Get Pregnant Naturally

Book your free 45-minute Functional Fertility Second Opinion: https://fabfertile.com/pages/book
You've been through IVF, maybe more than once, and your doctor says your TSH is normal. But has anyone looked at your full thyroid picture?
In this episode, I'm sharing why TSH alone may not tell the whole story, especially if you're navigating low AMH, high FSH, diminished ovarian reserve, POI, or failed IVF.
You'll learn:
What TSH, Free T4, Free T3, and thyroid antibodies can tell us

What research says about thyroid autoimmunity, IVF outcomes, and miscarriage

Why thyroid medication may be necessary, but other health concerns can still deserve attention

How gut health, nutrient deficiencies, blood sugar, and nervous system regulation fit into our functional fertility approach

Your reproductive health doesn't exist in a silo. We look for patterns across your symptoms, health history, and testing while working alongside your fertility specialist.
I'm Sarah Clark, founder of Fab Fertile, author of Fabulously Fertile, and host of Get Pregnant Naturally, a podcast with over one million downloads.
My functional fertility team specializes in helping couples navigating low AMH, high FSH, diminished ovarian reserve (DOR), premature ovarian insufficiency (POI), recurrent miscarriage, and failed IVF. We use functional lab testing, targeted nutrition and lifestyle strategies, and nervous system regulation to identify patterns that may have been missed.
We work alongside your medical team, not instead of them.
Free Thyroid and Fertility Guide: https://fabfertile.com/pages/thyroid-guide
Subscribe to Get Pregnant Naturally and share this episode with someone navigating failed IVF.

Low AMH? Diminished ovarian reserve or POI? Failed IVF or told donor eggs are your only option? Book a free Functional Fertility Second Opinion before your next fertility decision → fabfertile.com
You have low AMH or diminished ovarian reserve. You've gone through IVF stimulation, but only one or two follicles developed. Maybe your cycle was canceled before egg retrieval.
Now you're wondering whether mini IVF, lower medication doses, or a different protocol could give you a better response.
But you're also frustrated. You've already invested time, money, and hope into IVF, and you still don't understand why your ovaries aren't responding.
What if changing your IVF protocol isn't the only thing worth investigating?
In this episode, we explore why poor ovarian response deserves a closer look at your overall health and how a functional fertility approach can work alongside your fertility clinic.
In this episode:
Why low AMH and diminished ovarian reserve can make IVF stimulation challenging

What to consider when only one or two follicles develop, or your IVF cycle is canceled

Why mini IVF, lower medication doses or a different stimulation protocol may be worth discussing with your fertility specialist

How thyroid function, nutrient deficiencies and blood sugar regulation fit into your fertility assessment

Why digestion, inflammation, sleep and chronic stress deserve attention

Why the male partner's health matters, even when the focus has been on your ovarian response

How to investigate your health while continuing to explore IVF treatment options

You may decide to try another IVF protocol. Or you may need time to consider other fertility options.
You don't have to put IVF on hold to investigate your health. Both can happen in parallel.
The goal is to make your next decision with more clarity and fewer unanswered questions.
FUNCTIONAL FERTILITY SECOND OPINION
Book with your partner if you're trying to conceive together, and upload your labs and test results to our secure portal before the call. 
We review what you already have, your fertility history, previous IVF response, and the health of both partners to identify questions that may not have been explored and discuss potential next steps.
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. For almost 12 years, my team and I have worked with couples navigating low AMH, diminished ovarian reserve, high FSH, POI, recurrent pregnancy loss, and failed IVF.
We look across fertility history, previous treatment, bloodwork, functional testing, and the health of both partners to identify patterns that may not have been explored. We work alongside your fertility clinic, not instead of it.
Sarah Clark, founder of Fab Fertile, host of Get Pregnant Naturally (1M+ downloads), and author of Fabulously Fertile.

Low AMH? Diminished ovarian reserve or POI? Failed IVF or told donor eggs are your only option? Book a free Functional Fertility Second Opinion before your next fertility decision → fabfertile.com
You've been told your AMH is too low. Your FSH is too high. Your IVF cycle didn't work.
And now donor eggs are being recommended.
Maybe donor eggs are the right next step for you. But before making that decision, have you been given the full picture of what's happening with your fertility?
Was the recommendation based mainly on your AMH and FSH? Has anyone reviewed what happened during your IVF cycles, including follicle response, fertilization, and embryo development?
And has anyone looked beyond your ovaries?
Donor eggs can be a wonderful path to parenthood. This isn't about ruling them out. It's about understanding your options and making a decision with fewer unanswered questions.
In this episode:
Why low AMH and high FSH don't tell the whole story about your fertility

What to ask when donor eggs are recommended after failed IVF

Why your previous IVF response, fertilization, and embryo development matter

Why the male partner needs to be investigated beyond a normal semen analysis, including sperm DNA fragmentation

What may still be worth reviewing, including thyroid and autoimmune patterns, metabolic health, inflammation, gut health and the nervous system

How to determine whether further investigation could meaningfully inform your next fertility decision

Why being informed about donor eggs doesn't mean you have to decide immediately

You may ultimately choose donor eggs. Or you may decide there are still questions worth exploring with your fertility team.
Either way, you deserve to understand why a particular path is being recommended.
FUNCTIONAL FERTILITY SECOND OPINION
Book with your partner and upload your labs and testing into our secure portal before the call. If you've done testing in the last three months, we won't automatically ask you to repeat it.
We review what you already have, your fertility history, previous IVF response and the health of both partners to identify questions that may not have been explored and discuss potential next steps.
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. For almost 12 years, my team and I have worked with couples navigating low AMH, diminished ovarian reserve, high FSH, POI, recurrent pregnancy loss, and failed IVF.
We look across fertility history, previous treatment, bloodwork, functional testing, and the health of both partners to identify patterns that may not have been explored. We work alongside your fertility clinic, not instead of it.
Sarah Clark, founder of Fab Fertile, host of Get Pregnant Naturally (1M+ downloads), and author of Fabulously Fertile.

Low AMH? Diminished ovarian reserve or POI? Failed IVF or recurrent loss? Book a free Functional Fertility Second Opinion before your next fertility decision → fabfertile.com
You've done the stool test. You've worked on your gut, changed your diet and taken the supplements. You've addressed your thyroid, hormones and inflammation.
So when someone asks whether anyone has looked deeper into your health, your answer is:
I've already done functional medicine.
But did your practitioner specialize in low AMH, diminished ovarian reserve, POI, recurrent pregnancy loss or failed IVF?
And did they connect what they found to your fertility history, IVF response, and the health of both partners?
Doing functional medicine and having a complex fertility case investigated aren't necessarily the same thing.
In this episode:
Why general functional medicine may miss patterns that matter in low AMH, DOR, POI, recurrent loss and failed IVF
Why more testing and more supplements aren't necessarily the answer
What may still be worth investigating, including inflammation, autoimmune and thyroid patterns, the nervous system, gut health and vaginal microbiome
Why his side matters beyond a normal semen analysis, including sperm DNA fragmentation
How your IVF history, embryo development and recurrent losses become part of the investigation
What to ask about the work you've already done before another IVF cycle
You're not starting over. You're figuring out what hasn't been connected yet.
CHAPTERS
00:00 I've already done functional medicine
02:10 General functional medicine versus complex fertility cases
03:40 High achieving, hypervigilant and the nervous system
04:30 His side beyond a normal semen analysis
10:50 Your fertility history, IVF response and recurrent loss
FUNCTIONAL FERTILITY SECOND OPINION
Book with your partner and load your labs and testing into our secure portal before the call. If you've done testing in the last three months, we won't ask you to repeat it. We look at what you already have, your fertility history and the health of both partners, see what's been missed, and give you a plan to put it all together.
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. For almost 12 years, my team and I have worked with couples navigating low AMH, diminished ovarian reserve, high FSH, POI, recurrent pregnancy loss and failed IVF.
We look across fertility history, previous treatment, bloodwork, functional testing, and the health of both partners to identify patterns that may not have been explored. We work alongside your fertility clinic, not instead of it.
Sarah Clark, founder of Fab Fertile, host of Get Pregnant Naturally (1M+ downloads), and author of Fabulously Fertile.

Low AMH? High FSH? Diminished ovarian reserve or POI? Book a free Functional Fertility Second Opinion before your next fertility decision → fabfertile.com
Your AMH came back low. Your FSH is elevated. You've been told you have diminished ovarian reserve and may not respond well to IVF.
And very quickly, that gets translated into: I'm not going to get pregnant.
That isn't what AMH was designed to tell you.
AMH is useful for helping predict how your ovaries may respond to stimulation and how many eggs may be retrieved during IVF. On its own, it's a poor predictor of whether you'll conceive naturally, and it can't tell you the quality of your eggs.
So instead of building your whole plan around raising that number, the better question is what else deserves a look.
In this episode:
What low AMH can and can't tell you about IVF response, natural conception, and egg quality
Why chasing a higher AMH isn't the main goal, even when we do see it move
What may be shaping the environment your eggs are developing in, including inflammation, thyroid health, blood sugar, nutrient status, gut and vaginal microbiome, and the nervous system
Why your partner's health matters and why a normal semen analysis isn't always the full picture
Low AMH is important information. It isn't your entire fertility story.
CHAPTERS
00:00 When AMH becomes the explanation for everything
02:00 What AMH can and can't tell you
03:00 Why did this happen?
04:00 The environment your eggs develop in
07:00 His side and what hasn't been investigated
FUNCTIONAL FERTILITY SECOND OPINION
Book with your partner and load your labs and testing into our secure portal. We look at patterns across your fertility history, bloodwork, existing testing, and the health of both partners to identify what may not have been investigated. Whether you're trying naturally, preparing for IVF or deciding what to do after a failed cycle, we'll help you understand what deserves your attention next. 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. For almost 12 years, my team and I have worked with couples navigating low AMH, diminished ovarian reserve, high FSH, POI, recurrent pregnancy loss and failed IVF.
We look across fertility history, previous treatment, bloodwork, functional testing, and the health of both partners to identify patterns that may not have been explored. We work alongside your fertility clinic, not instead of it.
Sarah Clark, founder of Fab Fertile, host of Get Pregnant Naturally (1M+ downloads), and author of Fabulously Fertile.