As a Woman

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

Elena Brower, best-selling author and yoga teacher who brings meditation into everyday life, shares practical ways to calm the nervous system. She talks about the brain’s “rinsing” when attention rests. She explains why stillness feels threatening and how presence outweighs productivity. Simple practices—three-minute resets, calendar audits, and gentle precision—make meditation accessible anywhere.

Dr. Natalie Crawford, board-certified OB-GYN and REI, answers your fertility questions. I’m almost 35 and currently going through IVF. I have PCOS and insulin resistance and have had four early miscarriages despite normal testing and blood work. I’ve also had two laparoscopic surgeries for cysts, one showing mild endometriosis, and a uterine biopsy that showed no inflammation. Given this history, how successful might IVF be for us? What transfer protocol do you recommend after Lupron and letrozole suppression for positive ReceptivaDX results—modified natural or medicated—and what factors guide that decision? Can autoimmune conditions contribute to secondary infertility? I have a four-year-old but have since experienced five miscarriages and have diminished ovarian reserve. After four cycles I’ve only had one embryo tested and it was aneuploid, and my doctor says autoimmune testing may be the next step if endometriosis testing is negative. In a 28-day cycle, is it concerning if a positive LH surge happens around days 15–16? And when tracking cycles, do you count day one as the first day you see bleeding even if it starts midday, or the following day? I’m 35 and planning for pregnancy. What are the most important first steps I should take now to set myself up for success? 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

A fertility doctor links dinner plate choices to gut health and hormone signaling. They unpack intestinal permeability, microbiome enzymes that shape estrogen, and how insulin resistance sabotages ovulation and embryo quality. Practical tips on fiber, fats, carbs, and hydration show which foods send helpful hormonal signals. Personal stories and a 30-day trial idea highlight detecting hidden inflammation.

Dr. Natalie Crawford, board-certified OB-GYN and REI, answers your fertility questions. 1. When taking a prenatal vitamin, how should we interpret the amount of choline listed on the label? If a prenatal lists 300 mg of choline, is that the full amount counted toward the recommended intake, or does it refer to elemental choline? 2. Is sucralose safe to consume while trying to conceive or during pregnancy, or should it be avoided? 3. I’ve heard that high levels of biotin can interfere with certain blood tests. If a prenatal contains 1000 mcg of biotin and someone is going through IVF with frequent lab work, is that amount considered too high? Should they consider switching prenatals? 4. I’m 38, recently diagnosed with PCOS, and have experienced eight miscarriages. I’ve also been told I have a weak and shortened cervix and have already had a vaginal cerclage twice without success. Are there any additional options or treatments that could be considered? 5. I’m 38 and recently had a baby conceived naturally, though it took some time to get pregnant. I know the general recommendation is to wait about 18 months before trying to conceive again, but I’m worried that waiting too long could make it harder to get pregnant because of my age. How should someone balance recommended spacing between pregnancies with age-related fertility considerations? 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

It isn’t about being an expert on the medical details of infertility; it is about being a phenomenal, loving advocate for someone walking through a season of loss and lack of control. In this episode, host Dr. Natalie Crawford sits down with Alison Cheperdak, founder of Elevate Etiquette and author of Was It Something I Said?, to bridge the gap between those struggling and the people who want to show up for them. They unpack the human element behind the awkward silences and ill-advised jokes, offering a roadmap for navigating one of life’s most delicate social and emotional experiences with grace. What You’ll Learn: The specific "limitation acknowledgment" phrase that transforms frozen, awkward silences into safe spaces for connection. Why "social media self-preservation" is a valid friendship tool and how to manage digital triggers without guilt. The unique "etiquette of the out" when sending invitations to major milestones like baby showers or holiday gatherings. Strategic ways to "switch gears" as a host or ally when the conversation turns insensitive at the dinner table. The critical difference between offering vague help and the "Tuesday school pickup" method of specific, tangible support. Find Alison Cheperdak Book: Was It Something I Said? Website: https://elevateetiquette.com/ Instagram: @elevateetiquette Resources: Pre-Order The Fertility Formula ⁠https://www.nataliecrawfordmd.com/book⁠ Newsletter: nataliecrawfordmd.com/newsletter Instagram: @nataliecrawfordmd Youtube Channel: Natalie Crawford MD Interested in becoming a patient?: Fora Fertility Earn FREE CE/CME: Learn at Pinnacle App This episode is brought to you by The Pinnacle Podcast Network. Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Natalie Crawford, board-certified OB-GYN and REI, answers your fertility questions. I’m preparing for IVF and have heard about ovarian hyperstimulation syndrome (OHSS). What steps can be taken during treatment to reduce the risk of developing OHSS? My cycles are about 28–30 days, but I tend to ovulate around day 19 or 20 and my luteal phase is only about nine days. My progesterone level was just above 3, though the rest of my labs look normal. I’ve had two miscarriages in the past and previously used progesterone after ovulation. If I’m trying to optimize my cycle before a future pregnancy, what tests, questions, or treatments should I discuss with my OB? After someone stops breastfeeding, how long does it usually take for prolactin levels to return to normal? If someone wants multiple children, what is the recommended minimum amount of time to wait between pregnancies for maternal and reproductive health? I’m 37 with diminished ovarian reserve and a history of thin uterine lining. My first FET failed, and I only have one embryo left. I’ve had ReceptivaDX, TRIO testing, and hysteroscopy, all normal, but I’m feeling stuck at a high-volume clinic where care feels very protocol-driven. What would you recommend as the next steps in this situation? What is your perspective on using calcium ionophore to help activate eggs after retrieval during IVF? 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

How long does it actually take to get pregnant? In this episode of the As a Woman podcast, Dr. Natalie Crawford breaks down the data behind the question she hears every single day. She explores why the rate of infertility is rising, now affecting one in five people in the US, and why we need to move beyond just looking at age to understand the science of our eggs. From the reality of ovarian reserve to the impact of chronic inflammation, this episode is a guide to taking a proactive approach to your reproductive future. What You’ll Learn: Why metabolic competency and mitochondrial health are the "missing pieces" in understanding why some embryos are more successful than others. The biological reality of fecundability and how your actual percentage chance of conceiving per month changes as you move through your 30s. Why your cycle is a vital sign and how tracking physiological markers like cervical mucus can help you conceive 30% to 50% faster. The "double hit" of inflammation and how a diet high in fiber and whole foods can actively protect egg quality from environmental stressors. Why the current medical standard of making patients "fail" for a year before an evaluation is outdated and how to advocate for early testing. Resources: Pre-Order The Fertility Formula ⁠https://www.nataliecrawfordmd.com/book⁠ Newsletter: nataliecrawfordmd.com/newsletter Instagram: @nataliecrawfordmd Youtube Channel: Natalie Crawford MD Interested in becoming a patient?: Fora Fertility Earn FREE CE/CME: Learn at Pinnacle App This episode is brought to you by The Pinnacle Podcast Network. Learn more about your ad choices. Visit megaphone.fm/adchoices

Listeners hear clear explanations of Turner mosaicism and when IVF with genetic testing might be considered. Timing and interpretation of LH/FSH ratios and how they relate to PCOS come up. Very low AMH at a young age prompts discussion of repeat testing, scans, and fertility preservation. Effects of CBD/THC on sperm and strategies for same-sex IUI with possible endometriosis are also covered.

Life can really catch us off guard, and for many people, cancer teaches us about the uncertainty we all face. In this episode of the As a Woman podcast, Dr. Natalie Crawford chats with the inspiring Dr. Dawn Mussallem, a double board-certified physician, stage four cancer survivor, and heart transplant recipient. Dr. Mussallem shares her incredible journey through these challenges and how they inspired her mission to promote longevity. She highlights that true health goes far beyond just working out; it’s about nourishing our bodies with the right food, building resilience, and creating strong connections with others. What You’ll Learn: Why your mindset and "spiritual core" might matter more for your health than how much you work out at the gym. How your brain’s internal signals can actually change the way your body handles stress and heals from illness. A simple mental trick to help you stay grounded and keep your sense of purpose when life feels totally out of control. The one major change to your diet that science proves can lower inflammation and protect your long-term health. Why eating simple, real food, is still the best way to fight disease and feel your best. The surprising link between your current health habits and your future fertility, even when the odds seem stacked against you. How a "near-death" perspective can shift your daily habits from a place of restriction to a place of true nourishment. The biological reality of "miracles" and how the body can thrive even after a diagnosis that seems final. Find Dr. Dawn Mussallem Instagram: @drdawnmussallem Resources: Pre-Order The Fertility Formula ⁠https://www.nataliecrawfordmd.com/book⁠ Newsletter: nataliecrawfordmd.com/newsletter Instagram: @nataliecrawfordmd Youtube Channel: Natalie Crawford MD Interested in becoming a patient?: Fora Fertility Earn FREE CE/CME: Learn at Pinnacle App This episode is brought to you by The Pinnacle Podcast Network. Learn more about your ad choices. Visit megaphone.fm/adchoices