Podcasts about IVF

Read the full show notes: https://www.draimee.org/vaginal-health-and-your-fertility-with-guest-hana-janebdar-of-juno-bio   On this episode of the Egg Whisperer Show, we discuss the fascinating world of the vaginal microbiome with Hannah Janda, co-founder and CEO of Juno Bio. Hannah shares her expertise and insights into the importance of vaginal microbiomes in women's health and fertility. The discussion covers the definition of microbiomes, their impact on IVF success rates and infertility, and the groundbreaking at-home vaginal microbiome test developed by Juno Bio. The episode also touches on ongoing research, the need for personalized microbial solutions, and practical advice for maintaining vaginal health.   Read the full show notes on Dr. Aimee's website You can find out more about Juno Bio and Hana here: https://www.juno.bio/ Do you have questions about IVF? Join Dr. Aimee for The IVF Class at The Egg Whisperer School. The next live class call is on Monday, June 16, 2025 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 Checkout the podcast 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.

You likely already know Heidi Murkoff - she is the author of the internationally bestselling What to Expect series of pregnancy and parenting guides, which includes What to Expect When You're Expecting. (And knowing how beloved this book is, it probably comes as no surprise that this popular book has sold over 40 million copies in 42 languages). It goes without saying that I am beyond honored to have her join me today as the guest on The Egg Whisperer Show. In this conversation, we're talking about what inspired Heidi to write the first What to Expect When You're Expecting, her community of 20 million moms, the non profit she founded that helps at-risk moms, and what's changed since the book first came out 25 years ago. Time magazine named Heidi one of the 100 Most Influential People in the World for 2011, and she and her husband Erik have received numerous awards for their humanitarian work, including, in June of 2022, the highest award given to civilians by the department of defense, the Fisher Distinguished Civilian Humanitarian award. Thank you for joining me, Heidi! You can learn more about Heidi and her books here: https://www.whattoexpect.com/ Do you have questions about IVF?Click here to join Dr. Aimee for The IVF Class. The next live class call is on Monday, June 16th, 2025 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! 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.

A newly available kind of genetic testing, called polygenic embryo screening, promises to screen for conditions that can include cancer, obesity, autism, bipolar disorder, even celiac disease. These conditions are informed by many genetic variants and environmental factors - so companies like Orchid and Heliospect assign risk scores to each embryo for a given condition. These tests are expensive, only available through IVF, and some researchers question how these risk scores are calculated. But what would it mean culturally if more people tried to screen out some of these conditions? And how does this connect to societal ideas about whose lives are meaningful? Brittany gets into it with Vardit Ravitsky, senior lecturer at Harvard Medical School and president of the Hastings Center, a non-partisan bioethics research center, and Katie Hasson, associate director of the Center for Genetics and Society, a nonprofit public affairs organization that advocates for responsible use of genetic technology.Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy

IVF has become a hot button of late, and it's a challenging issue to discuss as there are many emotions attached to the topic of infertility, but it's critical that we consider the rights of the children being created, not the adults who desire them. Katy Faust is flipping the script in a way you won't be able to forget.Katy Faust | thembeforeus.comPrime Sponsor: No matter where you live, visit the Functional Medical Institute online today to connect with Drs Mark and Michele Sherwood. Go to homeschoolhealth.com to get connected and see some of my favorites items. Use coupon code HEIDI for 20% off!Answers in Genesis | AnswersBibleCurriculum.com/HEIDIRVL Discipleship Curriculum | RVLCurriculum.com/heidi HEIDI10Give Send Go | givesendgo.comBrave Books | heidibrave.comLifestone Ministries | Lifestoneministries.com/heidiThe Last Stand | thelaststand.com HEIDI10Show mentions: heidistjohn.com/mentionsWebsite | heidistjohn.comSupport the show! | donorbox.org/donation-827Rumble | rumble.com/user/HeidiStJohnYoutube | youtube.com/@HeidiStJohnPodcastInstagram | @heidistjohnFacebook | Heidi St. JohnX | @heidistjohnFaith That Speaks Online CommunitySubmit your questions for Mailbox Monday heidistjohn.net/mailboxmonday

Dr. Craig Turczynski, a former IVF lab director, once immersed in embryo transfers and lab culture, reveals the moment his conscience, and his Catholic faith, forced him to walk away. “I let those embryos die in culture,” he confesses, exposing the moral and medical compromises he witnessed firsthand. From the overlooked risks to mothers and children, to the financial incentives that drive IVF clinics, Craig lays bare a system he now believes is broken. Instead, he champions restorative reproductive medicine and natural methods that heal rather than bypass the body. U.S. residents! Create a will with LifeSiteNews: https://www.mylegacywill.com/lifesitenews ****PROTECT Your Wealth with gold, silver, and precious metals: https://stjosephpartners.com/lifesitenews +++SHOP ALL YOUR FUN AND FAVORITE LIFESITE MERCH! https://shop.lifesitenews.com/ ****Download the all-new LSNTV App now, available on iPhone and Android!LSNTV Apple Store: https://apps.apple.com/us/app/lsntv/id6469105564 LSNTV Google Play: https://play.google.com/store/apps/details?id=com.lifesitenews.app +++Connect with John-Henry Westen and all of LifeSiteNews on social media:LifeSite: https://linktr.ee/lifesitenews John-Henry Westen: https://linktr.ee/jhwesten Hosted on Acast. See acast.com/privacy for more information.

Get the full show notes: https://www.draimee.org/the-7-things-you-didnt-know-about-the-trigger-shot   I often tell my patients that we should rename the Trigger Shot, the super unicorn sparkle shot, the egg launcher shot, or the EGG-cellerator shot. Let's be honest, the Trigger Shot is the worst name for something that does so much good on a fertility journey.⠀ In this episode, I'm sharing all about The Trigger Shot, and giving you the 7 things you need to know about it. Should you test for ovulation afterwards, and if so, when? Do you have to have a Trigger Shot? Can you administer it at home, or does it need to be in a doctor's office? When should you check for pregnancy after the shot to make sure it isn't in your system anymore?⠀ See the full show notes here. Do you have questions about IVF?Click here to join Dr. Aimee for The IVF Class. The next live class call is on Monday, June 16, 2025 at 4pm PST, where Dr. Aimee will explain IVF and there will be time to ask her your questions live on Zoom.   Click to find The Egg Whisperer Show podcast on your favorite podcasting app.   Watch videos of Dr. Aimee answer Ask the Egg Whisperer Questions on YouTube.  Sign up for The Egg Whisperer 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.

Send us a textIn this episode of Taco Bout Fertility Tuesday, Dr. Mark Amols explores one of the most common emotional pitfalls in IVF: the heartbreak of a failed transfer using your top-graded embryo. Using a relatable medical school analogy, he explains why even “average” embryos can still lead to pregnancy—and why the term “best” isn't a guarantee of success. Learn how embryo grading works, what research says about implantation rates with AA vs. BB embryos, and how uterine factors, thaw survival, and plain old chance can affect outcomes. If you've ever felt hopeless after a failed transfer, this episode will help you reframe your expectations and rediscover your hope.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.

Solo parenting one child is a big job. Add a second baby to the mix, and do it all without a co-parent, and everything shifts.In this episode, I'm joined by Randi Maves, a solo mom by choice to two boys, four years apart. Randi wouldn't trade this life for anything, but she's honest about how intense it can be juggling two different stages of parenting on her own.From navigating daycare drop-offs and picky eaters to handling preschooler meltdowns while sleep-training a newborn, Randi gets honest about what the daily juggle really looks like. She talks about the tools and support systems that are saving her sanity right now, including her decision to hire an au pair, and the emotional process of adjusting to life as a solo mom of two.We're also diving into Randi's fertility journey with IVF at 40+, including the heartbreak of getting no viable embryos, the decision to transfer her one mosaic embryo, and the deep trust it took to move forward.If you're thinking about having a second child as an SMBC, already in the thick of solo motherhood, or just wondering what this path can look like, Randi's story is a beautiful mix of honesty, resilience, and real-life logistics.In this episode on solo parenting two kids after 40, we talk about:How her mom's diagnosis sparked her decision to become a momWhat it was like to move across the country with a baby in towWhat shifted her perspective on having a second child soloThe highs and lows of IVF as a single woman in her 40sWhat it's really like to solo parent two kids in different phases of lifeHer approach to building a support team, including daycare and live-in helpThe emotional weight of parenting without a partner, and why acknowledgment mattersHer mindset around letting “future Randi” handle “future problems”Resources mentioned in this episode:HBO Documentary First Comes Love (2013)Facebook group ‘My Perfect Mosaic Embryo'

Sara and Brady's journey began with male-factor infertility and quickly became more complex after Sara was diagnosed with diminished ovarian reserve. Their first round of IVF resulted in only one viable embryo, which led to a miscarriage. They continued to search for answers—including traveling to Barbados for a second IVF attempt. Eventually, they turned to embryo adoption and were able to get pregnant with the first donor embryo transfer. They are sharing their story to bring hope and encouragement to others navigating infertility.

In this episode we are exploring the controversial connection between asthma and fertility. I'm going to share some of the research we have so far showing how asthma can impact pregnancy outcomes, particularly in relation to recurrent miscarriage. How the immune system plays a role in infertility and miscarriage is not talked about - but this is impacting so many couples worldwide! I cover we we need to care, what the testing looks like and how you can support your body if you come back with positive markers.   Want more support? Join me in my free 5-day Fertility Confidence Bootcamp starting June 2nd and get started on the next step of your fertility care plan with me. Register at ttc.kelseyduncan.com/bootcamp   Thank you to our amazing podcast sponsor, Needed. You can save 20% off your first order with code DRKELSEY at thisisneeded.com.   Want a step by step plan backed by science and based on your own unique fertility identifiers? Let's get to the root cause together and make a baby. Learn more about how Fertility Confidence Method can support you at downloads.kelseyduncan.com/results  

In this episode, we welcome Katy Faust to the show. She is a Children's Rights Advocate and the Founder and President of “Them Before Us”, a global movement defending children's right to their mother and father. She is also the author of several books including “Them Before Us: Why We Need a Global Children's Rights Movement”. In this interview, we discuss what made her start an anonymous blog, how being outed by a gay blogger led to her public advocacy for children's rights, why all children deserve a mother and a father, the difference between natural rights and legal rights, the impact fatherlessness is having on society at large, why gay adoption and surrogacy is wrong, the moral problems with IVF, why divorce should be avoided at all costs, and much more. Let's get into it… Episode notes and links HERE. Donate to support our mission of equipping men to push back darkness. Learn more about your ad choices. Visit megaphone.fm/adchoices

Timmerie sits down with Katy Faust, the fierce, truth-telling founder of Them Before Us, to talk about something that should be obvious but somehow isn’t anymore: why kids need their mom and their dad. The Truth Your 4-Year-Old Already Gets Timmerie kicks things off with a conversation she had with her 4-year-old daughter, who declared (with all the sass and certainty only a preschooler can muster): t’s not true. They’re lying. Kids need a mommy and a daddy.” Out of the mouths of babes. In a world where everything is questioned (including whether moms and dads are interchangeable), this little girl sees reality clearly... and so does Katy Faust. The Cultural Crisis: When Kids Are the Casualties Katy explains how our culture has flipped the script. Instead of asking what children need, we now ask what adults want and then use kids to fulfill it. She explains why this is a major problem: Kids Have a Right to Their Mom and Dad Not just “a” mom or “a” dad... their biological parents. They’re the ones wired to love and protect that child in a uniquely fierce, sacrificial way. Adoption, Katy says (as an adoptive mom herself), is a loving response to tragedy, not a model for how we should design families from the start. Biological Identity = Personal Identity Children deeply need to know: "Whose am I?" When kids are cut off from their origins: via IVF, surrogacy, anonymous sperm donors, it fractures their sense of self. Gender Balance Isn't Optional. It’s Essential. Men father. Women mother. They do it differently. That’s a gift, not a glitch.Two dads, two moms, or three poly-partners can't replicate the complementarity of a mom and a dad. And when we pretend otherwise, kids pay the price... often through confusion, identity struggles, or even increased risk of abuse. Where the Battle’s Fiercest Katy doesn’t mince words. The two biggest cultural flashpoints where kids are denied a mom and dad: -Gay marriage made moms and dads legally optional. -Reproductive technologies intentionally separate kids from their biological parents in the name of adult “choice.” Real love puts kids first. Love = Sacrifice As Catholics, we believe children are a gift, not a right. And that means saying a loving no to practices that intentionally deprive them of their parents, even if it’s uncomfortable or unpopular. Want more? Check out Katy's book, "Them Before Us". It’s a total eye-opener, and it's a call to put children’s rights before adult desires. Kids need a mom and dad. And guess what? Even your preschooler knows it.

In this episode, hosts Dr. Carrie Bedient from the Fertility Center of Las Vegas, Dr. Abby Eblen from Nashville Fertility Center, and Dr. Susan Hudson from Texas Fertility Center discuss the process of using a gestational carrier. They break down who might need a gestational carrier, the medical and legal aspects to consider, and how to navigate the journey from start to finish. The discussion also covers the difference between a traditional surrogate and a gestational carrier, explaining why modern surrogacy almost always involves a gestational carrier—someone who carries a pregnancy without a genetic connection to the baby. The docs also address common questions about choosing a carrier, working with an agency, and the emotional and financial aspects of the process. Whether you're considering surrogacy due to medical conditions, infertility, or other personal reasons, this episode provides valuable insights into how a gestational carrier can help individuals and couples grow their families.

Read the full show notes: https://www.draimee.org/10-things-to-avoid-if-youre-trying-to-conceive   Last year in the United States a baby was born every 8 seconds. That‘s roughly 3.8 Million babies born last year alone! You don't have to be a fertility doctor to know what that means. Millions of people just like you were trying to conceive. Research tells us that most couples conceive within six cycles of timed intercourse, but many others (roughly 10% of couples) are struggling with fertility. Here's the funny thing about what I do. I want to teach you how NOT to be my patient. Of course, there are exceptions to that statement. But in general, I'd much prefer to share with you what I've learned about preparing for pregnancy in hopes that it makes your journey to parenthood easier. A journey that goes without needing to see me.  Read the full show notes on Dr. Aimee's website   Do you have questions about IVF, and what to expect? Click here to join Dr. Aimee for The IVF Class. The next live class call is on Monday, June 16, 2025 at 4pm PST, where Dr. Aimee will explain IVF and there will be time to ask her your questions live on Zoom.   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. Other ways to connect: Subscribe to my YouTube channel for more fertility tips Join Egg Whisperer School Subscribe to the newsletter to get updates

On this episode of The Wholesome Fertility Podcast, I am joined by Dr. Nirali Jain (eggspert_md), a board-certified OB/GYN and reproductive endocrinologist at Reproductive Medical Associates (RMA). Dr. Jain shares her expert insights on fertility preservation for individuals undergoing cancer treatment, a crucial yet often overlooked aspect of reproductive care. We explore what options are available for fertility preservation, including egg and sperm freezing, and why it's so important to initiate these discussions before starting chemotherapy or radiation. Dr. Jain also explains the difference between Letrozole and Clomid, the impact of estrogen-sensitive cancers on IVF treatments, and innovative approaches like random-start cycles and DuoStim protocols. Whether you're facing a cancer diagnosis or simply thinking proactively about your reproductive future, this conversation is filled with knowledge and reassurance. Key Takeaways: Why it's essential to discuss fertility before starting cancer treatment. The role of Letrozole in estrogen-sensitive cancers and fertility preservation. Differences between Letrozole and Clomid, and why Letrozole is often preferred. How new protocols like DuoStim and random-start cycles are improving outcomes. Why fertility preservation is important even for those without a cancer diagnosis. Guest Bio: Dr. Nirali Jain (@eggspert_md) is a board-certified OB/GYN and fertility specialist at Reproductive Medicine Associates (RMA) in Basking Ridge, New Jersey. She earned both her undergraduate degree in neurobiology (with a minor in dance!) and her medical degree from Northwestern University, before completing her residency at Weill Cornell/NYP, where she served as co-Chief Resident, and her fellowship in reproductive endocrinology and infertility at NYU Langone. Deeply passionate about women's health and fertility preservation, Dr. Jain blends the latest research and cutting-edge treatments with compassionate, patient-centered care. Her interests include third-party reproduction and oncofertility, and she is especially passionate about supporting patients navigating fertility preservation through a cancer diagnosis. Outside of the clinic, Dr. Jain is a trained dancer, a dedicated global traveler, and an adventurer working toward hiking all seven continents with her husband. Her diverse experiences, from international medical rotations to personal connections with friends and family navigating infertility, have shaped her into a warm, resourceful, and determined advocate for her patients. Links and Resources: Visit RMA websiteFollow Dr. Nirali Jain on Instagram For more information about Michelle, visit www.michelleoravitz.com To learn more about ancient wisdom and fertility, you can get Michelle's book at: https://www.michelleoravitz.com/thewayoffertility The Wholesome Fertility facebook group is where you can find free resources and support: https://www.facebook.com/groups/2149554308396504/ Instagram: @thewholesomelotusfertility Facebook: https://www.facebook.com/thewholesomelotus/ 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. --  Transcript:   # TWF-Jain-Nirali (Video) ​[00:00:00]  **Michelle Oravitz:** Welcome to the podcast Jain.  **Dr. Nirali Jain:** Thanks so much for having me **Michelle Oravitz:** Yeah, so. **Michelle Oravitz:** I'm very excited to talk about this topic, which, um, actually you don't really hear a lot of people talking about, which is how to preserve your fertility if you're going through a cancer diagnosis and if you have to go through treatments. 'cause obviously that can impact a lot on fertility. **Michelle Oravitz:** I have, um, seen actually like a colleague of mine go through. And she also preserved her fertility and, and now she has a baby boy. so it's really nice. **Michelle Oravitz:** to **riverside_nirali_jain_raw-video-cfr_michelle_oravitz's _0181:** so nice. **Michelle Oravitz:** So I'd love for you first to introduce yourself and kind Of give us a background on how you got into this work. **Dr. Nirali Jain:** Of course. Um, so I am Dr. Narly Jane. I am, um, an OB GYN by training, and then I did an additional, after completing four years of residency in OB GYN and getting board certified in that, I did an additional training in reproductive endocrinology and [00:01:00] infertility or otherwise known as REI. So now I'm a fertility specialist. **Dr. Nirali Jain:** Um, I trained at Northwestern in Chicago, so I went to undergrad and medical school there. And then, um, home has always been New Jersey for me, so I moved back out east to New Jersey. Um, I did all my training actually in New York City at Cornell for residency and NYU for fellowship. Um, and then moved to the suburbs. **Dr. Nirali Jain:** Um, and now I'm a fertility specialist in, in Basking Ridge at Reproductive Medical Associates.  **Michelle Oravitz:** Very impressive background. That's awesome.  **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** I'd love to hear just really. About what your process is. If a person has been diagnosed with cancer, like what is the process? What are some of the things that you address if they are trying to preserve fertility, and what are some of the concerns going  **Dr. Nirali Jain:** yeah, yeah. All great questions. So, you know, there's a lot of us, uh, the Reis. Are a very small, [00:02:00] there's a very small number of us. So in terms of specializing in fertility preservation, technically we all are certified to treat patients with cancer and kind of move them through fertility preservation before starting chemotherapy. **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** Um, luckily we've been working closely with oncologists in the past several years just to establish some type of streamlined system because having a diagnosis of cancer and hearing all that information. Especially when you're young is so hard. So I think that's, that's where my interest started in terms of being able to speak to and counsel cancer patients. **Dr. Nirali Jain:** I think it is a very specific niche that you really have to be comfortable with in our field. Um, I. So I'll kind of walk you through, you know, what it, what does it look like, right? Um, you go into your oncologist's office suspecting that you have this, this lump. I'll take breast cancer, for example. It could really be any kind of cancer. **Dr. Nirali Jain:** Um, but breast cancer in a reproductive age patient or someone that's in those years where you're starting [00:03:00] to think about building a family, planning a family, um, or if you have kids at home, that's usually the type of patient that we see come in with a breast cancer diagnosis. So. Kinda just taking that, for example, um, the minute that you're diagnosed, it's really your oncologist's responsibility to counsel you on what treatment options are going to be offered to you. **Dr. Nirali Jain:** And then based off of the treatment options, it's important to know how that affects your reproduction. So how does it affect your ovaries in the short term, in the long term, um, in any way possible. So. Once a patient is initially referred from their oncologist to myself or any other fertility specialist, they come into my office and we just have a 30 minute conversation really talking about family planning goals. **Dr. Nirali Jain:** Any kids that they've had in the past either naturally conceived or through um, IVF, and then we talk about where they're at in their relationship. Are they married, are they not? Are they with a partner, [00:04:00] a male partner, a female partner, whatever it might be. It's important to know the social standpoint, um, especially in this sensitive phase of life. **Dr. Nirali Jain:** So patient patients usually spend anywhere from 30 minutes to an hour. Um, just kind of talking through where they're at, how they're feeling, what their ultimate childbearing goals are. And then from there we do an ultrasound and that's when I'm really able to see, you know, the, the reproductive status. **Dr. Nirali Jain:** So what do the ovaries look like? What does the uterus look like? Is there something that I need to be concerned about from a baseline GYN standpoint? Um, and all of those conversations are happening in real time. So. I think one of the things is patients come in and they're like, I'm already so overwhelmed with all this information from my oncologist, and now my fertility specialist is throwing all this information at me. **Dr. Nirali Jain:** Luckily, the way I like to frame it is you come in and you just let go. Like you let us do the work because in the background we're the ones talking to your oncologist. We're the [00:05:00] ones giving that feedback and creating a timeline with your oncologist. Um, and really I think just getting in the door is the hardest part. **Dr. Nirali Jain:** So once patients are here to see us, we go through the whole workup. We do anything that we would do for a normal patient that came in for fertility preservation. And then based off of where they're at in their journey, we talk about what makes sense for them, whether that means freezing embryos, freezing eggs, they're very similar in terms of the, the few weeks leading up to the egg retrievals. **Dr. Nirali Jain:** So I have that whole conversation just at the initial visit. And then from there we talk about the timeline behind the scenes and make sure that it works with their lives before moving forward. **Michelle Oravitz:** So for people listening to this, why, and this might be an obvious question, but to some it might not be,  **Dr. Nirali Jain:** Mm-hmm. **Michelle Oravitz:** why would somebody want to preserve. eggs or sperm. 'cause I've had actually some couples  **Dr. Nirali Jain:** Yep. **Michelle Oravitz:** come to me where the husband preserved the sperm and they had to go through IVF just because he was going [00:06:00] through cancer treatments. So he had to preserve the sperm ahead of time.  **Dr. Nirali Jain:** Mm-hmm. **Michelle Oravitz:** people need to consider doing that before doing cancer treatments?  **Dr. Nirali Jain:** So there are certain cancer treatments that do affect the ovaries and the sperm health, and you know, for men and women, it affects your reproductive organs. In a similar way, um, depending on the type of chemotherapeutic agent, there are some that are more dangerous in terms of, um, being toxic to your ovaries or toxic to your sperm. **Dr. Nirali Jain:** And those are the instances where we are really thinking about what's the long-term impact because there's medications that oncologists do give patients, and our oncologists are amazing, the ones that we work with, Memorial Sloan Kettering from Reproductive Medical Associates through RMA, um, and. **Dr. Nirali Jain:** They're just so good at what they do and are so well-trained, so they know in the back of their mind, is this going to impact your ovaries or your sperm health or not? Um, and I [00:07:00] think that any chemotherapy, you know, your ovaries are these, these small organs that are constantly turning over follicles every month. **Dr. Nirali Jain:** So every month we're losing those eggs, and if they don't become. If an egg isn't ovulated, it doesn't become a baby, it's just gonna die off. So I counsel even patients that don't have cancer, I counsel them on fertility preservation as young as possible. You know, between the ages of 28 and 35, that's like the best time to preserve your fertility. **Dr. Nirali Jain:** So in cancer patients, there's an extra level added to that where even if they are a little bit younger, a little bit older. Your eggs are not gonna be the same quality. There's gonna be higher level of chromosomal errors, more DNA breakage, um, and, and bigger issues that lead to issues with conceiving naturally afterwards. **Dr. Nirali Jain:** So I think that it's important to consider how that chemotherapy is going to affect them or how surgery would affect them if it was, for example, a GYN cancer where [00:08:00] we're removing a whole ovary, you know, what, what do we have to do to preserve your fertility in that case? And those are important conversations to have. **Michelle Oravitz:** Yeah. for sure. I know that a lot of people are also concerned, you know, with going through the IVF process, you're taking in a lot of estrogen, a lot of hormones, and many cancers are actually estrogen sensitive. So I wanted to talk to you about that. 'cause I know that the data shows that it's. It's been fine, which some people might find surprising, but I wanted you to address that and just kind of **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** from your perspective.  **Dr. Nirali Jain:** That's so interesting that you asked that question because I actually, my whole I I graduated fellowship last year and my entire, like passion project in fellowship was looking at one of the drugs that we use to suppress the estrogen levels specifically in cancer patients. Um, and I had presented this at a few of our reproductive meetings. **Dr. Nirali Jain:** Um, A SRM is one of our annual meetings where all of the reiss get together. A lot of male fertility [00:09:00] specialists come and we kinda just talk about. Specific things and fertility preservation for cancer patients is, has been an ongoing topic of interest for all of us. Um, and it's important to know that there are different medications that we can offer. **Dr. Nirali Jain:** Letrozole is the one that I, um, have a particular love for and I, uh, you know, I use all the time for my patients, um, for different reasons, but it suppresses the exposure that your body has to estrogen. And there's mixed data, um, out there in terms of, you know, does Letrozole suppression actually impact, you know, does it help or. **Dr. Nirali Jain:** Or does it have no impact on your future risk of cancer after treatment? Um, and that honestly is still up for debate. But what we do know is that there's no increased risk of cancer recurrence in patients that have undergone fertility preservation with or without Letrozole. Um, Letrozole is one of those things that we can give, and the way it works is basically. **Dr. Nirali Jain:** It masks that [00:10:00] conversion. It, it doesn't allow for conversion from those androgens in the male hormones over to estrogen. Um, and so your body doesn't really see that estrogen exposure. It stays nice and low throughout your cycle, and it does help with actually ovarian maturation and getting mature eggs harvested and, um, helps a little bit with, with quality too. **Dr. Nirali Jain:** So I think that it's really nice in terms of having that available to us, but know that. It's not, it's not essential that you have it, really, the data showing plus minus. Um, but there are certain things that we can do to protect the ovaries, protect your exposure to estrogen. Um, and so that shouldn't be top of mind of concern when we're going through fertility preservation, even with an estrogen sensitive cancer. **Michelle Oravitz:** Actually, so, uh, on a different topic, kind of going back to that, so Letrozole versus Clomid, I, it's like a, the questions I personally feel just based on what I've heard and like my own research that Letrozole would be kind of like the more. [00:11:00] Um, the, it's, it's a little better, but I know that it really depends on the person as well.  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** they might do better with Clom, but I'd love to hear your perspective and kind of pick your brain on this.  **Dr. Nirali Jain:** totally. You're choosing all the, all the right questions because these are all of my, my specific interests and niches. So  **Michelle Oravitz:** Oh,  **Dr. Nirali Jain:** Letrozole is basically, you know, we use Letrozole and Clomid in. Patients that don't have cancer and patients that come in for an intrauterine insemination, that's kind of the most common scenario where we're thinking about, you know, which medication is better? **Dr. Nirali Jain:** Letrozole or Clomid and Clomid used to be the, the most common medication that we use, we dose patients, you know, have 50 milligrams of Clomid, give them five days of the medication. It's an oral pill. Feels really easy and. The way it works is really, it recruits more than one follicle, so it really helps with the release of, um, more than one follicle growing more than one follicle in the ovary. **Dr. Nirali Jain:** Um, but it has a little bit [00:12:00] higher of a risk of twins because that's exactly what it's good at. Um, Clomid, not so much in the cancer. In the cancer front, it's not really used there because it's considered, from a scientific perspective, it's considered like a selective estrogen receptor modulator. So it doesn't necessarily suppress your estrogen levels in the same way that Letrozole does versus. **Dr. Nirali Jain:** Letrozole is an aromatase inhibitor, so it really blocks the chemical conversion of one drug or one hormone to the other hormone. Um, the reason we love Letrozole so much, and I don't mean to like gush over Letrozole, but um, it's a mono follicular agent, so it works really well at recruiting one follicle  **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** you know, every OB-GYN's nightmare in a way is having multiples when you didn't intend on having multiples at all. **Michelle Oravitz:** so  **Dr. Nirali Jain:** Um. **Michelle Oravitz:** were saying that, um, there's more of a chance of twins, it's Clomid, not letrozole.  **Dr. Nirali Jain:** Yes, there's a higher chance with Clomid versus Letrozole. And I mean, don't get me wrong, there's a chance of twins with [00:13:00] any type of assisted reproductive technology. Even when we're doing single embryo transfers, there's a chance that it's gonna split. So, um, the chance is always there just like it is in the natural world. **Dr. Nirali Jain:** But we know for a fact that. CLO is really good at recruiting many follicles. It's good for certain patients that don't respond well to Letrozole. Um, but Letrozole is kind of our, our go-to drug these days just because of all the benefits that we've seen.  **Michelle Oravitz:** Awesome.  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** These are all fun things to ask because I, I love talking to our eis 'cause there's so much information that I'm always  **Dr. Nirali Jain:** totally. **Michelle Oravitz:** learn a lot from my patients in my own research, but it's really cool. Picking your guys' brains. So another question I have, and I have actually talked to Dr. Andrea Elli, he's been on,  **Dr. Nirali Jain:** Mm-hmm. **Michelle Oravitz:** and he does a lot of endometriosis and, and immune related work as well,  **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** so. I'd love to know just from your perspective. One thing that I do know from, based on what I've heard is that the, [00:14:00] guess like you were just saying, that breast cancer or estrogen sensitive breast cancer doesn't seem to be affected by IVF cycles, however, and endometriosis lesions do get affected.  **Dr. Nirali Jain:** Yeah. **Dr. Nirali Jain:** that's a great question. So, you know, every, there are so many complex G mind diagnoses that the, that our patients come in with. Um, and endometriosis is a big one because there is clear data that endometriosis is linked to infertility. So we think about, you know, when a patient comes in with endometriosis, we really do think about the different treatment options and what are the short-term and long-term impacts of the hormones that we're giving 'em. **Dr. Nirali Jain:** Um, these days, again, kind of going back to Letrozole, we, letrozole is something that I give all of my endometriosis patients because it helps suppress their estrogen because we know.  **Michelle Oravitz:** interesting.  **Dr. Nirali Jain:** is very responsive to estrogen and leads to this dysfunctional regulation of all the endometrial tissue that can really flare in a, [00:15:00] in a cycle, or shortly after a cycle. **Dr. Nirali Jain:** I. So we really, for endometriosis patients, the, the best treatment is being on birth control because we don't see that hormonal fluctuation. The up and down of the estrogen and the progesterone, that's what leads to those flares. Um, so I really, I watch patients closely after their cycles too, because you definitely can have an endometriosis flare and we say the best treatment for endometriosis is pregnancy, right? **Dr. Nirali Jain:** That's when you're suppressed, that's when you're at your lowest. Um, and patients, my endo patients feel so good in pregnancy because they have. Hormones that are nice in that baseline, they're not getting periods of course. Um, and that's truly, truly the best treatment.  **Michelle Oravitz:** That's interesting.  **Dr. Nirali Jain:** But it is important to consider when you're going through infertility treatments. **Dr. Nirali Jain:** How does my endometriosis affect the short and long-term effects of the fertility medications? And really not to, not to say that they're bad in any way. I think a lot of endometriosis patients go through IVF and have success and do really, really well, and that's kind of the push that they need. [00:16:00] Um, but it's important to be mindful of the bigger picture here. **Dr. Nirali Jain:** It's not just, you're not just a number of. A patient with endo coming in, getting the same protocol. It's really individualized to the extent of your lesions, what symptoms you're having, what grade of endometriosis, where your lesions are. So we're the RAs are thinking about everything before we actually start your protocol. **Michelle Oravitz:** It's crazy how in depth it is, and it's, it, there's just so, it's so multifaceted,  **Dr. Nirali Jain:** Yeah,  **Michelle Oravitz:** when it's females  **Dr. Nirali Jain:** totally. **Michelle Oravitz:** are a little, I mean, they can, you know, there, there's definitely a number of things, but it's not as complicated and interconnected  **Dr. Nirali Jain:** Exactly. Exactly. That's so true. **Michelle Oravitz:** And so one question I actually have, this is kind of really off topic, but something that I was curious about. **Michelle Oravitz:** 'cause I heard about a while  **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** a, a type of cancer treatment that was used. I'm not sure exactly what it was, but for some reason it actually caused follicles to grow, [00:17:00] or to multiply. And they were **Dr. Nirali Jain:** Interesting. **Michelle Oravitz:** this definitely. Puts, um, the whole idea of like a woman being born with all the follicles she'll ever have on its head, I thought that was really Interesting. **Michelle Oravitz:** Now I learned a little bit about it. I don't think it really went further than that,  **Dr. Nirali Jain:** Mm-hmm. **Michelle Oravitz:** one of those things that they're like, Hmm, this is interesting. I don't know, it was kind of a random side effect of this chemo drug. I dunno if it was a chemo drug or a cancer drug.  **Dr. Nirali Jain:** Yeah.  **Michelle Oravitz:** ever heard of that. **Michelle Oravitz:** So I was just **Dr. Nirali Jain:** I haven't, I mean, that's interesting. I feel like I'd have to look into that because that would be definitely a point of interest for a lot of Reis. But it kind of does go back to the point of, you know, women are really born with all the eggs we're ever gonna have. So it's about a million, and then it just goes down from there. **Dr. Nirali Jain:** And the, by the time you start having periods, I like to kind of show my patients a chart, but you have a couple hundred thousand eggs and you ovulate one egg a month. That's, you know. Able to [00:18:00] progress into a fertilized egg and then into a, an embryo into a baby, um, if that's your goal. But otherwise, patients that are having periods and not trying to actually get pregnant, we're losing hundreds of eggs a month. **Dr. Nirali Jain:** So.  **Michelle Oravitz:** Mm.  **Dr. Nirali Jain:** It's important to kind of think about that decline, and it's important to know that that rate can be faster in patients with cancer, patients with low ovarian reserve. And sometimes when you have the two compounded, that's when a fertility specialist is definitely, you know, in the queue to, to have a discussion with you in terms of what that means and how you can reach your family building goals despite being faced with that, with that challenge. **Michelle Oravitz:** Yeah. **Michelle Oravitz:** I mean, 'cause we know oxidative stress is one of the things that can cause, uh,  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** quality eggs, but it's also can cause cancer. **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** um, similar, you know, like things that really deplete the body could definitely impact. Um, and then what are your thoughts? I know I'm asking you all kinds of random questions, **Dr. Nirali Jain:** I love it. **Michelle Oravitz:** are your thoughts about doing low simulation in certain [00:19:00] circumstances versus high stem? **Michelle Oravitz:** Sometimes people don't respond as well to higher stems.  **Dr. Nirali Jain:** Yeah, that's a great point. I think that it kind of all goes back to creating an individualized protocol. If. A patient's going to a practice and basically just getting a protocol saying, this is our standard. We start with our standard of, you know, I, I think about the standard, which is 300 of the FSH or that pen that you dial up, and then 150 units of that powder vial. **Dr. Nirali Jain:** And we have patients mixing powders all the time, and that's kind of our blanket protocol that we give patients. But that's not really what's happening behind the scenes. And if you're given a protocol that's, and being told, you know, this is kind of what we give to everyone, it's probably not the right fit for you. **Michelle Oravitz:** Yeah, I  **Dr. Nirali Jain:** Um, there are certain patients that respond to a much lower dose and do really, really well, and then some patients that need a much higher dose. Um, and I think it's, that's kind of like the fun part of being an REI of being able to individualize the [00:20:00] protocol to the patient. Um, and I know for a fact there are so many, luckily, you know, we have so many leaders in REI that have been. **Dr. Nirali Jain:** Have dedicated their entire careers to researching these different protocols and how they can help different patients. Um, patients with lower a MH, you know, might benefit from a duo stim protocol, for example. That's kind of the first one that comes to mind, but a protocol where we're using those follicles from the second half of a cycle. **Dr. Nirali Jain:** I would've never thought that those were the follicles that  **Michelle Oravitz:** Oh,  **Dr. Nirali Jain:** would be better than the first half of the cycle,  **Michelle Oravitz:** Wait,  **Dr. Nirali Jain:** but, **Michelle Oravitz:** that. Explain that. Um, because I think that that's kind of a unique  **Dr. Nirali Jain:** mm-hmm.  **Michelle Oravitz:** that I haven't heard of.  **Dr. Nirali Jain:** Yeah, so there's this new day. It's still kind of developing, but um, kind of going back to, you know, what's an individualized protocol? Duo STEM is one of the newer protocols that we've started using. I, I've used it once or twice in patients. Um, but it goes back to the research that shows that you might actually have two different periods of time in a menstrual cycle where you could potentially recruit [00:21:00] follicles. **Dr. Nirali Jain:** You could have a follicular phase where there's a certain cohort of follicles recruited, and then you have a follicle that forms creates a corpus glut.  **Michelle Oravitz:** um, protocols  **Dr. Nirali Jain:** Yep. And then you basically go through the follicular protocol and then a few days after a retrieval, instead of waiting for a new follicular cohort or follicular recruitment from the first half of your menstrual cycle, you actually use the luteal phase and you recruit those follicles that would've actually died off or have been prematurely recruited in a prior cycle. **Dr. Nirali Jain:** So **Michelle Oravitz:** that's So  **Dr. Nirali Jain:** yeah, **Michelle Oravitz:** you just do a similar, I guess, um, medicine,  **Dr. Nirali Jain:** go right back into it.  **Michelle Oravitz:** do the same exact thing, but right after ovulation.  **Dr. Nirali Jain:** Yeah.  **Michelle Oravitz:** Fascinating. That's really interesting.  **Dr. Nirali Jain:** Yeah,  **Michelle Oravitz:** has been your experience with that?  **Dr. Nirali Jain:** I think it's, honestly, it's mixed. Um, so far, you know, our data from fertility and sterility and A SRM, it, it shows support for these DUO STEM [00:22:00] protocols, saying that if patients don't have that great quality of eggs or if they have a very low number, maybe they'd benefit from starting the meds earlier and recruiting follicles. **Dr. Nirali Jain:** A little bit earlier. Um, so we've seen positive results so far. A lot of work to be done in terms of really understanding it. Um, and of course, as a new attending, I have a lot more experience to kind of build on. Um, but I, I have seen success from it. **Michelle Oravitz:** That's fascinating. Are there any other new technologies, like new add-ons, um, that you've seen, that you've found to be really cool or interesting?  **Dr. Nirali Jain:** I think the biggest thing, actually, kind of going back to our whole topic for today is fertility preservation cancer patients. One of the biggest things that I've learned recently is that we used to start fertility, um, patients. You know, only in the beginning of the cycle days, two or three is technically like when most. **Dr. Nirali Jain:** Most clinics, um, start patients, but for our cancer patients, sometimes you don't have that time. You don't wanna wait a full month to [00:23:00] restart, um, your, you know, your menstrual cycle and then do the fertility preservation and then delay chemotherapy a full month. So we started doing what we call random starts. **Dr. Nirali Jain:** So you basically start a patient whenever they come in. You know, it could be the day after your consultation, the day of your consultation. I've kind of seen all of the above. Um, and we've seen really good success with random starts, per se. Um, and we've been doing a lot more of that, where it's not as dependent on where you're at in your cycle. **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** Um, obviously there's a difference in outcomes. You might not be a great candidate for it, so definitely it's worth talking to your doctor about it. But it kind of gives relief to our cancer patients where if you have a new cancer diagnosis and you're like, oh, I just finished my period, like, I can't even start a cycle until next month. **Dr. Nirali Jain:** That's not always true. Um, so it's always worth it to go into see a fertility specialist and just get, you know, get the data that you need right away, and then you can make a decision later on. **Michelle Oravitz:** For sure. Um, Yeah. **Michelle Oravitz:** and I wanted to kind of cover a lot of different topics 'cause I know that [00:24:00] some people are gonna wanna hear what you have to say that don't necessarily, or, uh, have cancer. But it is important. I, I think that, you know, if you get to thirties and you haven't gotten married or you don't have a partner, I think it's really important to preserve your fertility in general.  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** important thing. And then if you were going through a cancer diagnosis and you decided to preserve your fertility, um, guess more for women because they're eventually going to be thinking about transfers after they go through treatment. So what are some of the things that they would need to consider as far as that goes? **Michelle Oravitz:** Like after the  **Dr. Nirali Jain:** yeah, **Michelle Oravitz:** then they go through the cancer treatments. Um, and then what, how long should they  **Dr. Nirali Jain:** yeah. Like what does it look like? So I've had patients that come back, you know, in my fellowship training I did a, a couple research projects on patients that came back to pursue an embryo transfer, um, after chemotherapy agent. And basically compared them to how they did, um, [00:25:00] compared to patients that didn't have cancer and just froze their embryos or froze their eggs and then came back to pursue a transfer and. **Dr. Nirali Jain:** I think the, the most reassuring thing from the preliminary data that we have is saying that there's no difference in pregnancy rates and no difference in life birth,  **Michelle Oravitz:** Awesome.  **Dr. Nirali Jain:** of whether they had chemotherapy or not. After freezing those eggs and going through fertility preservation.  **Michelle Oravitz:** Amazing.  **Dr. Nirali Jain:** Um, in terms of where your body needs to be, I think the oncologist, we, we wait for their green light. **Dr. Nirali Jain:** We wait for their signal to say, you know, she's safe to carry a pregnancy.  **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** And then once we do that, we basically treat you like any other patient. So if you're coming in for a cycle, if you're having periods, then it's reasonable to try a natural cycle protocol, wait for your body to naturally ovulate an egg. **Dr. Nirali Jain:** And instead of obviously hoping that egg will fertilize, we, um, use a corpus luteum. We use the progesterone from the corpus luteum to really support this embryo being implanted into the uterus. Um. Yeah. [00:26:00] And then there's also another side. I mean, some patients don't get their periods back and they always ask like, what if I never get my period back? **Dr. Nirali Jain:** What if I'm just like in menopause because of the chemotherapy agents? And for that, we can start you on a synthetic protocol or basically an estrogen dependent protocol where you take an estrogen pill for a certain number of days. We monitor your lining, then we start progesterone, um, to support your hormones from that perspective instead of relying on your ovaries to release the progesterone that they need, um, and then doing the embryo transfer a few, few days after progesterone starts. **Dr. Nirali Jain:** So there's definitely different protocols depending on where your menstrual health is at after the chemotherapy or after the cancer treatment. Um, but it's important to kind of just know that. That there's options. It doesn't mean that it's the end of the road if you all of a sudden stop getting your period. **Michelle Oravitz:** Yeah, for sure. I mean, 'cause you, technically speaking, you can really control a lot of that. More so for transfers  **Dr. Nirali Jain:** Yep. **Michelle Oravitz:** Retrievals really is kind of like what [00:27:00] eggs you have, what the quality is. But people can be in complete menopause and you guys can still control their cycles for transfer, which is kind of. A huge difference  **Dr. Nirali Jain:** Yeah,  **Michelle Oravitz:** in the  **Dr. Nirali Jain:** exactly. That's exactly right. Yeah. **Michelle Oravitz:** interesting. Any other, um, new, new things that you're, you guys are excited about? I always like to hear about like the new and upcoming things  **Dr. Nirali Jain:** Of course.  **Michelle Oravitz:** actually before, which I thought was fascinating. Yeah.  **Dr. Nirali Jain:** I feel like there's always like updates and, and new data and things like that coming out, but just know, I think it's important for patients to know, like we're constantly, we're, the reason I chose to even pursue this field was because it's new. Right. There's something that we are discovering every day, every year, and that's what makes our, our conferences so important to attend, um, to really just stay up to date. **Dr. Nirali Jain:** Um, but we are, uh, constantly updating our embryology standards, the way we thaw our eggs, and the success rate associated with a thaw and [00:28:00] how we treat our embryos and the media that we use, right? Like, so we're really thinking about the basic science perspective every single day, and that's what makes this field so unique. **Michelle Oravitz:** It is really awesome. And so do you guys specialize specifically on, um. Egg freezing and, and I mean specific fertility preservation in patients that do that have cancer that are going through treatments, do you guys specialize specifically in that? I mean, I know you do range  **Dr. Nirali Jain:** Yeah. Yeah, because it's such a small community, we all have our own niches and we all kind of have our own interests and  **Michelle Oravitz:** Yeah.  **Dr. Nirali Jain:** no like specific training. There are a couple courses that you take that I took in in training as well, just to kind of understand what it sounds like to, I. Council of fertility preservation, patient with and without cancer. **Dr. Nirali Jain:** Um, and then, you know, you kind of just learn by experience and you form a niche for something that you're passionate about. 'cause that's what makes you, you know, really thorough in, in your treatment. [00:29:00] So that's one of my interests. Um, and, but I would say,  **Michelle Oravitz:** training for that. It's just like  **Dr. Nirali Jain:** yeah, **Michelle Oravitz:** just know how to treat that in  **Dr. Nirali Jain:** exactly.  **Michelle Oravitz:** especially if you're interested in doing that.  **Dr. Nirali Jain:** Exactly. That's exactly right. It's kind of, it just comes with the experience comes with your mentors and who you're surrounded by, and everyone kind of helps each other get to that point. But there are several specialists in our practice at RMA that specialize specifically in fertility preservation in cancer patients. **Dr. Nirali Jain:** So we have a close communication with our oncologist and they know who to refer to within the practice because everyone has their own little interests.  **Michelle Oravitz:** Amazing.  **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** Um, definitely. I, like I said, I really enjoy picking your brain because it's a lot of fun for me. I, I do  **Dr. Nirali Jain:** Totally.  **Michelle Oravitz:** acupuncture, so  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** and I, I think that it's just so crazy that our fields don't work together. I mean, we kind of do, but I think, I just feel like it would be so great  **Dr. Nirali Jain:** exactly.[00:30:00]  **Michelle Oravitz:** the expertise because you guys have immense. Benefits like in, in, uh, technology and incredible innovations and, and then the natural aspect of really understanding the, the body. And I, I just think that it would work so amazing together if it was more of like a thing. 'cause it, I know in China they actually combine the two  **Dr. Nirali Jain:** Yeah.  **Michelle Oravitz:** eastern.  **Dr. Nirali Jain:** Yeah, I mean I think that that's so important and there is data that shows, you know, there's actually a recent study that came out just a few weeks ago on the benefits of acupuncture for fertility patients. And we know that, I mean, I recommend it to all of my patients, specifically the day of the embryo transfer. **Dr. Nirali Jain:** We, luckily, we offer it on site at RMA and we have acupuncturists that come in and, and do a session before and after the embryo transfer, and I think. A lot of that is targeted towards stress relief. But I also think that holistically it's important to feel at your best when we're doing something that's so crucial to your, to your health. **Dr. Nirali Jain:** So to really focus on the diet, focus on stress relief, [00:31:00] focus on meditation, yoga, whatever it takes to get to your best wellbeing when you're going through fertility treatments, um, is so important. So I appreciate  **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** like you that really specialize in the other side of. Of this, because I do consider it still part of the holistic medicine that we need to really maximize success for our patients. **Michelle Oravitz:** Awesome. Well,  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** Jane, this is such a pleasure Of talking to you. You've given us some, so much great information and we've definitely dived into a, do a topic that I don't typically, I haven't yet spoken about. But, um, that being said, it's such an important topic to talk about. And thank you so much for coming on today. **Michelle Oravitz:** Oh,  **Dr. Nirali Jain:** course. **Michelle Oravitz:** I get off, how can people find you?  **Dr. Nirali Jain:** That's a great question. So I have, um, a social media page. I, it's called Expert nc. So like EGG,  **Michelle Oravitz:** I  **Dr. Nirali Jain:** um, expert nc. Try, tried to make it a little bit humorous. Um, but I'm all over social [00:32:00] media and would love to hear from anyone that is listening. I, you know, every, every day I get different, um, dms and I'm happy to respond. **Dr. Nirali Jain:** I love hearing about everyone else's. Stories and things like that. Um, so that is kind of my main, main social media platform. Um, and then through like RMA and Reproductive Medical Associates, we also have a YouTube channel. We have an Instagram page, um, of our office available, um, as well that is public. **Dr. Nirali Jain:** So you can find us pretty easily if you just kind of hit Google. But um, yeah, I'm kind of developing my social media platform as the expert and I hope it grows.  **Michelle Oravitz:** Love it. Great.  **Dr. Nirali Jain:** Yeah.  **Michelle Oravitz:** was such a pleasure talking to you. Thank you. so much **Dr. Nirali Jain:** Thank you. **Michelle Oravitz:** today.  **Dr. Nirali Jain:** Of course. Thank you so much for having me.  [00:33:00]   

What if walking away from social media made your career stronger?

In this episode, I chat with Katherine about her journey to motherhood through IVF and her birth experience with daughter Zendaya. Katherine shares her story of discovering her partner Aaron's rare diagnosis of azoospermia (where there is sperm in the body but none in the ejaculate), their IVF journey, and her eventual birth at the Royal Women's Hospital in Melbourne. Follow us on Instagram for photos and more from today's episode. Check out Katherine's business People Haircare here and connect with her on Instagram here. See omnystudio.com/listener for privacy information.

Join me as I speak directly to the loved ones of those navigating IVF, unpacking the well-meaning but often unhelpful “righting reflex” and offering compassionate ways to truly support someone through infertility.

Justin and William witness SAG-AFTRA filing unfair labor practice charge over use of AI to make Darth Vader's voice in Fortnite, and IVF clinic terrorist advocating for moralism. Justin also reviews the live action Lilo & Stitch.

We're diving into why progesterone matters when it comes to your fertility especially if you're navigating low AMH, high FSH, poor egg quality, or miscarriage You'll learn how this key hormone supports implantation, calms the immune system, balances estrogen, and improves mood and sleep. We'll explore what causes low progesterone, how to test it (beyond the standard Day 21 blood draw), and practical steps you can take right now to start rebuilding your hormonal foundation. Whether you've had IVF cycles that didn't work or you're just beginning to ask why things aren't clicking, this episode will help you uncover the hidden hormonal imbalances that may be standing in the way and give you a clear path forward. This episode is for you: Have low AMH or high FSH and want to understand how progesterone fits into the picture. Navigating recurrent pregnancy loss and wondering if low progesterone could be a contributing factor Have been told you have poor egg quality and are looking for a more personalized, functional approach to support your hormones. In this episode you'll learn: The signs your body may require progesterone support Why inflammation, stress, gut health, and liver function matter How to naturally support progesterone through food, lifestyle, testing, and targeted supplements DUTCH Test 101: Why It's Important For Fertility: https://fabfertile.com/blogs/podcasts/dutch-test-101-why-its-important-for-fertility?_pos=1&_sid=b889f5c33&_ss=r Why Your Gut Microbiome Matters for Low AMH and High FSH: https://fabfertile.com/blogs/podcasts/why-your-gut-microbiome-matters-for-low-amh-and-high-fsh?_pos=1&_sid=062f03680&_ss=r Our favorite progesterone cream: Ona's Naturals: https://us.onasnatural.com/?rfsn=8376489.72e723 (Use code FABFERTILE to save 10%) The Link Between Sleep and Fertility: Why Getting Enough Rest Matters: https://fabfertile.com/blogs/podcasts/how-poor-sleep-could-be-sabotaging-your-egg-quality?_pos=6&_sid=838d9b670&_ss=r Oura Ring:  https://ouraring.com/why-oura Understanding and Managing Progesterone Levels To Improve Pregnancy Success: https://fabfertile.com/blogs/education/understanding-and-managing-progesterone-levels-to-improve-pregnancy-success?_pos=2&_sid=3380745f3&_ss=r Ovarian vascular aging: a hidden driver of mid-age female fertility decline (discusses Rhodiola): https://www.nature.com/articles/s41514-025-00216-1?utm_source=Newsletter+list&utm_campaign=430d9b8ac7-EMAIL_CAMPAIGN_2024_12_16_03_14_COPY_01&utm_medium=email&utm_term=0_-d2a8390d80-482938369 Our favorite fertility tracker (use code FABFERTILE15 to save 15): https://www.inito.com/en-us/?srsltid=AfmBOoo85sXu_esmFN5Kz6iysaTkBKgYl35Jubv-BaLkkxXVggdk6nes Fab Fertile Method https://www.fabfertile.com/what-we-do/ Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH - https://fabfertile.clickfunnels.com/optinvbzjfsii Not sure where to start? Book a 15-minute call here and we'll give you options to help. ---

Phoebe Lyman is an abdominal manual therapist, preconception coach, and founder of Casc Tonics, a wellness brand focused on reviving digestive bitters. Based in Los Angeles, she specializes in Mercier Therapy and Visceral Manipulation—two hands-on modalities for healing what she calls the “gut-fertility continuum.” Phoebe's work emphasizes rewilding over biohacking, body sovereignty over outsourcing, and conscious conception for societal and personal healing. Her podcast, Conscious Conception, challenges mainstream fertility narratives and centers body literacy, ancestral health, and radical self-trust.   In this episode we chat about:  The gut fertility continuum IVF and “unexplained” infertility WTF is abdominal visceral massage How to find someone who knows what they are doing Men your health impacts your unborn kiddo Self abandonment postpartum Why does AVM work? Who needs AVM? Vitamin D and perimenopause are not fads yo Are we gaslighting ourselves?? WTF. If you're interested in digestive bitters, check out Daily Bitter + save 10% with code EMPOWERED!  Learn more about working with me  Shop my masterclasses (learn more in 60-90 minutes than years of dr appointments) Follow me on IG Follow Empowered Mind + Body on IG  Learn more about working with Phoebe Follow Phoebe on IG  Conscious Conception Podcast

Comedian, actor, and author Alex Hooper (AGT) returns to the program to chat about beating cancer, his debut standup special Brace Yourself, his incredible IVF journey with his wife, and the power of never letting failure rule you.  Go here for all of Alex's comedy & tour dates including his new special - https://www.hoopercomedy.com/ Instagram @FauxRealPod Twitter @FauxRealPod Facebook @FauxRealPod Logo design by Chris Michaud Hug a Pug music provided by https://mobygratis.com/ Faux Real is a production of Wilder Entertainment © 2025

For those who are sick of something—sick of sins, sick of aches and pains you can't fix, sick of the worry in your life, sick of the injustice in the world—Pastor Mike's final message from the book of Revelation gives you the Bible's final promise: There's a whole new world at the end for the people of God where everything is good and perfect.  Where do you turn to overcome feelings of worthlessness, fear, depression, or anxiety?  Your self is the last place you should look. But God's help . . . that's a different story. In Amber Albee Swenson's new book, The Key to Confidence: Where to Go When You Feel You're Not Strong Enough, you'll discover how you can live with greater boldness and joy when you learn to find your confidence in Christ. God didn't make you to sit on the sidelines. And once you realize where your true confidence comes from, nothing will be able to hold you back!  About "Taboo Questions With Pastor Mike Novotny": Have you ever had questions you wanted to ask a pastor but felt silly or embarrassed to ask them? Questions about taboo topics like sex, politics, porn, IVF, and mental illness? Well, there's a podcast for that! Hear how Pastor Mike Novotny from Time of Grace answers some real questions from people just like you, giving thoughtful, biblical answers that point people back to Jesus.Find even more questions at timeofgrace.org/tabooquestions.You can also order Pastor Mike's book "Taboo: Topics Christians Should Be Talking About but Don't" at taboobook.org.

In today's episode, I interview my beautiful client Damaris, who shares her fertility journey from experiencing two miscarriages to becoming naturally pregnant at 37 through a holistic approach to her health. Her story involves underlying issues with chronic bacterial vaginosis, compromised gut health which led to hormonal imbalances. Her story emphasizes the importance of personalized care, self-advocacy, and a comprehensive approach to fertility that goes beyond traditional medical treatments. Through patience, targeted interventions, and trusting the process, Damaris was able to overcome her fertility challenges and finally achieve a healthy natural pregnancy at 37.  Episode Highlights: Damaris, an ICU nurse, opens up about her journey through two miscarriages and now being 20 weeks pregnant. She reveals how chronic bacterial vaginosis was dismissed by doctors but deeply affected her fertility. A surprising gut health discovery changes everything; learn how she uncovered hidden issues and what helped her heal. From being clueless about cycle tracking to mastering her fertile window, Damaris shares the eye-opening lessons that transformed her understanding of her body. Facing low AMH and considering IVF, she found unexpected encouragement to explore natural fertility methods. Tune in for a heartfelt reflection on trusting intuition, personalized coaching, and the path that led to her pregnancy. If you're LOVING this podcast, please follow and leave a rating and review below. PLUS FOLLOW MY INSTAGRAM PAGE HERE FOR BITE SIZED TTC TIPS! Related Links: CLICK HERE FOR JUNE BRONZE PACKAGE WAITLIST (limited spots available) For full show notes and related links: https://www.naturallynora.ca/blog/148 Grab Your FREE Resources: Just starting your TTC journey? Download my Eat To Get Pregnant Guide  Having trouble getting and staying pregnant? Download my Top 3 Things To Do When You're Not Getting Pregnant Wondering what supplements to take to help you conceive? Download my Fertility Foundations Supplement Guide   Please Note: The contents of this podcast are for educational and informational purposes only. The information is not to be interpreted as, or mistaken for, clinical advice. Please consult a medical professional or healthcare provider for medical advice, diagnoses, or treatment.  

This is a free preview of a paid episode. To hear more, visit wisdomofcrowds.liveWe live in an increasingly weird world, where the weirdness is facilitated and accelerated by the Internet. We live in a world full of instantly-available bizarre pornography and terrorist attacks inspired by misanthropic ideologies whose manifestos are published online. Katherine Dee, an Internet ethnographer, writer and friend of Wisdom of Crowds, joins Christine Emba and Shadi Hamid to talk about the recent terrorist attack on an IVF clinic in California and Christine's recent New York Times article about the social damage wrought by porn.Shadi shakes things up by posing a blunt question at the very beginning: Should we ban porn? It hurts men as well as women. Why not? Can we reconcile the ideals of liberalism with a state effort to suppress pornographic content? This question inspires Christine and Katherine to reflect about the ethics of sex work, the perils of reporting on dangerous and soul-crushing topics, as well as signs of hope in American culture.Throughout, Katherine applies her trusty reporter's eye toward making an accurate, non-judgmental and perceptive account of what's really going on with sex and ideology on the Internet. Christine, for her part, makes the case of norms and shame as useful tools for making society better. Shadi, in Socratic fashion, tests the strength of his interlocutors' arguments.In the bonus section for paid subscribers, Katherine explains the nuances of “efilism” and “promortalism”; Shadi reflects on the meaning of suffering and how belief in God changes one's approach to suffering; and Christine reflects on “cold, rational logical measure — suffering v. pleasure. Pleasure v. nothing.”Required Reading and Listening:* Christine Emba, “The Delusion of Porn's Harmlessness” (New York Times). * Katherine Dee, “An Efilist Just Bombed a Fertility Clinic. Was This Bound To Happen?” (default.blog).* Katherine Dee, “The Nihilism of the Mass Shooter” (default.blog).* Katherine Dee, “The Trouble with Being Born” (default.blog).* Sophie Gilbert, Girl on Girl: How Pop Culture Turned a Generation of Women Against Themselves (Amazon). * Dan Savage on kinks (AV Club).* Andrea Dworkin, Pornography (Amazon). * XO Jane (Wikipedia). * “Supreme Court case on age limits for porn sites could affect 19 states” (Axios).* “Palm Springs IVF clinic bomber ID'd as Guy Edward Bartkus, a ‘pro-mortalist' who opposed people being born ‘without their consent'” (New York Post).* Last week's podcast: “How to Think about Power and Morality” (WoC).* Sin-eaters (Wikipedia).Free preview video:Full video for paid subscribers below:

This week on Ask, Tell, Confess,the gals unpack the good, the great, and the kinda weird moments from the recent ACM Awards, where the women were hot and the internet lost its damn mind over Bunnie and Jelly's red carpet kiss. Bunnie sets the record straight and explains why red carpets aren't always her favorite, and then answers a listener question about IVF and her upcoming book. Watch Full Episodes & More:www.dumbblondeunrated.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Markets fall as President Trump threatens to increase tariffs on Apple and the European Union. Former Chancellor of the University of North Carolina Chapel Hill Holden Thorp discusses his concerns over the Trump administration's attack on higher education. Baylor College of Medicine Dean Dr. Peter Hotez explains the new COVID-19 vaccine formula and guidance from the FDA. NBC News White House Correspondent Yamiche Alcindor reports on the reality of Trump's campaign promise to expand access to IVF.

 PSNY Upgrades are on the way. Big changes are coming, so stay tuned!  Peloton unveils new special discounts. Score more savings for your fitness goals.  Apple Health App gets new Peloton updates. Sync your workouts seamlessly.  Peloton tech issues recap. Here's what's been resolved and what to watch for.  Details on the next Lululemon Weekend. Get ready to mix fitness and fashion!  Helper Bee Liz shares why meditation is vital for overall wellness.  Kirsten Ferguson teams up with the WNBA's Golden State Valkyries. A slam dunk for Peloton!  Self Magazine talks about Bradley Rose's inspiring cancer recovery story.  Bradley also opened up about his IVF journey while teaching a class.  Callie Gullickson, Logan Aldridge, and Hannah Corbin are heading to Nashville for CMA Fest.  Matty Maggiacomo caught up with Mel Robbins for an exciting studio visit.  Glamour spotlights Tunde. Get inspired by her incredible energy.  Peloton's latest Artist Series features Avril Lavigne. Rock on while you ride!  Peloton debuts Iconos Latinos. Celebrate Latin excellence with this new series.  Past guest Kari Gromley (Ep. #160) is hosting a book club event with Kristen McGee.  Are Kane Brown's newfound abs thanks to Peloton? You decide!  TCO Top 5: Listener-recommended classes you won't want to miss!  This Week at Peloton: Everything happening in the world of Peloton, all wrapped up.  TCO Radar: Classes that caught our eye this week.  Peloton rolls out a new class type Longevity. Stay strong for years to come!  Take on the challenge with Peloton's new 100-Day Streak incentive.  Peloton Birthdays: Benny Adami (5/27)  Jess King (5/29) Learn more about your ad choices. Visit megaphone.fm/adchoices

Read the full show notes: https://www.draimee.org/how-to-make-sure-your-fertility-journey-is-your-doctors-priority-with-dr-rahi-victory Today on The Egg Whisperer Show, I'm joined by Dr. Rahi Victory. Dr. Victory is an OBGYN in Canada, where he has two clinics. I'm excited to have him on the show today to talk about how to become an advocate for yourself, and how to make sure that your care is your doctor's priority.⁠ ⁠ Dr. Victory and I are both very like-minded in the way that we approach patient care: we want you to be an active part of your care and we want you to be a part of our decision making when it comes to deciding on a treatment plan. It's a joy to talk to Dr. Victory about transparency and honesty and how patients can become their own advocates and make sure they get the kind of care they deserve on their journey.⁠ Read the full show notes on Dr. Aimee's website Visit Dr. Rahi Victory's website.   Do you have questions about IVF? Join Dr. Aimee for The IVF Class at The Egg Whisperer School. The next live class call is on Monday, June 16th, 2025 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.

In this moving conclusion to our poetry mini-series, Natalie and Stacey bring the final chapters of Stacy's IVF journey to life through her stunning poems. If you've been walking this path or loving someone who is this episode is a powerful companion.Stacey shares not just the pain and loss, but the moments of quiet courage and the slow emergence of hope. From letting go to holding on, from disbelief to the unspoken darkness, and finally to The Light.What we discuss: The Hopeless: Letting go, hitting emotional and physical limits, and facing a new reality.The Disbelief: Surrendering control, choosing silence for self-preservation, and the tentative reappearance of hope.The Unspoken Darkness: What no one tells you about after a successful IVF — fear, anxiety, and the struggle to feel joy again.The Light: Healing doesn't mean forgetting. The journey shapes us — even when the darkness begins to fade.Navigating pregnancy after infertility — and the neuroses it bringsFeeling robbed of joy even after good news — and why that's okayParenting one child and answering complex questions about family and originWhy the pain of infertility never fully disappears, but transforms over timeHow poetry became a powerful outlet — and how you can start writing, too"The journey shaped me. It tested me. It broke us down. It built us up. It will never fully go away — but it feels distant now. Smaller. In the rearview mirror."Also, check out the recommended podcast Finally Pregnant by Cat Strawbridge for more on pregnancy after infertility.⚠️ Trigger WarningThis episode includes discussion of IVF trauma, pregnancy loss, PTSD, and emotional distress during and after fertility treatment. Please take care when listening, and pause if it feels overwhelming.

Erin and Alyssa discuss the latest on the fertility clinic bombing in Palm Springs, the horrific consequences of Georgia's strict 6-week abortion ban, and the Liver King. Then The Atlantic's Sophie Gilbert joins to chat about her new book Girl on Girl: How Pop Culture Turned a Generation of Women Against Themselves, they talk about everything from the impact of Spice-Girls-feminism to the rise of the #girlboss. Girl on Girl: How Pop Culture Turned a Generation of Women Against Themselves by Sophie GilbertGeorgia mother says she is being forced to keep brain-dead pregnant daughter alive under abortion ban law (NBC News 5/15)25-year-old suspect in fertility clinic bombing left behind ‘anti-pro-life' writings, officials say (AP 5/18)Trump tells Walmart to ‘eat the tariffs' as retailer expects prices to increase (CNN 5/17)Walmart Selling Solid Gold Bars Is the Recession Indicator We Didn't See Coming (Rolling Stone 5/16)Judge overturns Michigan's 24-hour waiting period before an abortion (CNN/AP 5/13)The Tech Guys Are Fighting. Literally. (NYT 5/16)The ‘Manosphere'? It's Planet Earth. (NYT 2/1)The Liver King story chillingly shows how bad role models are manufactured (The Independent 5/13)

Host of The Morning After podcast and proud mom of four, Kelly Stafford joins Heather to compare notes on their IVF journeys and address the stigma that still surrounds IVF. PLUS: Parenting advice and Heather's hatred of knock offs! Original Airdate: 05/30/2024We have deals for YOU!!Koala: Try Heather's favorite sofa! Get $100 off your new sofa (plus fast shipping) at us.koala.com/heatherQuince: Treat your closet to a summer glow-up! Go to Quince.com/heather for free shipping and 365 day returns!Apartments.com: Looking for a place? Head to Apartments.com - THE place to find a place!Progressive: Wanna save on car insurance? Visit Progressive.com to see how much you can save!See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

We're diving into some of the week's most disturbing headlines—assisted suicide laws, a brain-dead pregnant mother kept alive for her baby, and a tragic IVF clinic bombing. I'm joined by Dr. Aaron Kheriaty to unpack what these stories reveal about our culture's view of suffering and the sanctity of life. Together, we challenge the rhetoric driving these narratives and explore what it means to stand for life in a world that fears suffering.Dr Kheriaty's website: https://www.aaronkheriaty.com/Check out our sponsors: -We Heart Nutrition: https://www.weheartnutrition.com/ Get high quality vitamin supplements for 20% off using the code LILA. -EveryLife: https://www.everylife.com Buy diapers from an amazing pro-life diaper company and use code LILA and get 10% off!-Seven Weeks Coffee: https://www.sevenweekscoffee.com Buy your pro-life coffee with code LILA and get up to 25% off!

Do not miss our celeb guest today! Ali is talking to the incredible Riki Lindome, a prolific, Emmy nominated comedian and actress from Knives Out; Wednesday; The Big Bang Theory; her musical duo, Garfunkel and Oates; and her one-woman show about her infertility journey, Dead Inside. Riki gets real with Ali about her family building journey, including how she navigated infertility, IVF, a devastating pregnancy loss, an adoption journey and finally, surrogacy. Riki also talks about her new solo comedy album, No Worries if Not, her sweet son, Keaton (whom she's raising with her husband, comedian and actor Fred Armisen), and how it felt to hold him in her arms for the very first time. She also talks about the amazing bond she has with her surrogate, and how humor and honesty helped them through it all.Follow her on IG: @rikilindhomeCheck out her work: rikilindhome.comTOPICS COVERED IN THIS EPISODE:Infertility; IVF; egg retrieval; pregnancy loss; products of conception; surrogacy; adoption; embryo donationSupport this podcast at — https://redcircle.com/infertile-af/donationsEPISODE SPONSORS:WORK OF ARTAli's Children's Book about IVF and Assisted Reproductive Technologyhttps://www.infertileafgroup.com/booksDo not miss Ali's children's book about IVF! It's been getting rave reviews. “Work of ART” is the story of an IVF kiddo the day he learns he is a “work of ART” (born via IVF and ART). For young readers 4-8. Hardcover. Written by Ali Prato; Illustrated by Federico Bonifacini.Personalized and non-personalized versions are available. Order yours now at https://www.infertileafgroup.com/booksFor bulk orders of 10 or more books at 20% off, go to https://www.infertileafgroup.com/bulk-order-requestFERTILITY RALLYIG: @fertilityrallywww.fertilityrally.comNo one should go through infertility alone. Join the Worst Club with the Best Members at fertilityrally.com. We offer 5 to 6 support groups per week, three private Facebook groups, tons of curated IRL and virtual events, and an entire community of more than 500 women available to support you, no matter where you are in your journey.Join today at link in bio on IG @fertilityrally or at www.fertilityrally.com/membership NEWGEN FAMILIESIG: @newgenfamiliesNewGen Families is known for their thoughtful matches and their empathetic and expert care when it comes to both surrogates and future parents. For more, go to: https://newgenfamilies.comEXTEND FERTILITY IG: @extendfertilitywww.extendfertility.comFertility shouldn't be dictated by a timeline. Extend Fertility offers cutting-edge egg and embryo freezing, infertility care, and IVF—all designed to put you in control. Their approach? Research driven, transparent, and personalized. With a world-class lab, exceptional verified success rates backed by nearly a decade of egg freezing results, and pricing lower than the national average, Extend Fertility is making reproductive care more accessible and effective than ever. Whether you're preserving fertility for the future or actively trying to conceive, they're here with expert support every step of theway. BELIIG: @belibabywww.belibaby.com Are you thinking about growing your family? Whether you're just starting to plan or are actively trying to conceive, preconception health is key. Beli has vitamins to help both women and men optimize their health before pregnancy. With essential nutrients like Folate, Iodine, and Zinc, Beli ensures your body is ready for this exciting next step. Give yourself and your future baby the best foundation for a healthy start.Visit Belibaby.com today and use code IAF15 for 15% off your first order. Our Sponsors:* Check out Happy Mammoth and use my code INFERTILEAF for a great deal: https://happymammoth.comSupport this podcast at — https://redcircle.com/infertile-af/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Read the full show notes: https://www.draimee.org/when-it-comes-to-your-fertility-what-is-fact-vs-fiction I know there are a lot of fertility myths out there, and some can be downright perplexing if you're trying to do everything you can to have a successful pregnancy. And, when you've been a fertility doctor for a while, let me tell you, you will hear it all.⁠ ⁠ So in this episode, I'm tackling TWENTY of the most common fertility myths in a little thing I like to call “Fertility: Fact or Fiction.”⁠ ⁠ I love talking about these types of things because once you know the truth, you also have a better idea of what may be happening in your own body. I think most people now realize that sperm does in fact matter when you're TTC.⁠ ⁠ But, do you need both of your fallopian tubes?⁠ ⁠ Is marijuana safe when you're TTC?⁠ ⁠ Can someone born without a uterus have a uterine transplant?⁠ ⁠ Is an ovarian cyst something to be concerned about?⁠ ⁠ Of course, these questions matter, and I want everyone to feel comfortable asking their doctor about them (and for answers to the above: no, no, yes, no).⁠ Do you have questions about IVF, and what to expect? Click here to join Dr. Aimee for The IVF Class. The next live class call is on Monday, June 16, 2025 at 4pm PST, where Dr. Aimee will explain IVF and there will be time to ask her your questions live on Zoom.   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  where you can schedule a consultation.   More ways to connect with Dr. Aimee: Subscribe to my YouTube channel for more fertility tips! Subscribe to the newsletter to get updatesFollow on Instagram

In this episode of IVF Uncovered, we explore the often overlooked and lesser-known factors that can impact IVF success. While age, egg quality, and sperm quality are commonly cited reasons for failure, this discussion opens up a conversation about aspects within your control. Listen in as we discuss specific details about medication protocols, timing, lab handling, and questions to ask your doctor for a more informed IVF journey. Learn how to navigate these complexities and advocate for yourself effectively to improve your chances of successful implantation and pregnancy.   Get Personalized IVF Support: ►Sign up for a strategy session WITH TASHA HERSELF! NEED SUPPLEMENTS?  Click here for education and discounts on medical grade supplements (don't take supplements unless they are medical grade- it could hurt more than help!) Connect with Tasha + Access IVF Success Resources: ► YouTube ► Instagram ► Facebook  For more information, email us at support@tashablasi.com About the Host: Tasha Blasi is an IVF consultant and Founder of IVF Uncovered (formerly the FU Project). Using her background in the sciences, and personally going through ten rounds of IVF for her two children, she has created a life mission to help patients doing IVF know as much as their doctor so they can ask better questions and get better treatment...all while bringing an unfiltered, humorous tone to this often heartbreaking subject. Topics: Fertility Consultant, IVF Consultant, Fertility Coach, IVF Coach, IVF Success, Getting Pregnant, Staying Pregnant, Egg Retrievals, Egg Quality, Embryo Transfers, Holistic Health, Women's Health  

Imagine an insemination kit with a syringe specifically designed for the female body that you can use with your partner or sperm donor in the comfort of your own home. I'm delighted to have Maureen Brown, co-founder of Mosie Baby joining me on the this week to talk about the home insemination kit that she and her husband designed after being faced with infertility.⠀⠀ ⠀⠀ As you know, I really love innovative products and ideas that help people reach their goals. Anything that helps demystify fertility and helps women get pregnant is a win in my book. What I love about the Mosie Baby story is that Maureen and her husband decided to create a product that they could not find and wished existed during their fertility journey. We talk about how the kit was invented, her own experience using it, how it works, and about some of her favorite success stories. Read the full article Visit Mobie Baby's website 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, June 19, 2025 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! 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.

Send us a textHow many eggs should you expect during IVF? Is 8 enough? Is 20 too many? In this episode of Taco Bout Fertility Tuesday, Dr. Mark Amols cracks open the real data behind egg retrieval numbers and answers the question everyone's asking: “Am I making enough eggs?”We break down what's normal by age, what counts as mature, and why having more eggs isn't always better. Learn how AMH, antral follicle count, and stimulation protocols impact your results—and why quality beats quantity every time. From global practices to your personal golden egg, we're setting realistic egg-spectations and busting fertility myths, one follicle at a time.Whether you're preparing for IVF or supporting someone who is, this episode brings the facts, the stats, and a few laughs to lighten the hormone-fueled ride.

In this deeply honest conversation, Dr. Jennifer Reid speaks with cartoonist and author, Becky Barnicoat, about her graphic memoir, Cry When the Baby Cries, inspired by a massively popular cartoon she created for The New Yorker. Together they explore the messy, beautiful, and often isolating experience of modern motherhood—from IVF struggles and miscarriage to postpartum transformations and the bittersweet joy of watching children grow and change.On Drawing Her Graphic Memoir"The drawings that I did sort of started to kind of suggest a kind of wild, maybe slightly unhinged mother home alone with her baby... maybe refusing to conform to social expectations, maybe not being able to conform, you know, because of tiredness, because of mental distress and isolation."IVF and Fertility Struggles"I struggled to confide in anyone for a long time. The only person that knew was my husband and I felt so alone... I think I started to become really quite depressed and the way that that manifested for me was that the world started to feel unsafe and quite hostile."The Shock of New Parenthood"It's just one of the most kind of beautiful but painful experiences available."Postpartum Bodies and Society's Expectations"Kids and like bodies that have given birth are not very welcome in society. And I think that's a real shame and it's to all of our detriment."Becky Barnicoat is a cartoonist and writer for The New Yorker, The Guardian, The New Statesman, Grazia, BuzzFeed and more. Before becoming a full-time cartoonist, she spent 10 years working as an editor and writer at The Guardian. She is the author of the graphic memoir Cry When the Baby Cries, a darkly funny account of her first years as a parent. She lives in the UK.Warning: episode mentions sexual assault and graphic images of childbirthThanks for reading A Mind of Her Own and listening to The Reflective Mind Podcast! Subscribe for free to receive new posts and support my work.Dr. Reid on Instagram: @jenreidmd and LinkedInAlso check out Dr. Reid's regular contributions to Psychology Today: Think Like a Shrink.Seeking a mental health provider? Try Psychology TodayNational Suicide Prevention Lifeline: 1-800-273-8255Dial 988 for mental health crisis supportSAMHSA's National Helpline - 1-800-662-HELP (4357)-a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.Disclaimer:The views expressed on this podcast reflect those of the host and guests, and are not associated with any organization or academic site.The information and other content provided on this podcast or in any linked materials, are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment. All content, including text, graphics, images and information, contained on or available through this website is for general information purposes only.If you or any other person has a medical concern, you should consult with your health care provider or seek other professional medical treatment. Never disregard professional medical advice or delay in seeking it because of something that have read on this website, blog or in any linked materials. If you think you may have a medical emergency, call your doctor or emergency services (911) immediately. You can also access the National Suicide Help Line at 1-800-273-8255 or call 988 for mental health emergencies. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit amindofherown.substack.com

Kalea Wattles, ND, IFMCP, is a naturopathic physician and functional medicine practitioner specializing in fertility optimization. Currently serving as the Clinical Special Projects Manager at The Institute for Functional Medicine, where she has been on staff since 2017, she is committed to the advancement of the field through research and education. She is the host of IFM's podcast Pathways to Well-Being. Dr. Wattles earned her doctorate in naturopathic medicine from Bastyr University, where she developed a keen interest in functional medicine. She went on to receive additional training from The Institute for Functional Medicine, where she further honed her skills in a root-cause, science-based, body-systems approach to healthcare.   In this episode of Conversations For Health, we explore how Dr. Kalea applies a functional medicine lens to fertility, highlighting the clinical relevance of mitochondrial health, oxidative stress, inflammaging, and more when it comes to female and male fertility. We discuss the narrative of the fertility cliff, how to assess diminished ovarian reserve even in patients in their 20s, and how to interpret AMH values in context. Our conversation is filled with actionable insights into preconception care protocols, fertility focus, lab interpretation, and how to personalize support for patients preparing for IVF or egg freezing.   I'm your host, Evelyne Lambrecht, thank you for designing a well world with us.   Episode Resources: Dr. Kalea Wattles - https://drkaleawattles.com/ Design for Health Resources: Designs for Health - https://www.designsforhealth.com/ Designs for Health Practitioner Exclusive Drug Nutrient Depletion and Interaction Checker - https://www.designsforhealth.com/drug-nutrient-interaction/ Visit the Designs for Health Research and Education Library which houses medical journals, protocols, webinars, and our blog. https://www.designsforhealth.com/research-and-education/education The Designs for Health Podcast is produced in partnership with Podfly Productions. Chapters: 00:00 Intro. 02:02 Dr. Kalea is delighted about the current headlines about fertility into the 40s. 03:40 Dr. Kalea's journey into motherhood aligned with her professional focus. 06:50 AMH is the top trending biomarker in ovarian reserve. 11:41 Markers to consider in relation to oxidative stress and inflammation. 16:02 Top tier oxidative stress markers, including 8-OHdG and F2-IsoP. 18:54 The importance of mitochondrial health in ovarian health, egg quality and sperm. 23:50 DNA fragmentation and other potential findings from a semen analysis. 27:00 Shifts in the fertility conversation in recent years. 31:01 CoQ10 and melatonin recommendations that Dr. Kalea implements with her patients. 37:09 The role of glutathione in protecting against oxidative stress. 39:50 Dr. Kalea's personal experience with ovarian age testing. 43:05 Cycle Day 3 hormone measurements, including DHEA sulfate and prolactin. 49:32 Diet, environment, and other major factors in diminished ovarian reserve. 53:01 Redefining unexplained infertility. 55:06 Androgens and the impacts on eggs. 57:11 Ideal DHEA and testosterone levels. 1:00:05 The vaginal microbiome, gut health, and urea plasma. 1:03:10 Dr. Kalea's favorite personal supplements, favorite health practices, and the maternal fertility limits that she has changed her mind about.

In this chaotic and hilarious episode of Karma & Chaos Kail and Becky dive into everything from sleep paralysis and period drama to botched home renovations and parenting fails. Kail reveals her upcoming facelift plans and opens up about frustrations with contractor scams, while Becky shares an unfiltered update on her IVF journey and unexpected health concerns. The duo also debates car seat safety, high chair habits, baby bibs, and why you should never underestimate neck cheese. Plus, they brainstorm a heartfelt new business idea, talk facelifts vs. genetics, and end on a laugh-out-loud Karma or Chaos listener submission that involves some truly wild bathroom drama.To submit an Is It Karma Or Is It Chaos story email us at info@karmachaospodcast.comFor full videos head to patreon.com/kaillowry Follow Becky at Hayter25 and subscribe to For The HaytersThank you for supporting the show by checking out our sponsors!Quince: Go to quince.com/karma for free shipping on your orderand 365-day returns. Shopify: to sign up for your one dollar a month trial period head to shopify.com/karma Strong Cell: Go to strongcell.com and insert code (Karma with a K) to get 20% off.SKIMS: Check out the SKIMS Ultimate Bra Collection and more athttps://www.skims.com/karma Mint Mobile: This year, skip breaking a sweat AND breaking thebank. Get your summer savings and shop premium wireless plans at mintmobile.com/karma.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Palm Springs fire official unknowingly saved colleague's embryos in deadly blast. The suspect's manifesto. Social media had ALL the details on this suspect before the news had it. #InternetNews #Breaking #IVFClinic #Bombing #PalmSprings // More details on Guy Barkus, who blew up IVF Clinic in Palm Springs - Terrorism Bad for Tourism #Terrorism #Toruism #PalmSprings // Extent of damage to IVF clinic in Palm Springs. // Father of suspect says “he was a good kid”  

En el episodio de esta semana de Rollos de Mujeres Podcast, tuve el honor de conversar con la Dra. Debbie Cassis, especialista en fertilidad y directora médica de Hestia Fertility. Hablamos sobre temas fundamentales como la fertilización in vitro (IVF), la congelación de óvulos, la infertilidad y las opciones disponibles para quienes desean formar una familia. La Dra. Cassis compartió su experiencia personal de infertilidad y conocimientos profesionales, ofreciendo una perspectiva clara y empática sobre estos procesos. Conoce mas de Hestia Fertility en su página web aquí: https://www.hestiafertility.com/ También puedes seguirlos en las redes sociales AQUÍ. Y si te gustó este episodio COMPARTE, COMENTA Y SUSCRÍBETE, y tenemos artículos padrísimos para ti en nuestra página web: http://www.rollosdemujeres.com INSTAGRAM FACEBOOK TIKTOK Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, hosts Dr. Abby Eblen from Nashville Fertility Center, Dr. Susan Hudson from Texas Fertility Center, and Dr. Carrie Bedient from the Fertility Center of Las Vegas speak with Richard Kellner, founder of the Polycystic Kidney Disease-Free Alliance, and Natasha Rogina, the organization's chief spokesperson. Together, they discuss polycystic kidney disease (PKD) and how pre-implantation genetic testing-monogenic (PGT-M) can help families prevent passing this genetic condition to their children. Natasha, who has PKD herself, shares her personal decision to pursue IVF with PGT-M to ensure her children would not inherit the disease. PKD is a progressive condition that typically leads to kidney failure by midlife, often requiring dialysis or a transplant. Because many insurers do not cover genetic testing, the PKD-Free Alliance offers grants to help families access PGT-M to prevent passing the trait to their children. The PKD-Free Alliance's goal is to raise awareness and let couples know this option exists. This insightful conversation explores genetic inheritance, reproductive choices, and the future of PKD prevention, offering hope to families facing this challenging condition.

I'm honored to have Dr. Jie Deng  as a guest on The Egg Whisperer Show podcast today. She is not only an Obgyn and Maternal Fetal Medicine specialist (did extra training studying high risk pregnancies), she is also a fertility doctor at Stanford University finishing up her Reproductive Endocrinology and Infertility Fellowship. We are talking about the risks of birth defects, autism and cancer with IVF treatment. She's also answering questions about whether ICSI increases the risk of birth defects as well as: should all IVF pregnancies have a fetal echocardiogram? Dr. Deng is so well versed in the topic IVF risks and high risk pregnancies, and I am excited to talk to her! Read the full show notes on Dr. Aimee's website Do you have questions about IVF?Click here to join Dr. Aimee for The IVF Class. The next live class call is on Monday, April 22, 2024 at 4pm PST, where Dr. Aimee will explain IVF and there will be time to ask her your questions live on Zoom.   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. Other ways to connect with Dr. Aimee and The Egg Whisperer Show: Subscribe to my YouTube channel for more fertility tips!Subscribe to the newsletter to get updates

This heated radio commentary criticizes prominent Democratic figures—including Rep. LaMonica McIver, Gov. Tim Walz, and former FBI Director James Comey—for allegedly justifying or normalizing violence in political discourse. The hosts argue that a dangerous double standard exists: violence from the political left is excused as protest, while similar actions from the right are harshly punished. The discussion spans topics from ICE agent confrontations and Tesla dealership attacks to an IVF clinic bombing and perceived media gaslighting, suggesting an alarming cultural shift toward legitimizing left-wing violence as acceptable political expression.

Former President Joe Biden has been diagnosed with an “aggressive” form of prostate cancer. An IVF clinic is car-bombed by what police call an “anti-natalist” terrorist. And a series of tornadoes leaves dozens dead in Kentucky, Virginia and Missouri. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Many Catholics struggle with how to oppose IVF while still loving children conceived through it. We explain how the Church separates the dignity of the child from the morality of the method—and how to navigate this with clarity and compassion. Join The CA Live Club Newsletter: Click Here Invite our apologists to speak at your parish! Visit Catholicanswersspeakers.com Questions Covered:  15:33 – Why would God allow creatures to come into existence if they are not the right way? Why would God ensoul then? 20:59 – Could you explain philosophically, why is IVF dominating, not cooperating? 29:28 – Could you educate me more, at what stage is the human being frozen? 30:50 – I have 2 nieces who were IVF children. Where do I fit in as a Catholic who loves them but disagrees with IVF? 42:54 – How do people get a baby naturally if they have been told that they have bad egg quality and they feel that IVF is the only hope? 48:28 – How do you approach when someone you know tells you they are going to use IVF and have family who have been successful in using it? 52:23 – Do a lot of people have a hard time bringing the children to term through IVF?

IVF Clinic Bombing and Pro-Mortalism Ideology (00:02:09 - 00:09:27)Guy Edward Bartkus bombed a Palm Springs IVF clinic, killing himself and injuring five, motivated by pro-mortalism (life causes suffering, death is liberation). His manifesto, hosted on promortalism.com, rails against pro-lifers and life itself, reflecting a nihilistic, anti-human philosophy rooted in online subcultures.Cultural Nihilism and Social Media's Role (00:13:03 - 00:24:28)The bomber's pro-mortalism reflects a broader cultural nihilism, influenced by ideas like Gaia theory (humans as a virus) and amplified by social media platforms. Reddit, TikTok, and Tumblr are criticized as hubs for pseudo-intellectualism, fostering anti-life ideologies among isolated individuals.Bible Engagement as a Positive Trend (00:24:28 - 00:31:02)A LifeWay survey shows 48% of Americans view the Bible as true (up from 36% in 2016), with rising Bible sales and reading. This suggests a growing rejection of secular humanism and a return to spiritual values amid cultural nihilism.Covid as a Scam (Music Man Analogy) (00:41:36 - 00:50:18)A Brownstone Institute article compares the Covid response to The Music Man, where fear (inflated death counts, PCR test misuse) enriched “snake oil salesmen” like Fauci. This mirrors historical fearmongering (9/11, Waco) to erode rights, with elites profiting from compliance.Trump's Tariffs Impact on Small Businesses (01:11:21 - 01:16:20)An NFIB survey shows Trump's unpredictable tariffs are reducing small business optimism (down to 95.8, below the 51-year average), creating market uncertainty akin to Covid-era disruption. Small businesses face tight margins, reduced hiring, and stalled investments, with tech sector impacts highlighted by YouTubers Louis Rossman and Gamers Nexus.DEA Corruption in Drug War (01:27:30 - 01:35:58)An AP article reveals Diego Marin, a Cali cartel figure, evaded capture with DEA complicity, bribing agents while building a $100M money-laundering empire. Compared to Whitey Bulger and Iran-Contra, it's framed as a problem-reaction-solution tactic to expand the police state.Mexican Navy Ship Crash (01:37:07 - 01:39:26)An NBC News report describes a Mexican Navy sailing ship crashing into the Brooklyn Bridge, killing two and injuring 22 due to a mechanical failure. The surreal event stunned New Yorkers, highlighting the unexpected nature of Mexico's sailing navy.CDC Covid Vaccine Recommendations (01:52:26 - 01:56:33)A Wall Street Journal article reports the Trump administration plans to drop routine Covid vaccine recommendations for pregnant women, teenagers, and children, led by HHS Secretary RFK Jr. The host criticizes the CDC's blanket recommendation (everyone 6 months and older) due to no long-term safety data, profit-driven motives, and harmful side effects, arguing the vaccine should be removed entirely.HHS Covid Vaccine Recommendations and Authority (02:05:33 - 02:13:16)Dr. Ruby critiques HHS's plan to stop recommending Covid vaccines for children and pregnant women as a red herring, given its authority over FDA, NIH, CMS, and CDC to demand immediate removal. She warns of deceptive terms like “considering” and questions state chemtrail bans, citing federal exemptions (Title 50, Prep Act) and global air circulation, suspecting controlled opposition.Novavax Approval Critique and Bird Flu (02:21:20 - 02:30:03)The FDA fully approved Novavax's Covid shot, marketed as non-mRNA but using synthetic spike proteins from moth cells, posing risks like myocarditis with no long-term studies. Dr. Ruby warns of off-label use and compares it to Pfizer/Moderna's rollout. She critiques bird flu as a fabricated threat, with chicken culling inflating egg prices and testing economic control, not addressing real disease.Vaccine Shedding and Industry Protections (02:16:43 - 02:51:36)Pfizer's investigator brochure admits Covid vaccine shedding via inhalation and skin contact, raising concerns about unknown contents affecting unvaccinated individuals. Dr. Ruby highlights the vaccine industry's Prep Act immunity, with government payouts in vaccine court, and Pfizer's 50% non-disclosure agreement, allowing undisclosed ingredients, akin to coercive contracts demanding country assets.Follow the show on Kick and watch live every weekday 9:00am EST – 12:00pm EST https://kick.com/davidknightshow Money should have intrinsic value AND transactional privacy: Go to https://davidknight.gold/ for great deals on physical gold/silver For 10% off Gerald Celente's prescient Trends Journal, go to https://trendsjournal.com/ and enter the code KNIGHT Find out more about the show and where you can watch it at TheDavidKnightShow.comIf you would like to support the show and our family please consider subscribing monthly here: SubscribeStar https://www.subscribestar.com/the-david-knight-showOr you can send a donation throughMail: David Knight POB 994 Kodak, TN 37764Zelle: @DavidKnightShow@protonmail.comCash App at: $davidknightshowBTC to: bc1qkuec29hkuye4xse9unh7nptvu3y9qmv24vanh7Become a supporter of this podcast: https://www.spreaker.com/podcast/the-david-knight-show--2653468/support.

Shawn is wounded, Biden's bombshell cancer news, Rockville was insane, a Mexican ship hits a bridge, a WNBA controversy seems fake, police escorts for rockers, Diddy case update, Final Destination, a new Netflix documentary, an IVF bombing manifesto and so much more!