Get Pregnant Naturally

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.
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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.
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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.
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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.
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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.
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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.