POI vs. Early Menopause: What's the Difference, and Why It Matters for Fertility

Being told you have Primary Ovarian Insufficiency (POI) or premature menopause can feel like the door has closed on your fertility. But these terms don't mean the same thing and understanding the distinction is essential, especially if you're still hoping to conceive. In this episode, we break down what's actually happening hormonally in each condition, why they're often confused, and how a functional fertility approach can help you understand what may still be possible. You'll learn: The key differences between POI, premature menopause, and early menopause What your labs are really telling you about ovarian function Signs that your ovaries may still be active even if your cycle has stopped Which functional tests give deeper insight into thyroid, immune, gut, and adrenal factors that influence ovarian health How inflammation, autoimmune activity, stress physiology, and nutrient imbalances can drive ovarian shutdown Supportive nutritional, lifestyle, and mind-body strategies that may improve hormone communication and egg health When to combine functional and conventional care to optimize your chances of conception This episode is especially for you if: You've been told you have POI, premature menopause, or early menopause and want clarity about whether your ovaries have truly stopped functioning You're under 45 with irregular or missing cycles, hot flashes, or elevated FSH, and want to understand your next steps from a functional-fertility lens You've felt dismissed or told "it's over," yet you want to explore supportive strategies that may help your hormones and ovaries regain activity, naturally or alongside medical care Sarah Clark is the founder of Fab Fertile Inc. and the host of Get Pregnant Naturally. Her team specializes in functional approaches for low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, recurrent miscarriage and helping couples prepare their bodies for pregnancy success naturally or with IVF. Next Steps in Your Fertility Journey Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey. Not sure where to start? Download our most popular guide:  Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action For personalized support to improve pregnancy success, book a call here. --- Timestamps 00:00 Understanding POI and early menopause and why the distinction changes your fertility options when cycles are irregular or absent. 01:45 What POI before age 40 means and how irregular periods and fluctuating FSH can still indicate remaining ovarian activity. 03:00 Real examples of women with AMH at 0.04 ng/mL and 0.08 ng/mL who conceived by addressing inflammation, gut health, thyroid, and stress patterns. 04:00 How disrupted communication between the brain and ovaries drives POI and the role of autoimmunity, nutrient status, and the nervous system. 05:00 What premature menopause looks like on labs and why confirming ovarian shutdown matters when planning next steps. 06:10 How some women in their forties regain cycles and conceive naturally and what this reveals about hormonal resilience. 08:00 Factors that accelerate ovarian aging, including elevated hsCRP, gut infections, thyroid imbalance, environmental toxins, and nutrient gaps. 09:50 Why the gut and vaginal microbiome influence egg quality and implantation and how hidden infections affect fertility outcomes. 10:50 How functional thyroid ranges guide fertility decisions and why a TSH below 2 mIU/L supports better ovarian signaling and hormone balance. 14:40 Nutrition, mitochondrial support, mineral balance, and mind body work that help improve egg health and ovulation signaling. --- Resources 📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility. 📩 Get your free Protein for Fertility Guide! Email [email protected] with the subject line PROTEIN to receive your guide and learn how to fuel your body for stronger cycles and better fertility outcomes. 📩 Get your free Thyroid for Fertility Guide! Email [email protected] with the subject line THYROID to receive your guide and learn the optimal thyroid lab ranges for conception, plus often missed nutrition, lifestyle, and testing strategies to improve thyroid function so pregnancy is more likely to succeed. Is Ureaplasma Affecting Your Fertility? How It Impacts Low AMH, Poor Egg Quality & IVF Success: https://fabfertile.com/blogs/podcasts/the-hidden-threat-ureaplasma-s-impact-on-ivf-success?_pos=3&_sid=61d224007&_ss=r Why Addressing Homocysteine Levels Can Boost Egg and Sperm Health: https://fabfertile.com/blogs/podcasts/why-addressing-homocysteine-levels-can-boost-egg-and-sperm-health?_pos=1&_sid=09ab3d411&_ss=r The Shocking Truth About POI and Autoimmune Diseases: https://fabfertile.com/blogs/podcasts/the-shocking-truth-about-poi-and-autoimmune-diseases?_pos=1&_sid=15ebee0b5&_ss=r 9 FAQs About Low AMH And High FSH That Can Help You Improve Pregnancy Success: https://fabfertile.com/blogs/education/9-faqs-about-low-amh-and-high-fsh-that-can-help-you-improve-pregnancy-success?_pos=1&_sid=b70e5c62a&_ss=r Our favorite fertility tracker (use code FABFERTILE15 to save 15) - https://www.inito.com/en-us/?srsltid=AfmBOoo85sXu_esmFN5Kz6iysaTkBKgYl35Jubv-BaLkkxXVggdk6nes --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.

If you're over 40 and have been told your ovarian reserve is low, you've likely heard things like your only option is IVF with donor eggs or your time has run out. But those statements rarely tell the full story. In today's episode, Improve Ovarian Reserve to Get Pregnant After 40, we explore what ovarian reserve actually measures, why it does not define your fertility potential, and how a functional fertility approach can support egg quality, hormone communication, and your chances of pregnancy, whether naturally or with IVF. Even after 40, your body can respond when you understand the underlying imbalances that influence ovarian function. You'll learn • What AMH, FSH, and AFC truly indicate and why they don't measure egg quality • How mitochondrial energy, nutrient levels, and antioxidants influence egg development after 40 • The role of thyroid health and why optimal TSH should be below 2.0 when trying to conceive • How gut infections, immune dysregulation, and vaginal microbiome imbalances affect ovarian reserve • Which functional tests help uncover hidden imbalances that impact egg potential, including GI MAP, DUTCH, GrowBaby, and HTMA This episode is especially for you if: • You are 40 or older and have been told your AMH is low or your FSH is high • You have experienced failed IVF cycles, early loss, or poor egg quality and want to know what else you can do • You want a functional fertility framework that looks at hormone communication, egg energy, and whole body imbalances rather than just chasing lab numbers Sarah Clark is the founder of Fab Fertile Inc. and the host of Get Pregnant Naturally. Her team specializes in functional approaches for low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, recurrent miscarriage and helping couples prepare their bodies for pregnancy success naturally or with IVF. Next Steps in Your Fertility Journey Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey. Not sure where to start? Download our most popular guide:  Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action For personalized support to improve pregnancy success, book a call here. --- Timestamps 00:00 What low ovarian reserve really means after 40 Why AMH and FSH do not predict your ability to conceive and why your fertility is not defined by these numbers. 01:00 AMH, FSH and AFC explained for women over 40 How ovarian reserve tests measure quantity, not quality and why functional fertility looks deeper. 02:00 Case study: Diminished ovarian reserve at 41 with autoimmune clues A real example of low AMH and Hashimoto's with gut infections that resulted in a natural pregnancy. 04:00 Mitochondria and egg energy after 40 How mitochondrial function influences egg maturation and which nutrients support better ovarian energy. 05:00 Thyroid health and why TSH must be optimal to conceive The full thyroid picture and why ferritin, antibodies and gluten sensitivity matter for ovarian reserve. 07:00 Mineral balance and heavy metals that affect ovarian reserve How magnesium, copper imbalance and toxic metals influence egg quality and hormone stability. 08:30 Adrenal stress and cortisol patterns that lower ovarian signaling How chronic stress suppresses FSH and LH and what adrenal patterns look like on testing. 10:00 Gut health, estrogen metabolism and inflammation How dysbiosis, leaky gut and yeast overgrowth interfere with follicle growth and hormone balance. 11:00 Vaginal microbiome and hidden infections linked to failed implantation Why Ureaplasma, Mycoplasma and high pH environments reduce embryo success and implantation. 13:00 Case study: Natural pregnancy at 43 with DOR A woman with low AMH and high FSH who addressed gut, adrenal and thyroid imbalances and conceived naturally. --- Resources 📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility. 5 Tips to Get Pregnant Even with Poor Egg Quality:  https://fabfertile.com/blogs/podcasts/5-tips-to-get-pregnant-even-with-poor-egg-quality Why A Mineral Deficiency Matters When You Are Trying To Conceive:  https://fabfertile.com/blogs/podcasts/why-a-mineral-deficiency-matters-when-you-are-trying-to-conceive-with-terra-vitiello?_pos=1&_sid=ae769fc7d&_ss=r DUTCH Test 101: Why It's Important For Fertility: https://fabfertile.com/blogs/podcasts/dutch-test-101-why-its-important-for-fertility?_pos=2&_sid=a6f8a8c87&_ss=r Why Genomic Testing Can Help With Recurrent Pregnancy Loss, Birth Outcomes and Preconception Health: https://fabfertile.com/blogs/podcasts/why-genomic-testing-can-help-with-recurrent-pregnancy-loss-birth-outcomes-and-preconception-health?_pos=8&_sid=f28fd1802&_ss=r Our favorite fertility tracker (use code FABFERTILE15 to save 15) - https://www.inito.com/en-us/?srsltid=AfmBOoo85sXu_esmFN5Kz6iysaTkBKgYl35Jubv-BaLkkxXVggdk6nes --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.  

If you've been told you have poor egg quality, you might feel like your options are limited or that your body isn't capable of what you want most. In this episode, 5 Tips to Get Pregnant Even with Poor Egg Quality, we break down what egg quality really means, what affects it, and how to support your fertility through a functional-fertility lens. You'll learn practical, research-informed strategies that influence the environment where your eggs mature and develop. You'll learn: What poor egg quality actually means and why it's about cellular function, not the number of eggs How oxidative stress, thyroid issues, inflammation, toxin exposure, and blood sugar imbalances affect egg development The top functional strategies to support mitochondrial energy, hormone communication, and ovulation How gut health, minerals, detoxification, and nervous system regulation impact egg and embryo quality Research-backed mind–body approaches shown to improve pregnancy outcomes in IVF and natural conception This episode is especially for you if: You've been told you have poor egg quality, low AMH, or high FSH and want to understand what's actually behind those numbers You've had failed IVF cycles or early losses and want to know what else you can do to influence your outcome You want a whole body, functional fertility approach that supports egg development, mitochondrial health, and hormone communication Sarah Clark is the founder of Fab Fertile Inc. and the host of Get Pregnant Naturally. Her team specializes in functional approaches for low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, recurrent miscarriage and helping couples prepare their bodies for pregnancy success naturally or with IVF. Next Steps in Your Fertility Journey Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey. Not sure where to start? Download our most popular guide:  Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action For personalized support to improve pregnancy success, book a call here. --- Timestamps 00:00 – What Poor Egg Quality Really Means Understanding how oxidative stress, thyroid imbalance, inflammation, mitochondrial issues, and chronic stress affect egg development. 01:42 – Why Functional Fertility Testing Changes Outcomes How deeper testing like GI MAP, DUTCH, and nutrient panels uncovers what IVF and basic labs often miss. 03:20 – Success Story: Improving Egg Quality with Hashimoto's and Low AMH A real case of transforming egg health after being told IVF was the only option. 04:08 – Mitochondrial Support for Better Egg Development Key nutrients like CoQ10, omega 3s, B vitamins, magnesium, and antioxidant rich foods that influence egg energy and embryo potential. 05:04 – Why Fasting, Keto, and Undereating Lower Fertility How shaky blood sugar, cortisol spikes, long fasting windows, and restrictive diets impact ovulation and hormone balance. 07:00 – Blood Sugar, Protein Targets, and Egg Free Breakfast Ideas Optimal A1C ranges, how to stabilize blood sugar, and how protein supports hormone communication and egg maturation. 08:40 – Reducing Inflammation and Daily Toxin Exposure Plastics, fragrances, water filtration, and anti inflammatory eating patterns that support healthy follicles. 09:50 – Functional Lab Testing to Personalize Your Fertility Plan Why combining GI MAP, food sensitivities, mineral testing, and mycotoxin screening gives a clearer picture of egg quality barriers. 13:10 – Thyroid, Adrenals, Liver, and Key Nutrients for Fertility How TSH, ferritin, vitamin D, homocysteine, cortisol patterns, and estrogen detox impact egg and embryo quality. 19:00 – The Mind Body Connection and Research Behind IVF Success What the Domar studies and HRV research show about stress, cortisol, and improving ovarian function. 22:10 – The 90 Day Egg Development Window and IVF Readiness Why creating a low inflammation, nutrient rich environment improves egg quality and IVF response. --- Resources 📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility. 📩 Get your free Protein for Fertility Guide! Email [email protected] with the subject line PROTEIN to receive your guide and learn how to fuel your body for stronger cycles and better fertility outcomes. 📩 Get your free Thyroid for Fertility Guide! Email [email protected] with the subject line THYROID to receive your guide and learn the optimal thyroid lab ranges for conception, plus often missed nutrition, lifestyle, and testing strategies to improve thyroid function so pregnancy is more likely to succeed. 📩 Get your free 7 Day Egg Free Breakfast Guide! Email [email protected] with the subject line BREAKFAST to receive seven days of egg free, fertility focused breakfast ideas designed to support hormone balance, stabilize blood sugar, and nourish women with low AMH or high FSH. Why Addressing Homocysteine Levels Can Boost Egg and Sperm Health:  https://fabfertile.com/blogs/podcasts/why-addressing-homocysteine-levels-can-boost-egg-and-sperm-health?_pos=1&_sid=d928e28d3&_ss=r Is Ureaplasma Affecting Your Fertility? How It Impacts Low AMH, Poor Egg Quality & IVF Success:  https://fabfertile.com/blogs/podcasts/the-hidden-threat-ureaplasma-s-impact-on-ivf-success?_pos=4&_sid=660678fc8&_ss=r Our favorite fertility tracker (use code FABFERTILE15 to save 15) - https://www.inito.com/en-us/?srsltid=AfmBOoo85sXu_esmFN5Kz6iysaTkBKgYl35Jubv-BaLkkxXVggdk6nes --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.

If you've ever been told your FSH is too high or that you're not a good candidate for IVF, today's episode will help you understand what that number actually means and the many ways you can still support your fertility. When most people hear "high FSH," they immediately think poor ovarian reserve or low egg count. That's not the full story. In this episode, we look at what high FSH signals, how to interpret it alongside other markers, and what both conventional and functional fertility options can help you move forward with clarity. You'll learn: • What high FSH actually measures and why context matters when paired with AMH, estradiol, and AFC • How inflammation, stress, thyroid imbalance, sleep, and environmental toxins influence FSH • Conventional treatment options such as mini IVF, natural cycle IVF, Letrozole, and individualized stimulation protocols • How functional fertility improves the internal environment so your ovaries respond better to any treatment • The key labs, nutrients, and lifestyle factors that support egg quality and hormone communication in high FSH cases This episode is especially for you if: • You've been told you have high FSH or diminished ovarian reserve and worry the window is closing • You've had canceled IVF cycles or poor responses and want to understand what else you can do • You want to see how a functional fertility approach can support egg quality so your next steps feel strategic and not desperate Sarah Clark is the founder of Fab Fertile Inc. and the host of Get Pregnant Naturally. Her team specializes in functional approaches for low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, recurrent miscarriage and helping couples prepare their bodies for pregnancy success naturally or with IVF. Next Steps in Your Fertility Journey Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey. Not sure where to start? Download our most popular guide:  Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action For personalized support to improve pregnancy success, book a call here. --- TIMESTAMPS 00:00 – What High FSH Really Means for Fertility What FSH actually measures, why it does not reflect egg quality, and why high FSH is often misunderstood in conventional fertility care. 01:00 – The Emotional Impact of High FSH and Canceled IVF Cycles Understanding why high FSH triggers fear, how it influences IVF decisions, and how a functional lens shifts your strategy. 02:00 – Real Case Story: FSH in the 60s Reduced to 7 A Fab Fertile client lowered FSH dramatically after three failed IVFs and conceived with her own eggs after being told donor eggs were the only option. 03:00 – Drivers of High FSH: Inflammation, Stress, Thyroid, Sleep, and Toxins FSH as feedback, not failure. Exploring how inflammation, poor sleep, blood sugar imbalance, thyroid dysfunction, and environmental toxins impact ovarian response. 04:00 – Conventional Treatment Options for High FSH Mini IVF, natural-cycle IVF, Letrozole, Clomid, individualized protocols, medication dosing considerations, and how clinics determine next steps. 05:00 – Why Medication Alone Isn't Enough: The Functional Fertility Lens How functional testing identifies hidden blocks like gut infections, food sensitivities, chronic inflammation, nutrient deficiencies, and nervous system dysregulation. 06:00 – Hidden Stressors That Disrupt Egg Quality and Hormone Signaling Parasites, H. pylori, bacterial overgrowths, mold exposure, toxin load, fragrances, plastics, and irregular cortisol patterns that impact egg development. 09:00 – Key Fertility Labs for High FSH Optimal vs normal ranges for thyroid markers, vitamin D, ferritin, fasting insulin, A1C, homocysteine, and how methylation affects hormone detox and ovarian health. 12:00 – Functional Testing That Personalizes Your Fertility Plan GI-MAP, food sensitivity testing, DUTCH hormone mapping, genetic testing (MTHFR, COMT, GST), and vaginal microbiome tests for implantation and inflammation insights. 18:00 – When to Pause IVF and Re-Evaluate Your Strategy Why repeating protocols isn't effective when the internal environment isn't optimized. When a 3–6 month reset can improve ovarian response and IVF success. 19:00 – Final Takeaway: High FSH as a Message, Not a Verdict High FSH is information, not a dead end. How combining functional optimization with conventional care improves egg quality, hormone signaling, and overall fertility outcomes. RESOURCES 📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility. 📩 Get your free Protein for Fertility Guide! Email [email protected] with the subject line PROTEIN to receive your guide and learn how to fuel your body for stronger cycles and better fertility outcomes. The Link Between Sleep and Fertility: Why Getting Enough Rest Matters: https://fabfertile.com/blogs/podcasts/how-poor-sleep-could-be-sabotaging-your-egg-quality?_pos=6&_sid=08f940f89&_ss=r What does gut health have to do with hormone balance and infertility:  https://fabfertile.com/blogs/education/gut-health-hormone-balance-fertility?_pos=5&_sid=6f54e787f&_ss= Pregnancy After 40 with Low AMH and High FSH: https://fabfertile.com/blogs/education/pregnancy-after-40-with-low-amh-and-high-fsh?_pos=2&_sid=2db9414bf&_ss=r Is Ureaplasma Affecting Your Fertility? How It Impacts Low AMH, Poor Egg Quality & IVF Success: https://fabfertile.com/blogs/podcasts/the-hidden-threat-ureaplasma-s-impact-on-ivf-success?_pos=1&_sid=9fb48e0cb&_ss=r Pregnant Naturally at 43: Overcoming Low AMH, High FSH, and Two Miscarriages: https://fabfertile.com/blogs/podcasts/pregnant-naturally-43-low-amh-high-fsh?_pos=12&_sid=0b542adca&_ss=r AMH Diet – Start This Today to Support Fertility & Get Pregnant This Year: https://fabfertile.com/blogs/podcasts/amh-diet-start-this-today-to-support-fertility-get-pregnant-this-year?_pos=4&_sid=003fecbea&_ss=r Our favorite fertility tracker (use code FABFERTILE15 to save 15) - https://www.inito.com/en-us/?srsltid=AfmBOoo85sXu_esmFN5Kz6iysaTkBKgYl35Jubv-BaLkkxXVggdk6nes --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.

You've been told your AMH is too low or that your egg quality isn't good enough, especially if you're over 40. But AMH doesn't define your fertility; it's a reflection of ovarian reserve, not your ability to conceive. In this episode, we explore how a functional fertility approach can help you uncover the real reasons AMH is low and how to support your eggs, hormones, and body so you can move forward with confidence whether naturally or with IVF. You'll Learn: What AMH really measures and why many women with low AMH still conceive once key systems are supported. The underlying causes that lower AMH: inflammation, gut health, blood-sugar imbalance, thyroid/adrenal dysfunction, and nutrient depletion. Which functional labs reveal what conventional testing often misses (GI-MAP, DUTCH, micronutrients). How to support egg quality after 40 through personalized nutrition, targeted supplements, toxin reduction, and nervous-system regulation. When IVF fits best and how preparing your body 3–6 months in advance can improve response, embryo quality, and implantation. Inspiring success stories, including Samantha (age 44, AMH 0.02 ng/mL), who conceived naturally after addressing gut infections, insulin resistance, and stress. This episode is especially for you if: You've been told your AMH is low and want to understand what that really means for your fertility. You're in your late 30s or 40s and want evidence-based ways to support egg quality naturally. You're unsure if IVF is the next step and want clarity before investing time, money, and hope. Sarah Clark is the founder of Fab Fertile Inc. and the host of Get Pregnant Naturally. Her team specializes in functional approaches for low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, recurrent miscarriage and helping couples prepare their bodies for pregnancy success naturally or with IVF. Next Steps in Your Fertility Journey Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey. Not sure where to start? Download our most popular guide:  Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action For personalized support to improve pregnancy success, book a call here. --- TIMESTAMPS 00:00 – What Low AMH Really Means for Fertility → Understanding what anti-Müllerian hormone (AMH) actually measures, and why it doesn't define your pregnancy potential. 02:00 – Why Egg Quality Matters More Than Egg Quantity → How mitochondrial health, inflammation, and hormone balance shape egg potential even with low AMH. 03:30 – Inflammation, Stress, and the Type-A Fertility Pattern → The hidden link between hsCRP, stress, and fertility outcomes in high-achieving women over 40. 05:00 – Functional Team Approach: Beyond Hormones and IVF → How the Fab Fertile Method integrates thyroid, gut, and nervous system insights to improve ovarian reserve and egg health. 07:30 – Gut Health and Fertility Connection → What infections like H. pylori mean for nutrient absorption, estrogen balance, and ovarian function. 09:30 – Blood Sugar, Sleep, and Mood Clues to Hormonal Imbalance → Recognizing insulin resistance and blood-sugar swings as hidden drivers of poor egg quality and disrupted cycles. 11:00 – Foundational Fertility Supplements That Actually Matter → How CoQ10, magnesium, vitamin D3/K2, and methylated prenatals support mitochondria and hormone regulation. 12:00 – Samantha's Story: Natural Conception at 44 with AMH 0.02 ng/mL → A real client case showing how addressing gut, thyroid, and adrenal imbalances made conception possible after repeated loss. 15:00 – Functional Tests That Reveal Why AMH Is Low → The key labs: full thyroid panel, hsCRP, ferritin, insulin, GI-MAP, DUTCH, and nutrient testing to find what's missed in conventional care. 18:00 – Creating a Fertile Environment After 40 → Practical steps to support egg quality, anti-inflammatory diet, toxin reduction, nervous system regulation, and realistic IVF timing. --- RESOURCES 📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility. The Link Between Sleep and Fertility: Why Getting Enough Rest Matters: https://fabfertile.com/blogs/podcasts/how-poor-sleep-could-be-sabotaging-your-egg-quality?_pos=6&_sid=08f940f89&_ss=r What does gut health have to do with hormone balance and infertility:  https://fabfertile.com/blogs/education/gut-health-hormone-balance-fertility?_pos=5&_sid=6f54e787f&_ss= Pregnancy After 40 with Low AMH and High FSH: https://fabfertile.com/blogs/education/pregnancy-after-40-with-low-amh-and-high-fsh?_pos=2&_sid=2db9414bf&_ss=r How To Improve Low Estrogen And Get Pregnant Naturally (especially if you've been told IVF or Donor Eggs are the only option): https://fabfertile.com/blogs/education/how-to-improve-low-estrogen-and-get-pregnant-naturally-especially-if-youve-been-told-ivf-or-donor-eggs-are-the-only-option?_pos=2&_sid=9a2c4879e&_ss=r Our favorite fertility tracker (use code FABFERTILE15 to save 15) - https://www.inito.com/en-us/?srsltid=AfmBOoo85sXu_esmFN5Kz6iysaTkBKgYl35Jubv-BaLkkxXVggdk6nes --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.    

Could what's happening in your mouth be impacting your fertility? In this episode of Get Pregnant Naturally, we explore the fascinating connection between your oral microbiome and reproductive health. From silent gum inflammation to the role of mouth breathing, you'll learn how your oral health can influence egg quality, implantation, gut balance, and even sperm DNA integrity. We're breaking down simple, practical steps, like the timing of dental cleanings, gentle oral-care swaps, and ways to reduce inflammation that can make a measurable difference on your fertility journey. If you're trying to conceive and want to uncover overlooked yet powerful strategies, this episode is for you. You'll learn: Why oral inflammation is often silent, but still disrupts fertility How male fertility is also impacted by oral bacteria The link between gum health, egg quality, and implantation Practical (and gentle!) oral-care strategies that support reproductive health The surprising connection between mouth breathing, sleep, and hormone signaling This episode is especially for you if: You've experienced canceled cycles, poor egg quality, or miscarriage without clear answers You're preparing for your next egg retrieval or transfer and want to optimize every detail You have bleeding gums, recurring cavities, or gingivitis and never considered how oral health affects fertility Not sure where to start? Download our most popular resource: The Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH. It breaks everything down step by step to help you understand your options and take action. For personalized support to improve pregnancy success, book a call here. --- TIMESTAMPS 00:00 Can your mouth affect your fertility? How oral health connects to low AMH, high FSH, and diminished ovarian reserve. 02:10 The oral microbiome and reproductive health Why inflammation in the mouth can influence egg quality, implantation, and hormone balance. 05:00 Gum disease, inflammation, and egg quality decline How chronic oral inflammation impacts ovarian health, mitochondrial function, and embryo development. 08:20 Sperm DNA fragmentation and oral dysbiosis Why men's gum health and oral bacteria matter for sperm DNA integrity and IVF outcomes. 11:10 Mouth breathing, stress, and hormone disruption The surprising link between airway health, cortisol, sleep, and reproductive hormones. 14:05 The gut oral axis and fertility How oral and gut microbiomes interact and why healing the mouth helps the gut (and vice versa). 17:15 Functional fertility approach to oral inflammation Reducing inflammation through nutrition, detox support, and targeted supplements to improve fertility. 20:05 Fertility friendly oral care routine The best ways to support your oral microbiome: dental cleanings, oil pulling, hydroxyapatite toothpaste, and non-toxic swaps. 23:00 Optimizing IVF success through whole body health How addressing hidden inflammation and oral health can improve egg and sperm quality before IVF. 26:10 Next steps for low AMH and DOR Why focusing on oral, gut, and immune health together helps improve ovarian response and pregnancy success. 28:00 Final thoughts Key takeaways for improving fertility through oral and systemic health. --- RESOURCES 📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility. Fygg Toothpaste: code FABFERTILE to save 15% - https://fygg.com Boka Toothpaste: https://www.boka.com/ Healthy Sleep, Sleep Apnea And Why It Matters For Fertility:  https://fabfertile.com/blogs/podcasts/healthy-sleep-sleep-apnea-and-why-it-matters-for-fertility?_pos=1&_sid=12eb99c30&_ss=r The Link Between Sleep and Fertility: Why Getting Enough Rest Matters:  https://fabfertile.com/blogs/podcasts/how-poor-sleep-could-be-sabotaging-your-egg-quality?_pos=6&_sid=19d28e939&_ss=r Why Your Dental Routine Matters For Fertility and Pregnancy Success Outcomes:  https://fabfertile.com/blogs/podcasts/why-your-dental-routine-matters-for-fertility-and-pregnancy-success-outcomes?_pos=2&_sid=dfe113e30&_ss=r Our favorite fertility tracker (use code FABFERTILE15 to save 15) - https://www.inito.com/en-us/?srsltid=AfmBOoo85sXu_esmFN5Kz6iysaTkBKgYl35Jubv-BaLkkxXVggdk6nes --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.

If you've been told you have premature ovarian insufficiency (POI), it can feel final as if your ovaries have stopped working and your only hope is donor eggs. But the truth is more complex. Research shows that spontaneous ovulation is still possible. In this episode, we're looking at POI through both a conventional and functional fertility lens, exploring what it really means for your pregnancy potential, and how timing, preparation, and immune balance all matter. You'll learn: The difference between menopause and POI and why ovarian function can "flicker" back on What autoimmune activity, gut health, and toxins have to do with ovarian function The realistic chances of natural pregnancy with POI and how to detect spontaneous ovulation When hormone therapy or IVF with your own eggs might make sense Why donor eggs often lead to high success rates when functional foundations are addressed Sarah Clark is the founder of Fab Fertile Inc. and the host of Get Pregnant Naturally. Her team specializes in functional approaches for low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, recurrent miscarriage and helping couples prepare their bodies for pregnancy success naturally or with IVF. This episode is especially for you if: You've been told POI or "early menopause" means you'll never get pregnant You're considering IVF or donor eggs and want to understand your options You want a clear, functional fertility plan to prepare your body for pregnanc ·     Not sure where to start? Download our most popular resource: The Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH. It breaks everything down step by step to help you understand your options and take action. ·     For personalized support to improve pregnancy success, book a call here. --- TIMESTAMPS  00:00 — The truth about POI and pregnancy POI isn't always the end of the road. Learn how spontaneous ovulation and functional fertility preparation can open new possibilities even after a diagnosis of premature ovarian insufficiency. 01:00 — What POI really means (and how it differs from early menopause) Conventional vs functional views of ovarian function — why "flickering" ovarian activity matters for pregnancy potential. 02:30 Underlying imbalances behind POI How autoimmune issues, gut dysfunction, toxins, and stress affect ovarian function and fertility outcomes. 04:00 Realistic chances of pregnancy with POI Research-backed data showing 5–10% of women with POI conceive naturally, plus factors that improve success rates. 06:00 Spontaneous ovulation and how to catch it Tracking methods like Mira, Inito, and PDG tests that can help you detect rare ovulations and time intercourse or IVF cycles effectively. 08:00 Managing stress and nervous system regulation Why chronic stress and HPA-axis dysfunction shut down ovulation and how the nervous system work restores reproductive signaling. 10:00 Gut, immune, and environmental testing for POI Why stool, food sensitivity, and mycotoxin testing matter for egg quality, implantation, and autoimmune balance. 12:00 Nutrients and mitochondrial support for egg quality How CoQ10, magnesium, selenium, vitamin D, and omega-3s support ovarian function and improve outcomes. 15:00 IVF with your own eggs and donor egg options When IVF may still work for women with POI, and how to prepare your body functionally before considering donor eggs. 18:00 Hope and next steps for POI and fertility Why POI doesn't mean no chance from spontaneous ovulation to IVF and donor eggs, discover how health-first strategies improve success. --- RESOURCES ·        📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility. Get Pregnant Naturally with Low AMH, Diminished Ovarian Reserve or POF: (Sarah's Story) https://fabfertile.com/blogs/podcasts/get-pregnant-naturally-with-low-amh-diminished-ovarian-reserve-or-pof?_pos=15&_sid=86a653303&_ss=r Is Your Thyroid Impacting Egg Health? The Hidden Connection to Low AMH, DOR & Fertility Success: https://fabfertile.com/blogs/podcasts/is-your-thyroid-impacting-egg-health-the-hidden-connection-to-low-amh-dor-fertility-success?_pos=6&_sid=81c11854e&_ss=r Autoimmune Roadblocks to IVF: How ANA Affects Fertility: https://fabfertile.com/blogs/podcasts/autoimmune-roadblocks-to-ivf-how-ana-affects-fertility?_pos=1&_sid=d10e6427f&_ss=r Is Your Thyroid Impacting Egg Health? The Hidden Connection to Low AMH, DOR & Fertility Success: https://fabfertile.com/blogs/podcasts/is-your-thyroid-impacting-egg-health-the-hidden-connection-to-low-amh-dor-fertility-success?_pos=6&_sid=b14f3ecff&_ss=r Our favorite fertility tracker Inito (use code FABFERTILE15 to save 15)  --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.    

What if your Premature Ovarian Insufficiency (POI) wasn't just about your ovaries but about your immune system turning against them? Most women with POI are told it's simply early menopause. The conversation stops at hormone replacement or donor eggs. But new research shows that for many women, POI has autoimmune roots. When that's the case, treatment, prognosis, and even pregnancy potential all look very different. In this episode, we explore how the immune system can drive POI, the red flags most doctors miss, and which labs uncover what's really happening inside your body. You'll also hear how a functional fertility approach can calm immune dysfunction and support natural ovarian activity. You'll learn: The latest evidence connecting autoimmunity and Premature Ovarian Insufficiency Red flags that suggest POI may be immune-driven rather than purely ovarian The key labs to request for thyroid, gut, and immune system assessment Why conventional HRT isn't enough and how bioidentical hormones fit in Functional fertility strategies that support hormone balance and ovarian function Sarah Clark is the founder of Fab Fertile Inc. and the host of Get Pregnant Naturally. Her team specializes in functional approaches for low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, recurrent miscarriage and helping couples prepare their bodies for pregnancy success naturally or with IVF. This episode is for you if: You've been diagnosed with POI, low AMH, or high FSH and want to understand what's driving it You or your family have autoimmune conditions like thyroid disease, celiac, type 1 diabetes, or lupus You've had irregular cycles, miscarriages, or failed IVF transfers, and feel like something deeper is being missed Not sure where to start? Download our most popular resource: The Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH. It breaks everything down step by step to help you understand your options and take action. For personalized support to improve pregnancy success, book a call here. --- TIMESTAMPS 00:00 – What if POI isn't just early menopause? Why many women are misdiagnosed and how autoimmunity can drive premature ovarian insufficiency. 02:00 – Conventional vs. functional fertility approaches to POI How standard care stops at HRT or donor eggs, while functional fertility looks at what's really driving ovarian decline. 04:00 – Understanding POI beyond the ovaries How deeper health issues like immune, thyroid, and gut imbalances can affect ovarian function and fertility potential. 06:00 – The autoimmune patterns seen in women with low AMH and high FSH How family history, Hashimoto's, and other immune clues point to systemic dysfunction. 09:00 – Key labs to explore beyond AMH and FSH Why thyroid, antibodies, and gut testing reveal what routine fertility tests miss. 12:00 – Why you must advocate for deeper testing How to push for immune and inflammatory markers like ANA and hs-CRP when conventional medicine overlooks them. 15:00 – Gut health, inflammation, and leaky gut in POI The link between microbiome imbalance, gluten sensitivity, and ovarian autoimmunity. 18:00 – Nutrient and metabolic markers that affect ovarian function Vitamin D, ferritin, B12, folate, and homocysteine. What optimal levels mean for egg quality and implantation. 21:00 – Understanding HRT and bioidentical hormones for POI Why bioidentical estrogen and progesterone support heart, bone, and reproductive health more effectively than synthetics. 24:00 – Functional fertility action plan for autoimmune POI How to test deeper, calm the immune system, and improve fertility outcomes naturally or with IVF. --- RESOURCES Stop Ignoring hsCRP and the Role of Inflammation in Diminished Ovarian Reserve: https://fabfertile.com/blogs/podcasts/stop-ignoring-hscrp-and-the-role-of-inflammation-in-diminished-ovarian-reserve?_pos=1&_sid=82deaccd1&_ss=r Get Pregnant Naturally with Low AMH, Diminished Ovarian Reserve or POF: (Sarah's Story) https://fabfertile.com/blogs/podcasts/get-pregnant-naturally-with-low-amh-diminished-ovarian-reserve-or-pof?_pos=15&_sid=86a653303&_ss=r Is Your Thyroid Impacting Egg Health? The Hidden Connection to Low AMH, DOR & Fertility Success: https://fabfertile.com/blogs/podcasts/is-your-thyroid-impacting-egg-health-the-hidden-connection-to-low-amh-dor-fertility-success?_pos=6&_sid=81c11854e&_ss=r How Iron Deficiency Impacts Fertility, Egg Quality & Low AMH: https://fabfertile.com/blogs/podcasts/ferritin-iron-deficiency-fertility-low-amh-high-fsh?_pos=1&_sid=5bce72a22&_ss=r Why Addressing Homocysteine Levels Can Boost Egg and Sperm Health: https://fabfertile.com/blogs/podcasts/why-addressing-homocysteine-levels-can-boost-egg-and-sperm-health?_pos=1&_sid=b235d5698&_ss=r Autoimmune Roadblocks to IVF: How ANA Affects Fertility: https://fabfertile.com/blogs/podcasts/autoimmune-roadblocks-to-ivf-how-ana-affects-fertility?_pos=1&_sid=d10e6427f&_ss=r The Clotting Connection: Hidden Causes of Implantation Failure and Miscarriage: https://fabfertile.com/blogs/podcasts/the-clotting-connection-hidden-causes-of-implantation-failure-and-miscarriage?_pos=1&_sid=82f26ca56&_ss=r Our favorite fertility tracker Inito (use code FABFERTILE15 to save 15)  --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.  

When doctors said her AMH was too low and IVF was the only option, one of our Fab Fertile clients decided to look deeper. Through functional testing and personalized support, she uncovered the health factors that were quietly working against conception and went on to get pregnant naturally after only 4 months in our program). You'll learn: Why AMH and FSH are only part of the fertility picture How digestion, inflammation, and nutrient imbalances can affect egg quality The impact of stress and sleep on reproductive hormones What changed once her whole-body health was supported Key steps you can take to improve your fertility even with low AMH or DOR Her story shows that fertility isn't defined by a single number  it's a reflection of overall health and balance. Sarah Clark is the founder of Fab Fertile Inc. and the host of Get Pregnant Naturally. Her team specializes in functional approaches for low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, recurrent miscarriage and helping couples prepare their bodies for pregnancy success naturally or with IVF. This epoisode is for you if: You've been told your AMH is low or your FSH is high You're considering IVF, but want to prepare your body first You're trying naturally and want to understand what your labs don't reveal Not sure where to start? Download our most popular resource: The Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH. It breaks everything down step by step to help you understand your options and take action. For personalized support to improve pregnancy success, book a call here. --- TIMESTAMPS 00:00 – Why low AMH and high FSH aren't the full story Sarah shares how many are told donor eggs are the only option and why that message often misses deeper health factors that impact fertility. 01:45 – What this client's fertility journey looked like before Fab Fertile Three failed IVFs, two IUIs, and a diagnosis of diminished ovarian reserve plus the emotional toll that comes with feeling "stuck." 03:10 – The overlooked factors affecting AMH and egg quality How long-term birth control use, chronic stress, and thyroid patterns (like high reverse T3) can influence fertility even when labs look "normal." 04:45 – Gut health and fertility: what her stool test revealed From constipation and loose stools to parasites, C. diff, and H. pylori, how digestive imbalances can block nutrient absorption and egg development. 06:15 – The hidden food sensitivities that trigger inflammation Non-celiac gluten sensitivity, dairy intolerance, and gluten cross-reactors like tapioca, why eliminating inflammatory foods helped reduce immune stress. 07:10 – Supporting the body as a couple Why both partners completed functional testing and the elimination diet, and how addressing anxiety, gut issues, and stress improved overall fertility potential. 08:00 – Pregnancy after low AMH: what finally made the difference After only four months of targeted functional support, she conceived naturally. Sarah shares what changed and how mindset and visualization played a role. --- RESOURCES 📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility. Improving Egg Quality and Fertility: The Gut Fertility Connection for Low AMH, High FSH, and Poor Egg Quality:  https://fabfertile.com/blogs/podcasts/improving-egg-quality-and-fertility-the-gut-fertility-connection-for-low-amh-high-fsh-and-poor-egg-quality?_pos=8&_sid=e7fb9b2d0&_ss=r Could My Fertility Stress and Control Issues Be Lowering My AMH?https://fabfertile.com/blogs/podcasts/could-my-fertility-stress-and-control-issues-be-lowering-my-amh?_pos=9&_sid=cfac2c01b&_ss=r Our favorite fertility tracker Inito (use code FABFERTILE15 to save 15)  --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.

If you've been told your AMH is low or that you have diminished ovarian reserve, it can feel like there's nothing you can do. But daily nutrition and lifestyle choices can make a profound difference, not just in lab numbers, but in energy, cycles, and pregnancy outcomes. You'll learn: How inflammation impacts egg quality, hormone signaling, and implantation The role of anti-inflammatory nutrition, gut health, and blood sugar balance in fertility Supplements that support mitochondrial function, hormones, and the nervous system Advanced testing and biomarkers that reveal hidden inflammatory triggers Why calming the nervous system is as critical as diet or supplements for fertility success Sarah Clark, your host and founder of Fab Fertile, shares how evidence-based functional strategies can shift ovarian function, lower inflammation, and create the environment for conception, even with low AMH or diminished ovarian reserve. This episode is especially for you if: You've been told your AMH is low or you have diminished ovarian reserve (DOR/POI) You want practical nutrition and supplement guidance backed by functional fertility  You're looking for personalized, actionable steps to support egg quality and fertility Not sure where to start? Download our most popular resource: The Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH. It breaks everything down step by step to help you understand your options and take action. For personalized support to improve pregnancy success, book a call here. --- TIMESTAMPS 00:00 – Low AMH Panic: Why Your Numbers Don't Tell the Whole Story Why AMH alone doesn't define your fertility potential and why other health markers matter. 01:30 – Functional Fertility Lens: Looking Beyond AMH and FSH How to shift focus from just lab numbers to whole-body health for improved egg quality. 03:00 – Inflammation and Fertility: How It Impacts Egg Quality and Implantation The link between chronic inflammation, ovarian reserve, and successful implantation. 05:00 – Elimination Diet & Anti-Inflammatory Foods for Low AMH Foods that lower inflammation and how a personalized elimination diet supports fertility. 07:00 – Gut Health and Fertility: Why Dysbiosis, Leaky Gut, and Infections Matter How gut imbalances can drive immune issues and impact ovarian function. 09:00 – Balancing Blood Sugar: Protein, Continuous Glucose Monitors, and Egg Health The role of blood sugar stability in hormone balance and mitochondrial function in eggs. 11:00 – Environmental Toxins and Fertility: Mold, Plastics, Heavy Metals How toxins burden fertility and practical steps to lower everyday exposures. 12:30 – Foundational Fertility Supplements: Magnesium, Omega-3, CoQ10, Vitamin D Evidence-informed supplements that support ovarian health and egg quality. 14:00 – Advanced Functional Testing: GI-MAP, Food Sensitivities, Genetics, Biomarkers The value of deeper testing to uncover hidden factors affecting fertility. 16:00 – Nervous System Reset: Stress, Mindset, and Calming Inflammation for Egg Quality Why stress management is crucial for hormone balance and ovarian reserve. --- RESOURCES  📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility. Why Genomic Testing Can Help With Recurrent Pregnancy Loss, Birth Outcomes and Preconception Health: https://fabfertile.com/blogs/podcasts/why-genomic-testing-can-help-with-recurrent-pregnancy-loss-birth-outcomes-and-preconception-health?_pos=6&_sid=3b42aa431&_ss=r Stop Ignoring hsCRP and the Role of Inflammation in Diminished Ovarian Reserve: https://fabfertile.com/blogs/podcasts/stop-ignoring-hscrp-and-the-role-of-inflammation-in-diminished-ovarian-reserve?_pos=7&_sid=f6ac7e389&_ss=r Blood Sugar and Egg Quality: The Fertility Link You Can't Ignore: https://fabfertile.com/blogs/podcasts/blood-sugar-and-egg-quality-the-fertility-link-you-cant-ignore?_pos=5&_sid=e0fa5a4b0&_ss=r Our favorite fertility tracker Inito (use code FABFERTILE15 to save 15)  --- 💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946 ---  Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.