The Egg Whisperer Show

On a recent episode of Ask The Egg Whisperer, Ana Lucía shared a great question. Here’s what she wrote, “Thank you Dr Aimee for your show! I just had a miscarriage. I am 42, my progesterone and estradiol levels are very low (8  and 147).  I've been taking estradiol 6mg and Crinone daily. Why are they low and how can I improve them? Thank you very much for your guidance.” In answering this question, it’s important to understand how you’re taking progesterone (Crinone) and estradiol. Let’s break this down a little: for progesterone, the level in your blood is based on the mode of administration. When I have a patient on Crinone (vaginal form), and their progesterone level is 8 - that's because you're placing it vaginally. It has to go through the walls of the vagina, get absorbed, and then go into your bloodstream.  You could add more progesterone to your protocol to raise your progesterone, but I certainly don't want you to worry that your progesterone levels were too low for a healthy implantation to occur if this is a level checked after a frozen embryo transfer. I like the level to be around 10 in a medicated FET cycle if using vaginal progesterone.  These numbers sometimes make us worry unnecessarily (especially when we go to Google for answers). You might see things that make you really upset, like information saying that your progesterone should be over 20. And, that’s sound advice if you're using an injectable form of progesterone. But, with Crione, which is a vaginal form, you're just fine. Talk to your doctor and share your concerns for additional reassurance.  As far as your estrogen level, it's pretty similar to the level that you would see around ovulation time.  Do you have questions about IVF?Click here to join Dr. Aimee for The IVF Class. The next live class call is on Monday, February 21, 2022 at 4pm PST, where Dr. Aimee will explain IVF and there will be time to ask her your questions live on Zoom. Click to find The Egg Whisperer Show podcast on your favorite podcasting app.   Watch videos of Dr. Aimee answer Ask the Egg Whisperer Questions on YouTube.  Sign up for The Egg Whisperer newsletter to get updates   Dr. Aimee Eyvazzadeh is one of America’s most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org.

In this episode, I'm joined by Dr. Geoffrey Sher of Sher Fertility Solutions. He is an internationally renowned fertility expert. He trained under “The Fathers of IVF, ” Drs. Patrick Steptoe and Robert Edwards in the UK. In 1982 he established the 1st private (non-university based) IVF program in the US. Over a career spanning almost 40 years Dr. Sher has been influential in the births of over 17000 IVF babies and has helped fashion the entire field of ART. He is the author of “ In Vitro Fertilization, the A.R.T. of Making Babies” and (more recently), “Unexplained IVF failure and Recurrent pregnancy loss: The Immunologic Link”." Today he's joining me to talk about Immunologic Implantation Dysfunction (IID), which may be a factor in unexplained IVF failure and recurrent pregnancy loss (RPL). He will be talking about how the endometrial lining plays an important role in embryo implantation, because as he shares, "you can't put a good seed in bad soil, or a bad seed in good soil." Read all of the show notes on Dr. Aimee's website Do you have questions about IVF?Click here to join Dr. Aimee for The IVF Class. The next live class call is on Monday, February 21, 2022 at 4pm PST, where Dr. Aimee will explain IVF and there will be time to ask her your questions live on Zoom.   Click to find The Egg Whisperer Show podcast on your favorite podcasting app.   Watch videos of Dr. Aimee answer Ask the Egg Whisperer Questions on YouTube.  Sign up for The Egg Whisperer newsletter to get updates   Dr. Aimee Eyvazzadeh is one of America’s most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org.

The time to talk about "everything I can possibly do to give myself the best chance of pregnancy success" is BEFORE your embryo transfer. Not after. This is why I discuss tests like the ERA test and Receptivadx test with all my patients before transfer. Every embryo is important to me and I want to make sure I'm doing the very best job for every patient I meet.⠀⁠ ⠀⁠ I also know that there's a virtual alphabet soup of three letter abbreviations that surround the whole fertility journey, so this week on the podcast, I'm breaking down the steps that I take when doing the ERA (Endometrial Receptivity Analysis) test, and how it could help you. The ERA tells us exactly when to start progesterone before a transfer to give the embryo the highest chance of implantation success. Think of it as a personal evite to your Embryo Transfer Party! In a way, the test tells you exactly when to show up for the party. I will also talk about the Receptivadx test that basically tells you what to wear to the party (the protocol you should use).⠀⁠ ⠀⁠ If you know me, you know that I love using the latest technology, mixed with personalized care, to set patients up for the best chance of success.⠀⁠ ⠀⁠ So, how does it work? How do I do it? What's involved? What's the technology behind ERA? Find out all the behind the scenes info in this episode. Read all of the show notes on Dr. Aimee's website Do you have questions about IVF?Click here to join Dr. Aimee for The IVF Class. The next live class call is on Monday, February 21, 2022 at 4pm PST, where Dr. Aimee will explain IVF and there will be time to ask her your questions live on Zoom.   Click to find The Egg Whisperer Show podcast on your favorite podcasting app.   Watch videos of Dr. Aimee answer Ask the Egg Whisperer Questions on YouTube.  Sign up for The Egg Whisperer newsletter to get updates   Dr. Aimee Eyvazzadeh is one of America’s most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org.

IVF is a very emotional journey. It can be riddled with fear, doubt, and is full of periods of waiting and wondering. For my patients, I want to reduce any emotional or physical burdens by creating an IVF checklist for them. It covers the core essentials of everything we need to do, so there are no conversations that begin with, “I wish I would have…” down the road. I don’t want you to have to wonder if you’ve done everything you can to have a successful IVF outcome. This is true if you’re my patient, or you live half-way across the world. I want to equip you with a complete IVF checklist. I want you to feel prepared going into IVF so there is less chance of having any regrets if things don’t pan out as you hope they will. Of course, this can’t serve as your only guidance during IVF. Please discuss anything and everything with your doctor! Read all of the show notes on Dr. Aimee's website Do you have questions about IVF?Click here to join Dr. Aimee for The IVF Class. The next live class call is on Monday, February 21, 2022 at 4pm PST, where Dr. Aimee will explain IVF and there will be time to ask her your questions live on Zoom.   Click to find The Egg Whisperer Show podcast on your favorite podcasting app.   Watch videos of Dr. Aimee answer Ask the Egg Whisperer Questions on YouTube.  Sign up for The Egg Whisperer newsletter to get updates Dr. Aimee Eyvazzadeh is one of America’s most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org.

Kim recently wrote in to ask the Egg Whisperer this question, "Hi Dr. Aimee. I am 34 years old. Recently I was diagnosed as PCOS due to the number of follicles on my ovaries and my acne problem. Before I began my IVF journey, I was diagnosed with IBS (possible Celiac disease or gluten sensitivity that had yet to be confirmed), hypoglycemic, and severe vitamin D deficiency (13L). My question is, is there any correlation between IBS or Celiac disease, Vitamin D deficiency and hypoglycemic (fyi my BMI is 24 and I am not diabetic) and infertility? If so, should I postpone my FET on 04/30/21? What can I do to give myself a better chance of having a successful IVF if I do decide to continue with the FET?" I share about the known relationship between IBS and PCOS, and information about some more recent studies about Vitamin D deficiencies. You'll want to tune in for the information. Tune in to hear my full answer, and the answer to 9 other questions. Do you have questions about IVF?Click here to join Dr. Aimee for The IVF Class. The next live class call is on Monday, February 21, 2022 at 4pm PST, where Dr. Aimee will explain IVF and there will be time to ask her your questions live on Zoom. Click to find The Egg Whisperer Show podcast on your favorite podcasting app.   Watch videos of Dr. Aimee answer Ask the Egg Whisperer Questions on YouTube.  Sign up for The Egg Whisperer newsletter to get updates Dr. Aimee Eyvazzadeh is one of America’s most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org.

Today, I'm sharing a recent "Ask the Egg Whisperer" episode. Ashley from New York writes in, and she asks, "Hi Dr. Aimee, I was just wondering if PCOS affected egg quality and if it’s true that some women with PCOS might be able to conceive for a longer period of time because they release eggs at a lower rate?  I have heard this theory, but I wasn’t sure about its veracity. Thanks!" Tune in to hear my full answer, and the answer to 9 other questions.   Do you have questions about IVF?Click here to join Dr. Aimee for The IVF Class. The next live class call is on Monday, February 21, 2022 at 4pm PST, where Dr. Aimee will explain IVF and there will be time to ask her your questions live on Zoom. Click to find The Egg Whisperer Show podcast on your favorite podcasting app.   Watch videos of Dr. Aimee answer Ask the Egg Whisperer Questions on YouTube.  Sign up for The Egg Whisperer newsletter to get updates   Dr. Aimee Eyvazzadeh is one of America’s most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org.

I’m excited to have a follow up conversation with on the podcast today. We are talking all  about how to empower your fertility journey. She is a meditation coach, and specializes in working with people going through fertility treatment. She also has 6 kids of her own and did IVF, surrogacy, and adoption to grow her family. Read the full show notes on Dr. Aimee's website Subscribe to my YouTube channel for more fertility tips! Join Egg Whisperer School Checkout the podcast Subscribe to the newsletter to get updates Dr. Aimee Eyvazzadeh is one of America’s most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org.

Fertility patients face many emotions as they undergo treatment, and for many it is a stressful time. One of the things that I always encourage patients to do is to assemble their TEAM. This means finding a Therapist, Eating right, doing Acupuncture, and creating a Mindfulness and Mediation practice. Today on The Egg Whisperer Show, I’m really excited to have Josephine Atluri joining me. She is a meditation coach, and specializes in working with people going through fertility treatment. She also has 6 kids of her own and did IVF, surrogacy, and adoption to grow her family. Read the full show notes on Dr. Aimee's website Subscribe to my YouTube channel for more fertility tips! Join Egg Whisperer School Checkout the podcast Subscribe to the newsletter to get updates Dr. Aimee Eyvazzadeh is one of America’s most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org.

You all have heard me talk about Producer Paula Jenkins. She helps get The Egg Whisperer Show on the air, on YouTube, and everywhere. But, what you might not know is that she is a podcaster with her very own show (Jump Start Your Joy) and for the last year, she's been talking all about how you can find joy in the messy middle. So, when she published her first book I knew it was time for her to come on and share her joy-filled wisdom with all of us, and so I'm delighted to have her join me today on the show. What I love about Paula is that she finds joy even in the hard times, and in unexpectedly difficult situations. And, we could all use more of that right now. Paula is a podcast producer, a certified life coach, and studied religion at Yale. Her mission is to bring more joy into the world in the work that she does, and her first book is Jump Start Your Joy: Heart-Centered Ways to Find Joy in the Messy Middle. Tune in to Jump Start Your Joy podcast.  Find out more about podcast production on Paula's website.  Subscribe to my YouTube channel for more fertility tips! Join Egg Whisperer School Checkout the podcast Subscribe to the newsletter to get updates Dr. Aimee Eyvazzadeh is one of America’s most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org.

Emily submitted a great question to AskTheEggWhisperer.com: “What can I do to thicken my uterine lining? (I’m 37 and we’ve been TTC for over 6 months. Obgyn wanted me to try progesterone before going to specialist. My issue is a thin lining of 5mm. What can help my lining?” My answer to her was: Let’s start by asking your doctor if Asherman’s syndrome has been ruled out. An HSG, saline sonogram and hysteroscopy can all help make this diagnosis and ultimately may help treat it too. You can also add medications and supplements  like: estrogen, aspirin, l-arginine and vitamin E that may help. And get your TUSHY checked as well! #TUSHYMethod includes the 5 fertility tests you should do.  To hear the answer to 20+ other questions, tune in! Do you have questions about IVF?Click here to join Dr. Aimee for The IVF Class. The next live class call is on Monday, January 24, 2022 at 4pm PST, where Dr. Aimee will explain IVF and there will be time to ask her your questions live on Zoom.   Click to find The Egg Whisperer Show podcast on your favorite podcasting app.   Watch videos of Dr. Aimee answer Ask the Egg Whisperer Questions on YouTube.  Sign up for The Egg Whisperer newsletter to get updates Dr. Aimee Eyvazzadeh is one of America’s most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org.