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Thanks for going into such detail. Do you go straight to Estrace from Lupron or wait for a period? Does estrace after lupron make adeno worse?

Does lack of sleep/insomnia/nights shifts impact Ovarian reserve and/or egg quality?

The pauses sound so weird.

I looked at the side effects of Letrozol and it said heart attack. What are the chances of that?

Dear Dr. Natalie, thank you for your helpful information! Can I ask are you still vegan and do you recommend it for ttc after two miscarriages?

Great information, what anti inflammatory or neutral drinks would be good? A lot of the internet is recommending copious quantities of fruit and veggies juices, but that is removing all the fibre. PS Green tea makes me nauseous at the best of times 🤢

I had blood drawn today for this AMH test. My ob/gyn did not even mention what the test was for. Because i have listened to your channel, I had the information. Thank you so much for putting all this valuable information out there.

Keep continuing doing these podcast on women in medicine .. very helpful for upcoming physicians

This is over-complicating the situation. You have PCOS because you have chronic elevated insulin. That's it. All of the symptoms that were discussed here are downstream of the elevated insulin. In other words, even though you might have many PCOS symptoms, the root cause of all of them is chronic elevated insulin. You can very easily test to confirm this. The two best tests to take are: • Fasting insulin test • ADIPO-IR test Fasting insulin test shows your baseline level of insulin. If it is over 5 uIU/mL, it is too high and will be causing problems The ADIPO-IR test looks for insulin resistance specifically in fat cells (fat cells are the first cells to show insulin resistance). Take one or both of those tests. If your doctor doesn't want to give you the tests, tell them to enter it into your permanent medical record that you requested the tests but they refused to order it. This will scare them sh•tless and they will order the tests. If they are still refusing, get a new doctor *_as soon as humanly possible._* Once you confirm if you have high insulin (spoiler alert: *_you do_* ), then you can move on to fixing it and reversing your PCOS. Fastest, safest, and most consistent way to fix your insulin problems ane reverse PCOS is to keep your total daily carbohydrate below 20g/day. You will go through a one or two week adjustment period which kinda' sucks - you will have sugar withdrawal symptoms. After that, you will see noticeable improvements by the week. Full PCOS reversal can be achieves in about a year (especially if you incorporate exercise). The major exception to this is if you are on hormone-altering medications like birth control. I am happy to answer questions or explain more or address concerns.

Dear Dr Natalie, thank you for a very useful information.❤

What about fertility impacts after long term/ chronic use but quitting a year before trying to get pregnant?

Congratulations 🎉 Thank you for all your work and dedication ❤

Hello! How long does the sperm live in the uterus after IUI?

Proud of you and your success! I know how hard starting a business is, running it, working it, managing it and building bigger dream’s is. Sadly also know what losses feel like. Thanks for all you do and your immense impact on the fertility awareness/ttc community.

Thank you so much for dedicating your work to helping women understand their bodies and navigate the complicated, heart stabbing process of trying, especially with infertility issues. I've been navigating stage 4 endometriosis for 14 years and your podcasts are some of the best resources I've found for trying to conceive. Hearing your story honestly made me tear up and just feel so grateful for women like you. Thank you ❤ I can't wait for the book!!!

I could listen to your podcast all day, every day. Appreciate you're expertise.

Amazing information. A little technical but very much appreciated.

i was recently diagnosed with PCOS d/t irregular periods (38-50 day cycles) and i was given the option to choose clomid or letrozole. it was interesting to learn that letrozole is preferred for PCOC but now i am worried about the birth defects aspects. how common are the birth defects and do you have links to the studies u mentioned?

Thank you so much for providing this really helpful information and insights! As someone with stage 4 endometriosis, it's so helpful to hear about different approaches. Thank you for being a resource for all of us going through this difficult and confusing process!! ❤

Thank you for this episode

I'm 39 and I've been trying to conceive for a year. I have a regular period, but it's not a normal period. It's a very light flow and it only lasts half a day, maybe one day. O dont know if this is due to me being on bc (coc) pill. Prior to bc I never my period was 3 days and i was also producing a lot of CM as opposed to now that im not. My gynecologist doesn't seem to be concerned, but I am.

infections are a common yet mostly unknown cause of infertility. infections such a ureaplasma and lyme disease in the uterus. so many more infections than what are currently tested for are able to be spread via sex. fungal issues, parasites, etc. all leading to infertility.

Your perspective on professional development and your career story is so inspiring, thank you for sharing.

I've been having problems with my period. I'm 39 and I was on birth control for 4 years. Been off bc for 1 whole year. My periods are havr always been regular on the dot. Now after being of bc They're regular but not normal. They're very light little to no flow. The type of "period" you get on placebo week. They las as little as 6 hours to 1 day. I dont know if the change it do to my age. My amh is 6.39 and I think I might have pcos,but my dr doesn't want to run tests to prove or disprove pcos since I don't "fit pcos picture"

Thank you so much for this podcast💖

Thank you for the information.

Thank you for this information you have answered all my questions on donor eggs 😊

Too bad insurance’s suck and they are getting worse.

Dear Dr Natalie, what about polyps in the neck of uterus? Are they dangerous and should they be removed before IVF? But the problem is that it can be formed after a IVF since the hormones are raising too high.

Thank you Natalie! I am physician too! I love the way you explain and how you let me know why to value, respect, my body as a woman (medicine school never tought us)

35 yr old female here. Husband and I have been trying for over a year now.. no luck. Both went for testing, and everything appears normal. I hate that we can't figure out why we aren't able to get pregnant... :( So stressful.

Diagnosed with unexplained fertility at age 38. Had one miscarriage (pregnant in three months). Going straight to IVF. praying we get pregnant naturally while on the list.

Nice, feeling how the bloating and pain receded within approximately two months made all the difference, I simply go’ogled the latest by Tilly Strankten and her Ovarian Cyst Guide and although it really took about 10 weeks for it to totally shrink and vanish I’ve never felt so light and relaxed.

You’re right, feeling how it began to shrink and eventually disappear within 2 months was so liberating. I followed the steps I mentioned, and within the first 2 weeks the bloating was gone. I simply go'ogled Tilly Strankten's Ovarian Cyst Guide and it's like I hit the feel-good reset button lol.

Thank you so much for explaining the different protocols, I was so confused and without knowledge😁! 🙏🙏

Thank you so much for explaining the different protocols, I was so confused and without knowledge😁! 🙏🙏

My husband has a “slightly high PH of his semen” but came back with great concentration, morphology, and motility. Could his high PH make his sperm not swim?

This episode was so enlightening! Thank you very much, Dr Natalie!❤

Thank you

I have adenomyosis… I get these horrible horrible attacks every month where I literally go from the hottest shower I can take to my bed with a heating pad puking everything that I put onto my stomach & having horrible labor like cramps. I had two kids my last son I had without any pain medicine & these attacks are worse!

Marilyn Monroe had severe endometriosis. I'm sure it was connected to her extremely traumatic childhood. Poor little Norma Jean suffered so much early in life. I'm sure it has something to do with adverse childhood experiences.

Thank you, Dr Natalie. ❤ I finally got to understand this disease.

Hey Dr nat! I was put on letrozole. I had an ovary removed when I was 16, so I should go through menopause in my early 30s. I will be 32 this year, and have yet to be a momma! I could use any info you have, but I'm worried it's the wrong medication because my ovarian reserve.

Is Clomid okay to use on someone with Low AHM/ Diminished Ovarian Reserve? I know I ovulate because I get positive opks every month. Can you please advise thank you.

What if my urine progesterone drops to 2.4 2 days after ovulation?

Thank you for sharing this story. I caught myself in the ‘now or never’ state and hearing this perspective is healing ❤️

Thanks for this episode! My flight is in two days to attend my first IUI in another country. Maybe the journey has properly started, but all the medical checks, plannings, donor choosing etc...made me felt that I've already come a long way! Knowing that I am not going through this alone is empowering :) Thank you, ladies!

There's no sound?

Thank you. Im over 35 yrs old, 3 healthy children. TTC #4. I had early miscarriage due to possible chromosomal abnormality & maternal age. Followed by 2 chemical pregnancies. Diagnosed by vaginal ultrasound my doctor found uterine polyp. I forget the size, either 7cm or 7mm. Doctor said borderline of needing to be removed , but went on to say to keep it and continue TTC. ALL the information i read & find online states uterine polys cause implantation issues and miscarriage, as well as problems in pregnancy to the fetus. Is it possible to have a pregnancy with a uterine polyp ? Thank you

Great informative podcasts, we appreciate you doctor.