Get Pregnant Naturally

Low AMH, high FSH, two miscarriages, told donor eggs were her only option. At 43, she conceived naturally. Here's what her clinic missed before the donor egg recommendation. This episode is for the woman sitting with a donor egg recommendation. Low AMH or high FSH on the chart. Failed IVF or recurrent miscarriage in the history. A clinic that said the numbers leave you no other options. Sarah Clark walks through the case of a 43-year-old client whose REI told her IVF or donor eggs were her only realistic path. Her FSH was 13.6. Her AMH was low. She had two pregnancy losses behind her. The diagnosis of diminished ovarian reserve was not wrong. The numbers were what they were. What had not happened was a structured investigation of why those numbers looked the way they did and whether the rest of the picture had been missed. Eighteen months later, she was pregnant naturally with her own eggs. What the clinic had not investigated was a long list. Her TSH was 3. Accepted as normal, but well above the range her own REI would have flagged before IVF prep. A full thyroid panel was never run. Her stool DNA test showed H. pylori, an infection that impairs nutrient absorption and drives inflammation. She had been gluten-free everywhere else for years, but she had been taking a weekly communion wafer every Sunday without realizing it counted. The cabergoline she was on was lowering her cholesterol and impairing her ability to make sex hormones. Her male partner had not been worked up. His semen analysis showed low volume and low concentration. His blood sugar was elevated. His kidney markers showed stress. The vaginal microbiome had not been tested. The seminal microbiome had not been tested. Her night sweats and disrupted sleep had been mentioned and dismissed. Her case is not a guarantee that anyone else will get the same outcome. Every case is different. The patterns we found in hers may not be the patterns in yours. But the principle holds: a diagnosis of diminished ovarian reserve, low AMH, or high FSH is a starting point for further investigation, not a complete picture of what is possible. What this episode covers: Why low AMH and high FSH are not the complete picture when donor eggs are recommended Why a TSH of 3 is not normal for fertility even when a clinic accepts it How H. pylori, hidden gluten, and gut infections affect egg quality and miscarriage risk What a full male partner workup looks like when there has been pregnancy loss or implantation failure What a structured second opinion covers when you have been told IVF or donor eggs are your only path This episode is for you if: You have low AMH, high FSH, or a diminished ovarian reserve diagnosis You have had a failed IVF cycle, recurrent miscarriage, or implantation failure You have been told donor eggs are your next step and you are not ready to agree before you understand what was actually evaluated You are in your late 30s or 40s and want to understand whether natural pregnancy with your own eggs is still possible Timestamps: [00:00] Low AMH, High FSH, Donor Eggs Recommended at 43 [01:30] Functional Fertility Testing vs Standard REI Workup [03:00] Thyroid and Fertility: Why TSH 3 Is Not Normal [04:30] Cabergoline, Cholesterol, and Sex Hormone Production [06:00] H. pylori, Hidden Gluten, and Gut Infections in Low AMH Cases [08:00] Vaginal Microbiome and Implantation in Recurrent Miscarriage [09:30] Male Partner Workup: Seminal Microbiome and Sperm Health [11:00] Night Sweats, Sleep Disruption, and the Nervous System [12:30] Constipation, Liver Function, and Hormone Clearance [14:00] Pregnant Naturally at 43: The 18-Month Timeline Take action: If you have been told donor eggs are your only option and you want a structured review of your timeline, your labs, and your IVF history before the next decision, the Functional Fertility Second Opinion is where that review happens. 👉 Apply for a Functional Fertility Second Opinion: https://fabfertile.com/pages/book Not sure what has been fully evaluated in your workup? Download the free Embryo Audit Checklist to map your past cycles and labs and see what may have been missed. 👉 Download the Embryo Audit Checklist: https://fabfertile.com/pages/embryo-audit-checklist Or message the team directly: [email protected], subject line FERTILE to apply for a second opinion or CHECKLIST for the audit. About the Host Sarah Clark is the founder of Fab Fertile and host of Get Pregnant Naturally: A Functional Fertility Second Opinion, a podcast with over one million downloads. For over a decade, Sarah and her functional fertility team have worked with couples navigating low AMH, high FSH, diminished ovarian reserve, failed IVF, embryo arrest, implantation failure, and recurrent pregnancy loss, reviewing functional labs and patterns that standard care often misses. This episode is a re-aired case study originally shared in 2025. Client details have been anonymized.

Most women with low AMH and high FSH get one of two answers about their iron: "it's fine," or "it's low, here's a supplement." Both leave the real problem untouched. Failed transfers, failed IVF cycles, miscarriage, irregular cycles, exhaustion that won't lift, and nobody asking why the iron is low in the first place. This episode shows you what the full iron panel actually reveals. In this episode, Sarah Clark sits down with Fab Fertile clinical advisor Katy Bradbury (registered nurse and nutritional therapist) to break down the iron panel every woman trying to conceive should be looking at. Not just the one number your doctor checked, but the full picture. They get into why the standard iron prescription is one of the worst forms you can take, why high dose iron can actually make things worse, and why symptoms you've been told are unrelated (brittle nails, cold hands, hair loss, ice cravings, exhaustion) could all be pointing at the same thing. What you'll learn: The full iron panel every woman trying to conceive should request, and what the numbers actually mean Why being told "your iron is fine" off one number is missing the picture The link between low iron and failed transfers, miscarriage, irregular periods, and pregnancy complications Why low iron is so common with low AMH, high FSH, DOR, and POI The thyroid and iron connection most doctors miss, especially with Hashimoto's and hypothyroidism Hidden reasons your iron is low even when you're eating well: gut infections, H. pylori, SIBO, low stomach acid, celiac, heavy periods Why the standard iron prescription often makes you constipated, nauseous, and no better off What to take instead, and why every other day often works better than every day Iron rich foods that actually move the needle, plus the foods and drinks blocking your absorption without you knowing The thyroid medication timing rule nobody tells you about This conversation is for women navigating low AMH, high FSH, DOR, or POI who have been told their iron is fine without anyone running the full panel. It's also for women who have been on iron supplements for years without anyone asking why the iron got low to begin with, and for anyone who has had a failed transfer, a miscarriage, or a failed IVF cycle and is trying to figure out what was missed. Not sure what's been fully evaluated? Download the free Embryo Audit Checklist to map your past cycles and labs so you can see what's been looked at and what may have been missed. 👉 Download the Embryo Audit Checklist here. Ready to go deeper? If you want an expert review of your labs, IVF history, and full health picture before your next cycle, this is where we start. 👉 Apply for a Functional Fertility Second Opinion here. About the host: I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over 1 million downloads. My team works with couples navigating low AMH and failed IVF, reviewing functional lab results including gut microbiome, food sensitivity, vaginal microbiome, nutrigenomics, HTMA, DUTCH, toxin testing, and bloodwork, alongside nervous system work, to help identify patterns that may not have been considered. We work alongside your medical team, not instead of them. Subscribe to Get Pregnant Naturally for weekly episodes on fertility optimization, IVF preparation, and the lab work your doctor probably isn't running. Originally aired October 22, 2022. Rebroadcast for our growing community navigating low AMH, high FSH, and DOR. Keywords: iron and fertility, low iron and miscarriage, iron and failed IVF, iron and failed transfer, anemia trying to conceive, low AMH iron, high FSH iron, DOR iron deficiency, POI iron, iron and pregnancy loss, iron and Hashimoto's, iron and hypothyroidism, why is my iron low, ferritin trying to conceive, Sarah Clark, Fab Fertile, Get Pregnant Naturally Timestamps: 00:00 Why this episode matters if you have low AMH, high FSH, DOR, POI, or have had a failed transfer or miscarriage 02:00 Why iron matters for getting and staying pregnant: ovulation, miscarriage, and pregnancy complications 03:00 Why the standard "you're anemic, take this supplement" approach misses the bigger picture 06:00 Hereditary anemia and why some women look fine on paper but aren't 07:00 Symptoms of low iron most women don't connect: fatigue, hair loss, cold hands, brittle nails, ice cravings 11:00 The full iron panel every woman trying to conceive should request 15:00 The thyroid and iron connection: why Hashimoto's and hypothyroidism almost always need iron checked 17:00 Heavy periods, blood loss, and ruling out internal bleeding before anything else 19:00 Why your gut decides whether iron actually gets absorbed: H. pylori, SIBO, low stomach acid, celiac, Crohn's 23:00 When pregnancy, breastfeeding, endurance training, and even turmeric can drain your iron stores 26:00 The thyroid medication timing rule, plus the foods and drinks blocking your absorption 28:00 Iron rich foods that actually work: grass fed red meat, organ meats, salmon, dark leafy greens, blackstrap molasses 33:00 What to take instead of the standard iron prescription, and why every other day often works better 35:00 The vitamin C piece, and why store bought orange juice doesn't count 36:00 Final thoughts: get the full iron panel as part of your fertility workup

Sarah Clark was told donor eggs were her only option. No second opinion. No workup. Just an IVF brochure pulled off the shelf. This is the story of what was actually going on, and what nobody looked for. At 28, Sarah was diagnosed with premature ovarian failure (now called premature ovarian insufficiency). Her OB/GYN handed her an IVF brochure during the appointment. She went to the REI, got on the donor egg list, and had both her kids through IVF with donor eggs. It took another decade before she discovered the underlying imbalances her REI never screened for: food sensitivities to dairy, gluten, and corn, plus a gut infection with H. pylori, streptococcus, fungal overgrowth and nervous system dysregulation (stressed out but didn;t even know it). In this rebroadcast episode, Monica Cox interviews Sarah about the clues her body was giving her for years before the POI diagnosis, and what she wishes someone had told her in her twenties. What you'll learn: The seemingly unrelated symptoms that were early signals (irregular periods twice a year, cystic acne, fungal rashes, chronic yeast infections, dark circles since age 12) Why a POI diagnosis at 28 doesn't automatically mean donor eggs, and why a second opinion matters The post-pregnancy health collapse that exposed the underlying gut and immune dysfunction Food sensitivities beyond digestion: mood, joint pain, skin, brain fog, autoimmune flares Why partners have to be in the protocol from day one, because infections pass back and forth The four foundational tests: food sensitivity, DUTCH hormone, GI-MAP stool, HTMA hair Why IVF should be the last choice, not the first, given the $60K average spend and three-cycle average Where to actually start: just diagnosed vs. one failed cycle vs. multiple failures behind you Timestamps: 00:00 Why this episode is for you if you have low AMH, high FSH, DOR, or POI 02:00 Diagnosed at 28 with premature ovarian failure, handed an IVF brochure, no second opinion 03:00 The clues in her twenties: irregular periods, acne, fungal rash, yeast infections 07:00 Post-kids health crash: chronic sinus infections, bladder infections, vertigo, antibiotic damage 08:00 Discovering food sensitivities (dairy, gluten, corn) and gut infections (H. pylori, strep, fungal overgrowth) 13:00 Connecting the dots: why every "unrelated" symptom was related 15:00 Why partners must be in the protocol, because infections pass between couples 21:00 Multiple failed IUIs and IVFs: burnout, cortisol, and the case for a pause 24:00 The four foundational tests: food sensitivity, DUTCH, GI-MAP, HTMA 35:00 Where to start: just diagnosed vs. one failed cycle vs. multiple failures This conversation is for women who've been told donor eggs are their only option, who are staring down a POI, low AMH, high FSH, or diminished ovarian reserve diagnosis, and who suspect their REI hasn't looked at the full picture. Not sure what's been fully evaluated? Download the free Embryo Audit Checklist to map your past cycles and labs so you can see what's been looked at and what may have been missed. 👉 Download the Embryo Audit Checklist here. Ready to go deeper? If you want an expert review of your labs, IVF history, and full health picture before your next cycle, this is where we start. 👉 Apply for a Functional Fertility Second Opinion here. About the host: I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over 1 million downloads. My team works with couples navigating low AMH and failed IVF, reviewing functional lab results including gut microbiome, food sensitivity, vaginal microbiome, nutrigenomics, HTMA, DUTCH, toxin testing, and bloodwork, alongside nervous system work, to help identify patterns that may not have been considered. We work alongside your medical team, not instead of them. Subscribe to Get Pregnant Naturally for weekly episodes on fertility optimization, IVF preparation, and the lab work your doctor probably isn't running. Keywords: premature ovarian insufficiency story, POI diagnosis at 28, donor eggs second opinion, low AMH underlying imbalance, high FSH functional medicine, diminished ovarian reserve, H pylori fertility, gut infection infertility, food sensitivity fertility, Sarah Clark story, Fab Fertile, Get Pregnant Naturally

Your TSH is "normal." Your ferritin is "normal." Your glucose is "normal." And IVF still isn't working. Here's why normal lab ranges were never built for fertility and what optimal actually looks like. Most reference ranges are designed to flag disease in the general population, not to optimize egg quality, embryo competence, or implantation. That gap is where a lot of unexplained IVF failure, embryo arrest, and recurrent loss live. In this episode, Sarah Clark walks through the four biomarker categories most often dismissed as "fine" but influence cycle outcomes in women with diminished ovarian reserve, low AMH, high FSH, and failed transfers. What you'll learn: - What "normal" lab ranges actually measure and what they miss - Why fertility-optimized TSH sits closer to 1–2 mIU/L, not 4.0 - Ferritin 80–100 ng/mL and what it means for egg energy and endometrial development - Fasting glucose under 86, insulin stability, and follicular development - Why hsCRP under 1 mg/L matters for implantation and embryo quality - The full thyroid panel most REIs skip: Free T3, Free T4, Reverse T3, TPO, TBG - Male factor inflammation, sperm DNA fragmentation, and recurring infections - The reframe: normal protects against disease, optimal supports conception Timestamps: 00:00 Why "normal" labs don't mean fertility-optimized 00:30 What conventional reference ranges actually measure 01:30 Why DIY fertility optimization stalls without functional lab review 03:00 TSH "normal" vs optimal and the full thyroid panel REIs skip (Free T3, Free T4, Reverse T3, TPO, TBG) 04:30 How thyroid signaling affects egg quality, ovulation, and pregnancy loss 05:00 Ferritin 80–100 ng/mL: the iron range for IVF and egg energy 06:00 Fasting glucose under 86, insulin stability, and follicular development 07:00 hsCRP under 1 mg/L: low-grade inflammation, implantation, and embryo development 07:30 Male factor inflammation, sperm DNA fragmentation, and recurring infections 08:30 Embryo Audit Checklist + Functional Fertility Second Opinion: next steps This conversation is for women navigating diminished ovarian reserve, low AMH, high FSH, embryo arrest, implantation failure, or recurrent pregnancy loss who keep being told their bloodwork looks fine. Not sure what's been fully evaluated? Download the free Embryo Audit Checklist to map your past cycles and labs so you can see what's been looked at and what may have been missed. 👉 Download the Embryo Audit Checklist here. Ready to go deeper? If you want an expert review of your labs, IVF history, and full health picture before your next cycle, this is where we start. 👉 Apply for a Functional Fertility Second Opinion here. About the host: I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over 1 million downloads. My team works with couples navigating low AMH and failed IVF, reviewing functional lab results including gut microbiome, food sensitivity, vaginal microbiome, nutrigenomics, HTMA, DUTCH, toxin testing, and bloodwork, alongside nervous system work, to help identify patterns that may not have been considered. We work alongside your medical team, not instead of them. Subscribe to Get Pregnant Naturally for weekly episodes on fertility optimization, IVF preparation, and the lab work your doctor probably isn't running. Keywords: normal labs IVF failed, fertility-optimized lab ranges, TSH for fertility, ferritin and egg quality, hsCRP fertility, low AMH normal labs, diminished ovarian reserve, IVF failure functional medicine, fertility second opinion, Embryo Audit Checklist, Sarah Clark, Fab Fertile, Get Pregnant Naturally

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

div]:bg-bg-000/50 [&_pre>div]:border-0.5 [&_pre>div]:border-border-400 [&_.ignore-pre-bg>div]:bg-transparent [&_.standard-markdown_:is(p,blockquote,h1,h2,h3,h4,h5,h6)]:pl-2 [&_.standard-markdown_:is(p,blockquote,ul,ol,h1,h2,h3,h4,h5,h6)]:pr-8 [&_.progressive-markdown_:is(p,blockquote,h1,h2,h3,h4,h5,h6)]:pl-2 [&_.progressive-markdown_:is(p,blockquote,ul,ol,h1,h2,h3,h4,h5,h6)]:pr-8"> _*]:min-w-0 gap-3 standard-markdown"> Failed IVF with normal sperm? You're not alone, and the answer may be in what wasn't tested. DNA fragmentation and oxidative stress don't show up on a standard semen analysis. But they can drive fertilization failure, embryo arrest, and poor blastocyst development. If the male side was cleared after the basic parameters were evaluated, it may not have been fully evaluated. In this episode, you'll learn: What a semen analysis actually measures and what it leaves out Why normal parameters don't always translate to embryo development How DNA fragmentation and oxidative stress affect fertilization and blastocyst outcomes The patterns we see in recurrent IVF failure when male factor hasn't been fully assessed Why embryo development is a shared biological process, not an egg quality issue I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over 1 million downloads. My team works with couples navigating low AMH and failed IVF, reviewing functional lab results including gut microbiome, food sensitivity, vaginal microbiome, nutrigenomics, HTMA, DUTCH, toxin testing, and bloodwork, alongside nervous system work, to help identify patterns that may not have been considered. We work alongside your medical team, not instead of them. Not sure what's been fully evaluated? Download the free Embryo Audit Checklist to map your past cycles and labs so you can see what's been looked at and what may have been missed. Access it here Ready to go deeper? If you want an expert review of your labs, IVF history, and full health picture before your next cycle, this is where we start. Learn more and apply for a Functional Fertility Second Opinion here.   Timestamps div]:bg-bg-000/50 [&_pre>div]:border-0.5 [&_pre>div]:border-border-400 [&_.ignore-pre-bg>div]:bg-transparent [&_.standard-markdown_:is(p,blockquote,h1,h2,h3,h4,h5,h6)]:pl-2 [&_.standard-markdown_:is(p,blockquote,ul,ol,h1,h2,h3,h4,h5,h6)]:pr-8 [&_.progressive-markdown_:is(p,blockquote,h1,h2,h3,h4,h5,h6)]:pl-2 [&_.progressive-markdown_:is(p,blockquote,ul,ol,h1,h2,h3,h4,h5,h6)]:pr-8"> _*]:min-w-0 gap-3 standard-markdown"> 00:00 Why a "normal" semen analysis doesn't rule out male factor 01:00 What a standard semen analysis actually measures: count, motility, morphology 01:45 What semen analysis misses: DNA integrity, oxidative stress, mitochondrial function 02:30 Why couples with "normal" sperm still see embryo arrest and failed IVF 03:00 DNA fragmentation: what it is and why it matters for embryo development 04:00 Oxidative stress drivers: lifestyle, toxins, inflammation and metabolic health 05:15 The 70–80 day sperm lifecycle and why timing matters 06:00 Embryo development is shared biology, not just egg quality 07:15 Environmental and occupational factors impacting sperm health 08:30 When to revisit male testing before another IVF cycle          

If your IVF transfer failed despite a good embryo, normal lining, and a smooth protocol, you may have been told it was "just bad luck." But failed implantation with a euploid or high-quality embryo is not random. It often means key biological factors were never fully evaluated before the transfer. You followed the plan. The embryo looked good. The lining was "fine." And it still didn't work. This is where many people get stuck. Not because there are no answers, but because no one stepped back to assess the full picture before repeating another transfer. In this episode, we break down why embryo quality alone does not determine implantation and what is often missed when a transfer fails. In this episode, you'll learn: Why a good embryo does not guarantee implantation The three biological layers that influence whether implantation happens How uterine environment, hormone timing, and systemic health interact What subtle inflammation and thyroid patterns can do to implantation What to review before transferring another embryo I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally. For over a decade, my team and I have reviewed hundreds of low AMH and failed IVF cases using functional testing alongside conventional fertility care. We specialize in helping couples identify the physiological patterns driving poor outcomes so decisions are grounded in interpretation, not guesswork. If you've been moving from cycle to cycle without a clear way to evaluate what's actually been addressed, I created a free resource called the Embryo Audit Checklist. It helps you organize past cycles and labs so you can see what's been looked at and what may not have been considered yet. Access it here. 👉 Start with a Functional Fertility Second Opinion If you want an expert review of your labs, IVF history, and full health picture to identify missed patterns, this is the smartest first step before another cycle. Learn more and apply here. --- Timestamps 00:00 Failed IVF transfer with a good embryo 01:00 Why embryo quality doesn't guarantee implantation 02:00 Implantation is embryo + endometrium signaling 03:00 Uterine environment and implantation success 04:30 Ferritin, oxygen delivery, and implantation failure 06:00 Thyroid function and endometrial receptivity 07:30 Inflammation and immune response in implantation 09:00 Progesterone timing and implantation window 10:30 Nervous system, stress, and hormone regulation 11:30 What to review before your next embryo transfer

Unexplained IVF failure happens when a cycle doesn't work, and no clear cause is identified, but that doesn't mean nothing is wrong. In many cases, it means the biology behind the cycle wasn't fully evaluated. You did everything you were told to do. The protocol looked good. The embryos developed. The lining was fine. And it still didn't work. Then you hear the word "unexplained." That's where many people get stuck. Not because there are no answers, but because no one has stepped back to assess the full picture. In this episode, we break down what unexplained IVF failure means and why repeating another cycle without deeper analysis often leads to the same outcome. We walk through the patterns that don't show up on a standard IVF summary but still influence embryo development and implantation. If you've been told to try again but feel like something is being missed, this will help you start asking better questions before your next step. In this episode, you'll learn: Why "unexplained" IVF failure often reflects a gap in interpretation, not a lack of information The three patterns that are commonly overlooked before repeating a cycle What to look at beyond embryo grading and lining thickness How to think about your next step without defaulting to another round Why clarity matters more than changing protocols I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally. For over a decade, my team and I have reviewed hundreds of low AMH and failed IVF cases using functional testing alongside conventional fertility care. We specialize in helping couples identify the physiological patterns driving poor outcomes so decisions are grounded in interpretation, not guesswork. If you've been moving from cycle to cycle without a clear way to evaluate what's actually been addressed, I created a free resource called the Embryo Audit Checklist. It helps you organize past cycles and labs so you can see what's been looked at and what may not have been considered yet. Access it here. 👉 Start with a Functional Fertility Second Opinion If you want an expert review of your labs, IVF history, and full health picture to identify missed patterns, this is the smartest first step before another cycle. Learn more and apply here. Timestamps 00:00 Unexplained IVF failure what it means and why it matters 01:00 Why "unexplained" is not a diagnosis in fertility 02:00 The IVF interpretation gap what clinics may miss 03:00 Inflammation and IVF failure how it impacts egg quality and implantation 04:00 Hidden inflammation markers that affect IVF success 05:00 Metabolic instability blood sugar thyroid and nutrient deficiencies 06:00 Why "normal labs" may not be optimal for fertility 07:00 Nervous system and IVF how stress physiology affects implantation 08:00 What to review before repeating another IVF cycle 09:00 Embryo audit checklist and next steps before your next round    

When an IVF cycle fails, the focus usually shifts to the next protocol. Different medications. Higher doses. Another retrieval. But an IVF cycle produces a huge amount of biological data that is rarely fully analyzed before repeating treatment. Ovarian response, egg maturity, embryo development, and the internal environment around transfer all provide important signals about what may be influencing the outcome. Yet many couples are encouraged to move forward with another cycle before those patterns are carefully reviewed. In this episode, we step back and walk through how to interpret a failed IVF cycle from a systems perspective so the next decision is based on biology, not momentum. In this episode, you'll learn: • Why a failed IVF cycle contains important biological clues that often go unexamined • What a true IVF cycle audit should include before repeating a protocol • The patterns in ovarian response, egg maturity, and embryo development that may reveal underlying imbalances • Why embryo development reflects whole body physiology, not just the laboratory environment • How to decide whether repeating a cycle makes sense or whether a different approach should be considered I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally. For over a decade, my team and I have reviewed hundreds of low AMH and failed IVF cases using functional testing alongside conventional fertility care. We specialize in helping couples identify the physiological patterns driving poor outcomes so decisions are grounded in interpretation, not guesswork. If you've been moving from cycle to cycle without a clear way to evaluate what's actually been addressed, I created a free resource called the Embryo Audit Checklist. It helps you organize past cycles and labs so you can see what's been looked at and what may not have been considered yet. Access it here. 👉 Start with a Functional Fertility Second Opinion If you want an expert review of your labs, IVF history, and full health picture to identify missed patterns, this is the smartest first step before another cycle. Learn more and apply here. Timestamps 00:00 Why failed IVF cycles are rarely fully analyzed 01:00 What an IVF cycle audit should review before trying again 02:05 Ovarian response in IVF and what estrogen levels may reveal 03:15 Inflammation, thyroid, and blood sugar patterns affecting IVF outcomes 04:05 Uneven follicle growth and hormonal signaling during stimulation 05:05 Egg maturity in IVF and the role of cellular energy 06:10 Iron, thyroid, and nutrient patterns that may affect egg development 07:00 Embryo development from Day 3 to Day 5 and why embryos arrest 08:15 Implantation environment including inflammation, progesterone, and the microbiome 09:30 How to review a failed IVF cycle before repeating treatment  

Implantation failure is often blamed on the uterus. The lining. The timing. The transfer protocol. But implantation is not something the uterus decides on its own. Implantation is an immune event that reflects what is happening across the entire body. When inflammation, gut dysfunction, or microbial imbalance is present, the immune system may not shift into the receptive state required for implantation, even when embryos appear strong and transfers are performed correctly. In this episode we step back from the narrow focus on the uterus and explore how gut health, inflammation, and the vaginal microbiome can quietly interfere with implantation. These factors are often missed during standard fertility workups but can influence whether the body can support implantation. In this episode, you'll learn • Why implantation is an immune decision, not simply a mechanical one • How gut health influences immune signaling that affects implantation • The connection between chronic inflammation and repeated implantation failure • How the vaginal microbiome can influence the local immune environment of the uterus • Why focusing only on the uterus may miss the biological pattern affecting implantation I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally. For over a decade, my team and I have reviewed hundreds of low AMH and failed IVF cases using functional testing alongside conventional fertility care. We specialize in helping couples identify the physiological patterns driving poor outcomes so decisions are grounded in interpretation, not guesswork. If you've been moving from cycle to cycle without a clear way to evaluate what's actually been addressed, I created a free resource called the Embryo Audit Checklist. It helps you organize past cycles and labs so you can see what's been looked at and what may not have been considered yet. Access it here. 👉 Start with a Functional Fertility Second Opinion If you want an expert review of your labs, IVF history, and full health picture to identify missed patterns, this is the smartest first step before another cycle. Learn more and apply here. Timestamps *]:pointer-events-auto scroll-mt-[calc(var(--header-height)+min(200px,max(70px,20svh)))]" dir="auto" tabindex="-1" data-turn-id= "request-WEB:ef5ed9ec-1067-4281-a607-f5ce0dded746-89" data-testid= "conversation-turn-12" data-scroll-anchor="true" data-turn= "assistant"> 00:00 Implantation failure and why the focus often stays only on the uterus 01:00 Implantation is an immune decision, not just a mechanical one 02:05 How inflammation can interfere with embryo implantation 03:10 Gut health and immune signaling affecting fertility 04:20 Gut infections and microbiome imbalance in fertility cases 05:25 When embryos look good but implantation still fails 06:20 Why the partner's microbiome and health may also matter 07:05 The role of the vaginal microbiome in implantation 08:05 Why testing the vaginal microbiome alone can miss the bigger picture 09:00 The Embryo Audit Checklist and Functional Fertility Second Opinion        

Most couples do not walk into IVF lightly. By the time you reach a cycle, you have likely changed your diet, added supplements, tried acupuncture, adjusted your lifestyle, and done everything you were told might help. And yet, stimulation begins, and the outcome feels underwhelming. Here's the biological reality: egg and sperm development are influenced during the 90 days before a cycle ever starts. Follicles recruited at stimulation were already developing months earlier. During that window, metabolic signaling, inflammatory load, hormonal communication, and stress physiology quietly set the ceiling for response. When outcomes disappoint, protocols are often adjusted. Doses increase. Supplements stack. Timelines shorten. But stimulation does not create egg quality. It recruits what has already been developing. In this episode, we clarify the difference between preparing for IVF and auditing biological readiness so your next decision is informed, not reactive. In this episode, you'll learn: Why egg and sperm quality are shaped months before retrieval How metabolic instability and inflammation influence follicle recruitment Why adding support without removing interference often changes very little The difference between execution and systems readiness How a functional systems lens protects time, energy, and future cycles I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally. For over a decade, my team and I have reviewed hundreds of low AMH and failed IVF cases using functional testing alongside conventional fertility care. We specialize in helping couples identify the physiological patterns driving poor outcomes so decisions are grounded in interpretation, not guesswork. If you've been moving from cycle to cycle without a clear way to evaluate what's actually been addressed, I created a free resource called the Embryo Audit Checklist. It helps you organize past cycles and labs so you can see what's been looked at and what may not have been considered yet. Access it here. 👉 Start with a Functional Fertility Second Opinion If you want an expert review of your labs, IVF history, and full health picture to identify patterns being missed, this is the smartest first step before another cycle. Learn more and apply here. TImestamps [00:00] Why IVF Really Starts 90 Days Before Stimulation Understanding follicle development timing and why egg and sperm quality are shaped months before retrieval. [01:00] The 3 Biological Patterns That Limit IVF Success An overview of ovarian signaling, inflammation, and metabolic readiness before a cycle begins. [02:00] Why Stimulation Medications Don't Create Egg Quality How IVF drugs recruit existing follicles rather than improve underlying egg quality. [03:00] Inflammation and hs-CRP: What Gets Missed Before IVF How elevated inflammatory markers can quietly influence follicle recruitment and embryo development. [04:00] When Pre-IVF Prep Becomes Busy Work Why stacking supplements without investigating root physiological drivers rarely changes outcomes. [04:45] Blood Sugar, Gut Health, and Immune Signaling Before IVF How metabolic instability and immune activation affect egg and sperm quality. [05:30] Stress Physiology and Cortisol Dominance in Fertility The impact of chronic nervous system activation on ovarian signaling and implantation. [06:00] Preparing for IVF vs Auditing Biological Readiness The difference between assuming the plan is correct and evaluating whether the body is ready. [06:30] Is Now the Right Time to Push the System? Why timing matters before deploying another IVF cycle. [07:00] The Embryo Audit Checklist and Functional Fertility Second Opinion How to review your labs, IVF history, and systems patterns before making another high-stakes decision.

Poor embryo development is not random. And "it just didn't work" is not an explanation. If your embryos stopped growing on Day 3 or Day 5, you've likely been told some version of the same thing. Bad luck. Egg quality. Try again. But Day 3 vs Day 5 embryo arrest are not interchangeable events. The timing carries biological clues. And when those clues are ignored, couples often repeat cycles without addressing what actually shaped the outcome. In this episode, we break down what early arrest, later arrest, and repeating arrest patterns may be signaling and how to think more clearly before your next attempt. In this episode, you'll learn: Why Day 3 embryo arrest often reflects maternal energy and developmental support patterns Why Day 5 embryo arrest often leans toward paternal or combined biological coordination How sperm contribution becomes more influential as embryo activation progresses Why repeating embryo arrest is usually a shared systems pattern, not a single isolated issue How to use embryo timing as data instead of accepting vague explanations I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally. For over a decade, my team and I have reviewed hundreds of low AMH and failed IVF cases using functional testing alongside conventional fertility care. We specialize in helping couples identify the physiological patterns driving poor outcomes so decisions are grounded in interpretation, not guesswork. If you've been moving from cycle to cycle without a clear way to evaluate what's actually been addressed, I created a free resource called the Embryo Audit Checklist. It helps you organize past cycles and labs so you can see what's been looked at and what may not have been considered yet. Access it here. 👉 Start with a Functional Fertility Second Opinion If you want an expert review of your labs, IVF history, and full health picture to identify patterns being missed, this is the smartest first step before another cycle. Learn more and apply here. Timestamps 00:00 Why Embryo Arrest Is Not Random 01:05 Early Embryo Arrest: What Day 3 Often Signals About Egg Development 02:00 Signs of Low Egg Energy: Sleep, Stress, Blood Sugar and Cycle Changes 03:05 Later Embryo Arrest: Why Day 5 Often Leans Paternal or Combined 03:45 Sperm Quality Factors: Motility, Morphology, DNA Fragmentation 04:30 Environmental Stress, Illness and Inflammation Impact on Embryo Development 05:00 The Embryo Audit Checklist: Organizing Your IVF Pattern Data 05:20 Repeating Embryo Arrest Across Cycles: Shared Systems Pattern 06:00 Why Changing Protocols Alone Often Fails 06:30 Functional Fertility Second Opinion: Interpreting Your Full Biological Picture

After a failed IVF cycle, the pressure to move quickly into the next one can feel overwhelming. Clinics often encourage momentum. Emotionally, it can feel safer to stay in motion than to pause. But rushing into another IVF cycle too quickly can quietly reinforce the same biological conditions that shaped the last outcome. If you've been told to increase stimulation, change protocols, or "just try again," this episode challenges that reflex. Because before another round begins, the more important question is: What actually needs to shift in the biology? In this episode of Get Pregnant Naturally, we explore why recovery windows matter after a failed IVF cycle and how back-to-back stimulation can compound physiological stress, especially in cases of low AMH, embryo arrest, or recurrent implantation failure. In this episode, you'll learn: Why stacking IVF cycles too closely can affect cellular energy and egg development How hormonal rhythm and communication break down when recovery time is skipped The hidden impact of inflammation and immune load between cycles Why more medication does not always mean better coordination inside the system How to recognize when repetition is happening without recalibration IVF is physically and emotionally demanding. Medications, procedures, disrupted sleep, and stress all increase the body's workload. Biology improves during recovery windows, not during nonstop stimulation. Strategic pauses are not delays. They are opportunities for recalibration. I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally. For over a decade, my team and I have reviewed hundreds of low AMH and failed IVF cases using functional testing alongside conventional fertility care. We specialize in helping couples identify the physiological patterns driving poor outcomes so decisions are grounded in interpretation, not guesswork. If you've been moving from cycle to cycle without a clear way to evaluate what's actually been addressed, I created a free resource called the Embryo Audit Checklist. It helps you organize past cycles and labs so you can see what's been looked at and what may not have been considered yet. Access it here. 👉 Start with a Functional Fertility Second Opinion If you want an expert review of your labs, IVF history, and full health picture to identify patterns being missed, this is the smartest first step before another cycle. Learn more and apply here. --- Timestamps 00:00 Why Rushing Into the Next IVF Cycle Can Backfire 01:10 What Happens When You Stack IVF Cycles Too Close Together 02:05 IVF Recovery Windows and Cellular Energy Depletion 03:15 How Back-to-Back Cycles Impact Egg Maturity and Embryo Development 04:05 Hormone Communication Breakdown During Repeated Stimulation 05:10 Why More Medication Doesn't Always Improve IVF Outcomes 06:00 Embryo Audit Checklist: What to Review Before Another Transfer 06:45 Detox Load, Liver Stress, and IVF Medications 07:20 Inflammation and Failed IVF Cycles: The Overlooked Pattern 08:40 Functional Fertility Second Opinion Before Your Next IVF Round  

If you've been told your embryos look good, your lining is appropriate, and your hormones are in range, yet implantation keeps failing, it can leave you with a nagging feeling that something is missing, but you can't quite put your finger on it. Most couples don't repeat IVF or transfers casually. They follow the plan that's laid out, adjust protocols, and keep moving forward because that's what makes sense. When outcomes don't change, the explanation often shifts to chance, timing, or trying again. In this episode, we talk about why those explanations often feel unsatisfying, and why implantation failure can persist even when everything looks reasonable on paper. Not because you haven't done enough, but because the full picture may never have been looked at all at once. This conversation is about stepping back and asking better questions before moving forward again. In this episode, we explore: Why "good embryos" and "normal labs" don't always translate into implantation How focusing on individual results can miss what's happening across the whole system Why changing protocols doesn't always address repeat outcomes The kinds of patterns that tend to go unexplored when everything looks fine How to think more clearly about whether another cycle is actually the next step Rather than offering another checklist or protocol, this episode helps you zoom out and understand why implantation is rarely a single-factor issue. I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally. For over a decade, my team and I have reviewed hundreds of low AMH and failed IVF cases using functional testing alongside conventional fertility care. We specialize in helping couples identify the physiological patterns driving poor outcomes so decisions are grounded in interpretation, not guesswork. If you've been moving from cycle to cycle without a clear way to evaluate what's actually been addressed, I created a free resource called the Embryo Audit Checklist. It helps you organize past cycles and labs so you can see what's been looked at and what may not have been considered yet. Access it here. 👉 Start with a Functional Fertility Second Opinion If you want an expert review of your labs, IVF history, and full health picture to identify patterns being missed, this is the smartest first step before another cycle. Learn more and apply here. --- Timestamps 00:00 – When "everything looks normal" but implantation keeps failing 01:05 – Why repeating a protocol often doesn't change the outcome 01:45 – Implantation failure as a big-picture issue, not a single lab problem 02:15 – Pattern 1: Inflammation and immune balance 03:05 – Signs of quiet inflammation that are often dismissed 04:20 – Why standard fertility testing often misses immune activation 05:00 – Pattern 2: Gut and microbiome health and implantation stability 06:10 – How antibiotics, infections, and digestion history can matter later 07:45 – Pattern 3: Stress load, energy, and high-functioning bodies 09:55 – When to pause and question the plan before moving forward again

Most smart women don't stay stuck in fertility treatment because they aren't trying hard enough. They stay stuck because the same pattern keeps repeating, even when the outcomes don't change. If you've done multiple cycles, followed every recommendation, tried different protocols, and still ended up with the same results, this episode is for you. This isn't about which supplement to take or what protocol to ask for next. It's about how fertility decisions are being made, and why that matters more than effort. In this episode, I break down the common patterns I see that keep people looping through treatment without getting real clarity. In this episode, you'll hear about: Why clinics often move straight to "try again" instead of stopping to look at what's actually happening How following the plan can feel safe, even when the plan isn't working Why being busy in treatment isn't the same as making progress How fear of rocking the boat keeps people doing the familiar, even when it's disappointing The quiet cost of time, money, and energy when nothing truly changes I also share why I created the Embryo Audit Checklist. Not to give you more things to do, but to help you step back and look at your own data clearly so you can see patterns instead of reacting to the next suggestion. Email [email protected] subject line CHECKLIST for your copy. I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally. For over a decade, my team and I have reviewed hundreds of low AMH and failed IVF cases using functional testing alongside conventional fertility care. We specialize in helping couples identify the physiological patterns driving poor outcomes so decisions are grounded in interpretation, not guesswork. This episode is for you if: You've done "everything right" but the outcomes keep repeating You feel like you're always doing something but not moving forward You want to understand what's missing before committing to another cycle 👉 Start with a Functional Fertility Second Opinion If you want an expert review of your labs, IVF history, and full health picture to identify patterns being missed, this is the smartest first step before another cycle. Learn more and apply here. --- Timestamps 00:00 – Why doing "more" isn't changing fertility outcomes Effort isn't the issue when results keep repeating. Decision patterns are. 01:00 – Why fertility treatment rewards compliance, not interpretation How clinics are built for protocols, not understanding why things fail. 02:05 – Outsourcing thinking to authority and why it feels safe Why following the plan feels reassuring even when it keeps producing the same outcome. 03:00 – Medical confidence vs actual completeness When "bad luck" and "poor egg quality" stop deeper investigation. 03:45 – Mistaking motion for progress in fertility treatment New clinics, new supplements, new protocols — same biology. 04:45 – Why activity brings emotional relief but not biological change Doing something feels better than slowing down to assess what's actually working. 05:30 – Fear of deviating from conventional fertility logic Why familiar disappointment often feels safer than uncertainty. 06:15 – The invisible cost of delay in fertility decisions Time, money, and emotional energy add up even when nothing changes. 06:45 – Why the Embryo Audit Checklist exists How stepping back to organize your data reveals patterns you've been missing. 07:40 – Changing the frame, not just the protocol Why progress requires changing how decisions are made, not just what you try next.  

If you've been told your failed IVF cycle was "just bad luck" or blamed on "egg quality," that explanation is incomplete. Bad luck is not a diagnosis. It simply means the underlying biological patterns have not yet been identified. IVF is a technical process that happens in a lab, but embryos still develop inside a living biological environment. If inflammation, energy production, immune signaling, or sperm DNA integrity are compromised, no protocol change alone can override that physiology. Repeating cycles without deeper interpretation often leads to the same outcomes, higher costs, and more emotional exhaustion. In this episode, I walk through the three biological patterns I consistently see behind embryo arrest, poor blast development, failed transfers, and unexplained IVF failure. More importantly, you'll learn how to use your past cycles as meaningful data so you can stop guessing and start making more strategic decisions before another round. In this episode, you'll learn: Why a technically "perfect" IVF cycle can still fail despite good labs and protocols How low cellular energy production impacts embryo development and early growth Why sperm DNA fragmentation often matters long before clinics flag it as abnormal How oxidative stress, inflammation, hormonal signaling, and metabolic strain influence embryo quality How to interpret repeated IVF outcomes instead of labeling them as unexplained or bad luck I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally. For over a decade, my team and I have reviewed hundreds of low AMH and failed IVF cases using functional testing alongside conventional fertility care. We specialize in helping couples identify the physiological patterns driving poor outcomes so decisions are grounded in interpretation, not guesswork. This episode is for you if: You've experienced embryo arrest, failed transfers, or repeated IVF cycles without clear answers You've been told everything looks "normal" but results keep falling short You want a smarter way to evaluate what your body is signaling before investing in another cycle 👉 Start with a Functional Fertility Second Opinion If you want an expert review of your labs, IVF history, and full health picture to identify patterns being missed, this is the smartest first step before another cycle. Learn more and apply here. --- Timestamps 00:00 – Why "Bad Luck" Is Not a Diagnosis After IVF Failure Failed IVF cycles are often dismissed as bad luck or egg quality, but that explanation misses the biological patterns driving outcomes. 01:05 – How Low Energy Production Impacts Embryo Development and Arrest Inflammation, thyroid signaling, nutrient depletion, and blood sugar instability can limit cellular energy and stall embryo growth. 02:05 – Why Inflammation and Thyroid Patterns Matter in IVF Outcomes Functional interpretation of inflammatory markers and thyroid signaling reveals hidden stress on embryo development. 02:45 – Sperm DNA Fragmentation and Repeated IVF Failure Why standard clinic thresholds often miss DNA damage that affects embryo quality and implantation. 03:20 – Oxidative Stress and DNA Damage in Male Fertility How inflammation, poor sleep, alcohol, metabolic strain, and toxins increase oxidative damage to sperm DNA. 03:55 – Low Mitochondrial Energy and Hormonal Imbalance in Sperm Health How cellular energy production and hormonal signaling impact sperm DNA integrity even when semen numbers look normal. 04:35 – Chronic Inflammation, Gut Imbalance, and Partner Microbiome Crossover How immune activation and shared microbiome patterns can perpetuate fertility disruption. 05:05 – Environmental Toxins and Occupational Exposure Affecting Sperm Quality The role of radiation, chemicals, air quality, pesticides, and heat exposure in sperm DNA damage. 06:00 – Immune and Stress Signaling and Implantation Challenges Why a body under chronic stress prioritizes survival over reproduction. 07:10 – Using IVF Cycles as Data and When to Seek a Functional Second Opinion How to interpret repeated IVF outcomes instead of escalating protocols blindly.      

If you've been told your AMH is low and IVF is your only option, or you already went through IVF and it didn't work, this episode will change how you interpret that number and what decision actually deserves your attention next. Here's what most patients are never told: AMH reflects egg quantity, not egg capability. It helps clinics predict medication response, but it does not explain why eggs develop poorly, why embryos arrest, or why outcomes fail to improve despite protocol changes. When IVF fails, the cycle itself becomes valuable data if you know how to interpret it across systems instead of treating it as bad luck or age alone. In this episode, I walk through a real case where the outcome changed not because the AMH changed, but because the physiological environment influencing egg development was finally evaluated. This is not about avoiding IVF or chasing numbers. It is about understanding what the data is actually telling you so you can make a better next decision. In this episode, you'll learn: Why AMH predicts stimulation response, not egg health or developmental capacity How inflammatory load quietly interferes with ovarian signaling and embryo development Why nutrient absorption and utilization patterns matter more than supplement volume How brain–hormone signaling influences ovulation timing, progesterone, and cycle predictability Why nervous system state shapes immune balance, implantation readiness, and resilience under treatment stress I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally. For over a decade, my team and I have reviewed hundreds of low AMH and failed IVF cases using functional testing alongside conventional fertility care. We specialize in helping couples identify the physiological patterns driving poor outcomes so decisions are grounded in interpretation, not guesswork. This episode is for you if: You were told your AMH is low, and no one explained what that actually means IVF failed, response was poor, or embryos stopped developing without clear answers You want better interpretation before repeating another protocol or escalating treatment 👉 Start with a Functional Fertility Second Opinion If you want an expert review of your labs, IVF history, and full health picture to identify patterns being missed, this is the smartest first step before another cycle. Learn more and apply here. --- Timestamps 00:00 – Low AMH and IVF: What the Number Actually Tells Us (and What It Doesn't) Reframing AMH as a planning metric, not a diagnosis or predictor of natural pregnancy. 01:00 – Why AMH Does Not Measure Egg Quality or Uterine Receptivity How AMH predicts medication response only and why poor response requires deeper interpretation. 02:00 – When Failed IVF Becomes Valuable Data Instead of Bad Luck Why canceled cycles, failed transfers, and losses reveal patterns when properly interpreted. 03:00 – The Four System Patterns That Influence Egg Development Inflammatory load, nutrient absorption, brain–hormone signaling, and nervous system state. 04:00 – Why These Patterns Don't Tell You What To Do (They Tell You What to Evaluate) Moving away from DIY protocols toward clinical interpretation and sequencing. 05:00 – Why Escalation Made Sense From the Clinic's Perspective Understanding conventional IVF logic and what was missing in the evaluation process. 05:45 – Restoring Capacity Instead of Forcing Pregnancy Why physiology must be addressed hierarchically instead of through checklists. 06:30 – How We Knew the Physiology Was Shifting Before Pregnancy Upstream fertility signals: cycle predictability, energy, sleep, stress resilience, ovulation clarity. 07:15 – Natural Conception Without Chasing the AMH Number Why AMH change was irrelevant and why AMH should never end the investigation after IVF failure. 08:00 – Pause Before Repeating IVF: Readiness Over Urgency Why better interpretation leads to better decisions before another cycle.  

"Poor egg quality" is not a diagnosis. It's where clinics stop looking. If you've been told you have poor egg quality after failed IVF, low AMH, embryo arrest, or recurrent pregnancy loss, this episode will change how you understand that label and what to do next. Here's the truth most women are never told: poor egg quality is not directly measured. It's a conclusion clinics infer based on age, embryo grading, or how your ovaries responded to stimulation. When IVF fails, that label often becomes the end of the conversation instead of the beginning of a deeper investigation. In this episode, I break down the five physiological patterns we see repeatedly in women with low AMH, failed IVF, embryo arrest, and pregnancy loss and why correcting these patterns can lead to pregnancy even when AMH does not change. In this episode, you'll learn: Why "poor egg quality" is a label, not a test result and what clinics are actually inferring How gut and vaginal microbiome stress drive inflammation and impair nutrient absorption critical for egg development Why mineral depletion disrupts mitochondrial energy, hormone signaling, and cellular communication in the ovary How blood sugar instability and circadian disruption interfere with ovulation and progesterone Why nervous system overload and HPA-axis patterns affect immune balance, implantation, and early embryo development I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally. For over a decade, my team and I have reviewed hundreds of failed IVF cases and helped couples improve pregnancy outcomes naturally and alongside IVF. We specialize in low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, and recurrent pregnancy loss using functional testing and personalized fertility strategies. This episode is for you if: You were told you have poor egg quality with no clear explanation why IVF failed, embryos stopped growing, or all embryos tested were abnormal You don't want another medication tweak or repeated protocol, you want answers 👉 Start with a Functional Fertility Second Opinion If you want an expert review of your labs, IVF history, and full health picture to identify patterns being missed, this is the first step before another cycle. Learn more and apply here. --- Timestamps *]:pointer-events-auto scroll-mt-[calc(var(--header-height)+min(200px,max(70px,20svh)))]" dir="auto" tabindex="-1" data-turn-id= "request-WEB:3cfacf52-f02a-46a1-a05a-812e2ca69b36-49" data-testid= "conversation-turn-38" data-scroll-anchor="true" data-turn= "assistant"> 00:00 – Poor egg quality is not a diagnosis Why egg quality is assumed, not measured, and what clinics actually use as proxies like age, embryo grading, and IVF response. 01:10 – What clinics are not evaluating when egg quality is blamed Inflammation, mineral status, immune balance, nervous system regulation, and metabolic health are rarely assessed. 02:15 – Stress physiology, low AMH, and hormone signaling How chronic stress, adrenal function, and thyroid signaling influence AMH, FSH, and follicle development. 03:20 – Gut and microbiome health and egg development Why gut inflammation, infections, and poor nutrient absorption can directly affect ovarian environment and outcomes. 04:55 – Food sensitivities, immune activation, and fertility How immune reactions and chronic inflammation can disrupt egg maturation and implantation. 06:10 – Mineral depletion and egg energy production The role of iron, magnesium, zinc, and other minerals in mitochondrial function and hormone synthesis. 07:25 – Blood sugar instability and ovulation health Why glucose swings, night waking, and metabolic stress impact egg development even in normal-weight individuals. 08:20 – Mitochondrial function and the 90-day egg development window Why egg development takes time and how energy production affects egg competence. 09:10 – Nervous system dysregulation and fertility outcomes How anxiety, trauma, perfectionism, and chronic vigilance signal the body that it is not safe for reproduction. 10:40 – Why pregnancy can happen with low AMH How improving the internal environment can lead to pregnancy even when AMH stays low or unchanged.  

If you're over 35 with low AMH and have experienced a failed IVF cycle or been told IVF is your only option, this episode is for you. AMH provides information, but it does not tell the full story about your ability to get pregnant. In this episode, we break down what actually predicts pregnancy success when AMH is low and why focusing only on numbers often leads to frustration and stalled progress. You'll learn: What AMH truly represents and why it reflects ovarian reserve, not egg capability Why IVF often fails for women with low AMH despite "normal" standard lab results The difference between producing many eggs versus developing one high-quality egg How inflammation, digestion, immune activation, and mineral depletion affect egg development Why mitochondrial health is essential for egg quality and embryo development How stress physiology and circadian rhythm disruption impact ovulation, progesterone, and implantation The four underlying patterns we consistently see improve before pregnancy occurs, regardless of AMH Sarah Clark is the founder of Fab Fertile Inc. and the host of Get Pregnant Naturally. For over a decade, her team has helped hundreds of couples improve their chances of pregnancy success naturally and with IVF. Fab Fertile specializes in low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, and recurrent pregnancy loss using functional testing and personalized fertility strategies. This episode is especially for you if: You have low AMH and are over 35 You've had a failed IVF cycle or been advised donor eggs are your only option You want a deeper understanding of what actually drives egg quality and pregnancy success You're looking for a functional fertility approach beyond standard clinic protocols Next Steps in Your Fertility Journey Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey. Not sure where to start? Download our most popular guide:  Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action For personalized support to improve pregnancy success, book a call here. --- Timestamps 00:00 Low AMH After 35: What AMH Really Means for Fertility 01:02 Low AMH vs Egg Quality: Why Numbers Don't Predict Pregnancy 02:08 Why IVF Often Fails With Low AMH and Diminished Ovarian Reserve 03:18 Hidden Reasons IVF Fails: Inflammation, Digestion, and Immune Stress 04:28 Mitochondrial Health and Egg Quality After 35 05:35 Ovulation Stability and Why Weak Ovulation Blocks Pregnancy 06:42 Signs of Inflammation in Women With Low AMH and High FSH 07:52 Stress, Sleep, and Circadian Rhythm Effects on Fertility Hormones 09:00 What Improves Before Pregnancy Happens With Low AMH 10:12 What to Do Next After Failed IVF With Low AMH --- Resources 📩 Get your free 10-day elimination diet plan Email [email protected] with the subject line 10 DAY to receive your guide. Why A Mineral Deficiency Matters When You Are Trying To Conceive:  https://fabfertile.com/blogs/podcasts/why-a-mineral-deficiency-matters-when-you-are-trying-to-conceive-with-terra-vitiello?_pos=2&_sid=c33eefa71&_ss=r Improving Egg Quality and Fertility: The Gut Fertility Connection for Low AMH, High FSH, and Poor Egg Quality:  https://fabfertile.com/blogs/podcasts/improving-egg-quality-and-fertility-the-gut-fertility-connection-for-low-amh-high-fsh-and-poor-egg-quality?_pos=8&_sid=9b852ae0f&_ss=r How Gluten Impacts Implantation, AMH/FSH & Fertility Health:  https://fabfertile.com/blogs/education/the-impact-of-gluten-on-embryo-implantation-pregnancy-loss-nk-cells-endo-and-amh-fsh-levels?_pos=4&_sid=8f32ae154&_ss=r Fab Fertile Method: https://www.fabfertile.com/what-we-do/ Ultimate Guide to Getting Pregnant This Year If You Have Low AMH / High FSH: https://fabfertile.clickfunnels.com/optinvbzjfsii Our favorite fertility tracker (use code FABFERTILE15 to save 15%) https://www.inito.com/en-us/ 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH Please note: We only promote products that Sarah Clark or the Fab Fertile team has personally used and believes are helpful for those trying to conceive. We may receive a small commission.

As 2025 wraps up, it is normal to ask, "What's next for my fertility?" Maybe your cycles felt unpredictable, lab results felt confusing, or you have been living in constant action mode with supplements, protocols, and timelines. In this episode, we slow it down and get intentional. Instead of piling on more, we look at what your body has been signaling and how to enter 2026 with a clear, steady plan using a functional fertility lens. *]:pointer-events-auto scroll-mt-[calc(var(--header-height)+min(200px,max(70px,20svh)))]" dir="auto" tabindex="-1" data-turn-id= "df629748-81ec-4f99-92dd-c234bac71fb7" data-testid= "conversation-turn-79" data-scroll-anchor="true" data-turn= "assistant"> You'll learn: Why pausing at year-end can support ovarian signaling and reduce the stress loop that keeps you stuck How to review 2025 without spiraling, including what helped, what added pressure, and what your symptoms have been communicating Which labs to consider rechecking in 2026 and why they matter for fertility strategy, including TSH, vitamin D, ferritin, hsCRP, AMH, and FSH. The foundation for egg quality support through mitochondria basics, including sleep, protein, minerals, and CoQ10. How to build a realistic nervous system plan that fits a Type A life, so your next step is aligned, not rushed Sarah Clark is the founder of Fab Fertile Inc. and the host of Get Pregnant Naturally. Her team specializes in functional approaches for low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, recurrent miscarriage and helping couples prepare their bodies for pregnancy success naturally or with IVF. This episode is especially for you if: You have low AMH (ng/mL), high FSH, DOR, or POI and want to enter 2026 with a plan that supports your body without adding more overwhelm You have been pushing through and want to make decisions based on insight, not urgency You want a functional fertility approach that connects testing, nutrition, lifestyle, and emotional balance in a practical way Next Steps in Your Fertility Journey Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey. Not sure where to start? Download our most popular guide:  Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action For personalized support to improve pregnancy success, book a call here. --- Timestamps 00:00 – Reflecting on fertility as 2025 ends and why slowing down matters 01:05 – Why constant doing and hypervigilance disrupt ovarian signaling 02:10 – Nervous system dysregulation in low AMH, high FSH, DOR, and POI 03:15 – Why rushing into IVF at year-end can backfire 04:40 – Secondary infertility and when fertility issues appear unexpectedly 05:20 – Reviewing what actually helped your energy, sleep, digestion, and mood 06:15 – Supplements vs personalized testing and why guessing adds stress 07:30 – Gut health, thyroid, inflammation, and missed underlying imbalances 08:45 – Retesting labs and focusing on mitochondria and egg quality 10:05 – Choosing your next fertility step intentionally, not from fear --- Resources  📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility Your Labs Are Normal" But Are They? 20 Overlooked Blood Markers & Functional Tests to Improve Egg Quality & Fertility: https://fabfertile.com/blogs/podcasts/your-labs-are-normal-but-are-they-20-overlooked-blood-markers-functional-tests-to-improve-egg-quality-fertility Trying Everything and Still Not Pregnant? Why Your Nervous System May Be the Missing Link:  https://fabfertile.com/blogs/education/stress-low-amh-high-fsh-dor?_pos=2&_sid=8e3a507b6&_ss=r Fab Fertile Method https://www.fabfertile.com/what-we-do/ Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH - https://fabfertile.clickfunnels.com/optinvbzjfsii   Our favorite fertility tracker (use code FABFERTILE15 to save 15) - https://www.inito.com/en-us/?srsltid=AfmBOoo85sXu_esmFN5Kz6iysaTkBKgYl35Jubv-BaLkkxXVggdk6nes --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.

If you have low AMH, high FSH, diminished ovarian reserve , or premature ovarian insufficiency and keep hearing that your TSH is "normal," you may be missing a key piece of your fertility story. Even small shifts in thyroid function can influence egg quality, ovarian reserve, embryo development, implantation, and early pregnancy. In this episode, we look at how thyroid health connects to your labs, symptoms, and IVF outcomes so you can understand what is being overlooked. You'll learn: Why a normal TSH does not always mean your thyroid is optimal for fertility The thyroid markers most clinics miss and why they matter How thyroid patterns influence egg development, ovarian aging, and implantation The connection between thyroid antibodies, low AMH, and IVF failure Practical steps to support thyroid function and improve your chances of conception Sarah Clark is the founder of Fab Fertile Inc. and the host of Get Pregnant Naturally. Her team specializes in functional approaches for low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, recurrent miscarriage and helping couples prepare their bodies for pregnancy success naturally or with IVF. This episode is especially for you if: You have low AMH, DOR, POI, or high FSH and want clarity on how thyroid health plays a role You have irregular cycles, unexplained infertility, or repeated loss and wonder if your thyroid is involved You have thyroid symptoms, thyroid antibodies, or a diagnosis like Hashimoto's and want to understand how this affects ovarian function Next Steps in Your Fertility Journey Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey. Not sure where to start? Download our most popular guide:  Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action For personalized support to improve pregnancy success, book a call here. --- Timestamps 00:00 Why thyroid health matters for low AMH, DOR, and POI 01:02 Normal TSH vs optimal TSH for fertility 02:14 Full thyroid panel and what your REI may be missing 03:00 How low thyroid slows follicle development 03:45 Oxidative stress, inflammation, and egg quality 04:30 Thyroid dysfunction and accelerated ovarian aging 05:10 Hyperthyroidism, cycle disruption, and implantation 06:02 Thyroid antibodies and IVF outcomes 07:12 What high TPO antibodies mean for your transfer 08:00 Functional steps to support thyroid and egg quality --- 📩 Get your free Thyroid & Fertility Guide! Email [email protected] with the subject line THYROID to receive your guide and learn how to optimize your thyroid for better egg quality and fertility. Why Optimizing Thyroid Matters For Low AMH, High FSH and Antral Follicle Count:  https://fabfertile.com/blogs/podcasts/why-optimizing-thyroid-matters-for-low-amh-high-fsh-and-antral-follicle-count?_pos=5&_sid=eddf1bb4a&_ss=r Can Hypothyroidism Cause Infertility: https://fabfertile.com/blogs/education/can-hypothyroidism-cause-infertility?_pos=6&_sid=eddf1bb4a&_ss=r Fab Fertile Method https://www.fabfertile.com/what-we-do/ Our favorite fertility tracker (use code FABFERTILE15 to save 15) - https://www.inito.com/en-us/?srsltid=AfmBOoo85sXu_esmFN5Kz6iysaTkBKgYl35Jubv-BaLkkxXVggdk6nes --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.

Being told you have Primary Ovarian Insufficiency (POI) or premature menopause can feel like the door has closed on your fertility. But these terms don't mean the same thing and understanding the distinction is essential, especially if you're still hoping to conceive. In this episode, we break down what's actually happening hormonally in each condition, why they're often confused, and how a functional fertility approach can help you understand what may still be possible. You'll learn: The key differences between POI, premature menopause, and early menopause What your labs are really telling you about ovarian function Signs that your ovaries may still be active even if your cycle has stopped Which functional tests give deeper insight into thyroid, immune, gut, and adrenal factors that influence ovarian health How inflammation, autoimmune activity, stress physiology, and nutrient imbalances can drive ovarian shutdown Supportive nutritional, lifestyle, and mind-body strategies that may improve hormone communication and egg health When to combine functional and conventional care to optimize your chances of conception This episode is especially for you if: You've been told you have POI, premature menopause, or early menopause and want clarity about whether your ovaries have truly stopped functioning You're under 45 with irregular or missing cycles, hot flashes, or elevated FSH, and want to understand your next steps from a functional-fertility lens You've felt dismissed or told "it's over," yet you want to explore supportive strategies that may help your hormones and ovaries regain activity, naturally or alongside medical care Sarah Clark is the founder of Fab Fertile Inc. and the host of Get Pregnant Naturally. Her team specializes in functional approaches for low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, recurrent miscarriage and helping couples prepare their bodies for pregnancy success naturally or with IVF. Next Steps in Your Fertility Journey Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey. Not sure where to start? Download our most popular guide:  Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action For personalized support to improve pregnancy success, book a call here. --- Timestamps 00:00 Understanding POI and early menopause and why the distinction changes your fertility options when cycles are irregular or absent. 01:45 What POI before age 40 means and how irregular periods and fluctuating FSH can still indicate remaining ovarian activity. 03:00 Real examples of women with AMH at 0.04 ng/mL and 0.08 ng/mL who conceived by addressing inflammation, gut health, thyroid, and stress patterns. 04:00 How disrupted communication between the brain and ovaries drives POI and the role of autoimmunity, nutrient status, and the nervous system. 05:00 What premature menopause looks like on labs and why confirming ovarian shutdown matters when planning next steps. 06:10 How some women in their forties regain cycles and conceive naturally and what this reveals about hormonal resilience. 08:00 Factors that accelerate ovarian aging, including elevated hsCRP, gut infections, thyroid imbalance, environmental toxins, and nutrient gaps. 09:50 Why the gut and vaginal microbiome influence egg quality and implantation and how hidden infections affect fertility outcomes. 10:50 How functional thyroid ranges guide fertility decisions and why a TSH below 2 mIU/L supports better ovarian signaling and hormone balance. 14:40 Nutrition, mitochondrial support, mineral balance, and mind body work that help improve egg health and ovulation signaling. --- Resources 📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility. 📩 Get your free Protein for Fertility Guide! Email [email protected] with the subject line PROTEIN to receive your guide and learn how to fuel your body for stronger cycles and better fertility outcomes. 📩 Get your free Thyroid for Fertility Guide! Email [email protected] with the subject line THYROID to receive your guide and learn the optimal thyroid lab ranges for conception, plus often missed nutrition, lifestyle, and testing strategies to improve thyroid function so pregnancy is more likely to succeed. Is Ureaplasma Affecting Your Fertility? How It Impacts Low AMH, Poor Egg Quality & IVF Success: https://fabfertile.com/blogs/podcasts/the-hidden-threat-ureaplasma-s-impact-on-ivf-success?_pos=3&_sid=61d224007&_ss=r Why Addressing Homocysteine Levels Can Boost Egg and Sperm Health: https://fabfertile.com/blogs/podcasts/why-addressing-homocysteine-levels-can-boost-egg-and-sperm-health?_pos=1&_sid=09ab3d411&_ss=r The Shocking Truth About POI and Autoimmune Diseases: https://fabfertile.com/blogs/podcasts/the-shocking-truth-about-poi-and-autoimmune-diseases?_pos=1&_sid=15ebee0b5&_ss=r 9 FAQs About Low AMH And High FSH That Can Help You Improve Pregnancy Success: https://fabfertile.com/blogs/education/9-faqs-about-low-amh-and-high-fsh-that-can-help-you-improve-pregnancy-success?_pos=1&_sid=b70e5c62a&_ss=r Our favorite fertility tracker (use code FABFERTILE15 to save 15) - https://www.inito.com/en-us/?srsltid=AfmBOoo85sXu_esmFN5Kz6iysaTkBKgYl35Jubv-BaLkkxXVggdk6nes --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.

If you're over 40 and have been told your ovarian reserve is low, you've likely heard things like your only option is IVF with donor eggs or your time has run out. But those statements rarely tell the full story. In today's episode, Improve Ovarian Reserve to Get Pregnant After 40, we explore what ovarian reserve actually measures, why it does not define your fertility potential, and how a functional fertility approach can support egg quality, hormone communication, and your chances of pregnancy, whether naturally or with IVF. Even after 40, your body can respond when you understand the underlying imbalances that influence ovarian function. You'll learn • What AMH, FSH, and AFC truly indicate and why they don't measure egg quality • How mitochondrial energy, nutrient levels, and antioxidants influence egg development after 40 • The role of thyroid health and why optimal TSH should be below 2.0 when trying to conceive • How gut infections, immune dysregulation, and vaginal microbiome imbalances affect ovarian reserve • Which functional tests help uncover hidden imbalances that impact egg potential, including GI MAP, DUTCH, GrowBaby, and HTMA This episode is especially for you if: • You are 40 or older and have been told your AMH is low or your FSH is high • You have experienced failed IVF cycles, early loss, or poor egg quality and want to know what else you can do • You want a functional fertility framework that looks at hormone communication, egg energy, and whole body imbalances rather than just chasing lab numbers Sarah Clark is the founder of Fab Fertile Inc. and the host of Get Pregnant Naturally. Her team specializes in functional approaches for low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, recurrent miscarriage and helping couples prepare their bodies for pregnancy success naturally or with IVF. Next Steps in Your Fertility Journey Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey. Not sure where to start? Download our most popular guide:  Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action For personalized support to improve pregnancy success, book a call here. --- Timestamps 00:00 What low ovarian reserve really means after 40 Why AMH and FSH do not predict your ability to conceive and why your fertility is not defined by these numbers. 01:00 AMH, FSH and AFC explained for women over 40 How ovarian reserve tests measure quantity, not quality and why functional fertility looks deeper. 02:00 Case study: Diminished ovarian reserve at 41 with autoimmune clues A real example of low AMH and Hashimoto's with gut infections that resulted in a natural pregnancy. 04:00 Mitochondria and egg energy after 40 How mitochondrial function influences egg maturation and which nutrients support better ovarian energy. 05:00 Thyroid health and why TSH must be optimal to conceive The full thyroid picture and why ferritin, antibodies and gluten sensitivity matter for ovarian reserve. 07:00 Mineral balance and heavy metals that affect ovarian reserve How magnesium, copper imbalance and toxic metals influence egg quality and hormone stability. 08:30 Adrenal stress and cortisol patterns that lower ovarian signaling How chronic stress suppresses FSH and LH and what adrenal patterns look like on testing. 10:00 Gut health, estrogen metabolism and inflammation How dysbiosis, leaky gut and yeast overgrowth interfere with follicle growth and hormone balance. 11:00 Vaginal microbiome and hidden infections linked to failed implantation Why Ureaplasma, Mycoplasma and high pH environments reduce embryo success and implantation. 13:00 Case study: Natural pregnancy at 43 with DOR A woman with low AMH and high FSH who addressed gut, adrenal and thyroid imbalances and conceived naturally. --- Resources 📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility. 5 Tips to Get Pregnant Even with Poor Egg Quality:  https://fabfertile.com/blogs/podcasts/5-tips-to-get-pregnant-even-with-poor-egg-quality Why A Mineral Deficiency Matters When You Are Trying To Conceive:  https://fabfertile.com/blogs/podcasts/why-a-mineral-deficiency-matters-when-you-are-trying-to-conceive-with-terra-vitiello?_pos=1&_sid=ae769fc7d&_ss=r DUTCH Test 101: Why It's Important For Fertility: https://fabfertile.com/blogs/podcasts/dutch-test-101-why-its-important-for-fertility?_pos=2&_sid=a6f8a8c87&_ss=r Why Genomic Testing Can Help With Recurrent Pregnancy Loss, Birth Outcomes and Preconception Health: https://fabfertile.com/blogs/podcasts/why-genomic-testing-can-help-with-recurrent-pregnancy-loss-birth-outcomes-and-preconception-health?_pos=8&_sid=f28fd1802&_ss=r Our favorite fertility tracker (use code FABFERTILE15 to save 15) - https://www.inito.com/en-us/?srsltid=AfmBOoo85sXu_esmFN5Kz6iysaTkBKgYl35Jubv-BaLkkxXVggdk6nes --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.  

If you've been told you have poor egg quality, you might feel like your options are limited or that your body isn't capable of what you want most. In this episode, 5 Tips to Get Pregnant Even with Poor Egg Quality, we break down what egg quality really means, what affects it, and how to support your fertility through a functional-fertility lens. You'll learn practical, research-informed strategies that influence the environment where your eggs mature and develop. You'll learn: What poor egg quality actually means and why it's about cellular function, not the number of eggs How oxidative stress, thyroid issues, inflammation, toxin exposure, and blood sugar imbalances affect egg development The top functional strategies to support mitochondrial energy, hormone communication, and ovulation How gut health, minerals, detoxification, and nervous system regulation impact egg and embryo quality Research-backed mind–body approaches shown to improve pregnancy outcomes in IVF and natural conception This episode is especially for you if: You've been told you have poor egg quality, low AMH, or high FSH and want to understand what's actually behind those numbers You've had failed IVF cycles or early losses and want to know what else you can do to influence your outcome You want a whole body, functional fertility approach that supports egg development, mitochondrial health, and hormone communication Sarah Clark is the founder of Fab Fertile Inc. and the host of Get Pregnant Naturally. Her team specializes in functional approaches for low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, recurrent miscarriage and helping couples prepare their bodies for pregnancy success naturally or with IVF. Next Steps in Your Fertility Journey Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey. Not sure where to start? Download our most popular guide:  Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action For personalized support to improve pregnancy success, book a call here. --- Timestamps 00:00 – What Poor Egg Quality Really Means Understanding how oxidative stress, thyroid imbalance, inflammation, mitochondrial issues, and chronic stress affect egg development. 01:42 – Why Functional Fertility Testing Changes Outcomes How deeper testing like GI MAP, DUTCH, and nutrient panels uncovers what IVF and basic labs often miss. 03:20 – Success Story: Improving Egg Quality with Hashimoto's and Low AMH A real case of transforming egg health after being told IVF was the only option. 04:08 – Mitochondrial Support for Better Egg Development Key nutrients like CoQ10, omega 3s, B vitamins, magnesium, and antioxidant rich foods that influence egg energy and embryo potential. 05:04 – Why Fasting, Keto, and Undereating Lower Fertility How shaky blood sugar, cortisol spikes, long fasting windows, and restrictive diets impact ovulation and hormone balance. 07:00 – Blood Sugar, Protein Targets, and Egg Free Breakfast Ideas Optimal A1C ranges, how to stabilize blood sugar, and how protein supports hormone communication and egg maturation. 08:40 – Reducing Inflammation and Daily Toxin Exposure Plastics, fragrances, water filtration, and anti inflammatory eating patterns that support healthy follicles. 09:50 – Functional Lab Testing to Personalize Your Fertility Plan Why combining GI MAP, food sensitivities, mineral testing, and mycotoxin screening gives a clearer picture of egg quality barriers. 13:10 – Thyroid, Adrenals, Liver, and Key Nutrients for Fertility How TSH, ferritin, vitamin D, homocysteine, cortisol patterns, and estrogen detox impact egg and embryo quality. 19:00 – The Mind Body Connection and Research Behind IVF Success What the Domar studies and HRV research show about stress, cortisol, and improving ovarian function. 22:10 – The 90 Day Egg Development Window and IVF Readiness Why creating a low inflammation, nutrient rich environment improves egg quality and IVF response. --- Resources 📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility. 📩 Get your free Protein for Fertility Guide! Email [email protected] with the subject line PROTEIN to receive your guide and learn how to fuel your body for stronger cycles and better fertility outcomes. 📩 Get your free Thyroid for Fertility Guide! Email [email protected] with the subject line THYROID to receive your guide and learn the optimal thyroid lab ranges for conception, plus often missed nutrition, lifestyle, and testing strategies to improve thyroid function so pregnancy is more likely to succeed. 📩 Get your free 7 Day Egg Free Breakfast Guide! Email [email protected] with the subject line BREAKFAST to receive seven days of egg free, fertility focused breakfast ideas designed to support hormone balance, stabilize blood sugar, and nourish women with low AMH or high FSH. Why Addressing Homocysteine Levels Can Boost Egg and Sperm Health:  https://fabfertile.com/blogs/podcasts/why-addressing-homocysteine-levels-can-boost-egg-and-sperm-health?_pos=1&_sid=d928e28d3&_ss=r Is Ureaplasma Affecting Your Fertility? How It Impacts Low AMH, Poor Egg Quality & IVF Success:  https://fabfertile.com/blogs/podcasts/the-hidden-threat-ureaplasma-s-impact-on-ivf-success?_pos=4&_sid=660678fc8&_ss=r Our favorite fertility tracker (use code FABFERTILE15 to save 15) - https://www.inito.com/en-us/?srsltid=AfmBOoo85sXu_esmFN5Kz6iysaTkBKgYl35Jubv-BaLkkxXVggdk6nes --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.

If you've ever been told your FSH is too high or that you're not a good candidate for IVF, today's episode will help you understand what that number actually means and the many ways you can still support your fertility. When most people hear "high FSH," they immediately think poor ovarian reserve or low egg count. That's not the full story. In this episode, we look at what high FSH signals, how to interpret it alongside other markers, and what both conventional and functional fertility options can help you move forward with clarity. You'll learn: • What high FSH actually measures and why context matters when paired with AMH, estradiol, and AFC • How inflammation, stress, thyroid imbalance, sleep, and environmental toxins influence FSH • Conventional treatment options such as mini IVF, natural cycle IVF, Letrozole, and individualized stimulation protocols • How functional fertility improves the internal environment so your ovaries respond better to any treatment • The key labs, nutrients, and lifestyle factors that support egg quality and hormone communication in high FSH cases This episode is especially for you if: • You've been told you have high FSH or diminished ovarian reserve and worry the window is closing • You've had canceled IVF cycles or poor responses and want to understand what else you can do • You want to see how a functional fertility approach can support egg quality so your next steps feel strategic and not desperate Sarah Clark is the founder of Fab Fertile Inc. and the host of Get Pregnant Naturally. Her team specializes in functional approaches for low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, recurrent miscarriage and helping couples prepare their bodies for pregnancy success naturally or with IVF. Next Steps in Your Fertility Journey Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey. Not sure where to start? Download our most popular guide:  Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action For personalized support to improve pregnancy success, book a call here. --- TIMESTAMPS 00:00 – What High FSH Really Means for Fertility What FSH actually measures, why it does not reflect egg quality, and why high FSH is often misunderstood in conventional fertility care. 01:00 – The Emotional Impact of High FSH and Canceled IVF Cycles Understanding why high FSH triggers fear, how it influences IVF decisions, and how a functional lens shifts your strategy. 02:00 – Real Case Story: FSH in the 60s Reduced to 7 A Fab Fertile client lowered FSH dramatically after three failed IVFs and conceived with her own eggs after being told donor eggs were the only option. 03:00 – Drivers of High FSH: Inflammation, Stress, Thyroid, Sleep, and Toxins FSH as feedback, not failure. Exploring how inflammation, poor sleep, blood sugar imbalance, thyroid dysfunction, and environmental toxins impact ovarian response. 04:00 – Conventional Treatment Options for High FSH Mini IVF, natural-cycle IVF, Letrozole, Clomid, individualized protocols, medication dosing considerations, and how clinics determine next steps. 05:00 – Why Medication Alone Isn't Enough: The Functional Fertility Lens How functional testing identifies hidden blocks like gut infections, food sensitivities, chronic inflammation, nutrient deficiencies, and nervous system dysregulation. 06:00 – Hidden Stressors That Disrupt Egg Quality and Hormone Signaling Parasites, H. pylori, bacterial overgrowths, mold exposure, toxin load, fragrances, plastics, and irregular cortisol patterns that impact egg development. 09:00 – Key Fertility Labs for High FSH Optimal vs normal ranges for thyroid markers, vitamin D, ferritin, fasting insulin, A1C, homocysteine, and how methylation affects hormone detox and ovarian health. 12:00 – Functional Testing That Personalizes Your Fertility Plan GI-MAP, food sensitivity testing, DUTCH hormone mapping, genetic testing (MTHFR, COMT, GST), and vaginal microbiome tests for implantation and inflammation insights. 18:00 – When to Pause IVF and Re-Evaluate Your Strategy Why repeating protocols isn't effective when the internal environment isn't optimized. When a 3–6 month reset can improve ovarian response and IVF success. 19:00 – Final Takeaway: High FSH as a Message, Not a Verdict High FSH is information, not a dead end. How combining functional optimization with conventional care improves egg quality, hormone signaling, and overall fertility outcomes. RESOURCES 📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility. 📩 Get your free Protein for Fertility Guide! Email [email protected] with the subject line PROTEIN to receive your guide and learn how to fuel your body for stronger cycles and better fertility outcomes. The Link Between Sleep and Fertility: Why Getting Enough Rest Matters: https://fabfertile.com/blogs/podcasts/how-poor-sleep-could-be-sabotaging-your-egg-quality?_pos=6&_sid=08f940f89&_ss=r What does gut health have to do with hormone balance and infertility:  https://fabfertile.com/blogs/education/gut-health-hormone-balance-fertility?_pos=5&_sid=6f54e787f&_ss= Pregnancy After 40 with Low AMH and High FSH: https://fabfertile.com/blogs/education/pregnancy-after-40-with-low-amh-and-high-fsh?_pos=2&_sid=2db9414bf&_ss=r Is Ureaplasma Affecting Your Fertility? How It Impacts Low AMH, Poor Egg Quality & IVF Success: https://fabfertile.com/blogs/podcasts/the-hidden-threat-ureaplasma-s-impact-on-ivf-success?_pos=1&_sid=9fb48e0cb&_ss=r Pregnant Naturally at 43: Overcoming Low AMH, High FSH, and Two Miscarriages: https://fabfertile.com/blogs/podcasts/pregnant-naturally-43-low-amh-high-fsh?_pos=12&_sid=0b542adca&_ss=r AMH Diet – Start This Today to Support Fertility & Get Pregnant This Year: https://fabfertile.com/blogs/podcasts/amh-diet-start-this-today-to-support-fertility-get-pregnant-this-year?_pos=4&_sid=003fecbea&_ss=r Our favorite fertility tracker (use code FABFERTILE15 to save 15) - https://www.inito.com/en-us/?srsltid=AfmBOoo85sXu_esmFN5Kz6iysaTkBKgYl35Jubv-BaLkkxXVggdk6nes --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.

You've been told your AMH is too low or that your egg quality isn't good enough, especially if you're over 40. But AMH doesn't define your fertility; it's a reflection of ovarian reserve, not your ability to conceive. In this episode, we explore how a functional fertility approach can help you uncover the real reasons AMH is low and how to support your eggs, hormones, and body so you can move forward with confidence whether naturally or with IVF. You'll Learn: What AMH really measures and why many women with low AMH still conceive once key systems are supported. The underlying causes that lower AMH: inflammation, gut health, blood-sugar imbalance, thyroid/adrenal dysfunction, and nutrient depletion. Which functional labs reveal what conventional testing often misses (GI-MAP, DUTCH, micronutrients). How to support egg quality after 40 through personalized nutrition, targeted supplements, toxin reduction, and nervous-system regulation. When IVF fits best and how preparing your body 3–6 months in advance can improve response, embryo quality, and implantation. Inspiring success stories, including Samantha (age 44, AMH 0.02 ng/mL), who conceived naturally after addressing gut infections, insulin resistance, and stress. This episode is especially for you if: You've been told your AMH is low and want to understand what that really means for your fertility. You're in your late 30s or 40s and want evidence-based ways to support egg quality naturally. You're unsure if IVF is the next step and want clarity before investing time, money, and hope. Sarah Clark is the founder of Fab Fertile Inc. and the host of Get Pregnant Naturally. Her team specializes in functional approaches for low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, recurrent miscarriage and helping couples prepare their bodies for pregnancy success naturally or with IVF. Next Steps in Your Fertility Journey Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey. Not sure where to start? Download our most popular guide:  Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action For personalized support to improve pregnancy success, book a call here. --- TIMESTAMPS 00:00 – What Low AMH Really Means for Fertility → Understanding what anti-Müllerian hormone (AMH) actually measures, and why it doesn't define your pregnancy potential. 02:00 – Why Egg Quality Matters More Than Egg Quantity → How mitochondrial health, inflammation, and hormone balance shape egg potential even with low AMH. 03:30 – Inflammation, Stress, and the Type-A Fertility Pattern → The hidden link between hsCRP, stress, and fertility outcomes in high-achieving women over 40. 05:00 – Functional Team Approach: Beyond Hormones and IVF → How the Fab Fertile Method integrates thyroid, gut, and nervous system insights to improve ovarian reserve and egg health. 07:30 – Gut Health and Fertility Connection → What infections like H. pylori mean for nutrient absorption, estrogen balance, and ovarian function. 09:30 – Blood Sugar, Sleep, and Mood Clues to Hormonal Imbalance → Recognizing insulin resistance and blood-sugar swings as hidden drivers of poor egg quality and disrupted cycles. 11:00 – Foundational Fertility Supplements That Actually Matter → How CoQ10, magnesium, vitamin D3/K2, and methylated prenatals support mitochondria and hormone regulation. 12:00 – Samantha's Story: Natural Conception at 44 with AMH 0.02 ng/mL → A real client case showing how addressing gut, thyroid, and adrenal imbalances made conception possible after repeated loss. 15:00 – Functional Tests That Reveal Why AMH Is Low → The key labs: full thyroid panel, hsCRP, ferritin, insulin, GI-MAP, DUTCH, and nutrient testing to find what's missed in conventional care. 18:00 – Creating a Fertile Environment After 40 → Practical steps to support egg quality, anti-inflammatory diet, toxin reduction, nervous system regulation, and realistic IVF timing. --- RESOURCES 📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility. The Link Between Sleep and Fertility: Why Getting Enough Rest Matters: https://fabfertile.com/blogs/podcasts/how-poor-sleep-could-be-sabotaging-your-egg-quality?_pos=6&_sid=08f940f89&_ss=r What does gut health have to do with hormone balance and infertility:  https://fabfertile.com/blogs/education/gut-health-hormone-balance-fertility?_pos=5&_sid=6f54e787f&_ss= Pregnancy After 40 with Low AMH and High FSH: https://fabfertile.com/blogs/education/pregnancy-after-40-with-low-amh-and-high-fsh?_pos=2&_sid=2db9414bf&_ss=r How To Improve Low Estrogen And Get Pregnant Naturally (especially if you've been told IVF or Donor Eggs are the only option): https://fabfertile.com/blogs/education/how-to-improve-low-estrogen-and-get-pregnant-naturally-especially-if-youve-been-told-ivf-or-donor-eggs-are-the-only-option?_pos=2&_sid=9a2c4879e&_ss=r Our favorite fertility tracker (use code FABFERTILE15 to save 15) - https://www.inito.com/en-us/?srsltid=AfmBOoo85sXu_esmFN5Kz6iysaTkBKgYl35Jubv-BaLkkxXVggdk6nes --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.    

Could what's happening in your mouth be impacting your fertility? In this episode of Get Pregnant Naturally, we explore the fascinating connection between your oral microbiome and reproductive health. From silent gum inflammation to the role of mouth breathing, you'll learn how your oral health can influence egg quality, implantation, gut balance, and even sperm DNA integrity. We're breaking down simple, practical steps, like the timing of dental cleanings, gentle oral-care swaps, and ways to reduce inflammation that can make a measurable difference on your fertility journey. If you're trying to conceive and want to uncover overlooked yet powerful strategies, this episode is for you. You'll learn: Why oral inflammation is often silent, but still disrupts fertility How male fertility is also impacted by oral bacteria The link between gum health, egg quality, and implantation Practical (and gentle!) oral-care strategies that support reproductive health The surprising connection between mouth breathing, sleep, and hormone signaling This episode is especially for you if: You've experienced canceled cycles, poor egg quality, or miscarriage without clear answers You're preparing for your next egg retrieval or transfer and want to optimize every detail You have bleeding gums, recurring cavities, or gingivitis and never considered how oral health affects fertility Not sure where to start? Download our most popular resource: The Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH. It breaks everything down step by step to help you understand your options and take action. For personalized support to improve pregnancy success, book a call here. --- TIMESTAMPS 00:00 Can your mouth affect your fertility? How oral health connects to low AMH, high FSH, and diminished ovarian reserve. 02:10 The oral microbiome and reproductive health Why inflammation in the mouth can influence egg quality, implantation, and hormone balance. 05:00 Gum disease, inflammation, and egg quality decline How chronic oral inflammation impacts ovarian health, mitochondrial function, and embryo development. 08:20 Sperm DNA fragmentation and oral dysbiosis Why men's gum health and oral bacteria matter for sperm DNA integrity and IVF outcomes. 11:10 Mouth breathing, stress, and hormone disruption The surprising link between airway health, cortisol, sleep, and reproductive hormones. 14:05 The gut oral axis and fertility How oral and gut microbiomes interact and why healing the mouth helps the gut (and vice versa). 17:15 Functional fertility approach to oral inflammation Reducing inflammation through nutrition, detox support, and targeted supplements to improve fertility. 20:05 Fertility friendly oral care routine The best ways to support your oral microbiome: dental cleanings, oil pulling, hydroxyapatite toothpaste, and non-toxic swaps. 23:00 Optimizing IVF success through whole body health How addressing hidden inflammation and oral health can improve egg and sperm quality before IVF. 26:10 Next steps for low AMH and DOR Why focusing on oral, gut, and immune health together helps improve ovarian response and pregnancy success. 28:00 Final thoughts Key takeaways for improving fertility through oral and systemic health. --- RESOURCES 📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility. Fygg Toothpaste: code FABFERTILE to save 15% - https://fygg.com Boka Toothpaste: https://www.boka.com/ Healthy Sleep, Sleep Apnea And Why It Matters For Fertility:  https://fabfertile.com/blogs/podcasts/healthy-sleep-sleep-apnea-and-why-it-matters-for-fertility?_pos=1&_sid=12eb99c30&_ss=r The Link Between Sleep and Fertility: Why Getting Enough Rest Matters:  https://fabfertile.com/blogs/podcasts/how-poor-sleep-could-be-sabotaging-your-egg-quality?_pos=6&_sid=19d28e939&_ss=r Why Your Dental Routine Matters For Fertility and Pregnancy Success Outcomes:  https://fabfertile.com/blogs/podcasts/why-your-dental-routine-matters-for-fertility-and-pregnancy-success-outcomes?_pos=2&_sid=dfe113e30&_ss=r Our favorite fertility tracker (use code FABFERTILE15 to save 15) - https://www.inito.com/en-us/?srsltid=AfmBOoo85sXu_esmFN5Kz6iysaTkBKgYl35Jubv-BaLkkxXVggdk6nes --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.

If you've been told you have premature ovarian insufficiency (POI), it can feel final as if your ovaries have stopped working and your only hope is donor eggs. But the truth is more complex. Research shows that spontaneous ovulation is still possible. In this episode, we're looking at POI through both a conventional and functional fertility lens, exploring what it really means for your pregnancy potential, and how timing, preparation, and immune balance all matter. You'll learn: The difference between menopause and POI and why ovarian function can "flicker" back on What autoimmune activity, gut health, and toxins have to do with ovarian function The realistic chances of natural pregnancy with POI and how to detect spontaneous ovulation When hormone therapy or IVF with your own eggs might make sense Why donor eggs often lead to high success rates when functional foundations are addressed Sarah Clark is the founder of Fab Fertile Inc. and the host of Get Pregnant Naturally. Her team specializes in functional approaches for low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, recurrent miscarriage and helping couples prepare their bodies for pregnancy success naturally or with IVF. This episode is especially for you if: You've been told POI or "early menopause" means you'll never get pregnant You're considering IVF or donor eggs and want to understand your options You want a clear, functional fertility plan to prepare your body for pregnanc ·     Not sure where to start? Download our most popular resource: The Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH. It breaks everything down step by step to help you understand your options and take action. ·     For personalized support to improve pregnancy success, book a call here. --- TIMESTAMPS  00:00 — The truth about POI and pregnancy POI isn't always the end of the road. Learn how spontaneous ovulation and functional fertility preparation can open new possibilities even after a diagnosis of premature ovarian insufficiency. 01:00 — What POI really means (and how it differs from early menopause) Conventional vs functional views of ovarian function — why "flickering" ovarian activity matters for pregnancy potential. 02:30 Underlying imbalances behind POI How autoimmune issues, gut dysfunction, toxins, and stress affect ovarian function and fertility outcomes. 04:00 Realistic chances of pregnancy with POI Research-backed data showing 5–10% of women with POI conceive naturally, plus factors that improve success rates. 06:00 Spontaneous ovulation and how to catch it Tracking methods like Mira, Inito, and PDG tests that can help you detect rare ovulations and time intercourse or IVF cycles effectively. 08:00 Managing stress and nervous system regulation Why chronic stress and HPA-axis dysfunction shut down ovulation and how the nervous system work restores reproductive signaling. 10:00 Gut, immune, and environmental testing for POI Why stool, food sensitivity, and mycotoxin testing matter for egg quality, implantation, and autoimmune balance. 12:00 Nutrients and mitochondrial support for egg quality How CoQ10, magnesium, selenium, vitamin D, and omega-3s support ovarian function and improve outcomes. 15:00 IVF with your own eggs and donor egg options When IVF may still work for women with POI, and how to prepare your body functionally before considering donor eggs. 18:00 Hope and next steps for POI and fertility Why POI doesn't mean no chance from spontaneous ovulation to IVF and donor eggs, discover how health-first strategies improve success. --- RESOURCES ·        📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility. Get Pregnant Naturally with Low AMH, Diminished Ovarian Reserve or POF: (Sarah's Story) https://fabfertile.com/blogs/podcasts/get-pregnant-naturally-with-low-amh-diminished-ovarian-reserve-or-pof?_pos=15&_sid=86a653303&_ss=r Is Your Thyroid Impacting Egg Health? The Hidden Connection to Low AMH, DOR & Fertility Success: https://fabfertile.com/blogs/podcasts/is-your-thyroid-impacting-egg-health-the-hidden-connection-to-low-amh-dor-fertility-success?_pos=6&_sid=81c11854e&_ss=r Autoimmune Roadblocks to IVF: How ANA Affects Fertility: https://fabfertile.com/blogs/podcasts/autoimmune-roadblocks-to-ivf-how-ana-affects-fertility?_pos=1&_sid=d10e6427f&_ss=r Is Your Thyroid Impacting Egg Health? The Hidden Connection to Low AMH, DOR & Fertility Success: https://fabfertile.com/blogs/podcasts/is-your-thyroid-impacting-egg-health-the-hidden-connection-to-low-amh-dor-fertility-success?_pos=6&_sid=b14f3ecff&_ss=r Our favorite fertility tracker Inito (use code FABFERTILE15 to save 15)  --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.    

What if your Premature Ovarian Insufficiency (POI) wasn't just about your ovaries but about your immune system turning against them? Most women with POI are told it's simply early menopause. The conversation stops at hormone replacement or donor eggs. But new research shows that for many women, POI has autoimmune roots. When that's the case, treatment, prognosis, and even pregnancy potential all look very different. In this episode, we explore how the immune system can drive POI, the red flags most doctors miss, and which labs uncover what's really happening inside your body. You'll also hear how a functional fertility approach can calm immune dysfunction and support natural ovarian activity. You'll learn: The latest evidence connecting autoimmunity and Premature Ovarian Insufficiency Red flags that suggest POI may be immune-driven rather than purely ovarian The key labs to request for thyroid, gut, and immune system assessment Why conventional HRT isn't enough and how bioidentical hormones fit in Functional fertility strategies that support hormone balance and ovarian function Sarah Clark is the founder of Fab Fertile Inc. and the host of Get Pregnant Naturally. Her team specializes in functional approaches for low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, recurrent miscarriage and helping couples prepare their bodies for pregnancy success naturally or with IVF. This episode is for you if: You've been diagnosed with POI, low AMH, or high FSH and want to understand what's driving it You or your family have autoimmune conditions like thyroid disease, celiac, type 1 diabetes, or lupus You've had irregular cycles, miscarriages, or failed IVF transfers, and feel like something deeper is being missed Not sure where to start? Download our most popular resource: The Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH. It breaks everything down step by step to help you understand your options and take action. For personalized support to improve pregnancy success, book a call here. --- TIMESTAMPS 00:00 – What if POI isn't just early menopause? Why many women are misdiagnosed and how autoimmunity can drive premature ovarian insufficiency. 02:00 – Conventional vs. functional fertility approaches to POI How standard care stops at HRT or donor eggs, while functional fertility looks at what's really driving ovarian decline. 04:00 – Understanding POI beyond the ovaries How deeper health issues like immune, thyroid, and gut imbalances can affect ovarian function and fertility potential. 06:00 – The autoimmune patterns seen in women with low AMH and high FSH How family history, Hashimoto's, and other immune clues point to systemic dysfunction. 09:00 – Key labs to explore beyond AMH and FSH Why thyroid, antibodies, and gut testing reveal what routine fertility tests miss. 12:00 – Why you must advocate for deeper testing How to push for immune and inflammatory markers like ANA and hs-CRP when conventional medicine overlooks them. 15:00 – Gut health, inflammation, and leaky gut in POI The link between microbiome imbalance, gluten sensitivity, and ovarian autoimmunity. 18:00 – Nutrient and metabolic markers that affect ovarian function Vitamin D, ferritin, B12, folate, and homocysteine. What optimal levels mean for egg quality and implantation. 21:00 – Understanding HRT and bioidentical hormones for POI Why bioidentical estrogen and progesterone support heart, bone, and reproductive health more effectively than synthetics. 24:00 – Functional fertility action plan for autoimmune POI How to test deeper, calm the immune system, and improve fertility outcomes naturally or with IVF. --- RESOURCES Stop Ignoring hsCRP and the Role of Inflammation in Diminished Ovarian Reserve: https://fabfertile.com/blogs/podcasts/stop-ignoring-hscrp-and-the-role-of-inflammation-in-diminished-ovarian-reserve?_pos=1&_sid=82deaccd1&_ss=r Get Pregnant Naturally with Low AMH, Diminished Ovarian Reserve or POF: (Sarah's Story) https://fabfertile.com/blogs/podcasts/get-pregnant-naturally-with-low-amh-diminished-ovarian-reserve-or-pof?_pos=15&_sid=86a653303&_ss=r Is Your Thyroid Impacting Egg Health? The Hidden Connection to Low AMH, DOR & Fertility Success: https://fabfertile.com/blogs/podcasts/is-your-thyroid-impacting-egg-health-the-hidden-connection-to-low-amh-dor-fertility-success?_pos=6&_sid=81c11854e&_ss=r How Iron Deficiency Impacts Fertility, Egg Quality & Low AMH: https://fabfertile.com/blogs/podcasts/ferritin-iron-deficiency-fertility-low-amh-high-fsh?_pos=1&_sid=5bce72a22&_ss=r Why Addressing Homocysteine Levels Can Boost Egg and Sperm Health: https://fabfertile.com/blogs/podcasts/why-addressing-homocysteine-levels-can-boost-egg-and-sperm-health?_pos=1&_sid=b235d5698&_ss=r Autoimmune Roadblocks to IVF: How ANA Affects Fertility: https://fabfertile.com/blogs/podcasts/autoimmune-roadblocks-to-ivf-how-ana-affects-fertility?_pos=1&_sid=d10e6427f&_ss=r The Clotting Connection: Hidden Causes of Implantation Failure and Miscarriage: https://fabfertile.com/blogs/podcasts/the-clotting-connection-hidden-causes-of-implantation-failure-and-miscarriage?_pos=1&_sid=82f26ca56&_ss=r Our favorite fertility tracker Inito (use code FABFERTILE15 to save 15)  --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.  

When doctors said her AMH was too low and IVF was the only option, one of our Fab Fertile clients decided to look deeper. Through functional testing and personalized support, she uncovered the health factors that were quietly working against conception and went on to get pregnant naturally after only 4 months in our program). You'll learn: Why AMH and FSH are only part of the fertility picture How digestion, inflammation, and nutrient imbalances can affect egg quality The impact of stress and sleep on reproductive hormones What changed once her whole-body health was supported Key steps you can take to improve your fertility even with low AMH or DOR Her story shows that fertility isn't defined by a single number  it's a reflection of overall health and balance. Sarah Clark is the founder of Fab Fertile Inc. and the host of Get Pregnant Naturally. Her team specializes in functional approaches for low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, recurrent miscarriage and helping couples prepare their bodies for pregnancy success naturally or with IVF. This epoisode is for you if: You've been told your AMH is low or your FSH is high You're considering IVF, but want to prepare your body first You're trying naturally and want to understand what your labs don't reveal Not sure where to start? Download our most popular resource: The Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH. It breaks everything down step by step to help you understand your options and take action. For personalized support to improve pregnancy success, book a call here. --- TIMESTAMPS 00:00 – Why low AMH and high FSH aren't the full story Sarah shares how many are told donor eggs are the only option and why that message often misses deeper health factors that impact fertility. 01:45 – What this client's fertility journey looked like before Fab Fertile Three failed IVFs, two IUIs, and a diagnosis of diminished ovarian reserve plus the emotional toll that comes with feeling "stuck." 03:10 – The overlooked factors affecting AMH and egg quality How long-term birth control use, chronic stress, and thyroid patterns (like high reverse T3) can influence fertility even when labs look "normal." 04:45 – Gut health and fertility: what her stool test revealed From constipation and loose stools to parasites, C. diff, and H. pylori, how digestive imbalances can block nutrient absorption and egg development. 06:15 – The hidden food sensitivities that trigger inflammation Non-celiac gluten sensitivity, dairy intolerance, and gluten cross-reactors like tapioca, why eliminating inflammatory foods helped reduce immune stress. 07:10 – Supporting the body as a couple Why both partners completed functional testing and the elimination diet, and how addressing anxiety, gut issues, and stress improved overall fertility potential. 08:00 – Pregnancy after low AMH: what finally made the difference After only four months of targeted functional support, she conceived naturally. Sarah shares what changed and how mindset and visualization played a role. --- RESOURCES 📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility. Improving Egg Quality and Fertility: The Gut Fertility Connection for Low AMH, High FSH, and Poor Egg Quality:  https://fabfertile.com/blogs/podcasts/improving-egg-quality-and-fertility-the-gut-fertility-connection-for-low-amh-high-fsh-and-poor-egg-quality?_pos=8&_sid=e7fb9b2d0&_ss=r Could My Fertility Stress and Control Issues Be Lowering My AMH?https://fabfertile.com/blogs/podcasts/could-my-fertility-stress-and-control-issues-be-lowering-my-amh?_pos=9&_sid=cfac2c01b&_ss=r Our favorite fertility tracker Inito (use code FABFERTILE15 to save 15)  --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.

If you've been told your AMH is low or that you have diminished ovarian reserve, it can feel like there's nothing you can do. But daily nutrition and lifestyle choices can make a profound difference, not just in lab numbers, but in energy, cycles, and pregnancy outcomes. You'll learn: How inflammation impacts egg quality, hormone signaling, and implantation The role of anti-inflammatory nutrition, gut health, and blood sugar balance in fertility Supplements that support mitochondrial function, hormones, and the nervous system Advanced testing and biomarkers that reveal hidden inflammatory triggers Why calming the nervous system is as critical as diet or supplements for fertility success Sarah Clark, your host and founder of Fab Fertile, shares how evidence-based functional strategies can shift ovarian function, lower inflammation, and create the environment for conception, even with low AMH or diminished ovarian reserve. This episode is especially for you if: You've been told your AMH is low or you have diminished ovarian reserve (DOR/POI) You want practical nutrition and supplement guidance backed by functional fertility  You're looking for personalized, actionable steps to support egg quality and fertility Not sure where to start? Download our most popular resource: The Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH. It breaks everything down step by step to help you understand your options and take action. For personalized support to improve pregnancy success, book a call here. --- TIMESTAMPS 00:00 – Low AMH Panic: Why Your Numbers Don't Tell the Whole Story Why AMH alone doesn't define your fertility potential and why other health markers matter. 01:30 – Functional Fertility Lens: Looking Beyond AMH and FSH How to shift focus from just lab numbers to whole-body health for improved egg quality. 03:00 – Inflammation and Fertility: How It Impacts Egg Quality and Implantation The link between chronic inflammation, ovarian reserve, and successful implantation. 05:00 – Elimination Diet & Anti-Inflammatory Foods for Low AMH Foods that lower inflammation and how a personalized elimination diet supports fertility. 07:00 – Gut Health and Fertility: Why Dysbiosis, Leaky Gut, and Infections Matter How gut imbalances can drive immune issues and impact ovarian function. 09:00 – Balancing Blood Sugar: Protein, Continuous Glucose Monitors, and Egg Health The role of blood sugar stability in hormone balance and mitochondrial function in eggs. 11:00 – Environmental Toxins and Fertility: Mold, Plastics, Heavy Metals How toxins burden fertility and practical steps to lower everyday exposures. 12:30 – Foundational Fertility Supplements: Magnesium, Omega-3, CoQ10, Vitamin D Evidence-informed supplements that support ovarian health and egg quality. 14:00 – Advanced Functional Testing: GI-MAP, Food Sensitivities, Genetics, Biomarkers The value of deeper testing to uncover hidden factors affecting fertility. 16:00 – Nervous System Reset: Stress, Mindset, and Calming Inflammation for Egg Quality Why stress management is crucial for hormone balance and ovarian reserve. --- RESOURCES  📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility. Why Genomic Testing Can Help With Recurrent Pregnancy Loss, Birth Outcomes and Preconception Health: https://fabfertile.com/blogs/podcasts/why-genomic-testing-can-help-with-recurrent-pregnancy-loss-birth-outcomes-and-preconception-health?_pos=6&_sid=3b42aa431&_ss=r Stop Ignoring hsCRP and the Role of Inflammation in Diminished Ovarian Reserve: https://fabfertile.com/blogs/podcasts/stop-ignoring-hscrp-and-the-role-of-inflammation-in-diminished-ovarian-reserve?_pos=7&_sid=f6ac7e389&_ss=r Blood Sugar and Egg Quality: The Fertility Link You Can't Ignore: https://fabfertile.com/blogs/podcasts/blood-sugar-and-egg-quality-the-fertility-link-you-cant-ignore?_pos=5&_sid=e0fa5a4b0&_ss=r Our favorite fertility tracker Inito (use code FABFERTILE15 to save 15)  --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.

If you've been told your numbers your AMH, your FSH mean your chances are slim to none, this episode is for you. Numbers can feel final, but they don't define your fertility potential. You'll learn: How our client Diana had one ovary, endometriosis, low AMH, and high FSH was told IVF was her only path What her functional testing revealed about gut health, food sensitivities, genetics, and key biomarkers The targeted nutrition and lifestyle strategies that shifted her health and hormones Why systemic healing digestion, adrenals, blood sugar, and mindset matter for egg quality How she conceived naturally after preparing her body, even when IVF was still on the table I'm Sarah Clark, founder of Fab Fertile. For over a decade, my team and I have helped hundreds of couples improve their chances of pregnancy success, whether naturally or through IVF. We specialize in supporting those with low AMH, high FSH, diminished ovarian reserve (DOR), premature ovarian insufficiency (POI), and recurrent pregnancy loss through functional testing and personalized fertility strategies. This episode is especially for you if: You've been told your fertility is defined by low AMH or high FSH You're overwhelmed by repeated recommendations for IVF without addressing your health first You want to understand how functional fertility strategies can create an environment where pregnancy becomes possible Not sure where to start? Download our most popular resource: The Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH. It breaks everything down step by step to help you understand your options and take action. For personalized support to improve pregnancy success, book a call here. --- TIMESTAMPS 00:00 – AMH, FSH, and Fertility Potential Explained Why these numbers predict drug response but don't determine egg quality or your ability to get pregnant. 01:00 – Diana's Case: One Ovary, Endometriosis, Low AMH, High FSH How she was labeled with diminished ovarian reserve and told IVF was her only option. 02:00 – IVF and Low AMH: Why It's Not Always the Only Path The limitations of stimulation protocols for egg quality and why Diana chose to prepare her health first. 03:00 – Hidden Fertility Clues: Digestion, Adrenal Stress, Blood Sugar, Hormones The overlooked symptoms showing her body wasn't ready for pregnancy yet. 05:00 – AMH and IVF Success Rates: What the Numbers Really Mean How clinics interpret AMH, the truth about retrieval outcomes, and why numbers don't equal destiny. 07:00 – Lifestyle Reset for Egg Quality and Hormone Balance The daily sleep, stress, movement, and hydration habits that built a foundation for ovarian health. 10:00 – Functional Fertility Testing: GI-MAP, Food Sensitivities, and Genetics How uncovering gut issues, inflammation, and genetic blocks changed her fertility plan. 13:00 – Nutrients, Methylation, and Egg Quality Support Correcting deficiencies, reducing oxidative stress, and using targeted nutrition to improve ovarian reserve. 15:00 – The Turning Point: Healing, Stress Reduction, and Natural Conception How her digestion, hormones, and mindset improved, leading to a spontaneous natural pregnancy. 18:00 – Key Fertility Takeaways: Beyond AMH and IVF Why health optimization, not just stimulation protocols, is the true fast track to pregnancy success. --- RESOURCES 📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility. Stop Ignoring hsCRP and the Role of Inflammation in Diminished Ovarian Reserve: https://fabfertile.com/blogs/podcasts/stop-ignoring-hscrp-and-the-role-of-inflammation-in-diminished-ovarian-reserve?_pos=7&_sid=f6ac7e389&_ss= Success Story: One Ovary, DOR, Endometriosis, Low AMH and High FSH: https://fabfertile.com/blogs/education/success-story-one-ovary-dor-endometriosis-low-amh-and-high-fsh?_pos=1&_sid=fba4a6a72&_ss=r Improving Egg Quality and Fertility: The Gut Fertility Connection for Low AMH, High FSH, and Poor Egg Quality: https://fabfertile.com/blogs/podcasts/improving-egg-quality-and-fertility-the-gut-fertility-connection-for-low-amh-high-fsh-and-poor-egg-quality?_pos=8&_sid=e7fb9b2d0&_ss=r Our favorite fertility tracker Inito (use code FABFERTILE15 to save 15)  --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.        

If you've been told your AMH is "too low" for your age, or that it means your only chance is IVF with high doses of medication, this episode is for you. AMH is not the final word on your fertility it's a marker that should spark deeper investigation. You'll learn: How IVF clinics use AMH to predict drug response and egg retrieval What the research actually says about high vs. mild stimulation for women with low AMH Why no stimulation protocol can improve egg quality The four functional fertility pillars that truly impact outcomes: mitochondria, inflammation, nutrients, and hormones A client story of moving beyond repeated IVF cycles to conceive naturally I'm Sarah Clark, founder of Fab Fertile. For over a decade, my team and I have helped hundreds of couples improve their chances of pregnancy success, whether naturally or through IVF. We specialize in supporting those with low AMH, high FSH, diminished ovarian reserve (DOR), premature ovarian insufficiency (POI), and recurrent pregnancy loss through functional testing and personalized fertility strategies. This episode is especially for you if: You've been told your AMH is too low and that aggressive IVF protocols are your only option You feel stuck in repeated IVF cycles with only minor protocol changes You want to understand how functional fertility strategies can change the environment where eggs are developing Not sure where to start? Download our most popular resource: The Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH. It breaks everything down step by step to help you understand your options and take action. For personalized support to improve pregnancy success, book a call here. --- TIMESTAMPS [00:00:00] Does low AMH really mean IVF is your only option? Most women are told IVF or donor eggs are the only path forward, but AMH is more than a fertility "score." Here's why it's misunderstood [00:02:00] What IVF protocols are used for low AMH? High-dose meds, mild stimulation, dual stim, and add-ons like DHEA are common. But do they actually improve outcomes? [00:04:30] Why do repeated IVF cycles often fail with low AMH? Many women get stuck in the loop of "protocol tweaks" while underlying health issues go unaddressed [00:05:00] Can IVF improve egg quality? Research shows protocols change egg quantity, not quality, here's why mitochondrial and cellular health matter most [00:07:00] What functional strategies support mitochondria for egg quality? From CoQ10 and omega-3s to sleep and stress balance, these are the foundations of better egg competence [00:09:30] How does stress and nervous system dysregulation affect AMH? Graduate school, 50-hour work weeks, and perfectionism can suppress ovarian function, here's how to spot the signs [00:12:00] Which labs uncover hidden inflammation affecting fertility? Markers like hsCRP and homocysteine reveal systemic inflammation IVF clinics rarely check [00:14:00] Which nutrient deficiencies impact ovarian reserve and embryo health? Vitamin D, ferritin, folate, B12, zinc, magnesium, selenium, subtle gaps can change outcomes [00:17:00] How do thyroid, prolactin, and cortisol influence egg development? Hormonal imbalances upstream are often missed, yet they shape ovulation, luteal support, and implantation [00:21:00] Can you conceive naturally with low AMH? A client with one ovary, endometriosis, and high FSH conceived naturally after addressing digestion, adrenal health, and nutrient absorption --- RESOURCES 📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility. Stop Ignoring hsCRP and the Role of Inflammation in Diminished Ovarian Reserve: https://fabfertile.com/blogs/podcasts/stop-ignoring-hscrp-and-the-role-of-inflammation-in-diminished-ovarian-reserve?_pos=1&_sid=a7e54a7fd&_ss=r Success Story: One Ovary, DOR, Endometriosis, Low AMH and High FSH: https://fabfertile.com/blogs/education/success-story-one-ovary-dor-endometriosis-low-amh-and-high-fsh?_pos=1&_sid=b000be1f7&_ss=r Progesterone, Low AMH & Miscarriage: What You're Missing: https://fabfertile.com/blogs/podcasts/progesterone-low-amh-miscarriage-what-you-re-missing?_pos=2&_sid=32905671e&_ss=r What you need to know about folate and folic acid if you struggle with fertility, high FSH, and low AMH: https://fabfertile.com/blogs/education/methylfolate-folic-acid-fertility-high-fsh-low-amh?_pos=2&_sid=fa5f3be33&_ss=r How Iron Deficiency Impacts Fertility, Egg Quality & Low AMH: https://fabfertile.com/blogs/podcasts/ferritin-iron-deficiency-fertility-low-amh-high-fsh?_pos=1&_sid=fa5a823c3&_ss=rlity-session Our favorite fertility tracker Inito (use code FABFERTILE15 to save 15)  --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.  

If you've been told your AMH is "too low" for your age, or that it means your chances of conceiving are slim, this episode is for you. AMH is not the final word on your fertility, it's a marker that can give us valuable clues about your health. You'll learn: What AMH levels typically look like across different ages. Why low AMH deserves closer attention. Which additional labs give a fuller picture beyond AMH alone. How women in our Fab Fertile community have conceived with their own eggs even with AMH as low as 0.02 ng/mL. I'm Sarah Clark, founder of Fab Fertile. For over a decade, my team and I have helped hundreds of couples improve their chances of pregnancy success, whether naturally or through IVF. We specialize in supporting those with low AMH, high FSH, diminished ovarian reserve (DOR), premature ovarian insufficiency (POI), and recurrent pregnancy loss through functional testing and personalized fertility strategies. This episode is especially for you if: You've been told your AMH is too low and donor eggs are your only option. You've had failed IVF cycles and want to understand if AMH is playing a role. You want to learn how to interpret AMH through a functional fertility lens, not just a conventional numbers-only approach. Not sure where to start? Download our most popular guide: Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action For personalized support to improve pregnancy success, book a call here. --- TIMESTAMPS [00:00] AMH: What the Numbers Really Mean  [00:01:00] Who This Helps: Low AMH, High FSH, DOR, POI, Failed IVF [00:01:50] AMH Levels by Age: Cleveland Clinic Benchmarks Explained [00:02:40] Does AMH Predict Pregnancy? Egg Quantity vs. Egg Quality [00:03:20] Functional Fertility Lens: What Low AMH Is Signaling [00:04:20] Tests Beyond AMH: Day-3 FSH, Estradiol, and AFC Ultrasound [00:05:40] Thyroid & Fertility: Optimal TSH, Free T4/T3, Antibodies (+ Free Guide) [00:07:20] Hidden Inflammation: hsCRP, Homocysteine, MTHFR & Egg Quality [00:08:50] Vitamin D, Iron & Ferritin: Nutrient Deficits That Lower AMH [00:10:40] Gluten/Celiac & Autoimmunity (ANA) + When to Pause IVF & Heather's Success --- RESOURCES 📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility. 📩 Get your free Thyroid & Fertility Guide! Email [email protected] with the subject line THYROID to receive your guide and learn the symptoms and exact steps to spot thyroid dysregulation, especially if you've been told you have low AMH. Why Addressing Homocysteine Levels Can Boost Egg and Sperm Health: https://fabfertile.com/blogs/podcasts/why-addressing-homocysteine-levels-can-boost-egg-and-sperm-health?_pos=1&_sid=389e893d7&_ss=r Stop Ignoring hsCRP and the Role of Inflammation in Diminished Ovarian Reserve: https://fabfertile.com/blogs/podcasts/stop-ignoring-hscrp-and-the-role-of-inflammation-in-diminished-ovarian-reserve?_pos=1&_sid=3006670cc&_ss=r Low AMH? Why 'Normal' Vitamin D Levels May Still Be Hurting Your Egg Quality: https://fabfertile.com/blogs/podcasts/low-amh-why-normal-vitamin-d-levels-may-still-be-hurting-your-egg-quality?_pos=4&_sid=5873934e4&_ss=r AMH Diet – Start This Today to Support Fertility & Get Pregnant This Year: https://fabfertile.com/blogs/podcasts/amh-diet-start-this-today-to-support-fertility-get-pregnant-this-year?_pos=4&_sid=78a6b3728&_ss=r Our favorite fertility tracker Inito (use code FABFERTILE15 to save 15)  --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission

Conventional medicine often stops at the numbers, low AMH, high FSH for Premature Ovarian Insufficiency (POI) and turns quickly to donor eggs or IVF. But through a functional fertility lens, we can uncover hidden factors like inflammation, nutrient deficiencies, gut health, and hormone imbalances that may support ovarian function and improve pregnancy success. In this episode of Get Pregnant Naturally, Fab Fertile founder Sarah Clark explains how functional fertility strategies can help reverse POI and improve your chances of conceiving with your own eggs. You'll also hear Amanda's story: she was told she'd never conceive naturally with an AMH of 0.08 ng/mL, yet went on to have her daughter. This episode is for you if: You've been told your only option with POI, low AMH, or high FSH is donor eggs You've experienced recurrent miscarriage or failed IVF cycles You want evidence-based strategies to improve egg quality and fertility outcomes naturally We'll cover the difference between genetic and idiopathic POI, why functional fertility shines in unexplained cases, and the top mistakes people make with a POI diagnosis. You'll leave with practical steps you can take right now to support ovarian function. Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey. Not sure where to start? Download our most popular guide: Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action For personalized support to improve pregnancy success, book a call here. --- TIMESTAMPS [00:00:00] Donor eggs only? Understanding Premature Ovarian Insufficiency (POI), Low AMH & High FSH Why conventional medicine often tells you donor eggs are your only option and the functional fertility perspective that looks deeper. [01:00:00] How Functional Fertility Strategies Can Improve Ovarian Function Practical steps for egg health, reducing inflammation, balancing hormones, and improving pregnancy success. [05:00:00] Idiopathic vs Genetic POI: What You Can Influence Naturally Explaining the difference between genetic and idiopathic causes and how functional approaches support ovarian function. [08:00:00] Nutrients, Gut Health & Lifestyle Factors That Impact Egg Quality Vitamin D, B vitamins, iron, gut microbiome, and inflammation as key influencers of ovarian reserve and AMH. [12:00:00] Real Client Stories: Restoring Fertility After POI Case studies of women improving FSH, AMH, and conception outcomes with functional fertility strategies and targeted IVF support. [00:13:00] AMH, Egg Quality & Gut Health Why AMH isn't a fixed predictor of fertility outcomes and how gut health, nutrient absorption, and inflammation can influence egg quality and ovarian reserve. [00:15:30] Non-Celiac Gluten Sensitivity & Ovarian Function How gluten sensitivity can impact hormone balance, follicle development, and fertility, even when celiac disease isn't present. [00:18:00] Key Nutrients for Egg Quality The importance of vitamin D, iron, B vitamins, methylation support, and protein for optimal ovarian function, and how deficiencies can affect IVF or natural conception. [00:20:45] Gut Infections & Systemic Inflammation Chronic gut infections, microbiome imbalances, and low stomach acid as hidden drivers of inflammation that can disrupt reproductive hormones and egg quality. [00:23:30] Lifestyle, Stress & Nervous System Support How chronic stress and a dysregulated nervous system impact ovarian reserve and fertility. Mind-body strategies, dietary adjustments, and toxin reduction to support reproductive health. --- RESOURCES 📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility. Low AMH? Why 'Normal' Vitamin D Levels May Still Be Hurting Your Egg Quality: https://fabfertile.com/blogs/podcasts/low-amh-why-normal-vitamin-d-levels-may-still-be-hurting-your-egg-quality?_pos=4&_sid=5873934e4&_ss=r From POI Diagnosis to Natural Pregnancy Success Story - AMH 0.08 ng/mL: https://youtu.be/V4MbhigLnEY?si=uJS-DIz4TCxoe1jH Could My Fertility Stress and Control Issues Be Lowering My AMH: https://fabfertile.com/blogs/podcasts/could-my-fertility-stress-and-control-issues-be-lowering-my-amh?_pos=9&_sid=cfac2c01b&_ss=r Improving Egg Quality and Fertility: The Gut Fertility Connection for Low AMH, High FSH, and Poor Egg Quality: https://fabfertile.com/blogs/podcasts/improving-egg-quality-and-fertility-the-gut-fertility-connection-for-low-amh-high-fsh-and-poor-egg-quality?_pos=8&_sid=be3f46980&_ss=r How Iron Deficiency Impacts Fertility, Egg Quality & Low AMH: https://fabfertile.com/blogs/podcasts/ferritin-iron-deficiency-fertility-low-amh-high-fsh?_pos=3&_sid=98e45137b&_ss=r Our favorite fertility tracker Inito (use code FABFERTILE15 to save 15)  --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission

If you've been diagnosed with low AMH, high FSH, diminished ovarian reserve (DOR), premature ovarian insufficiency (POI), or have experienced recurrent pregnancy loss or failed IVF, you may be wondering if natural killer (NK) cells are playing a role. In this episode, Sarah Clark, founder of Fab Fertile, explains what NK cells are, when testing may be helpful, and why many reproductive endocrinologists dismiss it. You'll hear how functional fertility strategies, addressing inflammation, gut health, nutrient deficiencies, and immune balance; differ from conventional medicine and can improve egg quality, implantation, and pregnancy outcomes. We also cover what progressive fertility clinics are doing, what the research says, and how to decide if immunotherapy or intralipids are right for you. This episode is for you if you've had multiple implantation failures or miscarriages, feel dismissed by "normal" test results, and want evidence-based options to support your fertility journey. 🎧 Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey. Not sure where to start? Download our most popular guide:  Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action For personalized support to improve pregnancy success, book a call here. --- TIMESTAMPS [00:00:00] Low AMH, DOR, pregnancy loss - when to look at natural killer (NK) cells [00:02:00] Who should consider NK cell testing (recurrent miscarriage, failed IVF, autoimmune, inflammation) [00:04:00] Why most clinics dismiss NK testing + controversy in reproductive immunology [00:05:00] Functional fertility view: gut health, nutrient deficiencies, inflammation, toxins [00:06:00] Vitamin D, magnesium, and environmental exposures linked to NK cell activity [00:07:00] Functional Fertility steps before NK testing: diet, gut health, sleep, stress [00:08:00] Stress and nervous system dysregulation as hidden fertility disruptors [00:09:00] Why elimination diet beats trendy diets for fertility and inflammation [00:10:00] Functional testing: GI-MAP, minerals, B vitamins, and methylation markers --- RESOURCES Stop Ignoring hsCRP and the Role of Inflammation in Diminished Ovarian Reserve: https://fabfertile.com/blogs/podcasts/stop-ignoring-hscrp-and-the-role-of-inflammation-in-diminished-ovarian-reserve How To Prevent and Reverse Autoimmune Disease and Get Pregnant: https://fabfertile.com/blogs/podcasts/how-to-prevent-and-reverse-autoimmune-disease-and-get-pregnant?_pos=4&_sid=c268f733d&_ss=r Causes of Miscarriage Before 12 Weeks: What Most Doctors Miss:  https://fabfertile.com/blogs/podcasts/causes-of-miscarriage-before-12-weeks-what-most-doctors-miss?_pos=12&_sid=0606f25e8&_ss=r Improving Egg Quality and Fertility: The Gut Fertility Connection for Low AMH, High FSH, and Poor Egg Quality: https://fabfertile.com/blogs/podcasts/improving-egg-quality-and-fertility-the-gut-fertility-connection-for-low-amh-high-fsh-and-poor-egg-quality?_pos=8&_sid=6da5ed9f3&_ss=r How Reproductive Immunology Therapies Can Improve Pregnancy Outcomes with Dr. Marco Mouanness: https://fabfertile.com/blogs/podcasts/how-reproductive-immunology-therapies-can-improve-pregnancy-outcomes-with-dr-marco-mouanness?_pos=1&_sid=8a12de180&_ss=r Our favorite fertility tracker Inito (use code FABFERTILE15 to save 15)  --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission  

If you're facing low AMH, high FSH, DOR, POI, or recurrent pregnancy loss, this episode is for you. We're diving into hsCRP (high-sensitivity C-reactive protein), a key, often overlooked marker of inflammation, and why it matters for fertility. Learn how chronic inflammation impacts egg quality, implantation, and embryo health, why hsCRP testing is often missed in conventional care, and what functional labs can reveal. We'll also cover homocysteine, ANA, and natural killer cells, plus practical strategies to reduce inflammation and clotting risks for you and your partner. I'm Sarah Clark, founder of Fab Fertile, and for over a decade, my team has helped 100's of couples improve fertility naturally or through IVF using functional testing and personalized strategies. In this episode, you'll learn: Why hsCRP testing is critical yet often overlooked in fertility care How systemic inflammation affects eggs, implantation, embryos, and male fertility Other hidden markers, homocysteine, ANA, NK cells, that can influence fertility outcomes Functional fertility strategies to lower inflammation, including diet, gut health, stress support, supplements, and hormone optimization Real-world case studies showing how addressing inflammation improved fertility, even with low AMH or DOR 🎧 Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey. Not sure where to start? Download our most popular guide:  Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action For personalized support to improve pregnancy success, book a call here. --- TIMESTAMPS [00:00] Introduction to hsCRP & Fertility: Why high-sensitivity C-reactive protein matters for egg quality, implantation, recurrent pregnancy loss, and male factor fertility. [01:00] Functional Fertility Perspective: How low AMH, high FSH, DOR, and POI patients benefit from advanced lab testing beyond conventional IVF bloodwork. [02:00] Understanding Chronic Inflammation: How subtle, low-grade inflammation impacts hormone signaling, mitochondrial health, uterine blood flow, and implantation success. [04:00] Testing & Interpreting hsCRP: What functional labs reveal, optimal levels, and why conventional medicine often overlooks this marker. [06:00] Related Markers & Practical Strategies: Homocysteine, ANA, natural killer cells, and actionable steps, including diet, lifestyle, and supplementation, to reduce inflammation and support fertility. [00:10:00] NK Cells & Inflammation – Why NK testing is controversial and how functional fertility targets inflammation using hsCRP, ANA, and personalized testing. [00:12:00] Who Should Test hsCRP – Low AMH, high FSH, DOR, POI, recurrent loss, IVF failures, male factor, clotting issues, or chronic inflammation. [00:13:00] Anti-Inflammatory Diet – Whole foods, omega-3s, elimination diet, gut health, and food reintroduction to support egg quality. [00:16:00] Stress & Immune Support – Meditation, restorative yoga, sleep, supplements (Vitamin D, Omega-3, Curcumin, CoQ10), and blood sugar balance. [00:19:00] Client Success Story – Addressing gut, hormones, inflammation, and stress led to natural conception; highlights functional fertility testing and strategies. --- RESOURCES 📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility. Why Addressing Homocysteine Levels Can Boost Egg and Sperm Health: https://fabfertile.com/blogs/podcasts/why-addressing-homocysteine-levels-can-boost-egg-and-sperm-health?_pos=1&_sid=719b8a8db&_ss=r The Clotting Connection: Hidden Causes of Implantation Failure and Miscarriage: https://fabfertile.com/blogs/podcasts/the-clotting-connection-hidden-causes-of-implantation-failure-and-miscarriage?_pos=1&_sid=5b40c230d&_ss=r Causes of Miscarriage Before 12 Weeks: What Most Doctors Miss: https://fabfertile.com/blogs/podcasts/causes-of-miscarriage-before-12-weeks-what-most-doctors-miss?_pos=12&_sid=27a161a55&_ss=r Improving Egg Quality and Fertility: The Gut Fertility Connection for Low AMH, High FSH, and Poor Egg Quality: https://fabfertile.com/blogs/podcasts/improving-egg-quality-and-fertility-the-gut-fertility-connection-for-low-amh-high-fsh-and-poor-egg-quality?_pos=8&_sid=11eaad983&_ss=r Could My Fertility Stress and Control Issues Be Lowering My AMH?: https://fabfertile.com/blogs/podcasts/could-my-fertility-stress-and-control-issues-be-lowering-my-amh?_pos=9&_sid=f009bd3cc&_ss=r Our favorite fertility tracker Inito (use code FABFERTILE15 to save 15)  --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission

Are you exhausted from tracking every cycle, researching every supplement, and still not seeing results? If you've been told you have low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, or even that donor eggs are your only option, this episode is for you. Here's what you'll learn: Why perfectionism, stress, and overthinking can silently sabotage egg quality, ovulation, and implantation. How chronic "control mode" keeps your body in fight-or-flight, blocking conception. Functional fertility insights that reveal hidden imbalances behind infertility. Simple nervous system and mindset tools to shift from stress to safety so your body feels ready to conceive. 👉 Letting go doesn't mean giving up; it means creating the conditions where your body can thrive. Welcome to Get Pregnant Naturally, hosted by fertility expert and founder Sarah Clark. On this podcast, you'll learn how to improve egg quality, boost ovarian reserve, and optimize your body for conception, even if you've been told "it's too late" or "donor eggs are your only option." Sarah shares the exact strategies, testing, lifestyle changes, and insights she's used with clients to help women with low AMH, diminished ovarian reserve, premature ovarian insufficiency, recurrent miscarriage and poor egg quality conceive naturally or with IVF. You'll hear the wins, the setbacks, and the science-backed lessons that truly move the needle on fertility. Wanna improve your egg quality? Click here. TIMESTAMPS [00:00:00] What Does the "Controller" Pattern Look Like in Fertility? 👉 Signs you might be over-researching, obsessively tracking, micromanaging supplements, or struggling to "let go." [00:02:00] How Stress and Control Impact Low AMH, Egg Quality, and Ovulation 👉 The link between perfectionism, nervous system stress, HPO axis disruption, and fertility outcomes. [00:04:00] Functional Fertility Insights: Cortisol, DHEA, Inflammation, and Gut Health 👉 What functional labs reveal about stress-driven fertility struggles. [00:06:30] Shifting from Control to Connection: Nervous System Tools That Support Conception 👉 Practical strategies to calm your body, regulate stress, and improve egg quality naturally. [00:08:00] How to Feel Safe in Your Body: Somatic Practices for Fertility 👉 Why resetting your nervous system is as important as testing, and how to ground yourself daily. [00:10:00] Simple Techniques to Calm the Nervous System 👉 Body scans, breathwork, humming, and vagus nerve activation to reduce cortisol and improve blood flow to reproductive organs. [00:12:00] Letting Go of the Controller Voice: Journaling, Reframing, and Fertility Mindset Coaching 👉 How to dialogue with fear, release stored emotions, and reframe beliefs like "I'm broken" into self-trust and hope. [00:15:00] From Control to Connection: Couples Practices and Real Fertility Success Stories 👉 Eye gazing, letter writing, mindset shifts, and examples of women with low AMH and high FSH who conceived naturally. --- Resources 📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility. How Perfectionism Affects Fertility and Egg Quality - And What to Do About It: https://fabfertile.com/blogs/podcasts/is-perfectionism-affecting-your-fertility-how-to-let-go-and-support-egg-health-naturally?_pos=1&_sid=36f74120d&_ss=r How To Naturally Boost Estrogen and Get Pregnant: https://fabfertile.com/blogs/podcasts/how-to-naturally-boost-estrogen-and-get-pregnant?_pos=1&_sid=aec6b1ab4&_ss=r Beyond Hormones: Why Inflammation May Be Driving Poor Egg Quality and Miscarriage: https://fabfertile.com/blogs/podcasts/beyond-hormones-why-inflammation-may-be-driving-poor-egg-quality-and-miscarriage?_pos=2&_sid=ca54c764d&_ss=r Our favorite fertility tracker Inito (use code FABFERTILE15 to save 15)  Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH  --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission

At 43, Valerie faced low AMH, high FSH, and two heartbreaking miscarriages. Doctors told her donor eggs were her only hope, but with the right testing, personalized support, and whole-body care, she conceived naturally. In this episode, I share how we uncovered hidden factors affecting her fertility, including thyroid imbalance, hormone metabolism, gut health, vaginal microbiome, and stress. We also discuss the critical role her partner's health played in their success. You'll learn: Why low AMH or high FSH doesn't have to end your fertility journey How gut, immune, and hormonal imbalances affect egg quality and implantation Functional strategies for couples trying naturally or preparing for IVF If you've struggled with diminished ovarian reserve, recurrent miscarriage, or confusing fertility advice, this episode will inspire you and show that even after setbacks, pregnancy is possible. Listen now and discover how small, targeted changes helped Valerie conceive naturally at 43. Take Action: If Valerie's story resonates with you, or you're struggling with low AMH, high FSH, recurrent miscarriage, or preparing for IVF, book a call. We'll review your history, uncover possible barriers, and help you create a personalized plan for your fertility goals: https://calendly.com/sarah-clark-2/15-minute-fertility-session?month=2025-08&date=2025-08-15 TIMESTAMPS [00:00] Low AMH Success Story Valerie conceives naturally with low AMH, high FSH, and diminished ovarian reserve. [01:00] Functional Fertility Testing Advanced lab testing, gut health, and partner-inclusive fertility strategies. [03:00] Hormone & Thyroid Optimization Supporting egg quality and ovulation with functional hormone care. [06:00] Gut Health & Food Sensitivities H. pylori, hidden gluten, and food triggers impacting fertility. [07:00] Male Fertility & Seminal Microbiome Improving sperm quality and reducing miscarriage risk. [08:00] Sleep & Stress Management Adrenal support, night sweats, and nutrient balance for conception. [09:00] Digestive Health & Hormone Balance Constipation, liver support, and gut infections affecting fertility. [10:00] Natural Pregnancy at 43 Achieving pregnancy despite low AMH, high FSH, and prior miscarriages. --- Rescources 📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility. Improve Egg Quality Naturally: Support DOR and Boost Fertility: https://fabfertile.com/blogs/podcasts/improve-egg-quality-naturally-support-dor-and-boost-fertility?_pos=1&_sid=9cdc3cc39&_ss=r Is Your Thyroid Impacting Egg Health? The Hidden Connection to Low AMH, DOR & Fertility Success: https://fabfertile.com/blogs/podcasts/is-your-thyroid-impacting-egg-health-the-hidden-connection-to-low-amh-dor-fertility-success?_pos=6&_sid=a656a31e9&_ss=r Before Your IVF Transfer, Test This First: https://fabfertile.com/blogs/podcasts/before-your-ivf-transfer-test-this-first?_pos=5&_sid=5bd14f98d&_ss=r Causes of Miscarriage Before 12 Weeks: What Most Doctors Miss: https://fabfertile.com/blogs/podcasts/causes-of-miscarriage-before-12-weeks-what-most-doctors-miss How To Address Men's Reproductive Health (It's a myth sperm doesn't decline with age!): https://fabfertile.com/blogs/podcasts/how-to-address-mens-reproductive-health-it-s-a-myth-sperm-doesnt-decline-with-age?_pos=9&_sid=67ba65428&_ss=r The Link Between Sleep and Fertility: Why Getting Enough Rest Matters: https://fabfertile.com/blogs/podcasts/how-poor-sleep-could-be-sabotaging-your-egg-quality?_pos=6&_sid=2b4e99864&_ss=r Improving Egg Quality and Fertility: The Gut Fertility Connection for Low AMH, High FSH, and Poor Egg Quality: https://fabfertile.com/blogs/podcasts/improving-egg-quality-and-fertility-the-gut-fertility-connection-for-low-amh-high-fsh-and-poor-egg-quality?_pos=8&_sid=257cfed71&_ss=r Our favorite fertility tracker Inito (use code FABFERTILE15 to save 15)  Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH  --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission --- Sarah Clark, founder of Fab Fertile, experienced premature ovarian insufficiency at 28 and has spent over a decade helping women and couples optimize fertility. Her cross-functional team including a functional medicine doctor, nutrition practitioners, and fertility mindset coaches—supports natural conception or improved IVF outcomes. They address low AMH, high FSH, diminished ovarian reserve, recurrent miscarriage, and premature ovarian insufficiency. Fab Fertile has access to functional lab testing shipped worldwide, providing actionable strategies, clarity, and support for couples taking control of their fertility journey.  

If you've been trying to conceive with low AMH, high FSH, diminished ovarian reserve (DOR), or poor egg quality and nothing seems to be working… or if you've experienced failed IVF cycles or unexplained pregnancy loss - this episode is for you. We're diving into one of the most overlooked infections that could be silently impacting your fertility: Ureaplasma. This commonly missed microbe can compromise egg quality, disrupt implantation, and contribute to early miscarriage, even when labs appear "normal." Whether you're TTC naturally or preparing for an IVF or FET cycle, you'll learn: How Ureaplasma affects egg and embryo quality, implantation, and ovarian reserve Why this infection is often missed on standard fertility workups The importance of partner testing and treating both partners When and how to test for Ureaplasma The functional fertility approach we use at Fab Fertile to rebalance the vaginal and seminal microbiome for optimal conception If you've done "all the things" and still aren't seeing results, this episode may reveal a missing piece of your fertility puzzle. This episode is for you if: You're struggling to conceive naturally despite doing "all the right things." You've had failed IVF transfers, poor egg quality, or low ovarian reserve without clear answers. You've experienced recurrent infections or unexplained pregnancy losses. 5 Key Points: Why Ureaplasma and Mycoplasma are often missed in standard fertility testing and why they matter for egg quality, implantation and pregnancy maintenance. How Ureaplasma can contribute to low AMH, high FSH, and diminished ovarian reserve by increasing inflammation in the reproductive tract and altering the vaginal microbiome. The link between Ureaplasma and recurrent miscarriage, failed IVF, and abnormal embryos, even when other tests are "normal". The functional fertility approach to addressing Ureaplasma with targeted antimicrobials, vaginal microbiome restoration, and gut health support for natural and assisted conception. --- TIMESTAMPS [00:00:00] Intro: Ureaplasma's hidden role in fertility struggles,  natural conception, failed IVF, low AMH, DOR, poor egg quality, and unexplained pregnancy loss. [00:01:00] Who this episode is for: Fertility challenges including low AMH, high FSH, DOR, RPL, recurrent infections, and unexplained infertility. [00:02:00] What is ureaplasma? Impact on vaginal and seminal microbiome, egg and sperm quality, inflammation, and implantation failure. [00:03:00] Who should get tested? Those with unexplained infertility, recurrent pregnancy loss, persistent infections, elevated CRP/ANA, poor IVF outcomes, or partner infection history. [00:04:00] Why microbiome testing matters: Gut, vaginal, and seminal microbiome panels uncover hidden infections missed by conventional testing. [00:05:00] Key red flags: Multiple failed IVF transfers, RPL after heartbeat confirmation, chronic vaginal/urinary symptoms, and abnormal semen analysis. [00:06:00] Testing methods: Functional medicine/nutrition, PCR, and microbiome panels (e.g., Juno Bio) versus limited conventional testing. [00:07:00] Supporting Fertility Success: Using biofilm disruptors and restoring balance in gut and vaginal microbiomes to improve egg quality and IVF outcomes. --- How to Get Started With Functional Fertility Support Book your call here to get your personalized plan and options to help improve pregnancy success either naturally or with IVF treatment.  Check out our Fab Fertile functional fertility program here and learn how to improve AMH levels naturally.  We work with couples that have low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, and recurrent pregnancy loss. --- RESOURCES Before Your IVF Transfer, Test This First: https://fabfertile.com/blogs/podcasts/before-your-ivf-transfer-test-this-first?_pos=4&_sid=c1bed4027&_ss=r IVF Prep with Low AMH: Boosting Your Chances for Success: https://fabfertile.com/blogs/podcasts/ivf-prep-with-low-amh-boosting-your-chances-for-success-1?_pos=1&_sid=2685fd59c&_ss=r Causes of Miscarriage Before 12 Weeks: What Most Doctors Miss: https://fabfertile.com/blogs/podcasts/causes-of-miscarriage-before-12-weeks-what-most-doctors-miss What You Need To Know About Chronic Infections And Infertility: https://fabfertile.com/blogs/podcasts/what-you-need-to-know-about-chronic-infections-and-infertility?_pos=2&_sid=1142152ce&_ss=r Our favorite fertility tracker Inito (use code FABFERTILE15 to save 15)  Studies Today's study looks at Ureaplasma urealyticum, a common genital tract infection, and how it affects IVF. Researchers found it didn't affect fertilization or embryo quality but was linked to lower pregnancy rates after embryo transfer. The culprit? Infection in the endometrial lining which can disrupt implantation. So even if embryos look good Ureaplasma can still sabotage IVF success. https://academic.oup.com/humrep/article-abstract/6/5/727/609246?redirectedFrom=fulltext This study looked at whether Ureaplasma urealyticum in men's semen affects IVF. The results? Fertilization and pregnancy rates were the same for infected and uninfected men. But here's the thing, miscarriage rates were much higher in couples where the male partner had the infection. So Ureaplasma might not stop you from getting pregnant but it can increase the risk of losing the pregnancy. https://www.fertstert.org/article/S0015-0282(98)00472-5/fulltext Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH  --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.

If you're dealing with low AMH, diminished ovarian reserve, premature ovarian insufficiency or poor egg quality, and you're constantly "doing everything" to address it, this episode dives into how chronic stress, perfectionism, and high-achiever tendencies can silently sabotage fertility from a functional perspective. Do you feel like you're doing all the things, but still not seeing results? We'll explore how the drive to always do more (even with the best intentions) can quietly mess with egg quality, throw off your hormone balance, and overstimulate your nervous system, especially if rest feels like failure. We'll connect the dots between: High-functioning burnout and low progesterone  Overworking and poor ovarian response  Chronic cortisol and mitochondrial damage to eggs  Sleep, blood sugar, gut health and why they matter more than any other supplement You'll also learn: Functional labs to assess nervous system depletion Lifestyle shifts to repair your fertility foundation Why doing less is sometimes the most powerful fertility strategy Whether you're in IVF cycles, preparing for egg retrieval or diagnosed with diminished ovarian reserve or premature ovarian insufficiency, this is the mindset shift you didn't know you needed. Tune in and learn how to go from hustle to hormone balance, so your body can finally feel safe to conceive. This episode is for you if: You've experienced failed egg retrievals or embryo transfers and are trying all the protocols, supplements, or strategies you can find. You're working long hours (50+ per week) and struggling to balance career demands with your fertility journey. You feel like your worth is tied to your fertility outcomes or the number of "wins" you achieve, making it hard to slow down or rest, even when you're exhausted. --- TIMESTAMPS [00:00:00] Hyper Achiever Mindset & Fertility: Impact on Egg Quality & IVF Success [00:02:00] Stress & Hormone Imbalance: Progesterone, Thyroid & Fertility Hormones [00:05:00] Overwork, Cortisol & Inflammation: Effects on Low AMH and Egg Quality [00:07:00] Chronic Stress Impact on Ovulation, Mitochondria & IVF Outcomes [00:09:00] Autoimmune, Sleep Hygiene & Fertility: Stress Effects on AMH & Embryo Health [00:11:00] Nervous System Reset: Stress Relief Techniques to Boost Fertility [00:14:00] Nutrition & Supplements for Egg Quality: CoQ10, Magnesium & Detox [00:16:00] Fertility Mindset & Connection: Rest, Self-Compassion & Pregnancy Success --- RESOURCES 📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility. Is Your Thyroid Impacting Egg Health? The Hidden Connection to Low AMH, DOR & Fertility Success: https://fabfertile.com/blogs/podcasts/is-your-thyroid-impacting-egg-health-the-hidden-connection-to-low-amh-dor-fertility-success?_pos=6&_sid=6f244ff24&_ss=r Improving Egg Quality and Fertility: The Gut Fertility Connection for Low AMH, High FSH, and Poor Egg Quality:  https://fabfertile.com/blogs/podcasts/improving-egg-quality-and-fertility-the-gut-fertility-connection-for-low-amh-high-fsh-and-poor-egg-quality?_pos=8&_sid=3b90e157a&_ss=r Progesterone, Low AMH & Miscarriage: What You're Missing: https://fabfertile.com/blogs/podcasts/progesterone-low-amh-miscarriage-what-you-re-missing?_pos=2&_sid=8ca071c44&_ss=r The Link Between Sleep and Fertility: Why Getting Enough Rest Matters: https://fabfertile.com/blogs/podcasts/how-poor-sleep-could-be-sabotaging-your-egg-quality?_pos=6&_sid=379c3ecd7&_ss=r Why Working On Your Stress Really Matters For Pregnancy Success: https://fabfertile.com/blogs/podcasts/why-working-on-your-stress-really-matters-for-pregnancy-success?_pos=2&_sid=5850e7219&_ss=r Detox Your Way to Better Egg Health: Strategies to Improve Fertility Naturally: https://fabfertile.com/blogs/podcasts/detox-your-way-to-better-egg-health-strategies-to-improve-fertility-naturally?_pos=3&_sid=37a4b267b&_ss=r Success Story: Pregnant Naturally AMH 0.15 and FSH 33, and Low Motility: https://youtu.be/IVIl63HmGCA?si=uY0XJqaOpHmqpz4b Our favorite fertility tracker Inito (use code FABFERTILE15 to save 15)  Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH  --- How to Get Started With Functional Fertility Support Book your call here to get your personalized plan and options to help improve pregnancy success either naturally or with IVF treatment.  Check out our Fab Fertile functional fertility program here and learn how to improve AMH levels naturally.  We work with couples that have low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency and recurrent pregnancy loss. --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission  

We're diving into the top functional and conventional tests to consider after the second trimester or late pregnancy loss, especially if you've been diagnosed with low AMH, high FSH, diminished ovarian reserve (DOR), or premature ovarian insufficiency (POI). If you've had a second trimester loss or late pregnancy loss after 20 weeks and been told "everything looks normal,"this episode is for you. We dive into what's often overlooked in conventional care and how a functional fertility approach can help uncover underlying imbalances that impact conception, hormone health, and pregnancy outcomes. In this episode we cover 7 categories of testing to consider after late loss especially if you have low AMH, diminished ovarian reserve, autoimmune issues, recurrent miscarriage, or unexplained infertility. You'll learn: The top clotting and thrombophilia markers to test (including Factor V Leiden and antiphospholipid antibodies) Which inflammatory and immune markers (hs-CRP, ANA, cytokines, NK cells) are often missed and why they matter How the vaginal microbiome and hidden infections like ureaplasma can cause second-trimester loss The role of chronic stress, adrenal hormones and the HPA axis in pregnancy outcomes Why a comprehensive blood chemistry panel can reveal nutrient deficiencies and hormone imbalances that are missed by conventional labs Key methylation and genetic SNPs (like MTHFR) that impact detoxification, clotting and hormone metabolism The impact of gut health and stool testing on immune tolerance, estrogen balance and inflammation We'll also explain how this whole body functional lens can guide your next steps in preconception planning, whether you're trying again naturally or preparing for IVF. This episode is for you if: You've experienced a loss after 14 weeks of pregnancy and are seeking deeper understanding and support. You want to explore both conventional and functional medicine approaches to uncover underlying causes. You're looking for practical lifestyle, testing, and healing strategies to improve future pregnancy outcomes. --- TIMESTAMPS [00:00:00] Introduction: Late term pregnancy loss overview, compassion, and what to expect in this episode [00:02:30] Functional fertility testing for late term loss thrombophilia panel, immune markers, inflammation, and infections [00:06:00] Stress hormones, nervous system support, and comprehensive blood chemistry for improving pregnancy outcomes [00:09:00] Blood sugar, insulin, and comprehensive thyroid testing in pregnancy loss [00:12:00] Genetic testing, including MTHFR mutations and the importance of body healing before conception [00:14:30] Role of gut health, infections, and estrogen metabolism in pregnancy loss --- RESOURCES 📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility. Causes of Miscarriage Before 12 Weeks: What Most Doctors Miss: https://fabfertile.com/blogs/podcasts/causes-of-miscarriage-before-12-weeks-what-most-doctors-miss The Clotting Connection: Hidden Causes of Implantation Failure and Miscarriage: https://fabfertile.com/blogs/podcasts/the-clotting-connection-hidden-causes-of-implantation-failure-and-miscarriage Autoimmune Roadblocks to IVF: How ANA Affects Fertility: https://fabfertile.com/blogs/podcasts/autoimmune-roadblocks-to-ivf-how-ana-affects-fertility?_pos=1&_sid=4203e92e4&_ss=r How To Prevent and Reverse Autoimmune Disease and Get Pregnant: https://fabfertile.com/blogs/podcasts/how-to-prevent-and-reverse-autoimmune-disease-and-get-pregnant?_pos=5&_sid=a4eef3155&_ss=r Before Your IVF Transfer, Test This First: https://fabfertile.com/blogs/podcasts/before-your-ivf-transfer-test-this-first?_pos=4&_sid=5114b4bda&_ss=r Low AMH? Why 'Normal' Vitamin D Levels May Still Be Hurting Your Egg Quality: https://fabfertile.com/blogs/podcasts/low-amh-why-normal-vitamin-d-levels-may-still-be-hurting-your-egg-quality?_pos=4&_sid=eac9ba23d&_ss=r Why Addressing Homocysteine Levels Can Boost Egg and Sperm Health: https://fabfertile.com/blogs/podcasts/why-addressing-homocysteine-levels-can-boost-egg-and-sperm-health?_pos=1&_sid=2e1b473ff&_ss=r How MTHFR and methylation affect fertility with high FSH and low AMH: https://fabfertile.com/blogs/education/mthfr-methylation-high-fsh-low-amh-fertility?_pos=2&_sid=d553bdf89&_ss=r How Iron Deficiency Impacts Fertility, Egg Quality & Low AMH: https://fabfertile.com/blogs/podcasts/ferritin-iron-deficiency-fertility-low-amh-high-fsh?_pos=3&_sid=022381a8b&_ss=r 1. Factor V Leiden & Prothrombin Mutation in Late Fetal Loss Martinelli I et al. (2000, New England Journal of Medicine) This study found that women who carry Factor V Leiden or the prothrombin G20210A mutation have a 3.2× greater risk of late fetal loss, likely due to impaired placental blood flow. https://www.nejm.org/doi/full/10.1056/NEJM200010053431405 2. Antiphospholipid Antibodies & Late Fetal Demise Branch DW et al. (1992, Obstetrics & Gynecology) This foundational paper established the connection between antiphospholipid antibodies—such as lupus anticoagulant and anticardiolipin—and late pregnancy loss. https://pubmed.ncbi.nlm.nih.gov/8602296/ 3. Elevated NK Cell & Cytokine Activity in Recurrent Miscarriage  Kwak-Kim JYH et al. (2003, American Journal of Reproductive Immunology) Researchers found that women with recurrent pregnancy loss often show elevated natural killer (NK) cell activity and inflammatory cytokines like IL-6 and TNF-alpha, suggesting immune dysregulation as a key contributor.  https://pubmed.ncbi.nlm.nih.gov/32992208/#:~:text=Different%20authors%20have%20described%20an,Reproductive%20immunology;%20Uterine%20NK%20cells. 4. Vaginal Dysbiosis & Risk of Preterm Birth Aagaard K et al. (2014, Science Translational Medicine) This study highlighted how reduced Lactobacillus dominance in the vaginal microbiome increases risk of preterm birth and pregnancy complications, including second-trimester loss. https://pmc.ncbi.nlm.nih.gov/articles/PMC5782380/ 5. MTHFR Mutation & Homocysteine in Recurrent Miscarriage Nelen WL et al. (2000, Fertility and Sterility) This meta-analysis showed that MTHFR mutations can lead to elevated homocysteine levels, which are associated with increased risk of recurrent early and late miscarriage due to vascular and clotting issues. https://www.sciencedirect.com/science/article/pii/S0015028206030706#:~:text=An%20elevated%20plasma%20homocysteine%20concentration,using%20a%20comprehensive%20literature%20search. Our favorite fertility tracker Inito (use code FABFERTILE15 to save 15)  Fab Fertile Method https://www.fabfertile.com/what-we-do/ Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH  Not sure where to start? Book a 15-minute call here and we'll give you options to help. --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission

Discover how this couple conceived and had their daughter after 3 failed IVFs, 2 Miscarriages, and diminished ovarian reserve After 5 years of trying to conceive, 3 failed IVF cycles, 2 miscarriages and being told she only had donor eggs left, Heather was exhausted. At 38 with a diagnosis of diminished ovarian reserve (DOR), she reached out to Fab Fertile for a new way.   She had a 10-day luteal phase, excessive bleeding, vaginal dryness, daily fatigue, anxiety, and a history of HPV - all signs her body was stressed. Meanwhile, her partner Peter had poor sleep, headaches, muscle stiffness, and sperm DNA fragmentation.   In this episode, we go through how we used the Fab Fertile Method to uncover hidden imbalances - H. pylori, nutrient depletion, fat malabsorption, leaky gut, and immune dysfunction, and how they committed to foundational changes in nutrition, stress support, and targeted supplementation. ✨ With one embryo, they finally conceived after years of heartbreak. We believe in miracles, but you've got to meet your miracle partway. Using a functional, personalized, whole body approach to prepare the body for pregnancy even when the odds are against you. This episode is for you if: You've experienced miscarriage before 12 weeks and want answers beyond "everything looks normal." You've been diagnosed with low AMH, high FSH, or diminished ovarian reserve and are looking for a deeper approach. You want to explore functional strategies like gut health, immune balance, and advanced bloodwork to improve pregnancy outcomes. In this episode you'll learn: How low AMH, short luteal phases, and hormone imbalance can impact IVF success and getting pregnant naturally Why gut infections like H. pylori and fat malabsorption are often overlooked in preconception planning The role of sperm DNA fragmentation in recurrent miscarriage and poor embryo quality and why testing for the partner is essential for pregnancy success How inflammation, food sensitivities, and immune dysfunction affect egg and sperm health Practical steps to improve fertility naturally using the Fab Fertile Method - even after IVF failure or a REI tells you donor eggs - getting pregnant with your own eggs is still possible Timestamps – IVF Success After 3 Failed Rounds, 2 Miscarriages and Low AMH [00:00:00] IVF Didn't Work - Now What? Why Failed IVF and Miscarriage May Signal Deeper Imbalances A look at what your body could be telling you after repeated IVF failure or pregnancy loss [00:01:00] Low AMH, High FSH, Diminished Ovarian Reserve - What Your Doctor May Be Missing Why conventional bloodwork isn't enough and how functional fertility testing fills the gap [00:03:00] Signs Your Hormones and Gut Are Off: PMS, Fatigue, Anxiety, Body Aches Symptoms that seem "normal" could be key fertility red flags [00:05:00] Functional Fertility Testing That Made the Difference: GI MAP, Food Sensitivities, Genetics The tests we use to personalize protocols for low AMH, egg quality, and miscarriage risk [00:08:00] Male Fertility and DNA Fragmentation: Why His Health Matters Too How sperm quality and inflammation affect embryo success and pregnancy outcomes [00:11:00] Personalized Fertility Plan Results in IVF Success and Healthy Pregnancy How addressing inflammation, gut health, and hormone imbalances led to conception --- RESOURCES 📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility. 📩 Get your free guide! Email [email protected] with the subject line PROTEIN to access your personalized fertility protein plan. DOR & IVF: Essential Insights for Your Next Cycle: https://fabfertile.com/blogs/podcasts/dor-ivf-essential-insights-for-your-next-cycle Causes of Miscarriage Before 12 Weeks: What Most Doctors Miss: https://fabfertile.com/blogs/podcasts/causes-of-miscarriage-before-12-weeks-what-most-doctors-miss The Link Between Sleep and Fertility: Why Getting Enough Rest Matters: https://fabfertile.com/blogs/podcasts/how-poor-sleep-could-be-sabotaging-your-egg-quality?_pos=6&_sid=a9a91f006&_ss=r What does gut health have to do with hormone balance and infertility? https://fabfertile.com/blogs/education/gut-health-hormone-balance-fertility?_pos=6&_sid=0dd89b0d0&_ss=r Our favorite fertility tracker Inito (use code FABFERTILE15 to save 15)  Fab Fertile Method https://www.fabfertile.com/what-we-do/ Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH  Not sure where to start? Book a 15-minute call here and we'll give you options to help. --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission

If you've had early miscarriage before 12 weeks, especially more than once, and been told everything looks "normal," or you've been diagnosed with low AMH, high FSH, this episode is for you. We're going to talk about what's often overlooked in early term pregnancy loss: gut health, immune dysfunction, clotting disorders, nutrient deficiencies, and hormone imbalance from a conventional and functional medicine perspective. In this episode, you'll learn: Why progesterone, thyroid function and adrenal health are key to early pregnancy The role of gut dysbiosis, inflammation, and food sensitivities in recurrent miscarriage What comprehensive bloodwork reveals - including homocysteine, hsCRP, ANA, and more Functional strategies to support detoxification, reduce stress, and improve implantation How immune triggers and vaginal microbiome imbalances increase miscarriage risk While the focus of this episode is on the female side of fertility it's not to be overlooked to look at the male partner's health. Poor sperm quality, oxidative stress, gut infections, and DNA fragmentation can all contribute to miscarriage, poor embryo development,t and implantation failure. Just as we look at gut health, inflammation, and functional bloodwork in women,n we need to apply this lens to the male partner. If you haven't looked at semen analysis or functional testing for men, be sure to check out our Male Factor Fertility episode for strategies to optimize sperm health and improve pregnancy outcomes. How To Address Men's Reproductive Health (It's a myth sperm doesn't decline with age!) - https://fabfertile.com/blogs/podcasts/how-to-address-mens-reproductive-health-it-s-a-myth-sperm-doesnt-decline-with-age?_pos=1&_sid=689d505e3&_ss=r This episode is for you if: You have experienced a miscarriage before 12–14 weeks of pregnancy and want to understand what might be behind it. You're seeking both conventional and functional insights to support healing and improve your chances in future pregnancies. You want actionable lifestyle, diet, and testing strategies to help your body prepare for a healthy pregnancy. 📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility. Progesterone, Low AMH & Miscarriage: What You're Missing: https://fabfertile.com/blogs/podcasts/progesterone-low-amh-miscarriage-what-you-re-missing?_pos=2&_sid=419b85b54&_ss=r The Clotting Connection: Hidden Causes of Implantation Failure and Miscarriage: https://fabfertile.com/blogs/podcasts/the-clotting-connection-hidden-causes-of-implantation-failure-and-miscarriage?_pos=1&_sid=7be65c286&_ss=r Why Genomic Testing Can Help With Recurrent Pregnancy Loss, Birth Outcomes and Preconception Health: https://fabfertile.com/blogs/podcasts/why-genomic-testing-can-help-with-recurrent-pregnancy-loss-birth-outcomes-and-preconception-health?_pos=1&_sid=276b731ef&_ss=r Improving Egg Quality and Fertility: The Gut Fertility Connection for Low AMH, High FSH, and Poor Egg Quality: https://fabfertile.com/blogs/podcasts/improving-egg-quality-and-fertility-the-gut-fertility-connection-for-low-amh-high-fsh-and-poor-egg-quality?_pos=8&_sid=4a5e4c45f&_ss=r Detox Your Way to Better Egg Health: Strategies to Improve Fertility Naturally: https://fabfertile.com/blogs/podcasts/detox-your-way-to-better-egg-health-strategies-to-improve-fertility-naturally?_pos=3&_sid=721d5ef4d&_ss=r AMH Diet – Start This Today to Support Fertility & Get Pregnant This Year: https://fabfertile.com/blogs/podcasts/amh-diet-start-this-today-to-support-fertility-get-pregnant-this-year?_pos=4&_sid=436729b60&_ss=r Autoimmune Roadblocks to IVF: How ANA Affects Fertility: https://fabfertile.com/blogs/podcasts/autoimmune-roadblocks-to-ivf-how-ana-affects-fertility?_pos=1&_sid=67f4ee988&_ss=r Before Your IVF Transfer, Test This First: https://fabfertile.com/blogs/podcasts/before-your-ivf-transfer-test-this-first?_pos=4&_sid=7a3816cfa&_ss=r How MTHFR and methylation affect fertility with high FSH and low AMH: https://fabfertile.com/blogs/education/mthfr-methylation-high-fsh-low-amh-fertility?_pos=3&_sid=83df85b36&_ss=r

We're diving deep into thrombophilia panel and why this matters for miscarriage or implantation failure You've been told it's "just bad luck" after another miscarriage or another IVF round with perfect embryos that didn't implant. But what if your body is trying to tell you something deeper? In this episode, we uncover the critical role of thrombophilia an often-overlooked clotting issue in recurrent pregnancy loss and failed implantation. We'll walk through what should be included in a full thrombophilia panel, what research reveals about its connection to miscarriage, and how a functional approach digs deeper into inflammation, methylation, estrogen balance, and more. This episode is for you if: You've experienced miscarriage or implantation failure and wonder if a clotting issue like thrombophilia could be the missing link. Your bloodwork is "normal," but you suspect inflammation, nutrient deficiencies, or hormone imbalances are being overlooked. You're preparing for IVF or trying to conceive naturally and want a proactive, functional approach to reduce clotting risk and support implantation. In this episode you'll learn: The link between thrombophilia and recurrent miscarriage, implantation failure, and pregnancy complications like preeclampsia What's included in a complete thrombophilia panel and which tests are often overlooked in conventional fertility care How inflammation markers like hs-CRP, homocysteine, and fibrinogen affect fertility and clotting risk The role of MTHFR mutations, poor methylation, and high estrogen in increasing clotting and miscarriage risk How a functional approach addresses clotting risk through gut health, hormone balance, and personalized nutrient support --- RESOURCES 📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility. Why Addressing Homocysteine Levels Can Boost Egg and Sperm Health: https://fabfertile.com/blogs/podcasts/why-addressing-homocysteine-levels-can-boost-egg-and-sperm-health?_pos=1&_sid=24ab2fd4b&_ss=r Why Your Gut Microbiome Matters for Low AMH and High FSH: https://fabfertile.com/blogs/podcasts/why-your-gut-microbiome-matters-for-low-amh-and-high-fsh?_pos=4&_sid=60f99c093&_ss=r Why This Is The Best Test For Your Hormones: https://fabfertile.com/blogs/podcasts/why-this-is-the-best-test-for-your-hormones?_pos=3&_sid=0b565b874&_ss=r Why Genomic Testing Can Help With Recurrent Pregnancy Loss, Birth Outcomes and Preconception Health: https://fabfertile.com/blogs/podcasts/why-genomic-testing-can-help-with-recurrent-pregnancy-loss-birth-outcomes-and-preconception-health?_pos=10&_sid=8f89d49cd&_ss=r Beyond Hormones: Why Inflammation May Be Driving Poor Egg Quality and Miscarriage:  https://fabfertile.com/blogs/podcasts/beyond-hormones-why-inflammation-may-be-driving-poor-egg-quality-and-miscarriage?_pos=2&_sid=a9c34f2d9&_ss=r Our favorite fertility tracker (use code FABFERTILE15 to save 15) - https://www.inito.com/en-us/?srsltid=AfmBOoo85sXu_esmFN5Kz6iysaTkBKgYl35Jubv-BaLkkxXVggdk6nes Fab Fertile Method https://www.fabfertile.com/what-we-do/ Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH - https://fabfertile.clickfunnels.com/optinvbzjfsii Not sure where to start? Book a 15-minute call here and we'll give you options to help. --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.

We're diving deep into hypervigilance, how this so-called superpower might actually be standing in the way of your fertility success. If you can't stop researching, tracking, and worrying, this episode is for you. We're talking about hypervigilance being on high alert all the time and how it's interfering with your fertility. From disrupted hormone signaling to suppressed ovulation and declining egg quality, chronic stress changes how your body works at a fundamental level. Hypervigilance shows up as: Over-researching and second-guessing every decision Micromanaging protocols or switching supplements often Feeling like no matter how hard you try, it's never enough This state may feel productive but it's keeping your nervous system in survival mode. And when your body thinks it's in danger, it prioritizes protection over reproduction. Fertility isn't just about what you eat or which supplements you take, it's also about how your body feels. And the truth is: your reproductive system needs calm to function optimally. Tune in to find out how stress affects egg quality and what to do next on your path to pregnancy. This episode is for you if: Constantly feel like you have to be "on" or in control of your fertility journey - researching, tracking, planning every detail. Struggle to relax or switch off, even when you're doing all the "right" things to support your hormones and egg quality. Have been told your AMH is low or you have diminished ovarian reserve, and you're wondering if stress is playing a bigger role than you thought. In this episode we'll cover: Why chronic stress and hypervigilance disrupt ovulation and hormone balance How high cortisol impacts AMH, egg quality, and IVF outcomes The role of mitochondrial health in egg development and how stress gets in the way Simple somatic practices to calm the nervous system and restore reproductive function How to shift from over-control to trust without losing your sense of agency --- RESOURCES How Perfectionism Affects Fertility and Egg Quality - And What to Do About It:  https://fabfertile.com/blogs/podcasts/is-perfectionism-affecting-your-fertility-how-to-let-go-and-support-egg-health-naturally?_pos=1&_sid=d6bf4d95b&_ss=r IVF Prep with Low AMH: Boosting Your Chances for Success: https://fabfertile.com/blogs/podcasts/ivf-prep-with-low-amh-boosting-your-chances-for-success-1?_pos=1&_sid=462c4eac8&_ss=r AMH Diet – Start This Today to Support Fertility & Get Pregnant This Year:  https://fabfertile.com/blogs/podcasts/amh-diet-start-this-today-to-support-fertility-get-pregnant-this-year?_pos=4&_sid=b64c3e6f1&_ss=r Success Story: POI at 27 and Pregnant:  https://fabfertile.com/blogs/education/success-story-poi-at-27-and-pregnant?_pos=1&_sid=125e01ba3&_ss=r Our favorite fertility tracker (use code FABFERTILE15 to save 15) - https://www.inito.com/en-us/?srsltid=AfmBOoo85sXu_esmFN5Kz6iysaTkBKgYl35Jubv-BaLkkxXVggdk6nes Fab Fertile Method https://www.fabfertile.com/what-we-do/ Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH - https://fabfertile.clickfunnels.com/optinvbzjfsii Not sure where to start? Book a 15-minute call here and we'll give you options to help. --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.

We're digging into how to prepare for a successful embryo transfer. You've cleaned up your diet, taken all the right supplements, and maybe even had a few rounds of IUI or IVF. But if implantation keeps failing, or you're dealing with low AMH, poor egg quality, or recurrent miscarriage - there's more going on. What if the issue isn't just your hormone levels or egg count… but something hidden like the vaginal or seminal microbiome, your gut health or undetected inflammation? In this episode of Get Pregnant Naturally we're looking at the often overlooked factors that are silently sabotaging your chances of getting pregnant and how functional testing and targeted support can give you answers. This episode is for you if: You've had a failed transfer, early miscarriage, or are prepping for IVF and want to understand how inflammation, microbiome, and hormone metabolism affect implantation. You've never looked into gut health, vaginal/seminal microbiome, or food sensitivities—but suspect something deeper is going on. You're ready to explore functional testing and personalized strategies to optimize your environment for egg quality, embryo health, and implantation success. In this episode you'll learn: Why the vaginal and seminal microbiome are key players in implantation and early pregnancy success. The most effective tests to identify hidden microbial imbalances in both partners. How to use targeted protocol to shift an unhealthy microbiome. The surprising ways the male microbiome can affect embryo quality and trigger inflammation in the uterus. A step-by-step functional strategy to optimize your microbiome before IVF or IUI. --- RESOURCES 📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility. Why Your Gut Microbiome Matters for Low AMH and High FSH: https://fabfertile.com/blogs/podcasts/why-your-gut-microbiome-matters-for-low-amh-and-high-fsh?_pos=4&_sid=c3f072c5f&_ss=r Before Your IVF Transfer, Test This First: https://fabfertile.com/blogs/podcasts/before-your-ivf-transfer-test-this-first?_pos=4&_sid=ce4cb32ae&_ss=r Beyond Hormones: Why Inflammation May Be Driving Poor Egg Quality and Miscarriage: https://fabfertile.com/blogs/podcasts/beyond-hormones-why-inflammation-may-be-driving-poor-egg-quality-and-miscarriage "Your Labs Are Normal" But Are They? 20 Overlooked Blood Markers & Functional Tests to Improve Egg Quality & Fertility: https://fabfertile.com/blogs/podcasts/your-labs-are-normal-but-are-they-20-overlooked-blood-markers-functional-tests-to-improve-egg-quality-fertility DUTCH Test 101: Why It's Important For Fertility: https://fabfertile.com/blogs/podcasts/dutch-test-101-why-its-important-for-fertility?_pos=1&_sid=1d77ba290&_ss=r Why Genomic Testing Can Help With Recurrent Pregnancy Loss, Birth Outcomes and Preconception Health: https://fabfertile.com/blogs/podcasts/why-genomic-testing-can-help-with-recurrent-pregnancy-loss-birth-outcomes-and-preconception-health?_pos=10&_sid=fd881d4c6&_ss=r Our favorite fertility tracker (use code FABFERTILE15 to save 15) - https://www.inito.com/en-us/?srsltid=AfmBOoo85sXu_esmFN5Kz6iysaTkBKgYl35Jubv-BaLkkxXVggdk6nes Fab Fertile Method https://www.fabfertile.com/what-we-do/ Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH - https://fabfertile.clickfunnels.com/optinvbzjfsii Not sure where to start? Book a 15-minute call here and we'll give you options to help. --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.

We're digging into blood sugar and why it matters for egg quality, especially if you've been told you have low AMH, DOR (diminished ovarian reserve), POI (premature ovarian insufficiency) or recurrent pregnancy loss. When we think of fertility, blood sugar isn't usually top of mind, but it should be. In this episode we dive into the powerful connection between blood sugar balance and egg quality, especially for those with low AMH, diminished ovarian reserve or recurrent miscarriage. You'll learn why even small imbalances can cause oxidative stress and inflammation that disrupts the ovarian environment, and what you can do about it. We walk through CGMs, glucose meters, and symptom tracking to help you find hidden patterns. Plus we share proven diet, lifestyle, and stress strategies to balance your blood sugar and support better reproductive outcomes. Whether this is your first cycle or you've had transfer failures before, this episode will give you practical, personalized steps to protect your eggs and create a more supportive environment for implantation and pregnancy success. This episode is for you if: You're struggling with low AMH, poor egg quality, or recurrent miscarriages and want to understand hidden factors affecting your fertility. You suspect blood sugar imbalances but aren't sure how to identify or manage them effectively. You're ready to use practical tools and lifestyle changes to take control of your reproductive health and improve your chances of pregnancy. In this episode you'll learn: 🔹 How blood sugar imbalances affect egg quality, ovulation and implantation, even if your labs look "normal." 🔹 Why insulin resistance and oxidative stress are the big (but often overlooked) culprits of poor egg quality and low AMH. 🔹 How to use CGMs, glucose meters, and symptom tracking to find the hidden patterns that impact your fertility. 🔹 Fertility diet, lifestyle, and stress strategies to balance blood sugar and hormones. 🔹 How to use your own data to make changes that actually work. --- RESOURCES 📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility. 📩 Get your free guide! Email [email protected] with the subject line PROTEIN to access your personalized fertility protein plan. Low Blood Sugar (Hypoglycemia) And The Impact On Egg Quality and IVF Outcomes: https://fabfertile.com/blogs/education/low-blood-sugar-hypoglycemia-and-the-impact-on-egg-quality-and-ivf-outcomes?_pos=6&_sid=9bca30dcc&_ss=r The link between blood sugar balance and low AMH and High FSH: https://fabfertile.com/blogs/education/the-link-between-blood-sugar-balance-and-low-amh-and-high-fsh?_pos=6&_sid=9bca30dcc&_ss=r Why A CGM Could Help With Embryo Implantation: https://fabfertile.com/blogs/podcasts/why-a-cgm-could-help-with-embryo-implantation-with-boris-berjan?_pos=1&_sid=163323745&_ss=r The Link Between Sleep and Fertility: Why Getting Enough Rest Matters: https://fabfertile.com/blogs/podcasts/how-poor-sleep-could-be-sabotaging-your-egg-quality?_pos=6&_sid=271863699&_ss=r Our favorite fertility tracker (use code FABFERTILE15 to save 15) - https://www.inito.com/en-us/?srsltid=AfmBOoo85sXu_esmFN5Kz6iysaTkBKgYl35Jubv-BaLkkxXVggdk6nes Fab Fertile Method https://www.fabfertile.com/what-we-do/ Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH - https://fabfertile.clickfunnels.com/optinvbzjfsii Not sure where to start? Book a 15-minute call here and we'll give you options to help. --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.  

We're digging into egg health, inflammation, and the key factors that cause it. We often hear about "low AMH" or "poor egg quality" without answers that go beneath the surface. In today's episode, we explore a missing link that could be driving it all: chronic inflammation. Whether you're dealing with diminished ovarian reserve (DOR), premature ovarian insufficiency (POI), or recurrent miscarriage, understanding inflammation's role may be key to moving forward. This episode is for anyone ready to connect the dots between lab results, symptoms, and what's going on inside the body. If you've been told everything is "normal," but it doesn't feel that way, this is your invitation to dig deeper with science, strategy, and a plan. This episode is for you if: You're struggling with low AMH, diminished ovarian reserve (DOR), or poor egg quality. You want to understand how inflammation could be impacting your fertility journey. You're looking for actionable insights to support egg health naturally through lab markers and lifestyle factors. In this episode you'll learn: How chronic inflammation affects egg quality, ovarian reserve, and miscarriage risk Why low AMH isn't the full story and what labs to ask for next Key blood markers (like hs-CRP, homocysteine, and thyroid antibodies) that reveal hidden inflammation The role of insulin resistance, thyroid imbalance, and nutrient deficiencies in ovarian aging Practical strategies to reduce inflammation and improve egg health with a functional approach --- RESOURCES "Your Labs Are Normal" But Are They? 20 Overlooked Blood Markers & Functional Tests to Improve Egg Quality & Fertility:  https://fabfertile.com/blogs/podcasts/your-labs-are-normal-but-are-they-20-overlooked-blood-markers-functional-tests-to-improve-egg-quality-fertility Why Does It Matter If I Have Migraines and POI?: https://fabfertile.com/blogs/podcasts/why-does-it-matter-if-i-have-migraines-and-poi?_pos=2&_sid=27548216b&_ss=r The Link Between Sleep and Fertility: Why Getting Enough Rest Matters:  https://fabfertile.com/blogs/podcasts/how-poor-sleep-could-be-sabotaging-your-egg-quality Why Addressing Homocysteine Levels Can Boost Egg and Sperm Health: https://fabfertile.com/blogs/podcasts/why-addressing-homocysteine-levels-can-boost-egg-and-sperm-health?_pos=1&_sid=750cbcc5e&_ss=r What Mood Swings, Sugar Cravings, Poor Sleep and Feeling Hangry Have to Do With Your Fertility:  https://fabfertile.com/blogs/podcasts/what-mood-swings-sugar-cravings-poor-sleep-and-feeling-hangry-has-to-do-with-your-fertility?_pos=11&_sid=02696b0e2&_ss=r Why Genomic Testing Can Help With Recurrent Pregnancy Loss, Birth Outcomes and Preconception Health:  https://fabfertile.com/blogs/podcasts/why-genomic-testing-can-help-with-recurrent-pregnancy-loss-birth-outcomes-and-preconception-health?_pos=10&_sid=8a66db686&_ss=r Is Your Thyroid Impacting Egg Health? The Hidden Connection to Low AMH, DOR & Fertility Success:  https://fabfertile.com/blogs/podcasts/is-your-thyroid-impacting-egg-health-the-hidden-connection-to-low-amh-dor-fertility-success?_pos=6&_sid=96ccbdc87&_ss=r Low AMH? Why 'Normal' Vitamin D Levels May Still Be Hurting Your Egg Quality:  https://fabfertile.com/blogs/podcasts/low-amh-why-normal-vitamin-d-levels-may-still-be-hurting-your-egg-quality?_pos=4&_sid=4de32e2e0&_ss=r The Intricate Dance: Cholesterol, Statins, and Fertility: https://fabfertile.com/blogs/education/the-intricate-dance-cholesterol-statins-and-fertility?_pos=1&_sid=2948a9d48&_ss=r Our favorite fertility tracker (use code FABFERTILE15 to save 15): https://www.inito.com/en-us/?srsltid=AfmBOoo85sXu_esmFN5Kz6iysaTkBKgYl35Jubv-BaLkkxXVggdk6nes Fab Fertile Method https://www.fabfertile.com/what-we-do/ Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH - https://fabfertile.clickfunnels.com/optinvbzjfsii Not sure where to start? Book a 15-minute call here and we'll give you options to help. --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.  

We're digging the top 20 blood tests and functional labs to improve egg quality Are you struggling with low AMH or poor egg quality? The standard fertility panel often misses crucial clues. In this episode, we dive deep into the top 20 functional lab markers you need to know, covering hormones, inflammation, metabolism, and nutrient status. Learn why functional reference ranges matter, what high or low results mean, and how these insights guide personalized fertility care. We'll also explore specialized testing beyond bloodwork, like gut health panels, genetic testing, hormone metabolite analysis, and environmental toxin screens, all critical pieces often overlooked but vital for optimizing egg quality. ✨ Plus, hear a moving success story from Annie, who thought IVF and donor eggs were her only options until she embraced a comprehensive, holistic approach that changed everything. This episode is for you: You want to go beyond standard fertility tests and uncover hidden factors impacting your egg quality and ovarian reserve. You're struggling with low AMH, poor egg quality, or recurrent miscarriage and need clear guidance on the most effective labs to run. You're ready to take a personalized, functional approach to optimize hormone balance, reduce inflammation, and support mitochondrial health. In this episode you'll learn: How to interpret key blood markers like AMH, FSH, and progesterone to understand your ovarian reserve and egg quality beyond standard lab ranges. Which advanced functional tests reveal hidden inflammation, hormone imbalances, and nutrient deficiencies impacting fertility. Why personalized functional lab data is crucial for creating targeted fertility strategies that support natural conception or IVF success. How gut health, genetics, and stress hormones connect to egg quality, and which tests uncover these hidden influences. --- RESOURCES 📩 Want the full bloodwork guide? Email us at [email protected] with the subject line BLOODWORK to get your free copy.  It covers the functional ranges for egg quality and IVF prep, so you can catch hidden imbalances and make smart, proactive changes before your next cycle. AMH Diet – Start This Today to Support Fertility & Get Pregnant This Year: https://fabfertile.com/blogs/podcasts/amh-diet-start-this-today-to-support-fertility-get-pregnant-this-year?_pos=4&_sid=dabd4b567&_ss=r Is Your Thyroid Impacting Egg Health? The Hidden Connection to Low AMH, DOR & Fertility Success: https://fabfertile.com/blogs/podcasts/is-your-thyroid-impacting-egg-health-the-hidden-connection-to-low-amh-dor-fertility-success?_pos=6&_sid=60654df25&_ss=r Progesterone, Low AMH & Miscarriage: What You're Missing: https://fabfertile.com/blogs/podcasts/progesterone-low-amh-miscarriage-what-you-re-missing?_pos=2&_sid=9922843d8&_ss=r Before Your IVF Transfer, Test This First:  https://fabfertile.com/blogs/podcasts/before-your-ivf-transfer-test-this-first?_pos=4&_sid=29df705db&_ss=r Why A Mineral Deficiency Matters When You Are Trying To Conceive: https://fabfertile.com/blogs/podcasts/why-a-mineral-deficiency-matters-when-you-are-trying-to-conceive-with-terra-vitiello?_pos=1&_sid=daa7b363d&_ss=r Why Your Gut Microbiome Matters for Low AMH and High FSH: https://fabfertile.com/blogs/podcasts/why-your-gut-microbiome-matters-for-low-amh-and-high-fsh?_pos=4&_sid=c3f072c5f&_ss=r Why Genomic Testing Can Help With Recurrent Pregnancy Loss, Birth Outcomes and Preconception Health: https://fabfertile.com/blogs/podcasts/why-genomic-testing-can-help-with-recurrent-pregnancy-loss-birth-outcomes-and-preconception-health?_pos=10&_sid=d49ffa73b&_ss=r Our favorite fertility tracker (use code FABFERTILE15 to save 15): https://www.inito.com/en-us/?srsltid=AfmBOoo85sXu_esmFN5Kz6iysaTkBKgYl35Jubv-BaLkkxXVggdk6nes Fab Fertile Method https://www.fabfertile.com/what-we-do/ Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH - https://fabfertile.clickfunnels.com/optinvbzjfsii Not sure where to start? Book a 15-minute call here and we'll give you options to help. --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.