Get Pregnant Naturally

Follicles not responding? Cycle cancelled? Told it is your low AMH? Book a free Functional Fertility Second Opinion before your next IVF decision → fabfertile.com
You have done the injections. You have gone in for monitoring. They may have increased the medication already.
And then you hear it again. The follicles are not responding. There are one or two growing. Maybe the cycle gets cancelled. Maybe you make it all the way to retrieval and get one egg.
When you ask why, the answer comes back the same way every time. It is your low AMH. It is your age. You are a poor responder.
Those are real factors, and I am not going to tell you the AMH does not matter. But if you are about to put your body, your finances, and yourself through another cycle, there is a bigger question worth asking. Is low AMH the whole explanation?
Because these are two separate statements: I have diminished ovarian reserve, and low AMH explains everything that happened during that cycle. They are not the same statement.
In this episode I walk through what AMH does and does not tell you, what I would want to understand about the 90 days before stimulation started, and what to ask your clinic before you go again. The full thyroid panel, including antibodies rather than TSH alone. Blood sugar and how it moves across a day. hs-CRP and unnecessary inflammation. Vitamin D you may be taking and may not be absorbing. Gut health, food sensitivity, the vaginal microbiome, nutrient status, and an autoimmune issue that gets mentioned as an afterthought when it belongs at the front of the file.
CHAPTERS
00:00 The follicles are not responding
01:00 About Sarah and the team
01:20 What AMH does and does not tell you
02:00 Two statements that are not the same
02:20 The 90 days before stimulation started
02:40 hs-CRP and unnecessary inflammation
03:00 Optimal, not normal
03:20 Blood sugar regulation across the day
03:30 The full thyroid panel including antibodies
03:50 Nutrient depletion and secondary infertility
04:10 The vitamin D you may not be absorbing
04:30 An autoimmune issue is not a by the way
05:00 A clean diet that may not be the right diet for you
05:30 Hypervigilance and nervous system load
06:20 One client who did not have enough follicles to qualify
06:40 What I am not claiming
08:00 Annie and Miles. AMH 0.15, FSH 33
08:40 What Your Clinic Missed
09:00 What to ask before another IVF
09:40 Thirty days without medication, and doing this in parallel
11:00 Book a Second Opinion with your partner
WHAT YOUR CLINIC MISSED
If you have no idea which of these markers to run, we have a checklist called What Your Clinic Missed. It is a list of markers worth reviewing before a donor egg decision or before another IVF, so you can look at your own results and go from there. Email hello@fabfertile.ca with MISSED in the subject line and we will send it to you.
FUNCTIONAL FERTILITY SECOND OPINION
Book with your partner and load your labs into the secure portal. Before the call I review your fertility history and bloodwork from both partners, looking for patterns, unanswered questions and gaps. We are not diagnosing. Sometimes the review confirms that moving forward with the next IVF makes sense. Sometimes there are questions worth addressing first. Book your call with your partner at fabfertile.com
If you want to know whether the call is right for you first, email hello@fabfertile.ca with FERTILE in the subject line and tell me a little about your situation.
ABOUT THE HOST
I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over one million downloads. My functional fertility team works with couples navigating low AMH and failed IVF, reviewing functional lab results, 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.
Sarah Clark, founder of Fab Fertile, host of Get Pregnant Naturally (1M+ downloads), and author of Fabulously Fertile.
If this episode helped, leave a review. It is how other women find this work.

Failed IVF? Low AMH? High FSH? Told donor eggs? Book a free Functional Fertility Second Opinion before your next fertility decision → fabfertile.com
You got eggs. After everything, that part finally went right.
Then day one, this many fertilized. Day three, this many are still growing. Then the call where someone tells you none of them made it.
And what comes next, almost word for word on call after call, is you going back through your twenties. The years when maybe you weren't taking the best care of yourself. Maybe you drank more, were under a lot of stress, or simply weren't thinking about your fertility yet. And you start wondering, Did I cause this? Is that why this happened? But then you come back to the same thing: I'm healthy now. I'm active. I take care of myself. So what am I missing?
Your age is real, and we are not going to ignore it. It usually is not the only thing on the table.
In this episode, I walk through the three questions I want answered before you go again. What that cycle actually told us, and what it could not tell us about the 90 days before the injections started. What was investigated and what was not, including the full thyroid panel, triglycerides and insulin rather than A1C alone, hs-CRP, vitamin D absorption, the gut and vaginal microbiome, food sensitivity, and his side beyond a count. And if you do another retrieval, what specifically is changing and why.
Preparing is not the same as being evaluated.
CHAPTERS
00:00 None of them made it
01:00 About Sarah and the team
01:20 Question 1. What did that cycle actually tell us
02:00 The 90 days before stimulation started
02:30 Preparing is not the same as being evaluated
03:00 Where the nervous system fits
03:30 Question 2. What was investigated and what was not
03:50 Full blood chemistry, thyroid and triglycerides
04:20 hs-CRP, vitamin D absorption and gut infections
04:40 The vaginal and gut microbiome
05:00 Clean eating that may still be driving inflammation
06:00 His side. DNA fragmentation and bloodwork
06:30 The body is not a silo
07:10 What Your Clinic Missed
07:30 Question 3. If you go again, what will actually be different
08:10 Book a Second Opinion with your partner
WHAT YOUR CLINIC MISSED
If you are not sure what can be investigated or which way to go next, we have a guide called What Your Clinic Missed. It gives you the patterns and themes to look at before you consider your next move. Email hello@fabfertile.ca with MISSED in the subject line.
FUNCTIONAL FERTILITY SECOND OPINION
Book with your partner and load your labs into the secure portal. We review your bloodwork for patterns your clinic is not set up to examine, and talk through what is worth digging into before another IVF cycle. It is not IVF or your health. It is both. Book your call with your partner here.
If you want to know whether the call is right for you first, email hello@fabfertile.ca with FERTILE in the subject line and tell me a little about your situation.
ABOUT THE HOST
I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over one million downloads. My functional fertility team works with couples navigating low AMH and failed IVF, reviewing functional lab results, 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.
Sarah Clark, founder of Fab Fertile, host of Get Pregnant Naturally (1M+ downloads), and author of Fabulously Fertile.
If this episode helped, leave a review. It is how other women find this work.

Failed IVF? Low AMH? High FSH? Told donor eggs? Book a free Functional Fertility Second Opinion before your next fertility decision → fabfertile.com
Your cycle was cancelled on day eight or day nine. Someone called and said there were not enough follicles and it was not worth going ahead. At the follow up, you heard the words poor responder.
What do you actually do with that? Change the protocol. Go again next month. Take three months off and work on your health. Get another opinion. Or accept that this is what your ovaries are capable of and stop looking for an explanation.
This is where I see women get stuck, because if you are listening to this, you have already done a lot. Clean eating, the supplements, CoQ10, a methylfolate prenatal, vitamin D, no alcohol, no plastics, acupuncture twice a week, reading It Starts With The Egg. Almost nobody walks into IVF blindly.
None of that answers the question in front of you now. What should I actually do before another retrieval?
In this episode, I walk through the three questions I would want answered. None of them are more supplements, and none of them are another checklist.
A cancelled cycle tells you how your ovaries responded to medication. It was never designed to tell you about the environment those eggs were developing in during the ninety days before the injections started.
What I cover: what the cycle actually established and what it was never built to answer. What happened in those ninety days, including the full thyroid panel with antibodies rather than TSH alone, ferritin where we look at 80 to 100, high sensitivity CRP where we like it below one, and absorption. Your partner's side, including DNA fragmentation, sperm antibodies and the seminal microbiome across his seventy-four days. And the question to ask your fertility team before you agree to another retrieval: what exactly are we changing, and why?
I am not telling you which protocol to be on. That is a conversation with your fertility team. I am also not saying any one of these markers explains a cancelled cycle. That is not the claim I am making. It is about whether the investigation was finished before the next decision.
CHAPTERS
00:00 Your cycle was cancelled and you heard poor responder
01:00 Question one, what did the cycle actually tell us
02:00 Everything you had already done before the cycle
03:00 Question two, what happened in the ninety days before stimulation
04:00 Full thyroid panel, ferritin, high sensitivity CRP and absorption
05:00 His side, DNA fragmentation, and why this is personal for me
06:00 What Your Clinic Missed, and what we actually look at
07:00 Question three, if you go again, what will be different
08:00 The Functional Fertility Second Opinion
09:00 Closing
WHAT YOUR CLINIC MISSED
A list of markers worth reviewing before another IVF cycle or a donor egg decision. It also gives you a sense of what we look at with clients, beyond bloodwork. Email hello@fabfertile.ca, subject line MISSED, and we will send you the guide.
FUNCTIONAL FERTILITY SECOND OPINION
A free 45-minute call where I review your bloodwork, your history, and your partner's results with you. Bring your partner and load your labs before the call. Email hello@fabfertile.ca, subject line FERTILE, or book here.
ABOUT THE HOST
I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over one million downloads. My functional fertility team works with couples navigating low AMH and failed IVF, reviewing functional lab results, 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.
Sarah Clark, founder of Fab Fertile, host of Get Pregnant Naturally (1M+ downloads), and author of Fabulously Fertile.
If this episode helped, leave a review on Apple Podcasts. It is how other women find this work.

Failed IVF? Low AMH? High FSH? Told donor eggs?  Book a free Functional Fertility Second Opinion before your next fertility decision → fabfertile.com
After a failed cycle, the pressure to decide arrives fast. Another retrieval. A different protocol. A different clinic. Donor eggs. And underneath all of it, the question of what to do next.
This episode is not an argument against IVF. It is the opposite. It is about walking into the next cycle having looked at the whole picture rather than only the protocol.
These are the five questions I would ask if we were sitting together reviewing your case.
What your last cycle actually told us, and why stimulation works with the eggs your body has already been developing rather than creating egg quality. What has genuinely changed since the last cycle beyond the medication. Whether investigating costs you time, or whether the two can run in parallel. Whether both partners have been evaluated, or only one. And what information would let you feel settled about the decision either way.
I also share what I would do differently. I was 28 when I was told donor eggs were my only option. I did not know there were other questions to ask.
CHAPTERS
00:00 The pressure to decide after a failed cycle
00:52 Review ask
01:00 What our team reviews and how we work
02:30 The type A pattern, and the tracking data that still has not answered it
03:10 Question 1. What did your IVF cycle actually tell us
03:40 Stimulation does not create egg quality
03:55 Question 2. What has actually changed since your last cycle
04:30 His full workup, beyond count and motility
05:00 Question 3. Will investigating cost me time
05:50 What is happening to your eggs while you gather information
06:15 Running functional work and IVF in parallel
06:50 Question 4. Have we looked at both partners
07:20 The 70 to 80 day window before conception
07:35 Question 5. What would help you feel confident either way
08:05 Medical gaslighting, and the symptoms nobody connected
08:30 I was 28 and I did not know what to ask
09:15 The Functional Fertility Second Opinion, and how parallel timing works
FUNCTIONAL FERTILITY SECOND OPINION
A free 45-minute call. Upload your bloodwork and IVF records to the portal beforehand and we go through what has already been investigated, where the gaps are, and whether our approach is a fit. If you have a retrieval scheduled we can still work with you. Email hello@fabfertile.ca, subject line FERTILE, or book at fabfertile.com
ABOUT THE HOST
I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over one million downloads. My functional fertility team works with couples navigating low AMH and failed IVF, reviewing functional lab results, 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.
Sarah Clark, founder of Fab Fertile, host of Get Pregnant Naturally (1M+ downloads), and author of Fabulously Fertile.
If this episode helped, leave a review on Apple Podcasts. It is how other women find this work.

Failed IVF? Low AMH? High FSH? Told donor eggs? Book a free Functional Fertility Second Opinion before your next fertility decision.→ fabfertile.com
You knew before the nurse called. You had been checking the portal, and there it was. FSH, flagged high. You read the range beside it several times, then searched the number late at night hoping it would tell you what it meant for your future. What came back was not an explanation. It felt like a verdict. Diminished ovarian reserve. Poor responder. Consider donor eggs.
A high FSH is a real finding, and this episode does not pretend otherwise. But a number tells you where you are standing. It does not tell you how you got there, and it does not decide for you.
In this episode, I walk through what a high FSH does tell us, what it does not, and the questions I would want answered before making another fertility decision. That includes the cycle day the sample was drawn on, whether estradiol was measured alongside it, whether the result has ever been repeated, and the layer of health that sits underneath the number and rarely gets examined.
I also share the outcomes I have seen across ten years. Some couples conceive naturally. Some go on to IVF, and it works. Some choose donor eggs. Some choose adoption. Some decide not to pursue children and feel better than they have in years. The goal of this work is clarity, not a promise.
CHAPTERS
00:00 The portal, the result, and what it felt like
01:00 What our team reviews and why it looks different
02:00 Both partners, and why this is multifactorial
03:00 What FSH is actually telling us
04:00 Cycle day, estradiol, and whether the test was repeated
05:00 What could be contributing to the bigger picture
06:00 Thyroid, ferritin, vitamin D, blood sugar, inflammation
07:00 Autoimmunity, gut health, endometriosis, sleep, nutrition
08:00 Under-fueling, chronic stress, and what the DUTCH test shows
09:00 The pattern I see in type A women, and my own diagnosis at 28
11:00 Every path we have helped couples take
12:00 What Your Clinic Missed
12:30 Three questions before your next decision
13:30 The Functional Fertility Second Opinion
WHAT YOUR CLINIC MISSED
The companion guide walks through the markers worth reviewing before a donor egg decision, so you can go through your own results and see what is there. Email hello@fabfertile.ca, subject line MISSED, and we will send you the guide.
FUNCTIONAL FERTILITY SECOND OPINION
A free 45-minute call. Before we speak, I review your bloodwork, your history, your previous treatment, and both partners' health, so the conversation focuses on what has been explored and what questions remain. Email hello@fabfertile.ca, subject line FERTILE, or book here.
ABOUT THE HOST
I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over one million downloads. My functional fertility team works with couples navigating low AMH and failed IVF, reviewing functional lab results, 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.
Sarah Clark, founder of Fab Fertile, host of Get Pregnant Naturally (1M+ downloads), and author of Fabulously Fertile.
If this episode helped, leave a review on Apple Podcasts. It is how other women find this work.