Fertility Q&A - Low AMH, Hypothyroidism, Inflammation, and More!
Dr. Natalie Crawford, board-certified OB-GYN and REI, answers your fertility questions.
Questions Answered:
1. I’m 36 with an AMH of 1.1 and want three kids. I’ve lost 50 lbs on a GLP-1 but still have a BMI of 42. Should I try naturally now or focus on optimization first, and what’s the best plan for three healthy pregnancies?
2. I’ve been trying to conceive for 10 months and have a family history of Hashimoto’s. How does hypothyroidism affect fertility, and how can it be managed while trying to get pregnant?
3. I’m 40 with DOR (AMH 0.6, AFC 3–5) and about to start IVF. Is a dual stimulation approach right for me, should I bank embryos before transfer, and how many embryos are typically needed for one live birth?
4. I’m starting IVF for the first time. How important is the embryologist, and is it appropriate to meet them or tour the lab without overstepping?
5. I’m 33 with stage 4 endometriosis, prior excision surgeries, endometriomas, and a uterine polyp. What should I look for in an REI, and how can I reduce inflammation before egg retrieval and embryo transfer?
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
