Dr. Natalie Crawford answers fertility questions from newsletter subscribers

Preparing for an embryo transfer, whether fresh or frozen, requires a comprehensive medical workup, attention to lifestyle factors, and realistic emotional expectations. Open communication with your fertility team is crucial, as is allowing yourself to grieve a failed transfer while also remaining proactive about next steps. By taking a holistic approach to physical and mental preparation, you can increase your chances of a successful embryo transfer and pregnancy.

Double board-certified REI and OBGYN, Dr. Natalie Crawford, explains how the aging process impacts the chromosomes and health of our eggs. As we get older, many women worry about their "biological clock" and fear they are running out of eggs. However, the real issue with age-related infertility is not just the quantity of eggs, but the quality. She provides insights on evaluating ovarian reserve, the role of inflammation and lifestyle factors, and strategies to optimize fertility as you get older. Whether you're just starting to think about family planning or navigating fertility challenges, this video offers essential information to better understand the complex relationship between age and fertility.

Dr. Natalie Crawford addresses a question from an OB/GYN colleague about managing patients with unexplained infertility and high AMH levels. She explains that unexplained infertility is often due to undiagnosed issues, and a full workup is necessary to understand the underlying causes. The episode delves into the mechanisms of ovulation induction medications like Clomid and Letrozole, which are commonly used to induce ovulation in patients with conditions like PCOS. Throughout the episode, Dr. Crawford emphasizes the importance of patient advocacy and education, encouraging patients to ask questions, understand the reasons behind treatment recommendations, and seek a second opinion if they feel their current treatment plan is not effective or appropriate.

As a fertility doctor, I have the privilege of guiding patients through one of the most important and personal journeys of their lives - building a family. Each person who walks through my clinic doors has a unique story, unique needs, and unique goals. That's why I'm so passionate about providing personalized fertility care - because a one-size-fits-all approach simply doesn't work when it comes to something as complex and delicate as human reproduction.

Double board certified OBGYN and REI, Dr. Natalie Crawford, explains the development and depletion of eggs in the ovaries. She discusses the role of hormones and the brain-ovary-adrenal gland axis during puberty. Dr. Crawford also covers how hormonal contraception, pregnancy, and breastfeeding impact egg loss, as well as the changes seen in the menstrual cycle as women approach menopause, including shorter cycles and irregular periods. Lastly, she explains ovarian reserve testing and what the results mean about your fertility.

Dr. Natalie Crawford answers voicemail questions about cycle tracking and fertility.

As a fertility doctor, I frequently evaluate the uterus to identify any issues that could be preventing pregnancy or contributing to pregnancy loss. One common uterine abnormality I encounter is a condition called a uterine septum. In this blog post, I'll explain what a uterine septum is, how it's diagnosed, and what can be done about it.

Dr. Natalie Crawford discusses the complex relationship between IVF and reproductive rights in the current political landscape. She provides an overview of IVF technology and its importance in helping people build families. She addresses misconceptions about abortion and fetal personhood, and how these issues directly impact the practice of IVF. The episode explores the potential dangers of restricting access to IVF and other reproductive healthcare services, highlighting personal stories and the need for informed decision-making.

As a fertility doctor, I see patients with endometriosis on a daily basis. This inflammatory condition is one of the leading causes of infertility, affecting 25-50% of women struggling to conceive. Yet, it remains a widely misunderstood and underdiagnosed disease. I want to break down what endometriosis is, how it impacts fertility, and the various treatment options available. My goal is to empower you with the knowledge to advocate for your reproductive health, whether you are trying to conceive now or planning for the future.

Double board-certified OBGYN and REI, Dr. Natalie Crawford, warns about the potential dangers of excessive biotin intake when it comes to fertility treatments and hormone testing. Biotin, also known as vitamin B7, is an important nutrient that helps the body convert fats, carbs, and proteins into energy. Dr. Crawford explains that high biotin levels can cause falsely high or low results for a wide range of hormones, including estrogen, progesterone, thyroid hormones, and more. This can lead to incorrect diagnoses and inappropriate treatment decisions, especially for those undergoing fertility treatments like IVF.

Dr. Natalie Crawford answers a question from a listener about what the next steps are after freezing your eggs when you are ready to use them. She covers the nuances of the egg freezing process, debunking the misconception that it is an "insurance policy" for fertility. Dr. Crawford then goes through the step-by-step protocol for thawing, fertilizing, and potentially transferring the frozen eggs, including the importance of sperm quality and genetic testing of embryos. The episode emphasizes the need to understand one's long-term family building goals and consider strategies like additional egg retrievals to increase the chances of success.

Dr. Natalie Crawford explains that irregular periods can be caused by a variety of factors, including hormonal imbalances, uterine abnormalities, and issues with the brain's regulation of the menstrual cycle. Addressing irregular periods is crucial for overall reproductive health, as the menstrual cycle is a vital sign that provides important information about a woman's body.

In this exclusive Q&A episode, Dr. Natalie Crawford answers subscriber questions on a variety of fertility topics, including recurrent pregnancy loss, diet for conception, IVF and implantation issues, CoQ10 supplements, second trimester losses, and hirsutism treatment.

Double board-certified OBGYN and REI, Dr. Natalie Crawford, discusses the supplement CoQ10 and its potential benefits for fertility. CoQ10 is an important coenzyme involved in energy production within the cells. As we age, mitochondrial function can decline, contributing to cellular aging. CoQ10 has been studied for its ability to support mitochondrial health and function, which is important for both egg and sperm quality.

As a board-certified fertility doctor, I've dedicated my career to empowering women with the knowledge and tools they need to understand their bodies. One of the most crucial aspects of this journey is unraveling the complexity of reproductive hormones and their profound impact on our overall health and well-being.

Dr. Natalie Crawford answers voicemail questions about hormones.

Questions answered:

Should FSH, LH, and progesterone be tested during a fertility evaluation?

I have hypo hypo. Why is my period starting 12 days after my trigger shot, even though she is taking progesterone supplements? Is this normal or a concern?

Is breastfeeding once a day enough to impact fertility?

Dr. Natalie Crawford discusses the key steps for trying to conceive, emphasizing the importance of understanding your natural menstrual cycle, making lifestyle changes to support fertility, and seeking medical guidance when needed.

Double board certified OBGYN and REI, Dr. Natalie Crawford, provides valuable insights into the importance of understanding egg maturity during in-vitro fertilization (IVF) cycles. She emphasizes the need to evaluate and adjust IVF protocols to maximize the number of mature eggs retrieved, as this is a key determinant of IVF success. She outlines various suppression and stimulation techniques used in IVF, as well as the criteria for assessing egg maturity. By understanding these nuances, you can be better equipped to advocate for your fertility needs to optimize your IVF outcomes.

Dr. Natalie Crawford dives deep into ovarian failure, perimenopause, and hormones. We explore how ovarian function can cease at any age, even before puberty, and discuss the natural decline in ovarian reserve as women age. She highlights the significance of estrogen, its role in overall health, and how its decline impacts women during menopause. Dr. Crawford also covers essential tests like AMH and antral follicle count, providing insights into a woman's egg supply and reproductive potential.