Fertility Q&A: Secondary Infertility, Birth Control Effects, Metabolic Health & More
As a Woman29 Mar

Fertility Q&A: Secondary Infertility, Birth Control Effects, Metabolic Health & More

Dr. Natalie Crawford, board-certified OB-GYN and REI, answers your fertility questions. I’ve been trying to conceive for a year for our third child. We’re both 35, live a very health-focused lifestyle, and I’ve done five rounds of letrozole without success along with extensive testing. What should the next step in evaluation or treatment look like? When using letrozole, does it make a meaningful difference if it’s taken on cycle days 3–7 versus 5–9, especially depending on whether you ovulate regularly? I have high cholesterol, pre-diabetes, and am about 50 pounds overweight, with two miscarriages in the past year. How do metabolic factors like these actually impact fertility and miscarriage risk, and what should be addressed first? I’ve been on birth control since my teens and currently have a hormonal IUD. Does long-term use affect future fertility, and how far in advance should I stop contraception if I want to plan for pregnancy? Pre-order Dr. Crawford's debut book, The Fertility Formula, now! https://www.nataliecrawfordmd.com/book Want your questions answered on the next episode? ⁠Ask them here! https://www.nataliecrawfordmd.com/qa-submissions Learn more about your ad choices. Visit megaphone.fm/adchoices

Episoder(348)

 The Mental Load of Trying to Conceive and Infertility | Dr. Pooja Lakshmin

The Mental Load of Trying to Conceive and Infertility | Dr. Pooja Lakshmin

In this episode, host Natalie sits down with board-certified psychiatrist Dr. Pooja Lakshman to dismantle the toxic "wellness" culture that leaves women feeling more exhausted than when they started. ...

28 Apr 43min

5 Fertility Non‑Negotiables

5 Fertility Non‑Negotiables

When we face challenges with getting pregnant, it’s easy to feel like a passenger in a car with no control over the destination. In this episode, Dr. Natalie Crawford breaks down why fertility isn't j...

21 Apr 26min

Fertility Q&A: DHEA, TTC Skincare, Lean PCOS, Semen Analysis and more

Fertility Q&A: DHEA, TTC Skincare, Lean PCOS, Semen Analysis and more

Dr. Natalie Crawford, board-certified OB-GYN and REI, answers your fertility questions. What is your current interpretation of the scientific evidence on DHEA supplementation for women with low o...

20 Apr 14min

Why Failing First No Longer Works for Fertility

Why Failing First No Longer Works for Fertility

In this solo episode, Dr. Natalie Crawford pulls back the curtain on why the current fertility system asks women to “fail first” before offering help and why she’s no longer accepting that as the norm...

14 Apr 25min

Fertility Q&A: Hormones, Male Factor, IVF Challenges & More

Fertility Q&A: Hormones, Male Factor, IVF Challenges & More

Dr. Natalie Crawford, board-certified OB-GYN and REI, answers your fertility questions. I’ve been on the progesterone-only pill for three years due to other medical concerns, and I recently stopp...

13 Apr 13min

Fertility Q&A: Inflammation, Hormones, Cycle Tracking & More

Fertility Q&A: Inflammation, Hormones, Cycle Tracking & More

Whether you’re just starting to think about your future family or you’ve been navigating the frustrating "one out of eight" (now one out of five) statistics for years, this conversation is for you. Ho...

7 Apr 36min

Fertility Q&A: Endometriosis, PCOS, Ectopic Pregnancy & More

Fertility Q&A: Endometriosis, PCOS, Ectopic Pregnancy & More

Dr. Natalie Crawford, board-certified OB-GYN and REI, answers your fertility questions. I’m on Lupron for suspected endometriosis and have been on suppression for almost two months, but I’m notic...

5 Apr 10min

Why Thyroid Treatment Isn’t Working | McCall McPherson PA-C

Why Thyroid Treatment Isn’t Working | McCall McPherson PA-C

The medical system often reduces your thyroid—the engine of your metabolism, mood, and fertility—to a single number: TSH. In this episode, Dr. Natalie Crawford sits down with thyroid expert and Modern...

31 Mar 49min

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