Fertility Q&A - Heavy Periods, Asherman's, High AMH, and More!

Dr. Natalie Crawford, board-certified OB-GYN and REI, answers your fertility questions.

Questions Answered:

1. Not TTC yet but has very heavy bleeding with clots and normal labs/imaging. Could this be PCOS alone, or should clotting or other conditions be evaluated—and what tests should be considered?

2. Currently 9 weeks pregnant after 5 early losses and treatment for Asherman’s. Is it safe to continue Lovenox in pregnancy, and how long is it typically recommended?

3. After egg retrieval, blast numbers were lower than expected. Husband has a varicocele—does repairing it improve sperm quality or IVF success rates?

4. Off the pill for a year with no return of menses despite normal labs and ultrasound. Poor response to clomid so far—should she switch to letrozole, and what are her future fertility options?

5. With very high AMH and follicle count, is a trigger shot appropriate during a letrozole cycle—and how can OHSS risk be managed?

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