Podcasts about AMH

For most people, donor eggs is at the bottom of the list. It is not where you wanted to land. And if your clinic is recommending it, something in you is saying there has to be more to look at first. Here is what we see every week. The donor egg recommendation rarely arrives after a complete workup. It arrives after looking at the AMH, the FSH, the follicle count, maybe a basic semen analysis, and maybe being told your TSH is normal. Those numbers are real. The diagnosis is real. What gets called complete is the question. This episode is the 11 specific things we most often find skipped before the recommendation gets made. Pull it up. Take notes. Bring it to your next appointment. The 11 patterns: 1. Thyroid, the full panel, not just TSH 2. The gut, including H. pylori 3. Hidden food sensitivities 4. Medications you are already on that affect fertility 5. The vaginal microbiome 6. The seminal microbiome 7. The male partner's full bloodwork 8. Sperm DNA fragmentation 9. Vaginal and seminal cross-contamination between partners 10. The nervous system and HPA axis 11. Liver function and hormone clearance These are the tests that sit outside the standard fertility workup. A 2024 study in Archives of Gynecology and Obstetrics found that ovarian reserve markers like AMH do not significantly predict natural conception in women with regular cycles. The donor egg recommendation comes from one snapshot, not the full investigation. If this is the first episode you have landed on in this series, go back and listen to "Told Donor Eggs Are Your Only Option? Ask This First," then "How Long Should I Try With My Own Eggs Before Donor Eggs?" then "The Gut Findings Your Clinic Did Not Look For," and "Multiple Failed IVF And Told Donor Eggs?" This episode brings all of it together. WHAT YOUR CLINIC MISSED The companion guide walks through all 11 of these patterns in more detail, so you can take it to your next appointment and ask the questions. Email hello@fabfertile.ca, subject line MISSED, and we will send you the guide. FUNCTIONAL FERTILITY SECOND OPINION A free 45-minute call where I review your labs, your history, and your partner's results with you. You leave knowing what your biology has been telling you and what your next decision could be. Email hello@fabfertile.ca, subject line FERTILE, or book here. ABOUT THE HOST I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over one million downloads. My functional fertility team works with couples navigating low AMH and failed IVF, reviewing functional lab results, gut microbiome, food sensitivity, vaginal microbiome, nutrigenomics, HTMA, DUTCH, toxin testing, and bloodwork alongside nervous system work, to help identify patterns that may not have been considered. We work alongside your medical team, not instead of them. Sarah Clark, founder of Fab Fertile, host of Get Pregnant Naturally (1M+ downloads), and author of Fabulously Fertile. If this episode helped, leave a review on Apple Podcasts. It is how other women find this work. TIMESTAMPS 00:00 The Donor Egg Recommendation and What Gets Called Complete 01:00 Who's Reviewing Your Case at Fab Fertile 02:00 Thyroid: The Full Panel, Not Just TSH 03:00 The Gut and H. pylori 04:00 Hidden Food Sensitivities 05:00 Medications That Affect Fertility 06:30 The Vaginal Microbiome 08:00 The Seminal Microbiome 08:30 The Male Partner's Full Bloodwork 09:00 Sperm DNA Fragmentation 09:30 Cross-Contamination Between Partners 11:00 The Nervous System and HPA Axis 11:30 Liver Function and Hormone Clearance 13:00 The Functional Fertility Second Opinion

Le DPI-A ou diagnostic préimplantatoire pour aneuploïdie n'est pas encore autorisé en France, alors qu'il l'est dans de nombreux pays voisins comme l'Espagne, la Belgique, la Suisse ou le Portugal. De plus en plus de patientes françaises, de couples, se déplacent à l'étranger pour pouvoir y accéder dans le cadre d'une FIV.Dans cet épisode, je vous explique concrètement ce qu'est le DPI-A, comment il se déroule, pour qui il est indiqué, et ce qu'il peut et ne peut pas vous apporter dans votre parcours PMA.

Send us Fan MailFertility advice can be wrong even when the person giving it meant well. In this episode of Taco Bout Fertility Tuesday, Dr. Mark Amols explores how reassurance, incomplete evaluations, and well-intentioned attempts to “save money” can sometimes delay the fertility care patients actually need.This episode looks at the emotional stress patients feel when they realize they may have lost time, the difference between bad intentions and bad outcomes, and why advice like “just keep trying,” “your labs are normal,” or “at least you can get pregnant” can sometimes miss the bigger picture.Dr. Amols also discusses when OB/GYNs can appropriately help with fertility concerns, when referral to a fertility specialist matters, and why good advice should include a reason, a timeline, a next step, and a point where the plan changes.Thanks for tuning in to another episode of 'Taco Bout Fertility Tuesday' with Dr. Mark Amols. If you found this episode insightful, please share it with friends and family who might benefit from our discussion. Remember, your feedback is invaluable to us – leave us a review on Apple Podcasts, Spotify, or your preferred listening platform.Stay connected with us for updates and fertility tips – follow us on Facebook. For more resources and information, visit our website at www.NewDirectionFertility.com.Have a question or a topic you'd like us to cover? We'd love to hear from you! Reach out to us at TBFT@NewDirectionFertility.com.Join us next Tuesday for more discussions on fertility, where we blend medical expertise with a touch of humor to make complex topics accessible and engaging. Until then, keep the conversation going and remember: understanding your fertility is a journey we're on together.

We're told that we can have it all if we time it right: build your career first, then start a family. But what does the medicine actually say? Amanda Goetz sits down with Dr. Lucky Sekhon, a double board-certified reproductive endocrinologist at RMA of New York and author of the USA Today bestseller The Lucky Egg. Dr. Lucky busts the biggest fertility myths (no, your fertility doesn't fall off a cliff at 35), explains why so-called "fertility checks" are mostly marketing, and breaks down the real difference between freezing eggs and freezing embryos. She also flips the script on a part of the story we tend to ignore—male-factor infertility, which accounts for roughly half of cases—and why family building is a team sport. Women shouldn't carry all the burden! It's an honest, science-forward, and surprisingly reassuring conversation about the fertility knowledge gap—and how it's okay to not have it all figured out in your 20s. . This episode gets into both the emotional and physical considerations of fertility treatment, and we think it's a worthwhile listen, regardless of what stage of life you might find yourself in—and even if you're undecided on the whole kids thing. Key Takeaways: Fertility doesn't fall off a cliff at 35. It's a gradual continuum, and many women conceive naturally into their 30s and 40s. AMH measures egg count, not fertility, and a low number shouldn't cause panic. Most pop-in or at-home "fertility checks" are marketing. No single test can predict whether you'll struggle to conceive. Start paying attention in your 20s by understanding your cycle and spotting red flags like PCOS or endometriosis. And pay attention to your family history. Freezing eggs and freezing embryos are different—eggs offer more flexibility and stay solely yours, while embryos give clearer answers but need both partners' sign-off. When choosing a clinic, ask about its actual thaw and IVF success rates, not just whether you like the doctor. Male-factor infertility is something we need to talk more about. Every day stress doesn't cause infertility, but insulin resistance is an under-recognized and treatable driver worth checking. (01:20) Intro (03:30) Dr. Lucky's personal journey (08:49) The misinformation problem and why absolutes are a red flag (10:22) The "cliff at 35" myth and the continuum of fertility (11:03) When to start paying attention (hint: your 20s) + birth control myths (15:28) Amanda's PCOS diagnosis (18:31) Family timing, privilege, and perfectionism (21:46) Feeling "behind," the knowledge gap, and giving yourself grace (24:56) Egg freezing: when it should enter the conversation (27:14) All about eggs vs. embryos  (32:12) Men and male-factor infertility (36:00) Rapid fire (44:00) Inside The Lucky Egg GUEST LINKS Read The Lucky Egg https://www.instagram.com/lucky.sekhon/  https://theluckyegg.com/  FOLLOW THE PODCAST IG: https://www.instagram.com/girlboss/ | TikTok: https://www.tiktok.com/@girlboss  Amanda Goetz: https://www.instagram.com/theamandagoetz/  https://girlboss.com/pages/ambition-2-0-podcast  SIGN UP  Subscribe to the Girlboss Daily newsletter: https://newsletter.girlboss.com/  For all other Girlboss links: https://linkin.bio/girlboss/ ABOUT AMBITION 2.0  Powered by Girlboss, Ambition 2.0 is a podcast where we'll be exploring what it really means to "have it all" in work, family, identity, and self… and if it's actually worth it. Each week, you'll hear from hardworking women who've walked the tightrope of ambition. They'll share their costly mistakes, lessons learned, and practical tips for how to have it all and actually love what you have. Learn more about your ad choices. Visit megaphone.fm/adchoices

You have done IVF more than once. Maybe twice. Maybe three times. Maybe more. Each cycle they tweaked the protocol. Higher dose. Lower dose. Different stimulation drug. Different trigger. Added growth hormone. Added DHEA. Mini IVF. Dual stim. Each cycle the protocol changed. And now they are telling you donor eggs. Here is the question this episode is about. They changed the protocol every time. Did anyone look at what was already in your body when each of those protocols arrived? That is what this episode is about. The layer underneath every protocol. In this episode: - Protocol vs system: what your clinic was trained to adjust, and what nobody adjusted across any of your cycles - Why the donor egg conversation arrives after the only variable your clinic was trained to address has been exhausted, not after a full review of your body - The thyroid, iron, B12, vitamin D, inflammation, gut, cortisol, mineral, vaginal microbiome, and blood sugar markers that did not change between cycle 1 and cycle 5 - Why we look at ferritin against 80 to 100 going into IVF, not the lab reference of 15 - What a 2024 study in Archives of Gynecology and Obstetrics found about ovarian reserve markers and natural conception — and why donor eggs gets recommended on markers the literature itself does not support If this is the first episode you have landed on in this series, go back and listen to "Told Donor Eggs Are Your Only Option? Ask This First," then "How Long Should I Try With My Own Eggs Before Donor Eggs?" and "The Gut Findings Your Clinic Did Not Look For." This episode builds on all three. ——— WHAT YOUR CLINIC MISSED The full thyroid panel, not just a TSH. The iron panel that flags ferritin against the fertility target. The gut microbiome testing your REI does not order. The inflammatory markers they tell you are normal. And the male side that almost nobody investigates. Email hello@fabfertile.ca, subject line MISSED, and we will send you the guide. ——— FUNCTIONAL FERTILITY SECOND OPINION A free 45-minute call where I review your labs, your history, and your partner's results with you. You leave knowing what your biology has been telling you and what your next decision could be. Email hello@fabfertile.ca, subject line FERTILE, or book here. ——— ABOUT THE HOST I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over one million downloads. My functional fertility team works with couples navigating low AMH and failed IVF, reviewing functional lab results, gut microbiome, food sensitivity, vaginal microbiome, nutrigenomics, HTMA, DUTCH, toxin testing, and bloodwork alongside nervous system work, to help identify patterns that may not have been considered. We work alongside your medical team, not instead of them. Sarah Clark, founder of Fab Fertile, host of Get Pregnant Naturally (1M+ downloads), and author of Fabulously Fertile. ——— If this episode helped, leave a review on Apple Podcasts. It is how other women find this work. ——— TIMESTAMPS 00:00 The Protocol Changed Every Time. Did Anyone Change You? 01:00 Who's Reviewing Your Case at Fab Fertile 02:00 Protocol vs System: The Layer Underneath Every IVF 03:00 What Your Body Brought to Every Cycle 04:30 What the 2024 Research Says About AMH 06:00 The Markers That Did Not Change Between Cycles 07:30 Why Multiple Tests Are Not One Test 09:00 The Donor Egg Recommendation With Half the Data 10:30 The Functional Fertility Second Opinion

Former PSA national president, Associate Professor Fei Sim, reflects on the society's evolution during her term, and looks to the future on the latest episode of our podcast  AJP Podcast host Carlene McMaugh sits down with the Pharmaceutical Society of Australia's immediate past president, Associate Professor Fei Sim, to discuss her time at the helm, and what the future holds for the organisation.  Having broken through the glass ceiling to become the PSA's first female leader, Sim led the society through a transformative period, securing a heads of agreement for the First Pharmacy Practice Agreement, and the acquisition of the Australasian College of Pharmacy.  Highlights include:  1min 28 – A presidency was based on teamwork  2.20 – Succession – Professor Mark Naunton is “the prefect leader… to take the PSA into the next chapter”  4.18 – Predecessors, Dr Chris Freeman and Dr Shane Jackson woke the giant that is the PSA  7.52 – Growing the PSA's membership  8.54 – The acquisition of the Australasian College of Pharmacy  11.22 – The PSA needs to keep the momentum going to deliver on its strategic priorities  12.33 – Growing pains in the pharmacist/GP relationship  16.24 – Health professions need to support each other to work to the top of their scope of practice  19.56 – Translating leader diversity into better outcomes  22.56 – The First Pharmacy Practice Agreement  29.54 – Breaking the glass ceiling to become the first female president of the PSA  34.11 – Looking to the future in a new role with the AMH  38.32 – Addressing unfinished business.  You can access the full transcript of this podcast here. While we endeavour to ensure all important words and phrases are correct, please note there may be some minor inaccuracies in the transcription. ACCESS PODCAST TRANSCRIPT Go here for the full list of active AJP podcasts. These can also be accessed via Apple Podcasts and Spotify  Carlene McMaugh

Your clinic told you donor eggs. You walked out wondering how much time you actually have left. Whether waiting six months means missing your window. Whether trying with your own eggs one more time is brave or stupid. The honest answer is longer than your clinic implied. And the window is not your AMH number. In this episode: - Why a 2024 study in Archives of Gynecology and Obstetrics found that ovarian reserve markers like AMH do not significantly predict natural conception in women with regular cycles - What the 90-day window before ovulation actually is, and why the eggs you work with six months from now are not the eggs you are working with today - The inputs your clinic's timeline assumed would not change: mitochondrial function, inflammation, iron, B12, zinc, vitamin D, cortisol patterns, toxic load - The clinical pattern we see over more than a decade of cases: month zero to six is where the picture comes into view, twelve to eighteen months is where it can start to move substantially - Why some pictures do not move, and why that is still a reason to look before you decide If this is the first episode you have landed on in this series, go back and listen to "Told Donor Eggs Are Your Only Option? Ask This First" and then "The Gut Findings Your Clinic Did Not Look For." This episode builds on both. ——— WHAT YOUR CLINIC MISSED The full thyroid panel, not just a TSH. The iron panel that flags ferritin. The gut microbiome testing that your REI does not order. The inflammatory markers no one notices. The male side that almost no one investigates. Email hello@fabfertile.ca, subject line MISSED, and we will send you the guide. ——— FUNCTIONAL FERTILITY SECOND OPINION A free 45-minute call where I review your labs, your history, and your partner's results with you. You leave knowing what your biology has been telling you and what your next decision could be. Email hello@fabfertile.ca, subject line FERTILE, or book here. ——— ABOUT THE HOST Now in its eighth year, Get Pregnant Naturally was one of the first podcasts dedicated to the functional fertility approach for low AMH and failed IVF. Hosted by Sarah Clark, founder of Fab Fertile, author of Fabulously Fertile, and host of a podcast with over one million downloads. Fab Fertile is a functional fertility team that works with couples to review the lab work most fertility clinics do not run: gut microbiome, food sensitivity, vaginal microbiome, nutrigenomics, HTMA, DUTCH, full thyroid panel, the iron panel, and inflammation markers, alongside nervous system work. Each week Sarah brings you what the team sees across more than a decade of cases. Sarah Clark, founder of Fab Fertile, host of Get Pregnant Naturally (1M+ downloads), and author of Fabulously Fertile. ——— If this episode helped, leave a review on Apple Podcasts. It is how other women find this work. ——— TIMESTAMPS 00:00 The Donor Egg Recommendation and the Real Question 01:00 Who's Reviewing Your Case at Fab Fertile 01:30 AMH Is Not the Countdown Clock 03:00 The 90-Day Window Before Ovulation 04:30 What Actually Changes In 90 Days 07:00 The Fab Fertile Method: What We Investigate 08:30 Why Some Cases Do Not Shift 09:30 The Functional Fertility Second Opinion

What would you do if you were told that there was virtually no chance of getting pregnant and fulfilling your dream of becoming a mother?Health Coach Cristíona Aston is 45, and based on her age and AMH score, she has been told to grieve and move on…She refuses, and joins Andrea to discuss her fertility journey.

Dans cet épisode, je reçois le Dr Emine Saïs, qui s'intéresse de très près à l'intelligence artificielle en PMA.On a parlé de beaucoup de choses ensemble, et je pense que cet épisode va vraiment vous apporter des réponses concrètes surtout si vous avez déjà tapé vos symptômes ou vos résultats sur ChatGPT /Claude à 3h du matin

Send us Fan MailFertility misinformation on Instagram and social media can make patients feel like their doctor missed something important. In this episode, Dr. Mark Amols breaks down fertility fear-mongering, IVF myths, unnecessary fertility testing, and how scary medical advice can turn real concerns into panic.In this episode of Taco Bout Fertility Tuesday, Dr. Amols explains how patients can tell the difference between helpful fertility education and fear-based marketing. He discusses common examples involving “normal” fertility test results, genetic carrier screening, donor sperm, PGT-A, Down syndrome risk, failed embryo transfers, immune testing, endometriosis, low AMH, fibroids, uterine polyps, sperm DNA fragmentation, and second opinions. The goal is to help fertility patients ask better questions without being scared into unnecessary testing or treatment.Thanks for tuning in to another episode of 'Taco Bout Fertility Tuesday' with Dr. Mark Amols. If you found this episode insightful, please share it with friends and family who might benefit from our discussion. Remember, your feedback is invaluable to us – leave us a review on Apple Podcasts, Spotify, or your preferred listening platform.Stay connected with us for updates and fertility tips – follow us on Facebook. For more resources and information, visit our website at www.NewDirectionFertility.com.Have a question or a topic you'd like us to cover? We'd love to hear from you! Reach out to us at TBFT@NewDirectionFertility.com.Join us next Tuesday for more discussions on fertility, where we blend medical expertise with a touch of humor to make complex topics accessible and engaging. Until then, keep the conversation going and remember: understanding your fertility is a journey we're on together.

 Fertility Docs Uncensored Today's episode of Fertility Docs Uncensored is hosted by Dr. Carrie Bedient from the Fertility Center of Las Vegas, Dr. Susan Hudson from Texas Fertility Center, and Dr. Abby Eblen from Nashville Fertility Center, with special guest Dr. Annie Martini, a reproductive endocrinologist from the Fertility Centers of Illinois, practicing in their Milwaukee, Wisconsin office. In this episode, the doctors dive into planned oocyte cryopreservation (egg freezing) and why more women are choosing fertility preservation. What are the benefits of freezing eggs, and who should consider it? Many patients pursue this option when they are unpartnered, allowing them to preserve younger eggs that do not age. The discussion explores how egg quality changes after age 35, increasing the risk of chromosomal abnormalities and impacting success rates. How many eggs should be frozen, and what outcomes can patients expect? Often, 10–12 eggs may yield only one to three embryos, depending largely on age, and some women may need multiple cycles, especially with lower AMH or egg counts. The episode also walks through the egg freezing process step by step. What does ovarian stimulation involve, and how many monitoring visits are required? Patients typically undergo 5 to 7 visits, each requiring bloodwork and an ultrasound, before a 30-minute egg retrieval procedure. The physicians discuss risks, including ovarian torsion, and why activity restrictions, such as limiting exercise and sexual activity, are essential during stimulation. They also cover recovery expectations, the importance of having a trusted person for transport after retrieval, and how long frozen eggs can be stored. This podcast was sponsored by the Fertility Centers of Illinois at Milwaukee. 

If you've recently received a low AMH result and feel like your body has already betrayed you, this episode is for you. In this solo episode, Michelle walks you through what AMH actually measures, what it cannot tell you, and why so many women with low numbers still go on to conceive, some with help and some without. You'll learn the critical difference between egg quantity and egg quality, what a low AMH does not mean, which factors can actually influence your number, and what to do if your results came back lower than you hoped. Michelle blends holistic and medical perspectives to help you move out of panic and into partnership with your body. If you've been told your AMH is too low, or if fear is making big decisions for you right now, this episode will help you come back to yourself, understand your body more deeply, and reclaim your sense of possibility. Key Takeaways: • AMH is a proxy measurement for ovarian reserve (egg quantity), not a predictor of natural conception or egg quality. • Egg quantity and egg quality are two different things. A low AMH does not mean your eggs are not healthy. • A low AMH is not a diagnosis of infertility, early menopause, or a failed future. It is one data point among many. • Several factors can influence your AMH, including vitamin D status, thyroid function, autoimmunity, chronic stress, environmental toxins, and hormonal contraception. • Egg quality is influenceable during a 90 day window through nourishment, mitochondrial support (like CoQ10), sleep, blood flow, and nervous system care. • Fear makes poor long term decisions. Before committing to an aggressive treatment plan, pause, breathe, and look at the full picture of your health. • You are not broken. A lower number on a lab report is not a verdict on your worth as a woman or your potential as a mother. Disclaimer: The information shared on this podcast is for educational and informational purposes only and is not intended as medical advice. Please consult with your healthcare provider before making any changes to your health or fertility care. Free chapter of The Way of Fertility (book) https://www.michelleoravitz.com/thewayoffertility Top 10 Fertility Boosting Tips Ebook https://www.michelleoravitz.com/mytop10fertilityboostingtips Ready to discover what your body needs most on your fertility journey? Take the personalized quiz inside The Wholesome Fertility Journey and get tailored resources to meet you exactly where you are:  https://www.michelleoravitz.com/the-wholesome-fertility-journey For more about my work and offerings, visit: www.michelleoravitz.com Curious about ancient wisdom for fertility? Grab my book The Way of Fertility: https://www.michelleoravitz.com/thewayoffertility Join the Wholesome Fertility Facebook Group for free resources & community support: https://www.facebook.com/groups/2149554308396504/ Connect with me on social: Instagram: @thewholesomelotusfertilityFacebook: The Wholesome Lotus  

Told donor eggs after failed IVF? There is a category of testing that your fertility clinic does not run. We rarely run a stool test and find nothing. The IVF cycle did not work. Maybe it was poor response. Maybe it was canceled before retrieval. Maybe you got embryos and they arrested. Maybe the transfer failed. Your clinic looked at your numbers and told you donor eggs. In this episode, Sarah Clark walks through the gut pattern the Fab Fertile team sees in women who come to us after failed IVF with a donor egg recommendation, and why this pattern changes the picture before the next decision. What this episode covers: H. pylori. One of the most common findings in the women who come to us after failed IVF. It impairs absorption of iron, vitamin B12, and zinc, the nutrients that affect egg quality, thyroid function, and hormone production. It is passed back and forth between partners through saliva. If you have it, there is a strong chance your partner has it too. Parasites, giardia, blastocystis. Common findings. Rarely tested at the fertility clinic. Bacterial overgrowth, including streptococcus. Fungal overgrowth and dysbiosis. The reason chasing an anti-candida diet without testing moves you in circles. Elevated calprotectin. A signal of gut inflammation, often present in women with IBD, Crohn's, colitis, and women with no formal diagnosis. Elevated zonulin. A marker of intestinal permeability. The pattern we see after rounds of antibiotics, sinus infections, UTIs, birth control, and high stress. Why this matters before a donor egg decision: H. pylori impairs iron absorption. Ferritin reads low or low-normal. The clinic says iron is fine because the lab range starts around 15. The fertility-optimized range is closer to 50. Iron is foundational to egg quality. The oxygen carrying capacity to your follicles depends on it. B12 affects methylation, the process your body uses to produce the co-factors needed for egg maturation. Zinc affects ovulation and progesterone production. Chronic gut inflammation affects ovarian response to stimulation, implantation, and miscarriage risk. When your clinic looks at a canceled cycle, arrested embryos, or a failed transfer and recommends donor eggs, they are responding to the outcome. They are not asking what is driving the outcome. This episode is for the woman sitting with a donor egg recommendation who is not ready to agree before she understands what was actually evaluated. Next steps: Access the free guide: What Your Clinic Missed. It walks through the markers we review before a donor egg recommendation, including the thyroid panel, the iron panel with the fertility target, the gut testing your REI does not order, the inflammatory markers, and the male side. Email hello@fabfertile.ca, subject line MISSED. Book a Functional Fertility Second Opinion. We will review your labs, your history, your full picture, and your partner's picture together. You will leave knowing what your biology has been telling you and what your next decision should be informed by. Email hello@fabfertile.ca, subject line FERTILE. Or apply here. About the Host I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over one million downloads. My functional fertility team works with couples navigating low AMH and failed IVF, reviewing functional lab results, gut microbiome, food sensitivity, vaginal microbiome, nutrigenomics, HTMA, DUTCH, toxin testing, and  bloodwork alongside nervous system work, to help identify patterns that may not have been considered. We work alongside your medical team, not instead of them. Subscribe to Get Pregnant Naturally for weekly episodes on fertility optimization, IVF preparation, and the lab work your doctor probably isn't running. Timestamps [00:00] Told Donor Eggs After Failed IVF [01:00] Why the Fab Fertile Team Reviews Your Picture [02:00] H. pylori: The Most Common Gut Finding We See [03:00] Parasites, Streptococcus, and the Bacteria Most REIs Do Not Test [04:00] Why a Single Gut Test Without Fertility Context Misses the Picture [05:00] Iron, Ferritin, and the Fertility Range vs the Lab Range [06:00] B12, Methylation, and Egg Maturation [07:00] Zinc, Ovulation, and Progesterone [08:00] What Your Clinic Missed: The Markers Before a Donor Egg Recommendation [09:00] Why a Donor Egg Recommendation Responds to the Outcome, Not the Cause [10:00] The Functional Fertility Second Opinion: What the Call Covers

南台灣小太陽 郭子琳 ft. 好韻診所/院長 郭鴻璋醫師 #醫療健康 在少子化成為國安危機的今天，多少渴望孩子的家庭，正默默在不孕的長路上清醒地痛著？你是否也以為，生不出寶寶只是女性的責任，或者只要胚胎染色體檢查完美，孩子就一定能健康長大？ 子琳在訪問好韻診所試管嬰兒中心的郭鴻璋醫師時，被那些藏在醫學數據背後的真實淚水深深震撼。有 12 年不孕、AMH 只有 0.9 的 44 歲速食店主管，靠著單顆胚胎精準一擊粉碎高齡魔咒；更有相愛五、六年的夫妻，好不容易懷上雙胞胎，卻在十周超音波下清醒地直視「先天性腹裂」的殘酷現實，在十一周果斷減胎，只為留給另一個寶寶健康的未來。郭醫師用上千台手術的底氣告訴我們：真正的醫療，是用最不痛的「友善超音波」代替冰冷的腹腔鏡，視病猶親地陪著你。 這集節目，子琳不給妳廉價的催生口號。我們要聊聊超迷你睪丸切片、23 對染色體篩檢的硬核技術，更要聊聊當微觀科學走到極限時，我們該如何給孩子一個健康的心靈與溫暖的家。無論你正準備迎來新生命，還是卡在生育的關卡中，點進來，讓溫暖的聲音陪你找到生命的出口。 ✨ 節目亮點超迷你顯微睪丸切片：誰說不孕只是女人的事？解析無精症醫療人員夫妻，如何靠精準切片與分管冷凍逆轉勝。44歲與47歲的高齡奇蹟：AMH 0.9 的極低條件，如何利用「長效排卵針＋生長激素＋卵子活化劑」個人優質化配方，催生一擊即中的珍貴胚胎。戳破「染色體完美」的迷思：郭醫師核心觀點大公開！染色體正常不等同構造正常，從無腦兒、腹裂到自閉症，教你認清科學的極限與超音波的重要性。十周腹裂的清醒抉擇：重度多囊患者利用 PPOS 模式避免過度刺激，卻面臨胎兒臟器外露的考驗，解析十一周減胎手術背後的勇氣與新生兒腸道壞死（NEC）的隱憂。視病猶親的「友善醫療」：拒絕沒必要的痛苦檢查！郭醫師如何用陰道超音波代替 X 光輸卵管攝影與子宮腔鏡，在保護卵巢功能的同時守護女性的尊嚴。國家級好韻補助大補帖：45 歲以下都有機會！詳細拆解 40 歲以下 6 次、40-44 歲 3 次的試管嬰兒補助生機。在求子的這條路上，你或身邊的朋友是否也曾體會過那種打針、等待、甚至面臨抉擇的煎熬？郭醫師提到「給下一代健康的心靈比 IQ 更重要」，你對此有什麼樣的看法呢？ 歡迎在留言區分享你的求子故事，或是留下你想對正走在這條路上的未來爸媽們的一句暖心鼓勵。 讓我們一起在這裡，用體貼與同理心守護每顆期待的心。 Powered by Firstory Hosting

SOBERBIUS #184 Electronic Podcast Music ⎶⎶⎶⎶⎶⎶⎶⎶⎶⎶⎶⎶⎶⎶⎶⎶⎶⎶⎶⎶⎶⎶ ✦ CHOOSE YOUR FAVORITE PLATFORM: https://linktr.ee/soberbius ✦ SOUNDCLOUD: https://soundcloud.com/mariomendozamusic/sets/soberbius TRACKLIST: ISpencer Brown - Pattaya Sunrise (Original Mix) Emi Galvan - Everlong (Hermanez Remix) Booka Shade - Electric Birds (Sentre Extended Mix) Enamour - Won't Let You (Original Mix) Kvint - That Room (HAFT & Teom Remix) Chook - Feeding Ghosts (Original Mix) Ivan Lozano, Brian Creao - Manantial (Original Mix) Kebin Van Reeken - Tribalism (Original Mix) Space Food - Closing The Loop (Original Mix) Second Sine - Stage 1 (Original Mix) Monika Kruse, Voodooamt - Luvsucka (Tantum Remix) Molac - Walking in UIO (Original Mix) Eze Ramirez - Groove (Original Mix) Alan Schultz - Drizzle (Original Mix) BERDU - Cmd (Original Mix) Nichols+Roark - CHNKY MNKY (Stereo Underground Remix) Space Food - Insomniac (Extended Mix) Kebin Van Reeken - Sax Talk (Original Mix) Ian O'Donovan - Ascent (Original Mix) Estiva - Noo Tacchi (Extended Mix) Mayro - Objective (Agustin Pietrocola Extended Remix) Mayro - Frame (Original Mix) Serge Canteros - Delusions (Original Mix) Deestopia - Humanity (Jerome Isma-Ae Extended Remix) Jamie Stevens - Neofine (Original Mix) Joe Miller, Amháin - Yggdrasil (Jamie Stevens Remix) Home Shell, Olven - Midnight Flight (Kebin Van Reeken Remix) Christian Smith - Illusion (Ezequiel Arias Remix) Dosem - Citywild (Original Mix) QuiQui, Thom Rich - Victorious (Gai Barone Dark Extended Remix) Gespona, Abuk - Mr. Hex (Original Mix) Tal Fussman - MAD (Original Mix) Kink - 101 Reasons (Original Mix) -_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_ #soberbius #itunes #soundcloud #ivoox #tunein #podcast #electronicmusic #progressivehouse #melodictechno #indiedance #techno #dj #producer #cultureclub #music #artist #djset #djlife #love #instagood #photooftheday #fashion #art #follow #repost #style #mariomendoza

The donor egg recommendation rarely comes after a complete workup. It comes after AMH, FSH, and an antral follicle count. That is usually where the investigation stops. In this episode, Sarah Clark walks through what is missing from the workup before women are told donor eggs are their only path: the full thyroid panel, not just TSH. Stool DNA testing for H. pylori, parasites, and food sensitivities. The vaginal microbiome. The male partner's blood work, which most clinics do not run. The nervous system patterns most REIs do not connect to fertility. Sarah shares Rebecca's case as a proof point. Rebecca was 27. Her AMH was 0.04 ng/mL. POI diagnosis. Told donor eggs were her only option. Her stool DNA testing revealed H. pylori and a parasite. Her food sensitivity testing showed gluten, dairy, and egg intolerance. She had adrenal insufficiency, thyroid imbalance, mineral depletion, and toxic load on her workup. Her eczema, migraines, and asthma were not separate issues. After targeted work, she conceived naturally in month five. Outcomes vary. Rebecca's case is one of many we use to illustrate what completing the workup can look like. This episode is for the woman sitting with a donor egg recommendation who is not ready to agree before she understands what was actually evaluated. The goal is clarity. Not opposition to your clinic. Not a guarantee of any outcome. Clarity on what your workup did not include, so that whatever you decide next gets made on the full picture. What this episode covers: The diagnosis is real. The investigation is incomplete. Why TSH alone is not a thyroid panel. H. pylori, hidden food sensitivities, and the gut inflammation driver. Eczema, migraines, and asthma as fertility signals. The male partner's workup should include beyond a semen analysis. Nervous system patterns most REIs do not connect to fertility. Next steps: Access the free guide: What Your Clinic Missed. The guide walks through the markers that the Fab Fertile team reviews before a donor egg recommendation. Email hello@fabfertile.ca, subject line MISSED. Book a Functional Fertility Second Opinion. We'll review your labs, your history, your full picture, and your partner's picture together, so you know what your biology has been telling you and what your next decision should be informed by. Email hello@fabfertile.ca, subject line FERTILE, or book here. About the Host I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over one million downloads. My functional fertility team works with couples navigating low AMH and failed IVF, reviewing functional lab results, gut microbiome, food sensitivity, vaginal microbiome, nutrigenomics, HTMA, DUTCH, toxin testing, and bloodwork alongside nervous system work, to help identify patterns that may not have been considered. We work alongside your medical team, not instead of them. Subscribe to Get Pregnant Naturally for weekly episodes on fertility optimization, IVF preparation, and the lab work your doctor probably isn't running. Timestamps [00:00] The Donor Egg Recommendation and the Investigation Underneath It [01:00] The Diagnosis Is Real. The Investigation Is Incomplete. [02:00] Sarah's POI Story and Why Fab Fertile Exists [03:00] Rebecca's Case: POI at 27, AMH 0.04, ng/mL Told Donor Eggs Were Her Only Option [04:00] Functional Lab Testing Before a Donor Egg Decision [05:00] What We Found: H. pylori, Parasites, Food Sensitivities, Adrenal Insufficiency, Thyroid [06:00] Eczema, Migraines, Asthma: Not Separate Issues From Fertility [07:00] Rebecca Conceived Naturally in Month Five [08:00] What Your Clinic Missed: The Markers Before a Donor Egg Recommendation [09:00] Why a Standard REI Workup Cannot Answer Why Your Numbers Are What They Are [10:00] Medical Gaslighting and the Permission to Investigate Further [11:00] The Functional Fertility Second Opinion: How It Works  

In this eye-opening episode of Trending Diary Show, host Priya Sachdeva sits down with Dr. Sarthak Bakshi, Founder of Risa IVF, to discuss everything about IVF, infertility, fertility awareness, sperm health, women's hormonal health, modern lifestyle impact, and the hidden reasons behind rising fertility issues in India.Dr. Sarthak explains:• IVF treatment cost in India• Best age for pregnancy & conceiving• Male infertility & sperm problems• Fertility tests every couple should do• AMH test, semen analysis & hormonal health• How lifestyle, stress, chemicals & pollution affect fertility• Why laptops, smoking & unhealthy habits can impact sperm count• IVF myths & emotional struggles couples face• Why fertility education is important in schools• Entrepreneurship, failure & success mindsetThis podcast is not just about IVF — it's about awareness, relationships, health, modern lifestyle and the future of fertility.

Send us Fan MailAMH is one of the most misunderstood fertility blood tests. Many patients hear that their AMH is low and immediately worry that they cannot get pregnant, that their eggs are bad, or that menopause is right around the corner. But AMH does not tell the whole fertility story.In this episode of Taco Bout Fertility Tuesday, Dr. Mark Amols explains what AMH really measures and what it does not. AMH is a marker of ovarian reserve and helps predict how many eggs someone may make during fertility treatment, especially IVF stimulation. But it does not directly predict whether someone can get pregnant naturally, whether their eggs are genetically normal, or whether the next egg they ovulate can become a baby.Using simple analogies like a basketball player's vertical jump, egg contests, and ovarian reserve as a “toolbox test,” this episode breaks down the difference between egg quantity and egg quality, why low AMH does not mean infertility, why high AMH does not guarantee pregnancy, and how AMH may give some clues about ovarian aging and menopause timing.If you or someone you know has been told they have a low AMH, this episode will help explain why AMH is important information — but not a fertility verdict.Thanks for tuning in to another episode of 'Taco Bout Fertility Tuesday' with Dr. Mark Amols. If you found this episode insightful, please share it with friends and family who might benefit from our discussion. Remember, your feedback is invaluable to us – leave us a review on Apple Podcasts, Spotify, or your preferred listening platform.Stay connected with us for updates and fertility tips – follow us on Facebook. For more resources and information, visit our website at www.NewDirectionFertility.com.Have a question or a topic you'd like us to cover? We'd love to hear from you! Reach out to us at TBFT@NewDirectionFertility.com.Join us next Tuesday for more discussions on fertility, where we blend medical expertise with a touch of humor to make complex topics accessible and engaging. Until then, keep the conversation going and remember: understanding your fertility is a journey we're on together.

In this episode of Dismantling You, I sit down with Dr. Jennifer Kulp-Makarov, a Board-Certified Reproductive Endocrinologist and founder of Fleura Fertility, trained at Johns Hopkins and Yale. We dig into how traditional fertility clinics often rely on a one size fits all approach to IVF, and why that can actually backfire for women with low AMH or those trying to conceive over 40. Dr. Jennifer shares the patient experience that changed everything for her: a woman who gave up on growing her family because she thought aggressive, high dose IVF was her only option. That moment became the catalyst for her to build a practice centered on personalized protocols and her signature Goldilocks approach to stimulation, finding the just right dose of medication rather than defaulting to the highest one.We also explore cutting edge fertility innovations including ovarian PRP, which is showing promise in improving markers like AMH and antifollicle count, and rapamycin, an emerging treatment that may help protect egg reserves and delay menopause. Dr. Jennifer breaks down how FSH dosing plays a critical role in egg competence and why monitoring it throughout the cycle, not just at baseline, makes a real difference. We talk about how fertility care is evolving to better support LGBTQ individuals through inclusive language and treatment design, and how AI could soon help standardize ultrasound data and embryo analysis. We wrap up with Dr. Jennifer's rapid fire answers on the most underrated factor in fertility, the biggest mistake patients make when choosing a clinic, and the one belief she had to dismantle in her own career.__________________________________________________Key Highlights

Most of us spend our teens and 20s trying not to get pregnant and our 30s and 40s desperately trying to. But no one ever taught us how any of this actually works.In this episode, Mary Alice Haney and Dr. Aliabadi sit down with Dr. Lucky Sekhon, New York City-based reproductive endocrinologist and fertility expert and author of The Lucky Egg, for one of the most comprehensive conversations on fertility we've ever had. Whether you're trying to conceive, thinking about egg freezing, navigating a diagnosis like PCOS or endometriosis, or simply want to understand your own body this episode is for you.Subscribe to SHE MD Podcast for expert tips on PCOS, endometriosis, fertility, hormonal balance, mental health, and more. Share with friends and visit SHE MD website and Ovii for research-backed resources, holistic health strategies, and expert guidance on women's health and well-being.What You'll LearnWhy human reproduction is naturally inefficient even when everything is workingWhat ovarian reserve actually tells you (and what it doesn't)Why egg quality matters more than egg quantityWhen fertility actually starts to decline (and why 35 isn't a cliff)What you can and can't control about your egg qualityHow PCOS, endometriosis, and insulin resistance silently affect fertilityWhy every woman in her 20s should get a baseline pelvic ultrasoundThe full fertility workup explained: ultrasound, AMH, hormone panel, tube test, and sperm analysisWhen to track ovulation, when to seek help, and when to skip straight to IVFThe difference between IUI ("speed dating for the reproductive tract") and IVFHow embryo genetic testing has revolutionized success ratesEgg freezing vs. embryo freezing and the real tradeoffs of eachThe truth about autoimmune conditions and infertilityWhy men have a biological clock too and why sperm freezing is underratedMyth-busting on IVF and cancer, bed rest, birth control, and "using up your eggs"Key Timestamps00:00 Meet Dr. Lucky & The Lucky Egg07:14 Why Human Reproduction Is Inefficient By Design09:48 You're Born With All Your Eggs: The Basics14:03 When Does Fertility Actually Start to Decline?15:45 Can You Protect Your Egg Quality?19:09 PCOS, Insulin Resistance & Fertility22:29 Why PCOS & Endometriosis Get Missed So Often29:47 Why Every Woman Needs a Baseline Pelvic Ultrasound32:22 The Four Components of Getting Pregnant41:56 How to Track Ovulation the Right Way47:55 IUI vs. IVF: When to Move On59:15 Egg Freezing vs. Embryo Freezing: The Real Difference1:04:47 Does IVF Cause Cancer? Myth Busted1:11:03 Men Have a Biological Clock Too1:13:42 Does Birth Control Cause Infertility? Myth Busted1:16:47 Where to Find Dr. Lucky & The Lucky EggKey TakeawaysFertility is on a continuum, not a cliff at 35Egg quality matters more than egg quantityHuman reproduction is naturally inefficient, persistence is part of the designPCOS, endometriosis & insulin resistance are the most-missed causes of infertilityEvery woman in her 20s should know her baseline pelvic anatomyStandard of care is often the bare minimum, not the gold standardSperm testing is cheap, easy, and skipped far too often"Unexplained infertility" usually has an explanation50% of fertility cases involve a male factorTrack ovulation from the start, don't wait six months to learn your cycleIVF does not cause cancer or use up your eggsEgg freezing preserves potential, embryo freezing preserves certaintyMen have a biological clock too, just a different oneInformation is the most underrated fertility tool a woman hasGuest BioDr. Lucky Sekhon is a New York City-based reproductive endocrinologist, board-certified OB/GYN, and one of the most followed fertility experts on social media. Over the course of her career, she has helped thousands of patients build families through IVF, IUI, and egg freezing, and counseled many more through the realities of PCOS, endometriosis, recurrent loss, and unexplained infertility. Frustrated by the fragmented nature of online fertility education and the persistent knowledge gap she saw in her own consult room, Dr. Lucky wrote The Lucky Egg, a comprehensive guide that distills the science of fertility into accessible, actionable information for every stage of the journey. Her book and her widely read blog at theluckyegg.com offer interactive tools, including an egg freezing calculator and an AMH calculator, to help women understand where they stand and make informed decisions about their reproductive health.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Low AMH, high FSH, two miscarriages, told donor eggs were her only option. At 43, she conceived naturally. Here's what her clinic missed before the donor egg recommendation. This episode is for the woman sitting with a donor egg recommendation. Low AMH or high FSH on the chart. Failed IVF or recurrent miscarriage in the history. A clinic that said the numbers leave you no other options. Sarah Clark walks through the case of a 43-year-old client whose REI told her IVF or donor eggs were her only realistic path. Her FSH was 13.6. Her AMH was low. She had two pregnancy losses behind her. The diagnosis of diminished ovarian reserve was not wrong. The numbers were what they were. What had not happened was a structured investigation of why those numbers looked the way they did and whether the rest of the picture had been missed. Eighteen months later, she was pregnant naturally with her own eggs. What the clinic had not investigated was a long list. Her TSH was 3. Accepted as normal, but well above the range her own REI would have flagged before IVF prep. A full thyroid panel was never run. Her stool DNA test showed H. pylori, an infection that impairs nutrient absorption and drives inflammation. She had been gluten-free everywhere else for years, but she had been taking a weekly communion wafer every Sunday without realizing it counted. The cabergoline she was on was lowering her cholesterol and impairing her ability to make sex hormones. Her male partner had not been worked up. His semen analysis showed low volume and low concentration. His blood sugar was elevated. His kidney markers showed stress. The vaginal microbiome had not been tested. The seminal microbiome had not been tested. Her night sweats and disrupted sleep had been mentioned and dismissed. Her case is not a guarantee that anyone else will get the same outcome. Every case is different. The patterns we found in hers may not be the patterns in yours. But the principle holds: a diagnosis of diminished ovarian reserve, low AMH, or high FSH is a starting point for further investigation, not a complete picture of what is possible. What this episode covers: Why low AMH and high FSH are not the complete picture when donor eggs are recommended Why a TSH of 3 is not normal for fertility even when a clinic accepts it How H. pylori, hidden gluten, and gut infections affect egg quality and miscarriage risk What a full male partner workup looks like when there has been pregnancy loss or implantation failure What a structured second opinion covers when you have been told IVF or donor eggs are your only path This episode is for you if: You have low AMH, high FSH, or a diminished ovarian reserve diagnosis You have had a failed IVF cycle, recurrent miscarriage, or implantation failure You have been told donor eggs are your next step and you are not ready to agree before you understand what was actually evaluated You are in your late 30s or 40s and want to understand whether natural pregnancy with your own eggs is still possible Timestamps: [00:00] Low AMH, High FSH, Donor Eggs Recommended at 43 [01:30] Functional Fertility Testing vs Standard REI Workup [03:00] Thyroid and Fertility: Why TSH 3 Is Not Normal [04:30] Cabergoline, Cholesterol, and Sex Hormone Production [06:00] H. pylori, Hidden Gluten, and Gut Infections in Low AMH Cases [08:00] Vaginal Microbiome and Implantation in Recurrent Miscarriage [09:30] Male Partner Workup: Seminal Microbiome and Sperm Health [11:00] Night Sweats, Sleep Disruption, and the Nervous System [12:30] Constipation, Liver Function, and Hormone Clearance [14:00] Pregnant Naturally at 43: The 18-Month Timeline Take action: If you have been told donor eggs are your only option and you want a structured review of your timeline, your labs, and your IVF history before the next decision, the Functional Fertility Second Opinion is where that review happens.

What if the thing blocking your fertility success isn’t your age, your AMH, or your cycle — but how aligned you are with what you actually want? In Episode 376 of the Fearlessly Fertile Podcast, fertility mindset strategist Rosanne Austin breaks down rule #8 of the New Rules of Fertility Success: Aligned Allows — the […] The post EP376: The New Rules of Fertility #8: Aligned Allows appeared first on Rosanne Austin.

Why do women in long-term relationships often lose their 'spark' while men seem to have an on-off switch? Is your hair dryer actually causing your colour to fade? And, can you get a medical 'crystal ball' to tell you exactly how many eggs you have left? In this episode, Dr Mariam and Claire speak to Dr Eva Jackson, a Sexual Health Physician, to unpack the complex world of female desire. They discuss the difference between 'spontaneous' and 'reactive' arousal, why the word 'libido' might be outdated, and the medical reasons - from antidepressants to hormonal shifts - that might be stalling your sex life. Plus, in Med School, Claire and Dr Mariam look at the science of hair health. We reveal the research-backed way to dry your hair to prevent cuticle damage (hint: it involves a ruler and a blast of cold air) and why leaving your hair to air-dry might actually be doing more harm than good. And, in the Quick Consult, Dr Mariam answers Catherine’s question about 'ticking clock' anxiety. We break down what tests like AMH levels can actually tell you about your fertility at 27, why your partner’s health is just as important in the equation, and why a preconception screen is the best first step for peace of mind. GET IN TOUCH Sign up to the Well Newsletter to receive your weekly dose of trusted health expertise without the medical jargon. Ask a question of our experts or share your story, feedback, or dilemma - you can send it anonymously here, email here or leave us a voice note here. Ask The Doc: Ask us a question in The Waiting Room. Follow us on Instagram and Tiktok. Support independent women’s media by becoming a Mamamia subscriber CREDITS Hosts: Claire Murphy and Dr Mariam Guest: Doctor Eva Jackson Senior Producers: Claire Murphy and Sally Best Executive Producer: Grace Rouvray Group Executive Producer: Ilaria Brophy Audio Producer: Scott Stronach Video Producer: Julian Rosario Social Producer: Elly Moore Mamamia acknowledges the Traditional Owners of the Land we have recorded this podcast on, the Gadigal people of the Eora Nation. We pay our respects to their Elders past and present, and extend that respect to all Aboriginal and Torres Strait Islander cultures.Information discussed in Well. is for education purposes only and is not intended to provide professional medical advice. Listeners should seek their own medical advice, specific to their circumstances, from their treating doctor or health care professional. - - - - - - TRANSCRIPT You're listening to a Mamamia podcast. Mariam, what gets you going sexually? 00:10Speaker 2 It is when my husband shows up, just appears. When he does, like, things without me asking, right, So, my goodness, Like he's packed the kids their lunches, he's taken a bit of my mental load. He's done a bit of cleaning. Men do not understand. 00:31Speaker 1 Okay, men do not understand me. Take a little bit of mental load, it is so hot 00:38Speaker 2 So hot, 00:46Speaker 1 Hi there, welcome to Well your Full Body Health Check. I'm Claire Murphy. 00:50Speaker 2 And I'm doctor Mariam. 00:51Speaker 1 And today we're talking about Libido time to get spicy. There is always a lot of comparisons about how women's health issues have been overlooked while men get pills for a rectile dysfunction, But there are actually pills for women's desire too, which we will discuss. But we'll also touch on what it is about us that so many of us do seem to lose spark over time. We'll also have a quick consult for Catherine today. She's got a ticking clock issue and she wants to know how to maybe quieten it down just a little bit. But next mariam are you a blow dry girl, after you wash your hair or do you let it just do its thing and air dry. 01:33Speaker 2 I'm gonna be honest. I actually wash my hair every seven to ten days. I know, I know, you know why. I have so much hair, So I have to blow dry my hair after I've had to wash. But I do it in segments because there's so much and it takes so long. 01:50Speaker 1 Oh, this is me crying you tears of sadness for your I have so much glorious flowing hair that it takes me hours to dry, so much work. 02:00Speaker 2 I actually get like I sweat, it's like almost need to shower again. So I'll do like a light blow dry to start with, and then I'll do like a quarter and proper and then I'll just take a couple of hours off and then revisit. 02:13Speaker 1 Over two days, just take breaks between. 02:16Speaker 2 It hurts my arms so painful. 02:19Speaker 1 Rip your hairdresser. Okay, Well, next in med school, I'm gonna reveal which one to blow dry or not to blow dry is actually better for your hair. Welcome to med school. Is it better for your hair to leave it to dry naturally or use a blow dry? I unlike you with your glorious tresses have very fine hair, not a lot of it, so I almost have to race from the shower to the hair dry before it starts drying by itself. 02:47Speaker 2 What happens if it dries. 02:48Speaker 1 If it dries naturally by itself, it ends up in weird shapes. Okay, so it's naturally straight, so I don't straighten it. But if I don't blow dried, it's almost stuck to my scalp and it's very flat, so it needs some kind of air in there for vol But if you've ever visited a hairdresser, they will have different opinions, which is funny because they'll tell you you need to put stuff on your hair to protect it from any heat, and we use a lot of heat with curlers or straighteners or hair dryers whilst they simultaneously fry your hair as they blow right from the roots right. But here's the thing. Your hair can absorb about thirty percent of its weight when it's wet, so it soaks up the water and swells from the inside. So what that means is it's stretching your hair's outer layer or cuticle, and that puts pressure on the cell membrane complex. That's the glue that holds all those cuticles together and forms the length of your hair. So if you leave it wet, it stays in that vulnerable swollen state for longer, and then cracks can form due to that swelling. That is what then causes damage to the cuticle itself, and sometimes it can also cause your colour to fade because the color is absorbed in them. And then if you leave it wet and out to dry naturally, can crack that and make the colour stuff to go right, So, what is the best option for hair health? According to research. Yes, research has been done on this. Blow drying on medium heat from fifteen centimeters away fifteen fifteen Oh jeez, I know. 04:17Speaker 2 It's it's fair ways away from your head. That's more arm work. 04:21Speaker 1 It is more arm work. You can get bigger by steps, keep the dryer moving so it doesn't heat up one area for too long, and then drying it till it's just about eighty percent and then leaving the rest to dry naturally. Okay, that apparently causes less damage than just doing nothing. So little bit of heat not too much. So apparently then too, you should finish off with a bit of a cool blast of air because it helps seal the cuticle part of it and also stops the residual heat. 04:50Speaker 2 And it holds its shape longer. 04:52Speaker 1 Yeah yeah, yeah, yeah, So just measure fifteen to get a ruler. Jeez, measure fifteen centimeters away from you head. 05:00Speaker 2 Yeah, it's going to be a little bit hard work. Sorry about that. 05:04Speaker 1 On the way, today's check up, where we are off in search of all of our lost libidos, or never found? Where did they go? 05:15Speaker 3 It's time for the checkup? 05:18Speaker 1 Mariam? What gets you going sexually? 05:20Speaker 2 Well, okay, if you ask me, ten years ago been very different, right, what is it today? today? It is when my husband shows up, just appears, when he does like things without me asking, right, So, my goodness, Like he's packed the kids their lunches, he's taken a bit of my mental load, he's done a bit of cleaning. 05:44Speaker 1 Men do not understand. Okay, men do not understand me take a little bit of mental load. Is so hot? 05:54Speaker 2 It is so hot, so hot. 05:56Speaker 1 Yeah. But Mariam, do many women speak to you about not being motivated to have sex anymore? 06:01Speaker 4 Okay? 06:02Speaker 2 So women will often say I just don't feel like having sex anymore, and it's kind of like, oh, this is the status quo. I've accepted it, and it's not something they generally come to me with, so. 06:15Speaker 1 That's always they've already accepted this. 06:16Speaker 2 Yeah, that's where they're at, and it's like the norm and it's acceptable, and sometimes they don't offer that information. I as a GP like to cover a lot of sexual health in my consultations, and a lot of the time that I will get, is something wrong with me? And I want to say, nothing is wrong with you. You're not broken, and you're definitely not the only one feeling this way. Three of us in the room have put our hands up. In fact, Australian research shows that one in three women will experience low sexual desire at some point in their life, so that's a third of us. So if you're nodding along right now, you're in good company. And what's interesting, it's rarely about not wanting sex. Sometimes it's medical, sometimes emotion. On a lot of the time it's both. So let's start with the medical side of things. So a lot of the time there's a hormonal issue at play. You may have just had a baby, you might be going through perimenopause or menopause, and we know a lot of medications to side effect can be loss of libido. Then there's low iron, thyroid issues, chronic pain, endometriosis. They all can play a role as well, So before you start blaming yourself or your relationship, it's worth getting a checkup. Then there's the emotional and relationship side. So when you're juggling work, especially as a female, you've got your family, You've got the mental and emotional load, and that invisible to do list that just never ends. Your brain's just in this survival mode, and a brain that's trying to get through the day isn't exactly thinking, yes, let's get it on tonight, I really want some penis. 07:51Speaker 1 And there's something about like, you know, you might even be in a great frame of mind and thinking, yeah, I am feeling turned on right now, and then your partner will be like, where's my shoes and you're like, oh yeah, oh now, I'm just dealing with another child, and it's like that switches off immediately, right, So it doesn't take much to turn off. And we're not always visual creatures either. Women. We are very much in our heads and we like to be turned on in different ways, not just like and I know I've had conversations with my friends and one of my friends said, have any of your husbands just like pulled it out and said, hey, let's go, And we've all kind of gone yeah, and they're like, did that work for any of you? And one of our friends has got like quite a high libido and she's like, Yep, I'm ready to go anytime of the day or night, and that works for her. But for the rest of us, we were like, no, it does not work for me. But when I asked, have any of you talked to your husbands about that? And they're like, yeah, we tried to say something like that doesn't work, but none of us said what would work? Yeah, so the communication wasn't great with that either. 08:58Speaker 2 I always tell my husband's sex starts before the bedroom, and I know it's hard with kids, liked you kind of have to book in that intimacy. 09:05Speaker 1 Yep, and then there's always that paranoid that they're gonna wake up and walk in or whatever 09:09Speaker 2 But it's just like when it becomes schedule, it's just loses it. It just loses it. But yeah, for me, definitely sex starts before the bedroom. I'm not someone who's just going to be aroused because you've flopped out your penis. That doesn't talk for me, buddy, Yes. 09:24Speaker 1 It doesn't work. I mean for some it does like it just doesn't. 09:27Speaker 2 It's just doing that. It's just like this thing that's just like flopping there. It's just doesn't do it. 09:33Speaker 1 My friend said to me, your husband came up and said, hey, baby, have you seen this lately? And she said, yeah, I see it all the time. What? Come on, you can do better than that. 09:43Speaker 2 Pack it away, buddy,. 09:45Speaker 1 Put a little bit more effort in. But if someone is struggling to have this discussion with a medical professional, like if they feel like they've done what they can on their own and they want a bit of extra help, what do you suggest they do to get the ball rolling. 09:58Speaker 2 I would suggest if you want to speak to your GP about it, finding maybe like a woman's health GP to start with. A lot of unfortunately, gps aren't really comfortable with having this conversation. I've seen a lot of patients say, tried to bring this up in the past and I didn't really get much answers or help, and that kind of shut them down or made them feel embarrassed. So I think having that conversation with someone who has experience in the area is going to make you feel a lot more comfortable and you're going to get the results that you want. So I would start by finding a GP with experience and then just letting them know I'm not feeling myself, I'm not feeling connected, I don't feel like having sex anymore. Is there something medically happening, and then the doctor will just take it from there. They'll ask you all the questions and they will guide the consultation based on what they think is appropriate. A good GP will make you feel comfortable, ask the right questions, and give you the support that you need. 10:58Speaker 1 Yeah. WhenI started researching libido. I actually realized that I don't know what it is. We talk about it like it's a physical thing in our bodies. Yeah that you can like point to, yeah, point of like that's where my libido lives. But yeah, so really I don't know what it is other than it's the urge to have sex. But it is a lot more than that. We are pretty complicated beings us, ladies, and can I also say too that, like, if you don't want to have sex anymore and you're very comfortable with that like, Thats fine! There is no one telling you that you have to have sex to be you know, I don't know, af functioning human, Like, you can live without it if that's your choice, and you're very happy. 11:32Speaker 2 With that too, And a lot of people are and choose to them. 11:36Speaker 1 Yeah, exactly, like and that's totally fine. But like, can I say for my LGBTQI mates, And this is not saying that they are all like this, because we're all different, but they seem to be a lot better at engaging in sex but also just talking about it with each other, like grown ass humans who have once and needs and they're happy to like discuss that and put it out there. 11:58Speaker 2 I don't know whether that's it is a thing I don't definitely see. Like I find with a lot of my heterosexual female friends that sex often feels transactional. It's like, oh, it's just another to do this job to do it's like a job something get over with, all right done? You know, Yeah, that's amazing, jeez, Claire your winning. What we actually crave is that engagement, that emotional foreplay, that communication and touch that isn't really goal driven or like a tick off the list. And you're right, because a lot of the lgbtqi I folk. They seem to have more open conversations about sex, not because they're magically better at it, they probably are. 12:41Speaker 3 But. 12:43Speaker 2 Because their relationships often require more conscious communication from the start, and they've had to define what intimacy means to them rather than just following a script. And that's something I guess everyone can learn from, like having those open, honest conversations saying this is what it looks like for me. 13:02Speaker 1 I guess too when we're talking about libido in women. When we talk about men, for example, and we know that there are, you know, medical interventions for them, like rectile dysfunction pills, but there's this idea that if a man loses his ability to get or maintain an erection, that there is a problem, that there is a medical issue, and so him not being able to get an erection is an issue. But for women, we don't have that equivalent. So, like, I wonder, what are the medical benefits for us to have our libidos fully functioning? Like I know that there was some research recently that suggested that masturbation was good for you when you're in menopause, that it had benefits, But I'm not sure if we have an equivalent of a erectile dysfunction relating to a man being physically healthy as opposed to us not having a libido and not being physically healthy. 13:53Speaker 2 We have that hyperactive sexual desire disorder. So there is a term HSDD, and there is treatment for that for females who have low libido if they meet the criteria. But I don't know whether or not as females there is that added benefit medically from orgasms. I'm sure in the moment there is maybe mental health. Maybe mental health. Yeah, we'll have to look into that. It's interesting, definitely worth a chat. 14:21Speaker 1 Yeah. Next, doctor Eva Jackson's going to tell us more about where a libido actually lives, how to wake it up if it's been snooz’in a while, and what things we know about both medical and non medical approaches to help. Okay, today's expert is doctor Eva Jackson. She is a sexual health physician, and we started our chat by asking her what even is a libido? Now, Eva, I think we want to start off by at first kind of establishing what a libido even is, because, like, if there's something going on with our bodies, often we can point to the spot and go right, that is where the problem is. But when we talk about issues with our libido, we might think it might be in our vagina, but a lot of it's in our head. And so I wanted to just get a definition from you before we go any further. What is our libido? Does it exist as a physical structure, like what is it? 15:19Speaker 3 I guess in medicine, libido is something that we can divide into two parts. So we've got desire, so the one thing to have sex, and then there's the arousal part, and that's the physical part where you know, you get your palpitations, you get the tingling in your vagina, you get the wetness, and they can come together, but they can be separate issues as well too, And libido can be a little bit difficult to, you know, to understand, and often when I've got someone in front of me, I've got to actually ask them, well, what are you missing? I think it's different for everybody when you're talking about libido, and it's really important to really pin down what the problem is because it can mean a lot of things to a lot of people, and in the end, the whole full definition, you know, doesn't really apply to that individual person. 16:10Speaker 1 Well, can we even talk about using the word libido, because that word was coined quite a long time ago by Sigmund Freud, and many people now say that perhaps it's a little oversimplified, It ignores a lot of societal things, cultural factors, it lacks a fair bit of scientific evidence as well, and that it might sort of overemphasize sex itself in all of this rather than the desire part of it. Would you say that maybe it's time to rethink even using the word libido. 16:38Speaker 3 Yeah, before you mentioned it to me earlier, I sort of thought, well, libido is a word that I see, but we tend not to use a lot of. The original Freudian libido was based on sex, was that the motivation to have sex. But I think Freud sort of expanded his definition somewhat for just the motivation for life and general happiness. I think sometimes men, when they come in and they say they've got low libido, they tend to have a lot more problems with motivation for other things as well, not just libido. But when women come in and specifically say I've lost my libido, got low libidio, they really are talking about just lacking the motivation to want to have sex. So libido I don't like pure definitions. It doesn't work for me, especially now being such a multicultural community. You know, you can sit down with somebody and they use the word because they hear it, but they haven't quite understood it, and it's really what that means to you. Like I said, I prefer to use the word desire because that has connotations of want as opposed to a whole lot of other things libido might encompass. People might think it's sex, people might just think it's dysfunction and in some other way. 17:58Speaker 1 What can we talk about finding issues that we would then take to our doctor and say that I've lost my libido or I've got an issue with my libido. When someone comes in and says those things, are there tests that come to mind that can help people understand where they are physiologically or is this more of a something for our therapist to talk through, Like what sort of tests or medical intervention do we look at when someone comes in and says, I've got a problem with my libido? 18:26Speaker 3 So I guess we're really talking here about cis women. A lot of women when they come in saying you know, they've got a lot of libido, is that they actually don't feel like sex with their partner. And then it's understanding what's going on. There's certainly you want to ask a lot about what's happening sexually, what's happening about their relationship, work, you know, things that are going on around them, and then of course those physical issues as well. Is there genital pain, deep pain? Is there, you know, a lack of lubrication, what's actually going on? Depending on what the actual issue is, there may be tests. A lot of women go directly to hormones, especially if they're older. So am I sort of premenopausal? Am my menopausal? Is that going to affect me? And that might be worth some investigations, And of course if there's pain and other physical issues there may also be some investigations for that as well too. And of course if there are some sort of chronic diseases that may affect particularly arousal, so arousal being usually whilst women will define their arousal as really not lubricating very much, it's a bit more difficult to have sex. But often there are a lot of things going on around that don't have anything to do with a physical problem and then maybe it's more sort of talking it through. 19:51Speaker 1 What would you say the most common reasons are for women to either lose interest in that desire or to have issues with desiring sex. 20:02Speaker 3 I think the most common reason is being in a long term relationship. So the longer you're with a partner, the less spontaneous desire that you know, women tend to have. And I think it's that sort of Hollywood kind of sex sort of coming through in that when we first meet someone, that's all very exciting and there's a lot of chemicals going around us that sort of allows spontaneous desire just oh my god, I want it now, you know, and let's do it. It all works. So the thing is the longer you're with somebody that doesn't happen as much. It holds true for men. Men are a bit simpler in that respect, I guess is that there have an on off switch and that arousal is spontaneous. But for women there's a lot of, can be, a lot of other things that have to be right, you know, before they have spontaneous desire or not even spontaneous sort of a desire that's brought on that actually tells you, yeah, sex would be really nice right now. And I think a lot of people still believe that if they love someone, if they in the presence of someone they enjoy, that they should just have that arousal in them and that desire for them, which doesn't necessarily hold true. 21:16Speaker 1 Well, can we talk about that, because you've mentioned spontaneous desire a few times, and that is if you could explain what spontaneous desire is and then how there's this idea that maybe women are more reactive desire based rather than spontaneous. 21:31Speaker 3 So a spontaneous desire is just that you look at your partner or a someone, I want to have sex, and you've got the physical feelings on the inside that say, yes, let's do this now. And I think the longer you are with someone that doesn't necessarily hold true. It's just some spontaneous desire is really just looking and saying, yeah, that would be nice. And I think a lot of women would like to be more like men in that sort of way, Like. 21:58Speaker 1 It sounds easier, does a bit. 22:01Speaker 3 Yeah. The problem is I think in the beginning it's cultural. You know, once upon a time, you know, we weren't meant to have a libido women one hundred years ago. It's like that was women are meant to want to have sex, So now you're normal, but now we're supposed to want to have it, and suddenly you're not normal when you don't want to have it. So yeah, it is very culturally defined what's normal and what's not, and there's not as far as I'm concerned, really there's not an abnormal. It's really what you need right now and how can we make that better for you. 22:35Speaker 1 I wanted to speak to you too about the fact that there seems to be a lot of people in our social media feeds that claim they have the answer to fixing our libidos. That could be anything from acupuncture, pressure points, nasal sprays. We see the Kardashians have, you know, got lines of things that they are promoting as being libido fixes. What should we be aware of when it comes to looking at helping our sexual desires and a lot of the things that are maybe being marketed at us as solutions. 23:06Speaker 3 First thing is safety. You want to know if you're get to take a product, at least it's safe. If it doesn't do anything, you want it to be safe. There's a lot of placeebo. In these things, you buy something, it works initially because you believe it's going to work, and then it doesn't. Belief is really important when it comes to something like libido. I think like a lot of libido really has to do with communication. If you're in a long term monogamous relationship, if that's what we're talking about here, a lot of it is to do with the communication with your partner. Testosterone is usually the thing that women talk to me a lot about, which is a possibility in older women who have hit menopaude, and that's available for women if you know that you have a sort of what we call a hypo desire sort of disorder. It's not really appropriate for younger women, and it really is. Again, it's really communication and understanding what you need to improve your libido. 24:07Speaker 1 Well, can we talk about one thing. I saw a neuroscientist on my social media feed claiming that women getting just one extra hour of sleep a night increases her libido by fourteen percent. Now I do not know on what research he has based this claim on, but would you say that women getting more sleep does in fact help libido? 24:30Speaker 3 So I had a look at that and it comes from it. I think it was twenty fourteen or twenty eighteen paper. Well, extra sleep would help a lot of things. It certainly helps your energy levels and just your ability to do a lot of things during that day. So I certainly agree if you get good sleep, it was going to help. 24:50Speaker 1 There are lots of women online now who seem very concerned that maybe the oral contraceptive pill might be interrupting their libido. Do we have any research that proves that or disproves that? 25:02Speaker 3 Yeah, yeah, so there is there is research. The thing about the oral contraceptive pill is that it increases something called serum hormone binding globulin in your body. And as the name suggests, it binds hormone and so therefore your hormone is not available to you, and in particular, it binds testosterone. Women only have a tiny amount of testosterone. So for example, we say women normal amounts of testosterone is less than two for women, whereas men, you know, you're upwards of ten to ten to thirty, right, So we have tiny amounts. So for some women who have particular receptor types need more testosterone than others to get all of the testosterone functioning. Cells working, So that is true. 25:56Speaker 1 So you've mentioned a few times that a lot of the issues that you encounter with patients is probably a lack of communication, and that does often spring from being in a long term relationship. So would you say that therapy can actually help libido? 26:13Speaker 3 Yes, it can, and I think therapy with the partner is really important. You have a lot of women coming in who want to work on it alone because they believe it's their problem. The thing is, it's a couple's issue. The thing that reduces women's libido or desire the most is actually a long term relationship. So the easiest way to increase your desire is to get a new partner, and that's not really, it might be for some women they may actually need a new partner, but for a lot of women that's not an option. You need your partner to be involved to understand what's going on, because you know, people don't talk about sex very often, and so you go into a relationship it's all good sexually, you have your spontaneous arousal and fireworks go. But you're together for a while and it's not spontaneous anymore, and then it's the understanding of what she has to understand what she needs. That's hard enough as it is, let alone trying to communicate that to a partner, and we fall into these sexual scripts where we tend to do the same thing sort of every time, and it's very hard to get out of that. So, for example, you know, like I said, men often have more spontaneous arousal. They'll get home from work and partner is there and hey, she's pretty, let's do it. Whereas for her, it's not quite like that. In a lot of circumstances, and women may have spontaneous desire, but a lot of women may actually start their their sexual encounter somewhere else. Some women need emotional intimacy, you know, so they need shells of love and encouragement to get into that cycle. Some women just need to be touched, right, and maybe he's learned to touch her and ways that are really counter productive for her. But it's too hard to say otherwise and to sort of redirect the touching to what she prefers. And some women actually will start at orgasm before they have any spontaneous arousal kind of I'm difficult to understand if you're not one of those women. But you know, there's some women who will say, Okay, we'll just get into it, because I know once I get going, I have my orgasms. Then yeah, okay, I'm feeling it now, let's do this again. And of course there's those usual things of time factors, stress, children, needing a quiet space, needing to wind down. 28:40Speaker 1 What would you say to someone who is listening to this right now and thinks, yeah, I'm really struggling with this. What are the first steps that she can take? And when should she look at getting professional medical help with libido? 28:54Speaker 3 I think if she's got chronic disease, diseases on medication, it's worthwhile talking to the doctor. You know, is there a medication I'm on that's not helping. Often the main culprit can be antidepressants, you know, SSRIs that tends to reduce your desire, and if for a lot of women that can really produce an orgasmia of difficulty reaching orgasm, or not reaching orgasm at all, because it blocks a lot of pathways in that respect. Might be something as simple as changing medication perhaps, but if you’re otherwise fit and healthy, I think if you can actually talk to your partner, that's a really good start. And that's a really difficult, difficult conversation to have. And of course we're really talking about relationships that are respectful and loving as well. If you're talking about relationships that are coercive or violent or just have some bad history, I think that's another sort of route of counseling as well. 30:02Speaker 1 So Mariam does seem that communication seems to be the key here if your lack of libido or desire is not influenced by a chronic disease. But why is this so scary to talk about? Do you think? 30:13Speaker 2 I think as we were never taught how so, like most of us grew up with silence around sex and intimacy. Maybe we had some anatomy classes in school, maybe a warning about pregnancy or but there was never any teaching about pleasure connection or emotional intimacy. So when we try to talk about it as adults, it feels like we're vulnerable and we're exposing something deeply personal. Maybe we should be ashamed about it, maybe it will be judged for it And there's that fear of rejection or am I going to hurt this person's feelings because they're not providing for me the way that I want them too. 30:51Speaker 1 What if they like something that I don't like, is that going to be a deal breaker? 30:54Speaker 2 But the irony is as we try to avoid it, the bigger that gap comes. And the couples who thrive aren't the ones to have perfect sex lives. They're the ones who can talk about it without that shame or that fear of judgment. So I would just start small, sit down and say, hey, we need to talk about sex, or you can start with hay, I miss feeling close to Can we try something different, Keep it curious, not critical, because at the end of the day, communication is foreplay. Well it is for me anyway. Yeah, and in my limited experience, it is how desire grows. 31:30Speaker 1 Yeah, okay, yeah, let's start talking friends. You never know what the outcome might be. Might be something might be an orgasm, might be an orgasm, and that would be fabulous. 31:38Speaker 2 That would be fabulous. 31:40Speaker 1 Next, Catherine isn't ready for babies like situationally or financially, but she cannot stop thinking about it. We’ll get some help for her next. Okay, doc, do you think it's quick consult time? The doctor will see you now. Just through here to consult room one. 32:03Speaker 2 Thanks for waiting. How can I help you? 32:05Speaker 1 Remember. If you want to get a question to the good doctor here, you can do it by sending us an email well at Mamamia dot com dot AU. You can do what Catherine did and hit us up on our Instagram DMS, or you can do it by the waiting room. It's an online form that you can find the link to in our show notes. Very easy. I get Catherine's filling that clock a tick in want some advice on what to do to drown it out for a bit. Here we go, she wrote. 32:26Speaker 4 I'm twenty seven and my partner is thirty seven. We're just about to finish building our first home together and are wanting to start a family in the near future. However, the prospect of not being able to get pregnant gives me great anxiety almost daily. I have no family history of trouble getting pregnant or any reason to be concerned, but it hangs over my head most days. I'm almost tempted to start trying straight away, even though we ideally would like to wait a few years to settle ourselves financially, simply just to know one way or the other if I can or can't get pregnant. My partner suggested maybe it's worth speaking to my doctor and getting some tests done to find out if we do have anything to be concerned about. My question is what should I be asking to get tested for to understand my fertility? And is it just me that should be getting tests done or should my partner also be looking into it? 33:12Speaker 2 Okay, First of all, you are not alone in this sphere. I see so many women in their twenties. We're thinking about babies one day, not right now, but the what if I can't get pregnant voices living rent free in their brain, And it makes sense. Fertility is one of those topics that gets whispered about. It's rarely explained properly, and the horror stories always travel further than the normal ones. Here's the deal. You're twenty seven. You've got no red flags from what you've told me, medically, no family history suggesting issues, so on paper, your body's not secretly plotting against you. But anxiety we know it doesn't care about logic. So I always tell people preconception screens. You know, whether it's a year or two or three prior is always a good idea. Baseline tests might help settle your mind and that's completely reasonable. For you,hat generally means a general health a reproductive screen. We'll look at your ovulation patterns, and sometimes we may do an AMH level, which gives a rough idea of your ovarian reserve. Saying that it's rough because it's not a crystal ball. 34:21Speaker 1 No one goes into one, two, three, four, how many eggs are in this. 34:26Speaker 2 It doesn't tell us if you can or can't get pregnant. It just gives context. So you could have really high numbers and still have issues with fertility. You can have really small numbers and have really great egg quality. And fertility is a team sport. I need to say it takes two to tango. If you're exploring this early, it absolutely makes sense for your partner to be included. A simple Semon analysis is cheap, quick and gives a lot of great information, and also a general health check with your partner is also required. Men's age does matter as well. We pretend sperm stays young forever, but as men get older, motility, shape and DNA quality can dip a bit. Your partner is thirty seven, still very much in the fertile age range, but if you're doing checks he definitely needs to be part of the picture too. Most importantly, I would say, don't feel pressured to start trying just because you're ready to silence the What if at twenty seven you're biologically in a really favorable window. If some basic tests give you peace of mind, fantastic, go ahead and do them, but bring your partner into that conversation o future parenthood is a joint project, it's not solo investigation. And remember, worrying about fertility doesn't mean something is wrong. It means you're human. You're planning a life chapter and your brain's trying to get ahead of the story. So chat with your GP. But if you feel like this anxiety's just kind of popping up day to day, I think that's also worth exploring with your doctor. 35:55Speaker 1 Yeah, maybe doing some tests will put your mind at ease, but bear in mind too that sometimes doing those tests might increase your anxiety. 36:04Speaker 2 Yeah, especially if you know we uncover something. 36:06Speaker 1 Yeah, yeah, so you might want to just factor that in yeah too. All right, Catherine, Hopefully that has answered your question today. But remember we love that you spend time with us here on well and we love getting all your advice. But it is general. The info you've heard here today is general, not specific. For you. Make sure you learn from it. Use it for the list of questions you take to your own doctors to sort out what's right for you. Next week, Mariam, some ye oldie worldy STIs are making a very uncomfortable comeback and we apparently do not care enough about it. So we're going to get all down and dirty in the sexually transmitted infections of the past and now sadly our present. But also a quick ask, would you mind rating and reviewing us in your podcast app It helps us out a lot more than you know. Please please, please, thank you very much and we'll catch you for your appointment next week. Bye Bye Well is produced by me Claire Murphy and our senior producer Sally Best, with audio production by Scott Stronach, video production by Julian Rosario, and social production by Elly Moore. Mammamia acknowledges the traditional owners of the land. We've recorded this podcast on the Gadigal people of the Eora Nation. We pay our respects to their elders past and present, and extend that respect to all Aboriginal and Torres Strait islander cultures.Support the show: https://www.mamamia.com.au/mplus/See omnystudio.com/listener for privacy information.

Most women with low AMH and high FSH get one of two answers about their iron: "it's fine," or "it's low, here's a supplement." Both leave the real problem untouched. Failed transfers, failed IVF cycles, miscarriage, irregular cycles, exhaustion that won't lift, and nobody asking why the iron is low in the first place. This episode shows you what the full iron panel actually reveals. In this episode, Sarah Clark sits down with Fab Fertile clinical advisor Katy Bradbury (registered nurse and nutritional therapist) to break down the iron panel every woman trying to conceive should be looking at. Not just the one number your doctor checked, but the full picture. They get into why the standard iron prescription is one of the worst forms you can take, why high dose iron can actually make things worse, and why symptoms you've been told are unrelated (brittle nails, cold hands, hair loss, ice cravings, exhaustion) could all be pointing at the same thing. What you'll learn: The full iron panel every woman trying to conceive should request, and what the numbers actually mean Why being told "your iron is fine" off one number is missing the picture The link between low iron and failed transfers, miscarriage, irregular periods, and pregnancy complications Why low iron is so common with low AMH, high FSH, DOR, and POI The thyroid and iron connection most doctors miss, especially with Hashimoto's and hypothyroidism Hidden reasons your iron is low even when you're eating well: gut infections, H. pylori, SIBO, low stomach acid, celiac, heavy periods Why the standard iron prescription often makes you constipated, nauseous, and no better off What to take instead, and why every other day often works better than every day Iron rich foods that actually move the needle, plus the foods and drinks blocking your absorption without you knowing The thyroid medication timing rule nobody tells you about This conversation is for women navigating low AMH, high FSH, DOR, or POI who have been told their iron is fine without anyone running the full panel. It's also for women who have been on iron supplements for years without anyone asking why the iron got low to begin with, and for anyone who has had a failed transfer, a miscarriage, or a failed IVF cycle and is trying to figure out what was missed. Not sure what's been fully evaluated? Download the free Embryo Audit Checklist to map your past cycles and labs so you can see what's been looked at and what may have been missed.

Is your body more fertile than you've been told?If you've been handed a discouraging diagnosis, told your options are limited, or simply feel like time is running out — this episode is for you.Today, Dr. Orlena sits down with Sonia Ribas, fertility coach and founder of The Fertility Solution, who has helped over 700 babies come into the world — many born to women who were told it simply wasn't possible. Working with women aged 35 to 46, Sonia brings a refreshingly holistic approach to a topic that's often reduced to cold statistics and clinical interventions.In this conversation, you'll discover three ideas that could completely shift the way you think about fertility:First, why egg quality matters far more than egg quantity — and how improving your mitochondrial health could dramatically increase your chances of conceiving, regardless of your age or AMH levels.Second, why fertility is really a byproduct of your overall health — and how hidden factors like chronic stress, inflammation, blood sugar, and even emotional trauma may be quietly working against you without you even realising it.And third, why sustainability and personalisation are the true secrets to success — because a plan that doesn't fit your real life simply won't work, and the women who see miracles are the ones who find their version of doing things right.Sonia shares her signature three-step Detox, Nourish, Flow framework, real client stories (including a woman who was diagnosed with menopause and conceived within three months of working together), and her clear message to every woman who's struggling: don't lose hope, and don't try to do this alone.Whether you're actively trying to conceive or simply curious about how lifestyle shapes fertility, this is a conversation full of insight, warmth, and genuine possibility.Connect with SoniaWebsite: https://www.soniaribas.com/ IG: https://www.instagram.com/soniaribascoach/ Youtube: https://www.youtube.com/c/SoniaRibasCoach Sign up for the Stop Dieting and Start Thriving Video: https://www.drorlena.com/stop-dietingLooking for support? Book a free call with Dr Orlena: https://www.drorlena.com/book-a-call-dr-o 

Sarah Clark was told donor eggs were her only option. No second opinion. No workup. Just an IVF brochure pulled off the shelf. This is the story of what was actually going on, and what nobody looked for. At 28, Sarah was diagnosed with premature ovarian failure (now called premature ovarian insufficiency). Her OB/GYN handed her an IVF brochure during the appointment. She went to the REI, got on the donor egg list, and had both her kids through IVF with donor eggs. It took another decade before she discovered the underlying imbalances her REI never screened for: food sensitivities to dairy, gluten, and corn, plus a gut infection with H. pylori, streptococcus, fungal overgrowth and nervous system dysregulation (stressed out but didn;t even know it). In this rebroadcast episode, Monica Cox interviews Sarah about the clues her body was giving her for years before the POI diagnosis, and what she wishes someone had told her in her twenties. What you'll learn: The seemingly unrelated symptoms that were early signals (irregular periods twice a year, cystic acne, fungal rashes, chronic yeast infections, dark circles since age 12) Why a POI diagnosis at 28 doesn't automatically mean donor eggs, and why a second opinion matters The post-pregnancy health collapse that exposed the underlying gut and immune dysfunction Food sensitivities beyond digestion: mood, joint pain, skin, brain fog, autoimmune flares Why partners have to be in the protocol from day one, because infections pass back and forth The four foundational tests: food sensitivity, DUTCH hormone, GI-MAP stool, HTMA hair Why IVF should be the last choice, not the first, given the $60K average spend and three-cycle average Where to actually start: just diagnosed vs. one failed cycle vs. multiple failures behind you Timestamps: 00:00 Why this episode is for you if you have low AMH, high FSH, DOR, or POI 02:00 Diagnosed at 28 with premature ovarian failure, handed an IVF brochure, no second opinion 03:00 The clues in her twenties: irregular periods, acne, fungal rash, yeast infections 07:00 Post-kids health crash: chronic sinus infections, bladder infections, vertigo, antibiotic damage 08:00 Discovering food sensitivities (dairy, gluten, corn) and gut infections (H. pylori, strep, fungal overgrowth) 13:00 Connecting the dots: why every "unrelated" symptom was related 15:00 Why partners must be in the protocol, because infections pass between couples 21:00 Multiple failed IUIs and IVFs: burnout, cortisol, and the case for a pause 24:00 The four foundational tests: food sensitivity, DUTCH, GI-MAP, HTMA 35:00 Where to start: just diagnosed vs. one failed cycle vs. multiple failures This conversation is for women who've been told donor eggs are their only option, who are staring down a POI, low AMH, high FSH, or diminished ovarian reserve diagnosis, and who suspect their REI hasn't looked at the full picture. Not sure what's been fully evaluated? Download the free Embryo Audit Checklist to map your past cycles and labs so you can see what's been looked at and what may have been missed.

Are you a high-performing woman who has done everything “right” — multiple rounds of IVF, IUIs, acupuncture, supplements, every protocol your doctor prescribed — and still isn’t pregnant? There’s a hidden pattern quietly sabotaging your fertility journey, and it has nothing to do with your AMH, your follicle count, or your age. It’s permission-seeking. In […] The post EP374: The New Rules of Fertility #6: Purpose Over Permission appeared first on Rosanne Austin.

Most people only meet a fertility specialist in crisis mode. In this episode, Dr. Shefali Shastri, Clinical Director and Physician Partner at RMA New Jersey, explains what proactive fertility actually looks like. Dr. Shastri is a board‑certified reproductive endocrinologist who has helped bring thousands of babies into the world since joining RMA New Jersey in 2009. Inspired by her OB/GYN mother, she now combines cutting‑edge science with deeply personal, patient‑centered care. We cover: • Who should consider a fertility workup before trying • How to understand your “fertility age” vs your birthday age • What a proactive fertility checkup actually includes (hormones, AMH, ultrasound, semen analysis, basic genetic screening, etc.) • Red flags where you should not “wait a year” • Egg freezing, preimplantation genetic testing, and underlying genetic causes of infertility • Exercise, weight, stress and movement for fertility • Specific guidance for single parents by choice, queer couples, and people planning for donor conception or surrogacy • How to turn fear of “bad news” into informed, empowered decisions If you're not trying yet but want options later, or you're already in treatment and feeling stuck, this conversation will give you a clear, compassionate roadmap. Connect: • Learn more about Dr. Shastri and RMA New Jersey: https://rmanetwork.com/staff/shefali-mavani-shastri/ • Follor Dr. Shastri on Instagram: https://www.instagram.com/shefalishastrimd/ • Get my proactive fertility & family‑building resources:https://familybuilding.net/free-downloads/  

In this episode, Prof Chapman explains how AMH levels and antral follicle counts are used to assess ovarian reserve—and why they don't tell the full story about egg quality or natural conception chances. He clarifies common misconceptions, especially for women trying to conceive in their 30s and 40s, and shares when it may be time to consider IVF. Prof Chapman also discusses the growing role of AI tools like ChatGPT in fertility research, highlighting their usefulness for general knowledge—but emphasizing why personalized medical advice should always come from an experienced specialist. Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF). Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

Fertility is one of the most misunderstood areas of women's health, and most people don't realize how early planning actually matters. In this episode of The Shift podcast, Sonia Azad sits down with reproductive endocrinology and infertility specialist Dr. Kimberly Yau to break down everything you need to know about fertility, egg freezing, IVF, AMH testing, PCOS, irregular periods, and how age impacts reproductive health. You'll learn: • When to see a fertility specialist • What AMH actually means (and what it doesn't) • The truth about egg freezing success rates • Fertility in your 20s, 30s, and 40s • IVF, embryos, and reproductive technology advances • Male factor infertility and sperm health • Fertility preservation for medical reasons (like cancer treatment) This conversation is designed to give you clarity so you can make informed decisions about your reproductive future.

Your TSH is "normal." Your ferritin is "normal." Your glucose is "normal." And IVF still isn't working. Here's why normal lab ranges were never built for fertility and what optimal actually looks like. Most reference ranges are designed to flag disease in the general population, not to optimize egg quality, embryo competence, or implantation. That gap is where a lot of unexplained IVF failure, embryo arrest, and recurrent loss live. In this episode, Sarah Clark walks through the four biomarker categories most often dismissed as "fine" but influence cycle outcomes in women with diminished ovarian reserve, low AMH, high FSH, and failed transfers. What you'll learn: - What "normal" lab ranges actually measure and what they miss - Why fertility-optimized TSH sits closer to 1–2 mIU/L, not 4.0 - Ferritin 80–100 ng/mL and what it means for egg energy and endometrial development - Fasting glucose under 86, insulin stability, and follicular development - Why hsCRP under 1 mg/L matters for implantation and embryo quality - The full thyroid panel most REIs skip: Free T3, Free T4, Reverse T3, TPO, TBG - Male factor inflammation, sperm DNA fragmentation, and recurring infections - The reframe: normal protects against disease, optimal supports conception Timestamps: 00:00 Why "normal" labs don't mean fertility-optimized 00:30 What conventional reference ranges actually measure 01:30 Why DIY fertility optimization stalls without functional lab review 03:00 TSH "normal" vs optimal and the full thyroid panel REIs skip (Free T3, Free T4, Reverse T3, TPO, TBG) 04:30 How thyroid signaling affects egg quality, ovulation, and pregnancy loss 05:00 Ferritin 80–100 ng/mL: the iron range for IVF and egg energy 06:00 Fasting glucose under 86, insulin stability, and follicular development 07:00 hsCRP under 1 mg/L: low-grade inflammation, implantation, and embryo development 07:30 Male factor inflammation, sperm DNA fragmentation, and recurring infections 08:30 Embryo Audit Checklist + Functional Fertility Second Opinion: next steps This conversation is for women navigating diminished ovarian reserve, low AMH, high FSH, embryo arrest, implantation failure, or recurrent pregnancy loss who keep being told their bloodwork looks fine. Not sure what's been fully evaluated? Download the free Embryo Audit Checklist to map your past cycles and labs so you can see what's been looked at and what may have been missed.

In this episode, Prof Chapman explains ovarian reserve, how AMH testing works, and why low levels don't always mean poor fertility. He highlights that egg quality depends on age—not AMH—and cautions against rushing into IVF based on misunderstood results. Explore the 'Prof. Michael Chapman - The IVF Journey' Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF). Don't miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF.

In this episode of the Future Conceived podcast, Dr. David Pepin, recipient of the Roger V. Short Medal, shares a candid and inspiring look at his non-linear path from a "failed" postdoc to a leader in reproductive biology. He details how a accidental discovery—finding that anti-Müllerian hormone (AMH) could "pause" ovarian activity—transformed into a decade-long mission to revolutionize contraception and oncofertility.To learn more about Dr. Pepin's lab site, visit https://www.pepinlab.com/david-pepinLearn more about the Society for the Study of Reproduction (SSR) at www.ssr.org.

Dr. Natalie Crawford, MD, is a double board-certified OB-GYN and reproductive endocrinologist. We discuss how to improve hormone health at any age and the importance of fertility markers not just for pregnancy, but as a powerful window into overall health, vitality and longevity. We discuss hormone replacement therapy, egg freezing, IVF, and what biomarkers like AMH really indicate. Plus, how anti-inflammatory diets and specific supplements can be beneficial and the impact of microplastics and certain fragrances on hormones. We also discuss lesser-known factors that deplete male and female fertility, vitality and health. This conversation highlights how better understanding of hormones and your reproductive markers can empower better informed choices at every stage of life. Read the show notes at hubermanlab.com. Thank you to our sponsors AG1: https://drinkag1.com/huberman David: https://davidprotein.com/huberman BetterHelp: https://betterhelp.com/huberman Eight Sleep: https://eightsleep.com/huberman Function: https://functionhealth.com/huberman Timestamps (00:00:00) Natalie Crawford (00:02:26) Fertility as a Health Marker, Infertility (00:05:34) Perimenopause, Menopause, Hormone Replacement Theory (00:11:01) Sponsors: David & BetterHelp (00:13:35) Hormone Therapy, Extending Ovarian Lifespan (00:19:11) Plastics, Toxins & Fertility (00:22:02) Does Prior Pregnancy Make Conception Easier?, Secondary Infertility (00:29:02) Testing Sperm; Pregnancy Loss & Conceiving Again, Fertility Testing (00:38:17) Sponsor: AG1 (00:39:40) Menstrual Cycle, Egg Number & Quality, AMH Test (00:48:17) Tool: AMH Test; Fertility Education & Patient Choices (00:53:13) Tool: Tracking Ovulation; Ovulation Disorders (00:55:11) AMH Test Cost; Genetic Testing & Patient Choice (01:01:13) Does Egg Freezing Cause Early Menopause?, In Vitro Fertilization (IVF) (01:05:29) Egg Freezing, IVF, Ethical Concerns; Embryo Banking (01:15:21) Sponsor: Eight Sleep (01:16:39) Egg Freezing, Cost & Patient Choices (01:21:22) Concieving After Hormonal Birth Control, IUD or Depo-Provera (01:27:17) Pregnancy Termination & Concieving Again (01:29:28) Support Egg Quality, Tools: Ovulation & Avoiding NSAIDs; 5 Lifestyle Non-Negotiables (01:34:03) Sleep, Melatonin; Cold Plunge (01:38:41) Curcumin, NAD/NR, CoQ10, Supplements for Prenatal Care & Sperm Health (01:42:05) Sponsor: Function (01:43:16) Fertility Research into Supplements & Lifestyle Factors (01:48:21) Inflammation, Red Light (01:53:12) Cannabis & Detriments to Egg & Sperm Health (01:58:57) Nicotine, Smoking, Egg Health & Sperm Count; Healthy Lifestyle Practices (02:02:21) GLP-1s, PCOS, Endometriosis; Human Growth Hormone (02:10:58) Platelet-Rich Plasma; Paternal Age & Sperm Quality; Biotin (02:17:27) Endocrine Disruptors, Fragrances, Receipts, Tool: Fragrance-Free (02:22:48) Patient Education & Empowerment; Inflammation, Celiac Disease (02:25:40) Anti-Inflammatory Diet, Protein, Fiber, Red Meat (02:33:25) Zero-Cost Support, YouTube, Spotify & Apple Follow, Reviews & Feedback, Sponsors, Protocols Book, Social Media, Neural Network Newsletter Disclaimer & Disclosures Learn more about your ad choices. Visit megaphone.fm/adchoices

If you're heading into another IVF cycle after a failed transfer, you're probably being told to trust the process and try again. But what if the process is the problem? In this episode, we get into how to tell whether your next cycle is actually different — or whether you're about to repeat the same outcome with a new protocol number. In this episode you'll learn: The three signs your last cycle wasn't fully interpreted, just failed Why changing the protocol doesn't always change the outcome What "unexplained" actually means and why it's often a gap, not a diagnosis How time pressure pushes couples into decisions that don't serve them The specific questions to ask before you commit to another cycle I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over 1 million downloads. My team works with couples navigating low AMH and failed IVF, reviewing functional lab results including gut microbiome, food sensitivity, vaginal microbiome, nutrigenomics, HTMA, DUTCH, toxin testing, and bloodwork, alongside nervous system work, to help identify patterns that may not have been considered. We work alongside your medical team, not instead of them. Not sure what's been fully evaluated? Download the free Embryo Audit Checklist to map your past cycles and labs so you can see what's been looked at and what may have been missed. Access it here Ready to go deeper? If you want an expert review of your labs, IVF history, and full health picture before your next cycle, this is where we start. Learn more and apply for a Functional Fertility Second Opinion here.

272 Host Mix I Progressive Tales with Aćim Tracklist: 1. Federico Barga, Brian David - Klimber (Original Mix) [Mango Alley] 2. Borjo, Alberto Hernandez (MX) - SAHARA (Extended Mix) [Sounds Of Sirin] 3. Amháin, Covsky - Solas (Original Mix) [Dawn Till Dusk] 4. Lady Lerush, Synthetra - Moonlit (Extended Mix) [Journey Of The Soul] 5. Victor Crain - Stolen Journey (DAANN Remix) [AH Digital] 6. Guido Giuliano - Cumbre (Original Mix) [AH Digital] 7. Astrek - Ligera (Original Mix) [Sound Avenue] 8. Alan Cerra - Onward (Original Mix) [PURRFECTION] 9. Gux Jimenez, Soul Alt Delete - Made Men (Lavie Au Soleil Remix) [For Senses Recordings] • Soundcloud: https://soundcloud.com/milija-a-im-a-imovi • Instagram: https://www.instagram.com/acim_dj/ ___ • Visit our website: www.progresivnasuza.com • Follow us for the latest updates: linktr.ee/progresivnasuza • More info for you: office@progresivnasuza.com • Send us your demo: records@progresivnasuza.com • Elevation Series Inquiry: podcast@progresivnasuza.com

In this episode, Rena Malik, MD is joined by Dr. Natalie Crawford to explore the complex world of women's fertility and reproductive health. Together, they break down key topics including fertility myths, the impact of lifestyle and environmental factors, the limitations of ovulation apps, and the importance of menstrual cycles and AMH testing as health biomarkers. Listeners will learn practical ways to improve fertility, decode red flags in their cycles, and empower themselves to make informed decisions about their reproductive futures. Become a Member to Receive Exclusive Content: renamalik.supercast.com Schedule an appointment with me: https://www.renamalikmd.com/appointments ▶️Chapters: 00:00:00 Introduction00:02:21 Fertility Rates Are Falling Worldwide00:07:15 Why Your Period Is a Vital Sign00:16:02 Best Ways to Track Ovulation and Cycle Health00:21:16 Birth Control, AMH, and Egg Reserve Myths00:33:05 Hormone Testing Mistakes and Fertility Misinformation00:41:05 Five Lifestyle Changes That Improve Fertility01:07:32 Testosterone, Egg Quality, and Fertility With Age01:28:15 Egg Freezing, IVF, Endometriosis, and Treatment Options01:50:20 Dr. Crawford's Fertility Journey and Final Takeaways Stay connected with Dr. Natalie Crawford on social media for daily insights and updates. Don't miss out—follow her now and check out these links! INSTAGRAM - https://www.instagram.com/nataliecrawfordmd FACEBOOK - https://www.facebook.com/nataliecrawfordmd/ YOUTUBE - https://www.youtube.com/c/NatalieCrawfordMD TIKTOK - https://www.tiktok.com/@nataliecrawfordmd X - https://x.com/ncrawfordmd WEBSITE - https://www.nataliecrawfordmd.com/ The Fertility Formula Book: Amazon link: https://a.co/d/0byHPtzr Website link: nataliecrawfordmd.com/book Let's Connect!: WEBSITE: http://www.renamalikmd.com YOUTUBE: https://www.youtube.com/@RenaMalikMD INSTAGRAM: http://www.instagram.com/RenaMalikMD TWITTER: http://twitter.com/RenaMalikMD FACEBOOK: https://www.facebook.com/RenaMalikMD/ LINKEDIN: https://www.linkedin.com/in/renadmalik PINTEREST: https://www.pinterest.com/renamalikmd/ TIKTOK: https://www.tiktok.com/RenaMalikMD ------------------------------------------------------ DISCLAIMER: This podcast is purely educational and does not constitute medical advice. The content of this podcast is my personal opinion, and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of information contained in this podcast including but not limited to economic loss, injury, illness or death. Learn more about your ad choices. Visit megaphone.fm/adchoices

Failed IVF with normal sperm? You're not alone, and the answer may be in what wasn't tested. DNA fragmentation and oxidative stress don't show up on a standard semen analysis. But they can drive fertilization failure, embryo arrest, and poor blastocyst development. If the male side was cleared after the basic parameters were evaluated, it may not have been fully evaluated. In this episode, you'll learn: What a semen analysis actually measures and what it leaves out Why normal parameters don't always translate to embryo development How DNA fragmentation and oxidative stress affect fertilization and blastocyst outcomes The patterns we see in recurrent IVF failure when male factor hasn't been fully assessed Why embryo development is a shared biological process, not an egg quality issue I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over 1 million downloads. My team works with couples navigating low AMH and failed IVF, reviewing functional lab results including gut microbiome, food sensitivity, vaginal microbiome, nutrigenomics, HTMA, DUTCH, toxin testing, and bloodwork, alongside nervous system work, to help identify patterns that may not have been considered. We work alongside your medical team, not instead of them. Not sure what's been fully evaluated? Download the free Embryo Audit Checklist to map your past cycles and labs so you can see what's been looked at and what may have been missed. Access it here Ready to go deeper? If you want an expert review of your labs, IVF history, and full health picture before your next cycle, this is where we start. Learn more and apply for a Functional Fertility Second Opinion here.   Timestamps 00:00 Why a "normal" semen analysis doesn't rule out male factor 01:00 What a standard semen analysis actually measures: count, motility, morphology 01:45 What semen analysis misses: DNA integrity, oxidative stress, mitochondrial function 02:30 Why couples with "normal" sperm still see embryo arrest and failed IVF 03:00 DNA fragmentation: what it is and why it matters for embryo development 04:00 Oxidative stress drivers: lifestyle, toxins, inflammation and metabolic health 05:15 The 70–80 day sperm lifecycle and why timing matters 06:00 Embryo development is shared biology, not just egg quality 07:15 Environmental and occupational factors impacting sperm health 08:30 When to revisit male testing before another IVF cycle          

In this enlightening episode of Fertility in Focus, Dr. Christina Burns sits down with Dr. Kevin Jovanovic, MD, a leading expert in reproductive medicine and hormone optimization. Dr. Jovanovic shares his expertise on the intersection of fertility, hormones, and overall reproductive health, offering practical insights into improving egg quality, addressing hormonal imbalances, and supporting long-term reproductive wellness. This episode is perfect for anyone seeking to understand the science behind fertility and innovative strategies to enhance reproductive outcomes. In This Episode, You'll Learn:The role of testosterone in reproductive health  Potential uses in fertility treatment The role of testosterone in overall hormonal health and well-being  How HRT got a bad reputation Cosmetic gynecology options for women How low-level hCG may improve IVF outcomes The benefits of peptidesTimestamps:[00:01] Introduction to the podcast and today's topic [02:10] Meet Dr. Kevin Jovanovic and his background in OB-GYN and innovation [05:30] The history of hormone therapy and the impact of the 2002 WHI study [09:45] What are bioidentical hormones and how do they work? [14:20] Testosterone in women: Myths, benefits, and fertility impact [20:10] Signs of hormonal imbalance and testosterone deficiency [27:30] Birth control and its effects on fertility markers like AMH [35:00] Hormone therapy and its potential to improve ovarian function [42:15] Male fertility: Testosterone therapy and sperm production [48:30] Peptides explained: Benefits, uses, and safety considerations [55:40] Weight loss, metabolism, and fertility optimization strategies [01:05:10] Vaginal rejuvenation and integrative women's health treatments [01:12:00] Final thoughts and where to find Dr. Jovanovic Connect with Dr. Kevin Jovanovic: Website: Dr.Jovanovic.com Location:  935 Fifth Avenue, East 74th Street, Upper East Side, Manhattan, New York, NY  Phone: (212) 249-6709About Dr. Christina Burns:Dr. Christina Burns is the founder and Doctor of Chinese Medicine at the Naturna Institute. Committed, compassionate, and highly skilled in multiple disciplines, Dr. Burns has been in practice since 2004. She empowers both women and men to achieve their optimal life and health goals through natural medicine practices, integrative nutrition, lifestyle management, and personalized mind-body programs. Dr. Burns holds advanced certifications in acupuncture, herbs, nutrition, life coaching, and yoga therapy. She is also the best-selling author of "The Ultimate Fertility Guidebook."Connect with Dr. Christina Burns:Website: https://www.christinaburns.com/Instagram: https://www.instagram.com/drchristinaburns/Order the Ultimate Fertility Guidebook: https://a.co/d/hq0nFOoJoin the Eating for Optimal Fertility Course: https://naturna.mn.co/Order Junk Juice: https://junkjuicemagic.com/Follow along with the Naturna Institute:Book an Appointment: https://naturna.janeapp.com/#/listInstagram: https://www.instagram.com/naturna_life/

Fertility Docs Uncensored Today's episode of Fertility Docs Uncensored is hosted by Dr. Carrie Bedient from the Fertility Center of Las Vegas, Dr. Susan Hudson from Texas Fertility Center, and Dr. Abby Eblen from Nashville Fertility Center. Today, their guest is Dr. Alex Quaas from Shady Grove Fertility in San Diego. In this episode, the group discusses how physicians develop individualized fertility treatment plans, using real-world scenarios to highlight how age, ovarian reserve, reproductive goals, and emotional considerations all shape decision-making in reproductive medicine. The discuss a 36-year-old patient with a high antral follicle count, elevated AMH, irregular cycles, and otherwise normal testing who desires two children. Dr. Quaas explores treatment options such as ovulation induction and timed intercourse as a reasonable first-line approach, while also addressing how advancing maternal age increases the risk of genetically abnormal embryos. He explains when in vitro fertilization (IVF) may be advantageous, particularly for embryo banking to support future family building. The case is then reframed to consider diminished ovarian reserve, prompting a shift toward recommending earlier IVF to maximize the likelihood of obtaining genetically normal embryos. Additional factors influencing treatment planning are reviewed, including the impact of endometriosis severity on fertility potential and how mental health, emotional resilience, and tolerance for uncertainty may guide patients toward more or less aggressive approaches. The physicians also explain how IVF protocols can be customized, including decisions around stimulation intensity, the number of eggs fertilized, and whether to pursue genetic testing. Throughout the episode, the emphasis remains on shared decision-making, in which physicians provide guidance and patients ultimately choose the path that best aligns with their goals and values. This podcast was sponsored by Shady Grove Fertility.

If your IVF transfer failed despite a good embryo, normal lining, and a smooth protocol, you may have been told it was "just bad luck." But failed implantation with a euploid or high-quality embryo is not random. It often means key biological factors were never fully evaluated before the transfer. You followed the plan. The embryo looked good. The lining was "fine." And it still didn't work. This is where many people get stuck. Not because there are no answers, but because no one stepped back to assess the full picture before repeating another transfer. In this episode, we break down why embryo quality alone does not determine implantation and what is often missed when a transfer fails. In this episode, you'll learn: Why a good embryo does not guarantee implantation The three biological layers that influence whether implantation happens How uterine environment, hormone timing, and systemic health interact What subtle inflammation and thyroid patterns can do to implantation What to review before transferring another embryo I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally. For over a decade, my team and I have reviewed hundreds of low AMH and failed IVF cases using functional testing alongside conventional fertility care. We specialize in helping couples identify the physiological patterns driving poor outcomes so decisions are grounded in interpretation, not guesswork. If you've been moving from cycle to cycle without a clear way to evaluate what's actually been addressed, I created a free resource called the Embryo Audit Checklist. It helps you organize past cycles and labs so you can see what's been looked at and what may not have been considered yet. Access it here.

In this episode, I break down my "Angel Workup" -  the five essential steps every person should take after experiencing a miscarriage.  As a reproductive endocrinologist and miscarriage expert, I'm sharing the framework I created as part of my Miscarriage Revolution so you can feel empowered, informed, and ready to move forward. Read the full show notes on my website. This episode covers the A.N.G.E.L. workup:  a comprehensive, step-by-step approach to understanding why a miscarriage happened and what you can do next. We talk about the role of age, autoimmune conditions, uterine anatomy, nutrition, genetics, endocrinology, and lifestyle factors. I also walk you through how to collect pregnancy tissue for genetic testing, why you should never blame yourself, and how both female and male partners play a role in preventing future losses. In this episode, we cover: The A.N.G.E.L. workup: Age, Autoimmune diseases, and Anatomy -  including AMH, FSH, estradiol, antral follicle count, and uterine anomalies like septums Why nutrition matters for fertility and miscarriage prevention, including plant-based diets, celiac disease screening, and the HOPE approach for PCOS Genetic testing for both partners -  karyotype, carrier screening, sperm DNA fragmentation, and pregnancy tissue testing using the Anora test How to safely collect pregnancy tissue at home for genetic analysis Endocrine factors like thyroid disorders, high prolactin, and diabetes that can contribute to miscarriage Lifestyle changes for both partners - BMI, alcohol, smoking, and "sperm bootcamp" Why self-blame after miscarriage is common but unfounded, and how testing can provide real answers Resources: The Egg Whisperer School: eggwhispererschool.com The Anora Test (pregnancy tissue genetic testing): anora test by Natera The Egg Whisperer Show podcast on Spotify and Apple Podcasts Dr. Aimee's Supplement Stack information My Book, The Egg Whisperer Way comes out in Summer of 2026. Click here to order yours on Amazon. Subscribe to my YouTube channel for more fertility tips! Subscribe to the newsletter to get updates Dr. Aimee Eyvazzadeh is one of America's most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org.

Unexplained IVF failure happens when a cycle doesn't work, and no clear cause is identified, but that doesn't mean nothing is wrong. In many cases, it means the biology behind the cycle wasn't fully evaluated. You did everything you were told to do. The protocol looked good. The embryos developed. The lining was fine. And it still didn't work. Then you hear the word "unexplained." That's where many people get stuck. Not because there are no answers, but because no one has stepped back to assess the full picture. In this episode, we break down what unexplained IVF failure means and why repeating another cycle without deeper analysis often leads to the same outcome. We walk through the patterns that don't show up on a standard IVF summary but still influence embryo development and implantation. If you've been told to try again but feel like something is being missed, this will help you start asking better questions before your next step. In this episode, you'll learn: Why "unexplained" IVF failure often reflects a gap in interpretation, not a lack of information The three patterns that are commonly overlooked before repeating a cycle What to look at beyond embryo grading and lining thickness How to think about your next step without defaulting to another round Why clarity matters more than changing protocols I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally. For over a decade, my team and I have reviewed hundreds of low AMH and failed IVF cases using functional testing alongside conventional fertility care. We specialize in helping couples identify the physiological patterns driving poor outcomes so decisions are grounded in interpretation, not guesswork. If you've been moving from cycle to cycle without a clear way to evaluate what's actually been addressed, I created a free resource called the Embryo Audit Checklist. It helps you organize past cycles and labs so you can see what's been looked at and what may not have been considered yet. Access it here.

Welcome back to Ask the Egg Whisperer! I'm so excited to have Dr. Steven Palter join me on today's episode. Dr. Palter is the medical and scientific director at Gold Coast IVF in Woodbury, New York, and an internationally recognized leader in fertility treatment. He's also the creator of the PCOS to Pregnancy Protocol -  the first comprehensive remote system targeting the root causes of PCOS and the Palter Fertility Method, a personalized approach to diagnosis and care that integrates metabolic health, surgical precision, and emerging reproductive technologies. Watch the full conversation (with more live chatted questions) on Dr. Aimee's Instagram Live.  In this episode, we tackle real questions from our community (women ranging from 36 to 47), dealing with everything from diminished ovarian reserve and repeated IVF failure to PCOS, endometriosis, and experimental treatments like mitochondrial replacement therapy. Dr. Palter and I don't always agree, and that's what makes this conversation so valuable. We get into the nuances of DHEA and testosterone supplementation, when genetic testing is worth it even with limited embryos, why your stimulation protocol might be the problem, and how targeting insulin resistance can transform outcomes for PCOS patients. In this episode, we cover: Why AMH predicts egg quantity, not quality  and why that distinction matters The truth about DHEA and testosterone priming, including a major new study showing no benefit Mitochondrial replacement therapy (three-parent IVF): promise, limitations, and what the data actually shows Fresh vs. frozen transfers with diminished ovarian reserve, and why PGTA testing is still valuable The #1 reason for immature eggs and no blasts and the protocol fix that works 80% of the time Endometriosis, BCL6 testing, and when suppression vs. surgery makes sense How targeting insulin resistance and inflammation in PCOS patients is changing outcomes dramatically Resources: Dr. Steven Palter's practice: Gold Coast IVF — goldcoastivf.com PCOS to Pregnancy Protocol by Dr. Palter Previous podcast episode with Dr. Palter on the Palter Fertility Method Dr. Aimee's fertility supplement stack Would you like to learn more about IVF?Click here to join Dr. Aimee for The IVF Class. The next live class call is on Monday, April 20, 2026 at 4pm PST, where Dr. Aimee will explain IVF and there will be time to ask her your questions live on Zoom.   Subscribe to my YouTube channel for more fertility tips! Join Egg Whisperer School Subscribe to the newsletter to get updates Dr. Aimee Eyvazzadeh is one of America's most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org.   Keywords fertility, IVF, egg quality, AMH, diminished ovarian reserve, DHEA, testosterone priming, PCOS, insulin resistance, mitochondrial replacement therapy, three-parent IVF, PGTA, PGT-A, genetic testing, embryo testing, endometriosis, BCL6, frozen embryo transfer, fresh transfer, egg maturity, dual trigger, ovarian PRP, progesterone support, IVF protocol, fertility doctor, reproductive endocrinology, Ask the Egg Whisperer, Dr. Aimee, Dr. Steven Palter, Gold Coast IVF, fertility supplements, CoQ10, NAD, rapamycin, hydrosalpinx, IVF failure, recurrent implantation failure, translocation, modified natural cycle

When an IVF cycle fails, the focus usually shifts to the next protocol. Different medications. Higher doses. Another retrieval. But an IVF cycle produces a huge amount of biological data that is rarely fully analyzed before repeating treatment. Ovarian response, egg maturity, embryo development, and the internal environment around transfer all provide important signals about what may be influencing the outcome. Yet many couples are encouraged to move forward with another cycle before those patterns are carefully reviewed. In this episode, we step back and walk through how to interpret a failed IVF cycle from a systems perspective so the next decision is based on biology, not momentum. In this episode, you'll learn: • Why a failed IVF cycle contains important biological clues that often go unexamined • What a true IVF cycle audit should include before repeating a protocol • The patterns in ovarian response, egg maturity, and embryo development that may reveal underlying imbalances • Why embryo development reflects whole body physiology, not just the laboratory environment • How to decide whether repeating a cycle makes sense or whether a different approach should be considered I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally. For over a decade, my team and I have reviewed hundreds of low AMH and failed IVF cases using functional testing alongside conventional fertility care. We specialize in helping couples identify the physiological patterns driving poor outcomes so decisions are grounded in interpretation, not guesswork. If you've been moving from cycle to cycle without a clear way to evaluate what's actually been addressed, I created a free resource called the Embryo Audit Checklist. It helps you organize past cycles and labs so you can see what's been looked at and what may not have been considered yet. Access it here.

In this episode, fertility expert Gabriela Rosa reveals one of the biggest blind spots in modern fertility care: many couples are pushed toward treatments like IVF before receiving a true diagnosis. She breaks down how fertility clinics often operate, why infertility is frequently misunderstood, and how underlying issues such as thyroid dysfunction, insulin resistance, and PCOS can significantly impact reproductive outcomes. Gabriela shares powerful patient stories, including Renee's own experience, to illustrate how personalized investigation and root-cause medicine can dramatically shift fertility trajectories. She also explains why fertility is a “team sport,” outlining her strategic approach to improving egg quality, hormonal balance, and metabolic health while interpreting key tests like AMH and follicle development timelines. The conversation concludes with practical guidance on nutrition's role in fertility, her “Three Rocks” framework for treatment, and a thoughtful decision tree to help women determine when egg freezing may or may not be the right choice. Gabriela Rosa, DrPH (Candidate, Harvard), is a Harvard-awarded fertility specialist, founder of The Rosa Institute, and author of Fertility Breakthrough: Overcoming Infertility and Recurrent Miscarriage When Other Treatments Have Failed. She pioneered telehealth-based, integrative fertility care, making evidence-based solutions accessible worldwide.Gabriela also created and hosts The Fertility Challenge, a free online program that reaches tens of thousands globally each year. Her F.E.R.T.I.L.E. Method® has supported more than 204,000 people across 111 countries, with published research demonstrating a 78.8% live birth rate among patients in her signature program—even after years of infertility, recurrent miscarriage, and failed treatments.SHOW NOTES:0:39 Welcome to the show!2:43 About Gabriela Rosa3:35 Welcome her to the podcast!4:47 The biggest blindspot in fertility9:05 How fertility clinics operate10:56 What does infertility mean?11:52 Getting a proper diagnosis12:36 Patient story16:26 IVF industry goals18:48 Miscarriage & Thyroid21:19 Renee's story23:35 IUI incentives & results25:19 Who benefits from IVF?27:50 *APOLLO NEURO*29:50 *CALOCURB*31:00 Who gets turned away from her clinic35:39 Who she does work with37:30 Fertility is a team sport40:05 Her strategy for improving fertility43:16 Timeline of eggs & follicles45:45 AMH testing & optimal ranges51:14 PCOS & Insulin Resistance55:04 Infertility and all-cause mortality1:01:03 Research on correlation between nutrition & fertility1:05:38 The 3 Rocks1:11:09 Egg Freezing decision treeRESOURCES:Apollo Neuro - code: BIOHACKERBABES for $90 offCalocurb - code: RENEE10Website: fertilitybreakthrough.comIG: @dr.gabrielarosa, @fertilitybreakthroughFB: FertilitySpecialistGabrielaRosaX: gabrielarosaTikTok: @gabrielarosafertilityPodcast: Talk Sex with Gabriela RosaSupport this podcast at — https://redcircle.com/biohacker-babes-podcast/donationsAdvertising Inquiries: https://redcircle.com/brands

349: Conceiving naturally is a hot topic in this day and age, and IVF has skyrocketed as the go-to method of conceiving for couples. But is that the best option? And should we be looking at other variables before spending our time and money on IVF? Natalie Crawford is here with me today to talk all things infertility, biomarkers, “healthy habits” we may be doing that are actually hindering a woman's chances to conceive, and so much more. Natalie is a double board certified fertility doctor and has helped thousands of patients and followers learn about their bodies and their fertility, empowering them with education and learning to advocate for themselves in their own fertility journeys. Today's discussion is an eye opener for anyone trying to conceive naturally or via IVF. Topics Discussed: → Getting pregnant when you don't have a period→ Infertility causes and how to fix them→ Hormonal birth control's effects on fertility→ How our mothers' habits while pregnant affect our fertility→ AMH, what is it and why should we get tested→ “Healthy habits” sabotaging our fertility (including men) As always, if you have any questions for the show please email us at digestthispod@gmail.com. And if you like this show, please share it, rate it, review it and subscribe to it on your favorite podcast app.  Sponsored By:  → Manukora | Head to https://manukora.com/DIGEST to get $70 off the Starter Kit → Ollie | Ollie. Feed the Obsession. Go to https://ollie.com/digest and use code digest to get 60% off your first box! → Kasandrinos | Go to https://www.kasandrinos.com/digest and use code DIGEST for 25% off Timestamps: → 00:00:00 - Introduction → 00:05:52 - Rapid fire questions → 00:07:01 - Pregnancy without a period → 00:10:14 - Pregnancy postpartum → 00:11:51 - Functional hypothalamic amenorrhea → 00:15:01 - Infertility + IVF → 00:20:20 - Common IVF scenarios → 00:22:41 - THC products + fertility → 00:24:13 - Infertility as a symptom → 00:30:03 - Health + infertility → 00:36:43 - Detox pathways → 00:38:09 - Nutrient deficiencies → 00:40:22 - AMH + fertility → 00:45:28 - Inherited fertility factors → 00:48:22 - Birth control + fertility → 00:55:27 - Common fertility barriers Further Listening: → Foods That Help & Harm Hormones, Infertility, Inflammation, + The Key to Hormone Balance Check Out Dr Natalie Crawford: → Instagram → Website → Her book, The Fertility Formula Check Out Bethany: → Bethany's Instagram: @lilsipper → YouTube → Bethany's Website → Discounts & My Favorite Products → My Digestive Support Protein Powder → Gut Reset Book  → Get my Newsletters (Friday Finds) Learn more about your ad choices. Visit megaphone.fm/adchoices

Fertility is one of those topics that's either avoided entirely—or turned into a fear-fueled spiral online. So we're cutting through the noise. Molly and Emese sit down with Dr. Lucky Sekhon (reproductive endocrinologist and author of The Lucky Egg) for a clear, science-backed conversation about what every woman deserves to understand: how fertility actually works, what's myth vs. fact, and what to do if you're feeling overwhelmed, behind, or panicked by the “biological clock” narrative. We get into the truths behind AMH and ovarian reserve, egg quality vs. egg quantity, and the real-world decision making around egg freezing—including the best age window, what the process really feels like, and why it's not a guarantee, but can be a powerful option. Dr. Lucky also breaks down how far IVF has come—why success rates have improved, how genetic testing can lower miscarriage risk, and we debunk the biggest fears we keep hearing.   If you're in your 20s thinking ahead, in your 30s asking “what now?”, or in your 40s trying to stay hopeful, this episode is your no-shame, no-gatekeeping fertility roadmap—built on facts, compassion, and the truth that you're not a statistic. A Sony Music Entertainment production.  Find more great podcasts from Sony Music Entertainment at sonymusic.com/podcasts and follow us at @sonypodcasts  To bring your brand to life in this podcast, email podcastadsales@sonymusic.com Mentioned in the Episode: Learn more about your ad choices. Visit podcastchoices.com/adchoices

Dr. Natalie Crawford, board-certified OB-GYN and REI, answers your fertility questions. I'm 35, had a healthy pregnancy in 2022 followed by three miscarriages, and just found out I have 19% Turner mosaicism on karyotype. If I were your patient, would you recommend moving to IVF with PGT, or continue trying naturally? I'm 32 with an LH/FSH ratio of 2.6 and an AMH of 2.7. The labs were drawn around suspected ovulation. Does this ratio suggest possible PCOS, or could this be a normal mid-cycle finding? I'm 33 and have been trying to conceive for five months. My AMH just came back at 0.057, but the rest of my labs look normal. What would your next steps be, and what are the most common causes of very low AMH at my age? My fiancé uses CBD gummies with trace amounts of THC for chronic pain. We know marijuana can impact fertility, but do CBD products with small amounts of THC meaningfully affect sperm health or fertility outcomes? My partner and I are a same-sex female couple (ages 30 and 32) using donor sperm. We've had two unsuccessful IUIs, and I'm about to start a third with letrozole. My workup is normal, but I suspect possible endometriosis. If that's the case, should we be considering additional evaluation or changing our treatment approach? Pre-order Dr. Crawford's debut book, The Fertility Formula, now! https://www.nataliecrawfordmd.com/book Want your questions answered on the next episode? ⁠Ask them here! https://www.nataliecrawfordmd.com/qa-submissions Learn more about your ad choices. Visit megaphone.fm/adchoices