About
An HSG here, an IUI there, an endometrial biopsy, a mock transfer, an ultrasound between cases: the procedural side of a fertility workup at Duke Fertility Center runs through clinicians like Alyssa Houck, PA-C, MPAS, a physician assistant in obstetrics and gynecology who performs most of those procedures herself and assists in the operating room for egg retrievals and hysteroscopic surgeries.
She earned her master’s in physician assistant studies at Towson University in 2018 and is certified by the National Commission on Certification of Physician Assistants. Duke Health patients rate her 4.72 out of 5 across 119 ratings, and she is accepting new patients — a genuinely useful fact at a busy academic center where openings can be scarce.
Her stated philosophy is the opposite of protocol-first medicine: “Gaining your trust is important to me because I know you are opening up and discussing sensitive topics that are not necessarily easy to put into words,” she writes. “Together, we can navigate what approach is best for you as an individual. One size does not always fit all.” She welcomes single patients and couples of every sexual orientation and identity, and says she walks each patient through what is happening at every step.
Clinical Expertise
- IUI (intrauterine insemination): Performs the procedure and builds the surrounding plan with each patient — Duke’s published self-pay range for monitored IUI runs $1,700 to $2,300 depending on partner or donor sperm
- HSG (hysterosalpingogram): In-clinic tubal patency testing, $478 to $800 self-pay at Duke’s published rates
- IVF cycle preparation: Endometrial biopsies and mock embryo transfers — the rehearsal pass that makes the actual transfer smoother
- Ultrasound: Transvaginal scans, saline sonograms and early obstetric ultrasounds
- Surgical support: Assists at egg retrievals and hysteroscopic procedures
Why Choose Alyssa Houck, PA-C
One clinician for many of your visits. Testing, procedures and monitoring often bounce between staff at larger clinics; Houck performs the HSG, the IUI, the biopsy and the ultrasound herself, so the same person knows your anatomy and your history.
An availability signal that matters. Accepting new patients with a 4.72 rating from 119 reviews is the kind of practical fact most fertility clinics don’t put on a physician’s front page.
Explicitly affirming care. Duke Health flags her as LGBTQ+ identified or an ally, and her own statement welcomes singles and couples of all orientations and identities — relevant for patients who have had to explain themselves at other offices.
She likes the procedures, and says so. “I really like fertility medicine because I love the procedures I perform,” she writes — and adds what patients are really after: “The most rewarding experience is to see you smile with a pregnancy on the ultrasound screen.”
Professional Affiliations
Houck is a Duke Health clinician certified by the National Commission on Certification of Physician Assistants (PA-C), with an MS in Physician Assistant Studies from Towson University (2018). She practices at Duke Fertility Center in Morrisville, a member clinic of the Society for Assisted Reproductive Technology with a CAP-accredited laboratory and a designated LGBTQ+ affirming care team.
Suitable For
- Patients whose workup is mostly procedures: HSG, sonograms, biopsy and IUI all happen with her directly
- IUI treatment cycles: From monitored partner-sperm to donor-sperm cycles, at published self-pay prices
- Couples rehearsing for an IVF transfer: Mock transfers and endometrial biopsies are cycle-prep work she performs
- LGBTQ+ patients and single parents-by-plan: An affirming-care clinician who takes all orientations and identities as a starting point, not an accommodation