DiscoverThe Diary Of A CEO with Steven BartlettThe Pregnancy Doctor: Pregnancy Halves Every Year After 32! If You Want 2+ Children, You Need To Know This! If You Experience This Pain, Go See A Doctor!
The Pregnancy Doctor: Pregnancy Halves Every Year After 32! If You Want 2+ Children, You Need To Know This! If You Experience This Pain, Go See A Doctor!

The Pregnancy Doctor: Pregnancy Halves Every Year After 32! If You Want 2+ Children, You Need To Know This! If You Experience This Pain, Go See A Doctor!

Update: 2024-06-036
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Dr. Natalie Crawford, a double certified practicing fertility doctor, continues her discussion on fertility, emphasizing the importance of regular sex for optimal chances of conception. She debunks common myths about fertility, including the need to save sperm for ovulation, the effectiveness of post-coital positions, and the impact of urination on sperm. Dr. Crawford then delves into the complexities of Polycystic Ovarian Syndrome (PCOS), explaining its causes, symptoms, and treatment options. She highlights the importance of managing insulin resistance and testosterone levels in PCOS patients. Dr. Crawford also discusses endometriosis, an inflammatory autoimmune condition that can significantly impact fertility. She explains the causes, symptoms, and challenges of diagnosing and treating endometriosis. Dr. Crawford emphasizes the importance of proactive fertility planning, especially for women with PCOS or endometriosis, advocating for early testing and intervention. She discusses the benefits and limitations of egg freezing and embryo banking, highlighting the importance of understanding individual fertility potential and making informed decisions about family planning. Dr. Crawford concludes by addressing the stigma surrounding fertility treatments and encourages open conversations about family planning, emphasizing the importance of seeking medical advice and support when needed.

Outlines

00:00:00
Introduction

This Chapter introduces Dr. Natalie Crawford, a double certified practicing fertility doctor, who specializes in helping people optimize their lifestyle to improve fertility. The chapter highlights the increasing rates of infertility and the various factors contributing to it, including delayed childbearing, increased autoimmune diseases, obesity, and chronic stress.

00:02:04
Dr. Natalie Crawford's Mission

This Chapter delves into Dr. Crawford's mission to empower individuals with knowledge about their reproductive systems and fertility health. She emphasizes the importance of starting early, before infertility arises, to make informed decisions about family planning. Dr. Crawford explains that fertility is not just about getting pregnant but encompasses overall reproductive health and wellness.

00:04:14
Social Factors Influencing Fertility

This Chapter explores the social backdrop of the increasing infertility conversation. Dr. Crawford attributes this rise to increased awareness through social media, greater access to reproductive technology, and a less healthy society with higher rates of obesity, diabetes, and environmental toxins.

01:04:41
Understanding the Female Reproductive System

This Chapter provides a detailed explanation of the female reproductive system, focusing on the ovary and the process of ovulation. Dr. Crawford uses the analogy of a vault to illustrate the finite nature of female eggs and how their number and quality decline with age. She explains the role of hormones, including follicle-stimulating hormone (FSH) and luteinizing hormone (LH), in regulating ovulation and the importance of progesterone for implantation.

01:12:00
Menstrual Cycles and Fertility

This Chapter delves into the intricacies of the menstrual cycle, explaining the various stages and the hormonal changes involved. Dr. Crawford discusses the importance of regular and predictable periods as an indicator of overall reproductive health. She also explains the concept of the fertile window and the importance of timing intercourse for optimal chances of conception.

01:16:46
Fertility Testing and Treatment

This Chapter addresses the question of how long couples should try to conceive before seeking medical advice. Dr. Crawford explains that infertility is defined as trying for a year without success. She emphasizes the importance of seeking medical attention sooner if there are concerns about irregular periods or difficulty with intercourse. Dr. Crawford also discusses the challenges of balancing fertility goals with maintaining a healthy sex life and the importance of realistic expectations when it comes to family planning.

01:18:15
Optimizing Fertility Through Lifestyle Choices

This Chapter focuses on the importance of lifestyle choices in optimizing fertility. Dr. Crawford provides a comprehensive list of recommendations, including avoiding toxic behaviors like smoking, limiting toxins in the environment, managing stress, prioritizing sleep, and adopting a healthy diet. She emphasizes the importance of regular exercise and the potential negative impacts of both over-exercising and inactivity.

00:09:17
The Impact of Infertility on Relationships

This Chapter explores the emotional and relational challenges associated with infertility. Dr. Crawford shares her personal experience with pregnancy losses and the isolation and guilt that can accompany fertility struggles. She emphasizes the importance of open communication and seeking support from loved ones.

01:19:23
The Importance of Regular Sex

This Chapter emphasizes the importance of regular sex for fertility, explaining that sperm can survive in the female reproductive tract for up to five days. Dr. Crawford recommends having sex two to three times a week to increase the chances of conception. She also discusses the challenges faced by couples who are unable to have frequent intercourse due to situational factors or personal preferences.

01:20:34
Intrauterine Insemination (IUI)

This Chapter explains the process of intrauterine insemination (IUI), a fertility treatment that involves placing sperm directly into the uterus. Dr. Crawford discusses the reasons why the entire ejaculate sample is not used in IUI and the importance of cleaning and processing the sperm before insertion.

01:21:34
The Dark Web of Sperm Donation

This Chapter explores the unconventional and sometimes risky practices of sperm donation outside of traditional sperm banks. Dr. Crawford shares a case in Oklahoma where a lesbian couple used a sperm donor found on Facebook, leading to a custody battle with the donor. She highlights the legal and ethical complexities of informal sperm donation.

01:24:35
Understanding Polycystic Ovarian Syndrome (PCOS)

This Chapter provides a detailed explanation of Polycystic Ovarian Syndrome (PCOS), a hormonal disorder that affects women of reproductive age. Dr. Crawford describes PCOS as being born with more eggs in the ovary, leading to irregular periods, excess androgen hormones, and increased risk of insulin resistance. She discusses the various treatment options for PCOS, including medications like clomid, letrozole, metformin, and spironolactone. Dr. Crawford emphasizes the importance of managing weight and stress in PCOS patients.

01:36:48
Endometriosis: An Inflammatory Autoimmune Condition

This Chapter delves into endometriosis, an inflammatory autoimmune condition that can significantly impact fertility. Dr. Crawford explains the causes, symptoms, and challenges of diagnosing and treating endometriosis. She highlights the importance of understanding the role of estrogen in endometriosis and the need for surgical diagnosis. Dr. Crawford discusses the impact of endometriosis on fertility, including increased risk of infertility and miscarriage. She also explains the challenges of treating endometriosis while trying to conceive.

01:45:42
Proactive Fertility Planning

This Chapter emphasizes the importance of proactive fertility planning, especially for women with PCOS or endometriosis. Dr. Crawford advocates for early testing and intervention, including ovarian reserve testing, fallopian tube assessment, and partner sperm analysis. She discusses the benefits and limitations of egg freezing and embryo banking, highlighting the importance of understanding individual fertility potential and making informed decisions about family planning.

01:56:26
Breaking the Stigma Around Fertility Treatments

This Chapter addresses the stigma surrounding fertility treatments, including egg freezing and IVF. Dr. Crawford encourages open conversations about family planning and emphasizes the importance of seeking medical advice and support when needed. She highlights the importance of understanding individual fertility potential and making informed decisions about family planning.

02:10:16
The Role of Birth Control in Fertility

This Chapter discusses the role of birth control in fertility, addressing the concerns and misconceptions surrounding its use. Dr. Crawford explains that while birth control does not directly cause infertility, it can mask underlying hormonal imbalances and delay diagnosis. She emphasizes the importance of understanding the potential side effects and risks of birth control and the need for open conversations about family planning.

02:13:32
A Message of Hope and Support

This Chapter offers a message of hope and support to those struggling with fertility challenges. Dr. Crawford encourages individuals to optimize their lifestyle, seek second opinions when needed, and prioritize their well-being throughout their fertility journey. She emphasizes the importance of open communication with healthcare providers and advocates for proactive fertility planning.

02:15:17
The Most Difficult Conversation

This Chapter reflects on the most difficult conversation that changed Dr. Crawford's life. She shares her personal experience with pregnancy losses and the impact of a conversation with her OB-GYN who encouraged her to stay hopeful and trust in the process. Dr. Crawford emphasizes the importance of support and belief during fertility struggles.

Keywords

Infertility
Infertility is the inability to get pregnant after one year of trying or the inability to carry a pregnancy to term. It is a common condition affecting both men and women, and can be caused by a variety of factors, including age, lifestyle choices, and underlying medical conditions.

Fertility
Fertility refers to the ability to conceive and have children. It is influenced by a complex interplay of factors, including age, genetics, lifestyle, and environmental factors. Optimizing fertility involves making healthy choices that support reproductive health and well-being.

Ovarian Reserve
Ovarian reserve refers to the number and quality of eggs remaining in a woman's ovaries. It is a key indicator of fertility potential and declines with age. Testing ovarian reserve can help women make informed decisions about family planning, including egg freezing.

Menstrual Cycle
The menstrual cycle is a monthly process that prepares a woman's body for pregnancy. It involves hormonal changes, ovulation, and the shedding of the uterine lining if pregnancy does not occur. Regular and predictable menstrual cycles are an indicator of overall reproductive health.

Fertile Window
The fertile window refers to the period of time during a woman's menstrual cycle when she is most likely to conceive. It typically includes the five days before ovulation and the day of ovulation itself. Understanding the fertile window is crucial for timing intercourse for optimal chances of conception.

Lifestyle Choices
Lifestyle choices play a significant role in fertility health. Factors such as diet, exercise, sleep, stress management, and exposure to toxins can impact both male and female reproductive systems. Making healthy choices can optimize fertility and increase the chances of conception.

Polycystic Ovarian Syndrome (PCOS)
PCOS is a common hormonal disorder that affects women of reproductive age. It is characterized by irregular periods, cysts on the ovaries, and excess androgen hormones. PCOS can contribute to infertility and other health problems.

Endometriosis
Endometriosis is a condition in which tissue similar to the lining of the uterus grows outside the uterus. It can cause pain, irregular periods, and infertility. Endometriosis is a chronic condition that can be managed but not cured.

Egg Freezing
Egg freezing is a fertility preservation technique that allows women to freeze their eggs for future use. It can be a valuable option for women who want to delay childbearing or who are at risk of losing their fertility due to medical treatments or other factors.

In Vitro Fertilization (IVF)
IVF is a fertility treatment that involves fertilizing an egg with sperm in a laboratory setting. The resulting embryos are then transferred to the woman's uterus. IVF is a common treatment option for infertility and can be successful even in cases of advanced maternal age.

Q&A

  • What are the social factors contributing to the increasing rates of infertility?

    Dr. Crawford attributes the rise in infertility to increased awareness through social media, greater access to reproductive technology, and a less healthy society with higher rates of obesity, diabetes, and environmental toxins.

  • What is the difference between male and female reproductive systems in terms of fertility?

    Men produce sperm continuously, while women are born with all the eggs they will ever have. Egg quality and quantity decline with age, making it more challenging to conceive as women get older.

  • What are some common misconceptions about fertility?

    Dr. Crawford debunks myths about female orgasm increasing fertility and the impact of phone usage on sperm count. She emphasizes that the heat from laptops and phones, rather than radiation, can negatively affect sperm production.

  • What are some lifestyle choices that can optimize fertility?

    Dr. Crawford recommends avoiding toxic behaviors like smoking, limiting toxins in the environment, managing stress, prioritizing sleep, and adopting a healthy diet. She also emphasizes the importance of regular exercise and avoiding both over-exercising and inactivity.

  • What is the fertile window and why is it important?

    The fertile window is the period of time during a woman's menstrual cycle when she is most likely to conceive. It includes the five days before ovulation and the day of ovulation itself. Understanding the fertile window is crucial for timing intercourse for optimal chances of conception.

  • What are some signs of a healthy menstrual cycle?

    Dr. Crawford explains that a normal period is regular and predictable, occurring at a consistent interval. She emphasizes the importance of tracking cycles to understand the fertile window and identify any irregularities.

  • What are some common causes of irregular periods?

    Irregular periods can be caused by a variety of factors, including age, stress, hormonal imbalances, and underlying medical conditions like PCOS.

  • What is the importance of testing ovarian reserve?

    Dr. Crawford advocates for testing ovarian reserve to provide women with information about their egg count and quality. This knowledge can empower them to make informed decisions about family planning, including egg freezing.

  • How can couples balance fertility goals with maintaining a healthy sex life?

    Dr. Crawford suggests having realistic expectations about family planning, especially when starting later in life. She also encourages couples to prioritize open communication and seek support from loved ones during fertility struggles.

  • What are some resources available for couples struggling with infertility?

    Dr. Crawford encourages couples to seek medical attention from fertility specialists who can provide personalized care and support. She also emphasizes the importance of seeking emotional support from loved ones and support groups.

  • What is the most difficult conversation that changed your life?

    Dr. Crawford shares that the most impactful conversation she had was after her second pregnancy loss, when her OB-GYN encouraged her to stay hopeful and trust in the process. This conversation stayed with her through subsequent losses and helped her to believe that she would eventually have the baby she was meant to have.

Show Notes

Where have all the babies gone? Dr Natalie breaks down everything you need to know about fertility. 

Dr Natalie Crawford is a double board-certified fertility doctor. She is also the co-founder of Fora Fertility clinic and Pinnacle Conference, a leadership conference for women in medicine.

In this conversation, Dr Natalie and Steven discuss topics such as, how plastic and pollution affect your fertility, the surprising condition that’s affecting 1 in 4 women, the best time to have sex for pregnancy, and the impact of phones and hot baths on sperm count. 


00:00 Intro

02:05 You Need To Look After Your Fertility Even Before You Want Children

04:31 We're Struggling More Than Ever To Have Children

07:00 Are We Having Less Sex?

07:47 Sperm Count Is Declining At Scary Risk

10:38 I Had 4 Pregnancy Losses And It's Devastating

13:36 The Stigma Of Infertility

16:15 Infertility Is Not Just A Female Issue, Men Are Affected Too

18:49 Understanding The Basics Of Fertility

22:26 Environmental Factors Affecting Male And Female Fertility

26:32 Are Phones And Laptops Bad For Fertility?

29:40 Heat And Infertility

30:15 What Testosterone Replacement Therapy Does To Your Sperm

31:45 The Egg Vault

35:25 Egg Production And Anomalies

42:41 Regret, Hindsight Of Patients And What You Can Do

47:16 What Has Changed Since Our Parents

49:06 The Effects Of An Unhealthy Lifestyle

54:07 Sleep Is Crucial In Your Reproductive Hormone System

55:07 How Stress Impacts Fertility

57:14 The Best Diets For Good Fertility

59:11 How Dairy Impacts Your Fertility

01:01:05 You Need To Understand The Reproductive Cycle To Know How Exercise Impacts It

01:10:58 Menstrual Irregularities And What's Normal

01:16:57 How Long Does It Take To Get Pregnant?

01:17:50 When Trying To Have Children Sex Can Become A Chore

01:21:43 Purchasing Sperm From The Black Market

01:24:48 PCOS Explained

01:30:59 PCOS Diagnosis

01:33:50 Link Between PCOS & Endometrial Cancer

01:37:02 What Is Endometriosis & How Do You Know You Have It

01:43:55 What Happens When You Come Off The Pill And Want To Have Children

01:46:25 Advice For People With Endometriosis And PCOS, If They Want To Have Children

01:49:36 Getting Started With Freezing Eggs And Embryos And Success Rate

01:55:15 The Cost Of Fertility Procedures

01:56:40 IVF Stigma

01:58:42 Ads

01:59:32 When To Think About Fertility Treatment

02:01:54 Dummies Guide To IVF

02:06:38 Myths Of Conception

02:08:54 Best Sex Position To Get Pregnant

02:10:33 Is Birth Control Healthy?

02:13:36 What Can People Do If They Struggle With Infertility?

02:15:40 Last Guest Question



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The Pregnancy Doctor: Pregnancy Halves Every Year After 32! If You Want 2+ Children, You Need To Know This! If You Experience This Pain, Go See A Doctor!

The Pregnancy Doctor: Pregnancy Halves Every Year After 32! If You Want 2+ Children, You Need To Know This! If You Experience This Pain, Go See A Doctor!

DOAC