What causes PCOS?

Dr. Natalie Crawford, MD, double board certified OBGYN and REI, discusses polycystic ovarian syndrome and talks about the rumor that EBV causes PCOS. Learn more about what PCOS is, and the true cause.

Does Epstein-Barr Virus cause PCOS?

What is EBV? What is PCOS?

What causes PCOS?

Are there lifestyle and diet factors that impact PCOS?

What you should know about environmental toxins, advanced glycolation endproducts (AGEs), and endocrine disrupting chemicals (EDCs) in the etiology of PCOS.

*I am a doctor, but not your doctor. The information in this video is educational and not medical advice. Please ask your doctor medical questions. You can schedule an appointment with me at Fora Fertility (info@forafertilityaustin.com) if you live in Texas and would like to be seen as a patient.

Dr. Natalie Crawford, MD, a fertility doctor in Austin Texas walks you through a day in the life of what it is like being a fertility doctor, during a natural disaster in Texas. This snow brought challenges and difficulties for us all, listen as she talks about: Her daily schedule as a fertility doctor? What type of procedures do fertility doctors do? How does the weather impact things for a fertility doctor? Does your fertility clinic have an emergency plan? The situation in Texas, one week of freezing temperatures.

Join host Dr. Natalie Crawford as she celebrates 100 episodes of the As a Woman Podcast. In this episode, she is talking about her journey in medicine - why medicine, matching in Emergency Medicine, switching to OB/GYN and deciding to do REI. She talks about learning who she is along the way and starting her instagram and this podcast. Your questions answered at the end. XOXO.

Join host Dr. Natalie Crawford as she talks with Dr. Laura Vater about humanism in medicine. Laura is an advocate for not losing yourself in the practice of medicine but also caring for the human who is your patient. She is an avid writer, a hematology and oncology fellow, and a huge supporter of women chasing their dreams.

Reviewing the basics of infertility . What to expect in infertility an evaluation? What are the different causes of infertility? What can be done to help you get pregnant?

Dr. Natalie Crawford, MD, board certified OB/GYN and reproductive endocrinologist, reviews several of the top questions she gets asked as a fertility doctor about contraception. This episode is sponsored by Plan B One-Step® emergency contraception.

To learn more about Plan B, visit www.PlanBOneStep.com for more information on the product and where to access it. Always read the label.

References: Pastor Z, Holla K, Chmel R. The influence of combined oral contraceptives on female sexual desire: a systematic review. Eur J Contracept Reprod Health Care. 2013 Feb;18(1):27-43.

Gallo MF, Lopez LM, Grimes DA, Carayon F, Schulz KF, Helmerhorst FM. Combination contraceptives: effects on weight. Cochrane Database Syst Rev. 2014 Jan 29;(1):CD003987.

Skovlund CW, Mørch LS, Kessing LV, Lidegaard Ø. Association of Hormonal Contraception With Depression. JAMA Psychiatry. 2016 Nov 1;73(11):1154-1162.

Rowlands S, Oloto E, Horwell DH. Intrauterine devices and risk of uterine perforation: current perspectives. Open Access J Contracept. 2016;7:19​-32. Lortscher, D at al. Hormonal Contraceptives and Acne: A Retrospective Analysis of 217 Patients. J Drugs Dermatol. 2016;15(6):670-4.

Mørch LS, Skovlund CW, Hannaford PC, Iversen L, Fielding S, Lidegaard Ø. Contemporary Hormonal Contraception and the Risk of Breast Cancer. N Engl J Med. 2017 Dec 7;377(23):2228-2239.

Do Birth Control Pills Hurt Your Future Fertility? Truth From a Fertility Doctor: https://youtu.be/ywYZNkdo4ug​.

Join host Dr. Natalie Crawford, board certified OBGYN and REI, as she talks about the semen analysis. Learn about male infertility and what the normal evaluation entails. Discover what each value means and how you can learn to interpret what is normal and what is not. How does environment, lifestyle, exposure and age impact sperm?

Dr. Natalie Crawford, board-certified OBGYN and REI, discusses the impact of marijuana and getting pregnant and fertility outcomes. Cannabis use can impact sperm production and male hormones (testosterone), decrease ovarian reserve and ovulation, decrease the chance of live birth naturally and with IVF. Miscarriage rates are higher in women who use marijuana and pregnancy complications, including an increased chance of placental issues and neonatal death, are more prevalent in women who report positive marijuana exposure. Covered in this video:

Sperm and testosterone

Eggs and ovarian reserve

Ovulation

Natural fertility

Live birth In vitro fertilization (IVF) outcomes

Placental dysfunction

Miscarriage

Neonatal morbidity and death

Resources:

Mumford SL. Cannabis use while trying to conceive: a prospective cohort study evaluating associations with fecundability, live birth, and pregnancy loss. Hum Reprod. 2021 Jan 9:deaa355. doi: 10.1093/humrep/deaa355. Epub ahead of print. PMID: 33421071.

Nassan FL,. EARTH Study Team. Marijuana smoking and outcomes of infertility treatment with assisted reproductive technologies. Hum Reprod. 2019 Sep 29;34(9):1818-1829. doi: 10.1093/humrep/dez098. PMID: 31505640; PMCID: PMC6736415.

Neradugomma NK. Marijuana-derived cannabinoids inhibit uterine endometrial stromal cell decidualization and compromise trophoblast-endometrium cross-talk. Reprod Toxicol. 2019 Aug;87:100-107. doi: 10.1016/j.reprotox.2019.05.064. Epub 2019 May 30. PMID: 31154070; PMCID: PMC6613995.

Goldenberg RL. Maternal marijuana use, adverse pregnancy outcomes, and neonatal morbidity. Am J Obstet Gynecol. 2017 Oct;217(4):478.e1-478.e8. doi: 10.1016/j.ajog.2017.05.050. Epub 2017 May 31. PMID: 28578174; PMCID: PMC5614818.

Nassan FL. EARTH Study Team. Marijuana smoking and markers of testicular function among men from a fertility centre. Hum Reprod. 2019 Apr 1;34(4):715-723. doi: 10.1093/humrep/dez002. PMID: 30726923; PMCID: PMC6443114.

du Plessis SS. Marijuana, phytocannabinoids, the endocannabinoid system, and male fertility. J Assist Reprod Genet. 2015 Nov;32(11):1575-88. doi: 10.1007/s10815-015-0553-8. Epub 2015 Aug 16. PMID: 26277482; PMCID: PMC4651943.

Payne KS. Cannabis and Male Fertility: A Systematic Review. J Urol. 2019 Oct;202(4):674-681. doi: 10.1097/JU.0000000000000248. Epub 2019 Sep 6. PMID: 30916627; PMCID: PMC7385722.

Carroll K. Marijuana use and its influence on sperm morphology and motility: identified risk for fertility among Jamaican men. Andrology. 2020 Jan;8(1):136-142. doi: 10.1111/andr.12670. Epub 2019 Jul 2. PMID: 31267718.

Kolodny RC. Depression of plasma testosterone levels after chronic intensive marihuana use. N Engl J Med 1974;290:872–874.

Kharbanda EO. Birth and early developmental screening outcomes associated with cannabis exposure during pregnancy. J Perinatol. 2020 Mar;40(3):473-480. doi: 10.1038/s41372-019-0576-6. Epub 2020 Jan 7. PMID: 31911642; PMCID: PMC7047636.

Corsi DJ. Association Between Self-reported Prenatal Cannabis Use and Maternal, Perinatal, and Neonatal Outcomes. JAMA. 2019 Jul 9;322(2):145-152. doi: 10.1001/jama.2019.8734. PMID: 31211826; PMCID: PMC6582262.

Sun AJ. Association between marijuana use and sexual frequency in the United States: a population-based study. J Sex Med 2017;14:1342–1347.

*The information in this video is educational. Please contact your doctor for any direct medical advice.

Join host Dr. Natalie Crawford as she talks with Dr. Michelle Rockwell about life postpartum as both a physician and a mom. Listen as they talk about life adjusting to new motherhood - including breastfeeding, sleeping, postpartum depression and asking for help. This transition to new mom is so difficult for all, and the pressure on working moms to act like everything is perfect can be overwhelming.

Can food improve your fertility? Is there a fertility diet? Dr. Natalie Crawford, MD, board-certified fertility doctor, discusses the fertility diet. Learn all about what foods to eat to optimize your fertility and your chance of conceiving each month. Is fat ok? Is soy bad for you? Can you consume dairy? Is red meat bad? Does fish help you get pregnant? Can you be vegan if you are trying to conceive or pregnant? What diet is best for PCOS? *Disclaimer: I am a doctor - but not your doctor. This information is given to you for educational purposes only.

Join host, Dr. Natalie Crawford, as she talks about donor egg IVF. The path to choosing donor oocytes is often filled with heartache and this choice is difficult for so many. Listen as she talks about questions to ask your clinic, things to consider, and the difference between fresh and frozen eggs. Should you do genetic testing? What does your clinic offer? Will you tell your future children? Learn more here.

Are you ready to get pregnant but not sure what to do? Want to make the most out of trying to get pregnant? How do you get pregnant faster?

Dr. Natalie Crawford, MD, board-certified OBGYN, and REI reviews the basics she wants you to know BEFORE you start trying to conceive. How do you get pregnant? What do you need to do when trying to conceive? This will help you optimize the chance of pregnancy per month when you are ready to get pregnant fast.

Topics covered include:

1. What do I do if my periods are irregular and I want to get pregnant?

2. When do I stop birth control if I want to conceive?

3. Which prenatal vitamin is best?

4. Is methylated folate better than folic acid?

5. Fertility diet and environmental toxins

6. How do you know when you are ovulating?

7. What is your fertile window?

8. When do you have sex of trying to conceive? (5:46)

9. How do you use an ovulation predictor kit? (OPK)

10. What is cervical mucus monitoring? (CMM)

11. What is basal body temperature? (BBT)

12. When should you see a fertility specialist?

Egg freezing can be a life-changing opportunity, but it’s important that you know all of the basics. Often we don’t really understand what it means, what the process entails, who is a good candidate, and what your chance of success is. It is expanding our reproductive options. I’m a huge believer that you have to have data that is given in a transparent way.

Join host Dr. Natalie Crawford as she talks about habits and goals. Think through goal setting but in a way that will create actionable change. Identify what in your life can help you work toward achieving the things you need. Listen as she discusses taking an honest assessment of your dreams and goals and learning what habits need to change to see results.

I've been told my entire career to stay in my box and to live up to the expectations that others have set for me. To not be controversial, not talk about politically charged topics, not show my personality, not allow my personal life to mix with my professional life. But I don't believe in any of that. I've been honored to have a platform that allows me to educate and talk about stigmatized topics and empower people to make the best decisions for their lives. I like talking about the things we don't talk about - fertility, conception, periods, reproduction, abortion, reproductive rights, and more.' And sometimes this bleeds into politics and I feel it is not only my place but my need to make my opinions on these controversial topics known. And people sure have something to say about this. That as a doctor, I shouldn't be there. I need to be neutral. This is not my place. This is not why people come to my pages.

Look, it is my place and I will stand up for the things I believe in.

I will advocate for others.

Black lives matter.

COVID is real.

LGBTQ+ rights deserve attention.

There is no place for hate.

Racism exists in this country.

We must not stand silent and accept the inequity around us, we must first start with our voice.

Thank you for listening.

Join host, Dr. Natalie Crawford, as she talks with Mama Doctor Jones, Dr. Danielle Jones about life as a prominent social media advocate. Danielle and Natalie are internet besties who met IRL after becoming friends on IG. Together they advocate for women's health education and empowerment. As founders of Pinnacle Conference, they take this desire to the next level - stay tuned for an exciting Pinnacle announcement for 2021.

Let’s talk about your fertility, understand how age impacts reproduction, and discuss when an evaluation by a fertility specialist is recommended. Even if you already have kids, learn more about what your friends and family may be going through.

Double board-certified fertility doctor, Dr. Natalie Crawford, MD, reviews the recent news breaking case of Molly - a baby who was born after being frozen for 27 years. In this video, she answers one of the top questions she hears: How long can embryos be frozen? Do embryos degrade over time? What is donor embryo IVF? What is a frozen embryo transfer (FET)?

Also in this video: A top cause of infertility: male factor Cystic fibrosis carriers and CBAVD

What are donor embryos?

What are embryo donation and embryo adoption?

Where can I get donor embryos?

What type of regulations are there?

What do I need to know if I am interested in embryo donation?

Ethical principles in the field of reproductive medicine and third party reproduction. Resources: https://www.washingtonpost.com/lifest...

https://www.theatlantic.com/science/a...

https://www.asrm.org/globalassets/asr...

https://www.asrm.org/globalassets/asr...

https://www.asrm.org/globalassets/asr...

https://www.asrm.org/globalassets/asr...

Join host, Dr. Natalie Crawford, as she talks with Dr. Flora Sinha about secondary infertility. Listen as this board-certified internal medicine physician talks about balancing motherhood and medicine, decisions about having children in a 2 physician household, and what it was like struggling with secondary infertility. Learn why she decided to leave treatment and celebrate life as a family of 3 for now, and maybe forever.

Board-certified OBGYN and fertility doctor. Dr. Natalie Crawford, MD, talks about the COVID vaccine in breastfeeding and lactating women. Listen to quick, evidence-based information and protect yourself so you can make the choice right for you.

Is it safe to get the vaccine when lactating?

What antibodies are in breastmilk?

Will the COVID vaccine harm my child?

Will COVID be passed onto my child if I get the vaccine?

Are there any benefits to getting the COVID vaccine if I am breastfeeding?

Also - did I get my COVID vaccine?

What are the side effects?

Resources: CDC: Vaccination Considerations for People who are Pregnant or Breastfeeding | CDC

ACOG: @l/clinical-guidance/practice-advisory/articles/2020/12/vaccinating-pregnant-and-lactating-patients-against-covid-19

AABM: @tement-considerations-for-covid-19-vaccination-in-lactation

SMFM: @mily