When "Unexplained Infertility" Actually Has an Explanation: Zoe's Story episode artwork

EPISODE · Jan 27, 2026 · 48 MIN

When "Unexplained Infertility" Actually Has an Explanation: Zoe's Story

from Fat and Fertile · host Nicola Salmon

Content note: This episode discusses weight loss, weight-based medical discrimination, and fertility challenges. Please take care of yourself as you listen.This week's episode is one that made me both furious and hopeful in equal measure. I sat down with Zoe, who spent years being told to lose weight before she'd be taken seriously about her fertility. After losing nearly four stone and still getting nowhere with UK fertility services, she went to Greece for testing and discovered extensive uterine scarring that would've prevented pregnancy entirely, regardless of her weight.If you've ever been dismissed by doctors who only see your body size, or if you're stuck in "unexplained infertility" territory, this episode is for you. Zoe's story shows why proper investigation matters and what becomes possible when you get the care you actually deserve.In this episode, we cover:- Why "unexplained infertility" often means "we haven't investigated properly" and what testing might be missing- How Zoe discovered extensive uterine scarring that was completely treatable but would never have been found in the UK system- The reality of accessing fertility care abroad and why Greece became the answer when UK services kept saying "lose weight first"- What a hysteroscopy revealed in 10 minutes that years of UK appointments had missed- Why weight loss couldn't have solved the actual problem and what that means for anyone being told their size is the issueUseful Links:Download: Fat Person's Guide to Getting PregnantBook a Fat Positive Fertility Roadmap CallFollow me on InstagramEmail me a question for a future episodeEmma Haslam's work helping UK folks access fertility care abroad Get full access to Fat and Fertile at fatpositivefertility.substack.com/subscribe

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When "Unexplained Infertility" Actually Has an Explanation: Zoe's Story

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