114: The Truth About Fertility After 35, Hashimoto's, and Egg Quality With Aimee Raupp

In this episode of Thyroid Pharmacist Healing Conversations, Dr. Izabella Wentz interviews fertility expert, licensed acupuncturist, Chinese medicine practitioner, and author Aimee Raupp for an empowering conversation about fertility, ovarian health, and the science behind reproductive longevity. Dr. Wentz also shares her personal journey with premature ovarian insufficiency (POI), low anti-Müllerian hormone (AMH), Hashimoto's, and becoming pregnant naturally at age 43 after being told donor eggs were her only option. Together, they explore why many long-held beliefs about fertility after age 35 may be outdated, and how factors like inflammation, mitochondrial function, immune health, insulin resistance, environmental toxins, and thyroid health all influence fertility. They also discuss the connection between Hashimoto's, premature ovarian insufficiency, endometriosis, and unexplained infertility, along with emerging therapies that are bringing new hope to women navigating fertility challenges. In this episode, you'll learn: Why the "fertility cliff" may not be as steep as we've been told. Aimee explains why current research suggests ovarian aging is influenced by mitochondrial function, inflammation, and the environment surrounding the egg – not just your birthday. She also discusses why many women over 40 still have healthy eggs and why fertility should be viewed more holistically. How Hashimoto's, premature ovarian insufficiency, and endometriosis are often connected. Aimee explains how autoimmune disease, chronic inflammation, insulin resistance, and endometriosis can all contribute to fertility challenges, and why identifying the underlying cause is far more valuable than focusing on a single lab marker like AMH. Why optimizing your health matters more than chasing "perfect" lab numbers. Aimee shares how thyroid hormone optimization, anti-inflammatory nutrition, gut health, environmental toxin reduction, nervous system regulation, and key nutrients, can support both fertility and overall health. The exciting new science behind ovarian rejuvenation and regenerative medicine. Aimee discusses research on ovarian PRP, stem cell therapies, mitochondrial support, peptides, GLP-1 medications, and other emerging approaches that may help improve egg quality and ovarian function in some women. Why ovarian health is about much more than having a baby. Aimee explains the growing evidence that healthy ovaries play an important role in longevity, cardiovascular health, bone health, and healthy aging – making ovarian function important even for women who aren't planning to become pregnant. Why individualized care always wins. Whether you choose Chinese herbal medicine, supplements, hormone therapy, or fertility treatments, root cause medicine and personalized protocols consistently outperform one-size-fits-all recommendations. Tune in to learn more about fertility, Hashimoto's, ovarian health, and the root-cause approaches that can help support reproductive wellness at every stage of life. Be sure to subscribe to the Thyroid Pharmacist Healing Conversations podcast so you don’t miss an episode! Learn more about your ad choices. Visit megaphone.fm/adchoices