Male factor gaps and sperm testing

Sarah Kleiner welcomes fertility practitioner Amy Ralph, an acupuncturist, herbalist, and east-meets-west “fertility detective,” to discuss why infertility is rising and how to investigate root causes beyond blaming female age. They critique fertility clinics repeating IVF/IUI cycles without changing protocols, emphasize male-factor gaps like limited semen analysis and lack of DNA fragmentation testing, and share that many women conceive naturally after failed IVF when medications aren’t tolerated. Amy cites declining fertility rates (now ~1 in 6 couples), increasing younger patients, and highlights undiagnosed/mistreated endometriosis and adenomyosis as major drivers, including studies linking endometriosis to worse IVF outcomes that improve after proper surgery. They stress whole-person approaches—uterine testing, inflammation and immune regulation, nervous system/trauma support, light environment, sleep, and individualized nutrition—alongside selective, efficient use of medical interventions.

About Aimee Raupp’s

Aimee Raupp’s Natural Fertility Coaching Program is designed to help women optimize their fertility and prepare their bodies for healthy conception through a holistic, root-cause approach. Combining functional medicine, nutrition, mindset work, and lifestyle changes, the program focuses on improving egg quality, balancing hormones, and reducing inflammation. Aimee’s mission is to empower women to take control of their fertility journey.

Connect withj Aimee Raupp’s - https://aimeeraupp.com/

https://www.instagram.com/aimeeraupp 

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Timestamp:

00:00 Coming up

00:41 Host Story and Guest Intro

02:18 Podcast Disclaimer and Links

03:32 Amy Background and Approach

04:58 Sarah Infertility Journey

07:59 Stories of Hope Community

09:24 Integrative Fertility Workup

11:24 IVF as a Business

12:54 Rethinking Egg Quality

15:21 Male Factor and Sperm Testing

16:16 Sponsor Blue Blockers

17:43 Fertility Crisis and Younger Patients

21:59 Endometriosis Hidden Driver

27:25 Sponsor Red Light Therapy

29:50 Surgery Decisions and Successes

31:26 Environment and Modern Stressors

33:03 Moon Cycles And Blue Light

34:39 Lighting Routines For Sleep

36:57 Fertility Overwhelm And Capacity

38:42 Sponsor Clean Makeup

40:09 Recurrent Miscarriage Workup

43:43 Integrative Care Not Band Aids

46:48 Spiritual Timing And Surrender

53:02 Diet Debates For Fertility

58:02 Perfection Versus Consistency

01:01:15 Finding Amy And Closing

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This video is not medical advice & as a supporter to you and your health journey - I encourage you to monitor your labs and work with a professional!

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