Get Pregnant Naturally

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.

Failed IVF? Low AMH? High FSH? Told donor eggs? Book a free Functional Fertility Second Opinion before your next fertility decision → fabfertile.com
Your AMH is 0.2 ng/mL. Your FSH is 40. Another IVF cycle has failed, you've experienced another loss, or donor eggs are now on the table.
So you research. You ask ChatGPT fifteen versions of what should I do next? and every answer gives you five more things to investigate.
You have more fertility information than ever, and you're still terrified of making the wrong decision.
Information and certainty are not the same thing. No one can guarantee another IVF cycle, a different protocol, PRP, or donor eggs will work. You don't need to know your decision is going to work. You need to know why you're making it. 
In this episode, I walk through when you genuinely need more information after failed IVF, recurrent pregnancy loss, low AMH or high FSH, and when research has become the thing keeping you stuck.
We look at what has actually been investigated for both partners, including autoimmune history, inflammation, food sensitivity, bloating, skin changes, male bloodwork and sperm DNA fragmentation beyond a semen analysis that came back 
And instead of asking what else should I research? I give you a different question:
What information would actually change my decision?
Whether that's IVF number four, trying again after loss, continuing with your own eggs, or moving to donor eggs.
Preparing is not the same as being evaluated.
CHAPTERS
00:00 AMH 0.2, FSH 40 and fifteen versions of the same question
01:20 When you do need more information
02:20 What has actually been investigated, for both of you
05:20 What information would change your decision
08:10 Fear about time, fear of choosing wrong, and certainty
FUNCTIONAL FERTILITY SECOND OPINION
Book with your partner and load your labs into the secure portal. We look at your history, your bloodwork, what you've already tried and your current plan, and talk through what has not been investigated and how to work on it alongside your clinic, in parallel. It is not IVF or your health. It is both.
Book here → https://fabfertile.com/pages/second-opinion
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.

POI? Low AMH? High FSH? Told donor eggs are your only option? Book a free Functional Fertility Second Opinion before your next fertility decision → fabfertile.com
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She was diagnosed with POI at 37. Her AMH was 0.16, her FSH was hovering around 45, and her ultrasound showed three follicles and at one point, none. Her IUI cycles were cancelled, and she was labeled a poor responder.
Then she was told she was not a candidate for IUI or IVF and that donor eggs were her only option.
But she wanted to know what else might be going on with her health.
In this episode, I walk through our client's POI success story, including her Hashimoto's, inflammation, low vitamin D, B12 and iron, chronic stress, gut and vaginal microbiome, her partner's health, and what happened the month before her planned IVF.
After eight months of following the Fab Fertile Method, she became pregnant naturally the month before she was planning to start IVF.
This is her story of looking beyond AMH and FSH and asking: what else might have been missed?
CHAPTERS
00:00 POI at 37 with an AMH of 0.16 and an FSH of 45 04:00 Told donor eggs were her only option 06:30 Inflammation, nutrients, stress and her gut 20:10 PRP timing and the month before her planned IVF 24:20 Why AMH and FSH alone are not the whole picture
FUNCTIONAL FERTILITY SECOND OPINION
Book with your partner and load your labs into the secure portal. We review your bloodwork for patterns and talk through what is worth digging into before another IVF cycle.  Book your call with your partner 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.

Failed IVF? Embryos arrested at Day 3? Told it was your egg quality? Book a free Functional Fertility Second Opinion before your next retrieval → fabfertile.com
Day three, you got the call that your embryos were developing, and you let yourself feel hopeful. Day five, there is nothing to transfer, and you are told it was your egg quality.
Then you read online that embryos stopping after day three could point to sperm. So now you do not know what actually happened, or whether anything is left to investigate before you go again.
Your clinic may have had good reasons for saying egg quality. They also cannot test it directly. That makes it a conclusion rather than a finding, and it is usually where the investigation stops.
In this episode, what I would want looked at before another retrieval includes the 90 days before stimulation started and his side beyond a semen analysis that came back fine.
Preparing is not the same as being evaluated.
CHAPTERS
00:00 Day three looked fine. Day five, there was nothing to transfer
01:20 Why egg quality is a conclusion, not a test result
04:00 The 90 days before the retrieval, for both of you
05:30 Blood sugar, the full thyroid picture, inflammation and nutrients
09:30 His side beyond the semen analysis
FUNCTIONAL FERTILITY SECOND OPINION
Book with your partner and load your labs. We review your bloodwork for patterns your clinic is not set up to examine, and talk through what is worth investigating before another retrieval or transfer. It is not IVF or your health. It is both. Book here → second opinion
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.

Told donor eggs after failed IVF and miscarriage? Book a free Functional Fertility Second Opinion before your next cycle → here.
Heather had been trying for five years. Three failed IVFs. Two losses. At 38, with diminished ovarian reserve, she was told donor eggs were her only option.
She had a 10-day luteal phase, daily fatigue, PMS, body aches she had been told were normal, and a decade of hormonal birth control behind her. None of it had been connected to her fertility. Her partner's semen analysis was not clean either, and he had DNA fragmentation that had never been tested for.
She followed our Fab Fertile Method and did one more IVF. That transfer worked, and they had their daughter.
This is one couple, and it is not a promise. What it shows is what a complete investigation looked like before that last cycle.
CHAPTERS
00:00 Three failed IVFs, two losses, and a donor egg recommendation
01:20 Told donor eggs at 28. Why I never got a second opinion
03:00 A 10-day luteal phase and the symptoms nobody counted
04:30 What testing showed: absorption, inflammation, and a decade of birth control
06:30 His side. Sleep, headaches, and DNA fragmentation nobody had looked for
11:45 What changed before the last transfer
FUNCTIONAL FERTILITY SECOND OPINION
Book with your partner and load your labs. We review your bloodwork for patterns your clinic is not set up to examine, and talk through what is worth investigating before another cycle or transfer. It is not IVF or your health. It is both. 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.