Ep 165: Navigating Infertility in a Pandemic with Arielle Spiegel

Join HeHe and Dr. Ellese Nickels as they dive into the complex world of birth options and healthcare navigation. Ellese, a pelvic floor physical therapist, shares her two vastly different birth stories—one in a local birth center during the pandemic and another in a hospital setting following startling ultrasound results. Together, they explore the significance of informed choices, respectful care, and the challenging journey through the medical system. Ellese also discusses her shift from home birth plans to hospital delivery due to a false positive heart anomaly and how it reshaped her professional practice. Don't miss the insightful discussion on advocacy, trust in healthcare providers, and finding empowerment through childbirth.   Discussing Birth Stories and Healthcare Insights First Birth Experience: Dreamy Yet Challenging The Impact of Birth Experience on Body Image Second Birth Story: From Home Birth Plans to Hospital Care Navigating a False Positive Diagnosis The Provider's Responsibility in Patient Communication Addressing Soft Skills in Medical Training Challenges in Medical Practice and Patient Trust Navigating Amniocentesis Results and Long QT Syndrome Confronting Medical Recommendations and Seeking Expert Advice Transitioning to Hospital Birth and Final Preparations Reflecting on the Birth Experience and Systemic Issues Postpartum Care and Virtual Support Services   Guest Bio: Ellese Nickles is a licensed Doctor of Physical Therapy, who specializes in treating women during pregnancy and postpartum recovery. She earned her Doctor of Physical Therapy from UNC in 2016 and has practiced in outpatient orthopedics, pelvic health physical therapy and early intervention with children 0-3 years old. In addition to her career in physical therapy Ellese has experience in personal training, group fitness and teaching yoga and combines these skills with her clinical expertise to holistically help women navigate motherhood. SOCIAL MEDIA: Connect with HeHe on IG  Connect with Ellese on IG  Connect with HeHe on YouTube.   BIRTH EDUCATION: Join The Birth Lounge here for judgment-free childbirth education that prepares you for an informed birth and how to confidently navigate hospital policy to have a trauma-free labor experience!   Download The Birth Lounge App for birth & postpartum prep delivered straight to your phone!   LINKS MENTIONED: Get a free month, just for our listeners, when you sign up for one of Dr. Ellese’s programs.

6 Sep 20241h 7min

Dr. Wood joins the show to discuss his groundbreaking new invention aimed at reducing unnecessary C-sections. The conversation explores the evolving trends in epidural use, the importance of patient autonomy, and effective coaching during labor. Dr. Wood elaborates on the issues surrounding 'failure to progress' and introduces his innovative catheter designed to mitigate common complications associated with Foley catheters during labor. This informative episode sheds light on improving maternal and infant health outcomes and offers insights into the future of obstetric care.   Epidurals: Trends and Practices Coaching During Labor Failure to Progress: Understanding the Issue The Role of the Foley Catheter Innovative Catheter Design Addressing Failure to Progress Managing Foley Catheters: Challenges and Solutions Discussing Pitocin: Usage and Misconceptions Innovative Medical Device: Development and Challenges Crowdfunding for Medical Innovation   Help Dr. Wood Prevent The Primary Section | C-section Reduction Project (Powered by Donorbox)   About Dr. Wood: Dr. Douglas Wood is a highly accomplished Obstetrician and Gynecologist with over 24 years of solo practice experience, managing and delivering more than 9,500 pregnancies. He serves as a Laborist and Hospitalist at UPMC, OBHG, and VeloSource, bringing a wealth of clinical expertise to these roles. Dr. Wood is also a product developer and patent holder, contributing to advancements in the field of obstetrics by reducing the US c-section rate. He holds academic appointments as OB/GYN Clinical Faculty at several institutions, including Baptist Health-UAMS Medical Education Program and New York Institute of Technology College of Osteopathic Medicine. A decorated military veteran, he was deployed to Saudi Arabia and Kuwait with the Arkansas Army National Guard, where he served as a Lieutenant Colonel. Dr. Wood is board-certified in OB/GYN and has been recognized for his excellence in teaching with the NYIT Outstanding Preceptor Award in 2021.   SOCIAL MEDIA: Connect with HeHe on IG  Connect with HeHe on YouTube. BIRTH EDUCATION: Join The Birth Lounge here for judgment-free childbirth education that prepares you for an informed birth and how to confidently navigate hospital policy to have a trauma-free labor experience!   Download The Birth Lounge App for birth & postpartum prep delivered straight to your phone! LINKS MENTIONED: Thank you to EISCO for the quality of their models. We’d like to give recognition to hBARSCI.  hBARSCI is the distributor that helped supply us with the model.  For any potential customers, hBARSCI Help Dr. Wood Prevent The Primary Section | C-section Reduction Project (Powered by Donorbox)

4 Sep 20241h

Join HeHe and Dr. Jennifer Dunatov, an ethicist, in an eye-opening conversation about the vital role of ethics in childbirth. Discover what an ethicist does, how ethics consultations can support both patients and providers, and the complexities of navigating medical dilemmas in birthing spaces. Learn about real-life scenarios, the importance of patient autonomy, and ways to ensure your wishes are respected during labor and delivery. This episode is a must-watch for expectant parents, doulas, and healthcare professionals seeking to understand the intersection of ethics and birth.   Understanding the Role of an Ethicist Ethics in Birthing Spaces How to Request an Ethics Consult Navigating Values Conflicts Ethics Education for Providers The Process of an Ethics Consult Provider Hesitations and Ethical Dilemmas Patient Autonomy and Medical Advice Ethics Consults: When and Why to Call Navigating Hospital Ethics Mechanisms Real-Life Ethical Scenarios in Birth The Role of Ethics in Patient Care Addressing Ethical Conflicts in Labor   Guest Bio: Dr. Jennifer Dunatov is a health care ethicist living and working in the greater Los Angeles area. She consults, teaches and writes on all things birth ethics. Jennifer co-founded the No Trauma Mama® Project in 2017 after learning as a new mother about the global epidemic of obstetric violence and birth trauma. She believes when people experience ethical and respectful births, it can be transformative for birthing people, families, and entire communities. Jennifer has served in clinical and academic roles for 19 years. She is currently Senior Director of Ethics in Southern CA for a multi-state health care system. SOCIAL MEDIA: Connect with HeHe on IG  Connect with Dr. Jennifer Dunatov on IG  Connect with HeHe on YouTube BIRTH EDUCATION: Join The Birth Lounge here for judgment-free childbirth education that prepares you for an informed birth and how to confidently navigate hospital policy to have a trauma-free labor experience!   Download The Birth Lounge App for birth & postpartum prep delivered straight to your phone! LINKS MENTIONED: https://notraumamama.com/

3 Sep 20241h 19min

Join HeHe in an enlightening conversation with Labor & Delivery nurse Jen Atkisson, known as the 'Pitocin Queen,' as they dive deep into the controversial use of Pitocin in labor and delivery. In this episode, they discuss when and why Pitocin might be used, how to use it responsibly, and the critical importance of evidence-based practices. Jen shares her insights on natural oxytocin versus synthetic Pitocin, the potential risks and benefits, and ways to avoid unnecessary interventions. This transparent and data-driven discussion aims to empower expectant parents and healthcare providers with the knowledge necessary for safer, more satisfying birth experiences.   Understanding Pitocin and Its Uses Oxytocin vs. Pitocin: Key Differences The Role of Oxytocin in Labor Pitocin Administration and Safety Nervous System and Labor Personal Experiences and Reflections Challenges in Healthcare and Pitocin Use Effective Pitocin Dosing Strategies Risks and Complications of Pitocin Unexpected Labor Story Signs of Labor and Cervical Exams Understanding Pitocin Usage Managing Pitocin Dosage Dealing with Excessive Contractions Pitocin Protocols and Guidelines Patient Advocacy and Pitocin Third Stage of Labor and Pitocin Alternatives to Pitocin   Guest Bio: With over 17 years of unique experiences in nursing and consulting, I've seen the same patient safety & legal themes come up over and over again. And they're not what you think they are! Because keeping our moms and babies safe is always our first priority, I needed to make this information available to all nurses!   SOCIAL MEDIA: Connect with HeHe on IG  Connect with Jen on IG  Connect with HeHe on YouTube.   BIRTH EDUCATION: Join The Birth Lounge here for judgment-free childbirth education that prepares you for an informed birth and how to confidently navigate hospital policy to have a trauma-free labor experience!   Download The Birth Lounge App for birth & postpartum prep delivered straight to your phone!   LINKS MENTIONED: Connect with Jen here!

28 Aug 20241h 19min

Today, HeHe is joined by fertility coach, Laura Watson, to explore the conversation of growing your family through donor eggs, how to navigate that decision making process and what that process looks like! Laura shares the various routes families can consider when trying to find a donor, how to discover agencies in your area and how to talk to your kids about being donor conceived. If you've been navigating this conversation in your own life and are feeling alone in the grief and big feelings that often accompany the decision to use donor eggs-- this is a must listen because Laura shares what that process was like for her. We will also dive into anonymous vs known donors, what to know about the legal contracts (your rights and your donor's rights) and the financial commitment involved!    Guest Bio: Laura Watson is a fertility coach and mom to two donor conceived children. Her personal journey included failed fertility treatments, several unsuccessful rounds of IVF, and three heartbreaking pregnancy losses before completing her family with donor egg IVF. She now supports women pursuing fertility treatments to build their families and helps them find control, confidence, and even joy in a complicated process. Laura founded her coaching services, Positive Fertility, in 2022. She is the author of the Positive Fertility Blog, was a featured author in the 2021 collaborative book, Infertility Success: Stories of Help and Hope for Your Journey. She lives in Boston, MA, USA with her husband and two children. INSTAGRAM: Connect with HeHe on IG  Connect with Laura Watson on IG  Connect with HeHe on YouTube   BIRTH EDUCATION: Join The Birth Lounge here for judgment-free childbirth education that prepares you for an informed birth and how to confidently navigate hospital policy to have a trauma-free labor experience!   Download The Birth Lounge App for birth & postpartum prep delivered straight to your phone!   LINKS MENTIONED: Connect with Laura here: h

23 Aug 20241h 21min

Join HeHe as she sits down with Dr. Kalea Wattles to uncover the overlooked connection between mitochondrial health and fertility. In this episode, Dr. Wattles explains the fundamental role of mitochondria in cellular energy production and how it impacts ovulation, egg quality, and overall reproductive health. She delves into the significance of mitochondrial support for both partners in enhancing fertility outcomes and offers actionable advice on lifestyle changes, supplements like CoQ10, and gentle detox practices. This enlightening discussion empowers listeners to prepare for family planning at a cellular level, whether they are actively trying to conceive or planning for the future.   Understanding Mitochondria Mitochondria's Role in Fertility Mitochondrial Dysfunction and Fertility Challenges The Love Story of Mitochondria and Granulosa Cells Mitochondria in Sperm Cells Emerging Mitochondrial Therapies Lifestyle Factors Affecting Mitochondrial Health Melatonin and Mitochondrial Health Toxin Exposure and Mitochondrial Health Favorite Clean Products for Mitochondrial Health Understanding Supplement Dosages and Side Effects Exploring the Benefits of Myo-Inositol and Turmeric Cautions Considerations for Hypothyroidism and Insulin Use Magnesium's Role in Mitochondrial Health Gentle Detox Strategies for Preconception The Importance of Regular Bowel Movements Discussing Mitochondrial Health with Your Doctor Identifying Mitochondrial Dysfunction Symptoms The Impact of Cortisol on Mitochondrial Health Proactive Fertility Planning in Your 20s The Role of Male Fertility in Conception   Guest Bio: Dr. Kalea Wattles is a naturopathic doctor, certified functional medicine practitioner, and founder of Functional Fertility. As an educator, podcaster, speaker, and clinician, Dr. Wattles combines cutting edge science with treasured traditional wisdom, applying a systems biology approach to discover the root cause of fertility struggles. With a deep commitment to advancing the field of functional medicine and improving patient outcomes, her patient-centered approach helps individuals cultivate abundant health for pregnancy and beyond. INSTAGRAM: Connect with HeHe on IG  Connect with Dr. Kalea Wattles on IG  Connect with HeHe on YouTube   BIRTH EDUCATION: Join The Birth Lounge here for judgment-free childbirth education that prepares you for an informed birth and how to confidently navigate hospital policy to have a trauma-free labor experience!   Download The Birth Lounge App for birth & postpartum prep delivered straight to your phone!   LINKS MENTIONED: Dr. Wattles uses and recommends: https://primallypure.com/  Haircare Dr. Wattles uses and recommends: https://innersensebeauty.com/ Makeup Dr. Wattles uses and recommends: https://arazabeauty.com/ Clean skin care HeHe uses and loves: https://www.cocokind.com/  Dr. Wattles uses and recommends: https://www.avocadogreenmattress.com/ Find a functional Medicine provider near you: https://www.ifm.org/ Connect with Dr. Wattles here: https://drkaleawattles.com/

21 Aug 20241h 16min

Join HeHe as she sits down with Dr. Jessica Ryniec from CCRM Fertility of Boston to delve into the crucial topic of sperm quality and male fertility. In this episode, they discuss what sperm quality means, how sperm analysis is conducted, and the impact of lifestyle, supplements, and medications on sperm health. Dr. Ryniec also provides insights into the factors affecting sperm morphology, the importance of a healthy lifestyle, and the potential effects of lifestyle choices like bicycling and using hot tubs. Learn about the role of antioxidants in sperm health, the importance of using fertility-friendly lubricants, and the process and benefits of freezing sperm for future fertility planning. Whether you're trying to conceive or just curious about reproductive health, this episode offers invaluable information and expert advice.   Understanding Sperm Quality Sperm Morphology and Variations Key Terms in Semen Analysis Who Should Get a Semen Analysis? Impact of Lifestyle on Sperm Quality Supplements and Medications for Sperm Quality Lubricants and Sperm Health Steps for Getting a Semen Analysis Freezing Sperm: When and Why     Guest Bio: Dr. Jessica Ryniec is double board certified in Obstetrics and Gynecology, as well as Reproductive Endocrinology and Infertility. She joined CCRM Boston in 2020 after completing her fellowship at the University of Vermont Medical Center in Burlington, VT.   She received her undergraduate degree from Wake Forest University and her MD from Georgetown University School of Medicine in Washington, D.C. During her residency for obstetrics and gynecology at Rutgers Robert Wood Johnson Medical School, Dr. Ryniec received the Excellence in Female Pelvic Medicine Award and recognition for Outstanding Accomplishment in Women’s Health.   In addition to presenting her research at prestigious medical conferences, such as the American Society for Reproductive Medicine and the Society for Reproductive Investigation Annual Meeting, Dr. Ryniec has authored several publications for notable peer-reviewed journals, including the American Journey of Obstetrics and Gynecology.   Dr. Ryniec practices medicine embracing the motto of Cura Personalis, or care of the entire person. She believes in education and in the value of shared decision making and patient empowerment, and spends time on social media educating, empowering, and supporting people while trying to conceive, going through fertility treatments or fertility preservation. She believes in family, and understands that family comes in many forms, and is committed to helping her patients achieve the family they desire. Social Media: Connect with HeHe on IG  Connect with Dr. Ryniec on IG  Connect with HeHe on YouTube   BIRTH EDUCATION: Join The Birth Lounge here for judgment-free childbirth education that prepares you for an informed birth and how to confidently navigate hospital policy to have a trauma-free labor experience!   Download The Birth Lounge App for birth & postpartum prep delivered straight to your phone!

16 Aug 202441min

Join HeHe as she welcomes Ashe to the show to dive into the latest insights on fertility, specifically focusing on egg and follicle quality. They discuss the science behind egg development, the impact of lifestyle and diet on fertility, and the critical role of follicle health. Ashe also debunks common myths and emphasizes the importance of understanding the broader endocrine system, digestive health, and stress management for optimal fertility. Whether you're preparing for conception or just curious about reproductive health, this episode is packed with valuable information.   Expanding Topics: From Pregnancy to Fertility Understanding Egg Quality Defining Egg Quality The Science Behind Egg Development Follicle Development and Its Importance Impact of Lifestyle on Follicle Health The Role of Supplements and Probiotics Testing and Personalized Recommendations Exploring DUTCH and GI Map Tests Understanding the DUTCH Test Adrenal Health and Hormone Metabolism When to Consider the DUTCH Test Alternative Hormone Testing Methods Introduction to the GI Map The Importance of Individualized Functional Testing Cycle Day Three Blood Test Explained Recognizing Digestive Health Symptoms Improving Bowel Movements Stress and Egg Quality Toxic Load and Generational Fertility   Guest Bio: Ashe Milkovic is a Nutritional Therapy Practitioner and Functional Hormone Health Expert. As the founder and CEO of The International Association for Functional Hormone Health, Ashe strives to make advancements in women's health accessible by teaching tools and strategies to health professionals to expand their knowledge, skill sets, and practices in functional hormone health. Through her association, Ashe is on a mission to educate, collaborate, and create a thriving community of skilled practitioners that are passionate in helping to transform the lives of women all over the globe. INSTAGRAM: Connect with HeHe on IG  Connect with Ashe on IG    BIRTH EDUCATION: Join The Birth Lounge here for judgment-free childbirth education that prepares you for an informed birth and how to confidently navigate hospital policy to have a trauma-free labor experience!   Download The Birth Lounge App for birth & postpartum prep delivered straight to your phone!   LINKS MENTIONED: https://iafhh.com/training - Free Training, Revolutionizing Hormones https://iafhh.com/practitioner-directory   Visual of follicle development discussed: https://www.ncbi.nlm.nih.gov/books/NBK278951/figure/morpho-physio-ovary_f_morpho-physio-ovary_figure1/#:~:text=It%20takes%20~290%20days%20for,)%20or%20gonadotropin%2Ddependent%20period.   Book mentioned: https://www.amazon.com/Deep-Nutrition-Your-Genes-Traditional/dp/1250113822   YOUTUBE LINKS: Connect with HeHe on YouTube.

14 Aug 20241h 12min