with a matching share from non-governmental sources. The Restorative Reproductive Medicine Foundation, a 501(c)(3) public charity in Camp Hill, Pennsylvania, leads the program. Member clinics provide the care.
What the next two years aim to change for you
Each step aims to make cause-focused care more consistent across member clinics, and an independent evaluator measures the results.
- Clinics funded to go first
- 6
- Planned across five regions to start using the care guides.
- Care guides anyone can read
- 3+
- How clinicians evaluate and treat a condition. Planned by June 2027.
- Clinicians trained in the guides
- 100
- More clinicians ready to look for the cause. Planned by March 2028.
- States covered by member telehealth licenses
- 50
- Plus DC and the US Virgin Islands, for visits by video.
- September 2026The two-year project begins.
- By June 2027Goal: three or more care guides anyone can read.
- By March 2028Goal: 100 clinicians trained in the care guides.
- September 2028The two-year project ends.
Hear when member sites open
Leave your email and you'll hear when member sites begin taking patients through NAVIGATE.
Bring your practice into the network
Practices that deliver root-cause reproductive care can adopt the shared pathways, contribute outcomes and join the training network, and membership costs nothing.
Join the consortium