Podcasts about reproductive endocrinologist

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]   

Cat spoke to Doctor Bradley Trivax, a Reproductive Endocrinologist, about all things IVF and the importance of knowing what to expect.

Joelle Taylor, MD, FACOG is a board-certified Reproductive Endocrinologist and a Diplomate of the American Board of Obstetrics and Gynecology. She is an active member of several leading scientific societies, including the American Society for Reproductive Medicine (ASRM), the Society of Reproductive Endocrinology and Infertility (SREI), the Society of Assisted Reproductive Technology (SART), and the American Congress of Obstetricians and Gynecologists (ACOG).   Dr. Taylor earned her medical degree from the University at Buffalo School of Medicine and Biomedical Sciences in 2006. As a recipient of the Howard Hughes Medical Institute Scholar Award, she dedicated a year to research at the National Institutes of Health during her medical training. She went on to complete her residency in Obstetrics and Gynecology at Wake Forest University in 2010, followed by a fellowship in Reproductive Endocrinology and Infertility at the renowned Jones Institute for Reproductive Medicine in Norfolk, Virginia—home to the first IVF baby in the United States.   Throughout her career, Dr. Taylor has been recognized with multiple research grants, has published extensively, and has presented her work at national conferences.   Outside of her professional pursuits, Dr. Taylor lives in Jupiter with her family and their Australian Labradoodle. She enjoys weightlifting, yoga, playing pickleball, and cooking for family and friends.

Here on the Fertility Forward podcast, we often say that knowledge is power — and that you are your own best advocate! Joining Rena and Dara on the show today are two passionate guests who are dedicated to educating women about infertility, fertility benefits, healthcare coverage, and women's health. We're thrilled to welcome Dr. Taraneh Nazem, a double board-certified Reproductive Endocrinologist, Infertility Specialist, and Obstetrician-Gynecologist at RMA of New York's Westside office, along with Carissa Simek, one of Dr. Nazem's patients. In today's episode, Carissa opens up about how her desire for better fertility coverage led her to change jobs — and the incredible fertility journey she's walked with Dr. Nazem. They discuss the panel discussions they've led, the catalyst behind Carissa's decision to preserve her fertility, and how advocating for fertility education has empowered Carissa in her own life. We also explore the conversation around freezing eggs versus embryos, the biggest challenges Dr. Nazem faces in her field, and how infertility treatments can impact daily life. For all this and much more, don't miss this insightful conversation! 

We hear it all the time—stay strong, keep your bones healthy, hit the weights. But what about your brain? For midlife women, keeping your mind sharp is just as important as keeping your body strong.In part two of this series on brain health co-hosted by Dr. Sara Gross and Dr. Erin Ayala, they are joined by Dr. Carla DiGirolamo, a Board Certified Obstetrician/Gynecologist, Reproductive Endocrinologist and Menopause Society Certified Practitioner.Hormonal shifts in midlife can impact cognitive function and it's worth paying attention to. As both a doctor and a recreational athlete, Dr. DiGirolamo brings a personal and professional perspective to the table as she discusses what really happens to our brains during hormonal changes, why it matters, and how to stay sharp through it all.She discusses:The latest (and muddy) research around menopausal hormone therapy and reduced dementia riskMyths and misconceptions around hormones and brain healthPowerful Tools and habits for protecting brain healthThe significant effects of nutrition and hydration on brain healthSelf-sabotaging behaviors that may impact our brain health as we ageHow to combat trendy topics and the impact of diet culture on women at this stage of lifeUnderstanding your own body is the key to making smart and confident decisions about your health and as Erin and Carla stress, being “empowered” doesn't mean doing what everyone else is doing. It means paving your own way and making the decisions that are best for you. Your brain will thank you.Brain Power Course Pre-Sale Special: Sign Up for The Brain Power Course Pre-Sale and Take Advantage of the Lowest Price We Will Offer: https://www.womensperformance.com/offers/z6Yj3pHG/checkout Sign up to Receive The Feisty 40+ Newsletter:https://www.feistymenopause.com/blog/Feisty-40-plus Sign up to Receive The Feist Newsletter:https://www.womensperformance.com/the-feist Follow us on Instagram:@feisty_womens_performance Feisty Media Website:https://livefeisty.com/ https://www.womensperformance.com/ Support our Partners:Previnex: Get 15% off your first order with the code PERFORMANCE at https://www.previnex.com/

Treatments available at public fertility clinics Eligibility criteria for accessing care at a public fertility clinic Age limits attached to access to public fertility services Holistic care for individuals accessing fertility services Host: Dr Terri Foran | Total Time: 28 mins Expert: A/Prof Kate Stern, Fertility Specialist, Gynaecologist and Reproductive Endocrinologist and A/Prof Wan Tinn Teh, Gynaecologist and Fertility Specialist Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEDT Click here to register for the next oneSee omnystudio.com/listener for privacy information.

 Are you experiencing unexplained fatigue, decreased libido, or mood changes? These symptoms might be related to testosterone levels – yes, even in women. In this enlightening episode of AGE BETTER, NYU Langone Health's Dr. Margaret Nachtigall breaks down everything you need to know about testosterone's role in women's health.   About Our Guest  Dr. Margaret Nachtigall is a renowned Reproductive Endocrinologist at NYU Langone Health, specializing in women's hormonal health. With extensive experience in treating hormone-related conditions, Dr. Nachtigall brings clarity to this often misunderstood aspect of women's health.  Why This Episode Matters to You  If you're a woman experiencing:  - Unexplained fatigue or low energy  - Decreased sex drive  - Mood changes  - Difficulty maintaining muscle mass  - Brain fog or reduced mental clarity  This episode provides crucial information about how testosterone might be affecting these symptoms.  What You'll Learn  - The surprising truth about testosterone's role in women's bodies  - How and where testosterone is produced in women  - Why testosterone levels change with age and menopause  - The connection between testosterone and common symptoms  - Current treatment options and their availability  - What to consider before pursuing testosterone therapy  - How to discuss this topic with your healthcare provider  Connect and Share  Have questions about testosterone or other women's health topics you'd like us to cover? We want to hear from you! Reach out to agebetterpodcast@gmail.com and join the conversation about women's health and healthy aging.   About AGE BETTER  AGE BETTER is dedicated to providing you with expert insights and practical information to help you make informed decisions about your health. Join us each week as we explore crucial topics in women's health with leading medical experts.  Learn more about your ad choices. Visit megaphone.fm/adchoices

I love client stories like Braelyn's. She and her husband were struggling to conceive a pregnancy and her OBGYN sent her to a Reproductive Endocrinologist for fertility treatments. The options she found there weren't what she expected. In today's episode, she shares their story of walking through fertility treatments unsuccessfully and eventually changing direction to focus on conceiving naturally, and in a way that honored their faith. Braelyn's story is one worth hearing! I know you'll enjoy it. NOTE: This episode is appropriate for all audiences, but does focus on the topic of infertility and fertility treatments. Show Notes: Ep 149: Fertility Journey Transformation with Josiah and CallieEp. 145: Dan & Lindsey's radically different approach to infertilityEp. 102: Rebecca's Story of Secondary Infertility Send us a textSupport the showOther great ways to connect with Woven Natural Fertility Care: Learn the Creighton Model System with us! Register here! Get our monthly newsletter: Get the updates! Chat about issues of fertility + faith: Substack Follow us on Instagram: @wovenfertility Watch our episodes on YouTube: @wovenfertility Love the content? The biggest gift you could give is to click a 5 star review and write why it was so meaningful! This podcast is provided for educational and informational purposes only and does not constitute providing medical advice or professional services. The information provided should not be used for diagnosing or treating a health problem or disease, and those seeking personal medical advice should consult with a licensed physician. Always seek the advice of your doctor or other qualified health provider regarding a medical condition. If you think you may have a medical emergency, call 911 or go to the nearest emergency room immediately. Neither Woven nor its staff, nor any contributor to this podcast, makes any represe...

On this episode of Talking Away The Taboo, Natalie Richeimer, MS, CGC, Genetic Counselor, Education and Outreach Manager at Jscreen, Bat-Sheva L. Maslow MD, REI, RMA, and Rena Fox, RNC-OB, BSN, join Aimee Baron, MD to talk about genetics and Infertility. The introductory episode of our 5-part IWSTHAB x JSCREEN Podcast series dives into the genetic aspect of fertility and recurrent pregnancy loss (RPL) workups, setting the stage for an engaging and informative series that blends expert knowledge with deeply personal stories. Moderated by Dr. Aimee Baron of IWSTHAB, in this epsiode, we speak to Natalie, a reproductive genetic counselor, will explain what a genetic counselor does and how genetics factor into infertility evaluations. Dr. Batsheva Maslow (REI) will provide a medical perspective on infertility evaluations and how certain diagnoses and/or findings can help direct treatment. And finally,  Rena Fox will share her personal journey as part of a carrier couple who chose IVF for genetic reasons, shedding light on the real-life implications of genetic fertility challenges.  More about Natalie:  Natalie Richeimer, MS, CGC, is a board certified genetic counselor at jscreen with clinical experience in adult, pediatric, and reproductive genetic counseling. She holds a master's degree in human genetics and genetic counseling from the Keck Graduate Institute. Natalie is a native Torontonian, who lives in Los Angeles with her husband and two boys. She has published research in the Journal of Genetic Counseling on the impact of orthodox Jewish clergy's role in prenatal genetic counseling. Prior to her work as a genetic counselor, Natalie worked as a high school STEM teacher for 7 years in Los Angeles. She is passionate about reproductive health education and community engagement. Natalie has a special interest in outreach, with the goal of increasing awareness of and access to genetic counseling. Natalie has partnered with local organizations and high schools to provide community education. More about Dr. Maslow: Dr. Bat-Sheva Lerner Maslow is double board-certified in OB/GYN and Reproductive Endocrinologist and Infertility and is the lead physician at the Reproductive Medical Associates of New Jersey - Jersey City office. Dr. Maslow has a special interest in education, research, and the clinical care of single women considering proactive fertility preservation.  Outside of the office, Dr. Maslow lectures and writes on the intersection of halakha and reproduction. She serves as the Director of Medical Education for the North American Yoatzot Halacha Program and is a board member of several organizations related to Jewish women and health. She maintains an active educational presence on social media discussing issues related to reproduction in the Jewish community.  Dr. Maslow attended Barnard College and the Albert Einstein College of Medicine. She completed residency in Obstetrics & Gynecology at the University of Pennsylvania and fellowship in Reproductive Endocrinology & Infertility at the University of Connecticut, where she also completed a master's degree in clinical and translational research More about Rena:  Rena is an experienced nurse with 6 years in labor and delivery and 2 years in reproductive endocrinology and infertility (REI). Having personally gone through IVF, she combines professional expertise with personal insight to provide compassionate care and support to those navigating fertility challenges. Connect with us: -Check out our Website - Follow us on Instagram and send us a message -Watch our TikToks -Follow us on Facebook -Watch us on YouTube

On this episode of Finding Your Bliss, we have a fascinating show devoted to the benefits of freezing your eggs to preserve your fertility for the future. Celebrity Interviewer and Bliss Coach Judy Librach is joined by leading Reproductive Endocrinologist and renowned Fertility Specialist Dr. Clifford Librach, who is the Founder and Director of the CreATe Fertility Centre in Toronto. “Dr. Clifford Librach completed his Medical School and Obstetrics and Gynaecology Residency training at the University of Toronto, followed by fellowship subspecialty training in Reproductive Endocrinology and Infertility (REI) at the University of California, San Francisco. Dr. Librach is the founder and Director of the CReATe Fertility Centre in Toronto. He is a Full Professor in the Department of Obstetrics and Gynaecology at the University of Toronto. Dr. Librach has made significant contributions to current fertility practice in Canada and Internationally. He has served on provincial and national committees for the development of standards for the practice of REI in Canada. Dr Librach is also a past president of the Canadian Fertility and Andrology Society (CFAS).  Dr. Librach is a leader in the field of reproductive biology research. From a clinical research standpoint, Dr. Librach has been a pioneer in the study of the medical and psychosocial aspects, as well as pregnancy outcomes, related to IVF and third-party reproduction (surrogacy and gamete donation). Some of his major basic science contributions include identifying the role of HLA-G in pregnancy and preeclampsia, uncovering important factors indicative of embryo quality, developing methods to improve embryo implantation, developing new methodologies in preimplantation embryo genetics, improving andrology diagnostic testing, and as well, he has carried out pioneering research on the use of a novel multipotent progenitor cell from umbilical cord perivascular tissue for regenerative therapy, in both reproductive and non-reproductive applications. Dr Librach has published over 150 peer-reviewed publications, over 750 abstracts, and 8 book chapters. Dr. Librach has been an invited speaker at greater than 50 international and national meetings. He has also been interviewed extensively on ART-related topics in the media.” Two of Dr. Librach's patients are also on the program to talk about their egg-freezing experience in their journey to motherhood. Singing us out of the show is talented singer and musical theatre performer, Lily Librach! To hear her gorgeous song from this interview,  click on the link below: “Home” by Lily Librach - https://soundcloud.com/user-201921535-658441499/lily-librach-cover-of-home-by-maury-yeston-from-the-musical-phantom-live-performance Or check out her website at https://www.lilylibrach.com/ You can follow us @theblissminute on Instagram, TikTok and Facebook. Or you can visit our online magazine at findingyourbliss.com and take one step closer to finding your bliss. Listen live every Saturday at 1pm on Zoomer Radio

In this bonus episode, Kate discusses the impact of reproductive rights on millennial women ahead of the 2024 election, and uses experts and real-life stories to showcase how prioritizing a highly interconnected system of rights and freedoms impacting half the population is the farthest thing from a “single issue.” This episode has three parts: 00:00 Kate's intro about the multi-faceted nature of reproductive freedom and millennials' unique position re: being child-bearing age when the U.S. Supreme Court abandoned its duty to protect citizens' fundamental rights and overturned Roe v. Wade 23:58 An interview with Dr. Roohi Jeelani, MD, FACOG, double board certified Reproductive Endocrinologist and Infertility Specialist (REI) and Chief Medical Officer of Kindbody, who provides unbiased, scientific insights into IVF, fetal personhood, and the existing and potential complications that arise from misconceived policies related to IVF59:28 (TW) Kate reads real listener-submitted personal stories about a broad spectrum of reproductive issues, e.g. the challenging landscape modern women face due to restrictive abortion laws when managing their lives and losses, experiences being provided limited options in strict states and/or Catholic hospitals for contraception, induced abortions, and miscarriage management, along with examples of women who felt forced to cross state lines to receive necessary care, heartbreaking stories about barriers in TFMR situations, and women affected by the IVF ruling in Alabama, among other experiences.The goal of this non-monetized bonus episode is to 1. help clarify the murky and somewhat sudden involvement of IVF in the 2024 election cycle rhetoric, and 2. to provide listeners with examples of how politicians' throwaway talking points can profoundly affect everyday women' lives in dangerous and devastating ways.

In today's episode of The Egg Whisperer Show, we're "cracking open" the world of fertility with warmth, education, and a touch of fun. Today's episode is a special one featuring the incredible Dr. Erica Bove, a double board-certified OB-GYN and Reproductive Endocrinologist. Dr. Bove brings a unique perspective to the fertility world. As a certified life coach through The Life Coach School, she's passionate about integrating the same approach into coaching relationships as she does as a fertility specialist, emphasizing the importance of seeing and understanding the whole person. In today's conversation, we delve into Dr. Bove's expertise in the fields of sex, intimacy, embodiment, and mindful self-compassion. She firmly believes that the best outcomes are achieved when the entire person is acknowledged and supported. Join us as we explore her mission to heal and support healers while creating a legacy that she can be truly proud of. Key Takeaways: Navigating All Holidays with Infertility: Dr. Bove shares insightful tips on navigating holidays with infertility, including dealing with those nosy questions from Aunt Lucy. Learn how to gracefully handle these situations while preserving your own emotional well-being. Infertility in the Professional World: As a professional woman herself, Dr. Bove discusses the unique challenges and triumphs of navigating infertility while managing a career. Discover practical strategies for balancing professional aspirations with the emotional rollercoaster of fertility treatments. Keeping Intimacy Alive: Dr. Bove offers advice on maintaining intimacy throughout the fertility journey. Sometimes the logistics of being in treatment can make sex feel less magical, and Dr. Bove has ideas on how to spice it up. Reasons for Authentic Hope: Explore the reasons for holding onto authentic hope during the fertility journey. Dr. Bove sheds light on the importance of maintaining a positive mindset, finding joy in the journey, and cultivating resilience. Find Dr. Erica Bove's website 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, October 21, 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

So many women battle with having thin uterine linings when trying to conceive and today's guest, Kristen Tomlan joins us today with her reproductive endocrinologist, Dr. Rachel Danis, to walk us through how she combatted this issue and brought two beautiful children into this world. In this conversation, we discuss what sparked Kristen's courage to advocate for herself and seek a second opinion during IVF treatment, how she ended up working with Dr. Danis at RMA, why Dr. Danis was happy to work with her, and how she stayed strong through her infertility struggles. We delve into factors to consider when selecting a reproductive endocrinologist before hearing some insights into fertility treatment from both the patient's and doctor's perspective. Our guests even tell us about Kristen's thin uterine lining, misconceptions about how thick it needs to be to carry a pregnancy, and remind us of the dangers of Googling information when undergoing fertility treatment! Finally, and as always, we share what we are grateful for today. Thanks for tuning in! 

What is IVF? How much does it cost and what does the procedure look like? What if I told you there was a fertility treatment more effective than IVF AND 90% cheaper? While IVF is often seen as the go-to solution for infertility - it has profound moral and health issues. Restorative reproductive medicine is a powerful alternative - offering a holistic, moral, and cost-effective alternative to IVF for couples struggling to conceive. Today I speak with my dear friend, Dr Lauren Rubal, an OBGYN and Reproductive Endocrinologist who walked away from a lucrative IVF practice. We discuss the impact of restorative medicine, the issues with Trump's new proposal to federally fund IVF, and more! Check out the Conferencefor Restorative Reproductive Medicine: https://irrma.org/Help support the show by joining our Locals community! You will receive special perks like access to member-only content, a community of other listeners, the ability to ask upcoming guests questions and much more! https://lilarose.locals.com/supportA big thank you to our partner, EWTN, the world's leading Catholic network! Discover news, entertainment and more at https://www.ewtn.com/  Check out our Sponsors:  -Hallow: https://www.hallow.com/lila Enter into prayer more deeply this season with the Hallow App, get 3 months free by using this link to sign up!-Good Ranchers: https://go.goodranchers.com/lila Purchase your American Meat Delivered subscription today and get a free add-on of beef, chicken, bacon, or salmon! Use code LILA for $25 off!  -EveryLife: https://www.everylife.com Buy diapers from an amazing pro-life diaper company and use code LILA and get 10% off!

Welcome to Season 4! Get ready for a season packed with valuable insight. We're thrilled to kick off the season with the expertise of Dr. Randi Goldman, a renowned Reproductive Endocrinologist and Infertility Specialist. @randihgoldman_fertilitydoc. Nowadays, 1 in 6/8 couples will struggle with infertility of some sort. With options such as egg freezing and IVF, it's hard to understand which option would be best. This episode delves into each choice, underscoring the significance of a supportive team on your fertility journey. Covering topics from male factor considerations to fertility preservation, this conversation offers both insight and hope. With professionals like Dr. Goldman leading the way, the future of fertility is in reassuring hands. Don't forget to⁠⁠ FOLLOW the podcast⁠⁠ and ⁠⁠SUBSCRIBE to our YouTube channel⁠⁠ for all the unapparent content you never knew you needed.

Today's summer rewind is a re-release of one of our favourites that we keep coming back to. We'll be back in September with brand new interviews! If you're nearing (or in) your 30s, you might've noticed a new phenomenon taking over your girls' night convos, your office, and your Instagram feeds. It seems like everyone is suddenly getting pregnant, trying to get pregnant, or worried about whether they'll be able to get pregnant when they're ready. The stress of fertility is real, and in today's highly-requested episode, we debunk common fertility myths and get valuable medical advice from Reproductive Endocrinologist Dr. Marjorie Dixon on how to prepare for and take control of your fertility journey, whether you're just starting to learn about natural fertility or dealing with IVF or egg-freezing. If you're stressed about your fertility, or you feel like you don't really understand how your body works, this episode is a must-listen. Dr. Dixon is the Founder, CEO and Medical Director of Anova Fertility & Reproductive Health, a full-service fertility and IVF centre. She has an Accredited Fellowship in Reproductive Endocrinology and Infertility, she's a member of the Department of Obstetrics and Gynecology at Sunnybrook Health Sciences Center, and she's an Assistant Professor at the University of Toronto. She has won the RBC Canadian Women of Influence Momentum Award, and the Canadian Fertility and Andrology Society's Mathias Gysler Award for her leadership in improving reproductive care in underserved communities. She's also a regular expert on Cityline championing women's health and reproductive wellness.Tune in as we chat about:Fertility 101: Understanding ovulation and how to track itWhen are you considered infertile? How long should it take to get pregnant?Exercise and nutrition tips to improve natural fertility and boost egg qualitySupplements and vitamins to help fertilityThe truth about age-related fertility declineProactive fertility assessments and the labs/tests to getFamily planning options for same-sex couples and people who are singleHow IVF actually works, and why some clinics do it betterDealing with PCOS and endometriosisWhen to consider egg freezing and what to expect PS: If you've been dreaming of pivoting into podcasting but aren't sure where to start or how to grow, check our consulting services at teachmehowtoadult.ca/howtopodcast. Sign up for our monthly adulting newsletter:teachmehowtoadult.ca/newsletter Follow us on the ‘gram:@teachmehowtoadultmedia@yunggillianaireFollow us on TikTok: @teachmehowtoadultFollow Dr. Dixon and Anova Fertility: https://anovafertility.com/@anovafertility Sign up for our monthly adulting newsletter:teachmehowtoadult.ca/newsletter Follow us on the ‘gram:@teachmehowtoadultmedia@gillian.bernerFollow on TikTok: @teachmehowtoadult

This is a replay of one of the most downloaded episodes of AGE BETTER which takes a deep dive into INSULIN RESISTANCE: what it is, common symptoms, how to prevent it, and more importantly, how to reverse it.   Dr. Margaret Nachtigall, a Reproductive Endocrinologist at NYU Langone Health and an expert on women's health and menopause joined me to shed light on this often-misunderstood condition, and its impact on postmenopausal women.  Key Takeaways:  - Understand the basics of Insulin Resistance - what it is and why it matters.  - Discover the subtle signs and potential health consequences.  - Learn about the connection between Insulin Resistance and postmenopause.  - Gain insights into diagnostic methods, including blood tests and physical examinations.  - Tips and strategies on lifestyle changes, medications, and treatments to manage or reverse Insulin Resistance.  - Hear about the emerging research linking insulin resistance with dementia and other health conditions.  Why Listen?  - Equip yourself with knowledge to better understand and manage Insulin Resistance.  - Grasp the complex relationship between aging, particularly postmenopause, and this condition.  - Empower yourself with practical guidance from a leading expert in women's health.  - For anyone eager to enhance their health journey, this episode promises crucial insights and actionable takeaways.  Key Links:  Previous Episode Focusing on Metformin: https://podcasts.apple.com/us/podcast/grufftalk-how-to-age-better-with-barbara-hannah-grufferman/id1623436268?i=1000605135528  Call to Action: If you enjoyed this episode, please leave a review on Apple Podcasts and share it with your friends. Your support helps us bring more inspiring content to you. Don't forget to subscribe to or follow "Age Better with Barbara Hannah Grufferman" for more episodes on living your best life at any age!  Connect with Me on Social Media! Website: https://www.barbarahannahgrufferman.com  Facebook: https://www.facebook.com/BarbaraHannahGruffermanAuthor  Instagram: https://www.instagram.com/barbarahannahgrufferman/  LinkedIn: https://www.linkedin.com/in/barbara-hannah-grufferman/    Learn more about your ad choices. Visit megaphone.fm/adchoices

Send us a Text Message.Are you struggling with fertility issues and feeling overwhelmed by the complexities of treatment options? Many couples find themselves lost in a maze of medical jargon, unsure of how to communicate effectively with their doctors or what steps to take next. It's easy to feel isolated and powerless when facing such a deeply personal and challenging journey.In this episode of the Make A Baby Podcast, host Carolina Sotomayor sits down with Dr. Erica Bove, a reproductive endocrinologist and certified life coach, to shed light on these pressing concerns. Together, they delve into the vital role of reproductive endocrinologists (REIs) and how their expertise can guide you through infertility treatments and hormonal imbalances. Dr. Bove also shares her inspiring journey of becoming a coach and explains how mindset work can significantly enhance medical treatments.BY THE TIME YOU FINISH LISTENING, YOU'LL DISCOVER:The critical services that reproductive endocrinologists offer, from infertility treatments to managing hormonal imbalances.How trust and communication with your fertility clinic can transform your treatment experience.The benefits of integrating mindset work and having a comprehensive fertility plan to navigate your journey with confidence and optimism.Tune in to gain valuable insights and practical advice that will empower you on your path to parenthood. NEW FREE GIFT! Get instant access to our What is Fertility Reiki? Series including: Fertile Womb Activation with Reiki 3 days FREE inside the Make A Baby Membership FREE Facebook community 6 audio episodes explaining what reiki for fertility is and how you can talk to your spirit baby Ready to get pregnant with Reiki? Book a free fertility callConnect with Carolina: Website | TikTok | Instagram | Pinterest | FacebookLiked this episode? Share it on social and tag me @thecarolinasotomayorLove the show? Leave a 5-star review and let me know! DISCLAIMER: This episode is not a substitute for professional medical care but aims at relaxation and stress reduction to support natural healing. Reiki complements, never replaces, medical care....

It's not just the big traditional holidays that can be triggering when you're struggling with fertility. It's the softer, sneak-up-on you days too, Father's Day being one of those.  So often the female partner is the focus of the fertility journey, but the male partner is on the ride too. It can be harder for men to express their feelings and take space for what they need when they are wearing the care-taker/problem-solver hat in the relationship.  So let's make a little space for the “other” partner today. Dr. Lora Shahine opens up the conversation with her guest Dr. Erica Bove who is an OBGYN, Reproductive Endocrinologist and Fertility Coach.    Dr. Bove wears her doctor coat and coaching badge simultaneously, which allows her to care for the patient but also help couples navigate the impact infertility can have on their relationship.   With Father's Day coming up in just a few days, you will walk away from this episode with tips on how to support the partner who isn't getting the treatments but is still emotionally invested in the process. Or you can pass this episode along to that partner, providing self-care tips for a hard day.  In this episode you'll hear: [2:35] Meet Dr. Erica Bove–OBGYN, Reproductive Endocrinologist, & Fertility Coach [9:20] Complicated feelings about Father's Day  [10:51] How the fertility journey impacts men [14:16] The emotions that show up during infertility [19:19] Focusing on the relationship in the midst of it all Going back to the beginning Zooming out on the big picture Finding shared value [32:42] Tips to support a loved one or to protect yourself on a hard day Resources mentioned:  Love and Science Fertility Coaching w/ Dr. Erica Bove www.loveandsciencefertility.com Love and Science Fertility Podcast: Mother's Day Episode  Baby or Bust: The Real Cost of Fertility Episode Stay Up to Date in Fertility News and Events:  Weekly Newsletter Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Curious about how your reproductive health and fertility options work?On today's episode, we dive into these important issues with the amazing Dr. Roohi Jeelani, a double-board-certified obstetrician-gynecologist who specializes in reproductive endocrinology and infertility.Dr. Jeelani is passionate about starting more open conversations about fertility and reproductive health, especially in the South Asian community. She not only shares medical advice but also talks about the social, cultural, and political factors that affect reproductive rights. Together, we explore the complexities of fertility care, the impact of legislation on treatments, and the importance of supporting policies and candidates that protect reproductive rights.Highlights:Navigating Legal Challenges: Dr. Jeelani explains how laws impact fertility treatments and abortion rights and why it's crucial to support policies that protect these healthcare services.The Journey of Fertility: Learn about the transition from general gynecology to specializing in fertility, and when you should consider seeking fertility treatment based on age and fertility status.Fertility Myths Debunked: Find out why home fertility tests might not be as reliable as they seem, and the importance of clinical tests for effective treatment plans.Managing PCOS: Dr. Jeelani shares tips on lifestyle changes, diet, and supplements to boost fertility in PCOS patients. She also discusses medication options like Metformin and GLP-1 agonists.The Real Deal on Egg Freezing: Understand the egg freezing process, what to expect, and why it's like an insurance plan for future fertility. Dr. Jeelani provides statistics on success rates based on age and the number of eggs retrieved.Personal Advocacy in Healthcare: Dr. Jeelani emphasizes the importance of knowing your body, asking the right questions, and seeking second opinions. She highlights the need for a supportive and comfortable healthcare setting for effective treatment.Remember, you don't have to walk this journey alone. Being informed, asking questions, and standing up for your reproductive health are key steps.Who do you want to hear from next? Our podcast is here to educate so you can and advocate for yourself. If you enjoyed this episode, please give us a 5-star review on Apple Podcasts, subscribe, and share with your friends!Guest Bio:Roohi Jeelani, MD, FACOG, is a double board certified Reproductive Endocrinologist and Infertility Specialist (REI). A graduate of Ross University School of Medicine, she completed both her residency in Obstetrics and Gynecology and her fellowship in Reproductive Endocrinology and Infertility at Wayne State University – Detroit Medical Center. During her medical training, Dr. Jeelani received numerous awards in the areas of fetal medicine and reproductive medicine. In addition, she has authored a variety of publications and book chapters in well known journals highlighting cutting-edge REI advancement and has presented at national/international conferences and symposiums focused on advancements in women's health. Dr. Jeelani is an active member of many medical associations. A highly-skilled reproductive endocrinologist and infertility specialist focusing on all areas of reproductive health, Dr. Jeelani has a special interest in oncofertility, toxins' impact on reproductive function, chemotherapy, and oocyte cryopreservation.Dr. Jeelani serves patients from our Chicago, IL and our Detroit, MI clinicsConnect with Dr. Roohi Jeelani: WebsiteInstagramGet in Touch with Dr. Rahman:

Improving your lifestyle during the postmenopausal phase can profoundly impact health and quality of life. Midlife women often say that they haven't changed anything in their daily routine, yet they are riddled with weight gain, belly fat, anxiety, depression, brain fog, low sexual desire, low energy, loss of muscle mass, and hair loss. As women experience a shift and decline in their sex hormones, estrogen, progesterone, and testosterone, physiological changes occur. Whether you decide to go on MHT (menopause hormone therapy) or not, your lifestyle needs to shift, which means your mindset needs to shift. What if you are on MHT, wish to optimize your health, and don't know where to start? What if you are more than ten years past menopause, not on MHT, and curious about what hormones you could possibly take? Are you eating, sleeping, and moving to optimize your health as you age? Are you setting yourself up for this next phase of your life so that you can remain independent for as long as possible?In this episode, we discuss:-the benefits of low-dose vaginal estrogen-starting MHT within ten years of menopause, versus starting outside of that timeframe-lifestyle interventions, such as nutrition, sleep, and exercise-fasted versus fed state workouts-alcohol consumption-strategies to start weight training and HIIT workouts-supplements-building your healthcare teamDr. Carla DiGirolamo, MD is back for another episode discussing all things related to postmenopausal women. She is a double Board-Certified Obstetrician/Gynecologist and Reproductive Endocrinologist specializing in caring for reproductive-age and mid-life women. Dr. Carla completed her residency training in Obstetrics and Gynecology at Brown University Medical School/Women and Infants' Hospital and her Reproductive Endocrinology fellowship training at the Massachusetts General Hospital at Harvard Medical School. She is a North American Menopause Society (NAMS) Certified Menopause Practitioner and has been featured in multiple podcasts and speakerships at various events discussing the physiology of the hormonal changes of menopause, hormone therapy, and optimizing physical performance in elite and avid recreational female athletes. Dr. Carla has been in the fitness industry her entire life as a recreational athlete and for the last decade as a fitness professional with credentials as a CrossFit Level 1 Trainer and Certified Nutrition Coach. As a pioneer in Women's Performance Endocrinology, her focus is on optimizing physical performance in women in high-performance professions and female athletes of all ages. She has over 17 years of experience practicing as a fertility specialist and more recently as a menopause health consultant. She has been featured in Boston Magazine's Top Doctors in the Boston area for 2019, 2020, 2021, 2022 and 2023.Medical Disclaimer:By listening to this podcast, you agree not to use this podcast as medical advice or to make any lifestyle changes to treat any medical condition in yourself or others. Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any of my guests on my podcast.Improving your lifestyle during the postmenopausal phase can profoundly impact health and quality of life. Midlife women often say that they haven't changed anything in their daily routine, yet they are riddled with weight gain, belly fat, anxiety, depression, brain fog, low sexual desire, low energy, loss of muscle mass, and hair loss. As women experience a shift and decline in their sex hormones, estrogen, progesterone, and testosterone, physiological changes occur. Whether you decide to go on MHT (menopause hormone therapy) or not, your lifestyle needs to shift, which means your mindset needs to shift. What if you are on MHT, wish to optimize your health, and don't know where to start? What if you are more than ten years past menopause, not on MHT, and curious about what hormones you could possibly take? Are you eating, sleeping, and moving to optimize your health as you age? Are you setting yourself up for this next phase of your life so that you can remain independent for as long as possible?In this episode, we discuss:-the benefits of low-dose vaginal estrogen-starting MHT within ten years of menopause, versus starting outside of that timeframe-lifestyle interventions, such as nutrition, sleep, and exercise-fasted versus fed state workouts-alcohol consumption-strategies to start weight training and HIIT workouts-supplements-building your healthcare teamDr. Carla DiGirolamo, MD is back for another episode discussing all things related to postmenopausal women. She is a double Board-Certified Obstetrician/Gynecologist and Reproductive Endocrinologist specializing in caring for reproductive-age and mid-life women. Dr. Carla completed her residency training in Obstetrics and Gynecology at Brown University Medical School/Women and Infants' Hospital and her Reproductive Endocrinology fellowship training at the Massachusetts General Hospital at Harvard Medical School. She is a North American Menopause Society (NAMS) Certified Menopause Practitioner and has been featured in multiple podcasts and speakerships at various events discussing the physiology of the hormonal changes of menopause, hormone therapy, and optimizing physical performance in elite and avid recreational female athletes. Dr. Carla has been in the fitness industry her entire life as a recreational athlete and for the last decade as a fitness professional with credentials as a CrossFit Level 1 Trainer and Certified Nutrition Coach. As a pioneer in Women's Performance Endocrinology, her focus is on optimizing physical performance in women in high-performance professions and female athletes of all ages. She has over 17 years of experience practicing as a fertility specialist and more recently as a menopause health consultant. She has been featured in Boston Magazine's Top Doctors in the Boston area for 2019, 2020, 2021, 2022 and 2023.Medical Disclaimer:By listening to this podcast, you agree not to use this podcast as medical advice or to make any lifestyle changes to treat any medical condition in yourself or others. Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any of my guests on my podcast.To find Dr. Carla:Website: https://www.drcarlad.com/ IG: https://www.instagram.com/dr_carla_d/ FB: https://www.facebook.com/carla.digirolamo.14 Subscribe to Athletic Aging: https://www.athleticaging.blog/Stay Connected With JFW:Watch on my YouTube channel: https://www.youtube.com/@jillfooswellness/videosFollow me on Instagram: https://www.instagram.com/jillfooswellness/Follow me on Facebook: https://www.facebook.com/jillfooswellnessGrab discounts on my favorite biohacking products: https://www.jillfooswellness.com/health-productsEnjoy 20% savings and free shipping at Fullscript for your favorite supplements by leading brands:https://us.fullscript.com/welcome/jillfooswellnessSubscribe to the JFW newsletter at www.jillfooswellness.com and receive your FREE Guide on How To Increase Your Protein in 5 Easy Steps and your free Protein Powder Recipe Ebook. Schedule your complimentary 30-minute Zoom consultation here:https://calendly.com/jillfooswellness/30-minute-zoom-consultations

We will be joined by Dr. John Norian, a Reproductive Endocrinologist for HRC Fertility in Los Angeles. Dr. Norian and HRC Fertility's embryology laboratory and reproductive genetics program offer o patients the state-of-the-art technologies that drive their world-renowned success rates. In fact, they also have a very high success rate for LGBTQIA+ families. Dr. Norian is well-trained in the needs of queer families, including how to choose a sperm or egg donor. We're going to discuss special considerations couples should make, how to pick a donor, and other tips for making this challenging but exciting process go smoothly. Learn more about Dr. Norian's services: https://www.havingbabies.com/physicians/john-m-norian-md-facog/ Get tested for BPA, phthalates, parabens, and other hormone-disrupting chemicals with Million Marker's Detect & Detox Test Kit: https://www.millionmarker.com/

In this episode, Dr. Areiyu Zhang delves into the evolving landscape of egg freezing. With societal shifts placing emphasis on career advancement, education pursuits, and changing relationship dynamics, more individuals are considering egg freezing as a proactive measure towards future parenthood. Dr. Zhang navigates through the nuances of egg freezing versus embryo freezing, unraveling the psychological and physiological dimensions of the process. She underscores the pivotal importance of personalized consultations, shedding light on the tailored protocols and optimal egg quantities suited to individual needs. Dr. Lorne Brown and Dr Areiyu Zhang share stoops and strategies to optimize your egg freezing cycle. Key Takeaways: ●      Changing Trends: Egg freezing is witnessing a surge in popularity, driven by factors like delayed parenthood choices and fertility challenges arising from medical conditions. ●      Timing is Key: The prime window for egg freezing typically falls in the late 20s to early 30s. ●      Tailored Approaches: The number of eggs required for optimal chances of a successful live birth varies based on age and individual circumstances. ●      Embryo Freezing Advantages: Comparatively, embryo freezing offers clearer insights and higher predictability of live birth rates, presenting a robust alternative for some. ●      Considering Options: Dr. Zhang encourages exploring alternative fertility avenues, such as donor eggs or alternative treatments. Dr. Areiyu Zhang's Bio: Dr. Areiyu Zhang, a Reproductive Endocrinologist and Infertility specialist, brings a wealth of expertise to her practice in Vancouver. With a medical degree from the University of Calgary and extensive training at institutions like the University of British Columbia and the University of Ottawa, she is committed to optimizing pregnancy rates while minimizing treatment burdens for her patients. Dr. Zhang's research background in fertility and psychology enables her to provide holistic care, understanding the emotional challenges of infertility. As a Clinical Assistant Professor at UBC, she is actively involved in teaching and contributes to national practice guidelines in her field. Fluent in English and Mandarin, Dr. Zhang ensures that her patients receive personalized and accessible care.   Where To Find Dr. Areiyu Zhang: -        Olive Fertility Centre: https://www.olivefertility.com/your-olive-team/dr-areiyu-zhang   How to connect to Lorne Brown online and in person (Vancouver, BC)   Acubalance.ca book virtual or in person conscious work sessions with Dr. Lorne Brown Lornebrown.com   Conscious hacks and tools to optimize your fertility by Dr. Lorne Brown: https://acubalance.ca/conscious-work/   Download a free copy of the Acubalance Fertility Diet & Recipes and a copy of the ebook 5 Ways to Maximize Your Chances of Getting Pregnant from Acubalance.ca   Connect with Lorne and the podcast on Instagram: @acubalancewellnesscentre @conscious_fertility_podcast @lorne_brown_official     DISCLAIMER: By listening to this podcast, you agree not to use it as medical advice to treat any medical condition in either yourself or others. This podcast offers information to help the listener cooperate with physicians, mental health professionals or other healthcare providers in a mutual quest for optimal well-being. We advise listeners to carefully review and understand the ideas presented, and to consult your own physician for any medical issues that you may be having. Under no circumstances shall Acubalance, any guests or contributors to the Conscious Fertility podcast, or any employees, associates, or affiliates of Acubalance be responsible for damages arising from the use of the podcast.  

In honor of National Infertility Awareness Week beginning today, April 22, America's Work Force Union Podcast featured Dr. Janet Choi, a double-board certified reproductive endocrinologist, and Stacey Hofert, Vice President of Labor and Trust, from Progyny. They discussed what they are doing to help individuals in the trades receive better care across the fertility, family building and women's health continuum. They also talked about expanding benefits and closing the gaps in coverage that exist today. Secretary-Treasurer for the Marine Engineers' Beneficial Association (MEBA), Roland “Rex” Rexha, joined America's Work Force Union Podcast to give a seagoing engineers' perspective on the Francis Scott Key Bridge incident in the Baltimore Harbor and potential maritime reforms that could help protect workers and residents around ports.

With a ruling that frozen embryos are people... an Alabama Judge has created chaos in the IVF medical community.  Dr. Erica Johnstone is a reproductive endocrinologist with U of U Health. She joins us live.

Former MTV Asia VJ and Television Presenter/Producer, Denise Keller, and Miss Universe Japan 2021, Juri Watanabe, are the definition of beauty, smarts and grace to their audiences who have followed them as celebrated major pageant winners and popular on-air talent. But, what they their fans may not know is the desire and drive both of these women have when it comes to breaking down taboos in Asian culture, and beyond, around issues like infertility, pregnancy loss and mental health. Denise, who resides in Singapore and is of Chinese and German ancestry, and Juri, who now lives in Los Angeles and who is of Japanese and Korean descent, strive to elevate the conversation on their public platforms so that others who are struggling, feel less isolated as they once did. This episode's midroll includes a conversation with Reproductive Endocrinologist, Dr. Janelle Luk, Co-Founder and Medical Director of Generation Next Fertility, who says that one reason she has a passion for women's health is because of her experience as a young girl growing up in Hong Kong and learning that her mother was given away at birth. Dr. Luk also shares how certain conditions that impact fertility, like Diminished Ovarian Reserve and PCOS, show up in higher numbers and/or display differently in people of Asian descent than their white counterparts. The subject of “Asian Infertility” is a highly under-researched and under-covered topic. As a result, some people may not access the care they need. This dynamic conversation with newsmakers and thought leaders, which is also in honor of the Chinese New Year, and “The Year of the Dragon” (known to see an uptick in fertility!), strives to continue and expand the conversation so that people get the help they need and know that they are not alone.This episode is supported by Generation Next Fertility in New York City, whose mission is to provide individualized patient centric quality care and innovative technologies to help patients become parents. For more, visit generationnextfertility.com Hosted on Acast. See acast.com/privacy for more information.

In this Episode, I interview Alissia Zenhausern- Pfeiffer, commonly known by her patients as Dr. Zen, who I worked with to get pregnant naturally with our second! We discuss what it looks like to work with a Naturopathic Doctor and how that differs from working with a Reproductive Endocrinologist, what came up specifically on my bloodwork and how iron plays a role in trying to conceive!  Dr. Zen  is a licensed naturopathic doctor board certified in naturopathic endocrinology and the founder of NMD Wellness of Scottsdale, a premier naturopathic medical practice that focuses on helping women to take a proactive approach to their hormone and fertility health. Dr. Zen has been featured as a lead expert in Forbes, Shape Magazine, and Instyle and is deeply passionate about bridging the gap between traditional and natural medicine in the world of fertility. She works with a variety of hormone related issues including PCOS, endometriosis and unexplained infertility. Her goal is to help more women get back into the driver's seat of their own health to make lasting transformational changes to their health to bring more cute and adorable babies into this world. Originally from Switzerland, Dr. Zen has seen the importance of providing patients with integrative approaches to their health and has helped hundreds of women along their fertility journey with her top rated course, Fertility Foundations. Social Links: Website: nmdwellnessofscottsdale.com Instagram: https://www.instagram.com/drzennmd/ Tik Tok: https://www.tiktok.com/@drzen_nmd IVF mini-course she offers: here   If you are struggling with your thoughts and emotions around your TTC journey, I highly recommend snagging my  Finding Hope through Infertility / TTC Masterclass - This masterclass will walk you through what you can implement today to start living in peace and joy during the waiting season - really growing closer to God despite the journey. I can't recommend it highly enough and it's on discount right now for only $25 to snag today! Grab that here: https://sown-with-strength.mykajabi.com/offers/HX2jMFL3?coupon_code=GIFT    Or snag our 2nd Masterclass focused on MARRIAGE through TTC! Thrive in Marriage through TTC Masterclass can now be purchased and accessed as well for $37! https://sown-with-strength.mykajabi.com/offers/AA3zxPNv ^^ you can also snag the Finding Hope through TTC (transforming your thoughts while waiting) Masterclass for only $20 extra instead of the original $37 cost when you enroll for the Marriage Class as a discounted bonus! Instagram: @courtneyduinker Connect: courtney@sownwithstrength.com  website: https://courtneyduinker.com/    If today's episode inspired, equipped or challenged you in anyway, please consider leaving a review on Apple Podcasts! This helps to show this podcast to other women who are alone in navigating infertility. I also send out a fun package to someone who leaves a review each week! Leave a review here, please!

Fertility is a subject filled with mental and emotional challenges, and my guest this week is an expert on it. Whether you're facing fertility difficulties or any other type of difficulty, mindful self-compassion can help you navigate challenges where there are variables beyond your control.   Dr. Erica Bove is a Double Board-Certified OB/GYN and Reproductive Endocrinologist. She's also a certified life coach and the founder of Love and Science: Thriving Through Infertility. Dr. Bove helps women professionals thrive while undergoing fertility treatments, believing the best outcomes are obtained when the whole person is seen and understood. Tune in this week to discover how to thrive in the face of uncertainty.    Get the full show notes and more information here: https://habitsonpurpose.com/103

Procreation is an unspoken rule in many communities. The lack of children creates lots of shame, especially for women. Interestingly, there is higher incidence of specific fertility challenges that occur specifically in the South Asian Community. I go deeper into this conversation with fertility expert and coach Dr. Erica Bove. Erica Bove, MD, is a double board certified OB-GYN and Reproductive Endocrinologist, as well as a certified life coach through The Life Coach School. She is a practicing fertility specialist at the University of Vermont. She is also the founder of Love and Science: Thriving through Infertility, as well as the head coach for Dr. Kavetha Sun's Heal Your Relationships Program. In the fertility world, she has a keen interest in marrying an evidence-based approach with intuitive knowing n the context of a trusting physician patient relationship. As a life coach and thought leader, she is passionate about bringing this same integration to the coaching relationship. She is an expert in the field of sex and intimacy, as well as embodiment and mindful self compassion. She believes that the best outcomes are obtained when the whole person is seen and understood. Her mission is to heal and support the healers and to create a legacy she is proud of. Website: loveandsciencefertility.com

In today's episode of The Egg Whisperer Show, we're "cracking open" the world of fertility with warmth, education, and a touch of fun. Today's episode is a special one featuring the incredible Dr. Erica Bove, a double board-certified OB-GYN and Reproductive Endocrinologist. Dr. Bove brings a unique perspective to the fertility world. As a certified life coach through The Life Coach School, she's passionate about integrating the same approach into coaching relationships as she does as a fertility specialist, emphasizing the importance of seeing and understanding the whole person. In today's conversation, we delve into Dr. Bove's expertise in the fields of sex, intimacy, embodiment, and mindful self-compassion. She firmly believes that the best outcomes are achieved when the entire person is acknowledged and supported. Join us as we explore her mission to heal and support healers while creating a legacy that she can be truly proud of. Key Takeaways: Navigating All Holidays with Infertility: Dr. Bove shares insightful tips on navigating holidays with infertility, including dealing with those nosy questions from Aunt Lucy. Learn how to gracefully handle these situations while preserving your own emotional well-being. Infertility in the Professional World: As a professional woman herself, Dr. Bove discusses the unique challenges and triumphs of navigating infertility while managing a career. Discover practical strategies for balancing professional aspirations with the emotional rollercoaster of fertility treatments. Keeping Intimacy Alive: Dr. Bove offers advice on maintaining intimacy throughout the fertility journey. Sometimes the logistics of being in treatment can make sex feel less magical, and Dr. Bove has ideas on how to spice it up. Reasons for Authentic Hope: Explore the reasons for holding onto authentic hope during the fertility journey. Dr. Bove sheds light on the importance of maintaining a positive mindset, finding joy in the journey, and cultivating resilience. Do you have questions about IVF?Click here to join Dr. Aimee for The IVF Class. The next live class call is on Monday, Janurary 22, 2024 at 4pm PST, where Dr. Aimee will explain IVF and there will be time to ask her your questions live on Zoom.   Get Dr. Aimee's brand new Conception Kit here. 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

If you're nearing (or in) your 30s, you might've noticed a new phenomenon taking over your girls' night convos, your office, and your Instagram feeds. It seems like everyone is suddenly getting pregnant, trying to get pregnant, or worried about whether they'll be able to get pregnant when they're ready. The stress of fertility is real, and in today's highly-requested episode, we debunk common fertility myths and get valuable medical advice from Reproductive Endocrinologist Dr. Marjorie Dixon on how to prepare for and take control of your fertility journey, whether you're just starting to learn about natural fertility or dealing with IVF or egg-freezing. If you're stressed about your fertility, or you feel like you don't really understand how your body works, this episode is a must-listen. Dr. Dixon is the Founder, CEO and Medical Director of Anova Fertility & Reproductive Health, a full-service fertility and IVF centre. She has an Accredited Fellowship in Reproductive Endocrinology and Infertility, she's a member of the Department of Obstetrics and Gynecology at Sunnybrook Health Sciences Center, and she's an Assistant Professor at the University of Toronto. She has won the RBC Canadian Women of Influence Momentum Award, and the Canadian Fertility and Andrology Society's Mathias Gysler Award for her leadership in improving reproductive care in underserved communities. She's also a regular expert on Cityline championing women's health and reproductive wellness.Tune in as we chat about:Fertility 101: Understanding ovulation and how to track itWhen are you considered infertile? How long should it take to get pregnant?Exercise and nutrition tips to improve natural fertility and boost egg quality Supplements and vitamins to help fertility The truth about age-related fertility declineProactive fertility assessments and the labs/tests to getFamily planning options for same-sex couples and people who are singleHow IVF actually works, and why some clinics do it betterDealing with PCOS and endometriosis When to consider egg freezing and what to expect PS: If you've been dreaming of pivoting into podcasting but aren't sure where to start or how to grow, check our consulting services at teachmehowtoadult.ca/howtopodcast. Sign up for our monthly adulting newsletter:teachmehowtoadult.ca/newsletter Follow us on the ‘gram:@teachmehowtoadultmedia@yunggillianaireFollow us on TikTok: @teachmehowtoadultFollow Dr. Dixon and Anova Fertility: https://anovafertility.com/@anovafertility

In today's episode of GRUFFtalk, host Barbara Hannah Grufferman takes a deep dive into INSULIN RESISTANCE: what it is, common symptoms, how to prevent it, and more importantly, how to reverse it.   Dr. Margaret Nachtigall, a Reproductive Endocrinologist at NYU Langone Health and an expert on women's health and menopause joins Barbara to shed light on this often-misunderstood condition, and its impact on postmenopausal women.  Key Takeaways:  - Understand the basics of Insulin Resistance - what it is and why it matters.  - Discover the subtle signs and potential health consequences.  - Learn about the connection between Insulin Resistance and postmenopause.  - Gain insights into diagnostic methods, including blood tests and physical examinations.  - Tips and strategies on lifestyle changes, medications, and treatments to manage or reverse Insulin Resistance.  - Hear about the emerging research linking insulin resistance with dementia and other health conditions.  Why Listen?  - Equip yourself with knowledge to better understand and manage Insulin Resistance.  - Grasp the complex relationship between aging, particularly postmenopause, and this condition.  - Empower yourself with practical guidance from a leading expert in women's health.  - For anyone eager to enhance their health journey, this episode promises crucial insights and actionable takeaways.  Key Links:  Previous Episode Focusing on Metformin: https://podcasts.apple.com/us/podcast/grufftalk-how-to-age-better-with-barbara-hannah-grufferman/id1623436268?i=1000605135528  Subscribe to Menopause Cheat Sheet Newsletter: http://www.menopausecheatsheet.com  Connect with Barbara:   Website: https://www.barbarahannahgrufferman.com  Facebook: https://www.facebook.com/BarbaraHannahGruffermanAuthor  Instagram: https://www.instagram.com/barbarahannahgrufferman/  LinkedIn: https://www.linkedin.com/in/barbara-hannah-grufferman/    Learn more about your ad choices. Visit megaphone.fm/adchoices

This episode is SO INFORMATIONAL! I am so happy to have Dr. Fischer on the podcast! She's board certified Reproductive Endocrinologist, board certified Obstetrician and Gynecologist, and the Medical Director of Spring Fertility NYC. She went to Mount Sinai Icahn School of Medicine followed by residency at Yale New haven Hospital and fellowship at Columbia-New York Presbyterian Hospital. WOW. She joined Spring Fertility in 2022 after being in practice for years in the area. What sets Dr. Fischer apart is her dedication to her practice - she believes that patients deserve exceptional clinical care with honesty and transparency. Her areas of practice focus include fertility preservation, infertility, and LGBTQA+ family building. In this episode we discuss ways to prepare for pregnancy or egg retrieval, what to look for in a doctor or clinic, tips for ensuring success with frozen eggs and embryos, PCOS, endo, and so much more.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

This Veteran's Day, we're featuring Brian Tucker, a Veteran who is outspoken about his experience with male factor infertility. He is also an HR disruptor who knows that employers, are, in part, responsible for executing the American Dream.   On the path to building a family, Brian and his wife, Jenny, found themselves at a financial crossroad. Their coverage for fertility treatment was miscommunicated, which left them confused about what they actually need to pay vs what was covered. Left completely in the dark, with one common goal of having a child, they chose the only clear-cut financial benefit that was laid out for them, a Veteran's discount. Having experienced this, Brian now speaks about his experience – and has presented at DisruptHR, where he discussed the need for more support in the workplace.   Listen to him here: Brian Tucker: Work LIFE Balance Talk  We also hear from Dr. Tolulope Bakare, a Reproductive Urologist from Posterity Health, and Dr. Ron Feinberg, Reproductive Endocrinologist from RADfertility of CCRM, about the treatment options when diagnosed with male factor infertility.   Guest:   Brian Tucker, Director of Human Resources at Elior North America, Veteran, and Infertility Advocate  Dr. Ron Feinberg, RADfertility  Dr. Tolulope Bakare, Posterity Health  Host: Dan Bulger, Progyny     For more information, visit Progyny's Podcast page and Progyny's Education page for more resources. Be sure to follow us on Instagram, @ThisisInfertilityPodcast and use the #ThisisInfertility. Have a question, comment, or want to share your story? Email us at thisisinfertility@progyny.com.  

In this episode Adelaide chats with Dr. Lora Shahine. They talk about IUI, IVF, miscarriages, reoccurring loss, fertility medications and so much more.  Although Adelaide and Stephen won't be going down the route of IUI or IVF they do believe this conversation and learning more about infertility is important.I hope you remember no matter how you pursue fertility treatment, you are seen, you are heard, you feelings are valid and you're not alone. You can find Dr. Shahine on YouTube, tiktok and Instagram @drlorashahine ​⁠. You can also listen to her podcast Baby Or Bust. 

In this episode, Cathie Quillet, LMFT interviews Dr. Colleen Miller from Tennessee Fertility Institute. From the perspective of a Reproductive Endocrinologist, Dr. Miller explains the the diagnosis of infertility, how to being treatment with a fertility clinic and what a patient should expect from testing and treatments. Colleen M. Miller, M.D. earned her Bachelor of Science in Human Nutrition with a minor in Women's, Gender, and Sexuality Studies, as well as her medical degree, from The Ohio State University. While there, she help multiple peer-elected leadership positions and received an award for excellence in professionalism.Dr. Miller completed her OB/GYN residency at Ascension St. Vincent Hospital in Indianapolis, Indiana, during which she published a book chapter on mentorship for academic scientists and physicians. She was also selected as an ACOG Gellhaus Advocacy Fellow; as such, she lobbied for maternal healthcare and obtained bipartisan support for the Preventing Maternal Deaths Act, signed into law in 2018.She completed her fellowship in Reproductive Endocrinology and Infertility at Mayo Clinic, where she authored multiple peer-reviewed publications, one of which was chosen as the topic of discussion at an ASRM global journal club. While at Mayo Clinic. Dr. Miller also earned a master's degree in Biomedical Sciences in Reproductive Endocrinology.Dr. Miller is passionate about patient advocacy and dedicated to providing patient-centered care. She believes in empowering her patients with the knowledge to achieve their own personal fertility and family building goals.Tennessee Fertility Institute:https://tnfertility.comhttps://www.instagram.com/tennesseefertility/Tennessee Reproductive Therapyhttps://tennesseereproductivetherapy.comhttps://www.instagram.com/tennesseereproductivetherapy/Sponsor: Navigating Infertilityhttps://navigatinginfertility.comhttps://www.instagram.com/navigatinginfertilitytogether/

October is Menopause Awareness Month so we're kicking off the month with this repost of a deep dive GRUFFtalk host Barbara Hannah Grufferman took with Dr. Margaret Nachtigall about how menopause changes your heart.   1 in 9 perimenopausal women in the 45-64 age group will develop heart disease. That's a scary thought and one that may leave you wondering what you need to know about menopause and heart health. Most women are unprepared for the impact menopause has on their hearts. GRUFFtalk host Barbara Hannah Grufferman was one of them. She developed a non-life-threatening heart issue but vowed to never let heart disease be the cause of her premature demise. She ramped up her workouts and reassessed how she was managing stress, eating, and sleeping, al of which she shares in this episode.   The guest is Dr. Margaret Nachtigall who talks through the importance of heart health and its relation to menopause. She talks with Barbara about modifying risk factors, as well as keeping an open mind about talking your healthcare provider to see if estrogen is right for you.  Dr. Nachtigall is a board-certified Reproductive Endocrinologist at NYU Langone Health. She is also the Medical Director of Menopause Cheat Sheet, a free newsletter she and Barbara publish together to help women navigate life before, during and after menopausal changes.  Modify Your Risk Factors   Although cardiovascular disease is a serious problem, there are actions we can take that are within your control. You can choose to eat healthier and get plenty of sleep. Exercise is also important to maintain a healthy heart. Dr. Nachtigall's favorites are not smoking or drinking too much. One of the most important actions, which is often forgotten, is managing stress.  “… My point is, estrogen is not right for everyone, but it is right for many individuals.” Dr. Margaret Nachtigall  Estrogen Isn't the Right Choice for Everyone   Dr. Nachtigall points out that while starting estrogen early can have health benefits, it isn't right for everyone. It's important to speak with your healthcare provider about what your symptoms and risk factors are to determine what's best for you. Timing is critical if you consider starting estrogen. There are significant benefits to starting hormone therapy early on in menopause.  Dr. Margaret Nachtigall Takeaways:   • Try your best to reverse your risk factors  • Eat healthy and sleep well  • Discuss what your particular risks are for hormone therapy with your healthcare provider  "A lot of the symptoms that we attribute to menopause may also contribute to having an increase in heart disease." -Dr. Nachtigall  Your healthcare provider will assess your risk factors and may do some testing. Risk factors may include abnormal lipid profiles. It's also important to look at your cholesterol breakdown (total cholesterol, HDL, LDL). Other risk factors include obesity, smoking, stress, depression, inactivity, family history, inflammatory conditions, or chronic illnesses. Remember, estrogen may not be for everyone, but can provide benefits for many individuals.  Connect with Dr. Nachtigall   Website: https://www.drnachtigall.com/  Sign up for our free monthly newsletter here:   Menopause Cheat Sheet: http://www.menopausecheatsheet.com/  Connect with Barbara:  Website: https://www.barbarahannahgrufferman.com   Facebook: https://www.facebook.com/BarbaraHannahGruffermanAuthor  Instagram: https://www.instagram.com/barbarahannahgrufferman/  LinkedIn: https://www.linkedin.com/in/barbara-hannah-grufferman/  Learn more about your ad choices. Visit megaphone.fm/adchoices

Become a Revelation Wellness Donor today! Click here or text RWDONATE to 801801. Your generosity helps make this podcast possible! In this episode: Listen up, ladies! We're bringing you an episode that is jam packed today as we close out our Get Strong series. Alisa is chatting with a physician after our own hearts—Dr. Carol Peters Tanksley—to talk about hormones and how they affect our bodies in all seasons of life. Dr. Carol says that hormones are her thing and it all circles back to moving our bodies in all ages and stages. And best of all, she gets what living an embodied faith looks like.   You'll hear about collaborative religious coping and how this approach improves outcomes in life, including our health! You'll also learn what happens in peri and menopause as our bodies shift. Want a better experience in this stage? Listen in as she walks us through what we can do. Dr. Carol's also teaching us all about insulin resistance and cortisol and shares with us the single most important thing we can do with our healthcare dollars. Dr. Carol is a licensed OB-GYN and Reproductive Endocrinologist with over 30 years of experience. She is also an author, speaker, and Doctor of Divinity, passionate about seeing people live fully alive! You can connect with her at drcarol.com and check out her book, Dr. Carol's Guide to Women's Health. Check out her guide to hormones here. The book mentioned by Alisa in this episode, Strength to Strength. Are you ready to get strong and see how training affects your hormones for the good? Our brand new "Get Strong" progressive strength training program is still open for sign-ups! It's not about getting ripped, six-pack abs, or achieving that dream bod. It's about getting strong in heart, mind, and body. Head over to revelationwellness.org to get signed up today! Have you downloaded the RW App yet? Before you hit play, go to the app store and download the free RW App. You can also check out our exclusive REVING the Word episodes for RW+ subscribers! Try RW+ out free for seven days and press play on our brand new workout, RevXing the Word.  We love our Rev community and think you will, too! Be sure to get connected with us at: The Official Revelation Wellness Facebook / Instagram / RevWell TV / Youtube   Your reviews matter to us and help spread the good news, so please leave us one where you listen to your podcast! If we read your review on our show, we'll send you a gift from the Revelation Wellness Store!   We'd also love to hear from you! So please leave us a VOICE MESSAGE!  Tell us what you thought about this episode and how God met you in this episode.

Listen up, ladies! We're bringing you an episode that is jam-packed today as we close out our Get Strong series. Alisa is chatting with a physician after our hearts—Dr. Carol Peters Tanksley—to talk about hormones and how they affect our bodies in all seasons of life. Dr. Carol says that hormones are her thing, which all circles back to moving our bodies in all ages and stages. And best of all, she gets what living an embodied faith looks like.   You'll hear about collaborative religious coping and how this approach improves outcomes in life, including our health! You'll also learn what happens in peri and menopause as our bodies shift. Want a better experience at this stage? Listen in as she walks us through what we can do. Dr. Carol also teaches us about insulin resistance and cortisol and shares with us the most important thing we can do with our healthcare dollars.   Dr. Carol is a licensed OB-GYN and Reproductive Endocrinologist with over 30 years of experience. She is also an author, speaker, and Doctor of Divinity, passionate about seeing people live fully alive! You can connect with her at drcarol.com and check out her book, Dr. Carol's Guide to Women's Health. Check out her guide to hormones here. The book mentioned by Alisa in this episode, Strength to Strength. Become a Revelation Wellness Donor today! Click here or text RWDONATE to 801801. Your generosity helps make this podcast possible! Are you ready to get strong and see how training affects your hormones for the good? Our brand new "Get Strong" progressive strength training program is still open for sign-ups! It's not about getting ripped, six-pack abs, or achieving that dream bod. It's about getting strong in heart, mind, and body. Head over to revelationwellness.org to get signed up today! Have you downloaded the RW App yet? Before you hit play, go to the app store and download the free RW App. You can also check out our exclusive REVING the Word episodes for RW+ subscribers! Try RW+ out free for seven days and press play on our brand new workout, RevXing the Word.  We love our Rev community and think you will, too! Be sure to get connected with us at: The Official Revelation Wellness Facebook / Instagram / RevWell TV / Youtube   Your reviews matter to us and help spread the good news, so please leave us one where you listen to your podcast! If we read your review on our show, we'll send you a gift from the Revelation Wellness Store!   We'd also love to hear from you! So please leave us a VOICE MESSAGE!  Tell us what you thought about this episode and how God met you in this episode.

September is Urology Awareness Month, which is quite necessary considering there are less than four hundred practicing Reproductive Urologists in the United States. This episode serves as an opportunity to understand the intense training it takes to become a Reproductive Urologist (RU), what role they play in men's health and reproductive health, as well as how they work in conjunction with Reproductive Endocrinologists.    In today's episode, Progyny's Chief Medical Officer and Reproductive Endocrinologist, Dr. Janet Choi gives insight into the role of RUs and how they differ from Reproductive Endocrinologists (REIs).  Dr. Choi expands on her own position as an REI; what kind of training she received, who she treats, and how male patients can benefit from seeing an RU if they are already seeing an REI.    Video mentioned in this episode: Reproductive Urologists Can Help Men with Infertility         Guest: Dr. Janet Choi, Chief Medical Officer at Progyny     Host: Dan Bulger, Progyny     For more information, visit Progyny's Podcast page and Progyny's Education page for more resources. Be sure to follow us on Instagram, @ThisisInfertilityPodcast and use the #ThisisInfertility. Have a question, comment, or want to share your story? Email us at thisisinfertility@progyny.com.    

The Fertility 101 Series, because there's no shortage of daunting terms to keep your mind running, is a quick and dirty breakdown on a specific topic with insights from a fertility expert.     In today's episode, Progyny's Chief Medical Officer and Reproductive Endocrinologist, Dr. Janet Choi gives an overview about all the things you need to know about menopause.     Menopause has long been an undiscussed and overlooked medical issue despite the fact that it will impact half of the population after the age of 50. While the scope of care for those going through menopause is not yet where it needs to be, becoming well-versed in the concept is the first step to caring for yourself or others in this transitional stage of life. Dr. Choi breaks down the classic symptoms and mental health effects surrounding menopause, as well as how one might mitigate these bodily changes with treatments. She also touches on her own experience and outlines life with menopause, next steps, and why menopause should be better supported.    Guest: Dr. Janet Choi, Chief Medical Officer at Progyny  Host: Dan Bulger, Progyny  For more information, visit Progyny's Podcast page and Progyny's Education page for more resources. Be sure to follow us on Instagram, @ThisisInfertilityPodcast and use the #ThisisInfertility. Have a question, comment, or want to share your story? Email us at thisisinfertility@progyny.com.  Music:   Artist:   Doctor Turtle  Track: The Ants Built a City on His Chest URL: https://freemusicarchive.org/  Track: Where I lay my hat that's my wife URL: https://freemusicarchive.org/  Artist: Steve Combs Track: Small Spaces URL: https://freemusicarchive.org/  Artist: Jahzzar  Track: Sleepin'  URL: https://freemusicarchive.org/ Track: Dew URL: https://freemusicarchive.org/ Track: MainSquare  URL: https://freemusicarchive.org/ 

Dr. Carol Tanksley practiced medicine as an OB-Gyn physician and Reproductive Endocrinologist for over 29 years. While continuing to practice medicine, I also obtained an M.Div. (Master of Divinity), and then a D.Min. (Doctor of Ministry) from Oral Roberts University, focusing on Christian leadership. She's an author of several books that focus on mental, physical, and sexual health from a Christian perspective. In this episode, we talk about the challenges facing Christian women in the wake of purity culture. We talk about shame, body positivity, challenges to female sexual satisfaction and desire, Christian marriages, lust, modesty and clothing, menopause, and many other topics related to female sexual health:   To learn more, visit https://www.drcarolministries.com/about/ Noonday: https://chrissprinkle.noondaycollection.com/onlinetrunkshow/?cl=61E75885-36AD-4960-A4D6-E7575EA172FE&onlinetrunkshow

Dr. Goldstein is one of the most trusted names in fertility and is highly recommended by her patients for her communication, responsiveness, and attention to detail. She has guided her patients through more than one thousand in vitro fertilization (IVF) cycles and consistently delivers some of the highest pregnancy rates in the industry.  Dr. Goldstein obtained her MD from the Mount Sinai School of Medicine in New York City and is a double board-certified OB-GYN and Reproductive Endocrinologist.  During her time as a Reproductive Endocrinology and Infertility fellow at UCLA and Cedars-Sinai Medical Centers, Dr. Goldstein published and presented internationally her revolutionary discovery of an important genetic mutation that causes what had previously been considered an unexplained cause of familial infertility. In an industry that is continually becoming less personalized, Dr. Goldstein is proof that you can provide world-class fertility care and empower hopeful parents to choose a fertility journey that aligns with their goals before anything else.  She weaves her way through the often overwhelming world of fertility care with intuition and empathy, to make sure her patients have a clear understanding of their diagnosis and treatment options. Dr. Goldstein is a fertility specialist at Beverly Hills Fertility and a partner of Innovative Health Diagnostics, which offers a variety of at-home tests, such as the AMH test, which focuses on infertility, as well as tests for COVID-19, general health biometric screening and both molecular and antibody STDs. Dr. Goldstein lives in Santa Monica with her two children and her husband. When she is not taking care of patients, she enjoys rowing, kayaking, yoga, traveling, and hiking in the Santa Monica Mountains. Instagram: https://www.instagram.com/beverlyfertility/ Facebook: https://www.facebook.com/BeverlyHillsFertility/ For more information about Michelle, visit www.michelleoravitz.com 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/

Join us in this episode of Food, Freedom and Fertility as we delve into the world of reproductive health and the crucial role of progesterone in pregnancy. Our special guest, Dr. Gary, a renowned reproductive endocrinologist from Fertility Cloud, sheds light on the importance of adequate progesterone levels during pregnancy. In addition to exploring the significance of progesterone, we also take a closer look at Fertility Cloud itself. Created amidst the challenges posed by the COVID-19 pandemic, Fertility Cloud has revolutionized the field of fertility treatment. Dr. Gary explains how this innovative platform provides comprehensive support for patients, delivering everything they need right to their doorstep, excluding IVF procedures. With a shortage of fertility specialists nationwide, Fertility Cloud has emerged as a solution to expedite patient care and enhance accessibility. Through the power of telehealth, Fertility Cloud ensures that fertility help is easily accessible to individuals seeking assistance. Dr. Gary emphasizes the range of services offered by Fertility Cloud, including oral medications, injectables (which require ultrasounds), and comprehensive evaluations.  Dr. Gary also shares an inspiring success story of a patient who benefited from the services provided by Fertility Cloud. To learn more about Fertility Cloud and Dr. Gary, check out the link below.  Fertility Cloud   Thank you to our Season 2 Sponsors. Be sure to use the code on their site for a Food, Freedom and Fertility discount. Proov Testing Kit and online app 15% OFF in $15 or more FFF15   FullWell: FFF10 10% pre-natal, fish oil or men's pre-natal The Prenatal Nutrition Library: FFF20 20% You can find us on IG at FoodFreedomFertility  

May is National Osteoporosis Awareness and Prevention Month -- no better time to replay this deep dive into bone health with Dr. Margaret Nachtigall than right now!  In case you haven't been appreciative of your bone health lately, or perhaps you are beginning to suspect problems, let me sound the alarm and remind you how important bone health is at any age, especially around menopause for women.  In this episode, Dr. Margaret Nachtigall answers your questions and gives us a run down on bone health, why it matters, and how to prevent future problems.  Dr. Margaret is a board-certified Reproductive Endocrinologist at New York University Medical Center. She is also the Medical Director of Menopause Cheat Sheet, a free newsletter just for you that we publish together to help women navigate life before, during and after menopausal changes.  New Vitamin D Study   It feels irresponsible to have an entire episode dedicated to bone health without bringing up what I like to call, the little vitamin that could. You're likely familiar with Vitamin D and all its benefits, but in this episode, we're discussing a new study that claims it doesn't do much to prevent fractures.  While discussing the study that was brought to our attention by a GruffTalk listener, Dr. Margaret shares all the things this study doesn't really address. Her review is a great example of how you too can review these medical studies and not assign more importance than appropriate. In the end, and after careful consideration, Dr. Margaret weighs in favor to continue her Vitamin D regimen for herself and her patients.  Strong Bone Health Heading into Menopause  If you weren't aware of how important estrogen was to bone health before, you'll be clear on how vital it is for bone growth and strength after this episode. Dr. Margaret explains how estrogen actually helps to lay down new bone.  Women are most susceptible to increased bone loss within the first five years after menopause. Following the standard health advise serves best in preventing low estrogen, which ultimately translates to decreased bone loss, ample exercise, healthy dietary choices, minimize alcohol and no smoking.  Dr. Margaret reveals who is more at risk for bone loss or osteoporosis. For every group of people at risk (vegans, menopausal women, and women that have amenorrhea due to low body weight), resistance training is a great solution and taking vitamin D is still highly recommended.  Dr. Margaret's Better Bone Health Take Away Reminders:  • You will lose lots of bone during menopause  • Get a bone density test sooner than later if you are high risk for osteoporosis  • There are lots of low bone density treatments, but thinking preventative is the key   In this episode, we also discuss an official statement from the North American Menopause Society (NAMS) revealing how much the benefits outweigh any risk for certain groups of women around hormonal therapy for menopause.  “Estrogen has been shown to be an amazing agent at helping us maintain our bone.”  -Dr. Margaret Nachtigall  Sign up for Menopause Cheat Sheet newsletter here: http://www.menopausecheatsheet.com  Connect with Barbara:  Website: https://www.barbarahannahgrufferman.com  Instagram: @Barbara Hannah Grufferman  Facebook: @BarbaraHannahGruffermanAuthor  Learn more about your ad choices. Visit megaphone.fm/adchoices

Today we learn more about hormones, menopause and hormone therapy with an expert who I am honored to have on the podcast - Dr. Carla DiGirolamo. I have been following her for a while now with great respect. I discovered her through the Feisty Menopause network led by Dr. Stacy Sims and Selene Yeager, who is the host of the Hit Play Not Pause podcast, which you all know I love and follow with passion. Dr. Carla is a double Board-Certified Obstetrician Gynecologist and Reproductive Endocrinologist who has dedicated her career to caring for women through all stages of reproductive life. She is also a North American Menopause Society (NAMS) Certified Menopause Practitioner. And a life-long athlete, CrossFit Level 1 Trainer, Certified Nutrition Coach and member of CrossFit Health. She's been in the fitness industry as either an athlete or an instructor for over 30 years, she has experience in the lifestyle and nutritional needs and challenges of both athletes, particularly women passing through menopause and anyone just trying to improve their general health and fitness. She was also recently named to the MedFit Medical Advisory Board. And…she specializes in all aspects of infertility care. She has been voted five consecutive Boston Magazine Top Doctor awards (2019-2023). Dr. DiGirolamo holds consultations on Zoom. This episode is sponsored by Oxford Healthspan. The makers of my favorite spermidine supplement Primeadine. Use code ZORA to try it with 15% off here. Contact Dr. DiGirolamo Blog: www.athleticaging.blog Website : http://www.drcarlad.com/ Facebook: https://www.facebook.com/carla.digirolamo.14 Linked In: https://www.linkedin.com/in/carla-digirolamo-0109b8103/ Instagram: http://instagram.com/dr_carla_d   Dr. Stacy Sims: https://www.drstacysims.com/ Hit Play Not Pause by Selene Yeager podcast: https://livefeisty.com/category/podcasts/hit-play-not-pause/ Feisty Menopause: https://www.feistymenopause.com/ Join the Hack My Age community on: Facebook Page : ⁠http://facebook.com/hackmyage⁠ Facebook Group: Biohacking Women 50+ - Longevity After Menopause https://www.facebook.com/groups/biohackingwomen50 Instagram: ⁠http://instagram.com/hackmyage⁠ Website: ⁠http://www.hackmyage.com⁠ Hack My Age VIP Group: ⁠http://patreon.com/hackmyage⁠ Email: zora@hackmyage.com Newsletter: ⁠http://www.hackmyage.com/newsletter⁠ This podcast is edited by ⁠jonathanjk.com --- Send in a voice message: https://podcasters.spotify.com/pod/show/hackmyage/message Support this podcast: https://podcasters.spotify.com/pod/show/hackmyage/support

In this episode, your hosts sit down with Dr. Meera Shah - a Reproductive Endocrinologist specializing in infertility, and the medical advisor at Cofertility to dive deep into the science of egg freezing. First, Dr. Shah shares her journey to joining the Cofertility team and how she felt an instant connection with their mission. The three discuss the phases of the menstrual cycle, and the details of what happens within each stage. Dr. Shah discusses how the menstrual cycle relates to egg freezing and the various hormones that play a major role in the egg freezing process, including the Follicle Stimulating Hormone (FSH) & Luteinizing Hormone (LH). They dive into the medications they're taking, and discuss one of the most important medications of the cycle, the trigger shot. She also shares the details of the actual egg retrieval process, the post-retrieval process, and how they evaluate the number of eggs someone has left. While this episode is super “science-y,” Dr. Shah also explains egg freezing in a non-medical way, and touches on ways to optimize natural fertility. This is such an informative episode for anyone considering egg freezing and Danielle and Jac are so thrilled to have her join the pod for this jam-packed episode!   Be sure to follow @dr_meerashah and @cofertility. Plus check out @freezebyco on TikTok! To learn more visit https://cofertility.co/womed  Thanks to our amazing sponsor for making this episode possible:  Perelel - Go to Perelel.co and use code WOMED15 for 15% off your first 3 months. If you don't love it, you can cancel anytime with a 30-day money-back guarantee.  Zocdoc - Go to Zocdoc.com/womed and download the Zocdoc app for FREE. Find and book a top-rated doctor today. Many are available within 24 hours.  Brooklinen - Shop in store or at brooklinen.com for a home refresh at its best. For a limited time, get $20 off plus free shipping on orders of $100+ with code WOMED.   If you haven't already, please follow, rate, and review the podcast, follow us on Instagram @TheWoMed and check out womedpodcast.com. Plus, give us a follow on TikTok @thewomedpodcast. Be sure to follow your hosts personally @dmmaltby and @jackiethefnp and be sure to check out @riothealers!   WoMed Cover Art — Makeup: Annelise Carey, MUA/LME @annelisemua & Photography: Brooke Boling @honorcreative    Learn more about your ad choices. Visit megaphone.fm/adchoices

Bob and Dina meet with Dr. Carla DiGirolamo, a reproductive endocrinologist, obstetrician/gynecologist and pioneer in women's performance endocrinology. We discuss a variety of topics related to female hormones and female athletes throughout the lifecycle including menstrual cycle tracking, hormonal flux through perimenopausal years, and menopause hormone therapy.  Dr. Carla also clears up some misconceptions and marketing hype. We also discuss: Her new career path and paving the way in Women's Performance Endocrinology Her varied athletic background Importance of the menstrual cycle and what it signifies Things to know about the differences in oral contraceptives Nuances of perimenopause How do you know if Menopause Hormone Therapy (MHT) is for you?  Marketing and hype in the realm of hormone health  Should you do hormone testing?  Nutrition and exercise recommendations  Quotes: “The menstrual cycle is a vital sign that tells you what is going on with your physiology.” “Don't make your body the enemy. Your body needs you at this time.” “There is a dearth of specialists in menopausal medicine.” More about our guest: Dr. Carla DiGirolamo is a double Board-Certified Obstetrician/Gynecologist and Reproductive Endocrinologist who specializes in the care of reproductive age and mid-life women. She is a North American Menopause Society (NAMS) Certified Menopause Practitioner and has been featured in multiple podcasts and speakerships at various events discussing the physiology of the hormonal changes of menopause, hormone therapy and optimizing physical performance in elite and avid recreational female athletes.  Carla has been in the fitness industry her entire life as a recreational athlete and for the last decade as a fitness professional with credentials as a Crossfit Level 1 Trainer and Certified Nutrition Coach.  Follow Dr. Carla: IG: @dr_carla_d and on FB: @carla.digirolamo.14 Links: Dr. Carla's website Her educational course for fitness and health professionals  Selene Yeager podcast Hit Play Not Pause (find on all podcast platforms) Find a Menopause Certified practitioner in the USA Thank you to our episode sponsor, UCAN. If you're looking for sustained energy, enhanced productivity and performance without the sugar spikes and energy crashes, give their products a try. You can save 20% by using the code ISNPODCAST at checkout.  Want to try the deltaG products to provide your brain another fuel source? Check out their products and save 10% by using the code ISNPODCAST and you'll also help support our podcast!  This episode is brought to you by the new Nutrition Mechanic Nourish Circle programs for 2023. These are online and interactive programs designed for active and athletic women 40 years and older to support health, vitality, and athletic performance through menopause years and beyond. Head over to nutritionmechanic.com, click on the Services link, and go to the Nourish Circle page to get on the wait list and have an opportunity to join one of the new programs starting in April 2023. We'd love to connect with you on social! Follow Dina on Instagram at @nutritionmechanic and Bob at @enrgperformance. You can learn more about Bob and Dina's nutrition and coaching services and programs at www.enrgperformance.com and www.nutritionmechanic.com. 

Why did Nebraska almost made IVF illegal with a proposed trigger bill after Roe v. Wade was overturned? Abby Delaney, MD, a Reproductive Endocrinologist based in Nebraska joins Dr. Block to discuss reproductive rights, as they are today, and how they affect lives of millions of people across the country. Dr. Abigail Delaney, MD is a Reproductive Endocrinology & Infertility Specialist in Elkhorn, NE and has over 14 years of experience in the medical field. She graduated from University Of Nebraska College Of Medicine in 2009, completed a residency at The Nebraska Medical Center, and she currently practices at Methodist Reproductive Health Specialists. Dr Delaney's Twiter: https://twitter.com/drabbydelaneymd Dr Delaney's LinkedIn: https://www.linkedin.com/in/abigail-delaney-72b24960/   For more information on Locumstory, go to https://zen.ai/physiciansguide   The ideas expressed on this podcast are those of the interviewer and interviewee and do not represent those of their respective employers.

Carla DiGiorlamo is a double board-certified obstetrician/gynecologist and reproductive endocrinologist specializing in women's performance and menopause health. She is CrossFit Level 1 Trainer, Precision Nutrition Certified Nutrition Coach, lifelong recreational athlete, and avid Crossfitter. She is currently a partner physician at Boston IVF where she has spent the last 15 years practicing as a Reproductive Endocrinologist specializing in infertility and hormonal physiology in reproductive age and menopausal women. In 2024 she plans to retire from Boston IVF and launch her own practice in Women's Performance Endocrinology and work full time pursuing her lifelong passion in the world of fitness and sport. You can connect with Carla via her website, fitforlifemd.com, her blog, athleticaging.blog, and Instagram. @dr_carla_d If you'd like to join Wild Health, please use code WILDCF20 for 20% off your membership. Related Episodes: Ep 176 - Stacy Sims: Women are Not Small Men Ep 189 - Chris Kresser on HPA-Axis Dysfunction and the Stress Response If you like this episode, please subscribe to Pursuing Health on iTunes and give it a rating or share your feedback on social media using the hashtag #PursuingHealth. I look forward to bringing you future episodes with inspiring individuals and ideas about health every week. Disclaimer: This podcast is for general information only, and does not provide medical advice.  I recommend that you seek assistance from your personal physician for any health conditions or concerns.