The Fertility Podcast

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This is the final episode of the series and it is one that I originally recorded for the F Word at Work podcast, but I am so glad it is finding its home here. As we head into summer and those of you in education start to think about fitting treatment around the school calendar, I wanted to make sure this conversation reached you.

I am joined by Caroline Biddle and Devon-Louise Oakley-Hogg, both teachers, both with their own lived experience of fertility treatment, and both co-founders of One Full Round: a campaign to bring fair, funded fertility leave to schools across the UK. Together they have developed a free model policy that any school can adopt, which has already been taken on by the Avanti Schools Trust, making it the first multi-academy trust in the country to offer full paid fertility treatment leave.

Devon's story is particularly raw and honest. She stopped treatment two years ago at the age of 30, having spent £25,000 and gone through three rounds of egg collection without success. She talks about what it felt like to get devastating embryology phone calls at break time and then walk straight back into a Year 11 classroom. Caroline's story ended with a successful outcome, but the decade it took to get there, including having her pay docked when appointment letters started saying 'fertility' instead of 'gynae', shaped everything that One Full Round is now trying to change.

Content note: This episode includes discussion of male factor infertility, azoospermia, failed IVF cycles, embryo loss and the decision to stop treatment.

What we discuss in this episode:* Caroline's experience of having her pay cut mid-treatment when appointment letters changed from 'gynaecological' to 'fertility' and the headteacher's response when she raised it * Why the line manager relationship in schools works differently: it is the headteacher, not the line manager, who has the final say * Devon's fertility journey: her husband's azoospermia diagnosis, three rounds of egg collection, £25,000 spent, and the decision to stop treatment at 30 * The phone calls from the embryologist at break time, and having to walk into a Year 11 class immediately after * Why Devon says she does not yet feel ready to consider parenthood because she has not yet got back to who she was before treatment * The guilt that comes from being a teacher going through fertility treatment: letting down your classes, taking sick leave, going in ill after egg collection * What Caroline's 2022 survey of more than 120 teachers found: guilt was one of the most recurring themes in over 3,200 words of open comments * Why a written fertility policy matters even in schools that 'already let everyone go to appointments' * What the One Full Round model policy actually covers: one full round of treatment from investigations to embryo transfer, paid leave, partner leave, and provisions for a cancelled cycle * How Avanti Schools Trust became the first trust in the country to adopt the policy, offering six weeks of full paid fertility leave * Why some schools resist the policy and why they are short-sighted to do so * The recruitment and retention crisis in teaching and why 9,000 women left between the ages of 30 and 39 in a single year * Gen Z teachers checking for fertility and wellbeing policies before accepting jobs * One Full Round's ambassador programme: free training, resources and templates for teachers who want to take the policy to their school * Devon's PhD in student misogyny towards teachers and how it connects to the wider picture * The Keeping Women in Teaching conference and the issues it set out to address: menstruation, misogyny, menopause and infertility * Caroline's PhD research into line managers and the support they offer women going through fertility treatment * Fertility Matters at Work and why the workplace fertility conversation has shifted significantly in the last decade

Also mentioned in this episode Follow One Full Round @onefullround * Fertility Matters at Work: fertilitymattersatwork.com * Am I Overreacting? Podcast with Annabel Gurnett and Amber: @amioverreactingpod on Instagram * Alice McDonald's Fertility Pledge: fertilitypledge.co.uk * Dr Krista Wilkinson's research on fertility treatment in the workplace:* Dr Krista Wilkinson on LinkedIn

Support and resourcesThe Fertility Podcast is the official podcast for Fertility Action, a charity providing free peer support groups, education and campaigning for fairer access to fertility treatment. Groups run every week with no sign-up or commitment needed.

Thank you to our series sponsor Wild Nutrition. As a listener of The Fertility Podcast, you can get:

50% off Wild Nutrition supplements for 3 months
A free personal consultation with an expert nutritional therapist

Visit wildnutrition.com/fertilitypodcast to get started. Terms and conditions apply.

Support the Three Peaks ChallengeBy the time you hear this, I will have done it. Ben Nevis, Scafell Pike and Snowdon in 24 hours for Fertility Action. If you would like to donate, it is still not too late and every penny goes directly to a grassroots, all-volunteer charity.

Here's how you can donate

Stay connectedFollow me on Instagram: @fertilitypoddy

Follow Fertility Matters at Work: @fertilitymattersatwork

Email: natalie@thefertilitypodcast.com

Please do subscribe so the next series lands directly in your feed. And if you have a story about fertility treatment and work to share, I would love to hear from you.

Thank you, as always, for your ear holes. Until next time

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This episode is a gentle one. It is about grief, about the body, about what happens when the path you imagined does not unfold the way you hoped, and about where you can find peace when words are not enough.

I am joined by Ellen Mary Webster, horticulturalist, floral designer, author and host of the award-winning Plant Based Podcast. Ellen navigated a decade-long fertility journey that included a near-fatal ruptured ectopic pregnancy, a diagnosis of severe endometriosis, three rounds of IVF and ultimately a hysterectomy in her early 30s. Throughout all of it, she turned to her garden. And in this conversation she explains why that was not just a coping mechanism but a genuine form of healing.

Whether you have a large garden, a windowsill, a balcony or just a park nearby, this episode will make you want to go outside.

Content note: This episode includes discussion of ectopic pregnancy, pregnancy loss, endometriosis, IVF, hysterectomy and involuntary childlessness.

What we discuss in this episode:* Ellen's decade-long fertility journey: from ectopic pregnancy to endometriosis diagnosis to IVF to hysterectomy * The ruptured ectopic pregnancy that nearly cost Ellen her life and the eight hours of dismissal that preceded emergency surgery * The health anxiety that stayed long after the physical recovery * Why gardening became Ellen's constant throughout all of it, from the very first loss to the weeks recovering from a hysterectomy * What it means to garden for process rather than outcome and why that mindset maps directly onto a fertility journey * The science behind soil: why getting your hands in the dirt genuinely affects your brain chemistry * Why just seeing a flower can momentarily shift your mental state even when you are in deep grief * Forest bathing: what it actually is, what the Japanese have known for centuries, and how 40 minutes among trees can reduce anxiety and increase natural killer cells * How to do forest bathing on your own and why walking slowly with intention is where to start * What Ellen did during the five weeks she could not garden after her hysterectomy and what sitting still in her garden taught her * The anger and the unfairness of watching friends fall pregnant and how Ellen processed that over time * Why you do not need to be a gardener for nature to help you: one plant, a garden centre coffee and a short walk all count * The fertility journey and what it taught Ellen about the miracle of life * Ellen's wellness retreats, forest bathing sessions and what a day or weekend immersed in nature can offer

Ellen's invitation to anyone who feels like this will not work for themWe are not separate from nature. We are part of it. And we have just become so far detached from it that we have forgotten that going outside, even briefly, even reluctantly, is going to make you feel a little better. Start with one plant. Go to the garden centre. Get a coffee and a piece of cake. Buy the one plant you like and try to nurture it. That is enough.

About Ellen Mary WebsterEllen Mary Webster is a horticulturalist, floral designer, author and wellness retreat host. She is the author of The Joy of Gardening and How to Grow a Garden, and the host of the award-winning Plant Based Podcast. She splits her time between Norfolk in the UK and the United States, lives a plant-based life and runs nature immersion and forest bathing wellness retreats.

Follow Ellen Mary on Instagram: @ellenmaryGardening

The Plant Based Podcast: theplantbasedpodcast.com

A note on Fertility Network UKAt the start of this episode I shared some difficult news: Fertility Network UK, one of the longest-standing patient support charities in the UK, has announced a managed closure. As of 21 May they were no longer accepting new requests for direct support. This is a huge loss for the TTC community and I want to send so much love to everyone affected, both the patients who relied on their support and the brilliant people who built it.

If you are looking for support, please know that Fertility Action is here and their free weekly groups are open to you.

Support and resourcesThe Fertility Podcast is the official podcast for Fertility Action, a charity providing free peer support groups, education and campaigning for fairer access to fertility treatment. Groups run every week with no sign-up or commitment needed.

Manchester walk and talk meetup: Sunday 31 May, approximately 3pm, Heaton Park, Manchester. I will be there! Check @fertilityaction on Instagram for final details.

This episode is sponsored by Wild NutritionI know how overwhelming it can be knowing which supplements to buy when you are trying to conceive. That is exactly why I appreciate what Wild Nutrition offers: free one-to-one consultations with nutritional therapists so you get guidance genuinely tailored to your situation. Their supplements are formulated for optimal absorption, with 31 carefully selected nutrients including folate, zinc and B vitamins, and are trusted by over 50,000 couples.

As a listener of The Fertility Podcast, you can get:

50% off Wild Nutrition supplements for 3 months
A free personal consultation with an expert nutritional therapist

Visit wildnutrition.com/fertilitypodcast to get started. Terms and conditions apply.

Support the Three Peaks ChallengeI am climbing Ben Nevis, Scafell Pike and Snowdon in 24 hours in June to raise funds for Fertility Action. I have already smashed my initial target of £2,000 thanks to the incredible generosity of so many of you. Thank you Nick, Emma, Charlene, Vic, Ali, Jo, Sarah Banks and Sophie Solaria. The fundraiser is still open and every donation, however small, makes a real difference to a grassroots charity that is all-volunteer and entirely community funded.

Here's how you can donate

Stay connectedFollow me on Instagram: @fertilitypoddy

Email: natalie@thefertilitypodcast.com

If you haven't already, please subscribe and leave a review. It really helps more people find the podcast.

Thank you, as always, for your ear holes. Until next time 💛

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In this special episode of The Fertility Podcast, we've gone back into our archives for 2024 to share a conversation Kate Davies (former co-host and fertility nurse consultant) had with Professor Helena Teede all the way from Australia!

Helena is one of the authors of the International PCOS Guidelines and is here to talk about the changes to the PCOS guidelines and the proposed PCOS name change, which has now happened.

What is discussed:* PCOS in general, chatting about the symptoms of PCOS, both the common ones and the not so common * Weight stigma and how the new guidelines move away from this and instead why we should be helping women to just be healthy to manage their PCOS proactively * Potential risks around pregnancy and that it is not often identified, as well as the support for pregnant women with PCOS, or sadly the lack of * How Helena supported two men with PCOS, and the steps she takes to help them manage their condition and optimise fertility * Diets and eating right as Helena explains that there is no one diet, or right way to eat when it comes to PCOS, and opinions on the supplement Inositol * The proposed PCOS name change and how PCOS is not an ovarian disease so therefore the name is incorrect

Socials and links:* Follow The Fertility Podcast on Instagram: @TheFertilityPodcast * Have your say on the PCOS name change: pcosnamechange.com * AskPCOS: askpcos.org * International PCOS Guidelines: eshre.eu/PCOS-Guidelines * Listen to our previous episode: Helena Teede – the PCOS name change & guidelines

About Verity: the UK's only PCOS charityVerity is the UK's only charity dedicated to Polyendocrine Metabolic Ovarian Syndrome (PMOS), formerly known as PCOS. Founded in 1997, Verity is completely self-funded and exists to help everyone living with PMOS understand their condition, manage their symptoms and reduce the risk of long-term health complications. They offer evidence-based information, community support, local support groups and an anonymous online forum.

Visit Verity: verity-pcos.org.uk
Join the Verity community on HealthUnlocked: healthunlocked.com/verity-pcos

About Fertility ActionThe Fertility Podcast is the official podcast for Fertility Action, the UK's charity providing education, support and campaigning for fairer access to fertility treatment. They run free peer support groups every week, no sign-up or commitment needed.

Find out more and access support: fertilityaction.org

Support the Three Peaks ChallengeNatalie is climbing Ben Nevis, Scafell Pike and Snowdon in 24 hours to raise funds for Fertility Action. If this podcast has helped you in any way, even a small donation would mean a lot and you will get a shout-out on the podcast.

Here's how you can donate

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One year in. And what a year it has been.

In this episode I am joined by Katie Rollings, founder of Fertility Action, to mark the charity's first birthday. We talk about everything from the support groups that have quietly changed people's lives, to the campaign work happening at the highest levels of government, to what Katie believes the next big push needs to be: a national fertility strategy.

This is a conversation full of hope. There is still so much to do, but the momentum is real, the people are extraordinary, and the case for change has never been stronger.

What we discuss in this episode:* What Fertility Action has achieved in its first year and the stories that have kept Katie going * How the support groups actually work and why showing up with your camera off is completely fine * The Trying to Conceive group, the Positive Test and Beyond group, the Secondary Infertility group and what each one has become * The in-person walk-and-talk meetups in London and Manchester * The woman who found her best friend through a Fertility Action support group * Why the Life After Treatment group has been harder to grow and what Fertility Action is learning from that * The South Asian support group and why in-person connection is what that community really needs * The new NICE guidelines and the change that barely made the headlines: up to six cycles in selected patients * Why campaigning at ICB level has not worked and why Fertility Action is now pushing for central commissioning * How fertility treatment compares across Europe and why the UK is falling behind * Why fertility still sits awkwardly between the Women's Health Strategy and the Men's Health Strategy and gets properly covered in neither * Why Katie believes the UK urgently needs its own national fertility strategy * The education project Fertility Action has launched with colleges and the National Education Union * The moment a 17-year-old student challenged them in a college debate and what happened next * The Three Peaks Challenge: why Katie chose it, who is doing it and how to donate * Fertility Action's birthday celebrations and what the next two years look like * How to get involved as a volunteer

About Katie Rollings and Fertility ActionKatie Rollings is the founder of Fertility Action, the UK's newest fertility charity, now celebrating its first birthday. Fertility Action provides free peer support groups, education and advocacy for the one in six people struggling to conceive. All of the team are volunteers and every penny raised goes directly into building more services for patients.

Find out more and access support: fertilityaction.org

Follow Fertility Action on Instagram: @fertilityaction

Fertility Action support groupsAll groups are free, online and run every week. There is no expectation to keep showing up. You can come with your camera off. You can just sit in the chat. It is as low-pressure as it gets.

Trying to Conceive (Tuesdays and Thursdays)
Positive Test and Beyond
Secondary Infertility
Life After Treatment
South Asian Fertility Support (developing)

Birthday celebrationsFertility Action is holding two celebrations for its first birthday:

A formal event with clinical partners and supporters
Quiz and Fizz at Fisher's Farm on 23 May, open to the wider community

Get involvedFertility Action is a grassroots, all-volunteer charity and they need help across everything from research and communications to events and policy. If you have skills and a bit of time to offer, they would love to hear from you.

Get in touch at fertilityaction.org

This episode is sponsored by Wild NutritionI know how overwhelming it can be knowing which supplements to buy when you are trying to conceive. That is exactly why I appreciate what Wild Nutrition offers: free one-to-one consultations with nutritional therapists so you get guidance that is genuinely tailored to your situation. Their supplements are formulated for optimal absorption, with 31 carefully selected nutrients including folate, zinc and B vitamins, and are trusted by over 50,000 couples.

As a listener of The Fertility Podcast, you can get:

50% off Wild Nutrition supplements for 3 months
A free personal consultation with an expert nutritional therapist

Visit wildnutrition.com/fertilitypodcast to get started. Terms and conditions apply.

Support the Three Peaks ChallengeI am joining Katie and a brilliant group of people from across the fertility sector to climb Ben Nevis, Scafell Pike and Snowdon in 24 hours in June, raising funds for Fertility Action. Every donation, however small, goes directly towards building more support services for people going through this. And yes, I will be giving you a shout-out on the podcast if you donate.

Here's how you can donate

Stay connectedFollow me on Instagram: @fertilitypoddy

If you haven't already, please subscribe and leave a review. It really helps more people find the podcast.

Thank you, as always, for your ear holes. Until next time 💛

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A branded mini series in partnership with Wild Nutrition, celebrating the launch of The Fertility Disconnect report.

Secondary infertility does not get the airtime it deserves. And yet, according to The Fertility Disconnect report, 79% of people say they want more children than they currently have. For those with one child, that figure rises to 88%.

In this final episode of the Wild Nutrition mini series, Gail and I go deep on one of the most underserved conversations in the fertility space. Gail shares her own ongoing experience of secondary infertility, including her adenomyosis diagnosis, the emotional weight of wanting to grow her family while already being a parent, and why the medical system often leaves people with one child to fend for themselves.

This is also a conversation about recovery. About what pregnancy, birth, breastfeeding and parenthood actually do to the body nutritionally, and why so many of us enter a second conception journey already depleted without realising it. Secondary infertility is where I find myself too, and it is a topic I have been asked to talk about more. I am so glad we finally did.

What we discuss in this episode:* What secondary infertility actually is and why it gets so little attention * Gail's own experience: breastfeeding, cycles returning, a new adenomyosis diagnosis and the emotional complexity of wanting a second child * Why having one child often means you fall outside the criteria for NHS fertility support * The injustice of not qualifying for IVF if your partner already has a child from a previous relationship * Key stats from The Fertility Disconnect: 79% of respondents want more children than they have; 88% among those with one child * Why people delay growing their family and how biological timelines do not always align with life circumstances * What pregnancy, birth, postpartum and breastfeeding do to nutrient stores and why recovery is so often skipped * The specific tests and checks Gail recommends for anyone struggling to conceive a second time * Why thyroid health and iron are the two most common deficiencies she sees in postpartum women * The increased likelihood of endometriosis, fibroids and adenomyosis diagnoses after childbirth * How to start preparing your body again: the foundations of a recovery and preconception plan * Why blood sugar balance, three solid meals a day and sleep are not optional * The relationship strain that comes with secondary infertility and why therapy can be a real part of the toolkit * How to navigate the language around having one child and find the words that work for you * Fertility in the workplace: what support is increasingly available and why it matters * What Gail would want anyone feeling alone in this to hear

Key stats from The Fertility Disconnect report* 79% of respondents said they want more children than they currently have * 88% of those with one child said they want more * 26% cited career progression as a reason for delaying growing their family * 25% pointed to housing constraints and affordability as barriers

Links mentioned in this episodeThe Fertility Disconnect report by Wild Nutrition:

Download the full report at wildnutrition.com/fertilitypodcast

Free fertility consultation with Wild Nutrition:

Book your free one-to-one with a nutritional therapist at wildnutrition.com/fertilitypodcast

Exclusive listener offer:

50% off Wild Nutrition supplements for 3 months
A free personal consultation with an expert nutritional therapist

Visit wildnutrition.com/fertilitypodcast to get started. Terms and conditions apply.

About Gail MadalenaGail Madalena is a fertility and cycle health specialist and registered nutritional therapist with deep expertise in IVF, recurrent miscarriage and unexplained infertility. She supports women through conception, pregnancy and postpartum with tailored, evidence-based guidance and works with Wild Nutrition to offer personalised consultations for those trying to conceive.

Missed the other episodes in this mini series?* Episode 1: Understanding Your Fertility Health * Episode 2: Weight, Nutrition & the Road to Conception

Thank you, as always, for your ear holes. Until next time 💛

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A branded mini series in partnership with Wild Nutrition, celebrating the launch of The Fertility Disconnect report.

Weight and fertility is one of the most charged, confusing and often poorly handled topics in reproductive health. I have spoken to so many people who have been told to lose weight in order to access funded treatment, sent away with no guidance on how to actually do that. And all the while, the internet is full of conflicting advice, fad diets and quick fixes that can make the whole thing feel completely overwhelming.

In this second episode of the Wild Nutrition mini series, I am joined again by Gail Madalena, fertility and cycle health specialist and registered nutritional therapist, to cut through the noise. They cover everything from ultra-processed foods and GLP-1 medications to mitochondrial health, exercise, rest, and how to actually rebuild your body between cycles.

This is not about restriction or guilt. It is about understanding what your body actually needs and finding an approach you can sustain. I hope it helps.

What we discuss in this episode:* Why the weight and fertility conversation is so often handled badly by medical professionals * The stigma around weight and why so many people feel they are not being taken seriously * Why BMI is such a divisive and limited measure of health * What metabolic health actually means and why it matters so much for fertility * The problem with fad diets and starvation mode when trying to conceive * Ultra-processed foods: what the research actually says about their impact on fertility * The stat from The Fertility Disconnect report: over 60% of the average UK diet is made up of ultra-processed foods * How UPFs drive inflammation, oxidative stress and poor sperm and egg quality * Practical strategies for reducing ultra-processed foods without overhauling your whole life * What mitochondria are and why they are central to egg quality and early embryo development * Why the egg is the largest cell in the body and demands an enormous amount of energy to ovulate * How blood sugar balance, antioxidants and healthy fats support mitochondrial health * GLP-1 medications: what people trying to conceive really need to understand * When GLP-1s can be a useful preconception tool and when to stop taking them * How to protect nutrient status and hormone health while using GLP-1s * Exercise and fertility: why high intensity training can elevate cortisol and affect progesterone * Why strength training and daily walking may serve you better than five gym sessions a week * The vagal nerve and why switching on your parasympathetic nervous system matters for conception * Mindfulness, rest and recovery: finding what actually works for you * Environmental and lifestyle factors: starting small rather than overhauling everything at once * Rebuilding nutrient stores between cycles and why recovery time is often overlooked * Why being kind to yourself is not soft advice, it is clinical advice

A note on GLP-1 medicationsGLP-1s came up in consultations with Wild Nutrition clients frequently enough that Gail wanted to address them directly. The key things to know if you are trying to conceive:

You cannot take GLP-1 medications while actively trying to conceive
In the preconception window, they can be a useful tool for shifting weight, reducing inflammation and supporting metabolic health, particularly for those with PCOS, endometriosis or fibroids
Aim for gradual, micro-dosed weight loss rather than rapid loss
Prioritise protein intake, movement and nutrient density while taking them
Coming off them requires a plan to maintain the healthy habits built during that period

Links mentioned in this episodeThe Fertility Disconnect report by Wild Nutrition:

Download the full report at wildnutrition.com/fertilitypodcast

Free fertility consultation with Wild Nutrition:

Book your free one-to-one with a nutritional therapist at wildnutrition.com/fertilitypodcast

Exclusive listener offer:

50% off Wild Nutrition supplements for 3 months
A free personal consultation with an expert nutritional therapist

Visit wildnutrition.com/fertilitypodcast to get started. Terms and conditions apply.

About Gail MadalenaGail Madalena is a fertility and cycle health specialist and registered nutritional therapist with deep expertise in IVF, recurrent miscarriage and unexplained infertility. She combines advanced functional medicine training with her own lived experience of a three-year conception journey and works with Wild Nutrition to offer personalised consultations for those trying to conceive.

About this mini seriesThis is a three-part branded mini series in partnership with Wild Nutrition. If you missed the first episode, go back and listen:

Episode 1: Understanding Your Fertility Health
Episode 3: Secondary Infertility: The Hidden Struggle (coming next)

Thank you, as always, for your ear holes. Until next time 💛

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A branded mini series in partnership with Wild Nutrition, celebrating the launch of The Fertility Disconnect report.

What do over 1,000 women in the UK who have tried to conceive in the past five years actually know about their own fertility? The answer, according to Wild Nutrition's brand new Fertility Disconnect report, might surprise you.

In this first episode of our mini series, I sit down with Gail Madalena, fertility and cycle health specialist and registered nutritional therapist, to unpack the most striking findings from the report and what they mean for anyone on a conception journey right now.

Gail also shares her own story: a decade in fashion PR, a lifestyle that was not serving her body, a husband who was a personal trainer and still found himself in the dark, a PCOS misdiagnosis, a low sperm count diagnosis with no follow-up advice, and over three years of trying before finally conceiving during an IVF cycle. It is a conversation I loved having, blending clinical expertise with real, lived experience.

What we discuss in this episode:* The Fertility Disconnect report: what it found and why it matters * Why 41% of women did not know when their fertile window was * Why 60% of respondents were completely unaware of fertility testing options available to them * The gap in sex education: preparing for pregnancy vs preventing it * How the oral contraceptive pill and years of cycle suppression leave women without the basics * Gail's own journey: PCOS misdiagnosis, her husband's low sperm count, and three years of trying * The single most impactful thing you can do for your egg or sperm health right now * What a genuinely fertility-supportive diet looks like in practice * The Mediterranean diet and the research behind it for fertility outcomes * Why 76% of people are not meeting their Omega 3 recommendations * Why 40% of reproductive-age people are low in folate * The alcohol conversation: what the research says and how to be realistic about it * Navigating fertility nutrition across different cultural food traditions * The biggest myth in fertility: that it is mostly a female issue * The 50% fall in average sperm count since the 1970s * Fertility as a whole body event: hormones, gut health, liver function, microbiome and more * What blood tests can actually tell you and why ultrasounds matter more than people think * How to push back when your GP dismisses you and what private testing can add * What a free consultation with Wild Nutrition actually looks like

Key stats from The Fertility Disconnect report* 41% of respondents did not know when their fertile window was * 16.7% did not know the length of their own cycle * Only 1 in 5 said they know a lot about egg health * 60% were completely unaware of fertility testing options available to them * Up to 10% of Gen Z respondents said they know nothing about fertility * 76% are not meeting Omega 3 recommendations * 40% of people in reproductive age are low in folate * 32% only reduced alcohol once they had actively started trying to conceive * Around 1 in 5 men are estimated to have a sperm count below WHO guidelines * Since the 1970s, average sperm count has fallen by around 50%

Links mentioned in this episodeThe Fertility Disconnect report by Wild Nutrition:

Download the report at wildnutrition.com/fertilitypodcast

Free fertility consultation with Wild Nutrition:

Book your free one-to-one with a nutritional therapist at wildnutrition.com/fertilitypodcast

Exclusive listener offer:

50% off Wild Nutrition supplements for 3 months
A free personal consultation with an expert nutritional therapist

Visit wildnutrition.com/fertilitypodcast to get started. Terms and conditions apply.

About Gail MadalenaGail Madalena is a fertility and cycle health specialist and registered nutritional therapist with deep expertise in IVF, recurrent miscarriage and unexplained infertility. Her approach combines advanced functional medicine training with her own lived experience of a three-year conception journey. She supports women through conception, pregnancy and postpartum with tailored, evidence-based guidance and works with Wild Nutrition to offer personalised consultations for those trying to conceive.

About this mini seriesThis is a three-part branded mini series in partnership with Wild Nutrition. The next two episodes cover:

Episode 2: Weight, Nutrition & the Road to Conception
Episode 3: Secondary Infertility: The Hidden Struggle

Thank you, as always, for your ear holes. Until next time 💛

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If you have Endometriosis, you will know that the pain and fatigue can feel relentless. In our episode last week, we discussed consideration around egg freezing and IVF for Endo Warriors with Dr Shirin Khanjani. This week, we're bringing it right down to what you're eating day to day as the right approach to food can make a real difference to how your body manages inflammation, metabolises hormones and supports you through the difficult days.

In this episode I am joined by Jane Aherne, a Registered Nutritionist with an MSc in Nutrition from the University of Westminster. Jane specialises in fertility, reproductive conditions and chronic inflammation, and has worked with women dealing with endometriosis and PCOS across functional medicine environments including IVF Matters and TIC Health.

This is not about a restrictive diet or a long list of rules. It is about understanding why certain foods make your symptoms worse, why others help, and how to make small, sustainable changes that your body will actually thank you for.

What we discuss in this episode:* Why Endometriosis and chronic inflammation are so closely linked * The difference between pro-inflammatory and anti-inflammatory foods and why it matters * Why Omega 3 is Jane's first recommendation for almost every client with endo * The best food sources of Omega 3 and what to do if you are vegan or do not eat fish * The role of the Mediterranean diet in reducing inflammation * Why trans fats, ultra-processed foods and alcohol can actively worsen symptoms * How gut health and liver function affect the way your body processes oestrogen * The blood sugar spike and crash cycle: why it matters so much in an inflammatory environment * How constant blood sugar spikes can drive insulin resistance and compound existing inflammation * Why comfort eating during flare ups can actually make things worse and what to do instead * Practical swaps: dates, nuts, seeds, high protein meals and how to make them work in real life * Why how you eat can be just as important as what you eat * Mindful eating, stress and the rest-and-digest response * Planning and preparation for shift workers and people on the go * Balancing oestrogen naturally through fibre, cruciferous vegetables and liver-supporting foods * How soon you can expect to feel the benefits of dietary changes * Why there is no single perfect diet for endometriosis and what personalisation actually looks like * The biggest misconception Jane wants to set the record straight on * Jane's one piece of advice if you can only do one thing

Jane's five small changes to start this week* Add two portions of oily fish (salmon, sardines, mackerel) or a quality Omega 3 supplement * Increase fibre gradually through whole grains, fruits, vegetables and legumes * Include more cruciferous vegetables like broccoli, cauliflower and kale for oestrogen metabolism * Swap high-sugar snacks for a date with a Brazil nut or a handful of mixed nuts and seeds * Sit down for meals away from screens and allow your body to move into rest-and-digest mode Jane on Insta

This episode is sponsored by Wild NutritionI know how overwhelming it can be figuring out which supplements actually make sense for your body, especially when you are already managing a condition like endometriosis. That is exactly why I rate what Wild Nutrition offers. Their all-women team of nutritional therapists provide free one-to-one consultations so you get support that is genuinely tailored to you, not just a generic recommendation.

Their supplements are formulated for optimal absorption, with 31 carefully selected nutrients including folate, zinc and B vitamins, and are trusted by over 50,000 couples.

As a listener of The Fertility Podcast, you can get:

50% off Wild Nutrition supplements for 3 months
A free personal consultation with an expert nutritional therapist

Visit wildnutrition.com/fertilitypodcast to get started. Terms and conditions apply.

Support and resourcesThe Fertility Podcast is the official podcast for Fertility Action, a charity providing education, support and campaigning for fairer access to fertility treatment. They run free weekly drop-in support groups, and you do not need to commit, you can just show up.

Support the podcastI am climbing the Three Peaks in June to raise funds for Fertility Action. Ben Nevis, Scafell Pike and Snowdon in 24 hours. If this podcast has helped you in any way, even a small donation would mean the world and I will give you a shout-out on the next episode.

Here's how you can donate

Stay connectedFollow me on Instagram: @fertilitypoddy

If you haven't already, please subscribe and leave a review. It really helps more people find the podcast.

Thank you, as always, for your ear holes. Until next time 💛

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If you have endometriosis and you’re thinking about your fertility, this is one of those conversations I really want you to hear.

In this episode, I sat down with Dr. Shirin Khanjani, Consultant Gynaecologist and accredited subspecialist in reproductive medicine and surgery, to properly unpack what’s actually going on when endometriosis and fertility collide.

This chat comes off the back of the government’s Renewed Women’s Health Strategy, which has once again highlighted just how many women are still being dismissed, delayed, or left without answers. And when it comes to endometriosis, the reality is still pretty shocking. On average, it takes seven to eight years to get a diagnosis.

So this episode is about what happens next. Once you finally have that diagnosis, what do you actually need to know?

We talk through everything, from how surgery can affect your egg reserve, to why IVF isn’t a one-size-fits-all approach for endometriosis patients, to the emotional weight of trying to navigate all of this at the same time.

What we cover in this episode

Why endometriosis has been one of the biggest gaps in women’s health and how that is slowly starting to shift
The many different ways endometriosis can show up, from period pain to IBS, fatigue, back pain and infertility
Why diagnosis still takes years and what you can do to advocate for yourself
What to ask for at GP level and how to push for proper investigations
The nuance around surgery and when it can help fertility or potentially reduce egg reserve
What happens to ovarian reserve when chocolate cysts are removed
Why fertility preservation, like egg or embryo freezing, should be considered before surgery in some cases
How endometriosis changes IVF protocols and why specialist care matters
The impact of fluid-filled tubes on implantation and when surgery becomes necessary
The emotional and psychological toll of managing endometriosis alongside fertility treatment
Why continuity of care makes such a difference to outcomes
Common misconceptions around natural conception with endometriosis
Why waiting too long without investigation can cost valuable reproductive time
The impact of endometriosis in the workplace and why awareness still matters

Why endometriosis and IVF is not one-size-fits-all

One of the biggest takeaways from this conversation is that standard IVF pathways don’t always apply if you have endometriosis.

Dr. Khanjani explains that specialist protocols often need to include:

Managing oestrogen levels carefully during stimulation
Navigating more complex egg collections due to scar tissue or cysts
Using antibiotics during egg collection to reduce inflammation risk
Supporting the body after collection to keep endometriosis under control

Her advice is simple but important. When you walk into a clinic, ask directly if they have specific protocols for endometriosis patients. If they don’t, that tells you something.

Misconceptions we really need to clear up

There are a few things Dr. Khanjani is very clear on:

You can still fall pregnant naturally with endometriosis. The chances may be lower, but it’s not impossible
Egg quality is not automatically worse. IVF outcomes can be comparable once eggs are retrieved
Surgery is not always the first step. In some cases, it can delay treatment or reduce egg reserve
Being told to “just keep trying” without investigation can waste valuable time
There isn’t one perfect pathway. Everything needs to be individualised

About Dr. Shirin Khanjani

Dr. Shirin Khanjani is a Consultant Gynaecologist and accredited subspecialist in reproductive medicine and surgery.

She holds a PhD from Imperial College London and is an Honorary Associate Professor at University College London. In her NHS role at UCLH, she focuses on low ovarian reserve, recurrent implantation failure and endometriosis.

She is also a co-founder of Fitzrovia Fertility, a London clinic built around genuinely personalised, evidence-based care.

Find out more:

https://fitzroviafertility.co.uk

https://fitzroviafertility.co.uk/about-us

Why this conversation matters

I hear from so many of you who’ve been dismissed, misdiagnosed, or passed from one specialist to another for years.

By the time you get to a fertility clinic, you’re often already exhausted, anxious, and unsure who to trust.

This episode is about helping you feel more informed and more prepared. So when you walk into those conversations, you know what to ask and what to look out for.

This episode is for you if you are:

Newly diagnosed and trying to understand what this means for your fertility
Considering surgery and want to understand the impact on your egg reserve
About to start IVF and unsure whether your clinic has the specialist knowledge needed
Trying to conceive and being told to wait without investigation
Supporting someone navigating all of the above

Support and resources

The Fertility Podcast is the official podcast for Fertility Action, a charity providing education, support and campaigning for fairer access to fertility treatment.

Fertility Action runs free drop-in support sessions twice a week. No sign-up needed.

This episode is sponsored by Wild Nutrition

Navigating supplements when you are trying to conceive can feel overwhelming.

Wild Nutrition offers free one-to-one consultations with nutritional therapists so your support is tailored to your specific situation.

Their supplements are formulated for optimal absorption, with 31 carefully selected nutrients including folate, zinc and B vitamins, and are trusted by over 50,000 couples.

As a listener of The Fertility Podcast, you can get:

50% off for 3 months
A free personal consultation

Visit: https://wildnutrition.com/fertilitypodcast

Terms and conditions apply

Support the podcast

I’m climbing the Three Peaks this June to raise funds for Fertility Action. Ben Nevis, Scafell Pike and Snowdon in 24 hours.

If this podcast has helped you in any way, even a small donation would mean a lot and you’ll get a shout-out on a future episode.

Here's how you can donate:

Everyone who donates will get a shout-out on a future episode , so listen out for your name!

Stay connected

Follow me on Instagram: @fertilitypoddy

If you haven’t already, please subscribe and leave a review. It really helps more people find the podcast.

Thank you, as always, for your ear holes. Until next time.

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What does it feel like to reach the end of your fertility journey , not with the family you imagined, but with the one you have? In this episode, host Natalie Silverman sits down with patient advocate, writer, and blogger Seetal Savla for an honest, moving conversation about secondary infertility, the decision to stop treatment, and the complicated emotions that don't simply disappear after a hard-won pregnancy.

Seetal spent six years trying to conceive, went through five rounds of unsuccessful IVF (including one with a donor), experienced multiple losses, and eventually conceived her daughter naturally. Now living in Berlin, she and her husband have made the deeply personal decision not to pursue further treatment , and she speaks candidly about what that letting go actually looks and feels like.

This is also a conversation for those of you who are still on the journey. Because the feelings Seetal describes , the sting of pregnancy announcements, the guilt, the grief for the family you thought you'd have , are feelings many of you will recognise wherever you are right now.

Trigger warning: This episode includes discussion of pregnancy loss, pregnancy after loss, and the emotional impact of making the decision to stop fertility treatment.

What we discuss in this episode:* Secondary infertility and what it means when there's no clear diagnosis * The decision to stop treatment , and the grief and relief that can come with it * How to navigate the sting of pregnancy announcements, even as a parent * Allowing yourself to feel the 'negative' emotions: sadness, jealousy, resentment * Seetal's two-part answer to the question: 'Do you want another baby?' * Donating remaining embryos , and the complicated emotions around that * The language we use: why 'only child' and 'one and done' don't always fit * How to handle intrusive questions, especially within South Asian communities * Forewarnng friends and family about pregnancy announcements , what actually helps * When fertility friendships shift or break down * Seetal's in-person support group for South Asian women in Berlin * The power of lived experience communities , and why you don't have to speak to belong * Seetal's 13-part Ferring video diary series documenting her final cycle through to motherhood

About Seetal SavlaSeetal is a patient advocate, writer, and blogger who supports the South Asian fertility community both in the UK and internationally. She has written for The Times, contributed to Kat Brown's anthology No One Talks About This Stuff, and partnered with Ferring Pharmaceuticals on a 13-part fertility video diary series. She also hosts support groups for South Asian women navigating fertility challenges, most recently in Berlin.

Follow Seetal on Instagram: @seetalsavla

Links from Seetal Online Fertility Diaries series , filmed with Ferring, documenting Seetal's final cycle, loss, pregnancy after loss, motherhood and her husband's perspective. Episode one of 13 is on her Instagram, with all episodes available there. * No One Talks About This Stuff , Seetal wrote one of 22 essays in Kat Brown's anthology, on the experience of being on the verge of the 'happy ending'. * Instagram post: 'Do you want another baby?' , Seetal's two-part answer to one of the most loaded questions she gets asked. * The Times Weekend article* , Seetal's piece about donating their remaining embryos (paywalled).

Books mentioned in this episode* Friendaholics by Elizabeth Day , on the complexity and expectations of female friendship * Inconceivable by Elizabeth Day , on donor conception, family secrets, and her own IVF journey

Why this conversation mattersSo much of the fertility conversation is focused on the next step, the next cycle, the path forward. But what happens when there is no next step? When the path ends somewhere different from where you thought it would?

This episode is for anyone who has made , or is close to making , the decision to stop treatment. It's for anyone navigating secondary infertility, sitting with grief alongside gratitude, or trying to find the words for feelings that don't have easy names. And it's for those of you still on the journey, because understanding that these emotions persist , and that they're valid , matters too.

Support and resourcesThe Fertility Podcast is the official podcast for Fertility Action, a charity providing education, support and campaigning for fairer access to fertility treatment.

Fertility Action also runs free drop-in support sessions twice a week , no sign-up needed, just a space to be heard.

This episode is sponsored by Wild NutritionTrying to conceive can make supplement decisions feel overwhelming. Wild Nutrition offers free one-to-one consultations with nutritional therapists so you get guidance tailored to your specific situation , not just a generic product recommendation. Their supplements are formulated for optimal absorption, with 31 carefully selected nutrients including folate, zinc and B vitamins, and they're trusted by over 50,000 couples.

As a listener of The Fertility Podcast, you can get:

50% off for 3 months
A free personal consultation with an expert nutritional therapist

Visit wildnutrition.com/fertilitypodcast to get started. Terms and conditions apply.

Support the podcastNatalie is taking on the Three Peaks Challenge , Ben Nevis, Scafell Pike and Snowdon in 24 hours , to raise funds for Fertility Action. If this podcast has helped you in any way, even a small contribution would mean the world.

Here's how you can donate:

Everyone who donates will get a shout-out on a future episode , so listen out for your name!

Stay connectedFollow Natalie on Instagram: @fertilitypoddy

If you haven't already, please subscribe and leave a review , it really helps more people find the podcast.

Thank you, as always, for your ear holes. Until next time 💛

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Welcome to a brand new series of The Fertility Podcast where we’re asking - what if artificial intelligence could change the way fertility treatment is delivered… before you even begin a cycle?

In this episode, I’m joined by embryologist and clinic founder Dr Cristina Hickman to explore what actually happens when AI enters the fertility clinic. This is not about robots replacing doctors. It is about using data, technology and human expertise together to improve how decisions are made, how patients are supported and ultimately how we get to a baby.

Cristina has built 13 IVF clinics and consulted with more than 250 clinics worldwide. Her latest project brings together years of clinical experience and AI innovation to create a completely new model of fertility care.

What we discuss in this episode:

What an AI powered fertility clinic actually looks like in practice
How embryos generate billions of data points and what that means for your treatment
Why traditional embryo grading can vary between embryologists
How AI can predict embryo development as early as day two
The role of AI in egg retrieval, sperm selection and treatment planning
How personalised fertility care is evolving
Why human expertise still matters just as much as technology
The emotional side of fertility treatment and how clinic environments can impact outcomes
The reality of success rates and what to look for when choosing a clinic

A different way of looking at fertility care

One of the most fascinating parts of this conversation is how AI allows clinics to move from reactive treatment to predictive care.

Instead of waiting five days to see if embryos develop, clinics can now:

Predict outcomes earlier
Manage expectations sooner
Personalise next steps based on your data

Cristina explains how this changes the conversations patients have during treatment, helping them feel more informed and supported rather than left in the unknown.

AI and the human touch

A big takeaway from this episode is that AI is not the decision maker. It is a tool.

Cristina shares why compassionate care, clinical experience and personalised understanding still sit at the centre of fertility treatment. AI simply helps clinicians make better, more informed decisions using data that would otherwise be impossible to process.

Why this conversation matters

With increasing pressure on NHS funding and more people needing to explore private treatment options, understanding what is available and how clinics differ is more important than ever.

This episode is about giving you insight so you can make informed choices about your fertility journey.

Whether you are:

Just starting to explore treatment
Navigating failed cycles
Considering switching clinics
Or simply curious about what the future of IVF looks like

This conversation will give you a lot to think about.

Huge thanks to our series sponsors Wild Nutrition - If you’re trying to conceive, you’ll know how confusing it can be to figure out what supplements actually make sense for your body., That’s why I really like what Wild Nutrition offers. They don’t just give you products, they offer free one-to-one consultations with nutritional therapists, so you can get guidance that’s tailored to you and your situation. Visit wildnutrition.com/fertilitypodcast to get 50% off for 3 months AND a free personal consultation

Follow and support:

Instagram - @fertilitypoddy

The Fertility Podcast is the official podcast for Fertility Action, a charity providing education, support and campaigning for fairer access to fertility treatment.

Sponsor Natalie doing the 3 Peaks challenge - please show your support by sponsoring her here

Finally -if you haven’t already, please do subscribe and leave a review. It really helps more people find the podcast.

Thank you, as always, for your ear holes.

Until next time 💛

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Hello, it’s Natalie.

This is just a short message from me to let you know that The Fertility Podcast is taking a little hiatus for the next couple of weeks while I get a few things organised behind the scenes.

We will be back very soon with more episodes. In the meantime, if you have only just discovered the podcast, there is plenty for you to explore in the recent episodes.

Since the start of 2026 we have covered a wide range of topics including:

Sperm donation
Navigating IVF as a neurodivergent person
Fertility career coaching
What you wish your colleagues understood about fertility treatment at work
Sex and the impact that trying to conceive can have on intimacy
Secondary infertility
Family building in the LGBTQ+ community
Male fertility testing

So if you are new here, do scroll back through the feed and have a listen.

And if you have found the podcast helpful, please do subscribe and leave a review on Apple Podcasts or Spotify. It really does help more people find these conversations.

Why I’m taking a short breakAs you may know, The Fertility Podcast is the official podcast for Fertility Action, the UK charity working to support people navigating fertility challenges and campaigning for fairer access to funded treatment.

They are doing incredible work.

And this summer, they are organising a huge fundraising challenge.

The National Three Peaks Challenge.

That means climbing:

Ben Nevis
Scafell Pike
Snowdon

All within 24 hours.

That is around 23 miles of walking and a total vertical ascent of more than 3,000 metres.

And yes… I have signed up.

At the end of June I will be attempting to climb all three mountains as part of the Fertility Action team.

How you can supportIf this podcast has helped you in any way, I would absolutely love your support.

You can donate to my fundraising page here:

Every donation helps Fertility Action continue supporting the 3.5 million people in the UK navigating fertility struggles.

I will also be sharing updates on my training along the way. I have already started with a six mile walk and quickly realised just how long walking actually takes. There will definitely be blisters involved.

Join the challengeThere are still places available if you would like to take part in the Three Peaks Challenge yourself.

It takes place on 26 June and the team will be climbing all three mountains in support of Fertility Action.

If climbing mountains is not your thing, you can still help by:

Sharing the challenge on social media
Supporting the fundraisers
Following Fertility Action online

What’s coming next on the podcastWhile I take this short pause to get everything organised, I am lining up some brilliant upcoming episodes.

We will be talking about:

AI in fertility care
Vaginal microbiomes
The experience of teachers navigating IVF
And plenty more conversations to help you feel more informed and supported on your fertility journey

If there is a topic you would like me to cover, please do get in touch.

Stay connectedFollow Fertility Action:

https://fertilityaction.org

Follow me on Instagram:

@fertilitypoddy

Thank you as always for your ear holes.

Make sure you are subscribed so the next episode lands straight in your feed.

And I will be back with you very soon.

Until next time.

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In this episode of The Fertility Podcast, I’m joined by Ian Stones, co founder of Testhim, to talk about something that should be simple but still too often isn’t. Testing men.

We talk a lot in fertility about women’s bodies, women’s hormones, women’s investigations. But male fertility accounts for around a third of infertility cases, and yet men are still frequently an afterthought.

Ian and I explore when men should be tested, what those tests actually look like, why semen analysis is not always enough, and how men can advocate for themselves earlier in the process.

If you are dealing with male factor infertility, recurrent loss, unexplained infertility, or you simply want to understand more about sperm health, this episode is for you.

And if you are the partner trying to get a reluctant man to engage with this conversation, please share it.

What we discuss in this episode:

Why male fertility testing is often delayed
When to start investigating male fertility
Why semen analysis is only the starting point
The role of sperm DNA fragmentation in recurrent miscarriage
What a varicocele is and how it affects sperm quality
Why testicular scans matter
How infections and oxidative stress impact sperm health
The importance of seeing a male fertility specialist, not just a general urologist
Why lifestyle changes should happen at least three months before trying to conceive
The impact of heat, cycling, tight underwear and hot tubs
Alcohol, diet and BMI in sperm health
Why men need to know their anatomy and check for lumps and changes
The emotional experience of male infertility and feeling like the spare part
How proactive testing could reduce repeated failed IVF cycles

What Testhim actually does

Testhim offers:

Advanced male fertility testing
A detailed male fertility questionnaire to build a personalised risk profile
Sperm DNA fragmentation testing
Oxidative stress testing
Testicular ultrasound scans
Follow up calls to explain results clearly
Access to male fertility urology specialists across the UK
Monthly male fertility support groups
A dedicated male fertility podcast

Their questionnaire covers:

Fertility history
General health
Lifestyle and diet
Work environment
Red flag history such as undescended testicles or confirmed varicocele
Exercise habits
Clothing choices
Miscarriage history

The system builds a risk profile and gives clear next step guidance.

Because knowledge is power.

Listen to the Testhim podcast

Ian co hosts the Testhim podcast with male fertility advocate Toby Trice. It is one of the only UK podcasts dedicated specifically to male fertility.

Here are some standout episodes to explore:

Fertility Talk with Jonathan Ramsay

Environmental toxins and fertility with Professor Richard Lea

Understanding varicocele with Steven Moser

The couple approach with Jas Kalsi and Fatima Husain

Dealing with friends and family

You can also explore all episodes at

https://www.testhim.com

A note on being proactive

One of the strongest messages from this episode is this:

Do not wait until after multiple failed IVF cycles to investigate male fertility properly.

If you can:

Test early
Optimise early
See the right specialist early

You want to know that you have left no stone unturned.

Support from our sponsors

Access Fertility

If you are worried about the financial aspect of IVF treatment, Access Fertility partners with over 60 UK clinics to offer interest free finance, multi cycle packages and refund programmes.

Find out more at:

https://www.accessfertility.com/thefp

One Day Tests

Book a confidential online fertility consultation and discuss blood testing with a specialist.

Use code FERT10 for 10 percent off your blood test.

https://www.onedaytests.com

Let’s keep the conversation going

Follow me on Instagram: @fertilitypoddy

Learn more about Fertility Action:

https://fertilityaction.org

Find out more about workplace fertility support:

https://fertilitymattersatwork.com

Explore Testhim and their services:

https://www.testhim.com

If this episode has helped you, please share it with someone who needs it.

Male fertility is not an afterthought.

It is half the story.

Until next time.

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In this episode of The Fertility Podcast, I’m joined by Dr Carole Gilling-Smith, Medical Director of The Agora Clinic and Trustee of Fertility Action, to talk about family building within the LGBTQ+ community.

If you are part of the LGBTQ+ community and thinking about becoming a parent, or you love someone who is, this episode is a practical starting point. We talk about treatment pathways, donor conception, fertility preservation, NHS inequality, and how to make sure you are supported properly by a clinic that understands your needs.

This is about education, empowerment and knowing your options.

What we cover in this episode

Why fertility equality on the NHS is still not where it should be
The postcode lottery affecting IVF funding
Why three full IVF cycles should be the national standard
The additional financial barriers faced by same sex couples
Why six self funded IUIs before NHS eligibility is deeply problematic
The risks of sourcing donor sperm online
Choosing between known donors and donor banks
How clinics should approach inclusive paperwork and language
Why pronouns and preferred names matter in clinical settings
Shared motherhood and reciprocal IVF
Fertility testing for both partners before deciding who carries
Supporting gay male couples through complex pathways involving egg donation and surrogacy
Working with the trans community around fertility preservation
Preserving sperm or eggs before starting hormone treatment
The emotional impact of genetic connection and non biological parenting
Why counselling is essential before treatment begins
Supporting patients who fear internal examinations or surgical environments
Creating clinic spaces that feel safe, calm and inclusive

About Dr Carole Gilling-Smith

Dr Carole Gilling-Smith is the Medical Director of The Agora Clinic, one of the UK’s leading fertility clinics for the LGBTQ+ community, based in Brighton and Hove.

She is also a founding Trustee of Fertility Action, the UK charity campaigning for fertility equality and better access to treatment.

Carole has been a long standing advocate for:

Equal NHS funding for fertility treatment
Inclusive fertility care for LGBTQ+ patients
Fertility education in schools and universities
Fertility preservation for the trans community

You can find out more here:

The Agora Clinic
Fertility Action

A note on donor sperm and online routes

We discuss the growing number of people sourcing donor sperm online due to cost barriers.

Carole explains why this carries significant risks, including:

Lack of medical screening
No infectious disease screening
No genetic testing
Legal parenthood complications
Potential financial liability issues

If you are considering donor conception, please ensure you fully understand the medical and legal implications.

Fertility preservation for the trans community

Since 2019, NHS guidance states that individuals starting hormone treatment should be offered the opportunity to preserve sperm or eggs beforehand.

Carole explains:

Why this conversation needs to happen early
How egg or sperm freezing works
Why preservation can be empowering
The importance of specialist, experienced clinics
The emotional impact of being offered choice

If you or someone you know is starting transition and has not been offered fertility preservation, please ask.

Support from our sponsors

Access Fertility

If you are worried about the cost of IVF, Access Fertility partners with over 60 UK clinics to offer interest free finance, multi cycle packages and refund programmes.

Find out more at:

https://www.accessfertility.com/thefp

One Day Tests

Book a confidential online consultation with a fertility specialist and discuss hormone testing and next steps.

Use code FERT10 for 10 percent off your blood test.

https://www.onedaytests.com

Let’s keep the conversation going

Follow me on Instagram: @fertilitypoddy
Learn more about workplace fertility support at:
https://fertilitymattersatwork.com
Explore Fertility Action’s campaigns and support groups:
https://fertilityaction.org
Subscribe to the podcast so new episodes land straight in your feed

If this episode has helped you, please share it with someone who might need it. Education and visibility matter.

Thank you for listening.

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In this deeply emotional episode of The Fertility Podcast, I’m joined by Catherine Cousins, author of Just One Child, to talk honestly about secondary infertility, failed IVF cycles, mental health, grief, and what it means to come to terms with building a family with one child when that was not the plan.

This conversation was not an easy one to prepare for or to record. Catherine shares her story with such openness, including her experience of a cancer diagnosis within her family, IVF after having a child naturally, a mental health breakdown following a failed cycle, and the long road towards acceptance.

If you are currently in treatment, living with secondary infertility, or facing decisions about stopping treatment, this episode may resonate deeply. We talk about grief that is often unseen, the isolation that comes with this experience, and why it is so rarely spoken about.

If this is not the right time for you to listen, please come back when you feel ready.

What we discuss in this episode:

What secondary infertility can look like when you already have a child
How a cancer diagnosis changed Catherine’s fertility journey overnight
IVF after having a child naturally and the emotional complexity that brings
The mental health impact of failed cycles and untreated grief
Why many people do not feel able to talk about secondary infertility
Shame, isolation, and feeling undeserving of support because you have a child
How grief can exist for the family you imagined but could not have
The strain fertility treatment can place on relationships
Deciding when to stop treatment and how hard that decision can be
Marking the end of treatment and finding closure in your own way
Parenting while grieving and the guilt that can come with it
Navigating comments, questions, and assumptions from others
Reframing the narrative around being a family with one child
Finding acceptance without pretending it does not still hurt

About Catherine and her book

Catherine Cousins is the author of Just One Child, a powerful and compassionate book about secondary infertility, loss, and redefining family when further treatment is not possible or no longer feels right.

Her book explores the emotional, social, and psychological impact of coming to terms with having one child when you hoped for more, and gives voice to an experience that is often overlooked.

You can find Catherine and her work here:

Just One Child on Amazon
Catherine on Facebook

A gentle note

This episode includes discussion of failed IVF cycles, mental health breakdowns, grief, and decisions to stop treatment. Please take care of yourself while listening.

There is no right or wrong way to feel when it comes to secondary infertility. Your experience is valid.

Support from our sponsors

Access Fertility

If the financial side of IVF feels overwhelming, Access Fertility offers interest free loans, multi cycle treatment packages, and refund programmes that can help make treatment more manageable. They work with over 60 clinics across the UK to help you access care when you need it.

Find out more at: https://www.accessfertility.com/thefp

One Day Tests

If you are trying to conceive or fertility curious, One Day Tests offers online fertility consultations and blood testing with fertility specialists. You can discuss results, get clarity on next steps, and receive written notes after your appointment.

Use code FERT10 for 10 percent off your blood test.

Book at:https://www.onedaytests.com

Let’s keep the conversation going

Follow me on Instagram: @fertilitypoddy
Email your thoughts or guest ideas: natalie@thefertilitypodcast.com
Learn more about support and advocacy at Fertility Action
Subscribe on your podcast app so you never miss an episode
Share this episode with someone who may feel seen by this conversation

Thank you for listening and for trusting this space with such tender parts of your story. Secondary infertility can feel incredibly lonely, but you are not alone.

Until next time.

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Sex and intimacy can change dramatically when you are trying to conceive, especially when fertility treatment, loss or ongoing uncertainty is part of your life. In this episode of The Fertility Podcast, I’m joined by Kate Moyle, psychosexual therapist, podcaster and author of The Science of Sex, to talk about how sex, desire, relationships and connection can evolve in ways we never expected when fertility becomes part of our story.

This episode touches on loss, grief and confusion. If you are not ready for that right now, please skip and come back when you are ready.

Kate brings both professional insight and compassionate understanding to one of the most normal yet least discussed parts of many people’s experience. We talk about timing, pressure, anxiety, loss, connection, expectation and how to rebuild joy and pleasure in your relationship.

Whether you are in a long term partnership, thinking about future intimacy, or trying to untangle the impact that fertility has had on your sex life, this conversation is full of practical insight and reassurance that you are not alone.

What we discuss in this episode:

Why sex often feels different when fertility issues are part of your life
How timing and pressure can change desire and connection
Why we often feel there is something wrong with us when intimacy changes
The impact of miscarriage, loss and medical trauma on sex and relationships
How shame and silence make it harder to ask for help
Reclaiming touch and connection beyond the fertility goal
How fertility challenges affect male partners and masculinity
How to bring pleasure and ease back into sex after it has become stressful
Why rebuilding intimacy is a process and not a quick fix

Kate Moyle is a UK based psychosexual therapist, author and public speaker whose work helps people understand sex and intimacy through a biological, psychological and social perspective. She is the author of The Science of Sex, a neutral, accessible guide to sex and sexuality designed for all bodies.

You can find Kate’s work here:

The Science of Sex (book) – available from major retailers and online booksellers
The Science of Sex podcast – listen wherever you get podcasts
Website

Kate’s approach is grounded in research, lived experience and curiosity. This episode is one of the most honest and compassionate conversations we have had about sex and fertility on the podcast.

Thank you to our sponors:

This episode is supported by partners who help people access care and clarity on their fertility journey.

👉Access Fertility

If you are worried about the cost of treatment, Access Fertility offers interest free loans, multi cycle packages and refund programmes to help make IVF more affordable for you. They partner with over 60 UK clinics to help you access treatment without added financial stress.

👉One Day Tests

If you want clarity on your hormones, ovulation or fertility indicators, One Day Tests offer online appointments with fertility specialists plus convenient fertility blood testing. You can discuss results with a specialist, get direction on next steps and track key hormones that matter in your journey.

Use code FERT10 at checkout for 10 percent off your blood test.

Let’s keep the conversation going

Follow The Fertility Podcast on Instagram: @fertilitypoddy
Email your thoughts or ideas: natalie@thefertilitypodcast.com
Learn more about support and community at Fertility Action
Subscribe wherever you listen to podcasts. It helps others find support too
Leave a review or share this episode with someone who needs to hear it

Thank you for listening and for being part of this community. Intimacy, connection and fertility can be hard, but you do not have to navigate it alone.

Until next time.

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Trying to conceive can be incredibly isolating, especially when your friends and family just do not get it. That is why I loved this conversation with Sarah Banks, fertility coach, speaker, author, and creator of the Positivity Planner.

Sarah’s work is all about helping you feel more emotionally supported through treatment. She also has years of experience working with clinics on patient support strategies, so she sees both sides: what patients need, and what is still missing in the system.

We talked about why fertility coaching can be such a powerful complement to medical treatment, how to navigate the emotional rollercoaster of TTC, and how to protect your mental wellbeing, even when things do not go as planned.

What we discuss in this episode:

The power of coaching and how it can support people emotionally through treatment
How Sarah’s own journey inspired her work in fertility and patient experience
What fertility clinics are doing (and not doing) to better support patients
Coping with anxiety, stress, and overwhelm while TTC
Strategies for building resilience and staying hopeful
Tips for advocating for yourself in appointments and with providers
The Positivity Planner and how journaling can support your mental wellbeing
The importance of community, connection, and being heard
What Sarah wishes everyone struggling with infertility knew

If you are feeling like you have no one to talk to, or like you are supposed to just keep going while your heart is breaking, this one is for you.

This episode is sponsored by Access Fertility

Worried about the financial pressure of treatment? Access Fertility offers funding programmes and 0% interest finance to help ease the burden of self-funding IVF.

Their services include:

Loans of up to £12,000 with no interest over 12 months
Multi-cycle packages that can save you up to 30%
Refund programmes offering up to 100% back if treatment is unsuccessful
Partnerships with over 60 top clinics in the UK
Personalised advice based on your age and treatment plan

Visit accessfertility.com/thefp to learn more.

Learn more about Sarah’s work:

Positivity Planners
sarahbanks.coach

Let’s keep the conversation going:

Follow me on Instagram: @fertilitypoddy
Email your thoughts or guest ideas: natalie@thefertilitypodcast.com
Learn more about Fertility Coaching and Support from Sarah atsarahbanks.coach
Subscribe on your podcast app to stay updated
Leave a review or share this episode with someone who needs it

Until next time.

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In this episode of The Fertility Podcast, I’m joined by Jen Elworthy, fertility career coach and Director of Engagement at Fertility Matters at Work, to explore how career coaching can support you while going through fertility treatment.

Jen joined our team in July 2025, and since then I’ve had the joy of learning from her insight, empathy and real-world experience. She has lived through the impact of ectopic pregnancy and miscarriage while working in high-pressure environments, and she shares how these experiences shaped her approach to coaching.

If you’ve ever felt stuck in your job because of your treatment, uncertain how to talk to work, or unable to see a career path that aligns with what you’re going through, this episode is for you.

What we discuss in this episode:

Jen’s personal fertility journey, including multiple losses and the emotional toll on her mental health and career
How she moved from ambitious and confident to experiencing panic attacks at work
The challenges of opening up to colleagues and managers during early treatment
The power of having just one supportive person at work who gets it
Her IVF survival kit and practical tips for managing during a workday
Why “career coaching” isn’t just for high-flyers or executives
Examples of how she’s helped clients through job changes, promotions, sabbaticals, and re-aligning their work-life balance
Her approach to resilience coaching and “bounce back ability” during treatment
Why therapy helped her heal, but coaching helped her move forward
Misconceptions about who coaching is for, and why it can be more accessible than you think
How Jen structured her coaching offers to meet people at different financial entry points

Jen’s support offerings include:

Jen is now offering Group Coaching
One-to-one coaching (short-term or long-term packages)
One-off coaching conversations
Employer-sponsored coaching (some clients have had it covered as part of redundancy packages)
Low-cost workshops (around £20–£25)
Free resources and templates on her website
Free newsletter + insights via LinkedIn and Instagram

If you're considering career coaching but aren't sure it's “for you”, this is your reminder that it’s absolutely okay to ask for help, and there are options at every level.

This episode is sponsored by Access Fertility

Worried about the financial pressure of treatment? Access Fertility offers funding programmes and 0% interest finance to help ease the burden of self-funding IVF.

Their services include:

Loans of up to £12,000 with no interest over 12 months
Multi-cycle packages that can save you up to 30%
Refund programmes offering up to 100% back if treatment is unsuccessful
Partnerships with over 60 top clinics in the UK
Personalised advice based on your age and treatment plan

Visit accessfertility.com/thefp to learn more.

Let’s keep the conversation going:

Follow me on Instagram: @fertilitypoddy
Explore career coaching and free resources at: jenniferelworthy.com
Learn more about workplace support at:fertilitymattersatwork.com
Want coaching in your workplace? Reach out to us or speak to your HR team

Whether you’re holding it all together or feel like you're about to break, know this — there are people who get it, and support that fits where you are. Thank you for your ears, and until next time.

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In this episode of The Fertility Podcast, I’m joined by Catherine Lightfoot, ADHD coach and founder of Rewired Circles, to talk about her experience of navigating IVF as a neurodivergent person.

Catherine was working in a senior HR role while undergoing fertility treatment and dealing with the mental load of a delayed ADHD diagnosis. She joins me to talk about the emotional toll of masking, the challenges of advocating for yourself in a system that does not always recognise neurodivergence, and the importance of creating support spaces that actually meet people where they are.

This is our first episode covering neurodivergence and fertility, and I want to thank Catherine for bringing this conversation forward. If you suspect you may be neurodivergent, or if you’ve been struggling to articulate how this process is affecting you, I hope this episode offers support and language for what you might be feeling.

What we discuss in this episode:1. Catherine’s delayed ADHD diagnosis and how it overlapped with her fertility journey 2. Why she and her partner opted for early fertility testing and how a surprise male factor diagnosis shifted everything 3. The emotional whiplash of having a clear process derailed by COVID delays 4. How hyperfocus, masking, and people-pleasing made it harder to ask for help 5. Overworking and pretending everything was fine while secretly undergoing injections and treatment 6. The moment she realised she could not cope alone anymore 7. What IVF felt like as a neurodivergent person and why it is easy to become overwhelmed and disconnected 8. The challenge of advocating for yourself when you are not sure what your needs are 9. The risks of masking and burnout in high-pressure jobs while going through treatment 10. Her reflections on memory loss, dysregulation, and why she misremembered the number of cycles she had 11. Why support groups are powerful but may not be the right fit for everyone at every stage 12. How Catherine’s coaching and lived experience helped her move from burnout to self-awareness 13. The shocking mental health statistics for women with ADHD and why fertility support needs to evolve 14. Why the fertility and neurodivergent overlap is an urgent area of focus for workplaces and support providers 15. Her top advice for anyone navigating fertility and ADHD, especially in silence

A note on support and asking for helpSo many of us keep it all in. We wait until it gets really bad before we share anything. But Catherine reminds us that asking for help does not need to be dramatic or all-encompassing. You can start small. Tell one trusted colleague at work. Let one friend know. Give someone permission to be your backup or just your quiet support.

If you are masking and managing everything alone, this is your nudge to breathe, pause, and share.

Let’s keep the conversation going:1. Follow me on Instagram: @fertilitypoddy 2. Email your thoughts or guest ideas: natalie@thefertilitypodcast.com 3. Learn more about Catherine’s support and coaching atrewiredcircles.co.uk 4. Explore weekly support groups and mental health resources atfertilityaction.org 5. If you are navigating fertility while neurodivergent, reach out to Catherine or Fertility Action to explore the right support for you

If this conversation gave you language for something you have been struggling to express, or made you feel a little less alone, please subscribe, leave a review, or share the episode with someone who needs it.

Until next time.

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In this episode of The Fertility Podcast, I’m joined by Hayley King, donor-conceived adult, mum of donor-conceived twins, and Operations Manager at Path to Parenthub. We’re talking about the story that made headlines last December, a sperm donor with a genetic mutation linked to cancer being used in nearly 200 conceptions across 14 countries.

This episode unpacks how this could happen, the gaps in donor regulation that allow it, and what this means for families. We also talk about the emotional, ethical, and logistical challenges of donor conception in a globalised industry, where the same donor can be used across borders with no international limits in place.

Hayley brings both personal and professional insight into how families can make informed choices, why early disclosure matters, and what changes are urgently needed to protect the next generation.

If you’re on a donor conception path or supporting someone who is, this conversation is essential listening.

What we discuss in this episode:1. Hayley’s experience growing up as a donor-conceived person, and what shifted when she became a parent herself 2. Why early disclosure matters and how secrecy shaped the mental health of donor-conceived people in the past 3. The UK’s 10-family donor limit and why it does not apply outside the UK 4. How one donor can be used in multiple countries with no tracking or shared system 5. The story of one donor linked to a BRCA1 cancer gene being used in nearly 200 conceptions 6. What “family limits” really mean and why they are difficult to enforce globally 7. The emotional weight of discovering you have 50 or even 100 donor siblings 8. How sperm banks and clinics are often driven by profit rather than transparency 9. What questions prospective parents can ask their clinic or sperm bank 10. Why Path to Parent Hub was created as a safe space for donor conception families 11. Hayley’s advice for parents, donors, and donor-conceived adults navigating identity and connection

A note on regulation and emotional safety:While advances in genetic screening are helpful, they are not foolproof. The issue is not just medical, it is ethical. Donors should not be used to create hundreds of families across continents.

Without international family limits or shared tracking systems, donor-conceived people may unknowingly share genetics with a vast number of people worldwide. This impacts their sense of self, their safety in relationships, and their ability to connect the dots in their identity.

As Hayley says, transparency matters. Families deserve accurate information and regulated systems that put people over profit.

Let’s keep the conversation going:1. Follow me on Instagram: @fertilitypoddy 2. Follow Hayley on instagram: @dcp_journey_2_rp 3. Email your thoughts or guest ideas: natalie@thefertilitypodcast.com 4. Learn more about support groups and donor conception resources atfertilityaction.org 5. Join Path to Parenthub for weekly support groups, lived-experience blogs, and access to the Path to Parent Hub podcast 6. Listen to Hayley and Becky’s episodes on creating emotionally safe families through donor conception 7. Read more about the donor regulation campaign via Fertility Action and Fertility Network UK

If this episode helped you feel seen or helped you ask new questions, please subscribe, leave a review, or share it with someone on a similar path.

Until next time.

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Happy New Year - hope you're enjoying the bright sunshine we have in Manchester as we wait to see if it snows!

You've survived the festive season and hopefully you're starting the new year in a peaceful place, despite the possibilityof there being a lot to consider in your year ahead. I hope the podcast continues to stay in your earholes and supports you along the way.

If you're yet to subscribe, please do so, wherever you have found this episode as it makes a real difference. Plus, feel free to leave a review each time you listen as I love hearing your thoughts.

Natalie x

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As we wrap up 2025, this final episode of The Fertility Podcast is a heartfelt reflection on the year we’ve had and a look ahead to what’s coming. I’m joined by Katie Rollings, founder of Fertility Action, for a candid chat about the emotional toll of trying to conceive at this time of year, what has changed in the support landscape, and why we need more trust, better information, and continued compassion in the fertility space.

If this time of year feels like a gut punch, you are not alone. Whether you are grieving a loss, recovering from a failed cycle, or quietly carrying the weight of infertility, I hope this episode reminds you that your experience matters and that support is out there.

What we discuss in this episode:* Why it is okay to feel conflicted or overwhelmed during the festive season * Creating your own boundaries, traditions, and safe spaces during the holidays * What Fertility Action’s support groups are hearing most including pregnancy announcements, TTC burnout, relationship issues and intimacy questions * How the groups are structured (TTC versus positive test and beyond) and why that matters * The rise in patients feeling confused by medical advice, conflicting information online and social media rabbit holes * Fertility as both emotional and transactional and how clinics need to do better at meeting patients with empathy and psychological safety * The importance of honest, regulated medical guidance and why peer support should not replace professional advice * Progress on fertility education and policy change and why 2026 is shaping up to be a big year for advocacy * Katie’s hopes for empowering patients and reaching earlier stages in the fertility journey through GP education and access

A note on the mental load this season:If you have found yourself thinking “I really thought this would be our year”, you are not alone. That sense of grief, reflection, and uncertainty can be especially heavy during the holidays. But you are allowed to set limits. To say no. To opt out of conversations or events. You are not selfish for protecting your peace.

Whether it is preparing a few phrases for difficult family questions, giving yourself permission to decline invites, or joining a support group for the first time, do whatever helps you feel grounded.

And if you need a glimmer of hope, plan something just for you. Something small, comforting, or creative such as making a Christmas bauble while you chat with others who get it.

Let’s keep the conversation going:* Follow me on Instagram: @fertilitypoddy * Email your thoughts or guest ideas: natalie@thefertilitypodcast.com * Learn more about support groups and resources at fertilityaction.org * Subscribe on your podcast app to stay updated for 2026 * Leave a review or share this with someone who might need it

Thank you again for listening this year. However you are ending 2025, I wish you peace, space to breathe, and a gentle start to whatever comes next.

Until next time.

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Tips from the TTC community

In this penultimate episode of 2025, I wanted to share something a little different. This time of year can be incredibly difficult if you’re trying to conceive, dealing with loss, or navigating life after fertility treatment. So I gathered a brilliant group of patient advocates and professionals to offer their heartfelt, practical advice for getting through the holidays.

From awkward questions at the dinner table to setting boundaries and finding your tribe, this episode is full of small but powerful ideas to help you protect your wellbeing and find support, whatever your journey looks like.

What we discuss in this episode:* Why you don’t need to shrink yourself to make others comfortable * How to prepare phrases and "outs" for difficult conversations * The power of setting boundaries and being selfish in the kindest way * Finding your community and not navigating it alone * What to say to that nosy aunt (or how to head it off entirely) * Navigating solo parenthood, donor conception and surrogacy during the holidays * Coping with involuntary childlessness and sitting in grief without guilt * Why men need support too, and how to show up for each other * Embracing joy in small ways, even during a painful season

You’ll hear from:

Julianne Bouteloup, perinatal psychologist and founder of Parenthood in Mind
Mel Johnson, solo motherhood coach from The Stork and I
Aisha Balisaria, patient advocate and founder of Mind Body Revival Coach
Michael Johnson‑Ellis, co‑founder of My Surrogacy Journey
Kreena Dhiman podcaster, speaker and donor conception advocate - The Art of Being Brave
Kev Button, founder of The Man Cave
Hayley King, from Path to Parent Hub
Vanessa Haye, writer, speaker and infertility advocate

Let’s keep the conversation going:* Follow me on Instagram: @fertilitypoddy * Email your thoughts or guest ideas: natalie@thefertilitypodcast.com * Follow our advocacy work: @fertility.action * Explore and connect with this episode’s guests via the links in the show notes * Subscribe to the podcast to stay updated as we plan for 2026

Please know that whatever you’re feeling right now, you’re not alone. Your emotions are valid, and you deserve support. Take what you need from this episode, and share it with someone who might need it too.

Until next time.

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In this episode of The Fertility Podcast, I’m joined by Dr Anand Patel, a GP and specialist in men’s health, for an honest and incredibly practical conversation about how male fertility is handled in general practice.

Anand shares the exact questions men should be prepared to ask their GP, why basic investigations are often missed, and how a simple examination could reveal more than you think.

If you or your partner are just starting to explore fertility testing, this is a must‑listen.

What we discuss in this episode:

What to say (and bring up) during your GP appointment if you’re worried about fertility
Why most GPs aren’t trained in fertility and what that means for patients
How to advocate for yourself when you’re not sure what to ask
The “ICE” model (Ideas, Concerns, Expectations) and how it helps patients get better care
The critical role of basic examinations that are often skipped
What conditions and warning signs GPs should be looking for
Why GP training needs to change and how newer trainees may be more up to date
Fertility MOTs, NHS limits, and when private care may make more sense
The emotional impact of male factor diagnoses and how to create more compassionate conversations
What a decent male fertility assessment should actually include

Special thanks to Examen, sponsor of this episode

Examen offers direct, cutting‑edge sperm DNA fragmentation testing (including both single and double‑strand DNA damage), used by 85% of fertility clinics across the UK and Ireland.

Tests are:

Non‑invasive
Available via clinics or partner hubs
Designed to provide clarity, confidence and actionable insight

You don’t need a referral to get tested. Simply book online, drop off your sample and receive detailed results to discuss with your clinic.

🎧 Learn more atexamenlab.com

Let’s keep the conversation going:

Follow me on Instagram: @fertilitypoddy
Email your thoughts or guest ideas: natalie@thefertilitypodcast.com
Follow our advocacy work: @fertility.action
Learn more about Dr Anand Patel and his work:
Website / Clinic: Centre for Men’s Health – Anand Patel Centre for Men's Health
Instagram: @dranand Instagram
LinkedIn: Dr Anand Patel uk.linkedin.com
Explore SDF testing with your clinic or directly at examenlab.com

Please subscribe and leave a review if this episode was helpful. And if you know someone who needs this kind of GP‑level support, send it their way.

Until next time.

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In this episode of The Fertility Podcast, we've gone back to the archive to share a chat I had a little while back with Kevin McEleny, Consultant Urologist at Newcastle Fertility Centre and Nuffield Health. Kevin is a specialist in male fertility and urology and has worked for years to raise awareness around the crucial but often overlooked role of male health in fertility care.

We talk about how much of male fertility is still ignored, under-tested and underfunded, and what that means for couples trying to conceive. As someone who has experienced male factor infertility personally, this episode means a lot to me, and I know it will to many of you too.

Whether you're going through IVF, facing a male factor diagnosis, or simply wanting to understand the full picture, I hope this episode helps you feel more informed and empowered.

What we discuss in this episode:

Why it’s still so common for men to be left out of fertility investigations
What kinds of tests should be done for men and why basic semen analysis isn’t enough
Why timing, hormones and lifestyle can drastically impact sperm quality
What conditions might be missed if men aren’t tested properly
The emotional toll male fertility issues can take, and why support is essential
What male patients should expect when seeing a urologist or fertility specialist
Why early and equal testing matters for both partners
Kevin also explained Kleinfelter Syndrome and how it can go undetected without the right support and investigation

This episode is a call for more inclusive care, not just for women, but for men too. Because fertility is a shared journey, and everyone deserves to be heard.

Special thanks to Examen, sponsor of this episode

Examen offers direct, cutting-edge sperm DNA fragmentation testing (including both single and double-strand DNA damage), used by 85% of fertility clinics across the UK and Ireland.

Tests are:

Non-invasive
Available via clinics or partner hubs
Designed to provide clarity, confidence and actionable insight

You don’t need a referral to get tested. Simply book online, drop off your sample and receive detailed results to discuss with your clinic.

🎧 Learn more at examenlab.com

Let’s keep the conversation going:

Follow me on Instagram: @fertilitypoddy
Email your thoughts or guest ideas: natalie@thefertilitypodcast.com
Follow our advocacy work: @fertility.action
Learn more about the men’s health campaign with Fertility Action and Test Him
Explore SDF testing with your clinic or directly at examenlab.com

Please subscribe, leave a review and share this episode if it resonated, especially with someone who may need this conversation.

Until next time.

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In this special episode of The Fertility Podcast, I’m joined by Dr. Lalana Songra, medical advisor at Examen Lab, to talk about the urgent need for better understanding and testing around male fertility, particularly sperm DNA fragmentation (SDF).

As someone whose own fertility journey involved a male factor diagnosis, this is a topic close to my heart. And it’s still one that doesn’t get enough attention.

We explore why male fertility plays such a vital role in conception, pregnancy loss, and future child health, and how overlooked it still is in both diagnosis and support.

What we discuss in this episode:

What sperm DNA fragmentation (SDF) actually is and how it’s different from a standard semen analysis
The difference between single-strand vs double-strand sperm DNA damage and how they impact fertility
How new research links high SDF levels to recurrent pregnancy loss, even when semen analysis appears normal
Why it’s problematic that men are only looked at after multiple pregnancy losses
The lifestyle and health factors that impact sperm quality, and how quickly men can improve it
What the sperm testing process looks like and where to access it
The importance of including men in the conversation around fertility and pregnancy loss
How better male testing can lead to more accurate, personalised treatment decisions (like ICSI vs IVF)
Why early intervention and equal diagnosis for men matters, not just emotionally but medically

If you’ve had unexplained infertility, failed cycles, or losses with no clear answer, this episode could help you explore new questions and possibilities.

Special thanks to Examen sponsor of this episode

Examine offers direct, cutting-edge sperm DNA fragmentation testing (including single and double-strand damage) used by 85% of fertility clinics across the UK and Ireland.

Tests are:

Non-invasive
Available via clinics or partner hubs
Designed to provide clarity, confidence, and actionable insight

You don’t need a referral to get tested – just book online, drop off your sample, and get detailed results you can discuss with your clinic.

🔍 Learn more at Examen

Let’s keep the conversation going:

Follow me on Instagram: @fertilitypoddy
Email your thoughts or guest ideas: natalie@thefertilitypodcast.com
Follow our advocacy work: @fertility.action
Learn more about the men’s health campaign with Fertility Action and Test Him
Find out more about SDF testing via your clinic or directly at Examen Lab

Please subscribe and leave a review if this episode spoke to you – and do share it with someone who may need this conversation.

Until next time.

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Hi, it’s Natalie here. This episode is an emotional and important one. I’m joined by Tim Royal, a television director known for his work on Coronation Street, Emmerdale, and EastEnders, who reached out to me to share the story behind his short film "It’s the Hope That Kills You."

If you’ve been listening for a while, you’ll know that male factor infertility was part of my own fertility story. And this month on the podcast, we’re shining the spotlight on male infertility and men’s experiences, which often go unheard. Tim’s story speaks to that silence and the emotional toll that fertility treatment can have on men.

What we talk about:

How Tim felt marginalised and overlooked throughout the IVF process
The emotional weight of never being called by name or offered therapy
The pressure of “sample day” and why language matters in the clinic
The cumulative trauma of repeated failed transfers and insensitive staff questions
A powerful idea: colour-coded patient folders to avoid retraumatising questions
The stark contrast between treatment at St Mary’s Hospital and CARE Fertility
Tim’s experience of debilitating anxiety and his journey to seek therapy
The importance of recognising and challenging intrusive thoughts
How IVF reshaped his relationships, identity, and day-to-day mental health
Tim’s reflection on IVF as a team effort, and how he supported his wife
The impact of working on scripts about fertility while living through treatment
Choosing to use film as a tool for honesty, empathy, and social change
How hope can both carry and crush us during infertility
The moment everything changed: a final transfer, a fertility stone, and holding on to the “1 percent”

About the film

It’s the Hope That Kills You is a 13-minute short film written and directed by Tim, based on his and his wife’s seven-year fertility journey. It is raw, authentic, and quietly devastating, capturing the micro-aggressions, emotional weight, and relationship strain of infertility.

Tim self-funded the film and created it to spark conversations and help others feel seen. It’s especially powerful for those trying to support loved ones but unsure how.

The film will be available to watch for free on YouTube on 30 November.

It has a Christmas element and was inspired by their 11th and final transfer, which took place on Christmas Eve.

You can follow the film’s Instagram page for updates: @itsthehopethatkillsyoufilm

Support for Men and Mental Health

As Tim shares, his anxiety became life-altering and the lack of support for men in the fertility space made it worse. If you’re navigating something similar, please know there is help available.

Organisations and initiatives that support men:

ExamenLab – Sperm DNA Fragmentation Testing
Fertility for Men
The Male Fertility Coach
testhim - Male Fertility Support
The Male Fertility Podcast
Fertility Matters at Work
Fertility Action – Regular support groups and workplace advocacy

Don’t forget to ask your clinic about advanced sperm DNA testing. Many men are told their semen analysis is “normal,” but tests like those offered by ExamenLab go deeper by detecting hidden DNA fragmentation that can impact conception, miscarriage, and IVF success.

Let’s stay connected

DM me on Instagram: @fertilitypoddy
Follow Fertility Action for advocacy and support updates: @fertility.action
Email me: natalie@thefertilitypodcast.com
Learn more about workplace advocacy: fertilitymattersatwork.com

A final ask

If this episode resonates with you, please share it. Sometimes a film or podcast episode is the only way someone can start to explain what they’re going through.

Follow the podcast on your favourite app to get each new episode. I’m so grateful you’re here.

Until next time.

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This week, I’m joined once again by my lovely former co-host and friend, Kate Davies.

You might remember Kate as the science bit of The Fertility Podcast, an independent fertility nurse and all-round champion for women’s health.

These days, she’s got a very fancy title as Vice President of Medical, Women’s Health and Longevity at Ultra Human, and also works as Clinical Lead for One Day Tests, who’ve been a previous sponsor of the pod.

In this episode, we’re diving into what blood tests can really tell you about your fertility and overall health.

Whether you’re just starting to try, have PCOS, or have been on your journey for a while and still don’t have all the answers, this one’s for you.

Kate and I talk about:

What your blood tests can (and can’t) reveal about your fertility
How often you should get your bloods checked
Why it’s so important to monitor cholesterol and glucose if you have PCOS
The key tests to ask for if you’ve got unexplained infertility such as thyroid, vitamin D, and prolactin
How to use your results to advocate for yourself, especially if you’ve been dismissed before
And yes, we even go through my blood test results from One Day Tests
Kate also shares what she’s been working on with Ultra Human, including the fascinating world of biometric health tracking.
She also introduces something called the Havening technique, a research-backed way to help manage stress and anxiety that’s well worth looking into.

Mentioned in This Episode

One Day Tests👉 onedaytests.com - Use code TFP10 for 10% off your blood test.
Fertility Action - Our amazing partners raising awareness of male fertility. Find them on Instagram @fertilityactionuk.
Fertility Matters at Work - My other hat! Our big event, The F Word at Work Live, is happening on 5th November, and tickets are still available at fertilitymattersatwork.com

Before You Go

Please make sure you’re subscribed wherever you listen.

It really helps others find the podcast and means you won’t miss an episode (especially if I have a little break).

If you found this chat helpful, I’d love it if you left a quick review.

You can also find links to all the resources and everything Kate and I mentioned in the show notes below.

Thank you, as always, for listening and for letting us be part of your fertility journey. 💜

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Hello and welcome to this week’s episode of The Fertility Podcast. I’m Natalie, and this is a slightly different one.

Please note the trigger warning on this episode.

As it is Baby Loss Awareness Week, I want to hold space for anyone who has experienced loss, is grieving, or is navigating uncertainty in their fertility journey. In this episode, I’m resharing a previous conversation hosted by Kate Davis, my former co-host and an independent fertility nurse. Kate spoke with Jade, who bravely shared her story of miscarriage and ectopic pregnancy. This episode comes with a trigger warning as it discusses pregnancy loss in detail. If this is not the right time for you to listen, please take care of yourself and maybe explore other episodes from our ten-year archive.

Before we return to Jade’s episode, I want to briefly share something personal.

Last week, my family and I were caught up in the terrorist attack in Manchester during Yom Kippur, one of the holiest days in the Jewish calendar. We were at our synagogue when the lockdown happened. My husband, who volunteers for our community’s security, was outside in a stab-proof vest, which is a sad reality for British Jews. We spent the day on edge, and in the days since, it has taken a toll emotionally. I want to thank those who reached out with kindness and acknowledgement. If you have Jewish friends or colleagues, please take a moment to check in. A small gesture goes a long way.

Now, back to this important episode.

About this episodeIn this powerful re-shared conversation, Kate speaks with Jade, who opens up about her journey through multiple pregnancy losses, including two ectopic pregnancies. Jade shares her experience navigating diagnosis, advocating for her own care, and the emotional and physical recovery process. She also reflects on the fear of trying again and the trauma of nearly losing her life.

What we talk about* Jade’s multiple pregnancy losses including miscarriage and two ectopic pregnancies * How she knew something was wrong even when the symptoms didn’t match textbook examples * Her experience with methotrexate treatment and emergency surgery after rupture * The importance of advocating for yourself when seeking medical help * Emotional trauma and grief following pregnancy loss * The mixed feelings around tube-saving surgery and IVF as a future path * Common myths about ectopic pregnancy and how symptoms can differ * How hospital staff and personal support helped her through it * The role of the Ectopic Pregnancy Trust and the support she received * Jade’s message to other people navigating early pregnancy and loss

Let’s keep the conversation going* Follow me on Instagram: @fertilitypoddy * Explore the work and support groups from Fertility Action: fertilityaction.org * Learn more about ectopic pregnancy: Ectopic Pregnancy Trust * Read about the Baby Loss Certificate scheme: www.gov.uk/request-baby-loss-certificate

Support for Baby Loss Awareness WeekIf you or someone you know needs support, here are some brilliant charities offering resources, counselling, and community:

Petals – The Baby Loss Counselling Charity
Tommy’s
The Miscarriage Association
Saying Goodbye
Sands – Stillbirth and Neonatal Death Charity
Find The Ectopic Pregnancy Trust - Support For You And Your Loved Ones for more information
Find Request a baby loss certificate - GOV.UK (www.gov.uk)
Find The Premature Menocast podcast
Read Endometriosis time to diagnosis report

If you’re still listening, thank you. This podcast has always been about honesty, community and support. Whether you’ve been with us for years or just found us today, I hope you know you’re not alone. Please take a moment to follow the podcast in your app so you never miss an episode.

Until next time.

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Welcome to this episode of The Fertility Podcast and joined by Betty Mukherjee, who you may know, if you're a fan of Channel 4's Race Across the World as she was in series 4 with her brother James and spoke about her condition MRKH (Mayer-Rokitansky-Küster-Hauser) and is now doing amazing advocacy work on the topic and sharing her own experiences as she finds out more regarding her family building options.

Betty opens up about receiving her MRKH diagnosis at 16, how it shattered the future she had imagined, and how sharing her story publicly on national TV changed her life. She reflects on the healing power of vulnerability, the support of her partner Dan, and the importance of balancing self-care, fitness, and mental wellbeing during fertility treatment.

What we talk about:

The challenges of being a teenager diagnosed with MRKH
Why conversations with siblings and friends were avoided for years
The reality of egg freezing, hormone injections, and physical side effects
The role of mental health support—both professional and personal
Using YouTube and social media to share raw, vulnerable moments
Finding comfort in everyday rituals, like lighting candles, cooking, and walking her dog, Maple

Betty’s story is one of resilience, advocacy, and hope—and a reminder that “shame dies when stories are shared in safe spaces.”

Resources & Links Follow Betty on Instagram * Watch Betty’s journey on YouTube * Learn more about MRKH: MRKH Support Resources * Previous podcast episodes with Julianne Boutileb* (psychological advisor mentioned in this episode) * Andria Trigo shares her story of life with MRKH * Sign up for support groups and advocacy through Fertility Action * Explore more about the Fertility Matters at Work initiative and tell your workplace about The F Word at Work Live

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Welcome back to another episode of The Fertility Podcast, and if you're listening in real time, it's September, which means it’s PCOS Awareness Month, and that’s exactly what we’re focusing on today.

In this episode, I’m joined by Ro Huntriss, an award-winning fertility dietitian and founder of Fertility Dietitian UK. Ro breaks down what PCOS is, how nutrition and lifestyle changes can make a real difference, and how to advocate for yourself, especially when you feel dismissed or misunderstood by healthcare professionals.

What we talk about● Why conversations about fertility nutrition are finally becoming more mainstream

● What PCOS (polycystic ovary syndrome) actually means and how it shows up differently for everyone

● The emotional impact of being dismissed by your GP and how to push for answers

● How to identify insulin resistance and support your body through nutrition

● The truth about carbs – why reducing carbohydrate load and choosing low glycaemic index foods helps

● What a balanced, PCOS-friendly breakfast, lunch, and dinner can actually look like

● The role of resistance training, HIIT, sleep, and stress in PCOS management

● Understanding supplements like inositol and when they might help

● How to advocate for yourself with your GP using NHS resources and tracking symptoms

● Misconceptions about fertility and PCOS – and why hope and progress are still possible

● Managing the mental load of trying to conceive while navigating PCOS

● Why support, education, and specialist care can change the journey completely

Let’s keep the conversation going* Follow Ro on Instagram for practical fertility nutrition advice: @fertility.dietitian.uk * Learn more about PCOS at Verity and NHS Choices and Fertility Nutrition Centre * Revisit our previous episode with Ro and with PCOS specialist Kate Davies * Sign up for support groups and advocacy through Fertility Action * Explore more about the Fertility Matters at Work initiative and join us for our 5 November event The F Word at Work Live * Enter your organisation in the Fertility Friendly Employer Awards – deadline extended until Friday 26, September

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Welcome to the latest episode of The Fertility Podcast, which is during World Childless Week. If this is your first time listening, welcome. I’m a fertility advocate, a podcaster, and a mum of one. During the last decade of making this podcast, I've shared many stories of people's route to parenthood talking about those who have brought home a baby and also those who haven't as I have always wanted to ensure that whatever you are going through, you can find people who you can relate to. I also have a deep responsibility to include the voices of those who are childless not by choice, as their experiences and the acceptance that comes with revaluating the reproductive story you might have grown up provides such valuable insight.

In this episode, I’m joined by Helen Gallagher, the inspiring voice behind the Happy and Childless podcast. Helen shares her powerful story of navigating grief, identity, and purpose after coming to terms with not having children. We talk about what acceptance really looks like, how the workplace can be more inclusive, and why connection and compassion matter more than ever.

If you’re in this place yourself, or you know someone who is, I hope this conversation helps you feel less alone. And if now is not the right time, that’s okay too. Just remember that when you are ready, there is a whole community out there waiting to welcome you.

What we talk about* Helen’s experience with involuntary childlessness and why she became an advocate * How her blog and podcast began as a therapeutic outlet and grew into coaching and workplace support * The emotional complexity of living in a blended family and grieving a path you never got to walk * Her journey of self acceptance, healing, and finding purpose after infertility * The power of community and why connection is vital when you feel isolated * How workplaces can unintentionally exclude employees who are childless not by choice * The impact of back to school season and family-focused milestones on the childless community * The importance of compassion, boundaries, and emotional literacy at work * What World Childless Week is and why it matters * Advice for anyone starting to process the idea of stopping fertility treatment * How Helen now helps others through coaching, podcasting, and advocacy * You are not alone. One in five women and one in four men do not have children, and most are not by choice. * Your worth is not defined by parental status. * Connection, community, and support are everything. There is no shame in seeking help. * Acceptance takes time. Grief and joy can co-exist. * Being childless does not mean being joyless. There is purpose and meaning on the other side of loss.

Let’s keep the conversation going* Listen to Helen’s podcast: Happy and Childless * Visit World Childless Week to read stories and join the community * Check out the work of Jody Day (Gateway Women), Jessica Hepburn, Aisha Balisaria, Yvonne John, and Robin Hadley * DM me anytime on Instagram: @fertilitypoddy * For support groups, visit Fertility Action

Here's other onspired convesations with The Fertility Podcast archives from people from the CNBC community

Jody Day
Yvonne John
Lesley Pine and Lois Tonkin
Kate Kaufman

From The F Word at Work - the podcast I host for Fertility Matters at Work have a listen to:

Helen
Robin Hadley and Katy Schnitzler - from The F Word at Work

Thank you to One Day Tests for sponsoring this episode. They offer fast, affordable blood testing with over 170 test options for women’s, men’s, and fertility health. I had my test done in Manchester and got my results the next day. If you want to try it for yourself, visit onedaytest.com and use code TFP10 at checkout for a little discount.

If this episode spoke to you, please follow, subscribe, or leave a review. And if you know someone who might need this conversation right now, share it with them.

Until next time.

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Hello and welcome to another episode of The Fertility Podcast. I’m Natalie Silverman, your host, and I’m so glad you’re here. This week’s episode is a bit different as I’m handing the mic over to Katie Rollings, founder of Fertility Action and a familiar voice on the pod.

Katie’s chatting with Sarah, one of the original members of the Fertility Action support groups, about her IVF experience, her partner’s diagnosis, and the ups and downs of navigating treatment. Sarah generously opens up about the emotional and physical toll of fertility treatment, and how support groups, nutrition, acupuncture, and speaking to others have helped her find strength through it all.

What we talk about:

Sarah’s fertility journey, starting with an unexpected male factor diagnosis just before Christmas
The impact of delays and lack of communication within the NHS
Why they went private, and how they made early decisions to pursue IVF and microtese
The emotional toll of IVF failures, and the support that helped her feel less alone
Sarah’s experience navigating fertility in the workplace and opening up to colleagues
The effect of infertility on relationships, and how she and her husband learnt to support each other in different ways
Discovering the importance of nutrition and thyroid health with a fertility nutritionist
Switching to mild IVF and learning to advocate for herself at every step
What she found in the Fertility Action support group: community, routine, understanding
Talking therapy, nutrition, acupuncture and peer support as part of her toolkit
Sarah’s brilliant injection tip and her #IVFninja moment
Male mental health and how her partner processed his diagnosis
Sarah’s call to action for more fertility education and support in schools and primary care

This conversation is raw, real, and a beautiful reminder of how much power there is in being seen and heard by people who get it. Thank you, Sarah, for sharing your story and showing us that it's okay to find your own way through.

Let’s keep the conversation going

What do you wish you’d known before starting treatment?
Who’s helped you feel seen on this journey?
Have you joined a support group before? What was your experience?
What’s been the most unexpected part of your fertility experience?
Have you tried acupuncture or nutrition support? Did it help?

Huge thank you to our sponsor One Day Tests - use the code TFP10 at checkout for a discount

Links and Resources:

Sarah mentioned the amazing Rosie Tadman who you can find out more about here
Follow Fertility Action on Instagram: @fertility.action
Join a support group: details on fertilityaction.org
Message me on Instagram: @fertilitypoddy
Thank you to our sponsors One Day Tests - use the code TFP10 at checkout for a discount

We also mention fertility acupuncturist Hannah Pearn

PLEASE do subscribe or leave a review. It really helps others find the podcast, and I’d love to know what’s resonating with you xx

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Hi, it's Natalie here. After a bit of a summer pause (thanks to some tech drama), I’m thrilled to be back with a truly special episode. This one was recorded live at the Green Man Festival, on the Pandemonium Stage in Einstein’s Garden, and it’s a conversation I’ve been dreaming about for a long time. If you've been to a festival over the summer and think this type of conversation would fit, do let me know. Feel free to leave a comment wherever you listen or scroll to the bottom to find out more.

We tackled one of the most common yet complicated questions many of us face:

“So, do you have kids?”

It seems innocent, but for so many, it opens the door to grief, awkwardness, and a whole lot of emotional weight. In this episode, we explore why that question can hurt and what we might ask instead.

I was joined by four incredible guests who generously shared their personal stories and wisdom on stage:

Mel Johnson, solo parent coach and founder of The Stork and I
Shema Tariq, academic, writer, baby loss advocate and Tommy’s trustee
Betty Mukherjee, MRKH campaigner and Race Across the World finalist
And my husband, Rich Silverman, who opened up publicly for the first time about our journey with male factor infertility and the mental health impact on him

What we talked about Why the question “Do you have kids?”* can be so deeply painful when you’re navigating infertility, baby loss, or childlessness not by choice * Mel’s journey to solo motherhood and the way people still make assumptions about women who choose that path * Shema’s IVF experience using donor eggs, the heart breaking loss of her baby at 21 weeks, and how her cultural background shaped her experience * Betty’s diagnosis of MRKH at 16 and how she opened up about it during her time on national TV * Rich’s journey with male factor infertility and how counselling helped him move forward, plus why more men need space to share too * The words we use around fertility and family, and how language can uplift or hurt * Talking to children about solo parenting and donor conception, and why openness matters * The trauma of fertility treatment, especially for people of colour, and the inequalities that still exist * How to truly show up for loved ones going through these journeys, and why "I'm here if you ever want to talk" is sometimes not enough

Better ways to connectIf you're ever unsure of what to say instead of “Do you have kids?”, here are a few suggestions we shared:

“What’s been bringing you joy lately?”
“What’s been going on in your world?”
“What are you passionate about these days?”

And most importantly: ask twice. Sometimes people need that second invitation to feel safe opening up.

Have a listen to my chat with Shema previously - way back in 2022

What do I need to think about when going abroad for donor treatment? • The Fertility Podcast

Let’s keep the conversation going* Connect with me on Instagram: @fertilitypoddy * Shema's Insta: @drshematariq * Mel's Insta: @the_stork_and_i * Betty's Insta: @bettymuk_ * Rich's Insta: @richer.sound.healing * Got guest suggestions or thoughts to share? Email me at natalie@thefertilitypodcast.com * Follow our advocacy work: @fertility.action * Find out more about Mel’s coaching for solo mums: thestorkandi.com * Learn about baby loss and support from Tommy’s

Thank you to our show sponsor One Day Tests.

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Just a note to say, we'll be back very soon (hopefully 3rd September 2025) continuing sharing stories and expert opinion after a break.. caused by tech issues! We'll have some different voices coming up Please do make sure you subscribe in your favourite podcast app, and also get in touch.

I mentioned World Childless Week and you can find out more here and don't forget we are the official podcast for Fertility Action so you can stay up to date with the amazing work they are doing from the links below x

Links & Resources:

DM Natalie: @fertilitypoddy
Email: natalie@thefertilitypodcast.com
Subscribe to the podcast on your app of choice
Follow Fertility Action: @fertility.action
Explore Fertility Action’s support groups and advocacy work: fertilityaction.org

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Welcome to this episode of The Fertility Podcast, the official podcast of Fertility Action. In this conversation, Natalie is joined by long-time friend of the show and Fertility Action trustee Dr. James Nicopoullos, consultant gynaecologist and medical director at The Lister. They dive into the often frustrating diagnosis of unexplained infertility - what it actually means, how it impacts your treatment options, and what you can do when you feel like you're hitting a wall.

This episode also covers highlights from Fertility Action’s recent campaign in Parliament, new shifts in male fertility awareness, and why conversations around fertility at work still have a long way to go.

What we discuss:

Parliament updates and raising awareness about cuts to NHS fertility funding
The Fertility Show and how to handle the overwhelm as a new patient
James' role as a Fertility Action trustee and why he believes in Katie’s mission
What unexplained infertility really means (and why it's so common)
The emotional toll of having no clear answers, especially for people used to being in control
Questions to ask your doctor when faced with unexplained or subfertility
What to rule out: hormones, anatomy, sperm DNA, and more
The reality of add-ons and how to weigh evidence-based versus emerging options
When it makes sense to seek a second opinion and how clinics typically respond
The evolving conversation around male infertility and the importance of male involvement
Fertility in the workplace, what patients are still dealing with, and how employers can do better
Why infertility still isn’t fully recognized as a legitimate health condition in some policies
How education, advocacy, and testing are slowly shifting public perception

Quote to remember:

“You should be using your annual leave for a holiday, not to do fertility treatment.”

Listen if you’re:

Dealing with a diagnosis of unexplained infertility, feeling stuck after multiple cycles, or needing a reminder that there are still questions worth asking and answers worth pursuing.

Links & Resources

Follow Fertility Action: @fertility.action
DM Natalie: @fertilitypoddy
Email: natalie@thefertilitypodcast.com
Subscribe to the podcast on your app of choice
Learn more about Dr. James Nicopoullos: Lister Fertility Clinic
Explore Fertility Action’s support groups and advocacy work: fertilityaction.org

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In this powerful and passionate episode, Natalie is joined once again by Katie Rollings, founder of Fertility Action, the UK's newest fertility charity. As a returning guest, Katie provides an urgent and inspiring update on the charity’s current work, including critical campaigning efforts, growing support groups, and the ever-pressing fight against the fertility funding postcode lottery.

Together, Natalie and Katie discuss:

The expansion of Fertility Action's support groups and community
The emotional toll of fertility treatment and the gaps in support post-treatment
Why peer connection and bespoke support are crucial
Ongoing parliamentary campaigning for fair fertility treatment access
How to get involved by writing to your MP
The need for a male fertility focus in healthcare strategy
Urgent updates on changes to NHS fertility funding in Sussex and beyond
Katie also opens up about the emotional challenges of fighting for change while encountering public misunderstanding and resistance and why she refuses to give up.
Plans for culturally diverse and condition-specific groups (like secondary infertility) are in motion—making sure everyone feels seen and heard.
Fertility Action is looking for empathetic volunteers to host support groups. Training and supervision will be provided. If you’re 3+ years post-treatment and can commit to a year, they’d love to hear from you.
Male participation in support groups is still limited, but growing. There’s a need for more male facilitators and attendees—especially to normalize male perspectives on infertility.
Groups meet on Tuesday and Thursday evenings. Join with your mic or camera on or off, even in your PJs! It’s a low-pressure, welcoming environment

Take Action:

Write to Your MP - Encourage them to attend the fertility campaign event in Parliament on Wednesday, 16 July. Use the Fertility Action letter template

Join the Conversation on Male Fertility & Mental Health

Contribute to the ongoing male fertility survey submissions close Wednesday, 17 July. H

Helpful Links:

Fertility Action Instagram (Linktree)
Men’s Health Strategy Consultation
Test Him with Ian Stones
Fertility Matters at Work
DM Natalie on Instagram: @fertilitypoddy
Email thoughts or guest ideas: natalie@thefertilitypodcast.com
Subscribe on your podcast app to stay updated

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In the final episode of this three-part mini-series, created in partnership with fertilityclinicsabroad.com, Natalie is joined once more by Joanna Jewell, Head of Patient Experience at IVF Media, to demystify the world of egg donation guarantees.

Whether you’re exploring donor eggs, embryo donation, or refund-based pregnancy guarantees, this episode breaks it all down. Joanna explains how these programs work, what they include, who they’re for, and what to ask before you commit.

What we discuss:

What egg donation programs actually are and what’s included
The difference between oocyte and blastocyst guarantees
What to expect with embryo donation and double donation (egg + sperm)
Pregnancy and live birth guarantee programs and the truth behind the fine print
Refund guarantees: how they work, what they cost, and how much you could get back
Common requirements to qualify for guarantee programs
Transparency matters: why it’s essential to ask what’s included and what’s not
Additional costs to prepare for: medication, storage fees, testing, and admin
Donor availability for different ethnicities and specific features (like red hair)
The emotional reality when things don’t work even with a “guarantee”
What support clinics do (and don’t) offer after unsuccessful cycles
Why support groups, peer connections, and advocacy matter in your journey
Embryo shipping after Brexit: is it still possible to bring material back to the UK?

Links & Resources:

Let’s Stay Connected

Learn more at: fertilityclinicsabroad.com
Follow on Instagram @fertility_clinics_abroad
Visit eggdonationfriends.com for helpful resources
Contact Joanna’s team directly for guidance on donor programs and clinics abroad
Follow Natalie on Instagram: @fertilitypoddy
Don’t forget to listen to Episode 1 (How to Choose a Clinic Abroad) and Episode 2 (IVF Abroad Over 40) if you missed them!

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In this second episode of our special mini-series with fertilityclinicsabroad.com, Natalie is joined once again by Joanna Jewell, Head of Patient Experience at IVF Media, to explore the realities of IVF abroad if you're over 40 and using your own eggs.

This episode is packed with honest, compassionate, and practical advice for older patients whether you're solo, in a couple, or part of the LGBTQ+ community. Joanna shares what to expect, how to manage your options, and how to emotionally prepare for the challenges and decisions ahead.

What we discuss:

Are there age restrictions for IVF with your own eggs abroad?
The difference between clinic policies and country laws
The reality of success rates over 40 and why some clinics will say no
What PGT-A testing is and why it’s often recommended after age 38
Navigating treatment decisions in LGBTQ+ couples, including ROPA treatment
Countries that are more inclusive (and those that aren't) for solo women and LGBTQ+ patients
The psychological weight of choosing between own eggs and donor eggs
How IVF Media handles difficult conversations with honesty, support, and care
What happens when partners aren’t on the same page and the role of counseling
Why over 40s often go abroad: more treatment options, fewer restrictions, and better support
Understanding the risks and clinic policies around multiple embryo transfer
Additional tests some clinics require (like cardiac screening and blood work)
Planning logistics around school holidays, remote work, and personal comfort
Choosing a clinic near the beach? Joanna says yes, whatever lowers stress!

Links & Resources:

Let’s Stay Connected

Learn more: fertilityclinicsabroad.com
Follow on Instagram @fertility_clinics_abroad
Contact Joanna’s team for guidance and clinic suggestions
Follow Natalie on Instagram: @fertilitypoddy
Email Natalie: natalie@thefertilitypodcast.com
Don’t miss Part 3 in this series, where we explore guarantees in egg donation programs abroad!

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In this special mini-series of The Fertility Podcast, created in partnership with fertilityclinicsabroad.com, Natalie is joined by Joanna Jewell, Head of Patient Experience at IVF Media, to explore the ins and outs of going abroad for fertility treatment.

If you’re considering IVF outside of the UK, this series is here to help you make well-informed, confident decisions. From country-specific options to success rates and cost comparisons, Joanna shares expert insights, practical tips, and emotional support to guide you every step of the way.

What we discuss:

The most popular IVF destinations for UK patients: Spain, Czech Republic, Portugal, Greece, and North Cyprus
Key factors to consider when choosing a clinic abroad: distance, cost, treatment options, and personal comfort
How donor anonymity laws vary by country and why they matter for future children
IVF treatment costs abroad (and why cheapest isn’t always best)
Using the IVF cost calculator from Fertility Clinics Abroad to plan your budget
Why clinic success rates aren’t always comparable and what to ask instead
Common pitfalls: compromising your boundaries or ignoring your gut feeling
What to ask a clinic before booking and why personal match matters more than popularity
Support for solo women, LGBTQ+ patients, and ethnic background considerations when choosing donor programs
The role of IVF Media in providing holistic support from logistics and workplace planning to emotional guidance and post-treatment care
Why timing, mindset, and communication (especially as a couple) are so key when choosing treatment abroad

Links & Resources:

Let’s Stay Connected

Learn more at: fertilityclinicsabroad.com
Follow on Instagram @fertility_clinics_abroad
Try their IVF Cost Calculator
Reach out to Joanna’s team via the website for tailored support
Follow Natalie on Instagram: @fertilitypoddy
Email Natalie: natalie@thefertilitypodcast.com
Subscribe to The Fertility Podcast for more support, stories, and smart decision-making

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Welcome to this episode of The Fertility Podcast, in conversation with the HFEA and Emma Whitney aka Emma the Embryologist Director of Embryology and Genetics at The Evewell also a trustee for Fertility Action. You'll hear from both ladies, about the work that is being done to help you make a more informed decision when it comes to choosing a fertility clinic.

What we discussed:

-What the HFEA does, how it is set up to license and inspect all fertility clinics and embryo research centres

-The duty it has to share data, which it has recorded since 1991 and it publishes data on what is happening across the UK

-The increase in IVF cycles has increased to 1 child in every classroom and how the laws are strict anonymity rules in terms of who can access information about who has treatment.

-Increase in same sex couple and single patients having treatment

-Increase in number of people freezing their eggs and the usage

-Funded cycles by the NHS and privately funded and how people are getting the money together - from remortgaging their house, doing crowd funding, bike rides for charity

-Plea for GP’s and primary care service providers to refer people as quickly as possible

-Issues around outcomes in Black women and what more patients can do to get a referral from a primary care provider and how it’s an outrage that there is such discrepancy.

-Choose a Fertility Clinic service - on the HFEA website, if you’re looking for a clinic and how you can look by postcode / name of clinic and there’s information on what the Inspectors think of the clinic. There’s an ability for other patients to rate it and how the feedback goes directly to inspectors.

-How one of the most important considerations is location.

-How the impact of social media and friends and family might affect your decisions and why it’s good to look at more than one clinic and that there are more and more clinics doing online open evenings as what might have been good for your friend, it has to be right for you.

-How today people talk about it much more on social media

-Emma shared her personal story and how she became a trustee for Fertility Action.

-Emma gives her insights on the Choose a fertility clinic data and we discuss what else patients need to be mindful of in terms of discrepencies and age consideration.

Links & Resources:

Let’s Stay Connected

DM Natalie on Instagram: @fertilitypoddy
Follow Fertility Action: @fertility.action
Email thoughts or guest ideas: natalie@thefertilitypodcast.com
Subscribe on your podcast app to stay updated
Read the HFEA report here
Visit the Choose a fertility clinic page here
Follow Emma here

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Welcome to this mini episode of The Fertility Podcast, where Natalie is joined by author, adventurer, and fertility campaigner Jessica Hepburn to explore the powerful role of nature in healing during fertility struggles. Natalie and Jessica recently spent the weekend together at the Love Her Wild North event embracing the power of community in the natural world.

What we discuss:

-The outdoors and your mental health when you are in a fertility hole

-Love her Wild and the benefits of it for the fertility community. Love her Wild is about women who love the outdoors or want to get to love them - there were people talking about massive adventures and those sharing their little adventures.

-Jessica touches on her fertility journey involving multiple losses, 11 rounds of IVF

-How nature saved her life after Project Baby and at age 43 she made the decision to pursue adventure and nature.

-How the outdoors merges with the fertility world with Natalie and Jessica

-Nature is a healer, from looking at the birds in your garden or learning about trees to going on journeys.

-The importance of living in the wait rather than waiting to live and how nature can be enjoyed for FREE

-Getting into green will shift things - it won’t change what you are going through right now and the hardness or the outcome but it will help you find those pockets of joy.

-How starting a blessing book really helped her during the hardest times of her treatment

-Going for a walk, listening to a podcast, or walking in silence with a friend you can connect with or talk about anything.

-Jessica talks bout her 2nd book 21 days and how she found acceptance and found other ways to be happy yet she will always carry a sadness from not being a mother.

-‘Melonjoy’ - that feeling when someone tells you that they’re pregnant and you are not and it’s what you want more than anything. You feel happy for them but sad for you at the same time.. a fusion of melancholy and joy and it’s a real thing you can feel both at the same time…

Links & Resources:

Let’s Stay Connected

DM Natalie on Instagram: @fertilitypoddy
Follow Fertility Action: @fertility.action
Email thoughts or guest ideas: natalie@thefertilitypodcast.com
Subscribe on your podcast app to stay updated

Follow Jessica:

Jessica discusses her newest book 'Save me from the Waves'

Jessica's first ever chat on The Fertility Podcastin 2014

Follow Love Her Wild

Find out more about Jessica's work, her books and her adventures here Connect with Jessica on Instagram

🎧 Subscribe to The Fertility Podcast for more episodes offering support, stories, and real talk about fertility.

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In this episode, Natalie is speaking to an amazing fertility advocate who she’s known in this space for almost a decade, yet this is the first conversation the pair of them have had on the podcast. Andrea Syrtash is the Founder and Editor in Chief of Pregnantish.

Pregnantish went live in 2017, and Andrea describes it as “the state you’re in when trying to conceive,” which the pair go on to discuss.

What Was Discussed:* Andrea’s diagnosis of Endometriosis at 14 years old and how she was put on the pill and could go to school and function, having been really suffering * Andrea discusses the 18 treatments she had: IUIs, egg retrievals over many years * How she got pregnant from IUI and why she continued down that route—despite that pregnancy not continuing—as they had access to unlimited IUI and 3 rounds of IVF * How in Year 5 a Canadian doctor told her: “It should have worked by now. You produce beautiful embryos and should be pregnant by now,” and that she needed to consider gestational surrogacy * The grief and acceptance of not being able to use her own body—and the relief she felt having had to deal with so many losses anymore * Her work as an author and relationship coach and the impact it had on her relationship, and how her TV profile impacted her life at that time * How she launched Pregnantish as a relationship platform * “This is as much a relationship issue as a physical, financial, mental and emotional journey.” * How launching the platform was the greatest gift—sharing other people’s stories helped her navigate her own experience, and Natalie talks about how the podcast was also her therapy * How her cousin Alana was her surrogate and their surrogacy pathway was in Canada, yet two dropped out including one ghosting her just before the transfer * In 2018, her depression after the second surrogate had dropped out and how her cousin offered to be her surrogate, using Andrea’s frozen embryo which had been in the freezer for 2 years * Her retrieval was two years to the day before it was transferred into her cousin * How her cousin sought advice from her Rabbi and how the Jewish press reacted, as it hadn’t been spoken about * The significance of trying to rebuild their family as so many members of their family were lost in the Second World War, in Hungary * The selflessness of surrogates and what surrogates have to tell their family and friends—how her cousin talked to her children and how they were scared to see Andrea as they thought her belly was broken and would be bleeding * Link to previous episodes about Surrogacy, Donation, and Pregnantish * The World Fertility Awards—happening in New York in December for all patient advocates * Host committees across around 10 regions worldwide: Europe, Middle East, Africa, Latin America, North America, India, and Australia * Pregnantish reaches hundreds of thousands of people each month, sometimes over 1 million—it’s a global audience * Join the pledge for the World Fertility Project—asking people to take a pledge, aiming for 1 million signatures to change the conversation * How Andrea feels about the fertility conversation in the patient space today * Regions of the world where people are so scared about saying out loud they are infertile * Natalie shares a story she had printed in a tabloid * How more companies are giving people the chance to opt out of Mother’s Day and Father’s Day emails

Links:World Fertility Awards

https://www.worldfertilityawards.com/

https://www.instagram.com/worldfertilityawards

Let’s Stay Connected

DM Natalie on Instagram: @fertilitypoddy
Follow Fertility Action: @fertility.action
Email thoughts or guest ideas: natalie@thefertilitypodcast.com
Subscribe on your podcast app to stay updated

A Word From Our Sponsor – Proceive

We’re delighted to be partnering with Proceive this season. Their high-strength fertility supplements for men and women are trusted by healthcare professionals and available in-store at Holland & Barrett or online.

Use code FP20 for 20 percent off your order at www.proceive.com

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In this episode of The Fertility Podcast, Natalie sits down with Sian Louise, founder of OBVS Skincare, to explore how one woman turned personal loss, infertility, and cervical cancer into a mission to create safe, effective, and hormone-friendly skincare.

Sian opens up about her fertility journey, including multiple miscarriages, the emotional impact of IVF, her cancer diagnosis, and how hormonal acne during treatment became the catalyst for OBVS Skincare. She also shares evidence-based insights into harmful skincare ingredients, like microplastics and endocrine disruptors, and how they may impact fertility.

This conversation is part of the Meet the Makers series, celebrating founders whose lived experience with fertility has inspired impactful, purpose-driven businesses.

What We Talk About

Sian’s IVF journey, miscarriages, and cancer diagnosis
How hormonal acne during IVF led to creating OBVS Skincare
The lack of awareness around skincare ingredients and fertility
What endocrine disruptors are and how they affect hormones
How Sian built her certified organic, vegan skincare line from scratch
Her passion for educating people on safe alternatives
The impact of OBVS products on real families and babies
Why advocating for yourself in medical settings is essential
Sian’s advice for managing skin health during fertility treatment

Resources & Links

OBVS Skincare website: obvs-skincare.co.uk
OBVS on Instagram: @obvs_skincare
Sian’s ingredient call-outs on Instagram: @sian_louise_obvs
Beat the Microbead App: beatthemicrobead.org
Studies on skincare ingredients and fertility, including:
Parabens in breast tumors (Darbre et al., 2004)
Endocrine disruption from butylparaben (Boberg et al., 2010)
Prenatal phthalate exposure (Swan et al., 2005)
Benzophenone’s thyroid effects (Schmutzler et al., 2007)
Microplastics in cosmetics (TAUW & ECHA reports)
Campaign for Safe Cosmetics report: Not So Sexy

Let’s Stay Connected

DM Natalie on Instagram: @fertilitypoddy
Follow Fertility Action: @fertility.action
Email thoughts or guest ideas: natalie@thefertilitypodcast.com
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A Word From Our Sponsor – Proceive

Use code FP20 for 20 percent off your order at www.proceive.com

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In this powerful Pride Month episode of The Fertility Podcast, Natalie is joined by the inspiring Laura-Rose Thorogood, founder of LGBT Mummies, CEO of Make Births Better, and proud mother of four donor-conceived children.

Laura-Rose shares her raw and deeply personal fertility journey, from IUI and IVF to pregnancy loss, secondary infertility, and birth trauma. But this episode is about more than just personal experience. It’s about advocacy, equity, and making space for every type of family.

You’ll also hear why she joined Fertility Action as a Trustee, her take on what’s missing in fertility funding for the LGBTQ+ community, and what real inclusion should look like in the workplace and beyond.

What We Talk About

Laura-Rose’s decade-long fertility journey, loss, trauma, and family joy
Why she founded LGBT Mummies and how it grew into a global community
The impact of systemic discrimination, lack of inclusive funding, and workplace inequality
Fertility justice, policy change, and recent campaign work in Parliament
How co-production, safe spaces, and queer representation are key to lasting change
Practical advice for anyone feeling overwhelmed or unsupported in their journey
Why emotional safety and peer support are essential for LGBTQ+ people navigating fertility

Links and Resources

LGBT Mummies website
LGBT Mummies on LinkedIn
Facebook
TikTok
Threads
Fertility Action

Let’s Stay Connected

DM Natalie on Instagram: @fertilitypoddy
Follow Fertility Action: @fertility.action
Email thoughts or guest ideas: natalie@thefertilitypodcast.com
Subscribe on your podcast app to stay updated

A Word From Our Sponsor – Proceive

Use code FP20 for 20 percent off your order at www.proceive.com

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In this episode of The Fertility Podcast, we’re lifting the lid on Endometriosis what it is, what’s still misunderstood, and how change is (finally) coming.

You'll hear from Brianna Stayt an Endometriosis UK ambassador sharing her 20-year journey and incredible awareness raising events - Natalie was hosting the event and as well as chatting with Brianna, spoke with Professor Adnan Bunkheila, Endometriosis nurse Sam Robinson and her daughter Shannon. The episode is then a fascinating conversation with Professor Andrew Horne , leading Endometriosis researcher and the Director of the Centre for Reproductive Health at the University of Edinburgh.

What we discuss Why diagnosis takes years and how we can change that * What endometriosis really* is (and why "stages" don’t tell the full story) * The wide range of symptoms: pain, fatigue, gut issues, fertility struggles * How mental health, diet & acupuncture can support care see below links to research * The realities and limitations of hysterectomy as a treatment * The Endo1000 Project: using AI, smartwatches & patient diaries to revolutionize research * Where to find help, support, and community

Whether you’re living with endometriosis or supporting someone who is, this episode is full of insight, hope, and real-world advice.

Links & Resources:* Endometriosis UK * Fertility Action –weekly support groups & free advocacy tools * Endo1000 Project details * The Guardian article about Andrew's paper: * The paper:

Let’s Stay Connected: DM me on Instagram: @fertilitypoddy * Follow @fertilityaction for updates * Email: natalie@thefertilitypodcast.com * Hit subscribe* so you never miss an episode

✨ Thanks to our sponsor, ProceiveWe're delighted to be partnering with Proceive this season. If you're trying to conceive, you’ll want to check them out. Their high-strength fertility supplements are designed for both men and women and are trusted by healthcare professionals.✨Get 20% off your order at www.proceive.com using the code FP20 at checkout.

Thanks for listening. I’ve got a really good feeling about this new chapter and I hope you’ll stick with me as we keep sharing stories, raising awareness, and doing what we can to support each other through this journey

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In this moving conclusion to our poetry mini-series, Natalie and Stacey bring the final chapters of Stacy’s IVF journey to life through her stunning poems. If you’ve been walking this path or loving someone who is this episode is a powerful companion.

Stacey shares not just the pain and loss, but the moments of quiet courage and the slow emergence of hope. From letting go to holding on, from disbelief to the unspoken darkness, and finally to The Light.

What we discuss: * The Hopeless: Letting go, hitting emotional and physical limits, and facing a new reality. * The Disbelief: Surrendering control, choosing silence for self-preservation, and the tentative reappearance of hope. * The Unspoken Darkness: What no one tells you about after a successful IVF — fear, anxiety, and the struggle to feel joy again. * The Light: Healing doesn’t mean forgetting. The journey shapes us — even when the darkness begins to fade. * Navigating pregnancy after infertility — and the neuroses it brings * Feeling robbed of joy even after good news — and why that’s okay * Parenting one child and answering complex questions about family and origin * Why the pain of infertility never fully disappears, but transforms over time * How poetry became a powerful outlet — and how you can start writing, too

"The journey shaped me. It tested me. It broke us down. It built us up. It will never fully go away — but it feels distant now. Smaller. In the rearview mirror."

Also, check out the recommended podcast Finally Pregnant by Cat Strawbridge for more on pregnancy after infertility.

⚠️ Trigger WarningThis episode includes discussion of IVF trauma, pregnancy loss, PTSD, and emotional distress during and after fertility treatment. Please take care when listening, and pause if it feels overwhelming.

🎧 And Finally...If you’ve made it through this three-part series — thank you. Whether you're in the thick of your fertility journey or reflecting from the other side, this series is here to hold space for all the complexity, sorrow, strength, and transformation that this experience brings.

As Stacey says, "The light for everyone is going to look a little different — whether that’s a baby or peace."

You're not alone.

Stacy’s poems are now available in a self-published collection on Amazon here

Let’s Stay Connected

💬 DM me on Instagram @fertilitypoddy

🌐 Follow @fertilityaction for updates and support

🖥 Check out their free weekly support groups and downloadable advocacy tools at fertilityaction.org

📧 Got thoughts, feedback, or ideas for future episodes? Email me at natalie@thefertilitypodcast.com

📱 Don’t forget to hit subscribe so we land in your feed each week

A Word From Our Sponsor – Proceive

We're delighted to be partnering with Proceive this season. If you're trying to conceive, you’ll want to check them out. Their high-strength fertility supplements are designed for both men and women and are trusted by healthcare professionals.

✨ Get 20% off your order at www.proceive.com using the code FP20 at checkout.

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In this heartfelt episode, Natalie is speaking with Stacy, a listener who reached out to share a series of powerful, deeply personal poems written throughout her fertility experience. What began as a simple message turned into a beautiful collaboration and the start of a special three-part poetry mini-series as Natalie asked Stacy if she could record her poems and the pair talk them through - which is what you're going to hear across two episodes.

Stacy opens up about the emotional weight of infertility, the isolation she felt while navigating treatment, and how writing helped her process what words often couldn’t express. We explore the tension between staying silent and speaking out, and how she found her own balance between vulnerability and protection.

We also discuss:

How her first poem, The Waiting Room, was born out of shared silence and communal painand how seemingly simple questions like “How are you?” can become painfully complex
The emotional symptoms of fertility trauma, and why it's okay to be both open and guarded
The healing value of putting pen to paper and the power of being seen and heard
Why poetry can provide a safe space for reflection, release, and connection
The overwhelming pressure to "do things right" in the beginning from switching soaps to trying acupuncture and tea and the illusion of control many experience before receiving a diagnosis.
The complexity of receiving a male factor infertility diagnosis, the emotional balancing act it requires in a relationship, and the importance of staying united as a couple.
The lack of adequate support for male partners and the growing awareness around this gap.
The realization: This is now my story.
Moments of empowerment and collapse from filming herself doing shots, to sobbing on the floor after work, to injecting herself at a wedding or even in a clinic exam chair.
The most absurd injection stories from toilets at awards shows to wedding receptions. It’s a reminder of the humor, resilience, and community in this often isolating process.

Stacy’s poems are now available in a self-published collection on Amazon here

Let’s Stay Connected

💬 DM me on Instagram @fertilitypoddy

🌐 Follow @fertilityaction for updates and support

🖥 Check out their free weekly support groups and downloadable advocacy tools at fertilityaction.org

📧 Got thoughts, feedback, or ideas for future episodes? Email me at natalie@thefertilitypodcast.com

📱 Don’t forget to hit subscribe so we land in your feed each week

A Word From Our Sponsor – Proceive

✨ Get 20% off your order at www.proceive.com using the code FP20 at checkout.

Thanks for listening 💜

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Welcome to The Fertility Podcast. This episode is something a little different and a little special. I’ve always used the podcast as a way to process, reflect, and hopefully offer support to you wherever you are on your fertility journey. But in this episode, we’re exploring how poetry can become a powerful emotional outlet especially when words are hard to find.

I’m joined by the brilliant perinatal psychologist Julianne Boutaleb (you might know her as @parenthoodinmind on Instagram), who offers her clinical and deeply human insights into fertility trauma, identity loss, and psychological support. You’ll also be hearing the beginnings of a heartfelt mini-series inspired by a listener named Stacy, who sent me a set of poems that absolutely floored me.

This episode is part one of a three-part poetry series and I would love to know what you think.

Here’s what we covered in this episode:

What the “reproductive story” is and how infertility shatters it
The emotional symptoms of fertility trauma, including avoidance and identity loss
The value of early psychological support and how to tailor it to where you are in your journey
How poetry can provide safety, validation, and emotional release
Why Julianne and Stacey both use poetry to process their experiences
A beautiful live reading of Julianne’s original poems: Unrequited and Waiting and Trying
How putting pen to paper might just help you feel seen—and less alone

Thank you to Julianne and Stacy and you'll hear more from Stacy and her poems in the next two episodes so make sure you've subscribed.

Julianne’s voice always grounds me, and her words in this episode are powerful. Stacy’s poems will be featured in our next episodes, and I can’t wait for you to hear them. Whether you’re a poet or not, I hope this gives you permission to feel, to reflect, and to find your own release.

Let’s Stay Connected

💬 DM me on Instagram @fertilitypoddy

🌐 Follow @fertilityaction for updates and support

🖥 Check out their free weekly support groups and downloadable advocacy tools at fertilityaction.org

📧 Got thoughts, feedback, or ideas for future episodes? Email me at natalie@thefertilitypodcast.com

📱 Don’t forget to hit subscribe so we land in your feed each week

A Word From Our Sponsor – Proceive

✨ Get 20% off your order at www.proceive.com using the code FP20 at checkout.

Thanks for listening 💜

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The Fertility Podcast is back with Big News: The Fertility Podcast Joins Forces with Fertility Action!

Welcome to the first episode in our brand new series of The Fertility Podcast, it's Natalie and I’m so excited to be back behind the mic and even more thrilled to share that this season, we’re doing something special. I’ve teamed up with Fertility Action, a new charity doing vital work to improve access to fertility support and treatment.

In this episode, I’m joined by the inspiring Katie Rowlings, the founder of Fertility Action.

Katie shares her deeply personal story seven years, five rounds of IVF, the trauma, the heartbreak, the hope and what led her to launch a charity during Fertility Week.

We also talk about the bigger picture: how we can create fairer access to treatment, build better support networks, and make sure no one feels alone on this path.

Here's what we talked about:

Katie’s raw and honest account of her fertility journey, including the emotional and physical toll
Why she founded Fertility Action and the real change it's already creating
How the charity is tackling the postcode lottery in NHS fertility access
The incredible power of community, and how support groups (for both women and men) are helping people feel less alone
Why psychological safety and trauma informed support are at the heart of everything they do
The importance of involving medical experts and how some of the best in the field are backing the charity
Tips for attending the Fertility Show without feeling overwhelmed
And the exciting news: The Fertility Podcast is now the official podcast of Fertility Action 🎉

A Huge Thank You to Katie

Katie’s passion is infectious. Her drive to turn pain into purpose is exactly what our community needs right now. If her story resonated with you—or if you know someone who could use this kind of support please share this episode.

Let’s Stay Connected

💬 DM me on Instagram @fertilitypoddy

🌐 Follow @fertilityaction for updates and support

🖥 Check out their free weekly support groups and downloadable advocacy tools at fertilityaction.org and you can sign up for the support right here

📧 Got thoughts, feedback, or ideas for future episodes? Email me at natalie@thefertilitypodcast.com

📱 Don’t forget to hit subscribe so we land in your feed each week

A Word From Our Sponsor – Proceive

We're delighted to be partnering with Proceive this season. If you're trying to conceive, you’ll want to check them out. Their high strength fertility supplements are designed for both men and women and are trusted by healthcare professionals.

✨ Get 20% off your order at www.proceive.com using the code FP20 at checkout.

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We couldn't stay quiet, so make sure you subscribe wherever you get your podcasts to find out what's coming on The Fertility Podcast.

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In the heartfelt final episode of this series—and the podcast—Kate hosts one last time, joined by fellow podcaster Kate Cocker, to explore happiness, positivity, and the emotional rollercoaster of the fertility journey. Do listen to the end as you'll also hear a message from Natalie, with a small ask about a survey we'd like you to complete.

Together, Kate and Kate reflect on the challenges of navigating hope and disappointment. Kate shares how the ups and downs can feel overwhelming, often leaving people afraid to hope for fear of being let down. It's an emotional struggle that can be all-consuming.

In response, Kate Cocker introduces The 7 Pillars of Happiness: be self-full, accept the now, practice gratitude, check your self-talk, make a rainbow, manage your energy, and clear your mind. These principles offer a foundation for finding joy and balance, even in difficult times.

This heartfelt conversation encourages you to seek out moments of happiness and hold onto them as a source of strength through your journey.

Tune in to this inspiring episode for wisdom, comfort, and practical advice to support you on your path.

OUR SPONSOR:

We are delighted that the current series is being sponsored by Proceive who are kindly offering all listeners to The Fertility Podcast 15% off any Procieve purchase, when you use the discount code FP15.

Socials:

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Check these out!

https://www.thepresentercoach.co.uk/

https://www.instagram.com/thepresentercoach/ and https://www.instagram.com/officialeverydaypositivity/

Every Day Positivity Podcast available on Spotify

Survey Link: https://docs.google.com/forms/d/e/1FAIpQLScBD3cObrjlqP9KQzYVeRL4m9jjTTtk403oiX7jsaLQ-FRW2Q/viewform?usp=sf_link

Also please check out the archive episodes of The Fertility Podcast as we also have:

Getting Pregnancy Ready: https://podcasts.apple.com/gb/podcast/getting-pregnancy-ready/id1642701326

Pregnancy Loss:

https://podcasts.apple.com/gb/podcast/pregnancy-loss/id1608905862

Male Fertility:

https://podcasts.apple.com/gb/podcast/male-fertility/id1608905647

Donor Conception and Surrogacy: https://podcasts.apple.com/gb/podcast/donor-conception-and-surrogacy/id1609413884

Infertility Support:

https://podcasts.apple.com/gb/podcast/infertility-support/id1608905639

As this is the last episode of the podcast... a little message from us

So much has gone into this podcast and so much has come of it. So now, it is with a heavy heart that we, The Fertility Podcast team, want to say a huge thank you to everyone who has tuned in over the years, we are so grateful for every one of you, it has been an incredible journey, thank you for riding along with us.

And of course a big thank you to our two amazing hosts of the pod, Natalie and Kate, who have had the courage to speak up when no one else would and shed light on a topic that is often seen as a taboo.

So thank you for listening, it has been an honour and a privilege.

The Fertility Podcast.

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In this episode, the penultimate episode that Kate is hosting, Kate is joined by Professor Tim Child.

Tim is Associate Professor of Reproductive Medicine at the University of Oxford. He has published more than 100 research papers, and has brought new treatments and techniques to the UK, increasing both the success and safety of fertility treatment.

In 2021, he was appointed by the Secretary of State for Health to the board of the Human Fertilisation and Embryology Authority (HFEA), the UK’s regulator of assisted conception treatment and research. Tim Chairs its Scientific and Clinical Advances Advisory Committee (SCAAC), responsible for the IVF Add-Ons traffic light system.

And not only that but Kate and Tim worked together many moons ago in Oxford, and Tim was rather partial to Kate’s homemade strawberry cheese cake!

So, Tim is here to talk all things IVF Add-ons with us and I’m sure you’ll agree he’s absolutely best placed to do so!

Kate and Tim discuss exactly what are IVF add ons, whether you should be using them, how they are graded and the importance of making the right decision for you with as much information from your doctor as possible.

The pair also discuss the rise of misinformation on social media, how to filter through this fake information and where to find evidence based information. Go and take a look at Tim’s excellent Instagram account where he shares so much top quality information to help you along your fertility journey.

Thanks for joining

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Find HFEA: UK fertility regulator website

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To celebrate the release on Netflix of the new film about IVF 'Joy' this is an old episode of The Fertility Podcast, which Natalie produced in celebration of Louise Brown's 40th Birthday and the fact that at that point in time, over 300,000 babies have been born through IVF treatment with more than 1 million cycles having taken place. TheHFEA asked Natalie to make a podcast with them, so Natalie is in conversation with its chair Sally Cheshire and one of its Inspectors, a lady called Janet Kirkland MacHattie, who worked as a nurse at Bourne Hall in 1982, under Patrick Steptoe, Robert Edwards and Jean Purdy.

In fact, it was during this conversation with Janet, that Natalie first learnt about Jean, and found herself feeling somewhat ashamed that she didn't know about her sooner!

What was discussed:

Sally Cheshire talked about how at the time the treatment was quite experimental and Louise Brown's parents were quite brave in putting themselves forward
She explains how the Government and Parliament decided to investigate how treatment should be regulated and asked Mary Warnock to form a committee in 1984 to look at how infertility should be regulated. The law came into being in 1990 and the HFEA came to be in 1991.
Sally talked about her role at the HFEA and what has changed over the last 40 years and the importance of the focus of its work being on the 70% of people who aren’t successful with their treatment.
The HFEA has a vital role, thinking about how emotional support can be improved in clinics because, as she explains 'We do know that even if you are pregnant after IVF there’s a level of anxiety you carry with you".
The importance of being medically, emotionally and financially equipped to try again when going through fertility treatment. Sally explained how 'We still feel a lot of media stories about fertility treatment are positive… very often, there’s a lot of around celebrities with the example of Bridget Neilson who gave birth at 54. Are they being truthful about using donor eggs? Some of those stories give you a false impression."
Janet explained how she went for the job at Bourn Hall, to join the nursing team - not really knowing what was involved and when she asked Patrick Steptoe his advice on a book she could read to learn more, his reply was 'My dear, they've not been written yet
What the treatment process was like initially, with Ladies staying at Bourn Hall for ten day periods and how as they didn't have blood tests, the Ladies urine was tested every three hours to find out if they were ovulating.
Janet talked about an interview Patrick Steptoe gave where he spoke about his vision for the future being "centres set up where people have been properly trained and this technique will be available to women all over the world"

To compare clinics like for like, or rate your clinic visit the HFEA website

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Back to The Fertility Podcast archive for this episode to celebrate the release of the Netflix movie 'Joy' - Natalie has shared a conversation she had Connie Orbach about how she started her research to curate the British Science Museum's exhibition about the story of IVF.

What was discussed:

Connie herself admitted how she didn't realize how much content she would find in the archives from Leslie Brown, regarding the correspondence she received from all around the world.
Connie talked about Jean Purdy who I've learned all about over the last couple of weeks and she is talked about as being IVF's forgotten pioneer, despite being written about by Patrick Steptoe and Robert Edwards as one of the three of them.
Connie has written a really good blog here Jean was hired as a lab technician however she was tasked with managing the laboratory and in reality, she did much more. Jean Purdy was not just central to the running of the lab but also to the scientific work. Connie and I spoke about whether her gender meant she was taken less seriously by reporters? Possibly, seeing as she was recorded in the photos as being the 'midwife'.
Was her role as a lab technician seen as unimportant next to that of the surgeon and the scientist? This is so ironic seeing as she is credited with first discovering the blastocyst embryo stage, one of the key breakthroughs in our understanding of an embryo's development.
Whatever the reason, it was not for lack of trying from Edwards. He repeatedly emphasized Purdy’s importance and unsuccessfully lobbied her name to be added to the commemorative plaque placed at the site of their original clinic. Read more in Connie's blog and here are some other articles that are written for the exhibition
Sally Cheshire, chair of the HFEA has also written a blog for the exhibition. Martin Johnson discussing the challenges faced by Bob Edwards developing IVF.
Gareth Downs on the male perspective: Bristol Archives wrote a blog recently about receiving the Lesley Brown Archive

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The Fertility Podcast is back with an all time favourite topic… stress!

In this episode Kate is with Alice Domar to talk all about stress and how it affects your fertility. Stress and Fertility is a topic that is often asked by a lot of patients, and it is one that leaves people little answer to whether stress causes infertility.

There is no question that infertility causes stress, through all the waiting, the tests, the remembering so many different things and then sometimes, not ever finding an answer to your unexplained infertility.

So in this episode, Kate and Alice talk about infertility about how most of the women and men going through it have psychological issues and lots of stress. They talk about how infertility effects everything in your life, your friends and family, mental and physical health, your body image and so much more.

Alice talks about infertility is a disease, however, unlike most other diseases, you are blamed for it. She goes onto talk about how it should be seen as a mental health issue or how it should be treated as the same but it is not.

They also talk about being on hold and feeling like you can’t do anything because you don’t know what is going to happen if you do.

OUR SPONSOR:

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Inception Fertility - Inception (@inceptionfertility) • Instagram photos and videos

Website - https://dralicedomar.com/

LinkedIn https://www.linkedin.com/in/alice-domar-ab03736/

Facebook: https://www.facebook.com/inceptionfertility/

Alice’s research - The relationship between stress and infertility:

THE PSYCHOLOGICAL IMPACT OF THE COVID-19 PANDEMIC ON WOMEN PREGNANT FOLLOWING ART: A LONGITUDINAL STUDY -

PREVIOUS EPISODE: Stress and Fertility by Kate Davies

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Welcome to another episode of The Fertility Podcast! This week is a special week as it is National Fertility Awareness week.

Joining Kate are two incredible women, Jane and Toni, who are here to talk all about fertility and their new book, What Every Woman Needs to Know About Fertility.

This episode, Jane and Toni talk about what it is that they do. Jane, being a Fertility nurse specialist, taught Kate everything she knows about fertility awareness. And Toni, who specializes in sexual and reproductive health information.

Together, they have written a book that is somewhat a guide for a woman all about fertility. From the essentials like understanding your cycles to the bits of information that you might not know like what does IVF mean and how does it work?

They talk about how they have spent their entire professional lives talking to women who don’t have any knowledge around fertility or their body, and then are saddled with fertility issues that they weren’t aware of.

When they wrote the book, they had the intention to deliver clear and honest information about fertility to the world, giving women the opportunity to find out more about their bodies, how they can plan or avoid pregnancy. The book is a guide, like a dictionary for those who are curious as to what a certain term means. It is there to dip into when you need it.

Lastly, they talk about going through fertility, what you can do to prepare your body for pregnancy, what menopause is like and what different terms mean in the fertility world.

OUR SPONSOR:

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Website for Fertility Network - https://www.fertilityuk.org/

Amazon link to book - https://www.amazon.co.uk/Every-Woman-Needs-About-Fertility/dp/1399814591

FNUK - https://fertilitynetworkuk.org/national-fertility-awareness-week-2024

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Hello again! This episode Kate is joined by the founders of the Swimmers Charity, Tara and Henry.

In this episode, Kate talks with the couple about how this charity is the first and only charity for male factor infertility. Started as a result of their own fertility journey, this charity aims to provide support for those going through infertility and to restore sperm health.

Before Kate and the couple dove into what the charity does and aims to do, Tara and Henry shared their own fertility story that led them to creating the charity.

Back before Tara and Henry were to be married, they decided to check that everything was okay for them to hopefully have children in the future. Through doing all the tests, Tara found that she was perfectly healthy and that there was nothing that flagged concern. Unfortunately, Henry’s results didn’t have the same outcome.

Henry’s results told him that he had low sperm, and that it was decreasing. However there was never an actual reason or explanation as to why this was the case.

The couple decided to go through the IVF process but sadly, they had to abandon the cycle. Tara and Henry tried again, this time with 3 embryos, however, these embryos failed the transfer.

Through all of this, the couple were still trying to achieve their dream of one day having a family. So, after many talks with doctors they were pointed towards DNA fragmentation testing. This unfortunately, came back inconclusive, which Henry explained was incredibly frustrating.

After this, they found out that Henry’s sperm was decreasing in numbers, so Henry made the decision to freeze his sperm, something which he recommends anyone does. Then, Henry made some lifestyle changes, like stopping drinking caffeine, taking cold diets and more.

They then started another IVF cycle and this time it was successful and now they have a baby boy.

They both explain how through this journey, they didn’t tell their family or friends about what it was that they were going through. Although they are wanting to try IVF again, the two of them have said that they would tell their family and friends.

Kate asks about the reasons for setting up the charity and what their goals, and both Tara and Henry shared that they want to help others achieve their dreams of having children of their own. Henry tells Kate about all the exciting things that the charity is going to be doing over the next couple of months such as grants to help those fund their own fertility journey and funding research into finding out why so many people have unexplained infertility.

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Read more about Request a babyloss certificate here

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Hello, this is a little bit of a special episode as The Fertility Podcast is sharing The F Word at Work!

We’re thrilled to have you here, and if this is your first time tuning in, we encourage you to explore our previous episodes.

They feature thought-provoking discussions about why fertility and family-building topics should be a priority on workplace wellbeing agendas. This fourth series focuses specifically on how to support colleagues through various family-building challenges.

In this episode, we’re delighted to welcome Katy Schnitzler, an esteemed trainer and founder of Mist. Katy is an academic whose work revolves around pregnancy loss, miscarriage, and the experiences of those who are childless not by choice, particularly their impact in the workplace.

She is also a lead trainer at the Miscarriage Association, and we're excited to delve into this vital conversation together.

Here’s a glimpse into our conversation:

Katy emphasizes the holistic approach needed when discussing pregnancy loss, highlighting both the physical and emotional implications for those affected in the workplace.
We explore common misconceptions surrounding pregnancy loss and the potential physical challenges that individuals face, which can significantly impact their work life.
Katy offers practical advice for managers and HR professionals on how to compassionately support colleagues experiencing pregnancy loss. This includes the importance of using appropriate language and demonstrating genuine empathy.
We discuss the emotional toll of pregnancy loss not only on the individual but also on their partner, stressing the importance of acknowledging their feelings and experiences as well.
We talk about the need for workplace policies that address pregnancy loss and how to implement them, as well as the importance of peer support and training for colleagues
Katy shares strategies for initiating open conversations about pregnancy loss, emphasising that it's crucial for workplaces to foster an environment where employees feel safe discussing their experiences.

As we approach Baby Loss Awareness Week, we encourage organisations to consider how they can acknowledge this sensitive topic thoughtfully and inclusively.

Thank you for joining us for this important discussion. We hope you find these insights helpful in fostering a supportive workplace culture.

Thank you to Apricity who are sponsoring this series of The F Word at Work. To find out more about how they can support your employees with inclusive fertility care please get in touch with its expert corporate team here. We'd love your support and feedback so please do hit follow and if possible leave a review in the app you are listening to.

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Download our guidance Ideal Policy Guidance - Fertility Matters at Work.
You can book a call to speak with us Calendly - Fertility Matters at Work.
Explore our services and subscribe to our newsletter Fertility Awareness & Support Training Workshop - Fertility Matters at Work
Join our vibrant community on Instagram, X and LinkedIn - Becky, Claire & Natalie (@fertilitymattersatwork) • Instagram photos and videos, (1) Fertility Matters at Work: Overview | LinkedIn

Join the Conversation:

Don't miss out on the dialogue. Follow and engage with us to be part of the movement towards fertility-friendly workplaces.

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We are delighted that the current series is being sponsored by Proceive who are kindly offering all listeners to The Fertility Podcast 15% off any Procieve purchase when you use the discount code FP15.

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This week on The Fertility Podcast, Kate is joined by a patient of hers, Alice, to talk about PCOS and how to live with it. This episode is a refreshing topic as Kate and Alice chat about looking after you first and trying to conceive second.

Alice, who has been trying to conceive for a while with her husband, came to Kate looking for a way to be able to live with PCOS. Together, they adopted the term ‘Project Alice’ which they both share is all about making sure that Alice is happy and healthy first.

In this ep, Alice talks about how her PCOS diagnosis turned her life around and has impacted almost every aspect of her life. She talks about how it took a toll on her not only physically but also emotionally. Alice explains how she struggled with the symptoms, the results of the diagnosis and the fear of the unknown.

Alice shares what her life was like before receiving the diagnosis and how she put her life on hold whilst she and her husband were trying to conceive. She talks about how she would put off holidays because she envisioned that she would be pregnant by then or weddings where she had hoped to be expecting. Alice then talks about how she felt when those events came and went and she wasn’t pregnant.

Together they talk about reaching out for help and support, how easy it was for Alice to find Kate, as well as what Alice wanted to achieve out of Kate’s consultations. She explains that she felt as though her future was uncertain and unclear but after a consultation with Kate, she found her future more clear and Alice was able to ask the right questions at her appointments and other things.

Coming to the end of this episode, they talk about PCOS weight loss injections and Alice’s journey with taking them. Although there is limited information and research upon these injections, as they are still a fairly new treatment, they seem to be having a positive effect on Alice. Kate and Alice go into a little more detail about these injections and what they are like.

Alice’s advice is to talk to everyone, to be open with not just those going through a similar journey to you, but also friends and family too. She shares that it can be quite lonely and that being able to share the burden can lessen the burden.

OUR SPONSOR:

Links to the article:

Carmina E, Longo RA. Semaglutide Treatment of Excessive Body Weight in Obese PCOS Patients Unresponsive to Lifestyle Programs. J Clin Med. 2023;12(18):5921. Published 2023 Sep 12. doi:10.3390/jcm12185921

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10531549

International PCOS guidelines - https://www.eshre.eu/Guidelines-and-Legal/Guidelines/Polycystic-Ovary-Syndrome

Vertity - https://www.verity-pcos.org.uk/

AskPCOS - https://www.askpcos.org/

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Hello, and welcome to the second episode of this series! This week is a very special week as it is World Childless Week, and what better way to start this week off than to listen to Kate talk to Hazel who is an award-winning highly regarded facilitator, advisor and executive coach to high profile private and public sector organizations.

Hazel joins Kate this week to talk about childlessness and her own fertility journey. She talks about how her experiences led her to making the decision to not have children. When Hazel was about to be married to her now husband, they decided that they would like to try to have children. And after many checks with doctors and gynecologists, they were told that if Hazel were to get pregnant, she would most likely be put into a vegetative state.

This was unfortunately due to a brain surgery that she underwent years ago. Hazel describes how she felt after being told the news, expressing her sadness and numbness after the appointment.

Hazel then goes on to talk about how she and her husband found a way to live without children, how they have almost come up with their own terms for things, like a language that only they know. Hazel shares some of the terms they use like ‘Pram Count’ when deciding on a cafe.

She also talks about some of the things they have discovered while being childless, like creating little crafts or being a cat mum to her two cats. Hazel opens a new perspective on childlessness, and offers a way of living without children.

Kate and Hazel talk about how Hazel copes with social situations that might resurface feelings of sadness about childlessness. Hazel describes it as lifetime grief, she shares that it comes around again when in situations where someone might ask about grandchildren, she talks about she and her husband deal with those types of questions.

Lastly, Kate and Hazel talk about having to rewrite your own story, finding a new path without children and coming to terms with reality. Hazel reveals that her childlessness life is actually quite fun and she basks in the time she spends with her husband and her fur-babies.

Check out these episodes about childlessness:

Kate Pleace & World Childless Week (thefertilitypodcast.com)
What support is there for childless Men? • The Fertility Podcast
How do I deal with the grief of not being able to get pregnant? • The Fertility Podcast
How to answer that you don’t have kids, so they don’t ask again • The Fertility Podcast
Why we need to talk about childless women differently • The Fertility Podcast
Childless not by choice • The Fertility Podcast

OUR SPONSOR:

This episode is also sponsored by Ovom Care, who have partnered with GlycanAge, a testing company. Ovom Care are looking for participants to help with their research around knowing what your actual biological age is. So if you are interested in finding out more, email research@ovomcare.com or check out their website www.ovomcare.com

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Follow Natalie Silverman she / her (@fertilitypoddy) • Instagram photos and videos on Instagram

Find Hazel on her website - justhazel.co.uk

Listen to Hazel's podcast - https://justhazel.co.uk/podcasts/

Linkedin - (41) Hazel Showell | LinkedIn

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Welcome back to what is the very beginning of a new series, with new voices that bring new and different fertility information for your ears.

This episode is a special one, as Kate is joined by a very familiar voice, Natalie, the founder of the podcast and now Exec-producer. You might not know this but this year is The Fertility Podcast’s 10 year anniversary! In this episode, Natalie and Kate reflect on the last 10 years with laughter and a few tears…….

The two catch up with what they have been doing over the summer and Natalie gives an insight into the work that she is now doing with Fertility Matters at Work and The F Word Podcast. As well as this, Natalie talks about receiving the award for Best Fertility Podcast in Amsterdam. She explains that it was a surreal moment for her and the pod, which is now celebrating 10 years.

Together they chat about the last decade and how much change the fertility world has seen, with things like the IVF add-ons and new treatments for those struggling with infertility. Natalie and Kate chat about the development of new drugs that are being tested to better fertility treatment.

The Fertility Podcast has helped so many people throughout the years, bringing patient stories and advice from experts to your ears. It has been a journey, from Natalie starting a decade ago in her booth, to Kate taking the reins solo 18 months or so ago.

This podcast has been a way for voices to be heard and listened to, a way of letting you know that you aren’t alone and there is support out there for you. It has also helped you to advocate for yourself and both Kate and Nat feel honoured to have helped in just a small way.

Unfortunately, this episode also has an announcement that comes with a heavy heart. The Fertility Podcast will be taking a long hiatus at the end of this series. Kate is hanging up her headphones and turning off her mic and is on to pastures new.

However, this is not the definite end of the podcast, Kate and Nat may well be popping on now and again and……..if you perhaps are thinking about starting podcasting or would like to give it a go, please do get in touch with Nat. Maybe you could be the next guest presenter of the podcast………

We are delighted that this episode is sponsored by

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Clean out your ears as you're in for a treat. Over the coming weeks, as we will the British Summer to impress us, we're going to be sharing with you right here on The Fertility Podcast feed, The F Word at Work episodes, which is the podcast created by Fertility Matters at Work and its what has kept Natalie busy for the last 18 months and why Kate has been at the helm of The Fertility Podcast.

Hopefully it will be useful for you if you've been trying to find the words to talk about what you are going through at work, as there's lots of examples of how support has been implemented and even if you share it with some colleagues so they get a better understanding of what you are going through, that will in itself make a difference.

Be sure to subscribe if you've not already, so you don't miss anything and you can also follow The F Word wherever you get your apps and also follow Fertility Matters at Work on insta to stay up to date on all the amazing work it is doing to raise awareness of fertility issues in the workplace.

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In what is the last episode of this series, Kate is joined by the podcast’s editor, Ella to ask some quick-fire fertility questions.

This episode packs a variety of information, from male factor infertility, ovulation induction medication, irregular periods and what this might mean for you to what to consider when choosing your fertility clinic. Ella asks a range of different questions about topics that may peak your interest.

Kate and Ella also talk about advocating for yourself and having the confidence to do so. They also discuss the education of fertility in schools, and Kate explains how she believes that students should be taught about other fertility issues and not just how to avoid getting pregnant, which can often be the subject of most sex-ed lessons. Things like the menstrual cycle and what may affect your fertility for both females and males.

So settle down, grab a notepad, and get ready for an adventure through fertility topics as Ella racks Kate’s brain for answers!

Thank you for listening to this series of the podcast, see you in September!

SPONSORS

We are delighted that this episode is sponsored by a friend of the podcast - @onedaytests. One Day Tests is your one stop shop for ‘at home’ fertility blood tests and more.

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You can find Louise on Instagram at Odd Ones Out (@oddonesout2023) • Instagram photos and videos

Pregnancy loss review - https://www.gov.uk/government/publications/pregnancy-loss-review

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This week Kate is joined by Clinical Embryologist Victoria Wigley a.k.a @allaboutembryology, to take you on a whirlwind of an episode on, what is quite a confusing topic, Pre-implantation Genetic Testing for Aneuploidy (PGT-A).

PGT-A was first used for those who had a family history of a condition, such as cystic fibrosis. PGT-A takes a look at the chromosomes that are in the cells of the embryo. Since we all have a set amount, PGT-A makes sure that there are no aneuploidies, or in other words - an abnormal amount of chromosomes.

Victoria talks about why clinics started using PGT-A testing and she goes into detail on what’s involved with this testing and how it is done.

Kate and Victoria discuss the HFEA grading system, which currently grades PGT-A testing as ‘red’, meaning that ‘there are potential safety concerns and/or, on balance, the findings from moderate/high quality evidence shows that PGT-A testing may reduce treatment effectiveness’.

Victoria also discusses her concerns that patients are being offered PGT-A when they do not need it. Victoria tells Kate how she believes that all patients should know everything about what they are being offered, including the risks and hidden costs. She goes on to explain how many of her patients struggle to find the confidence to say ‘no’ to their clinics, when being offered treatment that they don’t necessarily think they need.

Lastly, Victoria and Kate talk about the cost of PGT-A, what you need to consider and managing patients expectations.

We are delighted that this episode is sponsored by a friend of the podcast - @onedaytests. One Day Tests is your one stop shop for ‘at home’ fertility blood tests and more.

SOCIALS

You can find Victoria on Facebook, Instagram and TikTok at All about Embryology (@allaboutembryology) • Instagram photos and videos

And you check out her website Home | All About Embryology | Independent Advice and Support | UK

You can also listen back to a previous episode of the podcast all about the darker side of fertility treatments here - Navigating Private IVF & The Darker Side Of Fertility "Treatments" (thefertilitypodcast.com)

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This week’s episode of The Fertility Podcast, Kate is joined by the Grammy nominated singer, songwriter, and producer, Nelly Joy @nellyjoymusic to talk about her experience of pregnancy loss. The Fertility Podcast is honored to be sharing Nelly’s story, as this is the first time that she is openly talking about her experiences. Thank you Nelly.

As a result of her experiences, Nelly has written a breathtakingly beautiful song and we have a sample for you to hear in this episode. Nelly’s song, ‘Baby Showers’ was written after she’d organised a Baby Shower for a friend. On the way home from the Baby Shower, Nelly felt overwhelmed with emotion for her loss, and found herself crying ‘baby showers’. Baby Showers was released on the 7th June and you’ll find it ready to stream.

Nelly starts by explaining that and after numerous trips to her doctor with heavy and painful periods, and being told it’s normal to experience painful periods (note from Kate - It’s not!), she was eventually diagnosed with endometriosis. She talks about how women are often dismissed and gaslighted and the importance of being persistent and pushing for a diagnosis when you know something is not quite right.

After her diagnosis, Nelly then had surgery which changed her life for the better. Nelly talks about the relief that she had from the surgery and how it helped her with the pain she was experiencing.

In 2017, Nelly unfortunately lost a third of her left ovary, and this started to make her think about how this might affect her fertility. In 2020 Nelly and her husband started to try to conceive. A year later, after trying naturally unsuccessfully, Nelly and her husband turned to IVF.

Nelly tells Kate that after her first two round of IVF were unsuccessful, the couple decided to try naturally again, and in October of 2023, Nelly fell pregnant. However, after 7 weeks, her pregnancy sadly resulted in an ectopic pregnancy and the loss of one of her fallopian tubes.

Nelly has not given up and is continuing to try to conceive naturally. Nelly strongly believes that the stigma surrounding fertility needs to change and people need to start talking more, and this is one of the reasons Nelly wrote ‘Baby Showers’ as a way of breaking down taboos and to get people talking. We hope you enjoy listening to Nelly’s beautiful track. I’m sure many of you will relate…….

Thank you so much to Nelly for sharing this with us.

We are delighted that this episode is sponsored by two friends of the podcast - One Day Tests One Day Tests is your one stop shop for ‘at home’ fertility blood tests and more. The lovely people at One Day Tests are offering The Fertility Podcast listeners 10% discount with TFP10.

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In this week’s episode of The Fertility Podcast, Kate is joined by the Ro Huntriss - fertility dietitian to answer some quick fire nutrition FAQ’s. Ro shares lots of interesting evidence based facts and little tips. So buckle up for a speedy episode and don’t forget to grab a note pad!

During this episode, Ro and Kate cover topics such as whether you should stop drinking alcohol when trying to conceive, and if diet can help to improve sperm DNA fragmentation. Ro breaks down some myths and drops in little pieces of advice and information on how to optimise your fertility through diet and good nutrition.

One of the big questions was, whether the craze of having a Big Mac and Fries after IVF, is a good idea or not and is there really a best way to eat when TTC? Tune in to listen to Ro’s answer on these and many more fertility nutrition questions.

We are delighted that this episode is sponsored by two friends of the podcast - One Day Tests and Bud Nutrition. One Day Tests is your one stop shop for ‘at home’ fertility blood tests and more. The lovely people at One Day Tests are offering The Fertility Podcast listeners 10% discount with TFP10. Bud nutrition make a Vitamin D which we absolutely LOVE. You can use the code FP20 for a 20% discount off your order.

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Ro’s book - Deliciously healthy fertility is available on Amazon

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*Just a little trigger warning for this episode as there are mentions of termination for medical reasons and pregnancy loss, so if you aren’t feeling in the right place today, perhaps come back another day when you feel a little bit stronger. But don’t forget that The Fertility Podcast has plenty of back catalog for you to listen to!

On today’s episode, Kate is joined by Anita who is a fertility and pre-natal dietitian. Anita is here to talk about her making the difficult decision to end her pregnancy for medical reasons. This is called Termination for Medical Reasons or TFMR for short.

In the beginning of the episode, Anita talks about how her and her partner wanted to start trying to conceive back in 2019. After trying naturally for sometime, Anita and her husband embarked on IVF. After many rounds of IVF the couple were at at last successful and were overjoyed.

Anita shares that at her 20 week scan, the hospital staff started checking the scans and whispering to each other. This started to cause Anita concern and she just knew that something wasn't right. After a few weeks and scans later, Anita and her husband then received the information they were dreading. They knew that they had a difficult decision to make.........

Anita tells Kate in the few weeks that followed and due to the uncertainty that her pregnancy could continue, she felt the need to hide her pregnancy from her family and friends. Anita talks about how she felt receiving the diagnosis and making the heartbreaking decision to end her pregnancy. She explains that she would rather take the pain of losing her son herself, rather than Alexander, as they chose to name him, not being able to live a life. And as someone beautifully put, it wasn’t his time yet.

However, Anita's story has a happy ending. She and her husband now have their beautiful little boy, Oliver, Alexander’s little brother. Anita’s story is a rollercoaster of ups and downs, but she has proven there is always a rainbow after a storm.

We are delighted that this episode is sponsored by two friends of the podcast - One Day Tests. One Day Tests is your one stop shop for ‘at home’ fertility blood tests and more. The lovely people at One Day Tests are offering The Fertility Podcast listeners 10% discount with TFP10.

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Find Anita - Fertility✨IVF✨PCOS✨Diabetes (@fertility.hormone.dietitian) • Instagram photos and videos on Instagram

Find Anita also Diabetes:T1,T2,GDM| Fertility (@anitab_rd) • Instagram photos and videos here on Instagram

Fertility and Weight loss study - https://plymouth.onlinesurveys.ac.uk/2024wlm

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Just a little trigger warning, this episode mentions miscarriage and ectopic pregnancy. If today is a day you’re not feeling too strong, perhaps leave this episode for another day. We have a HUGE back catalog to dive into, so there may be something else you fancy instead.

Joining Kate on The Fertility Podcast this week is Jade. In this episode, Jade talks about her traumatic and life-changing experiences with ectopic pregnancy. For those who don’t know, an ectopic pregnancy is a pregnancy that is outside of the uterus. Unfortunately, an ectopic pregnancy isn’t viable and is not able to continue.

Jade’s story begins back in January 2022, when she first became pregnant. Unfortunately, this first pregnancy ended in a miscarriage. Later on, Jade fell pregnant again, however, this time, it was an ectopic pregnancy. Ectopic pregnancies can cause pain and in some circumstances, bleeding, however, Jade didn’t have any symptoms. It wasn’t until after a few trips to the doctor, that she was told she had an ectopic pregnancy.

Jade eventually had surgery to remove the ectopic pregnancy. She was advised by her doctor that she had an increased risk of having another ectopic, and unfortunately, this happened to Jade again in 2023. However, this time around, Jade knew something was wrong. Jade talks about how hard it was to advocate for herself. Regrettably, this pregnancy ruptured her fallopian tube. An ectopic pregnancy is a serious medical condition which can become a medical emergency.

Jade talks about how her experiences have left both her and her body scarred. She explains she is scared to get pregnant and risk going through it all again. However Jade is a fabulous example of the importance of being your own fertility advocate and being persistent if you think something is wrong. In Jade’s words “We do always have more strength than we think we have”.

We are delighted that this episode is sponsored by two friends of the podcast - One Day Tests and Bud Nutrtion. One Day Tests is your one stop shop for ‘at home’ fertility blood tests and more. The lovely people at One Day Tests are offering The Fertility Podcast listeners 10% discount with TFP10.

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Find The Ectopic Pregnancy Trust - Support For You And Your Loved Ones for more information

Find Request a baby loss certificate - GOV.UK (www.gov.uk)

Find The Premature Menocast podcast

Read Endometriosis time to diagnosis report

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To kick start this new series of The Fertility Podcast, Kate is joined by a returning guest and friend of the podcast, Lucy Lines. Lucy is an embryologist in Australia, she is also a fertility educator and advocate. On today’s episode, Lucy is chatting all about embryo grading and what it is and how it’s done.

Lucy explains how to grade an embryo and how a decision is made on which embryo to transfer. Lucy then delves into what it is like to be an embryologist, talking about the training period and the subjective nature of grading embryo’s and how this will differ from one embryologist to the next.

Kate and Lucy move on to talk about which day post collection an embryo should be transferred. Lucy tells Kate that there is a lot of debate around whether day 3 is the best day or day 5 is. More often than not, clinics will prefer to transfer on day 5, as it usually has a higher success rate than day 3 and there are interesting reasons as to why this decision is actually made……..

Lastly, Kate and Lucy talked about batching and what to do if you are thinking about batching embryos. Lucy’s answer is that there is a lot to take into consideration when thinking about batching. Considerations with regards to your age, your AMH, the stability of your relationship with your partner and what to do with the frozen embryos when you have completed your family.

A little bit of advice to take with you from Lucy is when choosing a fertility clinic, take a look at the live birth rate per cycle, how many women who started a cycle ended up with a baby? And, a question to ask at you appointment is how far below the threshold would they grade the embryo?

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Follow Lucy Lines - Embryologist | Fertility Educator | IVF Advocate (@twolinesfertility) • Instagram photos and videos on Instagram

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*Just a little note: There is a little bit of background noise as Kayleigh joins me from a busy office. We’ve done our best to minimise it, but apologies if you hear a bit of background noise. *

In what is the last episode of this current series, I am delighted to be joined by Kayleigh the founder of Fertility Mapper.

Fertility Mapper aims to personalise and humanise the access to high quality fertility care. The site allows you to choose a fertility clinic based on geography, cost and patient reviews. There is also a calculator to help you identify whether you are eligible for NHS funded fertility treatments, and handily includes information on your local ICB, to help you really understand what is available for you and your specific circumstances.

Kayleigh’s advice to anyone looking to access fertility treatments, is to take your time to gather all the information that you need, compare clinics and costs. She also advises to look around and read the stories of others, to help you in deciding which clinic is the right one for you.

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Find Fertility Mapper | Our stories change everything. For more information and support

Follow Fertility Mapper (@fertilitymapper) • Instagram photos and videos on Instagram

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In this episode of The Fertility Podcast, we are joined by a friend of the podcast, and as this episode comes out just a few days after International Women’s Day - one hell of a woman - Jessica Hepburn. Jessica is an author, arts producer and, using her own words, ‘the most unlikely adventure activist’! Jessica returns to talk about her latest book, Save me from the Waves. However, for those of you who have not yet come across Jessica (and there really can’t be many as she is a living icon!) she also shares her fertility journey so you can get up to speed..

Jessica’s fertility story lasted a decade, and through her journey of 10 cycles of unsuccessful IVF, she has experienced profound loss, but has found new treasures and a new career. Her books, The Pursuit of Motherhood, 21 miles and now Save me from the Waves, take you on an alternative adventure through the ups and downs of her life and provide advice and comfort for those who are on a similar journey.

Through Jesssia’s many achievements, she is the only woman in the world to have completed The Sea, Street, Summit Challenge. From running the London marathon, swimming the English Channel and then to only going and climbing to the tippy top of Mount Everest! I am in awe.

A common feature of the podcast is for me to ask our guests for a piece of advice or what they wished they knew sooner. Jessica answered both. Her advice to you is to be braver sooner, Jessica uses the hashtag #livebigandbrave wherever she can. When it comes to Fertility, her advice is that she wants people to know that there are many roots to parenthood. There are many ways to create a family, many ways to be a mother in the world. Wise words indeed!

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Find Jessica’s books here Books - Jessica Hepburn

Go and have a look at Jessica’s website Jessica Hepburn - Jessica Hepburn

You can find Jessica on Instagram at Jessica Hepburn (@jessica_hepburn_) • Instagram photos and videos

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In this week’s episode, I’m joined by Andreia Trigo @andreiatrigorn, a fellow nurse and the CEO and founder of Enhanced Fertility. We’re talking all about Mayer-Rokitansky-Küster-Hauser also known as MRKH.

Yep, you can be forgiven for not knowing much, if anything about this rare condition that severely impacts your fertility potential. Essentially if you have MRKH you’re born without a womb. Can you imagine how devastating that diagnosis would be and how it would impact you? Imagine finding this all out as a teenager and then in later years realising how this would impact your ability to create a family! Andreia talks about her diagnosis, what she experienced to even get diagnosed in the first place, the accessibility for those who are diagnosed with MRKH, and the first UK uterine transplant.

Andreia’s fertility journey began when she was 17. She was concerned that she hadn't yet had her first period. After being told to come back after a year, she eventually had tests and scans done and one of the scans reported that a uterus was seen on the scan. It wasn’t until later that it turned out to not be the case and Andreia had been incorrectly diagnosed.

A year later, when Andreia was 18, she was diagnosed with MRKH. The process that she went through to get that diagnosis took just over 3 years. This involved invasive and painful investigations and procedures to reach a diagnosis. Something that still haunts Andreia to this day. We talked about whether there has been a change in the way that MRKH is diagnosed in the UK. Andreia tells us how it has and now there is a lot more support and tests that are available to be able to effectively diagnose MRKH promptly. Incredibly, 1 in 5000 women are diagnosed with MRKH. Later on, we talked about the first UK uterine transplant and what this means for women like Andreia.

Andreia is passionate about improving access and decreasing the time to diagnosis and helps women find their way through diagnosis and the next steps. Andreia’s advice to anyone on a fertility journey is, if you feel there is something wrong be persistent and feel empowered to investigate why.

Find out more about Andreia at - https://efp.clinic/

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This episode of The Fertility Podcast I am joined by Gemma. Gemma is going to be sharing her IVF journey with us as she goes through the process and on to the next step of donor conception. From this episode onwards, we are going to be keeping up to date with Gemma, so tune in each episode to hear a little update from Gemma.

In this episode, however, Gemma starts from the beginning. After going through many tests and everything coming back as normal, they decided to take matters into their own hands and started using the cycle and ovulation monitor - OvuSense.

As time went by Gemma started NHS funded IVF and sadly had two unsuccessful cycles. At this point Gemma started to look at accessing IVF abroad. Overall, Gemma went through 6 rounds of IVF in a year, unfortunately, all of them unsuccessful and this led Gemma to the prospect of using donor conception to create her family. Gemma shares how, initially, this prospect took a toll on her mental health.

However, Gemma has now come to terms with her decision, has had all the tests required and is now waiting for a donor match. Keep tuned as we’ll be hearing from Gemma again in the next episode.

If you are thinking about the next steps in your fertility journey and are perhaps considering donor conception, Gemma has found 2 places that she has found to be really helpful - The Donor Conception Network and Becky Kearn’s Paths to Parenthub.

This episode is sponsored by our friends at OneDayTests. One Day Tests is your one stop shop for ‘at home’ fertility blood tests and more. The lovely people at One Day Tests are offering The Fertility Podcast listeners 10% discount with TFP10.

Socials:

Follow @YourFertilityNurse on Instagram

Follow @TheFertilityPodcast on Instagram

Follow @onedaytests on instagram

Find Paths to Parenthub - Support and Connection for Donor Conception for more information on Donor Conception

Find Donor Conception Network | Supporting families through donor conception (dcnetwork.org) for more information on Donor Conception

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In this episode of The Fertility Podcast, I’m discussing how to navigate through the private IVF system. It’s a topic I’ve wanted to record for an age, mainly because many of you book in to see me for advice and support on this very topic. It seems to be a big pain point. In the UK we’re not familiar with accessing private healthcare, so how do you do it? And importantly how can you change your mindset from a patient to a consumer and why is this important? I also share some great tips on how to choose the right clinic for you and what questions to ask at your first IVF appointment.

Later in the pod, I’m joined by freelance journalist Antonia Hoyle @greenerlanes who recently investigated the darker side of fertility ‘treatments’. We talk tarot card readings (yes really!), alternative therapies, and immunology.

We talk about how these alternative ‘treatments’ and IVF Add-ons do not have the evidence to support their use. And that vulnerable women being taken advantage, both emotionally and financially of by unregulated and self-styled fertility ‘experts’ who are offering false hope.

We are delighted that this episode is sponsored by two friends of the Podcast. Firstly, The Lowdown is the place to get the lowdown on your reproductive health. Learn about your fertility, share your experiences and read those of others. And One Day Tests your one stop shop for ‘at home’ fertility blood tests and more. The lovely people at One Day Tests are offering The Fertility Podcast listeners 10% discount with TFP10.

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Follow @get.the.lowdown on instagram

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Happy New Year and welcome back to The Fertility Podcast. In this first episode of the new series, I'm joined Professor Helena Teede all the way from Australia!

Helena is one of the authors of the International PCOS Guidelines and is here to talk about the changes to the PCOS guidelines and the proposed PCOS name change.

We discuss PCOS in general, chatting about the symptoms of PCOS, both the common ones and the not so common. Helena and I discuss weght stigma and how the new guidelines move away from this and instead why we should be helping women to just be healthy to manage their PCOS proactively.

Helena talks about the potential risks around pregnancy and that it is not often identified, as well as the support for pregnant women with PCOS, or sadly the lack of. She tells me how she supports women with PCOS, and the steps she takes to help them manage their condition and optimise fertility.

We talked about diets and eating right, Helena explains that there is no one diet, or right way to eat when it comes to PCOS. A start contrast from what you find if you consult Dr Google! I ask Helena for her opinion on the supplement Inositol, listen in to see whether she says yes or no! We discuss the new App ASKPCOS that can really help you on your journey to understanding and managing PCOS.

Lastly, Helena tells me about the proposed PCOS name change. Helena talks about the fact that PCOS is not an ovarian disease so therefore the name is incorrect. Below is a link to vote for the name change. So have your say and vote as getting the right name for this is important and your support will really help.

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Go and have your say - PCOS Name change

Have a look at Home | AskPCOS

International PCOS Guidelines

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Morven is an independent fertility nurse specialist living in rural Scotland, and also a nurse working in cancer care within the NHS. She joins the podcast to talk about the difficulties faced by women and couples accessing fertility treatments in Scotland and the general lack of provision across the country.

What we discussed:

The difficulties faced by those accessing treatment in rural areas of Scotland and other areas of the UK
How traveling long distances for fertility treatment can add to the emotional burden experienced when accessing fertility treatments
Unlike England, Scotland does not have the IVF postcode lottery and therefore all people requiring fertility treatments are entitled to 3 rounds of IVF on the NHS, but with very few private clinics in Scotland, what happens when those 3 rounds fail?
The importance of being able to advocate for yourself, particularly when your rural location means there is a lack of choice.
Disparity of fertility and women’s health in Scotland and why this needs to change
Why men in Scotland are disproportionately impacted with mental health issues and how fertility adds to this burden.

Socials:

Follow @YourFertilityNurse on Instagram

Follow @TheFertilityPodcast on Instagram

Follow Morven RN BSc | Independent Fertility Nurse Specialist (@wildraefertility) | Instagram on Instagram

Follow Deborah James (@bowelbabe) | Instagram on Instagram

Mikeysline - mental health support

The Women’s Health Strategy

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Trigger Warning - This episode contains discussion surrounding Pregnancy loss. If today is not a good day, please come back to this episode when you're feeling a little stronger. Here at The Fertility podcast, we're always here for you.

We're delighted that this week's episode is sponsored by The Lowdown - the place to get the lowdown on your reproductive health. Learn about your fertility share your experiences and read those of others.

In this week’s episode of The Fertility Podcast, I am joined by a patient of mine - Katie. Katie @secondary_infertility_life shares her story of secondary infertility, IVF and pregnancy loss.

Katie knows that she is really lucky to have her little boy Jake. Jake is everything to Katie and more, however she just feels that, as yet, her family is not complete. However Katie found the process of trying to conceive again really isolating. Somehow it just felt harder to find support when you already have a child. I firmly believe that trying to conceive the second (or third, or fourth) time around is different as not only do you want a baby for yourselves but you desperately want a sibling for your existing child. So that they don’t grow up alone in life. This is exactly how Katie felt.

After trying unsuccessfully for a year or so, Katie and her husband finally found out that they were pregnant. Fantastic news! However, Katie could tell something wasn’t quite right with the pregnancy, and sadly at 8 weeks they went for a scan and there was no heartbeat. Katie ended up miscarrying at home and she talks about how she felt OK physically, but took time for her to heal emotionally.

After trying for another 6 months, Katie and her partner decided to start IVF. Katie had a top grade frozen embryo transfer in November last year and got a positive pregnancy test. Sadly, at Christmas, there was no heartbeat again and Katie had a miscarriage in the hospital. Katie talks about her positive experience of miscarrying at the hospital and how she got all the support she needed.

Katie went for her 3rd transfer, which was sadly unsuccessful again and by this point Katie says she knew something else was wrong. She wanted to find out more and made the decision to have NK Cell testing. This identified a high level of natural killer cells which has informed her treatment going forward. At the time of recording Katie was about to embark on her next round of treatment and I’m sure you’ll all join me in wishing her the very best. We’re hoping this is the one Katie!

Katie’s advice to listeners is to trust yourself and your gut, to keep driving and find out what further investigations are out there for you and get knowledgeable. Make your own decision on what’s best for you and you alone.

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In this episode of the Fertility Podcast, I am joined by Mike Johnson-Ellis who is here to talk all about surrogacy. We talked about the ins and outs of surrogacy, his own surrogacy journey and how that led to the launching of TwoDadsUK and Your Surrogacy Journey. Mike and his partner Wez aim to support couples who are starting their own surrogacy journey, and are passionate about paving the way for a better future for surrogacy.

What we discussed:

Mike shares his surrogacy journey which resulted in two beautiful children.
We talked about TwoDadsUk which launched back in 2016 and the success of the company, then the decision to launch a new non profit surrogacy organisation called My Surrogacy Journey in Feburary of 2021.
Mike shared why many women choose to become a surrogate - the ultimate altruistic act.
We talked about the feeling of empowerment and accomplishment that surrogates feel.
We then discussed what it is like from the other side, for those who make the decision to have a family via surrogacy and the apprehensions of doing so.
Mike highlighted the importance of building a relationship with the surrogate and their partner if they have one, and developing a friendship with them.
Mike and I talked about where to start, what the options are for those who are looking into surrogacy, for both heterosexual couples, gay couples and single parents.
We talked about the recent changes in surrogacy law. However, please note that since the recording of this episode there have been further changes not discussed here.

Mike’s 3 top tips for those considering surrogacy are:

Do your research - don’t rush into surrogacy, do your research on the organisation or the country your doing your journey in.
Always get legal advice - just in case.
Understanding that like everything, surrogacy has its highs and its lows.

Socials:

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Follow Michael Johnson-Ellis (@twodads.u.k) | Instagram on Instagram

Follow My Surrogacy Journey (@officialmysurrogacyjourney) • Instagram photos and videos on Instagram

Find Best Surrogacy Agency in UK for Surrogacy Support in UK and US (mysurrogacyjourney.com)

Find My Surrogacy Journey - Season 1 | Podcast on Spotify on Spotify

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This week is National Fertility Awareness Week and we thought it was important to discuss male factor infertility. MFI is sometimes hidden in plain sight, as far too often (both by medical professionals and the TTC community) the focus is on the impact on us women. Therefore, joining me today on the Fertility Podcast is Frank Fallon a.k.a @betatwindad to talk about male factor and infertility. Frank and I talk about his diagnosis and the lack of answers from doctors, how he learned to advocate for himself and his drive to seek out his own support.

Frank shares how low and shell shocked he felt when he was told that he was infertile.This was compounded sadly by his experience of unhelpful the doctors. Frank talks about how he was directed straight to IVF with no explanation or answers about the cause of his infertility.

Eventually Frank was told that he had low sperm motility and that trying to conceive naturally was unlikely, however he felt there had to be a reason for his infertility and wanted to find out.

Frank describes how he felt guilty and shameful, but the biggest part of it all was not having anyone to talk to. Frank wasn’t offered any support, so made the decision to seek it out himself.

Frank talks about how fortunate he and his partner were to conceive on their first round of IVF and twins at that! After having the twins in 2022, Frank explains how he found out that there were tests that should have been done at the beginning of their fertility journey but were not done. Frank has now been diagnosed with a varicocele. Had this been diagnosed they may not have needed IVF treatment.

Frank's advice to listeners is to find out as much as you possibly can about tests and treatments that are available to you, and make sure you reach out for the support you need.

Socials:

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Follow @betatwindad on Instagram

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In this episode of the Fertility Podcast, I am joined by Doctor Siobhan O'Sullivan and my friend and colleague - Women's Nurse Specialist Kate Pleace to talk about premature ovarian insufficiency (POI) and World Menopause day. We talk about Siobhan's experience of being diagnosis with POI in her early 30's, and Kate discusses the fertility options available and what it's like growing older with POI.

To start us off, Siobhan shares her story of talks stopping the contraceptive pill and experiencing hot flushes. At first, Siobhan thought nothing of it until it got worse over the winter. Siobhan decided to get some blood tests done and how she felt when she received her results.

Siobhan makes the decision to access private care and was told that she had no ovarian reserve left. She tells us about how she wasn’t able to process it all and that she found herself not really wanting to accept her diagnosis. She felt too young for this to be happening to her and she felt that there was a part of her missing.

Sadly, Siobhan diagnosis coincided with a break up from her long term partner and she explains what it is like to cope alone without the support of a partner.

Over time, Siobhan has came to terms with her diagnosis of POI however she says that she is still processing it all. We talk about the impact of a diagnosis of POI on relationships and work. Kate refers to a woman in Leicester who had to quit her job because of the lack of understanding/support that she received during her menopause transition and how this is now being heard by an employment tribunal. This could pave the way for significant changes in how the menopause is viewed in the workplace.

When then move on to Kate who share talks her own experience with POI and how different it can be depending on your age. Kate also talks about fertility treatments for POI including egg donation.

Both Siobhan and Kate share one piece of advice for you if you are finding yourself in a similar situation. Siobhan’s advice is to get support from those who are on the same or a similar journey to you and to never be afraid to reach out for support. Kate advises to take your take your time in finding the right fertility treatment for you.

You can also read Siobhan’s book ‘My life on pause’, check out the link below!

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Follow Kate P, RN, MSc, Independent Women’s Health Nurse (@fertility_menopause_support) • Instagram photos and videos on Instagram

My Life on pause by Siobhan O'Sullivan

Daisy Network - for advice and support on POI

HFEA IVF Add ons - New HFEA IVF add ons rating as mentioned in this episodes intro

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This week's episode comes with a trigger warning as we are discussing pregnancy loss. If you are struggling right now, perhaps leave this episode for when you are feeling a little bit stronger and please do access all the support out there that is available to you.

On what is Baby Loss Awareness Week, I am delighted to be joined by the lovely Tess Souray, model, actress and wellness influencer in the US. Tess shares her experiences of IVF, pregnancy loss and her decision to try genetic screening.

Whilst navigating her fertility journey, Tess found out that her ovarian reserve levels were much lower than they should be for her age and that in fact her egg age was 10 years older than her biological age. This came as a huge shock as Tess assumed that as she young she wouldn't have any problems getting pregnant.
Tess shares her frustrations of not being able to progress her fertility journey during the pandemic and the isolation she felt during this time, which has been common to many.
Tess tells me about how much IVF has taught her about herself and her body, and that during a fertility journey you have to learn a whole new language with all the different words and acronyms that she had to get familiar with.
We talked about the decision to go through IVF and the support that she had from her friends and other women who had gone through fertility treatments.
Tess talks openly about how she coped with IVF and the challenges they went through.
Tess explains how it felt, to find out at her 10 weeks scan, that there was no heartbeat. The devastating news no one wants to ever hear.
Tess unfortunately had a miscarriage just before Thanksgiving, an American National holiday at the end of November. She talks about her down she felt during the holiday.
Like many women, Tess felt that there was something wrong and made the decision to get further medical opinion. One specialist mentioned blood clotting, something that hadn’t been raised before with Tess.
Tess made the decision to try an IVF add on tests and treatment, currently not available in the UK, called Pregmune which is a comprehensive, AI-powered fertility assessment. During these tests, Tess discovered that she had 3 active blood clots that were only present when she was pregnant.
Tess shares that she was able to get the right support from her doctor and happily went on to conceive again.
Tess offers some good advice that you are your best advocate, so research and find out everything you can to support your fertility journey.

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Follow Tess Annique Souray (@tessannique) • Instagram photos and videos on Instagram

Baby Loss Awareness Week

Pregmune

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This episode of The Fertility Podcast is all about the practice of Fertility awareness. Fertility Awareness may not be a term that you’ve heard previously, or you might be an expert! Essentially the term means understanding your body and becoming more aware of the changes throughout your cycle. I discuss how you can become more aware of what is happening in your body and just how to become fertility aware.

In the second half of the episode, I’m joined by my colleague Laura, who has developed the ‘Read Your Body’ App. This fabulous little App, which I highly recommend, helps you get to know and understand your body. Listen in to hear what Laura has to say about her app and how it can help you when trying to conceive.

What’s in this episode:

In the first half of the podcast, I explain what we mean by the term ‘fertility awareness’, and share the 3 indicators of fertility to help you better understand both your body and your fertility.
These three indicators are: Temperature, Cervical Mucus and your Cervix.
I discuss how ovulation predictor kits and fertility monitors may help but also some of the pitfalls……
I talk about how you can observe these indicators to help you identify when you’re fertile and the all important fertile window.
Laura joins me to explain just what the Read Your Body app does and how it can help support you to conceive naturally.
There are many methods available to help you understand your body and fertility better. From period tracking apps, to ovulation predictor kits and fertility monitors. It’s all about finding what works for you.
Fertility Awareness is not currently recommended by NICE based on lack of evidence, but also concerns that women will become overwhelmed. This guidance, based on women’s curiosity and a desire to become empowered, is perhaps outdated.
Becoming fertility aware is under your control. It is incredibly empowering and can provide you with so much insight. As Laura says, knowledge is power, so why would you not want to explore all the options that are available to help move you along your fertility journey?

Socials:

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Follow Read Your Body (@read.your.body) | Instagram on Instagram

Look at Read Your Body (RYB) - Home website

The OvuSense Fertility Monitor

Find out more about Ovom Care here

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Joining us this week, on what is World Childless Week, is a familiar face. As some of you will know, Kate Pleace is one half of the ‘Kate’ double act, as she works with me in my practice seeing many of our fertility and menopause patients. However, Kate is more than just that - she’s also my beautiful friend.

Kate and I first met here on The Fertility Podcast, many moon's ago, when Nat and I interviewed her to find out more about her experiences of a rare condition called progesterone sensitivity, which sadly ended her fertility journey. Kate is living a life without children but that hasn't held her back from living her life to the full.

What we discussed:

Kate tells us about her fertility journey that started back in 2012, like the majority of her patients, she had some time trying to conceive.
Kate then moved onto IVF treatment using her own eggs which then lead to one unsuccessful cycle and one cycle that was cancelled.
Kate talks about how she discovered that she had Premature Ovarian Insuffiency (POI)
Her husband and Kate looked at using egg donation. This was Kate’s last cycle of treatment, and she became pregnant for the first time.
Unfortunately, Kate develped a condition called progesterone hypersensitivity which made her very ill and resulted in a miscarriage.
After Kate started to feel better, her and her husband made the decision to end their fertility journey.
Kate talked about she felt she was childless but not by choice and how the decision was made for her.
Kate and I talked about World Childless Week and what the campaign is doing during the week.
We talked about how employee’s who are childless feel underrepresented within the workplace, and how companies should start to include them in the fertility programmes that are in place.
How those who are single, childless or alone should receive something as well so that they feel like they are seen too.
Kate and I discussed how the language we use when talking about trying to conceive is important, and even if it was not meant to upset the other person, it is still hurtful.
Kate talks about her experience with comments and the language used when she was going through her fertility journey.
We also talked about moving forward, and not moving on. Understanding that there is an after.
Kate mentions legacy and how she felt like legacy was meant for someone else, that she was supposed to leave a legacy behind when in actual fact it is your legacy. Do it for yourself.
Kate’s advice to you is: take the time to just be and to reflect with your partner and don’t try to force yourself to go to those baby showers or events like it. Be brave enough to say that you aren’t feeling up to it. Remember that you need to support yourself as well as others.

If you would like to listen to more episodes on The Fertility Podcast that cover childlessness take a look at these:

https://www.thefertilitypodcast.com/childless-not-by-choice/

https://www.thefertilitypodcast.com/worldchildlessweek/

https://www.thefertilitypodcast.com/robin/

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World Childless Week

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Trigger Warning: Mentions of pregnancy loss

In this episode of The Fertility Podcast I chat with the Infertile Midwife, Sophie Martin about infertility, IVF and pregnancy loss. Sophie’s experiences inspired her to write a deeply personal and moving memoir and changed her perspective on her practice as a midwife. Sophie shares how pregnancy loss can impact on the wider family, something we might not have the emotional energy to consider at the time. We also talk about the publication of the recent Pregnancy Loss Reviewand Sophie’s hopes for change as a result.

What we discussed:

Sophie shares her infertility journey, including her gut feeling that she was going to struggle to conceive, and the ultimate decision to access privately funded IVF
We talk about Sophie’s joy of finding out that she was pregnant with identical twins and then the devastation when she went into spontaneous labour at 21 weeks
Sophie talks about her decision to share the story of Wilfred and Cecil because pregnancy loss is not something to be ashamed of.
How her own experience has changed her practice as a midwife and that Sophie has gained a different level of understanding her patients.
We talked about Sophie going back to work and how she coped with the inevitable triggers.
Sophie shares her experience of further rounds of IVF, becoming pregnant again and how to cope with pregnancy after infertility and loss.
We discussed the impact of loss on the wider family. Sophie shares how it is important to learn to lean on others and being open with your family.
We discussed the recent Pregnancy Loss Review and our hopes for the future.
And to finish, Sophie tells me about her book, to be released on the 31st of August 2023. Her book is a moving, hopeful and warm account of her work as a midwife in a busy London hospital whilst dealing with infertility and pregnancy loss

Socials:

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Follow Sophie Martin (@the.infertile.midwife) • Instagram photos and videos on Instagram

You can pre-order Sophie’s book here The Infertile Midwife: In Search of Motherhood - A Memoir (geni.us)

You can check out the Pregnancy Loss review here Pregnancy Loss Review - GOV.UK (www.gov.uk)

You can find out more about Sepsis here Symptoms of sepsis - NHS (www.nhs.uk)

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Welcome back to the Fertility Podcast, after our summer break we return with Fertility Coach Sarah Banks to talk about support (or sadly the lack of) in IVF clinics. Both Sarah and I hear frequently, from the people we support, that there is just not enough emotional support in clinics. Sarah is working hard to raise awareness of this with fertility clinics, and has recently completed a survey with her support communities to assess the degree of emotional support provided in clinics.

This is what we discussed:

Sarah explains the results of her survey. From a total of 200 responses so far, respondents rated the level of support as 4.9 out of 10.
8.4% reported having zero support in their clinic and 60% felt that their clinic did not have a culture of support. Many respondents felt that the degree of support had lessened since the Pandemic, with patients feeling more like a number than an individual.
We talked about how there is an expectation of support and that it is now greater than it has ever been. Sarah explained why this might be the case.
Sarah talked about how clinics have received her data and that she is finding that they are more open to understanding what patients need but we still have a long way to go.
Sarah offered suggestions for the types of support that clinics should be offering. Counseling in clinics is often limited to one session, and counseling is not for everyone. Sarah discusses the benefit of a support group to find commonality and to feel validated, reading materials, signposting to reputable social media accounts, Apps etc
Sarah highlights that there needs to be a culture change among staff and the importance of receiving training to better understand the emotional needs of patients. Understandably, staff in clinics are very busy but they need to be empathetic to patients so that they feel fully supported.
Sarah shares her fertility journey of 6 years and two cycles of IVF to conceive her son. This led her to retrain to be a fertility coach, and set up support groups locally and internationally.
Sarah later developed the IVF Positivity Planner which is a fabulous resource to support you on your fertility journey. The planner is a coaching book combined with a 12 week journal to help you focus on the things you can control, from self care to action plans and goal setting to help you move forward. We totally recommend it!
Finally Sarah’s advice if you feel you're not getting support from you clinic is to speak to them and tell them how you're feeling. Clinics do want to support you, so feed this back to them and get your voice heard. You can also look for professional support via BICA (British Infertility Counseling Association) or you may prefer a fertility coach to support you.
We would love to hear your experiences of the support you received at your clinic. Check out Sarah’s survey via the link in her instagram bio (see below)

Socials:

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Follow Sarah Banks | Fertility Coach (@ivfpositivityplanner) on Instagram

Find IVF Positivity Planner – Sarah Banks Coaching

BICA - https://www.bica.net/

Fertility Coaching with Kate and

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This week we have a friend of the podcast returning to chat. Shaun a.k.a @knackered_knackers was previously on the podcast talking about his fertility journey using donor sperm. You can check out his previous episode Sperm Banter on the Fertility Podcast website. Now he is back with updates and more! Tune in to listen to what he is doing now and how his experiences have changed his life.

Here is what we discussed:

Shaun updates us on his fertility journey using donor sperm
His experience with male factor fertility, how he felt when receiving news about his fertility
His decision to start a new career path to help others and how that is working out for him.
How he has started to share his story to help others on a similar journey to him and try to gain more awareness around male fertility.
Why Shaun is training to be a coach and why he felt there was a need for a dedicated fertility coach for men.
Shaun’s tips on what to do to stay focused when receiving news from the doctor and how to cope with that news.
The support he got from those around him, and how that helped him to then better himself and his clients
What it is like having donor conceived children
His process with his clients, how he gets them to open up, and why it is so important to talk.

Socials:

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Follow @knackered_knackers on Instagram

Find Shaun’s previous episode here Sperm Banter • The Fertility Podcast

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This episode of the Fertility Podcast, Zoe is joining me as we talk about the importance of feeling empowered on your fertility journey and being able to advocate for yourself. Zoe talks about her infertility and how it led her to using donor eggs and the obstacles that she and her partner faced in order to create their family.

What we discussed:

Her diagnosis of childhood cancer and how this impacted her fertility for the future
How Zoe dealt with her infertility and how it she had to have a difficult conversation with her husband, early on in their relationship
The options they had to consider when trying for a baby
Talking about Zoe’s journey with donor conception and her decision to choose an anonymous donor
Being told by her clinic in Spain that her first donor cycle would definitely be successful and then the shock of a negative pregnancy test
How Zoe was able to positively advocate for herself
How it is important to go out and do your own research and be prepared to have an honest conversation with your consultants
Learn to cherry pick what you need and to take control and ownership of your fertility journey

Socials:

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Follow @YourFertilityNurse on Instagram

Mitochondrial Donation Treatment - https://www.hfea.gov.uk/treatments/embryo-testing-and-treatments-for-disease/mitochondrial-donation-treatment/

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The Fertility Podcast is honoured to be joined by Martha, founder of Martha Brook Stationary. Tune in to listen to Martha as she talks about the origins of Martha Brook Stationary and her own fertility journey involving 7 rounds of IVF and a battle with endometriosis.

What we discuss:

The origins of Martha Brook London
Martha on her diagnosis of Endometriosis
Martha’s reaction to being told she would not be able to have children
How Martha juggled the challenges faced with running a business and navigating IVF treatment
Martha’s honesty with her work team and how her own experiences have enhanced her ability to support the emotional wellbeing of her employees
The creation of the Martha Brook IVF journal and how it can support your fertility journey

Socials:

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Follow Martha Brook (@marthabrookldn) | Instagram on Instagram

The Martha Brook IVF Journal

Go to The Martha Brook Story | Martha Brook for more!

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Warning: Explicit content

Welcome to the Mindfulness episode! Joining me today is Amy Polly who is a Mindfullness Teacher and we will be talking about how mindfulness can help with fertility. Amy will give some tips on how you can have a go at mindfulness in your daily life.

What we discussed:

What drew Amy to mindfulness and how it has helped her in everyday life
How mindfulness can help through the stress of fertility
The research and science behind mindfulness
Talking about taking notice of what is around you, what you are doing - Mindfulness everyday
Breathing meditation

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Trigger Warning: mentions of domestic abuse and infant loss

In this episode, I am joined by Social worker Rachel who became a young mum and experienced many hurdles through her fertility journey. Rachel talks about her son being diagnosed with Tay-Sachs disease and the journey they went on, the aftermath and starting trying to conceive.

What we discussed:

Her life and how if changed after her mum remarried
Her son’s diagnosis and the process which her and her husband went through
The issues raised after her son’s death and the support she received
How her experiences led her to her career and what she does to support others who may be in a similar situation as her
Rachel talks about her remarriage and how another hurdle was thrown at her
Rachel and her new husband desire to start a family and the problems raised through this
The process of trying to get pregnant and all the treatments that Rachel had to go through
How we should focus more on Women's health from an early age

Socials:

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Follow @DancinginBabydust on Instagram

Follow @Fatpositivefertility on Instagram

Find out more about Hannah Pearn at Acupuncture Fertility London - Hannah Pearn Acupuncture

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Tune in to listen to me talking about stress and how it affects your fertility journey. Take an opportunity to put the kettle on and relax while listening to this episode as I bust some myths about stress.

What I discuss:

The research and science behind stress
The ‘flight or fight’ response
Short and long time effects on the body
Professor Jacky Boivin - Cardiff University and her research on the impact of stress on fertility
How our bodies can adapt to conditions that may not be suitable, for example war stricken countries have some of the highest birth rates
How stress impacts all aspects of life
Finding support

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Find out more about Jacky Boivin Professor Jacky Boivin - People - Cardiff University

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Welcome back to The Fertility Podcast. We’ve had a bit of a break and now we’re back sounding a little different! It’s just me - Kate. Nat is off working hard with her Fertility Matters at Work co-founders and so, I’ve taken control of the regions!

In this first episode, my guest is Paulina, Paulina, who was diagnosed with PCOS 4 years previously, then received the shocked diagnosis of a Borderline Ovarian Tumour in 2020. She talks about what it felt like when she received this diagnosis and what this means for her fertility going forward.

Paulina’s journey proves that if you feel something is up with your body that you should find out as soon as you can. Despite all the surgeries and scans, Paulina still wants to conceive and have a child.

What we discussed:

Where she was and what if felt like to receive her diagnosis
The process that she went through
The struggle of Covid 19 and how that affected her journey
The difficulties that she found with communication with her Doctors
The after effects of the scans and surgeries
Process of trying to get pregnant with one ovary that has PCOS
Turning to IVF and then choosing to freeze her eggs privately
Looking into a Sperm Bank

Socials:

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Follow @YourFertilityNurse on Instagram

Follow @OvaryOff on Instagram

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Have a listen to what's to come and make sure you've subscribed as the next episode will be with you on Monday 6th March.

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So this is a goodbye from me - Natalie, but it's going to be a Hello from Kate... and in this slightly indulgent final episode, you'll hear a little bit from me as to my decision to stop publising this podcast with me at the helm and my plans to hand over the mic to my trusty co-host Kate Davies who is soon going to be sharing more about her plans as I leave this feed in her capable hands for 2023.

If you've just found this podcast, please do explore our back catalogue which can be found in all your favourite podcast apps, under the following:

Getting Pregnancy Ready

Male Fertility

Pregnancy Loss

Infertility Support

Donor Conception and Surrogacy

Meanwhile if you'd be so kind to leave a review on the podcast if it's helped you in anyway, please do so here

You can also keep in touch with me on my insta

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Welcome to the latest episode of The Fertility Podcast Bitesize. We are in conversation again with Dr Theodorou, a Consultant Gynaecologist and Specialist in Reproductive Medicine at thehttps://crgh.co.uk/ ( Centre for Reproductive and Genetic Health) explaining what patients can expect during their first consultation with a fertility consultant What we discussed: Reasons why people come to the clinic People want to be confident before they start trying, others might have tried with no success for some time. This varies from a few months or years. People who have had failed cycles elsewhere and want another approach Couples who need a donor - heterosexual, same-sex or solo Fertility Preservation - male or female, for medical reasons eg. treatment that could impact fertility or social reasons eg. when people want to preserve for the future. Another reason is to avoid a known genetic disease. Surrogacy - due to medical reasons or same-sex males Initial investigative tests - male would be semen analysis and for a female ultrasound to check the uterus, ovary and fallopian tube and blood tests to check AMH, FSH and ovulation Depending on circumstances they may go got specialist tests eg. recurrent miscarriage or a medical issue which could affect fertility The stress of fertility treatment and the importance of counselling and support along the way Explanation of implications of counselling and when it's needed.

You can find out more abouthttps://crgh.co.uk/ ( CRGH here) https://podfollow.com/the-fertility-podcast (Subscribe to The Fertility Podcast ) Follow Fertility Podcast onhttps://www.instagram.com/fertilitypoddy/ ( Instagram)

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Earlier in this series, we spoke about the Corporate world of IVF and how clinics around the world were consolidating, and what that meant for you the patient. In this episode, we’re looking at the future of IVF and our first conversation is with Stuart Lavery, a senior consultant gynaecologist, a well-respected member of the global human fertility community, and a founding director of Aria Fertility, our second guest is Professor Nick Macklon, Medical Director of The London Women’s clinic and Medical Advisor at Verso.

What we discussed: IVF Changed over the last 10 years The biggest provider of IVF in the UK is a private equity What we can learn from the US Fertility is an illness becoming demedicalised How his clinic Aria - competes with the big chains Most of the big groups had the same success rates, same treatments - but mediocre customer experiences Using technology to enhance the patient experience. How important it is for a patient to feel confident and comfortable Tech changes that are here now and a huge amount coming tomorrow Tech companies who believe tech will trump biology Developments in the lab are around automation and minimization IVF at Home - saliva test at home replacing coming into the clinic for blood, e- consenting, and home ultrasound Important not to exacerbate inequalities in access to treatment There’s no reason that the NHS can’t be at cutting edge of technology given the patient volume it has coming through. NHS clinics shouldn’t access less, it should be the same standard whether you pay or access the NHS. The decline in ‘Gentle IVF’ Automated robotic ICSI The decline of IUI - need to make sure the right treatment goes to the right patient Professor Nick Macklon explains how the incubator or the Uterine environment hasn’t really been studied until now What is device monitoring? How research shows how much it fluctuates between women How does it impact embryo transfer How oxygen levels can change which can affect implantation How Secretions can also affect implantation What this means for the future of IVF treatment

Follow us on our socials!!! We really want to hear your thoughts on whether this matters to you. Please email. https://www.instagram.com/fertilitypoddy/ (Fertility Poddy on Insta) https://www.instagram.com/your_fertility_nurse/ (Kate on Insta) https://www.instagram.com/ariafertility/ (Aria Fertility on Insta) https://ariafertility.co.uk/ (Aria Fertility website) https://www.instagram.com/londonwomensclinic/ (The London's Women Clinic on Insta) https://www.londonwomensclinic.com/ (The London's Women Clinic website)

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Welcome to another episode of The Fertility Podcast bitesize, with The Centre for Reproductive and Genetic Health (CRGH) in this snippet, we’re going to be hearing from Xavier Brunetti, Deputy Head of Embryology to talk you through the lab set-up at CRGH. It’s fascinating getting to understand more about what happens post egg collection in the lab and how the Emrbyologists work and how they feel about sharing the news of what is going on with your precious embryos. So have a listen to Xavi explain more about the process. We discuss:

What happens after egg collection How they are prepared for IVF or ICSI What ICSI is, how it is prepared for treatment How the embryos start to divide over 5-6 days What the embryologist is looking for and what it looks like when an embryo develops abnormally The speed at which the embryo divides and what it shows When a biopsy happens Egg freezing What happens during embryo transfer and what the patient is told What happens when it is a frozen embryo transfer Embryologists contact patients and how they are always happy to explain things as much as the patient needs What it feels like when a patient names their baby after the embryologist

Find out more about CRGH https://crgh.co.uk/ (here) Follow https://www.instagram.com/crgh_uk/?hl=en (CRGH on Instagram) Follow https://www.instagram.com/fertilitypoddy/?hl=en (Fertility Podcast on Instagram )

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This episode of The Fertility Podcast Bitesize is a conversation with Dr Matt Prior, a doctor in Newcastle, and an NHS consultant one of 143 experts is answering more of your questions over at http://fertially.com/ (fertially.com) who we've worked with to make this bitesize chunk for you. In this episode Matt explains what tests you can expect prior to starting IVF treatment, how you can prepare for your first cycle and he also explains why it might not work. Nothing can take away the heartache of a failed cycle, however hearing an expert validate that it's not your fault can sometimes ease the pain, which is why we wanted to share this bitesize snippet. What we discussed: Tests you should expect before starting treatment: 3 most important are an Ultrasound to check womb, and counting follicles, AMH to check egg reserve, Male would have a sperm test to check any issues to make sure you don’t go through collecting eggs and then there being an issue with the sperm. Other tests might check blood - for anaemia, thyroid function, also both partners would be advised to check for Hepatitis and HIV. Statistically first cycle is most likely to work, but IVF isn’t the most successful of treatment. For most people whatever age - its not likely to be successful Ahead of IVF take folic acid good, eat a sensible diet, don’t limit the amount of alcohol that you drink, look at different lifestyle factors. It’s important that even if you do take into consideration a change in lifestyle factors, if your treatment doesn’t work it’s key not to beat yourself up that you might not have stuck to the diet that google told you or the book you bought. Know that actually, most of it is out of your control and while you can do everything to try and prepare to make the IVF cycle successful, it might not happen. Consider IVF as a funnel - of those starting will have an egg collection 95% or nearly all of them will have embryos to transfer. 30 to 40% of women all become pregnant After a positive pregnancy test, about 70 to 80% of women go on and have a baby so really IVF fails the most between embryo transfer and pregnancy test. Issues with embryo grading, putting back a perfect embryo still doesn’t guarantee success Transfer process could be problematic There could a problem with the womb lining - there is still a lack of evidence.

SOCIALS: Follow The Fertility Podcast on Ihttps://www.instagram.com/fertilitypoddy/ (nstagram ) Follow FertiAlly on https://www.instagram.com/ferti.ally/ (Instagram ) Find out more about https://drmattprior.com/ (Dr Matt Prior )

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This is a timely episode as the https://www.hfea.gov.uk/ (HFEA )has just announced a change in the law for the storage of our frozen eggs, embryos, and sperms. From 1 July 2022, all patients can store their eggs, sperm, and embryos for their own treatment for up to 55 years, you just must make sure you provide consent every 10 years. Frozen Embryos are a topic that I do find quite triggering to be honest, as we didn’t go on to use ours. We donated them to science which is something I have spoken about on this podcast before. Frozen embryos cause a lot of anguish to fertility patients when they don’t know if they can handle more treatment or if they can’t afford it, but it feels so unfair not to hold on to this precious material. But then as the popularity of IVF continues to grow and become more aware of it and have more access to it and sadly need it, there ultimately becomes more and more embryos in storage. We speak to embryologist Giles Palmer about this issue

What was discussed: The anguish having frozen embryos has on people How it feels https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0039-1678597 (Reference to paper Giles wrote ) How each country has its own laws on the storage of embryos The growing inventory of eggs and sperm around the world and every clinic is talking about Storage fee that is attached -how that is communicated with the patient Compassionate transfer Single embryo transfer, fertility preservation - all leading to a growing inventory 300% increase in embryos stored over 5 years If you weren’t pregnant 75% of patients go back for the embryos If they were pregnant to live birth 16% go back Giles spoke about how a new Dewer bought every year - to store the embryos and he had to kn0ck down a wall to store them. The problem for many clinics - problem do they store in-house or off-site at a bio depositary How to deal with issues when storage time is up Can’t store samples after consent is up Paper said 25% of samples - never be used Embryos are yours to take elsewhere if you want to move them from your clinic Seed Ships

SOCIALS: Follow us We really want to hear your thoughts on whether this matters to you. Please email info@thefertilitypodcast.com https://www.instagram.com/fertilitypoddy/ (Fertility Poddy) https://www.instagram.com/your_fertility_nurse/ (Kate )

Giles Palmer on https://www.instagram.com/international_ivf_initiative/ (Insta) Webinars - https://ivfmeeting.com/ (https://ivfmeeting.com/)

HFEA on https://www.instagram.com/hfeaofficial/ (Insta) https://www.hfea.gov.uk/about-us/news-and-press-releases/2022-news-and-press-releases/new-law-comes-into-force-giving-greater-flexibility-for-fertility-patients/ (HFEA press release )

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We’re in a conversation about what happens to our frozen embryos and the future of cryo storage with Cynthia Hudson, VP of Clinical Strategy & Specimen Services at TMRW, and Elizabeth Carr, the first IVF baby born in the United States. To give you a bit of background, Cynthia is an embryologist and medical technologist with over 20 years of experience in reproductive technology she has worked in, and founded, a number of leading IVF practices and designed multiple IVF laboratories and Natalie met with her in London to get a live demo of their technology. Elizabeth works with the company as part of their marketing team and shared her experience of life as the first IVF baby in the US, and her decision to become work in the world of ART. What was discussed

Explaining the TMRW system in the Cloud Opportunity to have lots of backups and a cynic’s inventory is updated in a real team How the system speeds up a lab and makes an embryologist's life easier Cryo beacon - holds up to 8 cry devices - standard to what exists. It has a cap, so devices can’t full out and it has a chip on it so it can be identified hands-free. Explanation of freezing and how if the cells aren’t treated before the temperature is lowered it will damage the embryo, so the water must be removed and replaced with a cry protectant. How the freezing process has changed in the last 10-15 years. Taking the temp from 37 deg C to -1.96 in under 1 second Previously walked around with buckets made of styrofoam and never had a purpose-built tool to move tissue safely around the lab. It has a see-through lid to never lose line of sight to the specimen. How it is frozen, using iris recognition and then frozen. Know the exact location of the beacon within the system Numbers - take the storage capability vertically. In a standard clinic, they have to be manually filled, liquid nitrogen has to be at the right temp Some have over 100 dewers - has to be filled and monitored regularly. This tech does it automatically. Overwatch 24 hours to make sure they know everything going on in every system. Taking a lot of risk out of the process. Elizabeth talks about how her parents had to leave the state they were living in to travel to a different one as it was illegal in the state they lived in. Her childhood was shaped by the need for her to ‘look normal’ as the topic of IVF was so she went into journalism - because she was fed up with people asking stupid questions and decided at 10 years old she could do a better job The conversations she has with the clinic conversation about cryo storage How the volume of specimens has increased, meaning the embryologists have to do a lot of extra processes - to manage them How clinics become an accidental storage facility Patients now are so much more educated and are asking more questions

To find out more visithttps://www.tmrw.org/ ( TMRW ) We really want to hear your thoughts on whether you think about where your embryos are stored and if this episode has got you thinking, so please email info@thefertilitypodcast.com Insta: TMRW https://www.instagram.com/fertilitypoddy/ (Fertility Poddy) https://www.instagram.com/your_fertility_nurse/ (Kate )

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Welcome to the latest episode of The Fertility Podcast Bitesize. We are in conversation again with Kirsty Lee Wright and Joycelia Green, two Senior Nurses at https://crgh.co.uk/ (The Centre for Reproductive and Genetic Health) explaining how valuable getting emotional support during your treatment is, whether it's from professionals or from your friends. Plus the importance of setting boundaries. What we discussed: Find your tribe Talk to someone Tell the nurses about your good and your bad days as the forums and online groups can be helpful but you shouldn't compare yourself to anyone else. Our bodies do different things and sometimes info online can be confusing and conflicting If you decide you need a nurse and you want to talk - or if you want to be left to your own devices do what is right for you Self-care - destressing with exercising, or decompressing is important You are having hormone treatment, so don’t apologize as you will experience a range of emotions and that is why you need the right support network. Set boundaries with friends and family as you might not want to tell them much Speak to the counselor at your clinic, if you want to do that before starting, it can be. Don’t wait until things go wrong no matter how strong you are, sometimes that objective opinion is what you need. Your nurse can support you in how to talk about this at work, you can bring your work diary into the clinic, to work out a treatment plan so scans fit around your schedule. Use work as a distraction but also you need to give yourself time for yourself.

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In this episode of Behind the Scenes of IVF, we’re looking at who owns the clinics, with there being more groups, more venture capitalists, and more private equity. What does this mean for you, the patient? How might it impact your decision-making? What might the benefits be? We’re in conversation with James Nicopoullus, Medical Director at The Lister Fertility Clinic, Peter Reeselv - Founder and CEO of The Fertility Consultancy, and Griffin Jones founder of Fertility Bridge What was discussed:

How the HFEA is still in charge in the UK as the regulators VCs who have bought clinics as they see it as a good business prospect and will have a master plan to make money - therefore there will be pressure, however word of mouth will always ensure the clinic is a success How clinics must make it absolutely clear where the ownership is on their website Finance packages are separate from the clinical decision making Whether prices will change and become more regulated Where does the buck stop when something goes wrong What is happening in Europe and how developments in the fertility space are changing because the pioneers are retiring so international networks can combine and offer more opportunities for patients. How fertility tourism is going. How Sweden, Norway, and France are now enabling single women and same-sex couples able to have treatment, yet in Poland, this is the opposite How consolidation should put more pressure on clinics to improve services Shared best practice Networks enable clinics from different countries to come together and share best practices and research The global reach of IVF Private equity within the IVF sector How Branding has changed over the last 20 years

SOCIALS: We really want to hear your thoughts on what helped you choose your clinic?. Please email info@thefertilitypodcast.com https://www.instagram.com/fertilitypoddy/ (Fertility Poddy's Insta) https://www.instagram.com/your_fertility_nurse/ (Kate's Insta) https://www.linkedin.com/in/preeslev/ (Fertility Consultancy on LinkedIn) https://www.instagram.com/listerfertilityclinic/?hl=en (The LIster's Insta) https://www.instagram.com/fertilitybridge/?hl=en (Fertility Bridge's Insta)

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In this episode we’re talking to some incredibly passionate people who absolutely love their jobs - meet the Embryologists and learn about the highs and lows of their work as we talk to 3 female and one male embryologist - in a field that is over 75% female. We hear from Alease Daniel, Victoria Wigley, Dani Smale, and Giles Palmer about what makes them happy and sad in their work. What was discussed: Why Alease chose to share her work on social media to dispel the mystery about the lab and how it can empower patients How Labs can be understaffed and embryologists are undervalued and their opinions aren’t valued. Burnout but it’s still a job - they don’t want to be worked to death and the human aspect of the embryologist isn’t considered. Lack of training in delivering bad news How when Victoria was working as a lab manager meant she could spend more time with patients - not been able to do that previously, so didn’t have the opportunity to build rapport How she realized there was a gap in the info from the lab side - eg. lots of questions from patients about add-ons that make patients feel vulnerable The benefit of having someone impartial to go through them to make an informed decision to go back to the clinic and feel more in control WHow being an Emrbyologist is always a topic of conversation at dinner parties always fascinates people. How you go on the journey with patients so when it doesn’t work or they lose the baby, it’s heartbreaking Embryologists are scientists and aren’t trained in the emotional side Talks about a study of over 1k embryologists - looking at mental health and presented as a poster at Fertility 2022 Job needs a lot of skills, as there is little automation. Need good hand and eye coordination Often work alone but often don’t do the whole cycle Can be very stressful Daily appraisal - why didn’t this person get pregnant Time Commitment - every weekend, on a rota, often on call - mission-critical equipment is on alarms Job changes all the time About 75% are female to male in embryology The embryology population is ageing out

This series of The Fertility Podcast is sponsored by https://www.tmrw.org/ (TMRW) SOCIALS: We really want to hear your thoughts on whether this matters to you. Please email https://www.instagram.com/fertilitypoddy/ (Fertility Poddy) https://www.instagram.com/your_fertility_nurse/ (Kate ) https://www.instagram.com/alease_the_embryologist/ (Alease Daniel ) https://www.instagram.com/allaboutembryology/ (Victoria Wigley ) https://www.instagram.com/international_ivf_initiative/ (Giles Palmer) IVF Initiative Webinars - https://ivfmeeting.com/ (https://ivfmeeting.com/)

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Welcome to the latest episode of The Fertility Podcast Bitesize. We are in conversation with Kirstie Lee Wright and Joycelia Lee Green, two Senior Nurses at https://crgh.co.uk/ (The Centre for Reproductive and Genetic Health) who are sharing some top tips for your IVF cycle that they gathered from the 28 strong nurse team at the clinic. The nurses are always on hand to hold your hand, literally as well as answer any questions you might have in between your consultations and stages of treatment and these tips are really handy. What we discussed: Bringing in your own dressing gown Remove all piercings, especially the intimate ones Bring a snack for after egg collection Plan a treat for that post egg collection breakfast Read all your discharge information once you’ve gone home and had a sleep and if anything doesn’t make sense - ring/email the nurses with any questions

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Welcome back to The Fertility Podcast, yes it’s been a while since our main series was published and with this one, we’re going Behind The Scenes of IVF and in our first episode, we’re starting a conversation about the IVF sector’s green credentials. We hear from locum Embryologist Dani Smale, who started her training at CARE Fertility London where she undertook small research projects, including looking at the environmental impact of IVF, mainly plastic use. We also talk to Annemette Arndal-Lauritzen, the CEO of the European Sperm Bank about the Communication on Progress (COP) report and talk about how whilst their primary focus is on creating healthy babies, they also want to make sure that current, as well as future generations of donor children, grow up in a healthy world and that their families are on an equal footing with any other type of family. You will also hear a snippet from Dr Emma Saunders and Ricard Ledin da Rosa, Sustainability Specialist at Vitrolife. What was discussed: With almost 2.5 million IVF cycles completed around the world every year and the number is constantly rising - can IVF go green? It’s possible that per cycle / per consumer portion of greenhouse gas emissions could be higher than any other healthcare-related procedure Dani Smale study with Care Fertility in 2018 looking at the number of cycles and the average number of different consumables for each procedure 69,500 consumables about 22,800 pieces of packaging Difficult for a city-based clinic to recycle. Lab mentality - just get another one, rather than recycling NHS Labs are much more conscientious in thinking about costs Using reusable caps , but not that many units use them. People are worried about infection control so they use disposables. Repurposing = Glassware might be used in arts and crafts, schools, Girl Guides The Sustainable Development Goals from the UN to choose which applied to the European Sperm Bank - 3 https://en.wikipedia.org/wiki/Sustainable_Development_Goal_3 (Good Health and Well-being), 5 https://en.wikipedia.org/wiki/Sustainable_Development_Goal_5 (Gender Equality), 16 - https://en.wikipedia.org/wiki/Sustainable_Development_Goal_16 (Peace, Justice, and Strong Institutions) Recycle tanks - don’t use dry ice as it requires a lot of plastic Use large tanks that can be recycled and optimised for usage Aiming to become zero neutral in 2025 in 2022 - attempting to reduce by 50% by minimising as much as possible and for the rest, they are offsetting, by planting trees. Importance of working with a company that takes pride in protecting the environment - perception this gives to patients.

We talked about the International IVF Initiative and a session they held called ‘How Green is your IVF’ which you can watch https://ivfmeeting.com/products/how-green-is-your-ivf (here ) Get in touch: We really want to hear your thoughts on whether this matters to you. Please email info@thefertilitypodcast.com Follow us on Instagram https://www.instagram.com/fertilitypoddy/ (Fertility Poddy) https://www.instagram.com/your_fertility_nurse/ (Kate ) This episode is sponsored by TMRW

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This episode of The Fertility Podcast Bitesize is in partnership with Mira, and you’ll be hearing from its founder Sylvia Kang to explain why it’s important to understand your fertility hormones and how monitoring them is a great way to help you understand whether or not you are ovulating and what might be going on with your menstrual cycle. Mira describes itself as offering personalized cycle prediction by measuring an exact number of hormone concentrations in urine samples, which can tell women their full fertile window, pinpointing ovulation, revealing hormone imbalances, and pregnancy status. What was Discussed: How hormones are measured What you are looking for What surges you are looking for in your LH and why Oestrogen levels explained When progesterone surges When the FSH surge should happen and what happens if it is too high When is your fertile window How Mira works and what you can learn from the app

Visit https://usd.miracare.com/products/mira-plus-confirm-bundle (Mira) to get your 10% and add THEFERTILITYPODCAST to your order. https://www.instagram.com/mirafertility/ (Follow Mira on Insta) Follow The Fertility Poddy

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Welcome to the latest episode of The Fertility Podcast bite-size. We are in conversation with Dr.Theodorou, Consultant Gynaecologist, and Specialist in Reproductive Medicine athttps://crgh.co.uk/ ( The Centre for Reproductive and Genetic Health) about Egg Freezing. If you want to understand more about whether this could be an option for you then this snippet will give you plenty to think about. What we discussed:

What is involved in initial tests and who might freeze their eggs and why What a treatment plan looks like and when in your cycle it would start When is the best time to freeze your eggs? Explanation of egg health and egg age Egg quality over the age of 40 When it is good to freeze eggs early, eg. known family history of low egg reserve or issues such as endometriosis or operation on the ovaries that would impact the ovarian reserve. What egg quality decline means How egg freezing is empowering for a woman’s career and the options it gives for the future if they were to have treatment older How companies are offering egg freezing benefits How best to afford the treatment with finance packages available - https://crgh.co.uk/secure-a-new-deal-for-egg-freezing/ (CRGH offers Secure)

Find out more abouthttps://crgh.co.uk/ ( CRGH here) https://podfollow.com/the-fertility-podcast (Subscribe to The Fertility Podcast ) Follow Fertility Podcast onhttps://www.instagram.com/fertilitypoddy/ ( Instagram )

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Egg health is a topic Kate and I are always asked about and having spoken with Embryologist Lucy Lines, on the podcast before we knew she’d be perfect for sharing bitesize chunks of helpful information on the matter. Lucy’s career as an embryologist began with Monash IVF in Melbourne in 2001. Since then, she has worked in Sweden, the UK, Ireland, and Germany. Lucy is one of 143 experts answering more of your questions over athttp://fertially.com/ ( fertially.com) and we've worked to make this bitesize chunk for you. What was discussed: What is the relationship between fertility and egg quality? Can you explain a bit about why and how egg quality declines over time? What foods can improve egg quality Does poor egg quality cause Down syndrome or genetic diseases in the baby? How many eggs do you lose per cycle?

Find out more about Lucy https://www.twolinesfertility.com.au/ (here ) Follow Lucy on https://www.instagram.com/twolinesfertility/ (Insta) Follow FertiAlly on https://www.instagram.com/ferti.ally/ (Insta) https://podfollow.com/the-fertility-podcast (Subscribe to The Fertility Podcast ) Follow Fertility Podcast on https://www.instagram.com/fertilitypoddy/ (Instagram )

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Welcome to the latest episode of The Fertility Podcast bite-size where we are in conversation with Dr. Waal Saab, Deputy Clinical Director athttps://crgh.co.uk/ ( The Centre for Reproductive and Genetic Health) about Sperm Health. It’s important to understand that infertility is a male and female issue and you will learn more about sperm health and what you can do to improve it. What we discussed: How does sperm quality impact the ability to conceive? How fertility issues are a fifty-fifty male-female issue - 40% of fertility issues are related to a female factor infertility 40% to male factor infertility and 20% are unexplained. The impact on miscarriages Testing the sperm including Sperm DNA fragmentation test. Recurrent IVF failures Lifestyle changes and how long sperm takes to develop Issues with heat and sperm health Why a diet rich in antioxidants and some minerals should be considered. The decline in sperm counts Issues with Anabolic steroids and protein shakes

Find out more abouthttps://crgh.co.uk/ ( CRGH here)

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Today’s bitesize is with Kate - co-host of The Fertility Podcast where you can find https://www.instagram.com/your_fertility_nurse/ (yourfertilitynurse) Are you currently trying to conceive but nothing is happening? Do you find it hard to access your GP for help and would like to move forward on your fertility journey?

Kate explains how she is now offering blood tests as well as her normal fertility consultation. So you can now choose to book a Preparing for Pregnancy home blood test & fertility consultation package or the Ovarian Reserve (Fertility MOT) home blood test and fertility consultation package.

Here's what's involved in both:⁠ • Book the Planning for pregnancy blood test and a fertility consultation to review your results and receive bespoke advice on information on how to optimize your fertility.⁠ • Simple and easy-to-do finger-prick blood test.⁠ • Blood test checks your full hormone profile, Thyroid, prolactin, and vitamin D⁠ • 60-minute consultation provides personalized medical and lifestyle advice to optimize your fertility.⁠

Get in touch via https://yourfertilityjourney.com/ (https://yourfertilityjourney.com/) and make sure you tell her you heard about her right here.

Get in touch with https://www.instagram.com/fertilitypoddy/ (@fertilitypoddy )

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Welcome to another episode of The Fertility Podcast bitesize, with The Centre for Reproductive and Genetic Health (CRGH) in this snippet, we’re going to be hearing from Xavier Brunetti, Deputy Head of Embryology to explain more about how embryos are graded. All too often there are conversations online within Facebook groups or forums about what the different gradings mean and it can cause all sorts of stress and unease for patients. We are all so different and every clinic is different, so Dr. Google is not your friend when you are at this stage of your fertility treatment. So have a listen to Xavi explain more about what the embryologist is looking for and what happens in the lab. We discuss: Day 1 - Day 3 and then Day 4 to Day 5 or 6 Symmetry, fragmentation, can they see the nuclei How synchronized cell divisions are How Blastocysts grow What that means for the grading How the lab keeps in touch with you - the patient How to manage patients' expectations of egg collection

Find out more about https://crgh.co.uk/ (CRGH here) Followhttps://www.instagram.com/crgh_uk/?hl=en ( CRGH on Instagram ) Follow https://www.instagram.com/fertilitypoddy/?hl=en (Fertility Podcast on Instagram )

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Wishing you a Happy Easter or a Happy Passover - or just a Happy Bank Holiday. This episode is a bit of an interactive one, so you might want to listen back if you’re on the move as I have a few tasks, all of them good and useful I hope. Mainly to get in touch and leave a message if you’d like via https://www.thefertilitypodcast.com/ (The Fertility Podcast) about the topics we’re discussing in our next series - so have a listen and Kate and I would love to hear from you. The news feeds of our archive as mentioned in this episode can be found here: https://getting-pregnancy-ready.captivate.fm/listen (Getting Pregnancy Ready) https://infertility-support.captivate.fm/listen (Infertility Support) https://pregnancy-loss.captivate.fm/listen (Pregnancy Loss) https://male-infertility.captivate.fm/listen (Male Fertility) https://alternativeroutestoparenthood.captivate.fm/listen (Alternative Routes to Parenthood) Come say hello on https://www.instagram.com/fertilitypoddy/ (Insta) Or https://twitter.com/fertilitypoddy (Twitter )

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Welcome to the latest episode of The Fertility Podcast bite-size where we are in conversation with Dr Waal Saab, Deputy Clinical Director at https://crgh.co.uk/ (The Centre for Reproductive and Genetic Health.) What was discussed: How treatment is tailored depending on medical history Success rates and what they mean at different clinics How CRGH is open 24/7 The multidisciplinary approach when it comes to medical care. W How all medical decisions depend on input from clinicians, embryologists, nurses. How a patient’s psychological status is well cared for with access to counselling and how partners are also supported How CRGH are well known to be a centre of referral where patients come, after recurrent failures eg. implantation failures or miscarriages

To find out more visit https://crgh.co.uk/ (CRGH ) Find them on https://www.facebook.com/CRGHFertility (facebook) or https://www.instagram.com/crgh_uk/?hl=en (Instagram ) Follow The Fertility Podcast on https://www.instagram.com/fertilitypoddy/ (Instagram )

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If you’re a regular listener to The Fertility Podcast, you’ll probably be well aware that Kate, an independent fertility nurse consultant is our Polycystic ovary syndrome (PCOS) expert and in this bitesize chunk she explains some of the core elements of getting your head around PCOS. What's discussed: How do you know if you have PCOS How is it diagnosed? Can a woman with PCOS conceive? How you ovulate when you have PCOS What you should eat with PCOS?

To find out more about Kate, follow here on Insta https://www.instagram.com/your_fertility_nurse/ (here ) Follow The Fertility Podcast on Ihttps://www.instagram.com/fertilitypoddy/ (nstagram )

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In this episode of The Fertility Podcast Bitesize we'll be hearing from Emma Grønbæk who is a Nurse and Content Marketing Coordinator at Cryos International supplies frozen https://www.cryosinternational.com/en-gb/dk-shop/private/about-sperm/about-donor-sperm/ (donor sperm) and eggs to more than 100 countries worldwide. Cryos has the world’s largest selection of Non-ID Release and ID Release donors and boast the highest number of registered pregnancies in the world. Emma offers advice and guidance on how to have conversations which can cause lots of worry, in terms of how to talk about the donor and when is the best time to have the conversation. Cryos have a dedicated section on their website talking about timings along with research from Susan Golumbok. There are also personal stories and other resources such as books you can read to your children. Titles such as 'Happy Together' and The Pea that was Me' are really popular. Cyros also has a whole FAQ section available. To find out more visit https://www.cryosinternational.com/en-gb/dk-shop/private/ (Cryos International ) and you can follow them on https://www.instagram.com/cryosinternational/ (Instagram ) and https://www.facebook.com/CryosInternationalDenmark/ (facebook ) You can also follow us https://www.instagram.com/fertilitypoddy/ (Instagram )

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Possibly the MOST frustrating diagnosis when you are trying to conceive, unexplained or 'sub' fertility can really mess with your head as you just want to have something you can focus on. It's a label that we give people who haven't conceived within a reasonable timeframe and whilst it doesn't necessarily mean that there's a problem if there might be a number of things that are preventing a pregnancy. In this episode Dr Jane Stewart, NHS Consultant in Reproductive Medicine in NE England and one of 143 experts is answering more of your questions over at http://fertially.com/ (fertially.com) who we've worked with to make this bitesize chunk for you. Jane explains what investigations can be done to try and find out what could be the problem, including explaining how it's important to consider. Here you'll learn: Length of time a couple have been trying Making sure they're having reasonably regular sex The menstrual cycle of the woman needs to be considered Sperm Health - so tests need to be done Making sure the woman's fallopian tubes aren't blocked

Follow https://twitter.com/drjaneastewart (Jane on Twitter) Listen to our full a patient story about their Unexplained diagnosis https://www.thefertilitypodcast.com/captivate-podcast/unexplained-infertility/ (here ) Follow The Fertility Podcast on Ihttps://www.instagram.com/fertilitypoddy/ (nstagram ) Follow FertiAlly on https://www.instagram.com/ferti.ally/ (Instagram )

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In this episode of The Fertility Podcast Bitesize we'll be hearing from Emma Grønbæk who is a Nurse and Content Marketing Coordinator at Cryos International supplies frozen https://www.cryosinternational.com/en-gb/dk-shop/private/about-sperm/about-donor-sperm/ (donor sperm) and eggs to more than 100 countries worldwide. Cryos hase the world’s largest selection of Non-ID Release and ID Release donors and boast the highest number of registered pregnancies in the world. Emma talks about what you need to consider when choosing a sperm donor in this snippet about donor conceptions as well as highlighting the resources Cryos have available for you as they know how overwhelming this decision making process can be. To find out more visit https://www.cryosinternational.com/en-gb/dk-shop/private/ (Cryos International ) and you can follow them on https://www.instagram.com/cryosinternational/ (Instagram ) and https://www.facebook.com/CryosInternationalDenmark/ (facebook ) Do come say hi on https://www.instagram.com/fertilitypoddy/ (Instagram )

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Welcome to the first episode of The Fertility Podcast bite-size, where the aim is to give you a snippet of useful information. March is Endometriosis Awareness Month and Andrew Horne is a Professor or Gynaecology and Reproductive Sciences and Co-Director at the EXPPECT Centre for Pelvic Pain and Endometriosis and one of 143 experts is answering more of your questions over at http://fertially.com (fertially.com) who we've worked with to make this bitesize chunk for you. What you'll learn: What is Endometriosis How it can impact a woman’s fertility What are the symptoms The four stages of endometriosis How would a woman know what stage of endometriosis she might have? The best pain management before surgical intervention Can you still be fertile? If you have endometriosis

To get more support for Endometriosis visit https://www.endometriosis-uk.org/ (Endometriosis UK) Listen to our full interview with https://www.thefertilitypodcast.com/captivate-podcast/the-endo-expert-and-the-patient/ (Andrew Horne ) Follow The Fertility Podcast on Ihttps://www.instagram.com/fertilitypoddy/ (nstagram ) Follow FertilAlly on https://www.instagram.com/ferti.ally/ (Instagram )

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OK, we're trying something a little different in 2022 and we'll be sharing bite-size chunks of useful information with you every Friday. We'd love to know if you like them so do come and say hello onhttps://www.instagram.com/fertilitypoddy/ ( insta)

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We've given you a whoppa of a final episode as we bring this conversation about https://www.fertilitymattersatwork.com/ (Fertility Issues at Work) to a close... for now. It's a big topic and we will of course be revisiting it in 2022, watch this space to hear more as we promise you we will be digging deeper and sharing more of your stories as well as championing organisations who are doing this well. First up you'll hear a conversation Natalie had with South Eastern Rail, after seeing its Head of People Kirsten Howes - talk about the Pregnancy Loss Policy the company launched during Baby Loss Awareness week in October 2021. Inspired by NZ and her own pregnancy loss, Kirsten had wanted to put something into place and when she had been through it and used to speak to people about the reasons they needed time off, she never had anyone come to her. She had no idea how to feel or do when it happened, how much time she should have off, what was normal and on reflection realised what a huge gap there was in the support they provided and how it was spoken about in the workplace. How was it received? Kirsten said it was so easy, no residence and it was met with a lot of support from people and 180 people joined their briefing during the launch. The company already have a fertility policy since 2020 created by people who had been through struggles to drive change and they also run working lunches, so people can drop in and join a community that has come together. How do the conversations happen? Due to the nature of the work, there have to be 'Safety-critical conversations' as they need to know if people are having treatment as if people are taking medication, they have to know because they get checked. People can’t just drive a train if they aren’t concentrating and could be a safety risk, therefore the channels need to be open for people to talk to their managers. How to overcome challenges faced by this being a male-dominated industry? The whole industry is trying to become more diverse and inclusive and it is working on the gender balance, especially with train drivers, and more women are joining, however perception needs to change. WIRE - Women in Rail Empowerment group has list of 6 taboo subjects. Your experiences: During this series, we were really interested to hear your experiences in the workplace and we’ve shared many of them. Shona Gilbert got in touch to tell us about her experience in the workplace. She worked in a busy agency at a senior level. After a failed round of IVF she took a break and sometime later, decided to give it another go. Her experience from the first round told her that she needed to prioritise herself and she made the decision to ask her line manager if she could take a sabbatical. Shona was lucky, her line manager and employers were supportive of her request, however, she acknowledges that this was due to her seniority in the business. She spoke about how her organisation had a fertility policy, but that it was restrictive and more applicable to people in less senior roles than herself who don’t have the privilege of a more flexible role. This is an interesting workforce disparity that we hadn’t considered before and an interesting topic that needs further investigating….watch this space! What we've learnt: Dr. Krystal Wilkinson, Senior Lecturer in HRM, Department of People and Performance talks through the findings from Manchester Metropolitan University and its study ' Complex fertility journeys and Employment' August 2021 Two year study: We hear about the findings from 80 narrative interviews talking about fertility treatments, tests, miscarriage, involuntary childlessness from men, women and same-sex couples in different workplaces and contracts. The sample was all at differing stages of the fertility journey and was UK based. We heard about how significant it is that Line managers understand when it comes to a person feeling they

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Do you work for an organization that offers fertility benefits? Do you actually know what employee fertility benefits can offer you? The umbrella of fertility benefits may encompass anything from consultations to obtaining a diagnosis, medication, and treatments such as IUI and IVF. More expansive plans might include egg freezing, donor eggs or embryos, and/or gestational surrogacy. However, in the UK, fertility benefits are less commonplace compared to the US. In this episode continuing the fertility matters at work series, we’re joined by Jenny Saft, co-founder of https://oviavo.com/ (@oviavo_fertility), an organization that provides fertility benefits to companies in Europe to help overcome inequalities by supporting employees to thrive in their careers. Natalie came across Oviavo in a report discussing the future of fertility and was intrigued to find out more about their comprehensive fertility benefits platform. Jenny shares her own experience of working in San Francisco and making the decision to look into egg freezing. Shortly after making this decision, she returned to Germany and was struck by the negativity surrounding egg freezing. She also found the egg freezing process really confusing and Oviavo was born (excuse the pun) to help women fill in the gaps. Following on from the US trend, Oviavo offers a 3 step approach for employees – know your options, find the right clinic for you, and let Oviavo take over the discussions with your employer. They’re able to offer a personalized service, initial consultations and testing, treatment, and if needed adoption guidance and reimbursement of fees. Getting Oviavo out there has been far from plain sailing. Jenny has heard employers having fears based on the very initially, large companies such as Facebook and Google offering egg freezing and the way in which this was viewed to keep women in employment. Unlike the US where 30% of companies with more than 500 employees offer fertility benefits, progress is slower in Europe. In the main due to the very different health care system in the US compared to the UK and many European countries. We talk about the benefits to organizations to show that they are fertility-friendly and ask Jenny if she feels that companies have a good understanding of these benefits such as retention and attracting talent? She feels that some companies, such as tech organizations, financial services, and law firms are ahead of the game compared to others. Jenny hopes that more companies will come to realize the benefits of supporting their employees financially when it comes to fertility in the future. She is already noticing that those organizations who are serious about doing so, are the ones who are ready to have these conversations. Perhaps more pressure from you, the employee, is what’s needed to make this change? SOCIALS: Oviavo Insta https://oviavo.com/ (Oviavo Website) https://www.instagram.com/fertilitypoddy/ (Fertilitypoddy) https://www.instagram.com/your_fertility_nurse/ (YourFertilityNurse)

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In this episode, we're delighted to welcome to The Fertility Podcast Kate Jarman who is the Director of Corporate Affairs at Milton Keynes University Hospital. Kate is also the co-founder of the Flex NHS along with her colleague Aasha Cowey. Kate and Aasha campaign for flexible working for all and better working lives in the NHS. We really wanted to chat with Kate as we’ve heard from so many of you, who work in the NHS, about the difficulties you face in juggling your work and your fertility treatments. What is Flex NHS? Launched in November 2018 as Kate and Aasha felt there was a lot more that they could do to get equity and parity with flexible working for everybody working in the NHS. There are 1.3 million NHS employees who don’t have a lot of agency over their own time and diaries but may need flexibility for various issues. They’ve spent the last 3 years trying to amplify the voices of those staff who need flexibility in their lives. How is an organization that is so centered on a positive patient experience not reflecting this in their employee experience? Kate says that she feels many parts of the NHS do embrace flexibility but in different ways. There are huge challenges and there is no consistency across the organization. She feels, particularly as many people stay working in the NHS for their whole career, that employees need flexibility at different times of their lives for various differing reasons. This has to be two-way, there's a lot of work that we need to do with managers to enable them to feel empowered themselves to have those conversations about flexible working with their employers. Is change happening quickly enough? Kate says that the pace of change is always an issue, and she would like to see things change faster. However, NHS England's People Plan has made flexibility from day 1 employment a contractual right. This came into effect in the middle of September this year and means you can take a job and you're entitled to flexibility from day 1. Kate feels that there does still exist a moral bar around flexible working and how we value people's time and a lot of judgment that goes into flexible working requests. By giving managers the information they need about flexible working and enabling them to feel empowered around making positive flexible working decisions will help improve this. Is the perception of part-time jobs being available correct? 96% of jobs advertised within the NHS are for full-time positions. Kate explains that there is a stigma surrounding flexible working, probably without us realizing it, and this often stops people from asking about flexible working at the recruitment stage. Kate discusses how she sees the NHS England’s People Plan to work in the context of women’s health and fertility. Kate feels that this needs to be supported by really good health and wellbeing policies that are understandable and accessible. She feels that currently, the NHS does too much work in isolation and as a workforce that is 78% women, we need to bring the issues that predominantly impact women to the fore and prioritize them as part of our work. Importance of retention This is a huge challenge for the NHS and we wanted to know Kate’s thoughts on how the NHS can go about retaining women in employment. She mentioned the importance of the manager taking a more active role in checking in on employees, rather than waiting for the employee to come to them with an issue. Kate mentions that there is already some great work being done to support women’s health issues, particularly menopause, through their unions, network groups, and individual champions – often off the back of their own experience. Natalie mentions that not all people going through a fertility journey will want to be an educator and that’s where the Fertility Matters at Work initiative can step in and help. Advice for NHS workers Kate recommends that you find out about your employment rights and your...

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As we get just over halfway through our series focused on Fertility Matters at Work, we’re pleased to be able to share a great example of how beneficial implementing training and support around fertility issues in the workplace can be and how it not only benefits a workplace from a cultural point of view, it impacts productivity, staff retention, and attraction. During the time Fertility Matters at Work has been developing its e-learning and training and policy package, Kate has very been working directly with a number of organizations, providing training and a clear understanding of what needs to be done to better support employers and one of those organizations is The Bank of England. In this conversation, we are joined by Anastasia Vinnikova Wellbeing Lead who talked about how the project came about as the bank already had a good foundation within the wellbeing space and a good level of education in core principles in wellbeing and life events, that impacted their workforce. In the conversations that came up, it was clear that colleagues felt empowered from the support being provided and the culture shift had created openness and honesty amongst colleagues. Peer Support Annastasia explained the existing peer support network which shares experiences with others to offer support. It aims to equip peer supporters with the next steps and onward support. The bank had experienced momentum in their journey of infertility and pregnancy loss as a result of conversation and so had set up a community and resources, along with making policy changes surrounding pay and leave. They had also been sharing experiences through blogs and podcasts Line Manager training: When talking about the role of Managers, Anastasia talked about the difficulties they can experience and acknowledged the bank still has more work to do on how they educate managers. One measure is to ensure a Manager has supported through other avenues and that employers know that their Manager isn’t the only place they can go to for support, hence the importance of the peer support network. Next steps. Whist a lot has already taken place the Bank of England are still keen to gain an understanding of why people haven’t engaged with the topic as yet and are looking into further education to help challenge the stigma and taboo around the topic of infertility as you never know how close you are to those going through these challenges? What challenges needed to be overcome and advice for other organizations: When it comes to Well-being challenges, it’s important to understand that they don’t stop the minute you walk into the office. Organizations need to understand that it is important to get past the stigma and put actions in place to get over this. Companies have a moral responsibility and should make it an imperative. Anastasia also talked about how as an organization you don’t get the same out of employees if they don’t feel supported. We also discussed the importance of intersectionality and its impact on mental health. Whilst there might be discomfort initially the fertility conversation inevitably builds momentum. From what the Bank of England has implemented to date, they have had positive feedback from individuals which will help inform and guide, however, it’s important to remember, that no one size fits all. To find out more about how your workplace can become fertility-friendly and how you can join our brand new membership visit http://www.fertilitymattersatwork.com (www.fertilitymattersatwork.com) [/et_pb_text][/et_pb_column] [/et_pb_row] [/et_pb_section]

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Continuing our series on all things to do with navigating a fertility journey whilst working, we’re delighted to chat with Natalie’s co-founder and partner in crime at Fertility Matters at Work - Becky Kearns. Sadly, Claire Ingle who is also a co-founder had tech gremlins and couldn’t join us to chat. We’re also joined by Helen Burgess who, like Kate, is a partner at Fertility Matters at Work and an employment lawyer at Shoosmiths. Becky gives us the low down on the recent launch of the Fertility Matters at Work e-learning training and policy program, that supports employers become ‘fertility friendly’. E-learning helps employers understand what is involved in a fertility journey but also how to have conversations to support their employees. The e-learning covers all the different ways in which families can be made, including solo motherhood and same-sex relationships, and is suitable for all organizations whether large or small. Helen shares why her firm, Shoosmiths was keen to start talking about this topic. After talking to colleagues Helen found that, like her, there was very little support in the workplace, and as an employment lawyer wanted to shine a light on employers and organizations. Becky and Helen share their own personal experiences of their fertility journey in the workplace and the difficulties they faced. Becky experienced early menopause at the age of 28. She luckily had flexibility in her role, as an HR professional, to attend appointments but struggled with disclosing her diagnosis and the need for treatment. In particular, she struggled with the emotional aspects and juggling her workload. She just felt so alone and exhausted. Helen, similar to Becky, was in a senior position and therefore had the flexibility to attend fertility treatments and fortunately had a supportive colleague. Helen made the decision to divulge to her team, but the flip side was the need to than to tell work when a fertility treatment fails, and the difficulty of reliving it all whilst trying not to be emotionally reck at work. Claire talks about the difficulty in disclosing your fertility journey to your employer and their worries over confidentiality and the impact on their careers, but also how often disclosing can be a relief if you are given the support you need. She also talks about the constant triggers in the workplace from baby showers and new babies being brought into the office. Fertility wellbeing is so much more than just having the flexibility to attend appointments……. Kate asks Helen what organizations need to consider from a legal perspective. Sadly, currently, there is very little protection for employees. There is no legal right to attend appointments and it is down to the employer. Helen mentions that in some circumstances if you’re refused flexibility to attend appointments then it could amount to indirect sex discrimination. Employers do need to consider when employees are not on their A-game so that they can offer support. After embryo transfer, you are protected by pregnancy discrimination protection. Helen is not sure if there will be a legal change in the future but is hopeful, but certainly not in the short term. Disability employment law doesn’t cover infertility but could cover some of the conditions that lead to infertility such as severe endometriosis. Helen also discusses the complexities of same-sex relationships and discrimination. We talk about how a policy is the first step, but employers need to consider so much more such as raising awareness, recognizing the complexities of fertility in the workplace, and peer support. Employers need education on what to say and what not to say. Becky shares her advice on how employees can start a conversation with their employer. The Fertility Matters at Work, website provides lots of guidance in relation to this but Beck recommends writing a list of points you want to raise in the...

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In this episode of the Fertility Matters at Work episode, we want to focus on the psychological aspects of juggling fertility in the workplace. We all know it’s not easy to do and certainly not a great place to find ourselves in but what really is the impact? To answer this question, we’re delighted to welcome perinatal psychologist Julianne Boutaleb @parenthoodinmind. Julianne is the Clinical Director and Founder of the https://www.parenthoodinmind.co.uk (Parenthood In Mind )practice. She has worked for over 15 years in the NHS and private practice with parents and parents-to-be and their babies (and bumps) who have needed support with a wide variety of issues including anxiety and depression during and after pregnancy, miscarriage, and reproductive loss, attachment issues, re-emergence of childhood issues and couples’ issues. Parenthood in Mind consists of a specialist team of psychologists and psychotherapists with decades of professional experience between them in perinatal settings, CAMHs, primary and secondary care, and Early Years settings. They are experts in working with individuals, couples, and their babies in the transition to parenthood, and with parents of children up to 5 years of age. Julianne is without a doubt well placed to talk to us about the impact of juggling fertility in the workplace and consults many individuals who are struggling in silence at work. Today Julianne shared the following on her Instagram account - Help-seeking in the perinatal period. It's so difficult to reach out. To say out loud I need help. At no other point in our lives do we need help more, and yet fear asking for it. The fear of being exposed, of being judged, Of being misunderstood Of admitting too much… Does this resonate with your experiences in the workplace? It certainly did with us. Julianne starts off by explaining the impact of infertility and pregnancy loss on our mental health and then talks about the psychological impact of infertility, referring to the work by Alice Domar who likened infertility psychological impact of a cancer diagnosis for example. Julianne also likens it to the death of the story you originally dreamed of and that it is a moment of trauma. She explains that in the workplace this trauma can show up as panic attacks, feeling that you can’t get up in the morning, a sense of dread or difficulty over what would have been normal work tasks, individuals feeling as though they’re not in control or trying to ‘front it out’ and not divulging what you’re going through to your employer. She also refers to the interpersonal conflict you might feel and sadly individuals facing grievance due to a negative change in workability. Julianne urges line managers to be aware of sudden changes in workability and behavior and to try to find out why this might be happening. Julianne shares some fantastic tips on what she advises people to actively do if they’re struggling such as the importance of Identifying a colleague to discuss this and therefore start creating a little village of support within the workplace. Julianne has seen fantastic examples of where employees set up WhatsApp groups and peer support to facilitate better support within the workplace. She also recommends short sharp wins, such as stepping away from the computer, lunch outside the building rather than leaving your employment altogether, and the isolation, this can bring. Finally, Julianne shares examples of difficult situations in the workplace she has come across from both an employee and an employer going through fertility issues at the same time and the employer being able to offer support but getting no support back and the frustrations she felt with this. Julianne also refers to a friend of the podcast - Sophie Martin @the.infertile.midwife who, as her Instagram name suggests, works as a midwife and struggled with infertility and very sadly, the stillbirth of her two beautiful boys Cecil and Wilfred....

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Welcome to episode 2 in our current series discussing the intricacies of fertility in the workplace. In this week’s episode, we’re joined by 4 teachers to find out just what it’s like to navigate a fertility journey whilst juggling the demands of a teaching job. We welcome Caroline Biddle who worked as a secondary school drama teacher for 9 years. Caroline is no longer in a teaching role but is committed to changing the way fertility issues in teaching are managed and as a result, set up her organization – Fertility Issues in Teaching. Fertility issues in teaching Fertility Issues in Teaching are the first and only organisation to deliver specialist consultancy and training exclusively for schools to raise awareness around the impact on staff experiencing infertility and pregnancy loss and to support schools to recruit and retain the best staff by becoming inclusive, flexible, and equitable, as they move towards fertility-friendly workplaces. Claire Walker and Nic Jessop are both teachers currently working in education and Claire Stewart-Hall, who, like Caroline is no longer a teacher, is a coach who coaches people around race, adoption, and LGBTQ in the workplace. Having to move schools Caroline starts off by telling us about her experience of going through fertility treatment in the workplace and how She moved schools between treatment and experienced two very different styles of support. Neither school had a fertility policy in place which left her feeling both vulnerable and frustrated. In one school she had to explain every appointment for the headteacher to approve and this was far from satisfactory. It was then that she started researching fertility awareness in the workplace. Getting your Union involved Claire Walker explains her experiences of going through fertility treatment with her partner who was transitioning from female-male and how she was told by her employer that ‘IVF is elective like cosmetic surgery’ without any understanding of her individual circumstance. Claire explains how she has always been, as many teachers are, totally dedicated to her job and this comment felt her feeling undervalued. Quitting your job Claire Stewart-Hall shares with us a very harrowing experience where she experienced a missed miscarriage after being punched in the stomach by a pupil. Claire also talks about the difficulties of trying to conceive whilst juggling a busy role as a vice-principal and the taboos she felt being in a same-sex relationship and how ‘hidden’ she found fertility in general. In stark contrast, Nic has a positive story to share about the support from her workplace during her recent successful IVF treatment and frozen embryo transfer, where she says her work environment was so supportive with her employers having a good understanding of what’s involved in infertility treatments and a leader who actively tries to understand what her employees are going through. Nic feels that her experience is an example that other schools should aim to follow. On Caroline’s Instagram feed and her blog, she regularly talks about the need for schools to strive for compassion and thoughtfulness when discussing infertility. She shares examples with us where thoughtless comments have been made such as headteachers demanding that ‘scans are done on a Wednesday or at a specific time’. Leaders said that they ‘will offer paid leave for 1 treatment but not more, and even examples of where people have offered advice when they don’t have any understanding about fertility. Claire Stewart-Hall is currently undertaking a doctorate on race and policy in schools and talks about how policy can be interpreted differently by individual schools, and that leaders will often ‘cherry pick’ what they want out of the policy or interpret the policy based on their own individual experience. Kate talks about the fact that she sees many teachers struggling to conceive in her private...

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Male Fertility is something we have talked about on The Fertility Podcast a lot in the past and you can hear more of our conversations https://www.thefertilitypodcast.com/captivate-category/male-fertility/ (here ) All too often Men are overlooked when having conversations with healthcare and medical professionals about this topic and as you will hear, they often don't want to speak to anyone about what is going on. This bonus episode being shared to support National Fertility Awareness Day and its focus on male fertility is called 'MAN UP' - an ethnodrama written from empirical research date from interviews with people experiencing complex fertility journeys by Manchester Metropolitan University. It has been written and produced by http://www.jennyberry.co.uk/ (www.jennyberry.co.uk) Follow on insta: https://www.instagram.com/jennyberrypoet/ (Jenny Berry) https://www.instagram.com/fertilitypoddy/ (Fertility Poddy ) https://www.instagram.com/fertilitynetworkuk/ (Fertility Network UK)

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It’s great to be back! We’ve had a bit of a break and we’re back with a new series talking all about Fertility in the workplace. As well as doing the podcast, Natalie’s voiceover work and Kate’s consulting; for the last 18 months or so, both Natalie and Kate have been working with organisations to help put fertility in the workplace firmly on their wellbeing agenda. How does the landscape at work look? Kate and Natalie discuss what we've heard from our work and how in light of, how in the last few months, a number of organisations have published fertility and pregnancy loss policies. Over the coming weeks we will be hearing from different organisations who are speaking out about their work to support employees on their paths to parenthood and this new series of the podcast has been created alongside an exciting launch of a brand new training and policy programme from https://www.fertilitymattersatwork.com/ (Fertility Matters at Work) which we'll be talking about in the coming weeks too. We’ll be sharing best and worst examples of fertility in the workplace and, as always, sharing your personal experiences, so we want you to get in touch and share yours stories which can you dohttps://www.thefertilitypodcast.com/ ( right here ) 4 Women In the first episode of our new series on Fertility Matters at Work we’re absolutely delighted to welcome Channel 4 to the podcast. Navene Alim who is a senior lawyer within the corporate legal team at C4 and Landy Slattery, creative director of All 4, Channel 4’s(CH4) on-demand platform. Both are the co-founders and co-chairs of the 4 Women network, and we’re talking all about CH4’s Pregnancy Loss Policy that was launched in April 2021. When the pregnancy loss policy was launched, CH 4 stated that “The policy which was believed to be the world’s first is to support both women and men who have been affected: whether it happens directly to them, their partner or their baby’s surrogate mother, regardless of the nature of their loss, and whatever their length of service. It also recognises pregnancy loss as an experience not isolated to women or heterosexual couples.” Why was the policy developed? Following the huge momentum and notoriety that came from CH4's menopause policy the 4 Women network wanted to build on this. After surveying employees to find out the most important issues, pregnancy loss was identified as a huge issue for the workforce. They found that people were struggling in silence and making excuses for needing time off. CH4 were due to air a new series – https://www.channel4.com/programmes/baby-surgeons-delivering-miracles (Baby Surgeons delivery miracle babies) ( quoted incorrectly in the pod ) and they wanted to get a policy in place to hit with the time the series aired. CH4 share how they implement the policy they developed and wanted to ensure that training would be available for managers and colleagues to help them, support employees, appropriately. They are actively trying to find the right solutions to provide the correct support. Their policy is the first step in acknowledging that pregnancy loss is part of a woman’s working life. Having the conversations and the educational piece is the first steps in changing organisational culture. Were people worried about being passed over for promotion? These issues did feature as a concern from their focus group of 80 employees who helped inform the policy. As the policy is so new, they are yet to have the opportunity to assess how it has landed within the organisation, however they’re finding that other conversations such as childlessness has started to be discussed, which would have never occurred had it not been for the policy. What about Men? Landy and Naveen talk about the importance that the policy doesn’t just focus on women, but it is there for men too. Any man at C4, can access the policy and take 2 weeks off without explanation or proof of pregnancy loss. How else do they support their staff, such

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In this episode, as we near the end of this current series of the podcast, we chat with Steph Phillips the founder of World Childless Week. World Childless Week is a relatively new initiative raising awareness of being childless not by choice. Steph tells us how the interest in this week, but also across the year, has increased dramatically over the last 2 years. We also talked about the differing terminology used to explain living without children and how Steph as learned to own the term ‘Childless’. The https://worldchildlessweek.net/ (World Childless Week )website encourages people to submit blogs and videos to get their voices and stories heard. Steph has noticed in recent weeks that this is gaining more momentum and people are wanting to take ownership of their childlessness. The COVID pandemic has highlighted the difficulties in the workplace faced by childless people – the discussions on Zoom about children, children seen on Zoom etc. However, the pandemic has also encouraged greater awareness surrounding mental health for example and Steph also sees this as a positive for sharing childless awareness. The sharing the commonality of childlessness has had a profound effect on Steph and others, providing validation and an outlet for grief. We also talked about finding the humour and laughter that can come with sharing stories and that it is possible to come through the dark days. We discuss the narrative surrounding childlessness and how frequent the insensitive comments are heard, such as ‘Have you thought about adoption’. This needs to change. Steph recommends https://www.youtube.com/watch?v=dth5LNrJ7Dg&t=42s (listening to this webinar )- which will help to highlight what not to say to a childless individual. Did you know that there is more childless men than women? Men rarely speak out, but they need to be heard more. Steph talks about the desire many childless individuals have to leave a legacy and why it is important for us not to be forgotten. Steph now tries to leave a legacy in a different way – she may compliment someone on their leggings or let a car out in front of her. This small action can make their day and never hurts to be kind. Next steps, Steph hopes to make a difference in raising awareness of childlessness in the workplace. Steph welcomes submissions on any topic for the website. See below for more information on how you can do this. SOCIALS: https://www.facebook.com/WorldChildlessWeek (Facebook) https://twitter.com/ChildlessWeek (Twitter) https://www.instagram.com/worldchildlessweek/ (Instagram) https://www.youtube.com/watch?v=8trOFYmXCZY&t=1s (Releasing Our Grief through the Power of Words) (good to help people find the confidence to start exploring the cathartic power of writing): https://www.youtube.com/watch?v=RzUpkis6TtU&t=35s (Legacy - Making Today Count) https://www.instagram.com/fertilitypoddy/ (Fertility poddy ) https://www.instagram.com/your_fertility_nurse/ (Kate) Other episodes we mentioned: Jessica Hepburn https://www.thefertilitypodcast.com/doyouhavekids/ (Kate Kaufmann) https://www.thefertilitypodcast.com/acceptance/ (Lesley Pyne) https://www.thefertilitypodcast.com/yvonne/ (Yvonne John) https://www.thefertilitypodcast.com/kellydasilva/ (Kelly Da Silva) https://www.thefertilitypodcast.com/worldchildlessweek/ (Jody Day )

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Today we’re talking all about what happens after fertility – parenting after IVF. What is it like to be pregnant and then parenting after you’ve gone through a fertility journey? Is it different if you’ve not experienced this rollercoaster journey and you’ve managed to conceive naturally? To find out, we’re giving a big welcome to a previous guest and friend of the podcast – Cat Strawbridge otherwise known as @tryingyears. Cat, after 7 years of trying to conceive and multiple rounds of IVF, finally became a mum to beautiful Wren, who has recently celebrated her 2nd birthday. Cat works tirelessly to break the silence surrounding infertility, has her own podcast The Finally Pregnant Podcast, consults within the fertility industry, host events and to top it all is now (at time of writing) embarking on fertility treatments to try for a sibling for Wren. We’re delighted to chat to Cat again and wanted to ask her what are the most common fears for women who have conceived following fertility treatments? Cat didn’t hesitate in answering – the anxiety. The anxiety of pregnancy, ‘scanxiety’ and once parenting the fear of being an overbearing and anxious parent. You may not have heard the term ‘scanxiety’ before but we suspect you’ve felt it. It’s that anxiety you get every time before and during a scan. Whether it be a fertility or pregnancy scan, that fear never leaves you. Cat talked about her pregnancy with Wren and her need to have regular reassurance by having a scan. Particularly as sadly, Cat lost Wren’s twin sister in early pregnancy. Cat talks about how ‘scanxiety’ starts from the moment she’s booked the scan until she’s had the reassurance that everything is OK. We talked about Cat’s experiences of how the scanning professionals dealt with her anxiety, which luckily was generally positive, however we all know that sometimes bad news isn’t delivered in the best way and many professionals seem to lack empathy. A recent guest Amber Isso termed this ‘empathy fatigue’. Kate recently had the pleasure of listening to a webinar Cat did for ESHRE week on hope and how professionals can help patients maintain hope by treating them respectfully and honestly and acknowledging that it is the patient’s fertility journey. Whilst health professionals are becoming more informed on how to speak to patients, she feels that there is still a long way to go. Cat then spoke about her decision to try for another baby with her remaining embryo and how this has been a difficult decision to make, especially as this is her last shot. She is feeling overwhelmed, excited and petrified but hopes that this time around she has more knowledge and the resilience to cope better. Kate talked about how the emphasis on a second attempt at IVF after having success is so different. The first time it’s on your having a baby, the second its on having a sibling for your child, so the pressure is totally different. We also discuss Cat’s feelings on the COVID-19 vaccine and how she has had one but plans to delay the second one for now. Since recording Cat has shared that her FET didn’t work and has spoken about it on her socials. We send Cat all our love and thank her for talking to us. Other episodes mentioned: https://www.thefertilitypodcast.com/midwife/ (Katie Eaves) who is working to support midwives understand how to talk to pregnant women who have been through infertility We also spoke in a previous episode withhttps://www.thefertilitypodcast.com/how-to-deal-with-the-fears-we-have-about-becoming-parents/ ( Julianne Boutelab) about the fears we have on becoming parents. SOCIALS: https://www.instagram.com/tryingyears (Cat Strawbridge ) https://www.instagram.com/fertilitypoddy/ (Fertility Poddy) https://www.instagram.com/your_fertility_journey/ (Kate Your Fertility Journey )

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As we head towards the end of this series, we really want to make sure you know about all the other episodes we have, which you can listen to via http://www.thefertilitypodcast.com (www.thefertilitypodcast.com) We’re having a break at the end of the month and will be back in November but will be reminding you through all of our channels of other episodes so you’ll still have plenty to listen to. This week we catch up with Not a Fictional Mum (NFM) who we actually spoke to in December 2020 and then didn’t get to publish the chat until now. If you follow her on insta you will know she has had an incredible year and is doing so much to change the narrative about Adoption especially in retail. We start off by chatting about her decision to start her Insta, which was after her friends told her to use social media in a positive way and she threw herself into it and she has aced it. She wanted to make people stop and read to get her messages across. She has decided to stay fictional and not share photos. She spoke about the heartbreak of finding out their family wasn’t going to be created as they’d expected and how she has made a point of not sharing who had the infertility issue. What happened after getting the diagnosis of infertility They had a free cycle of treatment on the NHS which was all consuming and tough. They did numerous rounds, experienced a miscarriage, spent £25,000 on treatment and it was really taking its toll on their mental health. Once they were told it wouldn’t happen naturally they were already talking about Adoption. However they wanted to try everything so they didn’t have any regrets and Kate talks about talking with clients about trying everything before you ‘close the door’ Making the decision to Adopt The weight was lifted once they decided that this was going to be their route, although it had taken a long time to grieve what wasn’t to be. Every decision she had made previously was all around the treatment, she felt like a robot. Once the decision was made to stop, she felt she had a sense of herself back. Adopting a child will not replace the loss of a biological child. These children are their own people with their own background story and their rights to know that. How much needs to be done about how we talk about Adoption? So much. NFM talks about how it needs to be talked about it early years at school during sex education, all the routes to parenthood should be discussed, so her little boy grows up knowing its just another route. People are curious / nosey about an adopted child and the more we talk about it the more it will be normalised. People whisper the word to you, you can hear it in their tone of voice. There seems to be a stigma about it which is sad. We need to understand it on a wider scale. Obscene questions asked about Adoption Who is it with the problem, you or him? People are obsessed with his background - his real Mum, his real parents What are you going to do when he grows up, if he wants to go and live with his real parents? Do you think you love him as much as you would if he was your biological child?

Thousands of cups of tea with a social worker and the matching process Time is so precious when you’ve spent so many years trying. NFM talks about how she never felt she wasn’t being asked anything necessary or obtrusive. You can find out a lot about yourself and your partner if you open yourself up to it. Matching was the most difficult - stage 1 and 2 there is a lot of onhold support as you have to fill in a lot of paperwork and being interviewed. Once approved it goes very quiet which is difficult to manage as then you just have to wait to be matched. You can’t rush it. Profiles that are suitable will come as and when. NFM found that part very difficult. Wanting to adopt a baby NFM has been open about wanting a baby

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This week we are discussing Surrogacy, both in the UK and abroad. Our first guest is Anna Buxton, mum of three children through two different surrogates. Anna talks us through her decision of how they reached surrogacy after a long and painful gynecological history and was told Surrogacy was her only hope as she would never carry. Not carrying your child and grieving for that loss Anna voices the fear of so many people considering surrogacy, They were able to create embryos yet still it was v.difficult. Feels like you are giving up on the hope of ever carrying a child, your husband seeing you pregnant, you feel lost. Ripple effect… you think you are going to get pregnant, then you realize it's not going to happen as you thought. She couldn’t find anyone to talk to about surrogacy. Started in the UK - charities, and agencies but all had really long waiting lists and they’d already spent 5 years trying to get pregnant, and couldn’t deal with another wait of 3 years. She found a few couples to talk to but didn’t have access to the Insta community that exists today. Anna talks about how she now realizes that Surrogacy was the light at the end of the tunnel for them and how incredible the women are who do it. She describes how Surrogacy is so complex of the process was something she buried herself in which helped her almost deal with the grief of not being able to carry. Surrogacy in India India had the longest reputation of surrogacy but had been shrouded in bad press and was halted for a while. They visited 10 clinics and found a Dr and clinic they loved who were running a lovely program all centered around the wellness of the surrogate. They started the IVF process in the UK and then had egg collection and embryos fertilized in India and then were found a surrogate. She still had nobody to talk to about this. Complications of Surrogacy Abroad The first step is to find a lawyer who is really experienced. The pregnancy was difficult - people weren’t talking about it, so Anna didn’t tell hardly anyone until about 24 weeks. It felt hard to believe She worried that people thought she was undeserved of being pregnant because she wasn’t carrying the bump. Anna describes skulking around John lewis looking at prams, terrified someone would ask her why she was there and she was asked who she was buying the pram for and she said she mumbled ‘it’s complicated’ and walked off as she wasn’t ready to tell a stranger. Anna explained how you never know if someone is going to say ‘congrats’ or if they will ask complicated questions. She walked away and ordered everything online. Telling Work Anna explained how they talked to close friends who were really supportive but she was worried about work as she was the first person who had done it, was concerned about her position. She told them at 24 weeks, however, they had no policy for anyone doing surrogacy. How they talk to their children They’ve talked about how children are bought into the world. They have pictures and memorabilia of India all around. They talk about how Mummy’s tummy is broken and another mummy helped to grow her. They celebrated Divali, making sure to normalize her culture and how she was bought into the world. Isla - 5 Always say thank you to Sheparla her surrogate and India. They don’t have a relationship with her as she didn’t want to and also doesn’t speak English. Anna writes a letter every year to her clinic with a picture of Isla both to Sherparla and her children. It’s different with the twins as they are in touch with Holly, her surrogate in San Diago, and has pictures of her in their nursery. They are still in contact with her. Surrogacy is an everyday... Our second guest is Mike Ellis - one half of Two Dads UK, with his partner Wes and founder of My Surrogacy Journey, a membership for Intended Parents to get legal advice, clinical advice,...

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In this episode, we’re talking about donor sperm and treatment abroad. We have discussed donor conception on the podcast before and refer throughout the episode to previous chats we’re had as we’ve spoken to egg donors, as well as organizations that help match you with donors both in the UK and abroad and we’ve heard your stories about having treatment abroad with a donor egg or sperm, for a multitude of reasons. The idea of using a donor to make your baby can take a lot of time to get your head around and it's so important to get support and there are brilliant organizations to guide you. We’ve chatted with the Donor Conception Network who have been around for a long time, working on the narrative about how we talk about this with our loved ones. More recently, the brilliant Becky Kearns who is @defiingmum on Instagram has launched her Paths to https://members.definingmum.com/ (Parents hub) which is to support people looking at donor conception and Becky is working tirelessly to provide webinars and an amazing support network to help answer the many questions that come with donor conception. Our first guest is JR Silver who has created a wonderful children's book called https://www.sharingseeds.co.uk/ (Sharing Seeds). JR was diagnosed with the BRCA1 and sadly lost his sister to breast cancer 9 months later. The family had realized there was a line of females that had passed away young Sister died 9 months later. It was when he went to find out about PGD testing to see whether they could take sperm and have it analyzed to see if they would only put forward healthy sperm What is Non‐obstructive azoospermia (NOA) Ended up having fertility tests - he found out that he had zero sperm which is defined as Non‐obstructive azoospermia (NOA) Definition - no sperm in the ejaculate due to failure of spermatogenesis and is the most severe form of male infertility. The etiology of NOA is either intrinsic testicular impairment or inadequate gonadotropin production. JR went on to have more tests to confirm the condition and then went on to see a Urologist and had two operations to try and retrieve sperm over the coming year. He and his wife had a strong support network and also gained more support and also funding from the Jewish infertility charity https://www.chana.org.uk/ (Chana ) Chana is close to my heart as they also supported me in the early stages of our decision to donate our frozen embryo You can learn more about them What’s it like choosing a sperm donor for a guy and what advice do you have for other men? JR explained how he was on a light dose of anti-depressants felt that might have taken the edge off the choosing a sperm donor. Once the pair had got their head around it, they found it quite good fun. JR talked about how his wife didn’t want to see pictures, but it was one of his requirements. The pair are fair in the background and they wanted someone close to his aesthetic and he said that enabled them to pick the donors based on the pictures available. The donor was from Canada and the US from https://www.xytex.com/ (Xytex) JR says to be wary of all the advice offered and encourages Men to work with their partner and look at if they can deal with the setbacks of how it feels, see it as a joint project. How do you talk about using a sperm donor - with your friends and family? This is such an important conversation and once we’ve also discussed on the podcast with Jana Rupnow... See https://acast.com/privacy (acast.com/privacy) for privacy and opt-out information.

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In this episode, Natalie and Kate are working with Access Fertility to explain what is involved when it comes to self-funding your fertility treatment. Speaking with Professor Scott Nelson who is Professor of Obstetrics & Gynaecology at the University of Glasgow, consultant for NHS Greater Glasgow and Clyde as well as the visiting Professor at the University of Bristol, Scott is the Scientific Director of The Fertility Partnership and Medical Director of Access Fertility How do Multi-Cycle and Refund packages work for IVF? There are several different ways to pay for private fertility, designed to make it more affordable and accessible for those who need it. The two most popular ways to self-fund are multi-cycle and refund programmes, which help families avoid escalating costs if more than one cycle is needed or get some money back if the treatment is unsuccessful. A multi-cycle programme is where a patient pays a fixed price for multiple cycles, and the cost is the same whichever cycle is successful, or if none of them is. Once the patient has had the cycles, there are no refunds. And if the first cycle is successful, the patient can’t access any further treatment under the programme. Up until now, these programmes have been provided independent from the medical clinics that carry out treatment, so there is a natural separation of medical and financial decisions. This means women and baby’s health is the only priority. A refund programme allows patients to recoup up to 100% of their money if their treatment is unsuccessful. Refunds aren’t offered if the patient is successful before the end of a full programme. How has the Pandemic impacted fertility treatment? It has been a huge impact in the UK and after the initial chaos, what is now left is the residual waiting for appointments and treatment. Many people have found their treatment has been delayed, or are worried that their fertility has declined, while others may have been "aged out" of being eligible for NHS or other treatments. This means that some may feel they need to rush their treatment or must access more aggressive treatment. Have a listen to our previous episode about the https://www.thefertilitypodcast.com/so-what-is-postcode-lottery/ (Postcode Lottery) There has been a lot of concern about people making quick and ill-informed decisions and both Kate and Natalie were ambassadors for the https://www.safecampaign.co.uk/ (Safe Campaign), highlighting the importance of ensuring patients were making informed decisions when it comes to treatment options, despite being tempted to push their physical or mental health to the limit to get pregnant. What we discussed: The options for accessing fertility treatment The ways of paying for private fertility treatment including multi-cycle and refund programmes and the safest ways of accessing these programmes The importance of not rushing your decisions and making informed choices How much of an impact has the closure of clinics at the start of the pandemic had on patients' decisions to self-fund rather than wait for NHS funding? How does it work when you are self-funding for fertility treatment? Why would you opt for a multi-cycle and refund package? How much money patients using Access Fertility programmes can expect to save Whether people are aware of the risks of aggressive treatment?

Scott mentioned the https://w3.abdn.ac.uk/clsm/opis/home/about (OPIS IVF model ) Socials: https://www.instagram.com/accessfertility/ (Access... ) https://www.instagram.com/accessfertility/ ( ) https://www.instagram.com/accessfertility/ (See )https://acast.com/privacy (acast.com/privacy) for privacy and opt-out information.

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Kate and Natalie discuss the Frozen Embryo Transfer, explaining what it means when it happens and how it feels when cycles don’t work. The pair discuss how there is research to show that the success of the frozen cycle is as high as a fresh, so do not worry if you do have to freeze your embryos. With a frozen transfer, your body isn’t full of all the medication, so you’re embarking on a more natural cycle so there is also the thinking that you’re putting those previous embryos back in a more natural environment. http://www.thepreggerskitchen.com/ (Amber Woodward) is a brilliant blogger and former book reviewer on The Fertility Podcast. How to prepare? Amber talks about how she learnt about nutrition to help her get pregnant as it wasn’t happening and she had read a lot about the impact of your nutrition. Her medical records state unexplained infertility, underpinned by PCOS, Amber has had issues with her insulin and she discusses how it can make a real difference to your nutrition. After 12 months of changing her diet, she got regular cycles and talks about how much of a difference it can make for conceiving naturally and preparing IVF. Try to improve egg quality, keep your hormones balanced which she found very difficult and food has a big impact on her emotions. What about Eastern medicine - Chinese herbs? Amber talked about trying eastern medicine. Chinese medicine in particular despite her partner Joe’s concerns and the disgusting taste. She said it also made her cycles go crazy. She didn’t leave herself enough space between starting it and then doing IVF as it’s not recommended when you start treatment. Amber talked about how the pair of them had forgotten how all-consuming ‘trying again’ was and also how the treatment felt, as well as other people announcing 2nd siblings. Working and going through FET She was at work when she had another FET, her nutrition wasn’t great and she wasn’t really exercising, so she didn’t feel very prepared. She went into it feeling like she should have put more effort in and they had 2 embryos left and the pair had decided they weren’t doing any more fresh cycles. What about when it doesn’t work? When it didn’t work - the clinic said ‘it's just one of those things about 70% don’t take. You can do everything and it doesn't work and you can do the opposite and not prepare. On the final FET, she wanted to give it her best shot and have no regrets. They didn’t need to wait very long after the failed cycle as you don’t need to treat it like an IVF cycle as you aren't’ stimulated. They were due to have the treatment in April as Covid took hold of the world. She describes how it was the best thing for them to have some time to adjust. Her clinic reopened the day before her birthday. How long does it take? Covid changed how the clinic did the down-regulation. In January when she cycled failed, they had 1 month of downregulation and then the oestrogen for 3-4 weeks. Then you’d have a couple of scans and then the progesterone. During Covid, the clinics wanted to limit the number of times you went there. Instead, she was posted the oestrogen (which increased womb lining) Amber was on this for approx 3 weeks and then 4 days later she had the transfer and two weeks later she had the pregnancy result. So a 5-week process. What if it doesn’t work and how having that conversation about ‘what if’ helped Amber had shared on her socials about how the pair of them had talked about alternative life plans if it didn’t work. They had prepared themselves for the FET to be their last treatment. They talked about just being able to put it all... See https://acast.com/privacy (acast.com/privacy) for privacy and opt-out information.

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This week we’re talking about the TWW which is that period of time from embryo transfer to when you can do a pregnancy test. Natalie has been through it once, having had success on her first attempt at IVF however we know, for many of you it can be something of a Groundhog Day experience and we wanted your thoughts on how to cope with it. Kate talked about how she tells her clients to set an intention for the 14 days in terms of what they want with their family and friends, so you’re in control of how the tww goes, which is sound advice. We also spoke with author and former fertility patient and Midwife, Sheila Lamb about her experience of the TWW and her book ‘This is the Two Week Wait Sheila curated over 30 accounts from people willing to share their experiences, Natalie was one of them, talking about how she made a point of going away to the coast, which did her the world of good. Sheila talks about one thing that stuck out was people talking about how ‘on your own ‘ you are, after all the put from the clinic, it just stops.. it’s like tumbleweed. We talk about how best to keep busy and how you need to think wisely about who you spend time with. People talked about symptom spotting and how for example their boobs were ‘buzzing’ Sheila talked about how her experience and how she didn’t want to test during the wait. after four cycles she was very aware of what worked and what didn’t work for her. Her fourth cycle was 6 years later and was with donor egg, and additional medication after a miscarriage and she was abroad, which made it nicer as they were away and able to keep busy. She talked about doing visualization which she hadn’t done previously as she hadn’t learnt about it in the earlier days. We’re all so different which is why we wanted to get your thoughts and had you record them for us using our exciting new software, so if you want to get in touch for future episodes we’ll be reminding you of how to do it. We had some amazing and varied comments from you. Elyse talked about how it is so important to expect and accept that your emotions will be all over the place, if you need to shout, cry, call your friend for a bitch do what you feel, and don’t feel guilty. She advised you to keep things to yourself if you want to, you don’t have to share with family and friends. Also to Keep reminding yourself you’ve done your best and the next stage is out of your hands and your brain goes a bit wild - uf it gets too loud try and takes control back. When it comes to testing the consensus was to not drive yourself mad with early testing!! Bilitis shared how she picked up a new hobby, during her TWW, which was during the lockdown. So she learned to sew using a sewing machine which kept my mind occupied, which she said stopped her dwelling. Sophie talked about how she and her partner, blocked out the two weeks for themselves to go away and see something new. Or if that’s not possible just get away from every day, or go for a walk along with the coast, anything to get away from the norm. She also talked about how they treated themselves to something nice, a massage, a nice meal and focused on themselves rather than being with family, or friends. Her go-to activities were yoga, meditation, baking, and eating. Nice! Susanne shared her wisdom, after having five cycles. She highlighted how you come to realize there are no hard and fast rules. There’s no ‘if you do this it will work’. She said to follow your gut and do what feels right which we’re big fans of. You know you ultimately. Susanne said how in the past taken 2 weeks off work, which helped her have nothing to blame, but wasn’t right, as she also worked which then gave her something to blame. Ultimately, she says to stay... See https://acast.com/privacy (acast.com/privacy) for privacy and opt-out information.

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This week we’re talking about egg collection and embryo transfer with former podcast guest Alpesh Doshi. We discuss how it all works and how the hormones are used to stimulate the ovary to produce follicles. Do numbers matter? We discuss the importance of managing your expectation in terms of what it all means, what size means, what % of follicles will result in an egg, and what stage an egg can be at. Alpesh explains how patients need to be informed at every stage of scans with how many follicles are in each ovary, what size are they, how many are they expected to grow, at the last scan, when they are ready for trigger - the patient should have more details chat about what to expect. Did you know 80% of follicles result in eggs? Typically follicles that are over 14mm in diameter What if I don’t get enough eggs? There is often a lot of disappointment that can come because patients aren’t sure how to interpret numbers. But it’s important to remember that 15 follicles don’t mean 15 eggs. Alpesh explains how important it is that patients shouldn’t fixate on a number = it could be a number of eggs and the number of embryos. The journey from the egg to the embryo is a funnel as the numbers come down. More important to focus on the embryo number. How long does egg collection take and does it hurt? It can take 15 minutes to 45 minutes depending on the number of follicles. The procedure takes place under a general anesthetic, meaning you will have been nil by mouth since the night before. Alpesh explains the procedure of draining the follicles and how once it is done, and you have one round from the anesthetic you will be monitored to make sure everything is OK before you can go home. All in all about 2 hours. When will you hear from the clinic after egg collection? The embryologist has a conversation straight after once you are awake to explain what will happen next eg. IVF or ICSI There will then be a call the next day to update Day 3 call - assessment Day 5 - to let you know how many have developed into Blastocyst Have a listen to a https://www.thefertilitypodcast.com/ep-92-inside-the-fertility-lab-understanding-embryology/ (previous episode) with Embryologist Rachel Cutting about ‘What an embryologist does’ What to do on the day of embryo transfer? If you have no complicated history of ET - no sedation will be needed, it’s like a smear test. You will need a full bladder, and a catheter will be passed into the cervix, using ultrasound and the embryologist will pass another catheter to release the embryo in the middle of the uterus. It takes about 20 minutes. You will be at the clinic for about 30 mins and then can go home. Hormones continued and then dealing with the two-week wait and talking to the clinic as much as you like. How to deal with the Two Week Wait #TWW Natalie talked about how important it is to give yourself things to look forward to, and how she and her husband went away for a few days, so they’d done something nice even if the outcome wasn’t what they’d wanted. Alpesh talks about the importance of the emotions between couples being supported and managed. We will be making an episode about how you cope with the TWW, so if you’ve read this far and would like to tell us please email The outcome - what if it’s not successful? What to expect from your clinic. Alpesh talks about how they manage a... See https://acast.com/privacy (acast.com/privacy) for privacy and opt-out information.

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This week we’re talking about the drugs teach, which in normal terms means - how the hell do you do your injections when going through IVF, especially if you’re scared of needles. We’re joined by Kate Pleace who is a lovely lady and part of Kate’s team of nurses at Your Fertility Journey. Kate talks us through how it all works when it comes to taking your drugs for IVF. Unfortunately, the majority are injections and you following a plan and dosages. Kate explained how important it was to talk through the different injections how they work when you need to do them, how to draw them up and prepare them, and they have mock ones to practice with How it all works? You get to practice with a fake skin pin cushion which is good to know if you have a fear of needles, you get to feel more and get to see the needle, which is tiny. If you’re scared, it’s important to spend time with your fertility nurse, have a look ad practice and find out what works, you can get your partner and have them shown. Kate mentioned breathing techniques and meditations. It may sound terrifying for people but you soon get the hang of it, Natalie certainly did after being so worried on day 1, by day 3 she was in the loo doing it, as she was hosting an event! Where should you inject? In your tummy, where your trousers sit - either side of your belly button. It’s really important to rotate around your tummy, to give the areas a break, you will get brushing as it’s a side effect of the treatment, which is why it’s good to rotate the area you inject. What about if you miss your injection? If it’s a few hours, Kate advises you do it, if it’s the next day, Kate advises you to call your clinic. What about air bubbles? There is a little air bubble on the pen ( there’s minimal evidence it will make any damage ) always give a little tap before injection, make sure fluid is at the top, pre-loaded pens are ready to go. Ways to help partners feel more involved? Natalie talked about how she and hubby named the two injections after film/cartoon characters What about nose sprays? There is a nose spray for the down-regulation, but they are mainly injectables, depending on your protocol. Your clinic can reduce the time you have to take them. Side effects of drugs? Depends - long protocol and down-regulation, can put you into temp menopause, people may report headaches, night sweats, difficulty sleeping, but these pass when on stimulation drugs. Stimulation drugs - These can make you feel bloated and fatigued Cetrotide - can make you feel like there is a bee sting when you do the injection but it disappears in about 30 min.. Natalie mentioned her own experience. You will need to listen to the bizarre side effect Natalie experienced… if you had the same experience, do let Natalie know. Kate says if you do have any weird sound effects, do let your clinic know. Kate talks about ways to tick off the injections on the calendar, Natalie talked about treating it like a science experiment. Think about how it’s not forever… Kate talks about how she helps patients celebrate their last injection with patients. The Trigger Injection - what if you can’t do it in time? If you’re having any problems or struggling to take it, use the videos - talk to the nurse at your scan before it. If it comes to trigger time and there is a problem, contact your clinic as soon as you can, and they can advise you on what to do... See https://acast.com/privacy (acast.com/privacy) for privacy and opt-out information.

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In this episode, we’re talking about what to expect in IVF which we hope you take as an overview as everyone’s experience is different. Of course, there will be some commonalities in terms of treatment plans, which is what our expert Dr. James Nicopollus will be explaining. First up we discuss a conversation from social media that has been front of mind and that is about the latest data on the safety of the Covid Vaccine. Here’s https://www.instagram.com/p/CR3IBgmhWBf/ (Kate’s post) that we discuss. Your initial visit to the fertility clinic James talks about what to expect after you have an initial referral for a series of 2 or 3 diagnostic tests and how there should be a plan for you put in place. We discuss: What information should people bring with them? How clinics will have a questionnaire, including info like the previous history ( how long you’ve been trying ) any previous pregnancies, as much info as possible about your menstrual Any other info, surgical, gynecological, medical Important to identify any other risks complications that need to be made aware of. If you’ve had treatment elsewhere - bring all the info

What about delays due to COVID: In terms of key investigations markers of egg reserve, transvaginal scan, AMH blood tests - if done within last 6 months Semen analysis within last 6 months - unless significant abnormality, it might need to be repeated. Other tests for IVF include HIV, Hep B, Hep C - within the first 3 months of treatment James gives his opinion on home blood tests and whether he accepts them and he explains how it depends on where they’ve been done and who they’ve been done through. As long as he can see where they’ve come from and ascertain how accurate they are, there should be no need to repeat them. How often should you expect to see the same Dr? James explains how you will have a point person - you will have direct access to people via email. However due to the nature of the treatment with your embryos being ready when they are ready, so it might mean that your collection or transfer might not be at a time the Dr is available. He explains how you will have continuity with your Dr, but it won’t always be just with him. Kate shared a great https://www.instagram.com/p/CR0hPiBtj4E/ (post on Insta) about what questions to ask about IVF Workup is key Once you have had the tests, then you get ready for the treatment itself - so what should you expect. James talks about the treatment and explains what it is going to be doing - FSH hormone in higher doses, with a daily injection ( on average this is about 12-14 days ) in the same time it takes for one egg to grow, we’re trying to get more. In almost every cycle, it starts just after your period, then for 2 weeks you take an injection to make your eggs grow with 3/5 scans, to see when you are ready for egg collection. You may have blood tests. All help to decide when you are ready for egg collection. The second medication is to stop your body from releasing the eggs. The main difference between long and short protocol is when the medication is changed. A long and a short protocol from period to egg collection is the same, it’s just different by the medication. Approx 2 weeks of intensive monitoring/estrogen goes up, it tends to make you feel good. It’s more likely that post embryo transfer the homes can make you feel a bit gritty. The hardest thing is the logistics. James talks about stress and the importance... See https://acast.com/privacy (acast.com/privacy) for privacy and opt-out information.

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So what is the Postcode lottery?

Well we’ve been talking about it here on the podcast for years ( since we started to be honest ) and if you’d like to hear previous episodes on it here is https://www.thefertilitypodcast.com/episode17/ (Susan Seenan) the former CEO of Fertility Network in 2015

Then we spoke about it in 2017 when Fertility Network launched its https://www.thefertilitypodcast.com/ep-74-the-right-to-try-when-needing-fertility-treatment/ (Right to Try campaign).

So you can see, this issue has been impacting our access to treatment for a long time.

What is going on is that your postcode impacts how many rounds of NHS funded treatment you are eligible, despite the NICE guidelines being that you SHOULD have 3 rounds of IVF treatment Natalie was fortunate to be living in an area where she did have this and had her son Phoenix, with the help of NHS funding.

Sadly this isn’t the case for a lot of you.

Our first guest is Amber Izzo, a fertility patient advocate, blogger, and campaigner, founder of https://www.instagram.com/fightforivf/ (Fight for IVF) and Innovation Fertility. We spoke to Amber on 6th July, ahead of her hearing from the CCG in Cambridgeshire and Peterborough who had been reviewing their IVF policy about whether they were going to reinstate funding

Amber started it due to not having any access to NHS-funded treatment.. when she started there were 6 that didn’t offer any, now there are 3.

Mid Essex

Bassildon and Brentwood

Cambridge and Peterborough

Have a listen here to a https://www.thefertilitypodcast.com/tea-break-pod-how-you-can-lobby-your-ccg/ (previous episode) we shared in 2020, where another listener Laura had success lobbying her CCG

The issue is that over 80% of CCGs don’t adhere to the NICE Guidelines which is why the Fight for Ivf campaign picked up a lot of momentum. Amber’s local MP’s in Cambridge was on board as he had personal experience )had a cross-party letter to the CCG, which secured a meeting in 2021 to secure the review. She had gained great exposure with media coverage on Sky and BBC and the petition is currently on 30k signatures. You can sign it https://www.thepetitionsite.com/259/042/845/demand-an-end-to-the-ivf-postcode-lottery/ (here)

People are being refused to fund because the CCG has put in their own criteria, such as if your partner has a child already. You can appeal this. Amber has asked her GP to put on her notes if he refuses any of the tests she asks for, so there is proof of what she has requested and she can find out more about why they said no.

Watch Amber and her husband Marco hearing about the CCG’s decision https://www.instagram.com/p/CRB8P9jCv1h/ (here).

So what other options are there for treatment? We spoke with Marta Jansa Perez, Director of Embryology at BPAS Fertility, who are launching their BPAS FERTILITY later in 2021

Please note we do talk about Implantation failure in this episode.

Marta joined BPAS as she always felt strongly there was a need to help people and she joined BPAS to help create their not for profit service as they felt there was a gap in the market for people who can’t access NHS...

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Hope.. and what it means to you This week’s podcast episode is a little different as it’s Kate and I sharing our thoughts on what we’re doing for the rest of the year. We relaunched this podcast in February as we were really keen to try and map out what we thought you would want to know if you were just starting to try for a baby. I felt quite strongly that the podcast lacked a bit of structure and wanted to revisit topics. We also knew the by going over this information and signposting you to other episodes we’d already shared, it would be really useful if you were already trying and at different stages as we’ve shared updated info as well as recapping things that might help. So now we’ve reached the point in our content where we are about to head through the clinic door and it felt right to stop and reflect. Our aim with The Fertility Podcast is to educate, empower and support you at every stage and if we can help you to conceive naturally by sharing the insights of our experts, which may then to you asking more questions to your medical professionals, then we’ve done what we set out to do.. to help. Alongside the education, Kate and I are both dedicated to supporting your mental health. I feel like my own personal journey with infertility has affected my life much more than I realised or admitted and have done a lot of self-development ( and continue to ) to discover ways to work through certain feeling and understand myself better. We want to create something really special and powerful for you over the coming months and talk about Hope. What we hope to do, is to share with you some fascinating ways in which we feel you can find hope alongside you. We'd love to hear your ways to find it and how to hold on to it as we know how much it helps for everyone who listens to this pod, to hear relatable stories. So if you would like to share what hope looks like in your life and pay it forward to anyone coming into this TTC space, who needs to find a way to find hope, please do get in touch. Just email and use the subject matter: Hope SOCIALS: https://www.instagram.com/fertilitypoddy/ (fertilitypoddy) https://www.instagram.com/your_fertility_journey/ (Kate ) See https://acast.com/privacy (acast.com/privacy) for privacy and opt-out information.

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In this week’s episode, we talk to fertility consultant Rami Wakim. Rami, among other areas of expertise, specializes in Intrauterine Insemination (IUI). We wanted to chat with Rami to find out if these days IUI is really worth it or should you go straight to IVF. Kate mentioned that, in her opinion, she has seen fewer and fewer IUI procedures performed over recent years. Is IUI on the decline? Rami starts off by giving us a really interesting insight into the history of IUI. Did you know that the first successful IUI took place in 1953? It then became more popular as a fertility treatment in the ’70s and ’80s. However, only 35 countries consider IUI as a method of Assisted Reproductive Technology (ART) and only 30 consider it an appropriate treatment for single women. So, is it worth it or is it just sex in a clinical room? Rami spoke about how there isn’t any data about the success of IUI in the Middle East, Canada, and Australia and how Europe only started offering data in 2002. There is currently not enough studies of IUI Did you know that only 35 countries consider IUI as an ART technique? When it comes to the https://www.nice.org.uk/guidance/cg156/ifp/chapter/intrauterine-insemination (NICE Guidelines), the suggestion for people who have not conceived after 6 cycles of donor sperm, should be offered a further 6 cycles ( 2013). You can read more herehttps://www.nice.org.uk/guidance/cg156/ifp/chapter/intrauterine-insemination ( ) In 2016 patients with unexplained or mild endometriosis or mild male factor should NOT be offered routine IUI, but should be advised to try naturally for 2 years before IVF considered Rami highlighted the parameters for success with IUI are: Good sperm quality Treatment has to be well-timed with the cycle, either using ovulation induction or based on the LH surge. Double insemination seems more effective for the malefactor

As some people are very scared of IVF, IUI is more accessible especially in communities where there is a lot of stigma around ART. People have the conviction to go for IVF after they have tried IUI, if they have been scared about the idea of it, at least they tried it. You may be offered IUI if: 1. you're unable to have vaginal sex – for example, because of a physical disability or psychosexual problem 2. you have a condition that means you need specific help to conceive. For example, if 1 of you hashttps://www.nhs.uk/conditions/hiv-and-aids/ ( HIV) and it's not safe to have unprotected sex 3. you're in a same-sex relationship and have not become pregnant after up to 6 cycles of IUI using donor sperm from a licensed fertility unit (the Stonewall website has more information abouthttp://www.stonewall.org.uk/help-advice/parenting-rights/donor-insemination-and-fertility-treatment-0 ( IUI for same-sex couples)) Bear in mind that the waiting list for IUI treatment on the NHS can be very long in some areas. Costs range from about £700 to £1,600 for each cycle of IUI treatment. Source https://www.nhs.uk/conditions/artificial-insemination/#:~:text=You%20may%20be%20offered%20IUI,safe%20to%20have%20unprotected%20sex (NHS) Socials: https://www.instagram.com/fertilitypoddy/ (Fertility Poddy ) https://www.instagram.com/your_fertility_journey/ (Kate - Your Fertility Journey ) Rami Wakim - See https://acast.com/privacy (acast.com/privacy) for privacy and opt-out information.

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Earlier in June, a hugely important review by the Competition and Markets Authority (CMA) was published. This review produced guidance to help fertility clinics comply with their consumer law obligations but also provides guidance for you when considering purchasing IVF treatment. The word ‘purchasing’ there is massively significant because as well as being a patient, you are also a consumer and it’s very likely that you haven’t thought about fertility treatments in that way. It’s important that fertility clinics are fair and that you know your rights when it comes to consumer law. In this episode, we’re delighted to talk to two guests who have been actively involved in assisting the CMA in producing this guidance – Clare Ettinhauser Director of Strategy and Corporate Affairs at the HFEA, and Patient Advocate and founder of @uberbarrensclub - Katy Linderman. Later we’re also joined by the chair of the British Fertility Society, consultant gynecologist Raj Mathur, to share his views on the CMA review. Whilst we had Clare with us, we also asked her how best for women and couples to go about choosing a fertility clinic. Clare recommends checking out the Choose A Clinic function on the HFEA website. Kate uses this with her patients and finds it super useful in narrowing down your choices and finding the best clinic for you. She also mentioned paying attention to the individual clinics Live Birth rates on the HFEA website, these are collated and ratified by the HFEA every 2 years but are unlikely to differ very much in that time. Clare also talked about the benefits of attending, either in person or virtually, clinic open days. Now on to the CMA review: Katy worked as a patient advisor to the CMA and it’s really obvious from reading the review that the patients’ best interests are at the center of every aspect. Katy talked about the need for patients to have accurate and timely information to help them make the right treatment choices and that there is a lot of work clinics need to do to adhere to this new guidance. Here is what you should now expect to fully understand when choosing a clinic and treatments: a) Details about what the consultation consists of;(b) The cost of the consultation and any diagnostic tests and scans; (c) The possibility that additional diagnostic tests, and costs, maybe necessary once the results of the first tests are known; (d) Whether the results of any tests and scans already undertaken will be accepted; and (e) Details of any cancellation charges if they fail to attend the consultation appointment.

Claire talked about the HFEA’s involvement with the CMA review. Sadly, currently, the HFEA does not have any legal powers to ensure that clinics follow and adhere to the CMA guidance. We asked her if the HFEA had received any feedback from clinics since the review was published. As yet they have not but this is probably because clinics have been aware for some time that this review was happening, and that the guidance would be published. As well as publishing information for clinics, the CMA has provided guidance for patients too. This also includes an informative video voiced by Lorraine Kelly and we urge you to watch this to understand your rights. Katy talks about the need to clinics to take considered action and make the legally required changes to their website, brochures, and any patient information so that there is treatment price transparency (among many of the other requirements) and a good understanding of what is and isn’t included, from the outset. Katy also states that it is your legal right to have access to this information and if it’s not there, be your own advocate and persist in asking for it. By having this information you’ll feel more empowered on your fertility journey. Next up we get Raj’s clinical opinion on the CMA guidance. He starts by stating that the British Fertility Society welcomes... See...

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Dr. Zeynep Gurtin, a Lecturer in Women’s Health at the Institute for Women’s Health at UCL, and holds an Affiliate Lectureship at the University of Cambridge Sociology Department. In 2020 - spoke to a sample of 457 women to find out their experience of fertility treatment whose treatment has been delayed due to clinic closures. The questionnaire was live for 6 weeks during May-June 2020 The focus was to talk about the issues from lockdown stopping treatment. It was monitored by a multidisciplinary team of 6 - clinicians, counselor, psychologist The survey was an anonymous online long questionnaire - some quantitative, other questions asked for people to tell in their own words about the impact. For many people, it was underlined with a sense of how important the treatment was. Dominant responses were that they were much less concerned about covid than their declining fertility. People scared about how long this is going to last. How at the start there was such little clarity People were saying ‘I don’t want to look back and say that this virus is what robbed me of my last chance to become a parent. People who were essential workers, such as nurses, had a priority of wanting to undertake treatment, yet they were very aware they had to expose themselves to the virus.. and at the time we had no idea of the impact it might have on pregnancy.. and of course, it became impossible for them to take time off - issues of there not being enough clarity on what people should do when it came to having the vaccine initially. On the other side, people who became furloughed or jobs were precarious, which made it even more difficult. People feeling anxious about how secure their employment was and what impact that would have on them having a family. Words used to describe feelings : Powerless, helpless, frustrated, anxious, intense feelings ‘when i heard the clinic was going to close I was completely devastated, my partner isn’t getting any younger and further delays to our treatment was beyond belief. It was a particularly bitter pill to swallow with all the jokes about lockdown baby boom’ ‘i was so heartbroken to be so close to making it happen and then it was wiped away from us’ ‘i find the uncertainty of the wait unbearable ‘ People talked about it as ‘yet another disruption’ people having to halt treatment in the past due to losses, for financial reasons, to stop caring for a family member - and now there was this Patients having to undergo surgery for fibroids and just at the point when they could start treatment, it was put on halt… ‘a feeling like the world is against us.’ When will we get over the Covid crisis and when will we understand the impact it is having on the TTC community People found it really difficult to receive support - many stories of people with young children/friends or work colleagues being insensitive ‘ at least your lucky you don’t have to home school’ How the clinics let people down - lack of communication such as timelines, lack of access to staff, and also a perceived lack of care and empathy. People getting letters with black lines When clinics did offer updates - zoom meetings, webinars were really appreciated. Having a counselor or patients supporter is an enormous help and reassurance, helps them feel connected, they have a place to check-in. Hopefully, the message will be to the sector that better communication should be implemented. Some clinics have said they’ve been using the findings. It’s so important we put these mechanisms in place if some other form of disruption is to... See https://acast.com/privacy (acast.com/privacy) for privacy and opt-out information.

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This week we have a bumper episode and have not one guest, but three! Our episode is all about the fact that infertility knows no colour, meaning that infertility doesn’t care about the colour of your skin – it impacts us all regardless but there are very unique challenges, and some similarities faced by differing communities. First up we chat to https://www.vanessahaye.com/about (Vanessa Hay) Talking about the issue of infertility within Black communities. Vanessa described how multi-layered up fertility issues were with other social-cultural things like faith “When you are trying to build a family, you feel like everyone else is affected. Your whole family are invested and I felt it was too much pressure to go through, so it took me a while to talk about it. Then you have to deal with comments such as ‘Why you going through IVF it’s not something that we do’ Vanessa chose to only share her experience after she was pregnant, she was 27 when they were trying.. She spoke about how Infertility has no boundaries in terms of what you go through and how it feels and how she felt she couldn’t get anything from her community as she wasn’t sharing so she needs to go elsewhere. She went on chat rooms… and realising there was the Instagram community… However the nuances in her journey -such as how to approach nosey aunties and uncles / the faith-based / they weren’t being covered in this predominantly white community. Vanessa https://metro.co.uk/2018/11/22/stigma-and-shame-struggling-with-fertility-as-a-black-woman-8166179/ (spoke to Metro )about her experience of going through IVF as a black woman had so much traction. People thanking her for sharing it. People saying they were also going through it. Women were saying this is something I’m going through but don’t feel comfortable talking to my friends as it’s not something that happens with Black women - started the conversation to help us feel less alone. Vanessa said how people talking back to her and she then seeing other black women bloggers starting the conversation helped her feel less alone. It was reciprocal and reassuring. She explained how ‘If there is already a perception in a community and you aren’t seeing people that look like you talking about it further breeds the idea that this isn’t the type of thing you might go through. ‘ There is still shame within Black communities assumption of virility Vanessa spoke about Noni Martens who has been talking about how black women are raised to be Mother - which s something we spoke more with Christine about later in the episode. There is an assumption that black women are apparently ‘hyper fertile’ Vanessa also explained her concerns about celebrity - saying how ‘There is also the perception of IVF is also that people are choosing what babies they have due to the celebrity association. As people don’t understand it. If someone is choosing it they are guaranteed to get pregnant, that she has decided to now get pregnant… like you are trying to take matters into your own hands She is now focusing more on Reproductive and Gynacolgical - having lost babies she has realised she still has work to do in the education she is sharing. Next, we welcome back a friend of the podcast Dr Christine Ekechi. Christine is a consultant gynaecologist at Imperial College NHS Trust and a spokesperson for Racial Equality at the RCOG. Christine is passionate about tackling the healthcare inequalities of women. We last saw, and interviewed, Christine in a very busy and noisy British Library in London, just before lockdown. We wanted to chat with Christine about the recent paper, shared by the HFEA, on the ethnic diversity infertility treatment and how using the term BAME is no longer acceptable. Christine is against defining women by... See https://acast.com/privacy (acast.com/privacy) for privacy and opt-out information.

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This week to mark Men's Mental Health Week, we are putting the spotlight once again on Male Fertility issues with two conversations to share with you. We welcome back to the podcast Professor Sheena Lewis to talk about DNA Fragmentation. Sheena is the CEO of Examen and a professor in Reproductive Medicine and has been working on male fertility tests for the last 25 years. You'll also hear from Shaun, who has created an account on Instagram called https://www.instagram.com/knackered_knackers/?hl=en (Knackered Knackers), where he has shared his story of having male factor infertility, having had mumps and ultimately had to use donor sperm. Male infertility is on the rise but luckily, we’re beginning to make progress in the research surrounding this. Sheena talks about as well as sperm counts declining, sperm quality is also reducing and the DNA of sperm, in particular, is becoming worse, in part due to 20th century living such as environmental factors, having children later in life – the things we can’t do anything about. However, there are factors that we can influence, and we need to do all we can to start focusing more on men, rather than just the woman. If you go back to basics, the first thing a man needs to do is to get a sperm test. This looks at the count (how many there are), motility (are they swimming) and morphology (the shape of the sperm). What you don’t find out from a sperm test, is what’s inside the sperm – the DNA. Sheena feels that we should be doing more DNA fragmentation tests. However, as fertility clinics are ‘female focused’, this is rarely offered. We need to bring urologist into the picture to also focus on men and have better joined up working. Sheena talks about the misnomer of unexplained infertility. 25% of couples are given the frustrating diagnosis of unexplained infertility, but the reality is we’ve not actually searched hard enough for the answer because men are left out of the picture. Sheena’s research at Queens University in Belfast has shown that 40% of men given a diagnosis of unexplained infertility have DNA fragmentation. A startling figure indeed! It may not be the only answer, but it certainly is one reason for their inability to conceive. 40% of men with fertility problems have varicoceles but as men are not generally examined this is not diagnosed or treated. As a result of male infertility women have to go through ICSI treatment but, as Sheena says, why can we not have equality in reproductive health where men are examined, tested, diagnosed and treated in the same way women are? This would put the man right back in control and be empowered to make the right lifestyle changes to improve sperm. Sheena also talks about the importance of nutrition. Many men have a calorie rich and nutrient poor diet. Sheena recommends getting the right expert advice on nutrition and the right supplements to help improve sperm health. Sheena recommends vitamins A, C and E, with vitamin E being especially beneficial. Natalie asks Sheena about DNA fragmentation and miscarriage. Research in 2012 and 2020 showed the association between DNA quality and miscarriage. The need for DNA fragmentation testing following miscarriage is now in international guidelines but is sadly rarely done. Sheena recommends that men should be empowered to be proactive and ask for this test to be done. It was just Natalie chatting with Shaun and the pair didn’t discuss his story in detail as Shaun has set it out brilliantly on his instagram account, talking about how he had mumps which always made him think there might be a problem. He then had to have a number of operations including a varicocele and a microtese and in the end, Shaun and his wife Jenna had successful treatment using donor sperm and Jenn gave birth to their twins Ray and Evelyn in February... See https://acast.com/privacy (acast.com/privacy) for privacy and opt-out information.

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Unexplained Infertility In this episode, we’re together, in person and in the same room!! What a novelty. We’re talking unexplained infertility and whilst together we had a quick chat with the lovely Jen who is @jens_endlesshappydays on Instagram Jen has been diagnosed with unexplained infertility and is struggling with PCOS, however, her doctors don’t feel that PCOS is impacting her cycle and therefore her diagnosis remains unexplained. Jen tells us how she feels frustrated at the diagnosis of ‘unexplained’ and the rollercoaster of emotions that comes with her thoughts of why she’s not getting pregnant, symptom spotting, the two-week wait, and the crushing disappointment of getting her period every month. Jen has been really open with her friends and family and feels so lucky that she has a good support network, which includes friends who have experienced a similar journey themselves. Jen decided to be open on social media and as a result as made some amazing Instagram friends. We talk about friendships and how you cope when a friend you make through a shared experience, such as infertility, then becomes pregnant. We touch on male fertility tests and how men are often the ignored factor when it comes to fertility investigations. Jen and Alex have only been offered a sperm test, but no further testing, and Jen says she is completely unaware that there are any other options for male investigations. Tune in to next week to hear more about this with our guest expert. Jen is soon to start IVF treatment and has been working hard to reduce her BMI. Due to her PCOS, she has found it hard to lose weight, and has found losing weight to be eligible for IVF has further added to the burden and stress she feels. Good luck Jen – we’ll be crossing everything for you! SOCIAL MEDIA: https://www.instagram.com/jens_endlesshappydays/ (Jen ) https://www.instagram.com/fertilitypoddy/ (Fertility Poddy ) https://www.instagram.com/your_fertility_journey/ (Kate) https://www.instagram.com/listerfertilityclinic/ (The Lister Fertility Clinic) See https://acast.com/privacy (acast.com/privacy) for privacy and opt-out information.

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This week we’re joined by Alice Rose who you may know on Instagram as @thisisalicerose. Alice is a former fertility patient, mum of two, campaigner and a mindset mentor. Alice’s ‘Think not What to Say’ campaign has been a trailblazer within the community, helping to bridge the disconnect between patients and their doctors and help friends and family to communicate better with their loved ones navigating a fertility journey. On her own fertility journey Alice, who has PCOS, had numerous rounds of treatment, including ovulation induction. Kate explains what happens during ovulation induction. Often it is the first treatment you may be offered, particularly if you’re not ovulating. You may be offered Clomid or letrozole. These medications increase FSH to encourage the ovaries to produce follicles, one of which will mature and be released at ovulation. In her treatment, Alice responded well to the first round of clomid but was really confused when in the second round she didn’t ovulate at all. Alice talks about not feeling very informed on what to expect during her treatment, including not being aware of the risks associated such as Ovarian Hyperstimulation (OHSS). Following a private consultation, Alice felt more informed and decided to continue with her rounds of clomid but still having varying degrees of response. Alice talks about how she felt as though she had to self-advocate which was hard to do. We discuss egg quality when it comes to PCOS and long cycles, and how many rounds of ovulation induction you can have – which is generally 6 cycles. Kate discusses taking back control and maintaining a healthy lifestyle to optimise both your fertility and PCOS. Although Alice had been recommended lifestyle changes such as dietary changes, she wasn’t given any guidance on what to do by her doctor until she contact a nutritionist. Alice was also taking back control by working on her mindset and acupuncture which she found so helpful. Sometimes we focus on physical health and our emotional health is the last thing we consider, yet it is vitally important to find good support. As time went on Alice felt really frustrated about not moving forward in her treatments and after 6 months of clomid, was offered gonadotropins - another type of ovulation induction treatment given by injection. Sadly, this too didn’t result in a pregnancy but happily in the end, Alice conceived her daughter by IVF. Alice says that going through each round did bring her closer to success in the end. Each part of the experience is not wasted and was very much part of her story. Kate recommends not continuing doing the same thing if you’re not getting results, be your self-advocate and if you’re not responding to treatment go back to your doctor and discuss this. https://www.instagram.com/thisisalicerose/ (Alice Rose:) https://www.instagram.com/fertilitypoddy/ (Fertility Poddy ) https://www.instagram.com/your_fertility_journey/ (Kate) See https://acast.com/privacy (acast.com/privacy) for privacy and opt-out information.

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This week we are talking about Solo Motherhood with Mel Johnson and Genevieve Roberts, both former guests of the podcast so check out the links to those conversations at the end. Travelling as a solo mum. We last spoke to Gen - in Barbados as she’d gone to review a single mum package. Mel travels with Daisy and has been to Bali, Budapest, done lots around the UK to see friends but she needs it to feel like a holiday, so goes away with people or to see people. We talked about their decision to become a single Mum. Mel talked about how it took her 3 years to get there, and she spoke about the decision to let go of the fairy tale and how she had to think about the time. She wanted to be in a romcom! Now she has rewritten her story - she wants loads of people around her and has now bought a house near her family and has people coming and going g and how it doesn’t matter one isn’t a partner Gen talked about how funny it is looking back on it, now it is your life - she explained how she had her fertility checked, having had a miscarriage about 18 months previously, and assumed it would all be OK. However, her results weren’t good so she quickly made the decision to have treatment and was pregnant within 6 months. Choosing a sperm donor Mel had two options from her clinic, so she found the process relatively easy. Mel coaches lots of women who have excel spreadsheets to choose their donors. Mel did speak to her family about it but she had already chosen. Mel says she tells people all the time how you have to view choosing a sperm donor very differently to how you went about dating online Gen has more choices and actually enlisted her Italian flatmate to get involved. She said it did feel a bit like a dating website, which made it feel weird. You aren’t looking for a Dad you are looking for someone to pass on their genetics. The decision to have 1 or two children Gen talks about how she was incredibly fortunate to have both and how having a strong sibling relationship with her brother, she felt very open to the idea of siblings from the start. Mel talks about how her fairytale was two children, yet the practicalities are a challenge as she would love more children. She does has an embryo still left and she can’t come to terms with the fact that she isn’t going to have another child. She talks about how she doesn’t think she could manage with two and that realistically it would make her life really difficult and she is wary of getting caught in the loop of ‘if she was in a relationship she would have tried for a second’. Gen explains how having the two kids has meant she hasn’t been able to sort out toys for two years whereas Mel is a very tidy person and how it impacts her mental health if she doesn’t have a tidy house. But you can’t do everything - like she doesn’t bath Daisy every night Tips From the minute you start to consider solo mothers hood - start saving, even if it’s an inkling of an idea as it’s really expensive. The treatment and then you are the only provider so get your finances in order. A lot of solo mums are strong women and you need to explore being a bit more vulnerable women and you need to feel OK to ask for help. Mel instinctively said no to an offer of help whilst struggling with a heavy piece of furniture in the Ikea carpark! Previously Gen was a people pleaser and now she says she is more focused. She talks about being more confident and also the importance of working out your priorities Have support as back up and have a plan b. Fears Mel has coached more than 200 women and the themes she hears are that you will never meet anyone and you are signing up to be single The impact on the child. The loneliness and whether you will emotionally be able to manage. The biggest thing is letting go of the... See https://acast.com/privacy (acast.com/privacy) for privacy and opt-out information.

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This week we welcome Laura Rose Thorogood to the show. Laura is the founder of the LBGT Mummies Tribe, an LBGT+ activist, a lesbian mother of two by IUI, and is currently pregnant again after 5 rounds of fertility treatment. Laura’s organization supports, celebrates, and reunites the LGBT community on their path to parenthood providing information and guidance on whichever route you choose to create your family. Laura has had a crazy few weeks of awareness days and months and is balancing this with being 35 weeks pregnant. Laura and her wife started creating their family 10 years ago. They have two children and another on the way, all from the same sperm donor from a US clinic. They’ve both carried children and have navigated failed rounds, PCOS, low ovarian reserve, and, most recently the pandemic, to get to where they are now. Laura talks about the common pitfalls that the LGBT+ community might face, particularly that they often come to trying to conceive later in life and often don’t consider this and the benefits, for example of preserving their fertility if they’re not ready to start a family until later. Also, the importance of researching the legalities so that all parties in the triangle are covered. Some couples find private fertility treatments inaccessible and may choose to seek a known donor. Laura explains the importance of seeking legal guidance and whilst there are financial implications involved, it is likely to be less costly than should there be any legal challenges in the future. Laura explains the difference in access to information from sperm back nationally and internationally. In the US and Europe, you have access to more information about the donor whereas in the UK the information is limited to height, hair color, nationality, etc. Sometimes the difficulties in accessing sperm donors in the UK will force couples to use unregulated donors and in some circumstances, this can be dangerous. However, there are organizations such as CoParents and Pride Angle that are regulated and offer a professional service. The LGBT Mummies Tribe is a central point for information and guidance on starting a family but is also a supportive community to bring other LBGT+ families together. They have a private support group but also get together in person (when the Pandemic allows) for meet-ups. Laura talks about her interaction with medical services and the microaggression she’s experienced. How, as a lesbian woman, you have to ‘come out’ time and time again. Comments like ‘Who had the baby?’ ‘How did that work then?’ ‘So, you’re the other Mother’. Natalie asks Laura about the guidance she offers on talking to children to help them understand the make-up of their family. It’s about sitting down as a couple and deciding on how best you address this. It’s very individual and personal, but best done at various age-appropriate sections of their lives. Laura tells us how the healthcare arena is very heteronormative and the main area where she sees disparity and lack of inclusivity. She hopes that they can one day get to a place where campaigning is not required but is currently working with the NHS and Government to support them in understanding the community better, dispel the stigma and discrimination against them, and ‘usualise’ – making LGBT families visible and the everyday. Laura talks about how she can understand how confusing it is for the heteronormative community and that the LGBT community needs help in the education so that they are better supported. Laura says the NHS and the fertility clinics she’s working with have been proactive in changing for the better. Laura’s final advice is to take your time, explore all paths to parenthood, join support groups, research, listen to other people's lived-in experiences, and investigated how LGBT inclusive your narrowed down choice of clinics are. Find out more about... See...

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In this week’s episode we are discussing miscarriage and loss,so before we go any further we are putting a trigger warning firmly in place here. If you’re not feeling strong today, then maybe wait and listen another day, or make sure you have lots of support around you as our guest does go into detail of her own loss. Please know, you can always reach out to us on our socials if you need a bit of extra support and please do also have a look at our previous https://www.thefertilitypodcast.com/miscarriage/ (miscarriage series on The Fertility Podcast website) where we detail more information about the support available. We start off by chatting about the developments around the world when it comes to miscarriage policy. New Zealand is the second country in the world to provide women and their partners with 3 days of paid leave following a miscarriage or stillbirth, which is amazing! Interestingly, India was the first country to support couples in this way. Let’s hope this is the start of more countries following suit! You may well have seen that https://www.tommys.org/ (Tommy’s) have published the results of their survey with fascinating and shocking stats including the link between depression and miscarriage. Our episode starts with a snippet from a https://www.thefertilitypodcast.com/why-does-miscarriage-happen/ (previous conversation we had previously with Dr. Ingrid Granne )– researcher and associate professor in reproductive medicine at Oxford University Hospitals NHS Foundation Trust. We asked Ingrid why miscarriage happens. She tells us that the most common cause of miscarriage is due to chromosomal problems in the early days and weeks following conception. Chromosome issues are heavily correlated with maternal age. If you’re in your 20’s you have a 1:10 chance of miscarriage but by 45yrs it's 1:2 risk of a miscarriage. Other causes are medical conditions such as uncontrolled diabetes and thyroid issues. Being overweight increases your risk but we don’t really understand why. There also seem to be some genetic factors that may predispose some women to miscarriage. There are also implantation factors, possibly related to hormones and immune factors. Natalie asks Ingrid about malefactors. She says that paternal age can impact miscarriage risk but not to the same extent as maternal age. She goes on to explain that the DNA of the sperm can also impact. There is more and more information and research coming out with regards to male factors and DNA fragmentation. Next up we chat to Jessica Zucker – a psychologist who specializes in reproductive and maternal mental health. She is the founder of ‘I had a miscarriage campaign’ and has just released a book too. Welcome to Jessica! Jessica focuses on the mental health impact of suffering from a miscarriage. Jessica shares her experience of miscarrying at 16 weeks. A traumatic experience that occurred whilst alone at home and transformed both her professional and personal life. She talks about her ‘failure to allow herself to fall apart. She miscarried on a Thursday and assumed that she would be right back at work on Monday. Jessica says that the failure to allow yourself to fall apart is, in part, survival instinct. Just to keep going. She says she at that time, she couldn’t allow herself to slow down as this would mean being closer to her pain. Professionally, having her miscarriage, showed Jessica just how much she didn’t understand about the emotions her patients would be going through and that this was incredibly enlightening. Next, we talk about sex and miscarriage. Sex can be the last thing you want to think about following a miscarriage. How do you regain that intimacy with your partner? Jessica has interviewed people about returning to... See https://acast.com/privacy (acast.com/privacy) for privacy and opt-out information.

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This episode focuses on the impact fertility has on your emotional health and we’re delighted to have Abbie and Karen from Fertility Circle join us on the podcast. Abbie tells us how she searched for fertility support when she was trying to conceive 7 years ago and how she felt completely lost. Tragically Abbie made some poor decisions on where she looked for support that has impacted her health for the long term. The same was for Karen, in that she didn’t know where to access support and for these reasons, this is why Abbie and Karen felt motivated to start Fertility Circle. It’s also important to Abbie and Karen to provide women with the right expert advice and information across the whole spectrum which includes both the physical and emotional aspects. As Abbie and Karen are both now trying for their second babies, they both feel so much more empowered and informed to make the right decisions. Karen talks about the forced break women have had during the pandemic and how it’s been an opportunity to reset and At the time of recording, the Fertility Circle app has had over 5,000 downloads! Abbie explains that they want women to feel that Fertility Circle is their best friend when trying to conceive but with all the fertility smarts. The app provides a community to connect with peers, a platform to connect with experts, content to inform, inspire and empower and finally offering the very best in emotional wellbeing and support. The app also includes a section on learning, the ability to watch events and tutorials, live events, ask the expert, offers, and planning to support fertility wellness and IVF. As many of our guests start a fertility business when trying to conceive, it can be a challenge. Karen talks about the potential triggers she comes across on social media for example but with that comes the immense support from the community. Abbie says that stepping back and taking a break when you need to, is vital in enabling her to carry on supporting their community. We talk about the amazing friendships that are made within the fertility community, especially when all around you, your friends and family are getting pregnant easily! Abbie and Karen met this way, and even Natalie and Kate met through both working in this space! Natalie is now taking on more clients teaching the Freedom Fertility Formula and if you want to learn more about how Natalie can support you with your mental health click https://www.thefertilitypodcast.com/save-your-sanity/ (here ) SOCIAL MEDIA: https://www.instagram.com/fertilitypoddy/ (Fertility Poddy) https://www.instagram.com/your_fertility_journey/ (Kate on Insta) https://www.instagram.com/fertilitycircle/ (Fertility Circle) See https://acast.com/privacy (acast.com/privacy) for privacy and opt-out information.

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So what is Secondary care and what should you expect to happen? Well, we want to make sure you understand this, as we don't want you to get to the end of the year and find there is actually a problem because you have been dismissed along the way. There are better tests that can’t be done in Secondary Care that can’t be done in Primary Care, which means at the GP and we've discussed them with our resident expert Dr James Nicopollus. Seeing a gynecologist: One with a special interest in fertility is key. Women often go to a fertility specialist later, because there is often a delay in referral from GP to Secondary care and then there can be a delay from Secondary Care to IVF. This has been heightened by the Pandemic. Ideally referrals should happen through the NHS - should come from the GP to a fertility center. What happens at the referral? Clinics are trying to do a one-stop-shop. People will have done a semen analysis but will be asked for a report to make sure it is accurate. GP’s will have tested FSH to check egg reserve and whilst this is OK, it varies between months as well as other variables. The AMH test is more reliable, as it shows the more follicles you have which is better fertility indicator. Tubal Patency checks tubes Important to rule out pelvic issues such as thyroid, polyps, or endometrioma which might impact the outcome. If sperm and egg reserve is OK, are you ovulating regularly, with a progesterone check if you haven’t had one? Laparoscopy looks inside the tummy with a camera, however, this is done by general anesthetic and this is more likely if there are symptoms of endometriosis Most people have a HyCoSy or HSG - inserting dye to screen the fallopian tubes STI’s such as chlamydia can be silent so these tests are important to exclude them A complicated appendix procedure could have caused adhesions or any other significant pelvic surgery can cause issues.If there is any suggestion of painful intercourse or painful periods this should be done. Next, if these tests are clear, in the absence of sub-fertility then an assessment of Sperm DNA fragmentation is needed which looks at the sperm genetic material which can impact natural fertility, IUI, IVF, and ICSI. Urologists are still not working as much with clinics as they should be If all these tests are inconclusive and all investigations have been done and you don’t have a diagnosis and you keep trying and it isn’t happening, then the next stage is to go to the fertility clinic for fertility treatment. You should then have your options explained: Continuing naturally, IUI, IVF with the success rates explained A lot of people are often well informed, other times incorrectly by Dr. Google, which is why we want to always guide you. The reason people's experiences vary so much in terms of the tests they get access too, is because different clinics and trusts offer different services, and the Doctors in clinics might not map things out correctly. There might also be limitations in funding. These are all ways in which you might feel you aren’t being guided properly and this is why it is important to become a fertility advocate. You should always go into a consultation with a list of questions and never feel you shouldn’t ask them. SOCIAL MEDIA: https://www.instagram.com/fertilitypoddy/ (Fertility Poddy ) https://www.instagram.com/your_fertility_journey/ (Kate on Insta ) See https://acast.com/privacy (acast.com/privacy) for privacy and opt-out information.

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In this episode, we’re focusing on Male Infertility which is still not understood well enough and it’s something Natalie has been passionate about giving a voice too. As it was her and her husband’s experience and the pair felt very unsupported when going through treatment. Since its launched The Fertility Podcast has shared numerous episodes about Male Fertility explaining the issues that affect sperm health and also explaining how Men can seek more support and investigation. Men are often overlooked in conversations with medical professionals and we have had numerous conversations about men feeling ignored at the fertility clinic, the very fact that when it comes to IVF treatment in a heterosexual relationship is it is the woman who has to go through the procedure means men are often left to feel redundant. In the many conversations we’ve had with Men, they have talked about the shame and guilt they have felt if the issue has been a male factor and how many men struggle in silence. Kate and Natalie discuss the factors that can affect male fertility, such as diet and lifestyle issues. Smoking and drugs are a real no-no for sperm health. It’s really important that alcohol is taken into needs to be taken into consideration and ideally should be limited but not stopped. Factors such as heat and stress can impact. So consider saunas, heated seats, mobile phones in pockets, laptops on laps as important things to think about. Plus wearing tight pants and trousers can also be restrictive for the wrong reasons. When it comes to health and wellbeing, environmental toxins can impact sperm health and there is a real argument against Protein shakes and steroids impact which can you find out more here in this great conversation with Professor Allan Pacey thanks to our friends at https://www.drfertility.co.uk/pages/do-protein-shakes-and-anabolic-steroids-affect-sperm (Dr. Fertility) Our guest is Kevin Button who talked about his decision to set up The Man Cave to talk about mental health and male Infertility about 3 years ago after losing his cousin to suicide unrelated to fertility. Personally, Kev has had two failed attempts with NHS funding - IVF and ICSI and he couldn’t find anything online and has learned more from being on Instagram than just googling. Kev’s diagnosis is Non-Obstructive Azoospermia which is defined as no sperm in the ejaculate due to failure of spermatogenesis and is the most severe form of male infertility. He had to undergo a micro-tease ( sperm extraction( which didn’t work and Kev was told his options were sperm donor or adoption. You can imagine how heartbreaking this was for him and he was told the news without any support which was part of his motivation for setting up what he has done. Kev explained how when he was younger and out dating, he’d end relationships as soon as the conversation moved on to having a family until he met his partner Nicky, who at first he tried to end things, but luckily the pair are still together. Kev is part of Fertility Network’s Male Fertility as an Ambassador and we spoke about the new https://www.himfertility.com/ (HIM campaign )and the brilliant Rhod Gilbert documentaryhttps://www.bbc.co.uk/programmes/m000rscz (’ Stand up to Infertility’ ) All too often Men won’t talk about this but they are finding their voice within support groups. We also discussed the brilliant Easy Bit documentary which you can find links to more information below; Kev and Nicky won a competition to have treatment in California with California IVF and are waiting for current SOCIALS: https://www.instagram.com/them_ancave/?hl=en (Kev Button Insta)

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We have spoken about Polycystic Ovarian Syndrome (PCOS) on the podcast numerous times in the past so make sure you scroll down to find link to previous episodes. Kate is an expert on the topic, working with women on a daily basis to support them with their diagnosis and in this episode, we've shared a previous conversation we had with Professor Adam Balen discussing the latest PCOS guidelines. Professor Adam Balen is a full-time National Health Service consultant and Lead Clinician at Leeds Fertility, one of the largest assisted conception units in the UK. His special interests include all aspects of PCOS, Assisted Conception, Paediatric & Adolescent Gynaecology and Disorders of Sexual Development. In this conversation, you hear snippets of ahttps://www.thefertilitypodcast.com/pcosguidelines/ ( previous episode) whereAdam explains what the symptoms of PCOS are, including being over or under weight and how to maintain the condition with lifestyle changes. He also talks indepth about the use of Letrozole over Clomofin, or Clomid are most people know it. At the time of our chat, people were still needing to change their mindset regarding prescribing Letrozole, and Adam had written papers for the RCOG to support this further. Kate said she is still seeing a mix of what people are being prescribed and explained how in the UK, heath trust policies can dictate what drugs are prescribed. However, Kate advises if you are on Clomid and not responding after two rounds to go back and ask if you can go back and try Letrozole. We discuss the link between Letrozole and Ovarian hyperstimulation syndrome (OHSS) as well as there being a lower risk of multiple pregnancy and also we discuss the frequency of scans people should expect when they are on these ovulation stimulation drugs We also highlighted the problem with home ovulation kits. When it comes to the common issues people are still coming up against Adam explains how women are still being told they won’t get pregnant with ovulation issues or that they are overweight because you have PCOS and you can’t do anything about it. Which isn't the case. Also the fact that a lot of women with PCOS end up having IVF when they don’t need it which is why we want to ensure you know where to get more support. We also discuss howOvarian diathermy or Ovarian drilling which in vary rare cases is an operation used to stimulate ovulation. When it comes to top tips you can take away to manage your PCOS, Kate's top 3 tips are: Changing your diet to low refined carbs/sugar. Tracking your cycle tracking Become your own PCOS advocate Kate has written numerous blog post about PCOS. This one discusses https://yourfertilityjourney.com/pcos-cant-be-cured-but-it-absolutely-can-be-controlled/ (how whilst it can't be cured it can be controlled. ) You can also read about https://yourfertilityjourney.com/pcos-worst-enemy-heres-fight-back/ (fighting back against PCOS here ) and Kate also has a https://yourfertilityjourney.com/product/pcos-journal/ (brilliant journal you can use ) Have a listen to previous PCOS podcasts we have shared - this one with https://www.thefertilitypodcast.com/diva/ (PCOS Diva Amy Medling ) and this one https://www.thefertilitypodcast.com/kym/ (with Kym Campbell ) both amazing women who have overcome their PCOS and had successful pregnancies and now work to support women further with lifestyle changes. SOCIALS:

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It’s episode number 7 and Natalie’s flying solo. She interviews Deborah Brock – Founder and CEO of Nua Fertility. Have you heard of the microbiome? No, well you’re not alone….. We have microbiome’s everywhere – skin, gut, vagina – you name it. The gut microbiome may not be the first thing you think about when you consider fertility but it’s HUGE. The size of two tennis courts of microbes in your body! This good bacterium supports the correct absorption of nutrients and vitamins which are so important for fertility. It also protects our immune system and offers protection against bad bacteria. Effectively it is your first line of defence. Deborah tells us that the vagina microbiome is equally important, as the more good bacteria you have may help to improve embryo implantation and successful outcomes. There is an increase in the amount of research into the microbiome, and it’s hoped, this might just be the missing piece for many women. As you’ll know, here at The Fertility Podcast we are always on a quest to hear about the evidence and research. In Deborah’s own fertility journey, she immersed herself in as much research as she possibly could and was blown away when she came across the microbiome. Deborah did conceive and is now preparing to get herself in the best possible place ready for her next treatment. Deborah is working with ABC Microbiome in Ireland, they’re a research centre and are looking at how the microbiome influences our health and wellbeing. Nua Fertility is keen to be at the forefront of research and development and make a difference within the fertility field. Nua Fertility’s first product NuaBiome Women is a blend of vitamins, minerals and good bacteria to help the overall balance of the gut bacteria, support the immune system, reduce inflammation and support the vaginal microbiome. Deborah says, that despite taking supplements, it’s still vital to eat well by eating the rainbow (lots of different colour fruit and veg) and to eat more fibre to support your gut microbiome. Nua Fertility for men hopes to be launched at the end of June – so keep an eye out for it. Deborah’s husband struggled with male factor infertility and they feel it is vital to also include a male supplement in their range. Deborah shares with Natalie a case study from a fertility clinic doctor in Ireland who recommends Nua Fertility and has found that it reduced bloating in one of her patients. Deborah discusses the research in the vaginal microbiome is starting to show that women who don’t have an abundance of good bacteria are more likely to have problems conceiving. Research is also looking into implantation failure. A note from us: It’s important to note that more research is required to fully understand the role of the microbiome when it comes to fertility and the benefits of supplementation. Finally, Deborah explains that as well as Nua Fertility being the first of its kind, their ethos is driven by their own experience and also by research and development. They’re driven by wanting to ensure their product is the best for women. Lots of exciting things to come including a clinical trial! Watch this space…… You can find out more about Nua Fertility and Deborah below SOCIALS Nua Fertility https://www.instagram.com/nuafertility (Instagram) https://www.instagram.com/fertilitypoddy/?hl=en (@fertilitypoddy) https://www.instagram.com/your_fertility_journey/?hl=en (@yourfertilityjourney) Come and join us in https://www.facebook.com/groups/talkfertility ( ) https://www.facebook.com/groups/talkfertility ( ) https://www.facebook.com/groups/talkfertility (See )https://acast.com/privacy (acast.com/privacy) for privacy and opt-out information.

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To mark the end of Endometriosis month and we wanted to share with you a bumper episode - a guest interview with an expert and a true-life patient story. First up we chat with Andrew Horne - Professor of Gynaecology and Reproductive Sciences at Edinburgh University and an all-round expert when it comes to endometriosis. Andrew is currently involved in ground-breaking research into a drug treatment trial for endometriosis. He and his team identified that women with endometriosis produce excess lactate in the pelvis, compared to women without the condition, and are trialling a cancer drug to see if this will reduce the lactate levels in these women and reduce the endometrial lesions. Lactate causes pain and therefore reducing lactate may help to reduce the pain experienced by women with endometriosis. Andrew is also currently recruiting women to be involved in a study looking at the benefits of surgery with regards to improvements in pain and quality of life. This trial will be rolled out among many Endometriosis centres in the UK. We talk about the main misconceptions surrounding endometriosis and in particular how women are often told that painful periods are normal. Pain is not normal if it impacts your relationship, work or quality of living. If you feel your pain is not being taken seriously by your doctor – keep going back. If you’re suffering from chronic pain you may find it useful to see a pain psychologist for support. The symptoms of endometriosis are not just pain. Women can also experience fatigue, pain when passing urine or opening the bowels, painful sex and infertility. We talked about the frustrations surrounding the lengthy time to diagnosis and the management using pain medications and surgery and where appropriate, complimentary therapies can offer some benefit. Many women are interested in how diet and supplements can impact endometriosis and Andrew is starting to investigate this area, and it will be really interesting to see what comes out of these studies. Keep tuned and you can be sure we’ll be the first to let you know when we hear more! You can hear previous conversations we have had with Endometriosis UK https://www.thefertilitypodcast.com/listen-and-learn-about-endometriosis/ (here ) Following Andrew, is our chat with Gemma Watts about her lengthy diagnosis from painful periods aged 14 to years of missed opportunities for a diagnosis until she was 31. Gemma had been dismissed at so many points, it was her husband who forced her to go back to the Doctor as her periods were putting her in bed for 2/3 hours. Gemm had been told it was down to her being under weight, that she didn't really have enough symptoms as the pain went after 6 hours and she was told there was still no point in doing a laparoscopy and to try IUI. In Feb 2020, Gemma worked with Kate and learnt more about what was going on with her body and went on to have treatment of 3 IUI’s and on the first scan, at the fertility clinic, she was told she had Endometriosis, despite having always been told this wasn't the case. In fact Gemma had a large Endometrioma often the only thing you see on a scan. When Gemma saw someone privately within 5 minutes she was diagnosed with Stage Endometriosis - the most excessive as it's not just in the uterus it can be all over the body Endometriosis UK says even if you just have 1 symptom - still ask. Gemma has started talking about it more as she was desperate to find more people to talk to about it and now has found 4 people in her church. She has found Facebook groups can be helpful - but stresses that as with all social media, you to need to be in the right mindset ad remember everyone’s stories are different. She is working hard to control the condition with diet, as there is some evidence that gluten/dairy-free and Gemma has found the... See https://acast.com/privacy (acast.com/privacy) for privacy and opt-out information.

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This week, on the pod, we’re talking about that conversation with your GP. It can be difficult to make this first step when trying to conceive and you often don’t know when you should go and what to ask. Plus we often hear from you that you don't feel heard or taken seriously when having these initial conversations. When you’re struggling to conceive there is no reason why you can’t access your GP as soon as you wish. If you’re lucky, your GP may suggest some blood tests and, if you’re in a heterosexual relationship, a semen analysis for your partner. When it comes to a referral to fertility doctors. This is done at the 12-month point if you’re under the age of 35 or at 6 months if you’re over the age of 35. So, what do you need to ask? Kate recommends writing down all your questions, so you make sure you remember everything you want to ask. You may like to ask for some blood tests and a sperm test. Results are generally back pretty quickly. A semen analysis may take a little longer. You can also look at home testing for both blood tests and semen analysis. Hopefully, your results will be absolutely normal but common abnormalities could be with your hormones, your thyroid, and progesterone. It’s worth noting that sometimes the incorrect timing of progesterone can result in an abnormal result – so make sure it’s done 7 days before your next period (difficult without a crystal ball we know!). Be prepared if you are either overweight or underweight, this might form part of the conversation with your GP. We know that it’s not always easy to hear that your weight is not in the ideal range but hopefully your GP will offer you some guidance on how you can either gain weight or lose weight to optimize your fertility. If you’ve had a previous pregnancy, then don’t be scared to still approach your GP for these initial tests. You are still entitled to these and as secondary infertility is really common, it’s important not to delay. Sadly, when it comes to fertility, we often need to advocate for ourselves. Sometimes it can take a long time for women to receive a diagnosis of conditions such as endometriosis and PCOS. So be empowered and persistent and feel confident to ask for what you need. Come and join https://www.facebook.com/groups/talkfertility (our closed facebook group )and let us know more about your experience SOCIALS: https://www.instagram.com/fertilitypoddy/ (Fertility Poddy on Insta ) https://www.instagram.com/your_fertility_journey/ (Kate on Insta ) See https://acast.com/privacy (acast.com/privacy) for privacy and opt-out information.

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In this week’s episode, we’re talking all about testing your fertility at home. You’ll hear a snippet of a previous chat we had with Exseed Health founder Morten Ulsted. Exseed is a male fertility test to be done at home and you can hear the full conversation https://www.thefertilitypodcast.com/how-men-are-coping-in-lockdown/ (here ) We welcome, to the podcast, Dr. Helen O’Neill – a lecturer in Molecular genetics and co-founder of Hertility. Hertility is an at-home hormone testing service for your fertility journey, which includes support from trusted fertility experts. Helen’s motivation for starting Hertility was to provide women with a holistic expert service that takes into consideration all aspects of their reproductive health. Hertility considers 9 of the most common reproductive conditions such as thyroid, PCOS, and endometriosis, to mention just three. Hertility combines answers from a pre-testing questionnaire, that takes in to account any symptom in isolation or collection of symptoms among other aspects to decide on which hormones to check you for and then using this test information, along with your questionnaire, provides you with either a concrete diagnosis or a suspicion of a diagnosis for anyone of the 9 reproductive conditions. Hertility doesn’t just give you your result and leave you high and dry. They then provide support in understanding what your results mean for you and your pathway to care through interaction with fertility counselors or their team of clinical experts. You can clearly choose to take your results and share these with your GP to help move you forward on your fertility journey. Helen also chats about the concerns surrounding young women over-exercising and how this can impact significantly on their reproductive health. Over-exercising can, in some circumstances, lead to a condition called Hypothalamic Amenorrhoea (HA). With HA, women can experience the complete loss of a menstrual cycle and Helen discusses how often the lack of periods can be dismissed by a doctor when they’re not trying to conceive yet, but this delay can have a devastating impact on their future fertility. Knowledge is power when it comes to fertility and making the decision to do home testing can be a liberating, empowering, and immensely reassuring experience. You can find out more about Hertility and home testing https://hertilityhealth.com/ (here:) SOCIALS: https://www.instagram.com/hertility_health (Hertility Health ) https://instagram.com/fertilitypoddy (Fertility Poddy) https://www.instagram.com/your_fertility_journey/ (Kate) https://www.instagram.com/exseedhealth/ (Exseed Health) See https://acast.com/privacy (acast.com/privacy) for privacy and opt-out information.

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We can’t believe it’s episode 3 already! Where has the time gone? We’re loving all your messages since we’ve been back – so keep them coming. So, in this episode, we’re still chatting preconceptual care. All you need to know to help you conceive naturally. We start off by talking in more detail about the methods that can help you…. Have you heard of Mosie Baby? Mosie Baby is basically artificial insemination at home and can be useful when traditional methods may not be working or are simply not an option – for example for same-sex couples, women trying to conceive alone and couples who are finding it difficult to perform on demand. Find out more about Mosie Baby below and listen to our previous conversation with founders https://www.thefertilitypodcast.com/mosie/ (Marc and Maureen here ) Next up conception caps. Kate shares her view of FERTILILY – a hormone-free conception end that is clinically proven to increase the chance of pregnancy by 48%. It’s made of soft medical grade silicone and is easy to insert after intercourse and is designed to push the sperm towards the cervix, increasing the chances of more sperm cells making their way into the uterus. You can read more about FERTILILY below. On to this week’s guest - Laura Robson from The Body Literacy Collective and co-founder of the Read Your Body App. Kate and Laura met through training in Fertility Awareness with Fertilityuk and as a result of her training and previous personal experience of using fertility awareness to avoid pregnancy. The idea for creating the App was born out of a desire to offer her clients a reliable and effective app without hesitation and to have no concerns over data privacy or ineffective app features. Over the last year and a half, Laura has been on a mammoth journey to get the app released through crowdfunding, app development, and testing to 100 beta users. The app has now been live for 8 months and is available in different languages with lots of new features. Laura recommends that women use the app alongside an educator to help them understand how to chart their fertility effectively, and if trying to conceive, help reduce the time it takes you. Read Your Body has many different features that set it apart from other apps, to name just two - It is totally customizable, and importantly users have total data privacy. Check out the app and how it could help you along your fertility journey below. Here are some details of http://faeducators.directory/ (other fertility educators) Laura wanted us to share with you. In Ask The Expert this week we’re talking about the contentious issue of IVF Add Ons and the HFEA traffic light system with Dr. James Nicopoullos. James tells us that there is no evidence to support the use of assisted hatching for IVF making it a red traffic light. The HFEA highlights endometrial scratch and embryo glue as amber meaning that there is limited evidence and is down to individual clinics as to whether they offer this. And finally…..we have a little offer for you. Kate is offering one lucky listener the opportunity for a complimentary 20-minute cycle interpretation chat. To be in with a chance to win email Kate on kate@yourfertilityjourney.com with the email header ‘Fertility Pod’. The first person that emails will win…..GO! Don’t forget to join us for every Thursday at 2pm on Instagram and https://www.facebook.com/groups/talkfertility (The Fertility Podcast Facebook group) for #brewattwo We spoke about a previous episode with Toni Weschler which you can https://www.thefertilitypodcast.com/chartingyourcycle/ ( ) https://www.thefertilitypodcast.com/chartingyourcycle/ ( ) https://www.thefertilitypodcast.com/chartingyourcycle/ (See )https://acast.com/privacy (acast.com/privacy) for privacy and opt-out information.

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It’s episode 2 of the relaunched pod! This week we’re talking about what to eat when you’re trying to conceive. This can be so overwhelming, and we want to make it easy for you to understand all you need to know. So, we’re chatting to the lovely Ro Huntriss who is a registered fertility dietician. On the pod we’ve spoken to a fair few people who know what they’re talking about when it comes to fertility and nutrition, but dieticians work slightly differently. Their focus is very much on evidence-based practice and their training to become a dietician involves clinical placements and training to support people with co-existing medical conditions. So, basically they follow the medical model such as doctors, nurses and pharmacists etc. So, where do you start with nutrition when trying to conceive? Ro recommends that you consider your own diet and look at the changes that you feel will make your diet healthier. Keeping a food diary is a great thing to do and can give you a really good picture on what kind of foods you’re eating and where you might need to make some changes. Let’s talk about egg health. It takes around 3 months to influence the health of the egg and some of the nutrients to include are folate (folic acid) - to help reduce the risk of neural tube defect but also help to improve egg development and quality. Omega 3 - in oily fish or as a supplement can play a huge part in improving egg quality. Antioxidants – from fruits, veg, wholegrains, nuts, seeds and even in meat. Ro also shares with us her recommendations for sperm health and how a Mediterranean diet and antioxidants are particularly useful such as vitamin C, E, Zinc, Selenium and folate. We get the low down on whether you should go gluten and diary free – Ro makes it really clear that unless you’re a diagnosed coeliac, it is not recommended to be gluten free to support fertility as there is not the evidence to suggest that this is necessary. Wholegrain is an important part of our diet and needs to be included. If you’re worried you might be intolerant to gluten, ask your GP for a test before removing out of your diet to be sure. With regards to dairy Ro doesn’t recommend cutting it out unless necessary and if you do, make sure you get your plant based dairy alternatives in. We frequently talk about the importance of weight when trying to conceive and probably focus more on being overweight, however being underweight is also a consideration when it comes to fertility. Having a low BMI can cause irregular cycles and therefore ovulatory disorders. Ro recommends that if you’re underweight include olive oil, nuts, seeds and avocado to your diet. Is it sensible to follow a vegan diet when trying to conceive? Ro says yes but encourages you to have a review with a dietician or nutritionist if you’re struggling to conceive. What about restrictive diets? Ro discourages this as these low-calorie diets are so restrictive and research shows that people that follows these diets don’t get the best outcomes. We’ll be catching up with Ro in the very near future to chat about preparing for IVF but in the meantime, you can find more about Ro here: Ro Huntriss: https://dietitianro.co.uk (https://dietitianro.co.uk) The Fertility Food Formula: https://fertilitydietitianuk.teachable.com/p/food-and-fuel-for-fertility-an-online-fertility-nutrition-course (https://fertilitydietitianuk.teachable.com/p/food-and-fuel-for-fertility-an-online-fertility-nutrition-course) Instagram: https://www.instagram.com/fertility.dietitian.uk/ Registered nutritionists See https://acast.com/privacy (acast.com/privacy) for privacy and opt-out information.

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THE FERTILITY PODCAST IS BACK WITH A NEW SOUND, A NEW RESIDENT EXPERT BUT THE SAME MISSION. We’re so pleased to be back with you, having taken some time to really work out what the best future plan for The Fertility Podcast is, and it’s to clearly guide you along the way to pregnancy. We’re going through all that we think could help and sharing previous episodes to make sure you can really get stuck in. We can’t guarantee you a baby, nobody can. But we can promise you information you can trust and a lovely community to come and be a part of. Our first episode back is talking about what we wished we’d know before starting to conceive. To be honest it’s what we should have been taught in school. Those teenage years and when you’re in your early 20’s can be pretty worrying if you have unprotected sex. It’s drummed into us NOT to get pregnant and what you should do to avoid getting pregnant. Sadly for so many of us, we never realised as we were never told, that our fertility is so finite. That is what we’re here to do. Kate is SO passionate about empowering women to understand their cycle and the pair of us are talking through what you need to be thinking about. Research shows that time to conception is reduced with fertility awareness knowledge so for the next few weeks we’re talking cycles and diets. In this episode, we discuss how best to monitor your cycle with the different methods available and in particular what works and what doesn’t! We’ll be talking soon with a brilliant new app available to help you that has worked with women all around the globe. We also want to be very clear on the language we use as one of Kate’s pet hates is the fact that a normal cycle is often referred to as a 28 days cycle and that you ovulate on day 14. FACT - Women’s cycles vary hugely and can still be normal when shorter or longer than 28 days. We want to dispel this myth once and for all. It’s also so important that if you are trying to get pregnant in a heterosexual couple both of you understand about fertility health. Since this podcast launched in 2015 we have talked a lot about men’s fertile health and we’ll be revisiting it again, don’t you worry. The good thing is there is much more awareness today about the issue, then there was 7 years ago, but it needs to be taken seriously. We discuss the issue of protein shake use and how they can affect sperm health, as can smoking, recreational drugs and too much alcohol. It's so important that if you are in a couple you both take responsibility for this and get yourselves in the best place possible to improve your chances of conceiving. Men need to realise that infertility issues are 50/50 male to female. We’ll be talking over the coming weeks about optimising your fertility and be sure to join us to carry on this conversation in ourhttps://www.facebook.com/groups/talkfertility ( closed facebook group) where you can also submit questions to Dr James our expert for next time. Be sure to check the Insta grid for details of our fab giveaway happening for launch week only. Closes Friday 26th Feb 11.59pm. SOCIAL MEDIA https://www.thefertilitypodcast.com/ (The Fertility Podcast) https://instagram.com/fertilitypoddy (Instagram) https://twitter.com/fertilitypoddy (Twitter) http://www.yourfertilityjourney.com/ (Kate Davies) https://instagram.com/your_fertility_journey (Instagram) See https://acast.com/privacy (acast.com/privacy) for privacy and opt-out information.

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Don't miss The Fertility Podcast relaunch as we return to guide you through all the many things you need to consider when trying for a baby. We'll be talking about cycles and lifestyle changes as well as other conditions or deficiencies that might be affecting your changes of getting pregnant naturally. Then we'll be moving onto what fertility treatment is all about, the options available for you, support, hollistic treatment and most importantly making sure you know that there is a community for you to join so you don't feel like you are going through this alone. Visit www.thefertilitypodcast.com https://instagram.com/fertilitypoddy (Follow @fertilitypoddy) https://www.facebook.com/groups/talkfertility (Closed facebook group )

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To mark Men’s Health Week, this week in the UK we are chatting with Tom Webb the Director of The Easy Bit and Morten Ulsted CEO and co-founder of ExSeed. The Easy Bit First up it’s Tom. Tom has spoken on https://www.thefertilitypodcast.com/easybit/ (the podcast before) and this time joins us now that his film – The Easy Bit is finished and now available to watch. The aim of the film is to help men realise that there is help and support out there for them, particularly as more often than not the focus, when going through a fertility struggle, is on the woman. Tom has been overwhelmed by the reaction the film has had from both men and women, but he wasn’t expecting the overwhelming response from the fertility industry on how the film has opened their eyes to how men feel. Hopefully this will result in changes to care within the clinics and consideration to the language used to men and couples. You can view https://vimeo.com/ondemand/theeasybit (The Easy Bit now on Vimeo ) Mental Health and Fertility During the film, the men being filmed used the words such as shame, upset, anger, horrific ordeal, emotional toil, to explain their experiences of infertility and all talked about the feeling of being ignored throughout their journey. The film highlighted that counselling services within clinica are all set up for women and no support is available for men. However, Tom found that men do prefer to access support very differently to women such as through podcasts, peer-to-peer support and men only Facebook groups. To visit the Men Only Fertility Support Facebook page click https://www.facebook.com/groups/mensfertilitysupport/ (here) Tom tells us how watching the film can teach men so much and validate their feelings. One of the men filmed said that being vulnerable makes you stronger COVID-19 and Men The new guidelines within clinics due to COVID-19 mean that men may well be excluded from the majority of appointments. Tom believes that excluding men will do so much damage, and he hopes that clinics will consider ways in which men can be safely including during this time. ExSeed the Home Sperm Test Morten Ulsted is the CEO and co-founder of the sperm home test https://exseedhealth.com (ExSeed). Morten set about developing an advanced home test that is as good as clinic tests. The test uses the amazing computing power and camera technology we all have in our pockets in our smartphone. What ExSeed Tests Using your phone as an advanced microscope, the ExSeed test looks at sperm concentration and motility. Morten wanted to design a test that any healthcare practitioner, anywhere in the world, will look at the result and feel confident with what it says. As well as testing, ExSeed also offers a personalised programme to improve sperm based on the test. This bespoke advice supports men to work on and improve their lifestyle to optimize their fertility. Through the ExSeed App users are also able to book a chat with a doctor, dietician or personal coach When should you test with ExSeed? Morten tells us that the test can be used for men who are curious about their fertility, those who are starting out trying to conceive and those who have been trying for sometime and want to monitor any progress. The ExSeed box comes with 5 tests and Morton recommends that as sperm parameters can fluctuate on a daily or weekly basis, you should test once then wait about a week and repeat the test. It’s important to abstain from ejaculation 48 hours beforehand. ExSeed cost £149.00 for 5 tests and is available on the ExSeed website. Check out Natalie’s Facebook Group where she’s going... See https://acast.com/privacy (acast.com/privacy) for privacy and opt-out information.

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Frankie Brunker – These Precious Little People Please be warned that this weeks’ episode is a hard-hitting and emotional one. It is a raw and emotional account of stillbirth and the grief that follows. Natalie chats with Frankie Brunker, whom Natalie met at a fabulous Yoga day put on by Lucy from The Rainbow Running club. Route to Parenthood Frankie’s route to parenthood started really quickly after conceiving in the first month of trying however, devastatingly their daughter was born stillborn at 38 weeks. This came as a complete shock. Frankie’s husband had to call their family from the hospital to break the news. Frankie felt so concerned about telling family and how they would feel, particularly her nieces and nephews who were excited about a new baby coming into the family. They decided that they needed to be insular and in their own little bubble to get through this difficult time, one day at a time. The Funeral Frankie made the decision for her nieces and nephews not to attend the funeral of their daughter. At the time, this felt like the right decision but now Frankie has some regrets and is now mindful that not being included may make it more difficult for children, in general, to deal with grief. Experiencing a Stillbirth Frankie talks about her experience of giving birth at the hospital and how she felt that some of the midwives had limited experience of caring for a mother delivering a stillborn baby, and that she felt there were gaps in the bereavement care she and her husband received. Frankie’s honest account of the, sometimes insensitive and ignorant, remarks she has received along the way is powerful and arresting Precious Little People As a result of her experience, Frankie is now the author of a beautiful children’s book to help explain baby loss to children but also Frankie says the book helps adults to come to terms with grief too. Her aim for the book is that you can talk about loss of your baby but that you can still think of them and smile. Her book aims to appeals to bereaved parents from diverse communities and cultures. Blogging as a bereaved parent Frankie has recently written https://footprintsonourhearts.com/2020/05/22/017-why-werent-we-told-stillbirth-and-esmes-story-with-frankie-brunker/ ( a blog) giving support to bereaved parents who may be finding it especially difficult going through this experience during lockdown, and urges people to reach out for support. SOCIAL MEDIA: https://www.instagram.com/thesepreciouslittlepeople/ (Frankie Brunker) https://www.instagram.com/thesepreciouslittlepeople/ (Instagram): @thesepreciouslittlepeople https://www.thefertilitypodcast.com (The Fertility Podcast ) https://instagram.com/fertilitypoddy (Instagram) http://www.yourfertilityjourney.com ( Kate Davies) https://instagram.com/your_fertility_journey (Instagram) See https://acast.com/privacy (acast.com/privacy) for privacy and opt-out information.

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Welcome to another ‘Meet the Makers’ episode where we chat to Louise Zeniou from Cradle. When we spoke to Louise, she had been having a busy few days with various media interviews, and in-between her busy schedule she managed to sneak in an interview with us whilst sat on the floor outside the toilets in Pret! Louise has a personal experience of what it feels like to go through early pregnancy loss when she became ill and diagnosed with an ectopic pregnancy. As she was so ill, she was rushed into hospital and had surgery immediately. She talks about the amazing care she received, but after surgery she missed the most basic of items such as a toothbrush and a hairbrush. The Comfort Bag From her own experience Louise started the Comfort Bag Project with the aim to support hospitals, so that in those early moments of pregnancy loss women and men can be provided with toiletries and other products to give them a little comfort and importantly dignity. In the bag Louise also includes a personal message to give immediate words of comfort following a loss and the ways bereaved parents can connect for support once they have been discharged from hospital. How Cradle Supports the NHS Cradle provides Comfort Bags to various hospitals across the country and it’s growing! From just starting out as one, Louise now has 73 volunteer ambassadors. Cradle also work with Hospital Trusts as the patient voice to help in the development of services and projects for bereaved parents. Signposting The role of Cradle is also to signpost to various support and counselling services to offer parents much needed professional support. Want to get involved? Contact Louise for information on how you can become an ambassador for Cradle. SOCIAL MEDIA: https://www.instagram.com/cradle_epl (CRADLE) https://www.thefertilitypodcast.com (The Fertility Podcast) https://instagram.com/fertilitypoddy (@fertilitypoddy) http://www.yourfertilityjourney.com (Kate Davies) https://instagram.com/your_fertility_journey (Instagram) See https://acast.com/privacy (acast.com/privacy) for privacy and opt-out information.

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Meet Katy Leeson, Managing Director of Social Chain who also hosts a podcast called 'https://podcasts.apple.com/gb/podcast/katy-leesons-i-shouldnt-say-this-but/id1442547174 (I Shouldn't Say This But') and at the time of us chatting had just been nominated for an award for 'Leading the Charge and Pushing the Boundaries' with Campaign Magazine ( a big industry title ) I spoke with Katy in real life at Social Chain's very cool office in central Manchester, in the days where you could do that, which is why Kate isn't in this episode. Self Protection Katy spoke about her struggle with the responsibility of being a young female Managing Director. She had imposter syndrome and took herself into therapy sessions to get support on how best to deal with it. In the context of this chat, Katy explained how she made sure she was mentally prepared to talk about her miscarriage in the public sphere because she had no idea what the reaction would be and she was nervous that people would tell her it wasn't the right place or platform - something so many people fear when talking about infertility. Baby Loss Awareness Week Katy shared her story in October 2019, a year on from her miscarriage which happened in December 2018. She spoke about the challenges of that time of year with everybody being together and how it forced her into telling people that I was pregnant, as she wasn't drinking in the Chrimbo celebrations - this was before the '12 week' point. Her family and friends knew and so she also had to share her that she had miscarried on Christmas Eve because she didn't want to get messages wishing her the best Christmas and New Year because I was going to have a baby in the next year. Katy talked about feeling that she was also ruining other people's Christmas because I'd tell them such sad news. Miscarrying Naturally Katy spoke about how she miscarried naturally the day before she was due to be put under for the operation. The first the scan she had, she said felt a good connection to someone who really cared and she said 'You look healthy, everything there on the scan looks healthy, you've just started an unfortunate experience, there was just a problem with that egg or that sperm, and you should be fine and I can't wait to see you again' which Katy said gave her such hope as every other interaction she had, felt like she was just being told to get on with things. Breakdown in Communication. Katy explained how she was still getting letters about having scans for her pregnancy after she had miscarried due to being registered with two different hospitals and how they were ringing her partner but wouldn't speak to him so he couldn't even act as her gatekeeper for. This meant in the end, she had to have numerous conversations reliving her experience over and over/ Telling Work Katy talked about how she had spoken to others about how much of a lift it is, to be told it's not your fault, which is such a straightforward piece of information to give to somebody. We talked about how she had no follow up conversations after going through it and wasn't given any guidance on where to find support. She had stopped her therapy and hadn't told her work as she didn't want to tell them she was going through 'something so horrific' because she was worried they would think she would then be trying again and be off on Maternity. So she didn't tell anyone and struggled with it from Christmas until Easter - which is when she said the broke down. When she did tell them, they were amazing Talking it through in Therapy Katy discussed the grieving process with her therapist and how she had been putting so much pressure on herself with her work and doing the right thing by others. She talked about giving herself permission to grieve once she had accessed support once again. She also talked about how she went to the doctors and was given antidepressants, which she is still on The Impact of Miscarriage We talked...

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In this bonus episode,Kate and I speak with Sally Cheshire, who is the chair of the https://www.hfea.gov.uk/ (Human Fertilisation and Embryology Authority (HFEA) ) These shownotes are a transcript of part of our conversation with Sally. Please listen to hear the full interview: What is 'elective treatment' It is the word that the NHS use when it's not an outright emergency. So the NHS made that decision. And it's an unfortunate name because no one chooses to go in for surgery, particularly with regard to fertility treatment, but that's the word that's been used. So the NHS said that they would suspend all non-emergency treatment during the pandemic, so the only people who were being treated in the first stages of the pandemic after the 23rd of March, that was, were people who were in an emergency situation. What we said in terms of fertility is that patients who were having cancer surgery, for example, and needed fertility preservation would still be allowed to go ahead and our clinics would stay open for those patients to store gametes and embryos. But also, we would allow as many patients as possible to try and finish their cycles if they had started. And we know that there was a different response from clinics, and you can imagine that they were trying to manage, as well as all other NHS hospitals, some clinics carried on with those cycles, and then collected eggs or frozen eggs or embryos. But some patients we know had their cycles cancelled earlier than the 15th of April. And all I have to say is it was up to the clinic to decide whether they could go ahead. Some of them of course, had already lost staff to the front line. They'd had some of their equipment used for testing for virus testing from the embryology lab, and some of them also had staff who were self isolating or who've been diagnosed. Counselling: We do know there's been a massive increase in patients seeking counselling support. But if you actually talk to counsellors, some patients are asking different questions. Some of them are clearly distressed, not being able to have treatment. Some of them are very fearful of the virus and what impact it might have. So counsellors tell us they've seen an increase in patients who were just seeking help to deal with their general anxiety, not necessarily ready to talk about the implications of their particular treatment and what that might mean. So we do know that there is support out there and I'm sorry to patients who didn't quite get what they wanted, perhaps from their clinic. Professional Guidance: We've had to rely on professional guidance. So from the UK bodies from the British fertility society and of and the clinical scientists, but also from Europe and America, who advised similarly to stop treatment, until we knew a few more things, and their guidance has been very similar to the UK all along. And the Royal College of Obstetricians and gynaecologists also had to think about whether they considered there was any risk in early pregnancy. And they've also issued a couple of sets of guidance. So I think everybody has issued at least two sets of guidance over the last four weeks from the professional bodies. We've issued a number of letters to clinics explaining our requirements. And we've also tried to communicate with patients as best we can. The professional bodies have issued their latest guidance, which is cautious optimism. Tough Decision: I think this is the most difficult decision the FDA has ever had to make in 30 years really and the board and the staff have tried so hard to get it right. One of one of our criteria, quite rightly, was that there was no, or that there was as much evidence as possible to say there was no increased risk in pregnancy. And when I was thinking about it this morning, as a patient, you know, pregnancy is somewhere over the rainbow, isn't it? It's a long, long time away. And if you are trying to think about having treatment, it's...

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Welcome to this bonus episode of The Fertility Podcast in association with Medichecks, the home blood-testing company. Medichecks have started working with the wonderful Kate Davies, aka my co-host to develop a range of fertility tests and they invited me to their headquarters in Nottingham to talk more about them. So I headed back to my home town with brand new podcasting kit to chat with Sam Rogers, Medical Director and Natasha Fernando. Head of Clinical Excellence and Kate about what the tests are going to enable you to find out. What you will hear in this episode is: How the tests were developed looking at which biomarkers people need to understand their fertility and the training for Medichecks doctors in how they process them How Medichecks will look at people’s medical histories, lifestyle, diet, activity and energy levels and tie in with the info they glean from blood tests. How repeat customers are getting much more informed about how behaviours affect their lifestyle and how home testing means you don't have to wait until you are over 40 (which is when the NHS do overall health checks ) Baseline Fertility Tests FSH & LH Levels: these control periods and time of ovulation, levels of Oestradiol - the main female hormone which shows if you are ovulating Progesterone: 7 days before the first day of a period. This can be called the 21-day test. Kate explains how she sometimes gets two tests during that time AMH: and how it gives an indicator as it is a useful measurement but is no means a guarantee of a baby. A lower test result shouldn't cause panic, just talk to your doctor, look at your baseline hormone levels. PCOS: looks at an initial diagnosis PCOS test as well as looking at the more long term effects For Men: Testosterone: looking at the hormones that control testosterone release as the body it likes to hold on to it. We also discussed the impact on male fertility from using protein shakes and steroids and how you get irreversible, low levels of fertility or infertility as a result. We also discussed tight pants! Advice for Men To limit alcohol and coffee and how smoking is so bad for developing sperm. Exercise - we discuss how too little or too much can have negative effects on sperm production. We also discussed Jonathan Ramsey - a Urologist and former podcast guest who has talked about how cycling for commuting is OK, but long rides put a lot of pressure on the testicles. Hear a previous chat with Jonathan https://www.thefertilitypodcast.com/ep-79-poor-sperm-doesnt-have-to-lead-straight-to-fertility-treatment/ ( here ) We discussed the importance of avoiding hot tubs, heated car warmers, and Natasha talked about papers on mobile phone radiation in pockets. Erectile Disfunction An early sign that the blood vessels are getting clogged up with cholesterol. Testosterone can also cause it as can the stress and pressures of TTC. Diet Overall benefits of eating a health diet, which can help the balance of your hormones. We discuss what oxidative stress levels are and how you can manage them. The benefits of plant based diet and how a Vegan lifestyle - has no impact on testosterone levels. There is a belief amongst Men that a plant-based diet lowers testosterone but there is no evidence available Sleep The importance of sleep and how many health factors it can impact How to future proof your fertility Be proactive in the conversations you have with your family. For example, ask your mother when she had her menopause. With Men, don't be afraid to talk to your doctor if you have any pains in your testicles. Any concerns you... See https://acast.com/privacy (acast.com/privacy) for privacy and opt-out information.

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Meet Janet Murray. Janet is a digital content expert, author and fellow podcaster. Earlier in the year Janet shared an article about https://www.telegraph.co.uk/family/parenting/least-already-have-child-pain-secondary-infertility/ ( secondary infertility) and we wanted to talk to her about this and her experiences of miscarriage and ectopic pregnancy. Fertility Struggle Janet struggled with infertility and after routine tests she was diagnosed with autoimmune hepatitis. Treatment ensued and shortly after her diagnosis, Janet fell pregnant. Sadly this pregnancy ended in a miscarriage, and Janet, whom is normally a very pragmatic person, felt completely floored. However she did fall pregnant again but this pregnancy was thwart with anxiety and at 29 weeks Janet went in to early labour. Luckily after time in neonatal intensive care Janet was able to bring home her daughter Katie. Very soon after, Janet was surprised to find she was pregnant again. Unfortunately this pregnancy ended in an ectopic pregnancy and Janet was told that she would be unlikely to conceive again. The loneliness of the first 12 weeks Janet shares her thoughts on how difficult it is to reach out for support for after an early miscarriage, as it’s almost taboo to talk about your pregnancy until after the 12-week point. I have an excuse to talk Secondary infertility is frequently dismissed by society. Over the last 5 years Janet has run five London Marathons to raise money for The Miscarriage Association and the Ectopic Pregnancy Trust and she feels this has given her an excuse to talk about miscarriage and ectopic pregnancy in a public space. "At least you have one’ Janet felt that friends didn’t understand her desire to have another child and a sibling for her daughter. Because she was career-focused people always assumed that Janet only wanted to have one child out of choice. In her article (above) Janet talks about the agony of not being able to have a sibling for Katie. SOCIAL MEDIA: https://www.janetmurray.co.uk (Janet Murray) https://www.instagram.com/janmurrayuk/ (Instagram) https://www.miscarriageassociation.org.uk (Miscarriage Association) https://ectopic.org.uk (Ectopic Pregnancy Trust) https://www.bliss.org.uk (Bliss) https://www.tommys.org (Tommy’s) https://www.thefertilitypodcast.com (The Fertility Podcast) https://instagram.com/fertilitypoddy (Instagram) http://www.yourfertilityjourney.com (Kate Davies) https://instagram.com/your_fertility_journey (Instagram) See https://acast.com/privacy (acast.com/privacy) for privacy and opt-out information.

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It was a bleak and dreary day.. .Kate and I connected with Eleanor Stevenson, Professor of Nursing from Duke University, North Carolina USA and Kevin McEleny, Consultant Urologist at Newcastle Upon Tyne Hospitals NHS Trust to discuss a brilliant new initiative to support men struggling with infertility. Together Kevin and Eleanor have created https://all-about-fertility.com/ (All about fertility )an evidence-based resource providing couples with up to date articles, webinars and videos created by experts from the field of fertility. But they didn’t want to just stop there. From their research Kevin and Eleanor identified that men didn’t want to engage with support from counsellors and so they created a support forum just for men to access support in a way that was accessible to them and on their terms. Peer Support In the future, Kevin and Eleanor hope to roll out other versions of this platform to include support forums for same-sex couples and women. In the US, Eleanor is seeing that professionals are becoming more aware of male fertility but as yet, US men aren’t opening up. Whereas conversely, in the UK men are beginning to talk and there are a number of men that are leading the way, some of who have been recent guests on the podcast. Educating medical professionals Kevin talks about the need for greater awareness and sensitivity among professionals. The evidence that has come out of their research shows that what men are told at the very start can have enormous consequences on their emotional wellbeing. Eleanor tells us that while men continue to feel that their problems are not real. It reinforces stigma and men get further silenced. SOCIAL MEDIA: https://all-about-fertility.com/ (https://all-about-fertility.com/) https://twitter.com/aafertility (Twitter ) https://twitter.com/malefertdoc (Kevin on twitter ) https://twitter.com/EleanorPhD (Eleanor on twitter ) https://www.facebook.com/aafertility/ (Facebook) https://www.thefertilitypodcast.com/100/ (Kevin’s previous episode on The Fertility Podcast) https://www.thefertilitypodcast.com (The Fertility Podcast) Instagram http://www.yourfertilityjourney.com ( Kate Davies) https://instagram.com/your_fertility_journey (Instagram) See https://acast.com/privacy (acast.com/privacy) for privacy and opt-out information.

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In this special episode, we wanted to address some of your questions and concerns with regards to coronavirus and what this means for your fertility treatments. So over the next few weeks, we’re bringing in the experts! First up we chat with Julie Morgan, who like Kate, is a Fertility Nurse Consultant. Julie has been keeping the TTC community up to date by sharing really useful information and updates on her instagram @allaboutinfertility Not all clinics are routinely cancelling treatments. Please check with your clinic to find out what their up to date guidance is. Don’t stop any medication until you have spoken with your clinic. Clinics are open currently and are here to help and advise you during this difficult time. Egg collection does appear to still be going ahead in many cases. To help with social distancing, clinics will be operating slightly differently with phone and video consultations, and face-to-face appointments may be staggered. If you are undergoing a stimulation cycle it is likely (although not in all circumstances) that you will be able to continue with your cycle. If you are newly pregnant it is advised that you self isolate but speak with your clinic for further advice. Clinics who offer egg donation have been advised that patients must not donate if they have recently visited a high-risk country, and must wait for a minimum of 28 days if infected with coronavirus or after being in contact with someone with coronavirus before donating. If you are having treatment abroad, please contact your clinic for further advice and self isolate if required. If you are self-funding your treatment and are required to freeze embryos in what would have been a fresh cycle, it may be that your clinic will not charge you for storage fees. However, there may be costs associated with repeat tests etc on restarting treatment again in a few months.

Please bear in mind that we recorded this interview last Friday, and in this ever-changing and dynamic world, it is likely that there may be more recent updates available. Please do check with your clinic for the most up to date information for your individual circumstance. SOCIAL MEDIA Julie Morgan Instagram The Fertility Podcast Instagram Kate Davies Instagram

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Covid-19 and fertility treatments We appreciate given the current crisis you may well be worrying about what covid-19 means for your fertility treatments, and therefore at the beginning of this episode we give you an update on the current advice. At the moment, there is limited guidance out there, however this will likely change in the coming days/weeks. Currently, the HFEA recommend that you contact your clinic for advice as each clinic will likely have contingency plans in place. We plan to chat with experts this coming week and will, of course, keep you informed of any developments that relate to fertility treatments. If you are required to self-isolate over the coming weeks, then you can be reassured that The Fertility Podcast will be keeping you entertained. So, make sure you subscribe so not to miss an episode! Parenthood in Mind Next up, Natalie and Kate talk to Julianne Boutaleb who is a peri-natal psychologist and Clinical Director and Founder of the Parenthood in Mind practice. Julianne works with women and couples who have experienced trauma in relation to birth and miscarriage but also with women who suffer with fertility trauma. Typical patients that Julianne works with are couples who have concerns with regards to known genetic issues, couples who are facing assisted conception, couples who have had failed cycles or reproductive injuries and those contemplating donor conception, surrogacy or adoption to create or complete their family. Many couples who have previously experienced miscarriage come to Julianne as they have a fear – either physically or emotionally of a miscarriage reoccurring.

Tokophobia Tokophobia is the fear of being pregnant or giving birth. Tokophobia may occur in women who have never given birth to a child, but it may also affect women who have had prior traumatic pregnancy or birth experiences.

Protecting your relationship Couples who don’t conceive are 3 times more likely to separate or divorce than couples who do conceive. Clinics are starting to support couples more with regards to the emotional impact Often reaching the menopause can be a trigger for women who haven’t been successful in conceiving through assisted conception. Julianne helps couples rewrite their ‘happy ever after’ story without children.

Fertility Trauma* The term Fertility Trauma helps to highlight that struggling to conceive is a true trauma and this also includes ‘perceived’ trauma. Fertility trauma is not just depression, anxiety or stress but is your brain going in to ‘fight and flight’ mode.

SOCIAL MEDIA https://www.parenthoodinmind.co.uk (Julianne Boutaleb) https://www.instagram.com/parenthoodinmind/ (Instagram) https://www.jessicahepburn.com (Jessica Hepburn) Unfortunately, since recording this episode, Jessica’s Pond to Peak Challenge and her ascent of Everest has been cancelled due to Covid-19 but she will hopefully be making this journey next year! https://www.thefertilitypodcast.com (Natalie Silverman) Ihttps://instagram.com/fertilitypoddy (nstagram ) http://%C2%A0www.yourfertilityjourney.com ( Kate Davies) https://instagram.com/your_fertility_journey (Instagram) * Fertility Trauma explanation The term ‘reproductive trauma’ was first coined by perinatal psychiatrists Dr Janet Jaffe... See https://acast.com/privacy (acast.com/privacy) for privacy and opt-out information.

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We all spend A LOT of our time at our place of work of if you freelance, you possibly spend time in and out of workplaces. However it manifests, if you are working it takes up a lot of your time. So when it comes to trying to conceive and struggling - the one thing you really need in place is a supportive workplace. Sadly, this often isn't the case, which is why Natalie has teamed up with two brilliant ladies Becky Kearns and Claire Ingle to create Fertility Matters at work. This episode may seem a big self-indulgent as Natalie interviews Becky and Claire, her partners in crime at Fertility Matters At Work, but please do indulge us just this once as we are on a mission. One step at a time we are looking to change how fertility issues are addressed in the workplace. The motivation behind Fertility Matters At Work Becky has a background in HR but also experienced fertility treatments and a miscarriage whilst holding down a job and strongly felt that so many things could have been done differently. Becky hears from other women just how stressful it is for women going through fertility treatments and how they have felt that they’ve not been able to speak out, feeling misunderstood and unsupported in the workplace. Becky recently featured in the latest video from Ferring Pharmaceuticals talking about one encounter she had with her boss which you can watch https://www.instagram.com/p/B80yhdmhs8R/ (here ) Claire also has an HR background and felt that she ‘bumbled’ through her IVF treatment, working around appointments and trying not to inconvenience her place of work. This caused Claire so much anxiety and stress and she felt she couldn’t manage both her job and her fertility treatments. Like Becky, Claire felt this could have been handled so differently. Claire also felt that the policy in her workplace was lacking. Natalie met Claire through a mutual friend as Claire was already running a survey on her instagram called https://www.instagram.com/ivfatwork/ (IVF at Work ) Support in the workplace Natalie shared her experience of not knowing who she could turn to for advice and support within her workplace. Both Becky and Claire noticed that while they were working in HR never once did an employee came to them for support or to understand what they were entitled to. Employees are worried about how they are going to be perceived for openly admitting that they are trying for a baby, and there is the assumption that women who are trying to conceive are not as committed. Advice to employers and employees Together they are hoping that they can increase the conversations and narrative surrounding what needs to be thought about from employers and an employees perspective. They have already found that they are getting a huge response on social media and have started gathering examples to use this to inform employers about the issues that women are facing. Natalie, Becky and Claire want to be able to offer advice and tips to empower women to start conversations and challenge their employers to change current policies and strategy. However, they also hope to be able to support employers to aid retention of the workforce and understanding what their generation of workers need. Changing policies All organisations will differ on how easily and quickly they can change policy. Natalie, Becky and Claire hope to be able to offer employers assistance with the development and implementation of these policies. Socials: https://www.instagram.com/fertilitymattersatwork/ (Fertility Matters at Work on Insta) Get in touch via email with your positive or negative experience, we're also looking for you to share a 1-2 minute video of why... See https://acast.com/privacy (acast.com/privacy) for privacy and opt-out information.

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Meet Dr Dean Morbeck, Scientific Director at Fertility Associates in New Zealand and Sunfert International Fertility Centre in Malaysia, which combined have 10 fertility clinics in the two countries. Prior to moving to New Zealand, he was an Associate Professor at the Mayo Clinic for 10 years. He is an internationally recognized expert on quality in the IVF laboratory, having published more than 40 papers, numerous book chapters and is the coeditor of a book that is a practical guide for embryologists. He is taking his passion and expertise for the science of IVF beyond the laboratory to engage with patients with the goal to improve the patient experience. In his spare time, Dean has written many research papers, book chapters and is the co-author of a practical guide for Embryologists. If that wasn’t enough, in 2010 Dean is also starting a Podcast with the aim of improving the patient experience, called "The Fertility Patient Revolution". Look for it in 2020! Single embryo transfer vs Multiple We interview Dean while he is at the American Society for Reproductive Medicine conference (ARSM) in the US, and he talks about his views on single embryo transfer vs multiple. In the US this is the first year that has seen a decrease in twin rate in both natural pregnancy and IVF. As a clinician, this is the preferred outcome to reduce the risks associated with multiple births. Twin pregnancies result in 8 times the risk of complications to both mother and baby but also an increased financial and time burden once the babies are born. New Zealand has seen less than 10% twin rate overall. The IVF League Tables Dean has recently been reviewing the HFEA data for individual clinics in the UK and was surprised to see a number of clinics with high twin rates of 20% or higher. He feels there is a trade-off between clinics desiring high pregnancy rates and therefore an increase in twin pregnancy rate. Dean’s impression is that patients are attracted to clinics high pregnancy rates but may not necessarily take on board the resulting twin pregnancy rate and what this might mean for adverse pregnancy outcomes. Increasing the chances of success In New Zealand 97% patients receive a single embryo transfer, however in particular clinical situations, women may receive a double embryo transfer. However Dean states that it is a myth that transferring more than one embryo increases the chances of success, you actually have the same or higher by transferring single embryos consecutively. Dean feels that it is critical that patients receive the right information at the right time to help them make informed decisions based on the risks associated with twin pregnancies. Changing the narrative Dean is noticing a sea change globally and in particular in the US, with regards to an increase in single embryo transfers. This increase is impart, as a result of greater success with frozen embryo cycles. Dean is also seeing more focus globally on supporting the patient and in particular supporting the couple and their relationship. Managing the expectations of a couples treatment is also vital, particularly with regards to the success rates of an initial cycle. http://www.multiplebirths.org.uk/ (The multiple births foundation) - as referred to in this episode SOCIAL MEDIA: Dean Morbeck: https://www.instagram.com/fertilitypatientrevolution/ (Instagram) https://www.facebook.com/FertilityPatientRevolution/ (Facebook) http://linkedin.com/in/dean-morbeck-b0a69b12 (LinkedIN) https://www.thefertilitypodcast.com (The Fertility Podcast )

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NHS funding for fertility treatment in the UK varies depending on where you live. So you could be as little as several miles out of an area where you would be eligible for NHS funding but it means you have to pay for it yourself. Fertility Network UK has The Right to Try campaign to give you more information on how to make a difference and get your voice heard with your local council.

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Cat shares her journey through fertility treatment and recurrent miscarriage and how she reached some really low points which knocked her confidence somewhat. Both Cat and her husband have given themselves some 'time off' from their efforts to try and start a family as they are looking to find happiness in themselves beforehand having had such a sad time over the last few years. She's now found a new focus and has set up a personal styling business Your Wardrobe Edit working with women and men to help them re find their confidence in what they choose to wear each day.. Cat has a background in fashion and is the go-to person for all her friends and family when it comes to asking for help with an outfit for a 'do'..

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Hear from IVF Babble founders Tracey and Sara as to why they've built a new fertility hub.

IVF Babble is a gorgeous looking website with a whole host of informative and friendly information, from understanding different symptoms you might be experiencing during your cycle to what to ask about at your fertility clinic. There's also celebrity interviews and discussions with experts in the fertility field. I had a chat with its founders Sara Marshall-Page and Tracey Bambrough who have both been on their own fertility journey's and both have twins!

You will also hear us discuss IVF Buddy which is launching in April and will enable people going through fertility struggles to find someone else to talk to, this is a brilliant idea as so often when you're having to get your head around IVF it's hard to know who to talk to. I had my best friend there for me, as she had previously been through three rounds of IVF before having success and I was then able to share my experience with another good friend. If I'd have known about IVF Buddy when I was going through my treatment I might well have encouraged my husband to have a look as he was much more reluctant to speak to anyone about it but me.http://wp.me/p4T6k0-

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Do you know what Endometriosis is? Can you believe that as many women have it as have diabetes, yet it can take up to 7 years to diagnose?

Meet Claire aka @EndoLady on twitter who I found online sharing her experience of Endometriosis. Claire spoke to me to share her story and struggle to deal with the condition as well as shedding light on the symptoms of Endometriosis. Claire blogs regularly in a really honest and enlightening way and works as a volunteer for Endometriosis UK

Which leads me onto my second guest, Emma Cox, CEO of Endometriosis UK the leading charity that supports women living with Endometriosis. The organisation works to improve the lives of people affected by endometriosis and to decrease the impact it has on those with the condition and their families and friends.

Emma explains the resources the charity has available such as a helpline and a pain and symptoms diary which they advise to use to track your pain as Endometriosis is cyclical and given that most GP appointments aren't longer than 10 min, the more information you can be armed with ahead of your appointment, the better. There's also information on how to get involved with the worldwide Endometriosis March which is taking place on 25th March 2017. You can also follow them on twitter

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Forget the myths about egg donation hear from a woman who has altruistically donated 29 of her eggs. I also speak to the founder of Altrui, a UK egg donation programme

Have you wondered about egg donation and been put off by the sensationalised newspaper articles or just not really understood how it all works? My latest episode hears from an egg donor. A lovely lady called Amelia who has donated 29 eggs. Amelia shares her story of her husbands cystic fibrosis and her own gynecological problems which meant that a starting a family wasn't an option for the pair. So Amelia chose to help others start theirs. She is now crowd funding to help another couple start their family.You can read Amelia's blog and get a link to her justgiving page here . Amelia is working with Altrui who I have also spoken to in this episode.

Alison Bagshawe is the founder of Altrui and explained to me how Altrui was set up in 2010 to meet the overwhelming need for egg donors in the UK. Alison believed that couples in the UK needed more practical help when seeking a donor, and that the women who donate eggs deserved to be properly looked after, well-informed and appreciated for what they were doing. There is lots of brilliant information on Altrui's website which I think if you are interested in becoming a donor or considering using a donor please do go and have a look as it really it beautifully presented.

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When an Indian Bull's sperm is given considered so special, why aren't Men given the correct nutritional advice to enhance theirs? Nutritionist Melanie Brown offers a solution.

My latest guest Melanie Brown is a Nutrionist who specialises in helping people to prepare for pregnancy, be it natural conception, or through an assisted reproduction cycle. I had a fascinating chat with Mel who is finishing a Master's Degree and as part of it, wants to focus on male fertility issues.

Mel spoke about how she feels Men are being ignored when it comes to teh attention given to their fertility.Saying that she felt there "has probably been more research done on bull and stallion sperm than human sperm"

Meet Yuvraj , the bull in question whose sperm is worth so much to its owner that Yuvraj is massaged, has his own playlist and treated to such a lavish diet that is costs £21 per day to give him his two daily meals! You can read more about Yuvraj .

Mel and I spoke about why she feels Men are overlooked when it comes to information about what they can do to improve their sperm health. As part of her Masters, she is looking to work with men who have fertility issues over a 12 week period to see if a diet of lovely sounding things like fresh fruit, veg, pulses, seeds, meat, fish, poultry - you know basically healthy eating, just cutting out all the CRAP.. can help..

If you'd like to get involved in Mel's trial drop her an email and tell her I sent you to mel@melaniebrownnutrition.com

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Once you've had a child through fertility treatment should it be easier to deal with your emotions when friends announce baby number 2? Should you be content with what you've got or are you OK to have that yearning for another? Also learn about natural fertility tips to help you get pregnant .

My latest episode focuses on managing your internal voice when dealing with 2nd pregnancy announcements from your baby friends. Inevitably it's hard and stirs up a range of emotions from guilt to anxt mixed with joy for your friend of course. Get my shownotes here

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Test your sperm guys. If you're trying for a baby and it's taking a while, there's nothing to be ashamed of, get a test either over the counter or in a lab. But don't just sit there, get involved. Hear about the latest sperm testing available. Click here for the episode show notes

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Meet Jenni, a curly haired lovely lady who caught my eye on twitter. Not only because I'm a fellow curly barnet but because she was tweeting about freezing her eggs and making a documentary. Jenni is based in LA and her short film Chill The Documentary is gaining all sorts of accolades in the short film festival circuit in the US. Hopefully we'll get to see the film this side of the pond. For now, you can hear from Jenni about her decision to document what she had decided, how she decided to freeze her eggs and what happens next...

I've had a few conversations with some of my single girlfriends about this. The general feeling is that it's expensive. However if you have the money why not make sure you have no regrets if you're worried about your fertile age. I've featured it on this podcast before in a chat I had with Tracy Sainsbury from The London Women's clinic about her work as an IVF counsellor and the advice she has for women wishing to freeze their eggs. Tracey is also involved in an event happening in London next week (24th January 2017)

To find out more about Jenni's and her work visit her website

I also spoke with Anya Sizer about an important discussion taking place in Parliament on Thursday 19th January 2016 regarding the post code lottery for Fertility treatment in the UK

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I found Tasha Bishop on twitter, or maybe she found me. However it happened, Tasha is one determined young woman. Eloquent, entrepreneurial and clearly prepared for anything life throws at her. Whilst I continue on my journey speaking to those whose route to parenthood hasn't been as straight forward as planned I'm still amazed at how complicated it can be to have a child.. from birth defects to issues still yet to be understood. Tasha, as you will hear in our chat was born with Mayar-Rokitansky-Kuster-Hauser syndrome in simple terms this means born without a womb but you can read the explanation above and listen to how Tasha explains more. When I first was in touch with Tasha, I asked her to email me with more info about her story and I wanted to include some of it here. As you'll hear in our chat, she is studying English Literature and I just loved how she wrote to me. It was a lengthy email so I have paraphrased it but spend the time to read this and ask yourself if you were this composed at 19... I know I bloody wasn't!

http://wp.me/p4T6k0-k1

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Survival hacks for this Christmas from Dr Robin Hadley as he discusses how men deal with involuntary childlessness

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Jody Day and Kelly Da Silva gives their Christmas survival tips and discuss the work they do helping those who have found themselves involuntarily childless.

Christmas is challenging for all sorts of people for all sorts of reasons. I was keen to speak to two women Jody Day and Kelly Da Silva about their survival tips for Christmas when you are childless. Both women share their stories and both have great survival hacks. Know you're not alone, make a note of their facebook groups listed below and make sure you have them on your phone for those moments, over the festive period where someone says something without thinking and you find yourself wanted to run out the door.http://wp.me/p4T6k0-jJ

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Having to produce a sperm sample when not for pleasure isn't something any man is keen on doing.Tom Webb, Director of a new documentary is putting the spotlight on the male journey through fertility journey and shares his extraordinary 12 year journey with his partner Nic.

Meet Nic and Tom - the subjects of my latest episode. You'll hear from Tom who tells their story and is now crowdfunding to make a documentary about how men are affected during fertility treatment. As Tom states very clearly in our chat 'I’m very conscious of the fact I never want to compare what men go through to what women go through as it's so very different'. Tom however is keen to put the spotlight on the struggles Men have and like I try to do with this podcast give them a voice. You can find out more about the crowd funding campaign to support The Easy Bit here

I first found out about Tom and his partner Nic from twitter, where I find so many fascinating people willing to share their story on this podcast. The pair were writing a blog together about their fertility treatment and the challenges it threw in their faces. Nic had to undergo surgery ahead of treatment and the pair documented their steps initially to let their family know what they were going through rather than having to repeat themselves again and again. But as you'd imagine, their blog was far more reaching.

Tom's work for a production company meant he was also responsible for producing the #HiddenFaces campaign for Fertility Network UK which is a brilliant insight into the variety of people affected by #infertility. I urge you to watch the videos.http://wp.me/p4T6k0-jr

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Find out more about being an egg or sperm donor and hear more about the support available from Fertility Network at the UK's Fertility Show.

At the end of National Fertility Awareness Week, I made it to The Fertility Show - yey! It's a destination I've been wanting to go to, however I didn't know about whilst going through fertility treatment and then once I was pregnant I didn't think it was the right place to take a growing tummy. Then last year, I didn't have the chance. So I was delighted to be invited and had a great time looking around at who was there and introducing this podcast to more people. I spoke with Anya Sizer, about her new role at Fertility Network UK, her adoption experience and the Hidden Faces campaignhttp://wp.me/p4T6k0-jk

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An exclusive episode from the 25th anniversary party of the HFEA with an insight from some of its founding members.

I was delighted to be invited along to the Human Fertilisation and Embryology Authority (HFEA) 25th anniversary celebrations, and get more of an insight into the work the organisation has been doing. It was fascinating to hear from different members and how they have been involved and I hope this podcast episode gives you more of an understanding of the essential work the HFEA does.

In this episode you'll hear from Sally Cheshire, Chair for the HFEA, Hugh Whittal, who was the first deputy CEO, Adam Balen Professor of Reproductive Medicine & Chair British Fertility Society. Kate Brian, author and journalist who has been a guest on this podcast before and is an HFEA board member , Simon Jenkins a columnist for the Guardian and was a board member between 2001 and 2006 and Sue Avery , an early HFEA member, embryologist by training and head of the IVF clinic at Birmingham Women’s Hospital.

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Hear from Emily Hodge about her work to coach and support people with their minds after cancer, having overcome bowel cancer at 30.

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Find out what's in store if you're attending 2016's Fertility Show in London, plus how Infertility Network UK has had a rebrand.

Have you thought about going to The Fertility Show in London next month? I've not been however I've spoken to the organisers in previous years and wanted to find out about this year's show. Laura Biggs in the MD and she's new in charge. I was keen to hear about this year's show and what she hopes to achieve with the changes her events company River Street have made.

I also caught up with Susan Seenan, CEO of Fertility Network UK which is the newly rebranded Infertility Network UK and you can hear all about what's instore for the new site which will be launching for this year's National Fertility Awareness Week 2o16. Do have a listen to some of my previous chats with Susan about the incredible work she does. Susan talked about the #Hidden Faces campaign that Fertility Network has been running, asking people who have been through treatment to share their pictures so you and I can see more people just like us.. normal people affected by something no-one could have predicted.http://wp.me/p4T6k0-iT

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A round up of my UK fertility clinic visits with Access Fertility plus find out what's coming up for National Fertility Week 2016

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James Hopkisson and Nick Raine-Fenning talk you through their ethos for Nuture in Nottinahm and the fertility treatments available

Welcome to Nottingham, once again. My second clinic visit to the East Midlands. This time to Nuture. I was keen to have a chat with these guys as one of my best friends now has twins as a result of treatment at Nuture and another friend is going through treatment there . I'm originally from Nottingham so I still have a good number of friends there. I met with Nick Raine-Fenning and James Hopkisson who are the Medical Directors and were very passionate about the treatments they offer. Nurture was established in 1991 by the University of Nottingham to study the science behind IVF and develop new techniques and treatments. In 2014 we joined The Fertility Partnership, the largest provider of assisted conception cycles in the UK.

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Hear from Leeds Centre for Reproductive Medicine about the fertility treatment they offer

http://wp.me/p4T6k0-iuHello again and welcome to my latest clinic visit, which took me to a somewhat rainy Leeds - but with the friendliest taxi driver I've met so far. Leeds Centre for Reproductive Medicine is result of merger in January 2010 of two very successful Reproductive Medicine Units based within the Clarendon Wing at Leeds General Infirmary and the Gledhow Wing at St James’s University Hospital. The new Centre is now located at the Seacroft Hospital in purpose developed facilities. I spoke to lead embryologist, Karen Thompson, Nurse Nicola Sugden and Consultant Elisa Baskind.

A bit about me, if this is your first listen and viewing of The Fertility Podcast, I'm Natalie your host and I had successful treatment in 2014. You can read more about me here. For now all you need to know, is I've been working with Access Fertility who work with clinics around the UK, offering finance plans for you if you have to self fund your treatment. What I am doing is giving you an insight in the clinic, as someone who has been through treatment, to hopefully help you with your decision. Finding out you need to have fertility treatment is massive, it's overwhelming. So when it comes to choosing a clinic it can feel like another stress, will it be the best place for you? The HFEA have just relaunched their website ( in beta version) which you can view here that's what we did. If there had a been a podcast about the different clinics and what they are like, when we had to choose I would definitely have listened to it. The world of fertility is fascinating and the people in it are truly remarkable. I hope you find this clinic visit useful and as interesting as I did.

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Find out more from Oxford Fertility, and their A-Z of fertility as well as their unique waiting room giving you a unique view of their embryology lab

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Learn more about the bespoke fertility services available at The Agora in Hove, catering for Brighton and Hove's diverse community

This time in my UK clinic visit tour, I was at the seaside and actually in another of my former stomping grounds - Brighton, well Hove Actually ( as the locals say) to visit The Agora Gynaecology & Fertility Centre in Hove, East Sussex,specialises in diagnosing and treating the causes of infertility, offering bespoke fertility services to both NHS and privately funded patients. The clinic is about a 5 minute walk from Hove station and as you can see is hard to miss.I spoke with Carol Gilling Smith, Medical Director and founder of the clinic who shared her passion for the care she provides and her pride in her bespoke service for the diverse community of Brighton and Hove. Also her work on fertility prevention for cancer patients. I also spoke with Mel Callister, Clinical Nurse Manager with her infectious smile and especially proud of the work she does.

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Central London clinic Boston place talks about its fertility preservation work for cancer patients as well as giving me a guided tour of its state of the art lab

Welcome to my next clinic visit, this time I was in central London at Boston Place, which is a stones throw from Marylebone Station. Definitely the closest clinic to a station I've visited yet. It's very discreet and the decor is plush and somewhat boutique hotel like, as you can see from the pictures. Plus you can see a very excited me, stood in my scrubs in a lab which was a real treat as I've never been into one before. You can hear all about it from Dr Cristina Hickman who was responsible for building the lab and has worked all over the world. I also spoke to Dr Anna Carby and Nurse Mary Kennedy.

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Hear from Care Fertility Nottingham and the ground breaking with they do in the fertility world, from world firsts to indepth analysis in their labs.

The Care group has clinics across the UK and some of its staff were part of the pioneering team involved in the world's first IVF baby. You'll be hearing from some of their other clinics, later in the season. In this episode you will hear from Sarah Swift, a counsellor at Care, Dr Mahar Ragunath, Mary Smedley, Nurse Manager, Collen Lynch, an embryologist.

I was excited to go back to Nottingham, my home town and despite the rain it was a fascinating visit to Care. A bit about me, if this is your first listen and viewing of The Fertility Podcast, I'm Natalie your host and I had successful treatment in 2014. You can read more about me here. For now all you need to know, is I've been working with Access Fertility who work with clinics around the UK, offering finance plans for you if you have to self fund your treatment. What I am doing is giving you an insight in the clinic, as someone who has been through treatment, to hopefully help you with your decision. Finding out you need to have fertilitytreatment is massive, it's overwhelming. So when it comes to choosing a clinic it can feel like another stress, will it be the best place for you? The HFEA have just relaunched their website ( in beta version) which you can view here that's what we did. If there had a been a podcast about the different clinics and what they are like, when we had to choose I would definitely have listened to it. The world of fertility is fascinating and the people in it are truly remarkable. I hope you find this clinic visit useful and as interesting as I did.

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Male infertility needs to be spoken about more and in this episode you hear about azoospermia, a short film about a man coming to terms with being childless and a research paper on men's use of online fertility forums.

Meet Kristen, she's a lovely lady who left me a message via my website ( which you can too) and in this episode you'll hear her share her story of her and her husband's journey to starting a family, which hasn't been in any way straight forward. Kristen's husband was diagnosed with azoospermia andthe pair have been trying for over four years . You get to hear Kristen share her feelings on her husband's diagnosis and where they are now. Kristen has just started blogging, so if you'd like to fin out more about her check out her blog

Garry Paton is the producer of The Crossing, which is out in October. Below is a scene from the film - meet Terry before his relationship falls apart! Follow the films progress on twitter here

Dr Esmee Hanna, from the Centre for Reproductive Health talked about the research she had done looking at men's use of online forums. You can access the paper here . There is also a third paper which also looks at what they have discovered about male infertility which you can read here

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How to deal with miscarriage. Hear two women share their struggles of dealing with recurrent miscarriage and their tips on dealing with your grief. An honest and frank chat on a topic that needs to be spoken about more

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You wouldn't think by looking at the sky in the picture that is was taken on 31st July! It was a pretty cloudy day, but I also don't think I've got the hang of my new camera app either. Still, I wanted to share this snap from a kite festival as my husband and I were somewhat amused to see a line of sperm flying high in the sky.

How are you? I hope my post finds you well as we enter into mid summer in the UK and await another heatwave. The last one happened whilst I was out of the country of course! This episode of my podcast is just to update you on what's going on in the podcast and hopefully get you in the mood to get in touch.

I've been having some exciting chats with folk I met at Fertility Fest as well as chatting with the HFEA to keep my podcast growing and I'm asking for your support too.

Over the next month, I'm really aiming to engage more with you, my lovely listener. If you follow me on twitter, do say Hi, if you'd like to sign up to my newsletter just leave your details in the box below and I PROMISE to start getting better at keeping in touch.

My podcast is for you, to help, in what is one of the most testing times of your life.

I hope it does.

Bye for now

Natalie x

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Newlife Fertility Centre brings together a highlyqualified, caring and professional team under the auspices ofmedical director, Mr Amin Gafar an internationally respectedexpert in assisted conception, with over 20 years’ experience atthe forefront of fertility medicine. He has gathered around him ateam of highly qualified professionals, who bring their ownexpertise and dedication to patient care to Newlife. In my chat,you will be hearing from Mr Amin Gafar and Blair Sowry, LeadEmbryologist. Newlife has it's own holisticcentre, including a yoga room and acupunture suite which I thoughtwas a lovely touch

Newlife shownotes

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In my chat, you will be hearing from Dr ThanosPapathanasiou, Lead Consultant, Stephen Lynch, LeadEmbryologist who gave me a very good tour of the clinic, FertilityNurse Carol Steel and Joanne Brand, Clinic AdministratorGet the shownotes here BournHall Norwich shownotes

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In my latest clinic visit with Access Fertility, I'm in Glasgow at GCRM speaking to Dr Marco Gaudoin, PatAmbrose, Clinical Care Manager and Chris Adam, Acting Lab Manager and Nicole Gibson Deputy Lab Manager. Find out all about IVF, ICSI, Fertility treatment, ovarian reserve test, open evenings and much more

GCRM Glasgow shownotes

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Hear my chat with Wessex Fertility. You will be hearing from DrJaqui Tuckey, Consultant, Holly Moseley, Embryologist andRosie Bishop, Marketing co-ordinator who gave me a touraround. Get the shownotes here Wessex Fertility shownotes

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You will be hearing from Dr Arpita Ray, Lead Clinician,Leanne Kidger, Lead Nurse and Anne O Leary, lead Embryologist. Getthe shownotes here http://wp.me/p4T6k0-dr

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Hear a round up of the inaugural Fertility Fest 2016 in London, which took place on Saturday 11th June, at The Park Theatre.

I don't tend to issue a podcast with a disclaimer but I feel I need to explain as I've put this podcast together whilst being at my inlaws, after my day at Fertility Fest. So it's been a bit of a rush job, as I'm meant to be joining in, not working! Also my inlaws weren't aware of our fertility treatment, and my spending the day away, whilst my husband was with them with our son, was inevitably going to provoke questions as to what I was up to. Needless to say, over dinner, I explained what I'd been doing and about my podcast - all of which I'd not told them about and 'we came out'...again... we told the inlaws about our fertility treatment.

Once again, it was tough.. and it highlighted something that was so prominent from my experience yesterday, when you've had treatment, it's with you for life... and that is something else that you need to factor in with the dealing process. You can either embrace it as many do, and in some ways with this podcast, I have... but at the same time, i've still not told everyone about it. Our son is 15 months, yet it was still hard talking about it.

As you'll hear in this podcast, we all struggle to talk about it, even though we know we should do more and Fertility Fest was all about those of us affected by 'infertility' in whichever way... talking more, which I think it achieved beautifully.

If I'm honest I've not done yesterday justice in my podcast, as it was too big for me to capture on my own.. but I hope it gives you a taste of the community that you are a part of. I want to say a humongous thank you to Jessica Hepburn for making this happen and for Gareth Farr and Gabby Vautier for their wonderful play which I hope they get to share with the rest of the UK. Everyone if it makes people cry.

Wherever you are in your fertility journey, you need to know... this is your family..

N xxx

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Hear my chats with Hemlata Thackare,ConsultantGynaecologist and Fertility Specialist, JeanetteMacKenzie, Seniorembryologist and lab manager and Louise Mitchell,Deputy NurseManager. You can access the shownotes for thisepisodehere LWC'sshownotes

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Hear my chats with Nick Sharp, Senior MedicalDirector,Stephanie Gadd and Helen Miller, Fertility Nursespecialist.

Bath Fertilityshownotes

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In this episode, you'll hear from Dr Ishola Agbaje, Lead Consultant, Dr RObbie Kerr, Lab Director and Sandra Sloss, Lead Fertility Nurse as they explain about their fertility treaments available to patients in Northern and Southern Island GCRM Belfast show notes

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A visit to Bourn Hall Cambridge, the world's first IVF clinic and the clinic responsible for The Fertility Podcast baby. You will hear from Dr Mike MacNamee, Chief Executive, Martyn Blaney, Head of Science and Tania Turner,Patient Services Manager

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Hear chats with Dr David Polson, Medical Director, Dr Debbie Falconer, Lead Embryologist and Rita Dixon, Patient Co-ordinator as they explain the fertility treatments available at Manchester Fertility as well as their well established donor programme. You can click through to the show notes here

Manchester Fertility show notes

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The Fertility Podcast will be charing 2 panel sessions at this year's Fertility Fest2016. You can find out more at the shownotes here shownotes. Also i announce the launch of Season 4, which is happening on Monday 9th May 2016 with Access Fertility

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Male infertility needs to be spoken about more as in the UK along 50% of infertility cases are due to the male factor. ICSI is a breakthrough treatment which is specifically for men with low sperm count and in my chat with ManInfertile who I met on twitter, he was amazed to have never heard of this treatment, despite talking to professionals about what options he and his wife have for the future. Have a listen and you can find the shownotes here shownotes on this male infertility episode

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Have you considered artificial insemination to get pregnant? I've taken a side step to chat to a husband and wife inventor duo who have created something pretty remarkable for the fertility market.

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A honest account from 3 guests on how they have managed their work and their treatment, two ladies and one gent.

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Louise Brown has written her remarkable story being the world's first IVF baby, I was keen to hear about the parties she went to around the world and her obsession with Mark Owen from Take That.

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There are so many myths on what can affect sperm count, Professor Allan Pacey explains whether there is any truth in what you might have heard.

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This episode makes it clear you are not alone on this fertility journey. Even if you have decided not to tell anyone you are on it. There are support groups with Infertility Network UK and specific IVF counsellors who can guide you through.

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Need to de-clutter your mind to deal with fertility treatment? Listen to Alexia Leachman explain how she uses reflective repatterning to help you do so.

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Susan Seenan explains how you can lobby your MP if you have found yourself in an area where there are restrictions on IVF funding that are unfair, such as a reduction of cycles or no funding if you are over 35.

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Listen to Access Fertility CEO, Ash Carroll-Miller explain how they work with fertility clinics to offer payment plans for fertility treatment and how if it doesn't work they will refund 70% back

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Carmen describes the fertility landscape in Mexico as she discovered she needed fertility treatment and how she turns to art to show her true emotions as she deals with loss and heartache trying to conceive.

Her art speaks of influences of Frida Khalo and her desire to start her family portrayed through chairs is so touching.

Carmen has also written books to help families talk about their fertility journey, beautifully illustrated by her sister.

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A real story from Twitter hears from blogger www.countyourselfunlucky.wordpress.com and her 8 year struggle to have a second child

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Alison Reed has twin girls and was pregnant for her 40th birthday. Her fertility treatment let to the auto immune test showing she carried the 'natural killer gene' and along the way her supplementation meant her hair on her head fell out, but it grew on her face. Hear her remarkable story and how she now coaches others going through treatment.

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Hear Campaign Manager Kara Myhill explain what the week involves and how you can get involved from baking a sperm cake to running a 5k with Nuffield Health

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Susan Seenan, co-chair of Fertility Fairness explains the Postcode Lottery affecting infertility treatment offered on the NHS across the United Kingdom and what people can do to lobby their local county council.

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Sheila Lamb is the author of My Fertility Magazine and shares her story of going abroad to Spain for Fertility treatment when you are over 40.

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Caroline Philips is a facilitor for fertility clinics around the world and explains the logistics behind making the decision to go abroad for fertility treatment

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A remarkable story of a couple struggling with secondary infertility and making the decision to use a surrogate

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Sarah Holland is a fertility support specialist, who uses the powerful technique of EFT to help others negotiate the emotional roller coaster of fertility issues and find a positive way forward towards creating a family. Based in the UK, Sarah supports people from all over the world via phone and Skype consultations. Having experienced fertility issues herself, and now a mum to two boys, she recognises the importance of excellent emotional support and stress reduction during this challenging time. Sarah believes that everyone should have access to emotional support while trying to conceive through fertility issues, and co-founded the fertility support community Blossom & Be.

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Dr Marilyn Glenville explains how nutrient deficiency can affect fertility issues ranging from miscarriage to the success of IVF

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Emma Cannon is a fertility, pregnancy and integrated women's health expert, registered acupuncurist and author of The Baby Making Bible, You and Your Bump, Total Fertility and Fertility Family

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Expert advice from Dr Allan Pacey on make infertility and how to improve it - from poor sperm health to the affects of alcohol. Dr Zhai explains how she believes chinese medicine can help infertility issues

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WannabeDad is a blogger who shares his journey in becoming a Dad, as he describes it his fight to become a father -he openly talks about what is involved in men's tests, how men can deal with finding out it's their problem, working through it with a partner and dealing with ICSI

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Jessica Hepburn and Kate Brian tell their remarkable stories of dealing with unexplained infertility. Kate, now has a family however she uses her expereince in her work and is an author and journalist and amongst her work she is the editor of the Journal of Fertility Counselling. Jessica Hepburn has had 11 rounds of IVF and has written her book The Pursuit of Motherhood

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Susan Seenan, CEO of Infertility Network UK explains what the charity offers people who are going through infertility treatment or just embarking on their fertility journey.

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Hear all about The Fertility Show which runs at the end of National Fertility Awareness week and what is in it for you

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Leading fertility and oregnancy expert Zita West talks to The Fertility Podcast about her work in her clinics, her books and the growing interest in workshops for single women wanting to start a family

The Fertility Podcast: Recent Episodes

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