Baby Or Bust: Recent Episodes

Dr. Lora Shahine

Baby Or Bust is a podcast hosted by fertility doctor and former fertility patient Dr. Lora Shahine. Every week we bust myths, shatter stigma, and provide important facts and encouraging best practices to help anyone struggling with fertility to make their baby dream come true and feel better and stronger about their journey along the way.

Baby Or Bust is Produced by Mark Ramsey, Jaime Solis, and Greg Moga. Executive Produced by Paul Anderson, Nick Panella, and Andrew Greenwood for Workhouse Media. Baby Or Bust is a Mark Ramsey Media production in partnership with the Seattle Sperm Bank.

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Why is PCOS being renamed? And what does the new name PMOS mean? Could irregular periods, acne, hair growth, hair loss, or insulin resistance be signs of a larger whole-body condition? And does a PCOS or PMOS diagnosis mean you will need IVF to get pregnant?

In this episode of Brave & Curious, Dr. Allison Rodgers, reproductive endocrinologist, joins Dr. Lora Shahine for a hopeful, practical conversation about the shift from polycystic ovary syndrome, or PCOS, to polyendocrine metabolic ovarian syndrome, or PMOS.

They explain why the updated name better reflects the condition's effects on hormones, metabolism, ovulation, fertility, and lifelong health, not simply the appearance of the ovaries. They discuss common symptoms of PCOS and PMOS, how the condition is diagnosed, and why it can affect people of every body size.

Dr. Shahine and Dr. Rodgers also explore fertility treatment options, nutrition, exercise, and supplements. They get into long-term risks including diabetes, high cholesterol, cardiovascular disease, and uterine cancer. Most importantly, they emphasize that PMOS is manageable, ovulation can often be restored, and there is plenty of reason to feel hopeful about building a family.

In this episode, you'll hear:

[0:25] Meet Dr. Rodgers

[2:42] PCOS Becomes PMOS

[7:38] Testing and Diagnosis

[10:15] Fertility Outlook

[13:58] Long-Term Health

[18:37] Lifestyle Support

[22:32] PMOS Medications

[36:11] Supplements and Nutrition

[44:53] Supplement Safety

[49:06] Egg Quality

[52:55] IVF Necessity

[54:09] Teen PMOS

[58:08] Hope and Advocacy

Resources Mentioned:

drallisonrodgers.com

https://www.fcionline.com/doctors/allison-rodgers/

Bird and Be Supplements

Review Article on Supplements for PCOS/PMOS

@dr.allison.rodgers on Instagram and TikTok

This episode is sponsored by Bird and Be.

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

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Join the Learn at Pinnacle app to earn FREE CE Credit for listening to this episode!

This episode was produced by Audiotocracy Podcast Production.

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Can you be too old to conceive? What does it really mean when celebrities have babies over 50? And when fertility treatments like IVF, donor eggs, frozen eggs, and embryo transfer make pregnancy possible after menopause, how do we decide when it is safe, ethical, and medically appropriate?

In this episode of Brave & Curious, Dr. Lora Shahine explores one of the biggest and most emotionally loaded questions in reproductive medicine: when is it too late to have a baby? Using the latest 2025 American Society for Reproductive Medicine guidelines as a starting point, Dr. Shahine breaks down advanced reproductive age, age-related infertility, IVF success with own eggs versus donor eggs, pregnancy after menopause, and the very real health risks that can come with pregnancy over 45 or 50. She also looks at paternal age, sperm health, and why age matters for both partners when building a family.

Listeners will understand that there is no one-size-fits-all answer—only thoughtful counseling, informed consent, and brave conversations about the risks, benefits, and possibilities of family building at an advanced reproductive age.

In this episode you'll hear:

  • [00:56] Age & Fertility overview
  • [01:41] Record-breaking pregnancy stories
  • [02:37] Why does it get more difficult to get pregnant as we get older?
  • [07:52] Health risks of pregnancy
  • [09:15] Men: reproductive age and health of pregnancy
  • [10:07] Ethical considerations
  • [11:13] 2025 ASRM guidelines
  • [13:42] Next steps

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

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Join the Learn at Pinnacle app to earn FREE CE Credit for listening to this episode!

This episode was produced by Audiotocracy Podcast Production.

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Can acupuncture really support IVF success? When should you start fertility acupuncture if you're trying to conceive? And how do you know whether an acupuncturist is truly trained in fertility care, or just really confident with a sign on the door?

In this episode of Brave & Curious, Dr. Lora Shahine welcomes Hannah Pearn, a fertility acupuncturist based in London and host of the podcast. Together, they explore how acupuncture, traditional Chinese medicine, and Western fertility treatment can work side by side to support patients through IVF, embryo transfer, egg quality concerns, endometriosis, PCOS, recurrent pregnancy loss, male factor infertility, and the emotional stress of trying to conceive.

Listeners will learn what to expect at a first fertility acupuncture appointment, how acupuncture treatment may change during different stages of IVF, what questions to ask when choosing a practitioner, and why the evidence around acupuncture and fertility is promising but still complicated.

Dr. Shahine and Hannah also answer listener questions about needle fear, PGT-A testing, microbiome testing, follicle count, and the balance between doing everything you can and remembering that infertility is never your fault.

In this episode you'll hear:

  • [1:09] Fertility acupuncture basics
  • [7:28] Hannah's acupuncture path
  • [11:18] Finding specialists and Questions to Ask
  • [29:46] Acupuncture meets IVF
  • [34:34] Needle fear
  • [36:58] PGT-A testing
  • [42:43] When to start
  • [47:31] Can you boost your egg count?
  • [50:38] Microbiome testing
  • [54:46] Evidence and acupuncture

Resources mentioned:

donttellmetorelax.coc.uk

@donttellmetorelax on IG

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Join the Learn at Pinnacle app to earn FREE CE Credit for listening to this episode!

This episode was produced by Audiotocracy Podcast Production.

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Can a hormonal IUD affect your fertility later? If you used a progestin IUD, should you take it out months before trying to conceive? And how do patients make sense of fertility advice when even doctors are debating the evidence in real time?

In this episode of Brave & Curious Dr. Said Daneshmand joins Dr. Lora Shahine for a thoughtful, nuanced conversation about hormonal IUDs, endometrial lining, uterine adhesions, and fertility planning.

Their conversation is sparked by a recent online debate in the reproductive medicine community. Dr. Shahine and Dr. Daneshman explore what is known, what is still being studied, and why clinical experience matters alongside published research.

Listeners will learn how levonorgestrel IUDs may affect the uterine lining in a small subset of patients, what current research says about return to fertility after IUD removal, and why "rare" does not mean "impossible."

This episode offers reassurance, context, and practical guidance for anyone using an IUD, planning pregnancy, navigating infertility, or trying to make informed decisions about contraception and reproductive health.

Ongoing Research Study through UCSF: FeRTILE Study is being done to learn whether long-term use of an intrauterine device (IUD) affects how long it takes to become pregnant. By taking part, participants may help researchers learn more about fertility and birth outcomes after IUD use. Learn more here.

In this episode you'll hear:

  • [0:40] What is the IUD and Fertility Controversy?
  • [1:11] IUDs: Benefits and Context
  • [7:43] What We're Seeing in Our Practice
  • [15:25] Dr. D's Research on IUDs and Endometrial Lining
  • [20:45] Reflection on Topic
  • [33:56] Future Research Plans

Resources:

Studies mentioned

Abel 2021 J Assist Reprod Genet

Carr 2021 Contraception

Peipert 2022 Am J OBGYN

Dr. Daneshmand Instagram

Fertilitea with Dr. D Podcast

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Join the Learn at Pinnacle app to earn FREE CE Credit for listening to this episode!

This episode was produced by Audiotocracy Podcast Production.

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Could your sleepless nights, mood swings, joint pain, or "I just don't feel like myself" feelings be connected to perimenopause? Do you really need hormone testing to know what is happening? And is menopause hormone therapy actually as scary as we were once told?

Dr. Rebecca Dunsmoor-Su and Dr. Amy Voedisch, hosts of OvaryActive and co-authors of Estrogen, Interrupted, join Dr. Lora Shahine for this episode of Brave & Curious. Their conversation opens up a thoughtful, funny, and myth-busting conversation about menopause, perimenopause, hormone health, and why women deserve to understand their bodies.

They also explain the difference between menopause and perimenopause, why symptoms can start years before periods stop, why hormone labs often do not tell the full story, and how symptoms like hot flashes, night sweats, insomnia, anxiety, vaginal dryness, weight changes, itchy ears (yes, we said "itchy ears"), burning mouth, and joint pain can all fit into the bigger picture.

Perimenopause is often a "story-based" diagnosis rather than a single lab result, and treatment options are available. This conversation will walk listeners through all of that and more. Listeners will feel informed, validated, and ready to ask better questions.

In this episode you'll hear:

  • [0:24] Meet The Doctors of Ovaryactive Podcast
  • [10:45] Defining menopause and perimenopause
  • [14:55] Common Symptoms (More than Hot Flashes)
  • [18:37] Why labs fall short
  • [23:07] Unusual menopause symptoms
  • [28:05] Diagnosing perimenopause and menopause
  • [32:17] Non-hormonal treatment options
  • [42:18] The WHI study
  • [50:45] Breast cancer risk and Hormone Therapy
  • [59:51] Talking to your doctor

Resources mentioned:

perimenopausedrs.com/ovaryactive

Follow the show @OvaryActive Instagram | YouTube

Estrogen, Interrupted by Dr. Rebecca Dunsmoor-Su & Dr. Amy Voedisch

More information about Dr. Rebecca Dunsmoor-Su:

Gennev: www.gennev.com/clinician/dr-rebecca-dunsmoor-su

LinkedIn @rebecca-dunsmoor-su

More information about Dr. Amy Voedisch:

Stanford Medical Clinic: stanfordhealthcare.org/doctors/v/amy-voedisch.html

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Join the Learn at Pinnacle app to earn FREE CE Credit for listening to this episode!

This episode was produced by Audiotocracy Podcast Production.

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What if the "final frontier" of fertility care is not IVF technology, but the aging ovary itself? Can science help improve egg quality, mitochondrial function, and reproductive lifespan? And how do patients sort through what is proven, what is promising, and what is still very much in the "ask your doctor before you try this" category?

In this episode of Brave & Curious, Dr. Lora Shahine welcomes reproductive endocrinologist Dr. Roohi Jeelani for a fascinating conversation about ovarian rejuvenation, age-related fertility decline, and the future of fertility treatment.

Together, they discuss why age remains one of the biggest factors in IVF success, how egg quality changes over time, and why topics like oxidative stress, mitochondrial health, inflammation, and lifestyle optimization are becoming such important parts of the fertility conversation.

In this episode you'll hear:

  • [1:07] Meet Dr. Roohi Jeelani
  • [2:32] Age and fertility
  • [4:23] Egg quality basics
  • [8:06] Sleep and fertility
  • [9:35] Stress and cortisol
  • [14:58] Movement and PCOS
  • [16:54] Nutrition for fertility
  • [18:51] Trimester zero prep: Small, sustainable changes
  • [29:25] CoQ10, Inositol, Melatonin
  • [35:38] NAD and egg quality
  • [43:56] GLP-1 fertility questions
  • [47:22] Peptides and PRP
  • [55:33] Ovarian rejuvenation research
  • [1:01:04] Future fertility medicine

Resources mentioned:

onto.health

@roohijeelanimd on Instagram | LinkedIn

@onto-health-co on LinkedIn

Your Leggings Could be Causing Infertility? with Dr. Lora Shahine on YouTube

Can CoQ10 Improve Egg Quality and Sperm Health for TTC? with Dr. Lora Shahine on YouTube

Does Growth Hormone Improve IVF Outcomes? with Dr. Lora Shahine on YouTube

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Join the Learn at Pinnacle app to earn FREE CE Credit for listening to this episode!

This episode was produced by Audiotocracy Podcast Production.

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Have you been told your fertility tests are normal, but pregnancy still isn't happening? What does unexplained infertility actually mean when it clearly feels like something is going on? And how do age, egg quality, sperm function, endometriosis, inflammation, and implantation issues factor into a diagnosis that can feel more frustrating than reassuring?

In this episode of Brave & Curious, Dr. Lora Shahine takes a compassionate deep dive into unexplained infertility to explain how it's diagnosed, why it affects so many patients, and what may be happening behind the scenes when standard fertility testing does not reveal a clear answer.

Listeners will learn the most common hidden contributors to unexplained infertility, treatment options, and when moving to IVF may be the most effective path forward.

In this episode you'll hear:

  • [0:49] Dr. Lora Shahine's personal fertility story
  • [3:06] How Diagnosis Works
  • [4:31] How Common is Unexplained Infertility?
  • [8:07] Possible Cause #1: Age & Fertility
  • [11:51] Possible Cause #2: Hidden Sperm Factors
  • [13:48] Possible Cause #3: Egg Quality Unknowns
  • [14:13] Possible Cause #4: Implantation Mysteries
  • [15:19] Possible Cause #5: Tubal Function Problems
  • [16:49] Possible Cause #6: Endometriosis Link
  • [19:233 Possible Cause #7: Inflammation and Lifestyle
  • [20:39] What to Do Next
  • [23:38] Treatment Plans: IUI vs IVF
  • [31:31] Wrap up and next steps

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Join the Learn at Pinnacle app to earn FREE CE Credit for listening to this episode!

This episode was produced by Audiotocracy Podcast Production.

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Are you frustrated by a diagnosis of unexplained infertility? What if a "normal" semen analysis is not telling the whole story about sperm health? Could a new male fertility test help explain why fertilization is not happening, even when sperm count, motility, and morphology look fine?

In this episode of Brave & Curious, Dr. Lora Shahine welcomes Jeff Lysiak, PhD. He is a reproductive biologist, and co-founder and Chief Science Officer of PS Fertility. He is here to to talk about what standard semen analysis may miss.

Together, Dr. Shahine and Dr. Lysiak explore the science behind sperm fertilization competence, the role of phosphatidylserine (PS) on live sperm, and how Dr. Lysiak's research led to PS Direct, a diagnostic test designed to measure sperm's ability to bind and fertilize an egg beyond traditional semen parameters.

Dr. Shahine and Dr. Lysiak also discuss the future of male reproductive health research, including lifestyle factors, environmental exposures, and the growing need for more precise answers earlier in the fertility journey.

In this episode you'll hear:

  • [0:39] Meet Jeff Lysiak, PhD
  • [2:01] From Placenta to Sperm
  • [3:24] PS Discovery Explained
  • [5:01] How Sperm Meets Egg
  • [9:02] From Lab to Clinic
  • [10:19] Limits of Semen Analysis
  • [12:46] PS Score and Misdiagnosis
  • [14:12] At Home PS Test Kit
  • [18:20] Where PS Fits Clinically
  • [21:13] Varicocele & Repair Surgery
  • [24:14] Using PS to Guide Care
  • [27:26] Lifestyle Factors
  • [33:006] Future Research Directions
  • [34:21] Where to Find the Test & Connect with Jeff

Resources mentioned:

PSFertility.com

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Join the Learn at Pinnacle app to earn FREE CE Credit for listening to this episode!

This episode was sponsored by PS Fertility.

This episode was produced by Audiotocracy Podcast Production.

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What if the hardest part of your fertility journey isn't the medicine, it's affording the best treatment? How do you plan for IVF costs when coverage is unclear or incomplete? And is there a smarter, more supported way to navigate the financial stress of building a family?

In this episode of Brave & Curious, Angela Rastegar, CEO and founder of Sunfish, joins Dr. Lora Shahine. They are honoring National Fertility Week through their conversation that explores the real cost of fertility care and why financial planning is just as critical as medical care.

Angela shares her deeply personal fertility journey, including multiple rounds of egg freezing without financial support, and how that experience led her to build a platform designed to support patients through every step of their family-building journey, from egg freezing and IVF to surrogacy. Dr. Shahine and Angela talk about the hidden gaps in insurance coverage, the rising reality of fertility-related debt, and how Sunfish's data-driven, AI-powered programs aim to reduce uncertainty with personalized care plans, cost transparency, and even financial protections for IVF and egg freezing outcomes.

In this episode you'll hear:

  • [0:34] Angela Rastegar's personal journey, without financial support
  • [3:28] Along comes Sunfish
  • [5:45] The IVF Success Program
  • [8:35] The hidden costs of IVF
  • [13:40] Common misconceptions with insurance coverage
  • [19:53] Step-by-step breakdown of cost
  • [23:01] Grants, loans, and creative solutions
  • [27:08] New AI-powered egg freezing program
  • [30:55]The "silent tax" of egg freezing
  • [37:00] Getting connected to Sunfish

Resources mentioned:

joinsunfish.com

Sunfish provides personalized financial plans using proprietary software to estimate costs for each Program. If actual costs exceed projections, eligible patients may receive a partial refund under program terms. Sunfish is not a medical provider. Terms and conditions apply. Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Join the Learn at Pinnacle app to earn FREE CE Credit for listening to this episode!

This episode was produced by Audiotocracy Podcast Production.

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IVF is under fire. So, what happens when access to IVF is suddenly at risk? How much power should policy have over your ability to build a family? And what can one voice, or one story, really do to protect fertility care for millions?

In this timely episode of Brave & Curious, Dr. Lora Shahine is joined by Danielle Melfi, the new CEO of RESOLVE, who brings a powerful blend of policy expertise, personal fertility experience, and a deep commitment to family-building equity.

Airing at the start of National Infertility Awareness Week, Dr. Lora Shahine and Danielle are talking about the real-world impact of recent legislative threats to IVF, including the Alabama ruling that temporarily halted treatment. They explore how advocacy organizations mobilize quickly to protect patients.

Danielle shares her own egg freezing journey, her background in government and healthcare advocacy, and how RESOLVE is working to expand access, improve patient education, and fight misinformation in an increasingly complex fertility landscape.

In this episode you'll hear:

  • [1:41] Meet Danielle Melfi, CEO of RESOLVE
  • [5:45] Why IVF Stopped in Alabama
  • [10:55] What RESOLVE Does
  • [14:15] Fertility Care Coverage in California and Recent Advocacy Wins
  • [19:29] The Power of Fertility Stories
  • [21:48] Restorative Reproductive Medicine Movement: A Threat in Disguise?
  • [23:12] Personhood Bills Explained
  • [36:55] RESOLVE's Strategic Plan
  • [38:31] Get Involved

Resources mentioned:

resolve.org

@resolveorg on Instagram

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Join the Learn at Pinnacle app to earn FREE CE Credit for listening to this episode!

This episode was produced by Audiotocracy Podcast Production.

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What if your PCOS diagnosis is about more than fertility? What if the symptoms you've been told to "just manage" are actually your body asking for deeper support? And what if you could take back control in a way that feels empowering rather than restrictive?

In this episode of Brave & Curious, Dr. Lora Shahine sits down with registered dietitian and author of PCOS is My Power Cory Ruth, RDN to explain all about Polycystic Ovary Syndrome (PCOS) and why it's often misunderstood. Cory shares her personal journey to diagnosis and how it shaped her mission to help women better understand the metabolic, hormonal, and reproductive components of PCOS.

Dr. Shahine and Cory cover the diagnostic criteria, common misconceptions (like "just lose weight"), and the evolving science around lifestyle interventions, blood sugar regulation, and long-term health outcomes.

This episode will give listeners a clearer understanding of how to manage PCOS through sustainable nutrition, movement, and mindset shifts, without falling into restrictive or shame-based approaches. Cory's refreshing expertise helps us reframe PCOS as a potential catalyst for lifelong health—giving you the tools to feel informed, supported, and back in the driver's seat.

In this episode you'll hear:

  • [1:56] PCOS "triple threat": reproductive, metabolic, & hormonal
  • [5:40] Cory Ruth's personal journey
  • [8:01] Early signs of PCOS
  • [11:43] The Rotterdam criteria
  • [17:33] PCOS is a weight issue: MYTH
  • [19:09] Nutrition is the foundation of PCOS management
  • [22:24] Simple, realistic meal ideas to support PCOS
  • [31:25] Intermittent fasting & PCOS
  • [34:27] Mental health & PCOS
  • [37:35] Long-term risks of PCOS
  • [40:10] Sustainable lifestyle changes that actually work
  • [43:05] Reframing PCOS as an opportunity for lifelong health

Resources mentioned:

www.thewomensdietitian.com

@thewomensdietition on Instagram

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Join the Learn at Pinnacle app to earn FREE CE Credit for listening to this episode!

This episode was produced by Audiotocracy Podcast Production.

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Are you struggling with unexplained infertility and wondering if endometriosis could be the missing piece? Have you been told that surgery is the only way to get a diagnosis? What if a simple test could offer answers without going into the operating room?

In this episode of Brave & Curious, Dr. Lora Shahine welcomes guest Dr. Bruce Lessey, a double board certified OBGYN and Reproductive Endocrinologist with decades of research experience and over 150 peer-reviewed publications. Together they explore a groundbreaking question in reproductive medicine: can we diagnose endometriosis without invasive surgery?

Dr. Lessey and Dr. Shahine explain the science behind BCL6 testing, a biomarker found in the uterine lining that may signal inflammation linked to endometriosis. Dr. Lessey also shares how this research evolved from studying implantation markers to developing a potential non-invasive diagnostic tool, and why timing in the menstrual cycle is critical for accurate results.

They also discuss the realities of delayed diagnosis, the connection between endometriosis and unexplained infertility, and how this test is already being used in clinical settings.

In this episode you'll hear:

  • [1:21] Meet Dr. Bruce Lessey
  • [4:27] Why does diagnosing endometriosis take years?
  • [7:16] Introducing BCL6 testing
  • [16:20] Timing the biopsy window
  • [22:51] IVF outcomes study
  • [25:42] Fresh vs. frozen transfers
  • [27:22] Treating expected endometriosis
  • [28:44] Lupron and surgery explained
  • [30:42] BCL6 in recurrent pregnancy loss and recurrent implantation failure
  • [33:04] Progesterone resistance and benefits of letrozole
  • [40:48] Timing and testing pitfalls
  • [43:02] Future research and wrap up

Resources mentioned:

Overexpression in Eutopic Endometrium of Women With Endometriosis. doi: 10.1177/1933719116649711.

Endometrial BCL6 testing for the prediction of in vitro fertilization outcomes: a cohort study. doi: 10.1016/j.fertnstert.2017.09.017.

Unexplained recurrent pregnancy loss and unexplained infertility: twins in disguise. doi: 10.1093/hropen/hoz021.

This episode is sponsored by Cicero Diagnostics.

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Join the Learn at Pinnacle app to earn FREE CE Credit for listening to this episode!

This episode was produced by Audiotocracy Podcast Production.

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What if inflammation is quietly affecting your fertility? What if the key to improving egg quality and hormonal balance isn't just medical treatment, but the everyday choices you make? And what if understanding your body earlier could change your entire fertility journey?

In this episode of Brave & Curious, Dr. Lora Shahine welcomes fertility specialist Dr. Natalie Crawford to explore how inflammation influences reproductive health and what women can do to support fertility from the inside out.

Dr. Natalie Crawford is the author of The Fertility Formula, and she is here to share how her own experience with infertility and pregnancy loss shaped her passion for empowering patients with science-based fertility education.

Together, she and Dr. Shahine discuss the growing role of chronic inflammation, insulin resistance, environmental exposures, and lifestyle factors in fertility challenges. Dr. Crawford explains why fertility medicine often reacts too late in the process and why understanding hormones, ovarian reserve, and reproductive health earlier can help people advocate for themselves and make informed decisions.

In this episode you'll hear:

  • [2:32] Dr. Natalie Crawford's fertility journey
  • [7:00] Chronic inflammation and fertility
  • [20:59] Insulin resistance impacts hormones, ovulation, & egg quality
  • [26:34] The connection between stress, cortisol, and fertility outcomes
  • [28:09] Sleep is an important fertility-supporting habit
  • [32:41] Strength training to improve hormone health
  • [41:23] Nutrition basics that work
  • [48:25] Dr. Crawford's framework: Educate, Advocate, Optimize
  • [54:26] Connecting with Natalie

Resources mentioned:

nataliecrawfordmd.com

As A Woman Podcast

@nataliecrawfordmd Instagram | TikTok | LinkedIn | YouTube

Ep 157 Why Sleep is the Most Powerful Habit You Can't Ignore with Dr. Meredith Broderick

Dr. Shahine's Newsletter on Fertility News and Recommendations

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Join the Learn at Pinnacle app to earn FREE CE Credit for listening to this episode!

This episode was produced by Audiotocracy Podcast Production.

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Are progesterone shots really necessary for a frozen embryo transfer? Why would your doctor recommend intramuscular injections over suppositories or other less painful options? And could the type of progesterone you use actually affect implantation, miscarriage risk, or live birth rates?

In this episode of Brave & Curious, Dr. Lora Shahine explains the science behind progesterone support in frozen embryo transfer (FET) cycles, especially why intramuscular (IM) progesterone is often recommended in certain programmed cycle protocols.

Dr. Shahine explains how progesterone supports implantation and early pregnancy, the key differences between programmed or medicated and natural or ovulatory FET protocols, and why not all progesterone options perform the same way.

Listeners will learn how IM progesterone compares to other forms and when IM progesterone may meaningfully improve FET success. You'll get some practical guidance on how to talk with your doctor about choosing the right progesterone protocol for your body and your treatment plan.

In this episode you'll hear:

  • [1:11] Progesterone shot fears
  • [2:30] Why progesterone matters
  • [4:22] Why supplement in treatment
  • [5:22] Programmed vs. ovulatory FET
  • [7:31] Progesterone options explained
  • [11:07] Landmark 2021 trial set up
  • [13:08] Results: live birth miscarriage
  • [15:14] Next steps

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Join the Learn at Pinnacle app to earn FREE CE Credit for listening to this episode!

This episode was produced by Audiotocracy Podcast Production.

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Are ovulation predictor kits enough to time intercourse? Can an app really tell you when you're fertile? And what if your body has been giving you the answers all along?

In this episode of Brave & Curious, Dr. Lora Shahine is talking to fertility awareness pioneer Dr.

Are ovulation predictor kits enough to time intercourse? Can an app really tell you when you're fertile? And what if your body has been giving you the answers all along?

In this episode of Brave & Curious, Dr. Lora Shahine is talking to fertility awareness pioneer Toni Weschler, author of Taking Charge of Your Fertility, and her niece, software engineer, Sabrina Nowicki. These three women explore how women can confidently track ovulation, understand cervical fluid, and take charge of their reproductive health with both education and technology.

Toni Weschler shares the powerful origin story behind her decades of paper charting and why she once resisted fertility apps altogether. She believed that a thermometer, a pen, and knowledge of your own body were enough.

Sabrina explains how that philosophy evolved into Cyclisity, an educational cycle tracking app designed as the perfect companion to the book. Unlike predictive period apps that rely on algorithms and "average" 28-day cycles, Cyclisity follows the sympto-thermal method exactly as taught in Toni's work.

It will finally make sense why basal body temperature confirms ovulation but doesn't predict it, how cervical fluid signals approaching fertility, why ovulation predictor kits can miss critical timing, and how improper app use can delay fertility diagnosis or lead to unintended pregnancy.

This conversation is a masterclass in reproductive education and body literacy while blending science, privacy, and modern technology.

In this episode you'll hear:

  • [0:39] Meet the guests: Author Toni Weschler and Sabrina Nowicki
  • [2:36] Why track your cycle?
  • [4:03] Understanding ovulation and health
  • [6:49] Sabrina's personal journey
  • [10:29] Toni's period story
  • [13:10] The push for technology
  • [14:52] Early software resistance
  • [18:35] The perfect team forms
  • [22:03] Creating Cyclisity
  • [27:07] Using book and app together
  • [31:41] Temperature vs cervical fluid
  • [32:53] Checking cervical fluid

Resources mentioned:

cyclisity.com

tcoyf.com

@cyclisity on IG

@cyclisityapp on TikTok

@wanderingsabrina on IG | on TikTok

Ep 50 Over 25 Years of Taking Charge of Your Fertility with Author Toni Weschler

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

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Did you have a C-section and now notice spotting that won't quit? Are you dealing with pelvic pain, confusing symptoms, or trouble getting pregnant, and wondering if they're connected? Has anyone ever mentioned the word isthmocele to you… or is this the first time you're hearing it?

In this episode of Brave & Curious, Dr. Lora Shahine explains a condition many patients are never warned about after a C-section: an isthmocele. She tells us what an isthmocele is, how it can form in a prior C-section scar, and why it can sometimes lead to unexpected bleeding, pain, or fertility challenges.

You'll learn the five key symptoms that may signal an isthmocele, how this condition can affect fertility and future pregnancy plans, and the pros and cons of monitoring versus treating. Dr. Shahine also talks us through when surgical repair may be helpful, and the exact questions to ask your doctor so you can advocate for informed, personalized care.

If you've had a C-section and feel like something isn't quite right, this episode offers knowledge, reassurance, and a clear path forward.

In this episode you'll hear:

  • [0:46] Understanding C-section scars: Isthnocele
  • [2:21] What is an isthmocele?
  • [3:24] How common?
  • [4:18] Getting diagnosed
  • [6:06] Symptoms
  • [7:36] Treatment options
  • [9:21] Observation vs. surgical management
  • [14:01] Important questions to ask your doctor
  • [14:57] Conclusion & final thoughts

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

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How do you make an embryo stick? Is there anything you can do to improve embryo transfer success? And how do you know which advice is science-backed versus fertility folklore?

In this special solo Q&A episode of Brave & Curious, Dr. Lora Shahine answers the questions patients ask most often when preparing for an embryo transfer.

What really matters during an IVF embryo transfer? Using real questions from Instagram, YouTube, and her own practice, she walks listeners through fresh vs. frozen embryo transfer, what happens on transfer day, whether you need a full bladder, lying down afterward, Valium use, pineapple cores, French fries, genetic testing, ERA testing, and how uterine lining preparation actually works.

Listeners will come away with a clearer understanding of embryo transfer success rates, frozen embryo transfer protocols, and implantation timing, and get their real questions answered.

In this episode you'll hear:

  • [1:27] What should I expect on transfer day?
  • [8:00] What happens post-transfer?
  • [9:35] Funny myths: pineapple cores & McDonalds french fries
  • [13:46] Fresh vs. frozen transfer myths
  • [20:18] Pre-transfer testing and ERA
  • [24:37] Natural vs. medicated transfer protocols
  • [28:30] Conclusion & final thoughts

Links and Resources:

Embryo Transfer: What to Expect on YouTube

Does the Embryo Fall Out: Embryo Transfer Tips on YouTube

Fresh vs. Frozen Transfers: Pros and Cons on YouTue

Studies Mentioned:

Randomized Controlled Trial for FET Protocols: PMID: 38944045

Retrospective analysis Perinatal Outcomes with FET protocols PMID:33926401

Randomized Controlled Trial for ERA before FET PMID: 36472596

Randomized Controlled Trial Bedrest after embryo transfer: PMID:31520259

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

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Are you starting to think about fertility testing? Have you been trying to conceive and wondering which tests actually matter? Or are you overwhelmed by conflicting advice and unsure where to begin?

In this episode of Brave & Curious, Dr. Lora Shahine breaks down fertility testing with clarity, compassion, and evidence. Now you can move forward feeling informed instead of intimidated.

Dr. Shahine covers the basics of fertility testing including the essentials of a thorough health history. She also explains how menstrual cycles, ovulation patterns, pain, PCOS, endometriosis, lifestyle factors, and mental health all shape a fertility workup.

This episode empowers couples with realistic expectations, evidence-based guidance, and the confidence to advocate for personalized fertility care, because understanding your options is the first step to feeling as ready as you can for what comes next.

In this episode you'll hear:

  • [1:36] Key fertility tests for women: AMH, FSH, estradiol, ultrasound, and HSG
  • [3:42]] The full work up: lifestyle, medical history, menstrual cycles, and past pregnancies
  • [7:54] Ovarian reserve and AMH explained
  • [13:19] Fertility tests for men: semen analysis and hormone evaluation
  • [16:13] Preconception testing including genetic carrier screening
  • [21:48] When to see a fertility specialist and what to ask your doctor after testing

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

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Can you really get pregnant after menopause? Why do celebrities seem to defy biology when it comes to age and fertility? And just because pregnancy is possible at later ages, is it actually safe?

In this episode of Brave & Curious, Dr. Lora Shahine explores the questions so many people are quietly asking as they navigate fertility, aging, and family-building decisions.

Dr. Shahine breaks down what the science actually says about age and fertility, including why it becomes harder to conceive with age, how eggs and sperm age differently, and what role options like IVF, egg freezing, and donor eggs play.

She also reviews headline-making cases of pregnancy at advanced reproductive age and explains why these headlines, while eye-catching, don't always tell the full medical story. She explains how clinicians think about risk, safety, and counseling for pregnancy later in life.

This episode offers evidence-based clarity, compassionate context, and practical guidance to help you make informed decisions. At any age.

In this episode you'll hear:

  • [1:22] What record-breaking pregnancies really tell us
  • [3:00] Understanding age & fertility
  • [7:19] Health risks of pregnancy at 40s, 50s, and beyond
  • [9:28] Men's reproductive age & health of pregnancy
  • [10:21] Ethical considerations for older parents
  • [11:27] Updated ASRM recommendations
  • [13:35] Final thoughts

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

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Could your DNA explain why one-size-fits-all nutrition advice doesn't always work? Why do some people thrive on certain diets while others struggle, even when they're "doing everything right"? What if your genetics could help guide smarter nutrition choices before pregnancy, during pregnancy, and across your entire lifespan?

In this episode of Brave & Curious, Dr. Lora Shahine explores how genetics, nutrition, and reproductive health are deeply intertwined. She is joined by Dr. Steven Zeisel, a physician-scientist whose groundbreaking research helped redefine choline as an essential nutrient.

Their discussion traces how decades of work in biochemistry, genetics, and medicine led to the concept of precision nutrition. Dr. Zeisel explains how nutrients like choline, folate, methylfolate, betaine, and vitamin B12 interact with our genes. And he explains why common genetic variants can change how much of these nutrients our bodies actually need.

They also touch on why pregnancy, estrogen, fertility, and even sperm health are profoundly influenced by these metabolic pathways, and why traditional nutrition guidelines may miss the mark for many people.

Listeners will learn how emerging genetic tests can help identify individual "roadblocks" in metabolism. This episode is a powerful reminder that when it comes to nutrition, personalized science matters.

In this episode you'll hear:

  • [0:48]Why one-size-fits-all nutrition advice doesn't work
  • [2:19] Choline goes from non-essential to critical
  • [8:16] The surprising role of estrogen
  • [10:11] What can genetics influence?
  • [15:33] Precision nutrition testing and what it can reveal
  • [28:06] Challenges and acceptance in nutritional science
  • [33:29] Genetic testing for personalized nutrition
  • [45:56] What does all this research mean?

Resources mentioned:

genate.com

@TheGenateTest on Facebook

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

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Disclaimer: This episode is sponsored by SNP Therapeutics. All opinions and thoughts expressed are our own and were not influenced by the sponsor.

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Have you had a C-section and now you're wondering if it could affect future conception? Are you planning one and feeling unsure how it may influence your reproductive health?

In this episode of Brave & Curious, Dr. Lora Shahine goes beyond headlines and reviews a landmark study to better understand how C-sections may impact future fertility, miscarriage rates, and pregnancy complications.

This episode will arm you with three essential questions to ask your provider and help you make informed decisions and have empowered conversations, all grounded in clarity, not fear.

In this episode you'll hear:

  • [0:50] Overview of C-section impact study
  • [1:08] Fertility after C-section
  • [7:59] Pregnancy risks after C-section
  • [18:36] Benefits of a C-Section
  • [19:45] FAQ
  • [21:14] Advocating for your care
  • [22:51] Final thoughts

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

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Are you exhausted but still can't sleep through the night? Do you wake up feeling unrefreshed, foggy, or wired-tired no matter how early you go to bed? Could your sleep habits—or an undiagnosed sleep disorder—be quietly impacting your hormones, mental health, fertility, and long-term wellbeing?

In this episode of Brave & Curious, Dr. Lora Shahine and her guest, Dr. Meredith Broderick, invite you to rethink everything you've been told about sleep and why "pushing through" exhaustion is not a badge of honor.

Dr. Broderick shares how her own experience with sleep deprivation led her into sleep medicine, why sleep disorders are vastly underdiagnosed in women, and how poor sleep is linked to conditions like depression, migraines, cardiovascular disease, metabolic dysfunction, and infertility.

Together, they explain the difference between true sleep and sedation, why sleeping pills and alcohol disrupt restorative sleep, and how sleep apnea and chronic insomnia show up differently in women.

You'll learn when to ask for a sleep study, common red flags you shouldn't ignore (like morning headaches and daytime fatigue), and practical, evidence-based steps to start improving your sleep—without shame, perfection, or fear.

In this episode you'll hear:

  • [1:23] Sleep is a non-negotiable pillar of health
  • [5:10] Recognizing sleep disorders
  • [12:59] The science behind sleep
  • [14:19] Sleep & reproductive health
  • [19:04] Practical sleep solutions
  • [27:52] Understanding mid-night awakenings
  • [29:21] Cultural variations in sleep patterns
  • [31:23] Sleep trackers
  • [33:20] Key reasons to consider a sleep study
  • [36:50] Conclusion & final thoughts

Resources mentioned:

soundsleepguru.com

@sleepdoctormer on Instagram

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

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How can you give yourself the best chance of conceiving in the year ahead? Which habits truly influence fertility? And when is it appropriate to seek additional support or consult a specialist?

In this New Year episode of Brave & Curious, Dr. Lora Shahine shares a practical and compassionate Fertility Reset—a clear roadmap for anyone preparing to conceive or looking for guidance after months of trying.

She reviews the foundations of cycle tracking and timed intercourse, strategies for reducing harmful exposures, and lifestyle and nutrition changes that can support reproductive health. Dr. Shahine also explains how stopping birth control varies by method, why understanding ovulation is essential, and how to decide whether at-home testing or a medical evaluation is the next right step.

This episode offers an evidence-based guide to enhancing fertility, improving overall wellness, and approaching the year ahead with clarity and confidence.

In this episode you'll hear:

  • [0:32] Kicking off a fertility reset
  • [1:27] Get your health in check
  • [2:59] Stopping birth control
  • [5:08] Cycle tracking
  • [7:19] Timing intercourse
  • [9:25] Lifestyle changes: what to stop and what to start
  • [20:31] Prenatal vitamins
  • [21:55] When to see a fertility specialist

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

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Is IVF the answer for recurrent pregnancy loss? Why would IVF with genetic testing of embryo be helpful for people that are 'getting' pregnant but can 'stay' pregnant?

In this educational episode, Dr. Lora Shahine explains the complex relationship between IVF, genetics, and recurrent pregnancy loss. She reviews the science behind why chromosomal imbalances are one of the most common causes of first-trimester miscarriage and discusses how preimplantation genetic testing for aneuploidy (PGT-A) may help select embryos with the highest chance of success for some patients.

Through real patient examples and evidence-based guidance, this episode explores the nuances of testing, timing, emotional well-being, and the ethical and financial considerations that shape decision-making. Listeners will walk away informed, empowered, and reminded that no matter their fertility path, they are not alone.

In this episode you'll hear:

  • [2:03] Why consider IVF for recurrent pregnancy loss?
  • [4:10] IVF process & genetic testing
  • [11:02] Real world counseling & patient scenarios
  • [16:12] Pros & cons of IVF for recurrent pregnancy loss
  • [24:58] Key considerations for IVF
  • [28:15] Patient examples and recommendations
  • [31:12] Final thoughts

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

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Are you confused about prenatal vitamins? Wondering whether folic acid or folate is best? And what about those MTHFR conversations on the internet? Should you be worried?

In this episode of Brave & Curious, Dr. Lora Shahine is asking the questions so many people have but rarely get clear answers to. Her guest is fertility expert Dr. Prati Sharma who is here to address the fear, the science, and the nuance behind one of the most debated supplements in pregnancy health.

Folate and folic acid may sound interchangeable, but as Dr. Shahine and Dr. Sharma explain, the topic gets complicated fast — especially once genetics, supplements, and internet opinions enter the chat.

Together they explain the definitions, evidence-based guidelines, genetic polymorphisms like MTHFR, and how the supplement market (and sometimes fear-based messaging) can mislead patients.

Listeners will hear balanced, thoughtful insight rooted in reproductive endocrinology, science-backed recommendations, and compassionate care, not panic or overwhelm. And most importantly, you'll leave feeling calmer, more empowered, and equipped with the right questions instead of fear.

In this episode you'll hear:

  • [1:25] Why is folate vs. folic acid such a heated topic?
  • [3:37] What is folate?
  • [4:067 What is folic acid?
  • [5:35] MTHFR gene variant explained
  • [6:40] The history & science behind the recommendations
  • [9:58] How much folic acid do you actually need?
  • [12:56] What newer studies show
  • [20:23] How to choose a prenatal
  • [28:06] Final takeaways and connecting with Dr. Sharma

Resources mentioned:

@drpratiaharma on IG

createivf.com/about/prati-sharma-fertility-doctor

birdandbe.com

ABOG Folic Acid Recommendations

Review from Integrative Medicine Journal

Review by Jen Gunter, MD

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

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Have you ever wondered what meaningful, supportive gifts look like when someone you love is navigating infertility or a fertility journey? How can you shop with intention, without the toxins, overwhelm, or "one-size-fits-all" gifting? Ready to treat someone special (especially yourself)?

In this episode of Brave and Curious, Dr. Lora Shahine invites you into holiday joy with courage, compassion, and thoughtful connection, all through the lens of reproductive health and emotional well-being.

She is sharing a curated list of gift ideas specifically designed with the fertility community in mind. Gift-giving isn't just about objects. It's about connection, acknowledgment, and gentle encouragement during a deeply personal chapter.

Treat someone you love… and don't forget to include yourself!

In this episode you'll hear:

  • [1:43] Gift guide overview
  • [2:12] Idea #1: SheCanter
  • [3:43] Idea #2: Infertile Tees
  • [5:41] Idea #3: Fertility socks
  • [6:44] Idea #4: Candle (toxin-free!)
  • [9:27] Idea #5: Self-care/beauty products

Resources mentioned:

shecanter.com

Roxhill Candle Company

infertiletees.com [discount code HOPE15 through 12/31/25]

ivfeet.com [discount code BRAVE10 through 12/31/25]

doctorrogers.com [discount code DRSHAHINE all year long]

LINNÉbotanicals.com [discount code DRSHAHINE15 all year long]

shopshorrette.com [discount code DRSHAHINE15 all year long]

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

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What happens when chronic endometriosis meets fierce advocacy and a wicked sense of humor? What if your most painful experiences become the catalyst for empowering others? And how does a uterus-shaped wine decanter become a national conversation piece for women's reproductive health?

In this episode of Brave & Curious, Dr. Lora Shahine chats with Erica Loring, the self-declared "brains and uterus behind Shecanter," to talk about turning pain into purpose and stigma into laughter.

Erica shares her deeply personal health journey, from fainting spells through high-school to finally being heard, diagnosed, and validated after years of dismissal. Her story shines a light on endometriosis, PCOS, women's healthcare funding inequality, reproductive rights advocacy, and the power of representation through design.

Her viral product line, including uterus decanters, mugs, and more, has become both a feminist cultural symbol and a fundraising tool fueling research and resources for women with reproductive health conditions.

Listeners will learn how Erica transformed a frustrating medical experience into a thriving brand, using humor as activism and novelty products as conversation starters.

In this episode you'll hear:

  • [2:37] Erica's endometriosis journey
  • [4:14] Medical dismissal
  • [4:58] Diagnosis barriers
  • [7:18] Women's health funding
  • [11:40] Novelty feminist products
  • [15:26] Patient self-advocacy
  • [17:22] Reproductive health organizations
  • [19:07] Product design process
  • [23:21] Empowering healthcare advocacy
  • [28:08] Finding and purchasing the products

Resources mentioned:

shecanter.com

@the_shecanter on IG

endometriosisassn.org

pcoschallenge.org

plannedparenthood.org

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

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What if you could walk into every holiday gathering feeling grounded instead of guarded? How would it feel to have a plan when the nosy fertility questions inevitably come your way? And what if you could protect your emotional well-being while enjoying the holidays full of joy and with boundaries intact?

In this episode of Brave & Curious, Dr. Lora Shahine tackles the complicated reality of holiday conversations, fertility questions, and family-building pressure.

Listeners will learn practical, empowering tools for navigating holiday gatherings with confidence: how to identify an ally for support, and how to use communication strategies that range from soft deflection to strong boundary-setting.

In this episode you'll hear:

  • [1:08] Tip #1 Don't Go
  • [2:47] Tip #2 Find Your Ally
  • [4:55] Tip #3 Plan Your Answers to Awkward Fertility Conversations
  • [6:20] Tip #4 Plan an Exit Strategy
  • [6:50] Tip #5 Plan Self Care and Recharge

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

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What does it really take for men to build a family through IVF and surrogacy? How do you navigate the maze of sperm testing, egg donors, legal contracts, and international laws? And where do transparency, trust, and heart fit into this complex process?

In this honest and empowering episode of Brave & Curious, Dr. Lora Shahine is talking to Richard Westoby, author, advocate, and host of IVF Daddies. Their conversation pulls back the curtain on the real journey of gay men pursuing parenthood.

Richard shares his deeply personal experience of becoming a father to twins through surrogacy and his decade-long mission to help others do the same. Together, he and Dr. Shahine break down every step of the process. They talk about everything from fertility testing and choosing an egg donor to finding the right clinic, lawyer, and surrogate.

With humor and compassion, they discuss the emotional highs and lows, the legal and ethical complexities, and the hard truths about cost, timelines, and international options.

This conversation offers clarity, courage, and connection for anyone dreaming of becoming a parent through IVF and surrogacy.

In this episode you'll hear:

  • [0:51] Meet Richard Westoby: author, advocate, and podcast host
  • [4:29] Richard's personal story
  • [6:05] Choosing the right egg donor
  • [15:57] Fresh vs. frozen donor eggs
  • [22:14] Finding the right clinic
  • [30:48] International surrogacy insights
  • [35:59] Legal must-knows
  • [40:28] Realistic timeline & budgets
  • [41:54] Red flags & green flags
  • [43:19] Making it manageable
  • [57:03] Trusted resources

Resources mentioned:

ivfdaddies.com

menhavingbabies

gayswithkids.com

familiesoutloud.org

pnwfertility.com

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

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What does Trump's "Father of Fertility" claim really mean? How might his new IVF announcements impact real patients? And could policies disguised as "restorative" actually restrict reproductive freedom?

In this timely episode of Brave & Curious, Dr. Lora Shahine sits down with Jessie Losch, Director of Government Affairs at the American Society for Reproductive Medicine (ASRM), to talk about the politics, promises, and pitfalls surrounding the latest White House statements on fertility care.

Jessie helps clarify what the October 16th announcement actually said — and what it didn't. Together, they explain Trump's partnership with pharmaceutical company EMD Serono, the creation of TrumpRx, and the proposed insurance coverage changes that claim to make IVF more affordable.

With so much misinformation swirling, Jessie explains how ASRM advocates for patients and providers in a rapidly shifting policy landscape, especially as fertility care becomes increasingly politicized in a post-Roe world.

Listeners will learn what's real and what's rhetoric in these "pro-IVF" promises, what the emerging term Restorative Reproductive Medicine (RRM) really means, and how it could threaten access to standard fertility treatments.

Dr. Shahine and Jesse discuss the nuance behind headlines, the importance of informed consent, and practical steps patients and clinicians can take to support advocacy efforts through ASRM and RESOLVE.

In this episode you'll hear:

  • [2:12] Understanding ASRM's role in advocacy
  • [6:15] An explanation of Trump's IVF announcement
  • [12:13] What is TrumpRX? And what does it mean for patients?
  • [19:55] The red flags in "root cause" language
  • [26:28] The rise of restorative reproductive medicine (RRM)
  • [38:05] Legislation to watch: the Restore Act and Moral Framing
  • [47:11 How to stay informed and take action

Please note there is no funding or sponsorship for this episode. See links below for facts and updates as policies change.

Resources mentioned:

@Jessie-Losch on LinkedIn

@jessielosch on BlueSky

asrm.org

resolve.org

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

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Why do our moods shift so dramatically across the month? What's really happening in our brains during the luteal phase of our cycle? And could understanding our hormones actually make us feel better?

In this episode of Brave & Curious, Dr. Lora Shahine sits down with evolutionary psychologist and author Sarah E. Hill, PhD to talk about the fascinating link between hormones, brain function, and overall health.

They explore how deeply our cycles shape our energy, emotions, and resilience—and why this understanding is long overdue. Dr. Hill brings her groundbreaking insights from her books This Is Your Brain on Birth Control and The Period Brain to explain how estrogen and progesterone guide us through distinct physiological "seasons."

She and Dr. Shahine discuss PMS, PMDD, and why women have two primary sex hormones when men only have one. With empathy, curiosity, and humor, they trace the science, the evolutionary logic, and the societal biases that have kept women's hormonal health misunderstood for generations.

This episode invites you to stop fighting your biology and start partnering with it because understanding your cycle is one of the bravest, smartest things you can do for your health.

In this episode you'll hear:

  • [1:56] Why PMS exists
  • [6:13] A simple, clear breakdown of the menstrual cycle
  • [9:48] The roles of estrogen & progesterone
  • [13:05] The Brain–explained
  • [24:23] A little more about progesterone
  • [30:37] The link between progesterone and autoimmune disease
  • [38:21] Is your PMS actually PMDD?
  • [40:50] The five pillars of hormone health: sleep, nutrition, movement, stress management, and social support
  • [44:13] Some surprising research
  • [46:02] Stress and ovulation
  • [51:55] Hormone "balancing" is a myth
  • [57:17] Practical, and hopeful, lifestyle shifts
  • [1:12:19] Conclusion & final thoughts

Resources mentioned:

sarahehill.com

@sarahehillphd on Instagram

substack.com/sarahehillphd

floatingkitchen.net/roasted-cauliflower-tacos-with-chipotle-cream

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

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What does infertility feel like from a man's point of view? How do couples navigate years of uncertainty, loss, and hope when answers never come? And can creative expression, like writing a book, help rebuild connection in the midst of pain?

In this powerful and vulnerable conversation of Brave & Curious, Dr. Lora Shahine sits down with The Empty Nest author Jared Walker to talk about infertility, grief, and how storytelling can bridge emotional distance between partners.

Jared shares the deeply personal journey that inspired his illustrated book The Empty Nest, written for his wife after years of infertility and miscarriage. What began as private journaling became a love letter to their shared resilience. And ultimately, a gift to the fertility community.

Jared's story captures the isolation, longing, and quiet courage that so many couples experience. This episode is full of honesty and vulnerability that can heal and connect, even in the hardest moments.

This episode is a moving reminder that infertility is never just "her story". It's their story, and hope can take many forms.

In this episode you'll hear:

  • [1:13] Jared's story of love, loss, & creation of The Empty Nest
  • [5:09] Couples grieve differently
  • [9:04] The silence around men's experience with infertility
  • [13:50] Vulnerability, social media, & the courage to share publicly
  • [24:14] Reading from The Empty Nest: isolation, grief, and quiet beauty
  • [30:29] Why men need to be part of the fertility conversation
  • [40:03] Connect with Jared & find his book

Resources mentioned:

www.dollarfor.org/gethelp

@dollarfor on Instagram | Facebook | X | LinkedIn | YouTube

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What if your skin cells could help you have a baby? Could the future of fertility mean having genetically related children even if a woman is in menopause or lost fertility due to cancer treatments?

In this fascinating episode of Brave & Curious, Dr. Lora Shahine sits down with Dr. Paula Amato, reproductive endocrinologist and researcher at Oregon Health & Science University, to unpack the groundbreaking study that made headlines around the world — creating human embryos from skin cells.

Dr. Amato explains the science behind this breakthrough, known as in vitro gametogenesis (IVG), and how her team combined genetic material from skin cells and eggs to explore what could one day help people with infertility. She describes the painstaking process of somatic cell nuclear transfer, the ethical oversight behind this research, and the incredible collaboration that led to this first step forward.

Together, Dr. Shahine and Dr. Amato break down complex genetics, discuss the difference between this and "three-parent IVF," and reflect on what it all means for the future of reproductive medicine.

In this episode you'll hear:

  • [2:06] Ripped from the headlines: Human Embryos Made From Skin Cells
  • [4:15] A refresher on chromosomes
  • [7:55] Step-by-step explanation of the science
  • [11:27] Introducing IVG (in vitro gametogenesis )
  • [15:24] IVG vs IVF
  • [19:38] Who does this benefit?
  • [22:20] How might it change the future?
  • [25:37] Ethical and societal questions
  • [28:03] Balancing progress with responsibility
  • [33:45] What is next in fertility science?

Resources mentioned:

Research Study in Nature Communications

OHSU Center for Embryonic Cell and Gene Therapy

@paula-amato on LinkedIn

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What happens when a fertility doctor becomes the patient? How does infertility change the way you practice medicine? And what can we all learn from a journey that blends science, compassion, and lived experience?

In this special episode of Brave and Curious, the tables are turned as Dr. Lora Shahine takes the guest seat to share her personal fertility story. Interviewed by fertility advocate Jennifer Edmonds, this heartfelt conversation dives into the vulnerable, complex, and sometimes humorous realities of being both doctor and patient on the path to parenthood.

Dr. Shahine opens up about her own struggles with infertility, secondary infertility, and the emotional rollercoaster of IVF. She offers insight into how those challenges deepened her empathy for patients and reshaped her medical approach.

Together, she and Jennifer explore the evolution of fertility care over the past two decades, the importance of early education, and how social media has transformed community and connection in the fertility world.

In this episode you'll hear:

  • [0:26] Meet the interviewer: Jennifer Edmonds
  • [0:49] Dr. Lora Shahine's fertility journey
  • [2:15] Professional background & teacher
  • [3:08] Social media & support
  • [9:23] Fertility trends and patient insights
  • [13:15] Holistic health & fertility
  • [17:02] Stress management & mental health
  • [24:33] Realistic expectations & success rates
  • [30:05] Advice for the journey

Resources mentioned:

drlorashahine.com

Your Journey to Fertility Podcast with Jennifer Edmonds

www.elementpilatesyoga.com

Follow Jen on Tiktok @elementpilatesandyoga

Follow Jen on YouTube @elementpilatesyoga

Follow Jen on IG @jen.elementpilatesyoga

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

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Why does hair loss happen to so many women? And how do you know when it’s more than just shedding? Could stress, hormones, or nutrition be the culprit? And most importantly, when should you see a dermatologist instead of just buying another supplement from social media?

In this episode of Brave & Curious, Dr. Lora Shahine sits down with dermatologist and hair loss expert, Dr. Joyce Park, to answer your most pressing questions about female hair loss. Their conversation uncovers the science behind shedding and the practical steps to support healthy regrowth.

Dr. Park explains the hair growth cycle, from anagen to telogen, and why stressful life events like childbirth, major illness, or even weight loss can trigger telogen effluvium, a temporary but dramatic shedding phase. You’ll also learn when to see a dermatologist, what to expect from a scalp biopsy, and how to advocate for yourself when your concerns are dismissed as “just normal shedding.”

Listeners will walk away with clear, actionable guidance. This episode will empower women to better understand their bodies, seek expert care, and take thoughtful steps toward hair health.

In this episode you’ll hear:

  • [0:46] Hair loss is an emotional issue
  • [2:58] What is telogen effluvium?
  • [3:23] Dr. Joyce Park explains the three stages of the hair cycle
  • [6:07] You should see a dermatologist, not your primary doctor
  • [14:04] Nutritional factors
  • [17:14] Hormonal factors
  • [18:36] How minoxidil (Rogaine) works
  • [24:04] Everyday habits to support hair regrowth
  • [28:34] Supplements for hair loss
  • [32:51] Does red light therapy help?
  • [37:14] What is PRP therapy?
  • [38:34] Dr. Park summarizes her key takeaways

Resources mentioned:

teawithmd.com

@TeawithMD: YouTube, Tiktok, and Instagram

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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What happens when a DNA test reveals more than you bargained for? How do you process finding out that your family story isn’t what you thought it was? And can identity, belonging, and love transcend genetics?

In this moving episode of Brave & Curious, Dr. Lora Shahine sits down with actress and writer Lisa Brenner to explore how an unexpected DNA result changed her life and inspired her new film, One Big Happy Family.

Lisa shares the deeply personal journey of discovering she was an NPE (non-parent expected), what it meant for her relationship with her mother, and how decades of secrecy around fertility treatments in the 1960s and 70s shaped her story. Through candid reflection and humor, Lisa reveals how grief, resilience, and identity intertwine with the powerful theme of family—both the one we are born into and the one we build.

Listeners will learn about the hidden history of fertility medicine, the emotional complexity of uncovering DNA surprises, and the healing power of transparency and connection. This episode is filled with honesty, curiosity, and hope, reminding us that family is love—no matter how it’s formed.

In this episode you’ll hear:

  • [1:58] Lisa Brenner’s “just for fun” DNA test
  • [5:36] A life-changing moment
  • [9:57] Fertility treatments in the 1960s and 70s
  • [20:47] One Big Happy Family, the film, is born
  • [28:46] Nature vs. nurture
  • [32:33] Reflections on faith, belonging, & reconciling a hidden identity
  • [42:48] Lisa’s message of hope

Resources mentioned:

onebighappyfamilymovie.com

@onebighappyfamilymovie on IG

@thelisabrenner on IG

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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What’s the truth about egg freezing success rates? Is IVF really a guarantee for building a family? And how do you separate fertility facts from fiction when the internet is full of clickbait headlines?

In this episode of Brave & Curious, Dr. Lora Shahine sits down with her friend and fellow reproductive endocrinologist, Dr. Lucky Sekhon, to explore the myths and realities of modern fertility care. Dr. Sekhon shares both science and lived experience through her personal journey with IVF and personal expertise in guiding patients through tough choices.

This episode focuses on how fertility education, patient empowerment, and evidence-based medicine intersect in today’s world of reproductive health. It’s a conversation that blends heart, hope, and hard science to give you tools to make informed choices on your fertility journey.

In this episode you’ll hear:

  • [0:19] Online fertility education: empowering but overwhelming
  • [8:32] Dr. Lucky Sekhon’s personal story
  • [13:19] Grief, shame, and resilience: the emotional side of IVF
  • [23:29] Balancing patient expectations with IVF success rates
  • [26:50] ERA and other ‘add-ons’: the truth
  • [32:21] Creating reliable online resources for patients
  • [34:12] No more scary headlines: Tylenol, autism, and fertility myths
  • [38:49] Dr. Sekhon’s book The Lucky Egg

Resources mentioned:

The Lucky Egg by Dr. Lucky Sekhon

theluckyegg.com

@lucky.sekhon on IG

@drluckyegg on TikTok

Fertility 101 with Dr. Lucky Sekhon on YouTube

Brave & Curious Episode 50: Over 25 Years of Taking Charge of Your Fertility with Author Toni Weschler

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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What does balance really mean in fertility care? Can Eastern medicine like acupuncture and herbs truly support reproductive health? And how can Western and Eastern approaches come together for better outcomes?

In this episode of Brave and Curious, Dr. Lora Shahine leans into these big questions in a conversation that bridges two worlds of medicine. Joining Dr. Shahine is Dr. Lorne Brown, acupuncturist and host of the Conscious Fertility podcast, who brings a holistic perspective rooted in traditional Chinese medicine.

Together, they explore how Eastern practices—like acupuncture, nutrition, and stress reduction—align with Western science and treatments such as IVF, IUI, and recurrent miscarriage care. This integrative dialogue sheds light on how patients can benefit from both evidence-based medicine and time-honored approaches.

In this episode you’ll hear:

  • [1:37] Welcome Dr. Lorne Brown and Dr. Lora Shahine
  • [3:15] Men’s role in fertility and miscarriage
  • [6:10] Integrating Eastern and Western medicines in fertility care
  • [9:20] Myths & realities with age and fertility
  • [14:07] Optimizing fertility through lifestyle and health
  • [19:24] Embryo transfers: fresh vs. frozen
  • [26:49] The importance of sperm health
  • [33:18] The role of stress in fertility
  • [41:44] Nutritional guidance for fertility
  • [47:22] Recommended supplements for fertility
  • [49:09] Final thoughts and resources

Resources mentioned:

Resolve.org

acubalance.ca

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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What happens when the most fertile years of your life are taken from you? How do you rebuild when trauma collides with your deepest hopes for motherhood? What does it mean to pursue fertility after prison?

In this powerful episode of Brave & Curious, you’ll hear Dr. Lora Shahine’s conversation with Amanda Knox who spent four years in an Italian prison and eight years fighting a wrongful murder conviction. Amanda has turned her pain into purpose.

With the recent release of her groundbreaking miniseries on Hulu ‘The Twisted Tale of Amanda Knox’, she sheds light on an often overlooked consequence of incarceration: the profound impact on women’s reproductive health.

In this conversation with Dr. Shahine, Amanda shares her journey through miscarriage, the emotional weight of delayed motherhood, and the stigma women face when fertility collides with trauma and injustice.

In this episode you’ll hear:

[0:50] Amanda Knox's background and wrongful conviction

[1:34] The impact of incarceration on fertility

[4:27] Amanda’s fertility journey & personal struggles

[7:36] A new beginning with Christopher Robinson

[14:51] Amanda's miscarriage experience

[17:04] Reflections on miscarriage and fertility

Learn more about Amanda Knox, her books, podcasts, and projects at amandaknox.com.

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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Have you ever wondered if flying could impact your fertility? Worried about what happens if you need to travel after an egg retrieval? Curious whether that long-awaited vacation might interfere with success with embryo transfer?

In this episode of Brave & Curious, Dr. Shahine answers the most common questions about fertility, flying, travel and IVF. She includes practical tips for travel days and leaves you informed to make the right decisions for you with your own doctor’s guidelines.

In this episode you’ll hear:

  • [1:18] Flying & fertility treatments
  • [2:20] Traveling & fertility care: what the evidence shows
  • [4:55] Egg retrieval & travel tips
  • [8:02] Embryo transfer & flying
  • [10:19] Advice from a doctor
  • [12:43] Essential travel tips for IVF patients
  • [15:04] A few final tips

Resources mentioned:

Article on circadian rhythms, international travel, and reproductive health https://pubmed.ncbi.nlm.nih.gov/21872642/

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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Trying to get pregnant in your 40s and feeling bombarded with terms like “geriatric pregnancy” or “diminished ovarian reserve”? Wondering if age is the final word in fertility? Curious about what you can do instead of what you can't?

In this episode of Brave & Curious, Dr. Lora Shahine is getting real about trying to conceive after 40—with clarity, compassion, and science-backed strategies. She covers the impact of age on fertility, the power of early testing, and why aligning your family-building goals with real timelines is more important than ever.

You’ll learn practical steps to optimize your fertility, when to consider IVF, and how to feel empowered—not discouraged—by the numbers. Whether you’re just starting or still holding onto hope, this episode is your go-to guide for navigating conception in your 40s with confidence.

In this episode you’ll hear:

  • [1:47] Age & fertility
  • [9:40] An important first step: family building goals
  • [12:25] Next step: don’t wait for testing
  • [15:38] Tips for trying to conceive
  • [18:44] Is IVF right for me?

Stay Up to Date in Fertility News and Events: Weekly Newsletter

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Thinking about adding supplements to your fertility journey? A quick search online can leave you swimming in advice—or drowning. How do you know what really works and what’s just hype?

In this episode of Brave & Curious, Dr. Lora Shahine takes a deep dive into one of the most talked-about fertility supplements: CoQ10. This naturally occurring antioxidant has been linked to improvements in egg quality and sperm health—but is it right for you?

Dr. Shahine breaks down what the research actually says, the potential benefits, and what risks to keep in mind.

In this episode, you’re getting clear, evidence-based insights that can help you have a more informed conversation with your healthcare provider—and decide if CoQ10 deserves a spot in your supplement lineup.

In this episode you’ll hear:

  • [2:04] What is CoQ10?
  • [3:41] How CoQ10 works
  • [4:45] Possible side effects
  • [5:47] Evidence of CoQ10 for female fertility
  • [14:55] Evidence of CoQ10 for male factor
  • [17:46] What Dr. Shahine tells her own patients about CoQ10

Resources mentioned:

Review article of nutrients for IVF, Hart et al. 2024 RBMO www.rbmojournal.com/action/showPdf?pii=S1472-6483%2823%2900869-6

Review article CoQ10 info, Rodriguez-Valera 2021 J Molecular Science www.mdpi.com/1422-0067/22/17/9541

CoQ10 levels decrease in levels with age, Ben-Meir et al. 2015 Fert Stert www.sciencedirect.com/science/article/pii/S001502821500374X

Animal studies showing improved egg and embryo quality with CoQ10 supplementation journals.sagepub.com/doi/full/10.4137/CMRH.S14681

Randomized controlled trial CoQ10 aneuploidy rates in women doing IVF/ICSI, Bentov et al. 2014 Sage

journals.sagepub.com/doi/full/10.4137/CMRH.S14681

Review article on antioxidants (including CoQ10) and male fertility, Kaltsas et al. Medicine 2023

www.mdpi.com/1648-9144/59/10/1769

Sperm motility improved in men given CoQ10, Balercia, G.2009 Fert Stert www.fertstert.org/article/S0015-0282(08)00487-1/fulltext

Stay Up to Date in Fertility News and Events: Weekly Newsletter

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Is your morning coffee helping or hurting your fertility? Should you quit caffeine cold turkey while trying to conceive—or during pregnancy? And where can you turn for solid, trustworthy advice? (Hint: NOT random internet forums)

In this episode of Brave & Curious, Dr. Lora Shahine breaks down what we really know about caffeine and reproductive health—from both Western and Eastern medical perspectives.

Dr. Shahine shares the actual caffeine content in your favorite drinks, answers the most common questions she hears from patients, and offers guidance on how to personalize your caffeine habits based on your own goals and body.

Listeners will walk away with clear, practical information—and a little more peace of mind. Just remember: there’s no one-size-fits-all answer, so be sure to check in with your own healthcare provider, too.

In this episode you’ll hear:

  • [1:55] Western evidence-based approach to caffeine and fertility
  • [7:00] Eastern medicine approach to caffeine and fertility
  • [9:27] How much caffeine is in your favorite pick-me-ups?
  • [10:30] Dr. Shahine’s personal recommendations

Resources mentioned:

Caffeine Chart - find out how much is in what you’re having: www.cspinet.org/caffeine-chart

1988 Wilcox Study Caffeine Harms Fertility

Large Danish Study Reassuring Results on Caffeine and Fertility

Men’s Fertility and Caffeine Study mentioned

Planting the Seeds of Fertility: An Integrative Approach to Fertility Care

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Wondering what’s actually ‘normal’ in the first trimester? You’re not the only one frantically Googling every twinge and symptom. Early pregnancy can feel like a rollercoaster of questions—and not always a fun one.

In this episode of Brave & Curious, Dr. Lora Shahine walks you through the first trimester with clarity and calm. She shares the most common concerns she hears from patients and what might warrant a closer look, all while offering practical advice to help you feel more grounded.

This episode is a reassuring guide through those uncertain early weeks. And if it’s not the right time to listen, that’s okay too—save it for when you’re ready, and always talk to your own provider about your specific care.

In this episode you’ll hear:

  • [2:24] What is going on in your body during the first trimester?
  • [4:45] Common symptoms during the first trimester
  • [10:10] Top first-trimester questions: weight gain, cramping, bleeding/spotting, foods to avoid, and exercise
  • [17:15] Tips for taking care of yourself during the first trimester

Stay Up to Date in Fertility News and Events: Weekly Newsletter

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Is your makeup messing with your hormones? Could your cleaning products be impacting your fertility? And how do we make informed choices without spiraling into fear or perfectionism?

In this episode of Brave & Curious, Dr. Lora Shahine invites us to ask bold questions about the everyday products we use—and the hidden chemicals within them.

Joining her is activist and author Lindsay Dahl, who’s spent her career fighting for consumer safety and pulling back the curtain on toxic chemicals. They talk about the science behind endocrine disruptors, the power of personal storytelling in policy change, and the importance of asking “what’s really in this?”—even when the label says “natural.” Lindsay’s new book: Cleaning House: The Fight to Rid Our Homes of Toxic Chemicals is full of real life examples, engaging stories, and many resources on safety and advocacy.

Listeners will walk away with practical tips for reducing chemical exposure, a deeper understanding of how U.S. regulations compare globally, and an empowering reminder that you don’t have to be perfect to make a difference.

In this episode you’ll hear:

  • [1:07] Storytelling as advocacy: Meet Lindsay Dahl
  • [5:30] Understanding harmful chemicals for reproductive health
  • [8:39] 4 Practical tips to reduce chemical exposure
  • [21:03] Legislative wins
  • [30:56] Navigating product labels, including greenwashing
  • [34:19] Social media’s role in health discourse
  • [42:23] Comparing chemical regulations for US and EU
  • [44:57] Resources for advocacy and consumer safety

Resources mentioned:

EWG Skin Deep® Cosmetics Database Environmental Working Group www.ewg.org › skindeep

madesafe.org

toxicfreefuture.org

saferstates.org

lindsaydahl.com

https://lindsaydahl.substack.com

@lindsay_dahl on Instagram

@lindsay-dahl on LinkedIn

Cleaning House: The Fight to Rid our Homes of Toxic Chemicals by Lindsay Dahl

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Is a tilted uterus stopping you from getting pregnant? Could it be the reason for painful periods or backaches? Has the term “retroverted uterus” been brought up at one of your recent doctor’s appointments?

In this episode of Brave & Curious, Dr. Lora Shahine is taking the mystery out of the retroverted (or tilted) uterus. She explains what it is, how common it is, and whether it impacts fertility or pregnancy. Good news: in most cases, it doesn’t.

Dr. Shahine also sheds light on when a tilted uterus might signal something more—like endometriosis, pelvic infections, or fibroids—and how that can influence reproductive health.

Listeners will walk away with a solid understanding of what a retroverted uterus is (and isn’t), what symptoms to watch for, and when it’s worth checking with your medical provider.

In this episode you’ll hear:

  • [1:22] What is a retroverted or tilted uterus?
  • [2:59] How common is it to have one?
  • [4:34] Retroverted uterus and fertility
  • [6:25] Retroverted uterus and pregnancy
  • [6:48] Advice for patients
  • [7:41] Final thoughts

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Do you know that uteruses come in different shapes? How about a unicornuate uterus?

You can have a uterine anomaly without symptoms and it can impact your reproductive health, miscarriage risk, and pregnancy outcomes.

Inspired by Celina Spooky Boo’s fertility story, this episode of Brave & Curious explores unicornuate uterus. Dr. Lora Shahine explains this congenital anomaly, how it’s diagnosed, and the spectrum of potential outcomes it can create for fertility and pregnancy.

Dr. Shahine also offers critical questions to ask your healthcare provider, helping you advocate for your reproductive health with knowledge and bravery.

Follow @celinaspookyboo on Instagram

In this episode, listeners will learn:

  • [1:06] What is a unicornuate uterus?
  • [6:43] How common is it?
  • [7:17] Diagnosing a unicornuate uterus
  • [9:01] Impact on fertility
  • [11:41] Pregnancy risks
  • [13:45] Treatment options
  • [15:30] How to advocate for your care
  • [17:07] Final thoughts

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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What’s the difference between IUI and IVF? Which one is right for you? And how do you navigate the emotional and financial rollercoaster of fertility treatment with clarity and courage?

In this episode of Brave & Curious, Dr. Lora Shahine offers a compassionate, clear-eyed look at the two most common fertility treatments: Intrauterine Insemination (IUI) and In Vitro Fertilization (IVF).

She goes through the pros, cons, and personal factors that should guide this deeply personal decision.

In this episode, listeners will learn:

  • [0:21] Understanding IUI and IVF
  • [1:22] IUI: Process and Pros
  • [2:24] IVF: Process and Pros
  • [4:11] Comparing success rates
  • [11:52] Factors influencing treatment choice
  • [14:53] Ethical and financial considerations

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What exactly is an ovarian cyst—and should you be worried if you have one? Could your pain be more than just a normal part of your cycle? And how do you even begin the conversation with your doctor?

In this episode of Brave & Curious, Dr. Lora Shahine invites you to get curious about your body, embrace the power of knowledge, and tackle the unknowns of ovarian health with bravery and clarity.

Dr. Shahine walks through the five most important things to know: symptoms, types, causes, treatment options, and red flags. From the commonly harmless functional cysts to more complex types like endometriomas and dermoid cysts.

She explains how cysts form, why they matter, and when they might signal something more serious. Finally, Dr. Shahine shares the three must-ask questions for anyone navigating a new diagnosis of an ovarian cyst.

In this episode, listeners will hear:

  • [0:44] Symptoms of ovarian cysts
  • [0:49] Types of ovarian cysts
  • [12:47] Causes of ovarian cysts
  • [14:10] Treatment options for ovarian cysts
  • [16:35] When to worry
  • [17:38] Important questions to ask your doctor

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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What if IVF didn’t have to mean so many shots? Could a new protocol allow for fewer shots, less office visits, AND be less expensive?

In this episode of Brave & Curious, Dr. Lora Shahine is joined by Dr. Linnea Goodman to answer these questions and more. They review Dr. Goodman’s research into a protocol, not new to the fertility field around the world, but new to most listeners in the United States that has many benefits to IVF patients.

Dr. Linnea Goodman is a board-certified reproductive endocrinologist and infertility specialist. Throughout her career, Dr. Goodman has been dedicated to advancing the field of reproductive medicine through both clinical excellence and innovative research. Currently, Dr. Goodman practices at Virginia Fertility & IVF, where she specializes in minimally invasive office procedures aimed at optimizing fertility outcomes.

In this episode you’ll hear:

  • [1:16] Meet Dr. Linnea Goodman: reproductive endocrinologist and researcher
  • [2:24] IVF shots & their necessity
  • [4:45] Provera Protocol is a game-changer
  • [14:35] Research & evidence for the Provera Protocol
  • [22:19] A patient-centered approach
  • [25:00] Research Outcomes
  • [27:07] Innovations in IVF: Progestins
  • [29:32 The patient experience: benefits and side effects of progestins
  • [32:36 What does the future hold?

Resources mentioned:

http://vafertility.com

Massin N, et al. New stimulation regimens: endogenous and exogenous progesterone use to block the LH surge during ovarian stimulation for IVF. Hum Reprod Update. 2017 Mar 1;23(2):211-220. doi: 10.1093/humupd/dmw047.PMID: 28062551

R Beguería, et al. Medroxyprogesterone acetate versus ganirelix in oocyte donation: a randomized controlled trial. Hum Reprod. 2019 May 1;34(5):872-880 doi:10.1093/humrep/dez034. PMID: 30927417

Giles J, et al. Medroxyprogeseterone acetate is a useful alternative to a gonadotropin-releasing hormone antagonist in ooxyte-donation: a randomized controlled trial. Fert Stert 2021;116: 404-412. PMID: 33814126. DOI: 10.1016/j.fertnstert.2021.02.036

Welp A, et al. Oral medroxyprogesterone acetate for the use of ovulation suppression in in vitro fertilization: a cohort trial. Fertil Steril 2024 May;121(5):806-813. PMID: 38253117 DOI: 10.1016/j.fertnstert.2024.01.026

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What’s really in your skincare products? Can “natural” actually mean effective? And how do we navigate the beauty aisle with both curiosity and caution?

In this episode of Brave & Curious, Dr. Lora Shahine sits down with Jenna Levine, founder of LINNÉ Botanicals, for a brave and eye-opening conversation about skincare that’s safe, minimal, and deeply rooted in integrity.

Jenna brings her passion for formulation, ingredient sourcing, botany, and herbal medicine to life through her brand LINNÉ Botanicals. Her story is personal—shaped by her path to motherhood and her commitment to creating products she trusts for herself and her family.

She opens up about the mission behind LINNÉ, a brand built on clean ingredients, thoughtful sourcing, and a belief in the power of pure, unadulterated botanicals to truly nourish the skin. Together, Dr. Shahine and Jenna explore everything from greenwashing in the industry to the surprising sameness behind many "different" products on the shelf.

In this episode, listeners will hear:

  • [1:32] Meet Jenna Levine, founder of LINNÉ Botanicals
  • [7:58] Innovative ingredients and their benefits
  • [13:15] Challenges in the beauty industry
  • [22:21] LINNÉ’s philosophy
  • [28:50] Problems with ‘clean’ in beauty
  • [32:46] Decoding ingredient lists
  • [35:09] Beauty myths––BUSTED
  • [40:41] Ingredient transparency
  • [43:20] LINNÉ’s recommended products
  • [47:42] Upcoming products
  • [53:29] Connect with Jenna & LINNÉ Bontancials

Resources mentioned:

LINNÉbotanicals.com

Use Code DRSHAHINE15 for a 15% discount on all LINNÉ products

(use once per customer and on one time orders, not subscriptions)

Connect on IG @linnebotanicals

Episode 80: Finding Safer Products with Lanning Ardente: Let Sorette Do the Research for You

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What exactly is egg freezing? Is there an ideal age to do it? How many eggs should you freeze to give yourself the best shot at future fertility?

In this episode of Brave & Curious, Dr. Lora Shahine walks listeners through the top 10 most Googled questions about egg freezing. From the basics of what the process entails to more nuanced questions about success rates and cost, she provides clear, thoughtful answers rooted in science and clinical experience.

In this episode, listeners will hear:

  • [1:12] Question #1: What is egg freezing?
  • [2:45] Question #2: Why would I want to freeze your eggs?
  • [4:46] Question #3: What is the best age to freeze your eggs?
  • [6:53] Question #4: How many eggs should you freeze?
  • [9:36] Question #5: What is the egg freezing process?
  • [10:42] Question #6: What are the risks of egg freezing?
  • [12:18] Question #7: What is the cost of egg freezing?
  • [13:26] Question #8: Does egg freezing guarantee a baby?
  • [14:16] Question #9: Does an IUD have to be removed to freeze your eggs?
  • [14:36] Question #10: How long will the eggs last?

This episode will give listeners a better understanding of why someone might choose to freeze their eggs, how to evaluate if and when it’s the right choice, and what to expect logistically, emotionally, and financially.

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What happens when we stop whispering about miscarriage and start telling our stories out loud? How can we begin to shed the shame and silence that so often surround women’s health experiences? And why is open dialogue so essential in shifting the cultural narrative around infertility, menopause, and mental health?

In this powerful and deeply personal conversation, Dr. Lora Shahine is joined by psychologist and author Jessica Zucker, founder of the #IHadAMiscarriage movement. Drawing from her own experience of miscarriage and her professional expertise, Jessica shares how storytelling and vulnerability have the power to change the way we view and talk about women's health.

Jessica’s book Normalize It further explores these themes, encouraging women to own their experiences and find connection through honesty and shared truth. Together, Dr. Shahine and Jessica dive into the many ways women are pressured to stay silent about their bodies and emotions—from miscarriage and infertility to menopause and mental health.

In this episode you’ll hear:

  • [2:19] Jessica’s personal journey #IHadAMiscarriage
  • [5:05] Impact of #IHadAMiscarriage movement
  • [12:16] Exploring the themes in Normalize It
  • [17:04] Healing potential of storytelling
  • [20:55] Breaking down stigma through community
  • [25:02] Personal experience integrated with professional practice
  • [30:19] Societal pressures on women
  • [34:58] Empowerment through shared experiences
  • [36:35] The importance of education and open dialogue

Resources mentioned:

drjessicazucker.com

Normalize It by Jessica Zucker, PhD

Follow Jessica on IG - @ihadamiscarriage

Inside Amy Schumer - Last F**kable Day (ft. Tina Fey, Julia Louis-Dreyfus, and Patricia Arquette

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Are you trying to conceive and feeling unsure about where to start? Wondering if you're making mistakes that could be delaying your journey to parenthood? Curious about what really impacts fertility—and what steps you can take today to improve your chances?

In this episode of Brave & Curious, Dr. Lora Shahine shares the five most common mistakes couples make when trying to get pregnant—and how to avoid them. Dr. Shahine also offers practical, evidence-based tips to support your fertility journey from the very beginning.

Listeners will walk away feeling empowered with three key tips for optimizing fertility and a better understanding of why past or family fertility success doesn’t guarantee the same for everyone. This episode offers clarity, encouragement, and actionable advice, no matter where you are in your TTC (trying to conceive) journey

In this episode, you’ll learn:

  • [0:36] Mistake #1: Understanding your cycle
  • [2:46] Mistake #2: Timing intercourse correctly
  • [5:06] Mistake #3: Semen analysis matters
  • [8:23] Mistake #4: Waiting too long to visit a fertility specialist
  • [10:24] Mistake #5: Making assumptions
  • [13:55] Top tips for getting pregnant fast

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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Are you curious about how surrogates are selected and matched? What about knowing the steps it takes to get started? How long does it take and how much does it cost?

Surrogacy can be a beautiful and life-changing path to parenthood — but it’s also one that’s often misunderstood. In this episode of Brave & Curious, Dr. Lora Shahine breaks down the most frequently asked questions and biggest misconceptions about gestational surrogacy with the Director of the Gestational Surrogacy Program at Pacific NW Fertility, Mollie Hyuck.

From who the legal parents are, to whether the surrogate can keep the baby (spoiler: she can’t), to understanding the emotional, medical, and ethical realities — this episode is your evidence-based guide to what surrogacy is and what it isn’t.

In this episode, you’ll learn:

  • [2:20] Common myths about surrogacy (and why they’re wrong)
  • [5:03] How surrogates are selected, screened, and supported
  • [6:48] The difference between traditional and gestational surrogacy
  • [8:28] What intended parents should know about legal and emotional considerations
  • [14:03] Why surrogacy is often misunderstood in media and public opinion
  • [19:37] How to decide if it’s the right path for you

Whether you’re considering surrogacy, supporting someone through it, or just curious about the process, this episode will help you feel informed, empowered, and connected.

Resources mentioned:

I Became Your Mama by Mollie Huyck

pnwfertility.com

roaringadventures.org

navieapp.com

Connect on Instagram @pnwfertility | @roaringadventures_ | @naviehealth

Episodes mentioned:

Ep 49 Olympic Champion Figure Skater to Fertility Advocate: What Tara Lipinski Learned with Unexpecting

Ep23 Samantha Busch on Surrogacy and Infertility Advocacy

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Are you curious about what surrogacy really involves—and whether it might be right for you or someone you love? Have you ever wondered if surrogacy is only an option for the wealthy or famous? Do you know the difference between traditional surrogacy and a gestational carrier?

In this episode of Brave & Curious, Dr. Lora Shahine has an eye-opening conversation with Mollie Huyck to explore the often complex and deeply personal world of surrogacy. Mollie is Director of Gestational Surrogacy Program at PNWF. Mollie's experience in the reproductive health field is deeply intertwined with a personal journey of unexplained infertility and recurrent pregnancy loss, which spanned a decade of medical treatments including use of gestational surrogacy.

Dr. Shahine and Mollie discuss the step by step process of finding and partnering with a gestational carrier (including warning signs and red flags you don’t want to miss along the way).

In this episode you’ll hear:

[2:54] Surrogacy vs. gestational carriers

[5:39] Mollie’s personal journey & professional insights

[10:07] Finding the right gestational carrier

[12:32] Legal representation is important

[17:31] Mental health & counseling during surrogacy

[22:01] Navigating surrogacy agencies

[32:45] Understanding the timeline & the cost

[37:50] Final thoughts

Resources mentioned:

pnwfertility.com

roaringadventures.org

navieapp.com

Connect on Instagram @pnwfertility | @roaringadventures_ | @naviehealth

Ep 96 Protecting Yourself from Surrogacy Scams with Dr. Brian Levine

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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Your egg retrieval is scheduled, and you’ve done what you can to prepare, but what about after? How many eggs is “normal” to retrieve—or what happens if it’s less than expected? What’s a typical recovery, what are signs of a complication, and when should you call the clinic?

In this episode of Brave & Curious, Dr. Lora Shahine shares five essential things to know both before and after an egg retrieval. She’s covering egg count, how to manage post-procedure discomfort, and recognizing signs of possible complications like ovarian hyperstimulation syndrome, constipation, and a heavy period.

If you want to know what to expect for your egg retrieval, this episode is for you!

In this episode you’ll hear:

[1:30] Setting expectations for egg retrieval

[4:12] Managing after-procedure pain

[6:12] OHSS: what it is & what do do

[10:43 Constipation

[12:12] Your next period

[13:55] Recap and final thoughts

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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Are you curious about what pelvic floor therapy actually involves? Have you ever wondered whether issues like bladder leaks, painful sex, or postpartum discomfort are just “normal” things you have to live with? Do men experience pelvic floor dysfunction? (hint: yes, men also have pelvic floors).

In this episode of Brave & Curious, Dr. Lora Shahine is joined by Dr. Alicia Jeffrey-Thomas, a licensed pelvic floor physical therapist. Together, they’re taking the mystery out of pelvic health and explaining why it matters for everyone—not just postpartum women.

Listeners will learn about the wide range of conditions pelvic PT can help with—from incontinence and prolapse to pain during sex and more. Dr. Jeffrey-Thomas and Dr. Shahine walk through what a pelvic PT appointment looks like, tackle myths about Kegels, discuss insurance coverage, and highlight the importance of proper toilet posture.

You’ll walk away with a deeper understanding of overall pelvic health and feel empowered to take charge of your well-being—because pelvic pain and dysfunction are never “just part of life.”

In this episode you’ll hear:

[0:16] Meet Dr. Alicia Jeffrey-Thomas, PT, DPT, PRPC

[1:57] Pelvic floor functions

[3:58] What is pelvic floor therapy?

[5:57] Conditions that are treated with pelvic floor therapy

[12:21] Pelvis floor dysfunction symptoms

[16:04] A pelvic PT appointment

[22:24] Insurance info

[24:18] Myths about pelvic health

[34:20] Normalizing post-partum issues

[36:57] Common misunderstandings about painful sex

[39:06] Treatment options for incontinence

[40:33] Men’s pelvic floor

[42:25] Feeling empowered

Resources mentioned:

thepelvicdancefloor.com

@thepelvicedancefloor on Instagram and TikTok

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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Are you preparing for an egg retrieval and feeling unsure about what to expect? Curious about what you should—and shouldn’t—do on the day of your procedure?

In this episode of Brave & Curious, Dr. Lora Shahine walks through everything you need to know to feel confident and prepared for your egg retrieval. She’s covering the logistics, physical and emotional readiness, and what matters most before, during, and after the procedure.

All this information will help reduce anxiety and ensure a comfortable and more informed experience. This is a must-listen for those at the beginning of IVF or those simply looking to understand the egg retrieval process better.

In this episode you’ll hear:

[0:16] Understanding the process

[1:42] Preparing for the “day of”

[4:05] During the procedure

[12:52] Post-retrieval care

[15:09] Next steps

[17:08] Final thoughts & some encouragement

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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Are you wondering whether freezing eggs or embryos is the better choice for fertility preservation? How has freezing technology changed and advanced? What are the ethical, financial, and emotional factors behind this important decision?

In this episode of Brave and Curious, host Dr. Lora Shahine takes a deep dive into the complex and personal decision of egg vs. embryo freezing. With a thoughtful look at the evolution of fertility preservation, she compares past practices with today’s cutting-edge technologies, helping listeners understand how far the field has come and what options are now available.

You’ll gain a better understanding of the pros and cons of freezing eggs versus embryos, including important medical, ethical, and legal factors. Dr. Shahine also explores possible future challenges—like legal disputes over embryo use—and breaks down the financial costs and access issues involved.

You may be surprised by some of the tips and will finish the episode better informed about your choices.

In this episode you’ll hear:

[0:16] Eggs vs. Embryos

[1:11] Advancements in freezing technology

[4:33] Egg freezing: pros & cons

[9:08] Embryo freezing: pros & cons

[11:19] Final thoughts

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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What role do prenatal vitamins play in fertility and pregnancy? When should you start taking them to support a healthy pregnancy? And how do you choose the best prenatal vitamin with the right nutrients?

In this episode of Brave & Curious, Dr. Shahine explores the essential role of prenatal vitamins in supporting both fertility and pregnancy. She explains the importance of these supplements, when to start taking them, the difference between folic acid and folate, and what key nutrients to look for. She also discusses recommended daily intakes and how different vitamins—like folic acid, iron, calcium, and DHA—contribute to the health of both mother and baby.

Listeners will learn how to evaluate the quality of prenatal supplements and ensure they meet expert guidelines, including recommendations from the American College of Obstetricians and Gynecologists. Whether you're trying to conceive or already pregnant, this episode is full of the knowledge to make informed choices about prenatal nutrition.

In this episode you’ll hear:

[1:09] Why prenatal vitamins are essential

[2:43] When should you start taking a prenatal vitamin?

[3:32] Key nutrients in prenatal vitamins

  • Folic acid vs folate
  • Iron
  • Calcium
  • Vitamin D
  • Others

[15:21] Choosing the right prenatal vitamin brand

[15:55] Making an informed choice

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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Have you ever wondered what a semen analysis actually measures? What do the numbers mean, and how do you know if the results are normal? If something is off, what are the possible causes, and what can be done about it?

In this episode of Brave & Curious, Dr. Lora Shahine breaks down everything you need to know about semen analysis and its role in fertility evaluations. She explains the key measurements, what’s considered normal, and why male factor infertility is an important part of the conception journey.

Listeners will gain a deeper understanding of semen analysis results, learn how to prepare for the test, and discover what steps to take if results indicate potential concerns. Dr. Shahine also shares practical advice on treatment options and essential questions to ask your doctor, ensuring you feel informed and empowered in your fertility

In this episode you’ll hear:

[0:55] Importance of semen analysis in fertility

[2:17] Understanding results

[5:48] Factors affecting sperm count

[12:00] Motility and morphology explained

[19:07] Next steps and treatment options

[21:41] Questions to ask your doctor

[22:44] Closing thoughts

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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Have you ever wondered if your menstrual bleeding is heavier than normal? What are the key signs that your flow might be excessive? How can you best prepare for a doctor’s visit if you suspect something isn’t right?

In this episode of Brave & Curious, Dr. Lora Shahine covers the topic of heavy menstrual bleeding (menorrhagia) and how to determine whether your bleeding is abnormal. She explains what constitutes a normal period, highlights seven clues that signal excessive bleeding, and explores the various potential causes of menorrhagia.

You’ll learn practical strategies for tracking your cycle, why keeping a list of medications and supplements matters, and how small lifestyle adjustments can help manage symptoms while awaiting medical care.

In this episode you’ll hear:

[1:20] What is ‘normal’ period bleeding?

[2:58] Seven clues for deciding if bleeding is abnormal

[4:34] Causes of heavy menstrual bleeding

[6:40] Preparing for a visit to your doctor

[7:51] Tips for managing heavy bleeding

[9:28] Final thoughts

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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Welcome to Brave & Curious with Dr. Lora Shahine: new name, same trusted information.

The mission behind Baby or Bust is not changing! It is still Dr. Shahine’s passion to educate and teach about women’s health and fertility. The new show, Brave & Curious, will continue to explore fertility and reproductive health.

AND it is also expanding to include broader wellness topics that impact individuals on their reproductive journeys and beyond. With this evolution, Dr. Shahine aims to foster a space where listeners can embrace both bravery and curiosity in navigating their personal health experiences.

In this episode, Dr. Shahine shares her vision for Brave & Curious and what listeners can expect from the new format. The podcast will feature insightful expert interviews, providing medical and holistic perspectives on reproductive health and wellness.

Additionally, she will highlight personal stories from patients and individuals who have faced fertility challenges, offering real-life experiences that inspire and inform.

Dr. Shahine strongly believes that women need a space like Brave & Curious.

Why?

So we can share knowledge and experiences to empower individuals navigating fertility and reproductive health. So we can highlight the roles bravery and curiosity play in advocating for our own wellness.

Brave & Curious is here to guide and empower you. Thanks for being here.

In this episode you’ll hear:

[00:15] Why is Baby or Bust now Brave & Curious?

[00:51] Bravery and curiosity in fertility

[2:09] What should you expect from Brave & Curious?

[3:17] Let’s build community

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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Are you in the dreaded two-week wait and wondering what symptoms to look for? How can you tell the difference between early pregnancy signs and normal cycle symptoms? What are the most common mistakes people make when testing for pregnancy too early?

In this episode, Dr. Lora Shahine is easing your uncertainty around the two-week wait, explaining the early signs of pregnancy and how they relate to different phases of the menstrual cycle. She explains the role of progesterone, potential implantation symptoms, and what to expect during this time.

Dr. Shahine also shares the biggest misconceptions about detecting pregnancy early and provides expert advice on the best ways to test accurately. Listeners will walk away with a better understanding of their body, practical tips for symptom interpretation, and the reasons it’s so important to consult a medical professional for guidance.

In this episode you’ll hear:

[1:10] Understanding the menstrual cycle

[3:02] Recognizing early pregnancy signs

[6:00] Common mistakes

[9:13] Closing thoughts

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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How long does the IVF process take from start to finish? What are the key stages involved in egg freezing versus embryo creation? What factors can influence the overall timeline to pregnancy?

In this episode of Baby or Bust Fertility, Dr. Laura Shahine breaks down the IVF process and its timeline, to help you navigate this complex journey. She explains the four main stages of IVF: the compliance checklist, preparation for stimulation, the stimulation cycle, and for those pursuing embryo creation, the embryo transfer stage.

There are some factors that impact the timeline. So it’s important to understand clinic availability and protocols, set realistic expectations, and do some financial and medical preparations. You can’t really “plan” much during IVF, but this episode can at least help you with a realistic timeline.

In this episode you’ll hear:

[0:48] Understanding the IVF process

[2:07] Compliance checklist

[6:37] Preparation phase

[8:41] Stimulation cycle

[11:31] Embryo transfer and final steps

[16:14] Factors that impact the timeline

[17:35] Clinic policies and timing

[22:04] Keeping your expectations realistic

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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Are you wondering how to improve your egg quality for better fertility outcomes? What impact do toxins, stress, and lifestyle choices have on reproductive health? And how can you take proactive steps without feeling overwhelmed or restricted?

In this episode of Baby or Bust Fertility, Dr. Lora Shahine breaks down five actionable steps to support and improve egg quality.

She explains the role of limiting harmful toxins (tobacco, alcohol, marijuana) and reducing exposure to endocrine disruptors (BPA and phthalates). She also highlights the importance of managing stress, maintaining a healthy lifestyle through proper sleep, nutrition, and exercise, and considering antioxidant-rich supplements to support reproductive health.

This episode will give listeners a clear understanding of what egg quality is, why it matters, and how age and other factors influence fertility. You will hear practical, science-backed strategies for enhancing your reproductive health AND learn how to balance the journey with joy and flexibility.

In this episode you’ll hear:

[0:46] Understanding egg quality

[1:21] Factors affecting egg quality

[7:30] 5 Tips to improve egg quality

[12:35] Supplements are important

[14:27] A little encouragement

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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Did you know there are ten types of miscarriage?! What are they? When it comes to a loss, does it really matter what kind of miscarriage you’ve experienced? (Hint: yes it does.) And how can proper diagnosis and evaluation help those facing recurrent miscarriages?

In this episode, Dr. Shahine breaks down the ten different types of miscarriage, including early and late, clinical and biochemical, threatened, missed, inevitable, complete, septic, and recurrent miscarriages.

She shares the information from the American Society of Reproductive Medicine on recurrent pregnancy loss and discusses the importance of proper evaluation for those who have experienced multiple losses.

Listeners will come away with a deeper understanding of the causes of miscarriage, the importance of proper medical care, and the reassurance that pregnancy loss is never the fault of the person experiencing it. This episode provides knowledge, empathy, and practical guidance for those facing the heartbreak of pregnancy loss.

In this episode you’ll hear:

[1:51] Understanding miscarriage

[2:33] Emotional impact and misconceptions of pregnancy loss

[4:07 ] Detailed breakdown of miscarriage types

  • Timing-Based Miscarriage Types
  • Clinical vs. Biochemical Miscarriages
  • Labels and Descriptions of Miscarriages
  • Recurrent Miscarriage

[17:42] Conclusion & final thoughts

Resources mentioned:

Not Broken: An Approachable Guide to Miscarriage and Recurrent Pregnancy Loss Not Broken Illustrated: A Gift for Those Who Have Suffered Pregnancy Loss Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

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How does air pollution impact fertility and IVF success rates? What do recent studies reveal about the effects of wildfire smoke on reproductive health? What can you do to improve the air quality in your home to support fertility?

In this episode of Baby or Bust Fertility, Dr. Lora Shahine shares the latest research on air pollution and fertility. She talks about how environmental toxins, especially from wildfires and poor air quality, can influence reproductive health. Dr. Shahine sheds light on why controlled environments are essential in IVF labs and how similar principles can be applied at home.

Listeners will walk away with 10 actionable tips to improve their indoor environment. Tips include choosing the right air filters and minimizing exposure to harmful pollutants. Listen and share! No matter the stage we’re in, we could all use cleaner air to breathe.

In this episode you’ll hear:

[:36] Wildfires & air quality

[2:06] Air quality research & IVF success

[4:38] Studies on air pollution & fertility

[7:17] Male factor & air quality

[9:22] Improving air quality in your environment

[10:59] 10 tips to improve air quality in your home

[14:03] Closing thoughts

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What should you expect on the day of your embryo transfer? How can you best prepare to maximize your chances of success? What are some common misconceptions about the procedure? How soon will you know if you’re pregnant?

In this episode of the Baby or Bust Fertility podcast, Dr. Lora Shahine answers these questions to guide you through this critical step in your fertility journey.

Dr. Shahine walks through the embryo transfer process, offering insight and tips to help you feel confident and informed for transfer day. Dr. Shahine also includes why post-transfer care is an important part of the journey.

In this episode you’ll hear:

[1:44] Preparing for your embryo transfer

[2:19] Embryo transfer: step-by-step

[11:19] Things that can “happen”

[11:50] Post-transfer care and tips

[15:26] Additional resources

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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If your doctor has recommended an HSG (hysterosalpingogram), you may be feeling uncertain about what to expect.

How does an HSG work? Will it be painful? What might the results mean for your fertility journey? How can you best prepare to make the experience as smooth and stress-free as possible?

In this episode of the Baby or Bust Fertility Podcast, Dr. Lora Shahine goes into the details of the HSG test, a diagnostic tool commonly used to evaluate the health of the fallopian tubes and uterine cavity.

She explains the purpose of the procedure, what happens during the test, and why it’s an essential step for many people exploring their fertility options. Dr. Shahine also provides insight into common concerns like pain and anxiety, shares practical tips to help you prepare, and makes suggestions for self-care after the procedure. She’ll also help you understand the results.

In this episode you’ll hear:

[1:29] Understanding HSG: what & why

[5:03] HSG procedure explained

[10:21] Complications and precautions

[12:16] Preparing for HSG

[13:38] Post-procedure insight & tips

[17:07] Closing thoughts and additional resources

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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How do you know if you’re ovulating? What are the best ways to track ovulation? How can knowing your ovulation status help you optimize your chances of conception?

In this episode of the Baby or Bust Fertility Podcast, Dr. Lora Shahine is talking all about ovulation––why it’s crucial for fertility, and how to when it’s happening.

You’ll hear how to recognize the physical signs of ovulation, how to use at-home tools like basal body temperature charting and ovulation predictor kits, and the purpose of ultrasounds and blood tests to confirm ovulation.

No matter the stage you’re in while trying to get pregnant, you’ll gain some practical tips that will empower you with new knowledge and ways to optimize your approach to getting pregnant.

In this episode you’ll hear:

[1:00] Understanding your cycle

[2:38] Physical signs of ovulation

[5:22] Home testing for ovulation: BBT and OPKs

[15:08] Clinic tests for ovulation: Ultrasounds and blood tests

[17:27] Recap & concluding thoughts

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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You’re in the two-week-wait, analyzing every single little cramp, possible symptom, any little difference that could indicate pregnancy. If you’ve been on a fertility journey and trying to get pregnant for any amount of time, this will probably be familiar.

Then comes some spotting or light bleeding–is this your period? Or could it be implantation bleeding? It can be hard to tell.

So in this episode of Baby or Bust Fertility, Dr. Lora Shahine goes over how to tell the difference and what exactly to look for. After this episode, implantation bleeding will feel less like a mystery and you’ll have a clearer perspective on your pregnancy journey.

In this episode you’ll hear:

[1:25] Implantation bleeding explained

[4:53] Different types of bleeding associated with early pregnancy

[6:54] 6 clues for implantation bleeding

[9:50] Recognizing warning signs

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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Are you struggling with the anxiety and uncertainty of the two-week wait? Wondering what you should or shouldn’t do during this emotionally charged time? How can you take care of yourself while waiting for answers?

In this episode of Baby or Bust Fertility, Dr. Lora Shahine guides listeners through the two-week-wait, the time between potential conception and pregnancy confirmation. She shares both professional expertise and personal insight and has practical advice on managing this challenging time.

You’ll walk away from this episode with practical tips for self-care, ways to stay distracted, and strategies for planning for either outcome. This episode is helpful for those actively trying to conceive and those supporting someone through their journey. This is a great one to share since the two-week-wait can be stressful and emotional for many involved.

In this episode you’ll hear:

[2:32] Why is the two-week wait so tough?

[4:15] Don’t #1 - Don’t Google

[5:40] Don’t #2 - Don’t test early

[6:10] Don’t #3 - Don’t (dramatically) change your lifestyle

[11:29] DOs during the TWW

[16:21] Closing thoughts

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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Are you looking for practical strategies to boost your chances of conceiving? Wondering how to fine-tune your lifestyle for reproductive health? Curious about common mistakes to avoid on your fertility journey?

In this episode of Baby or Bust, Dr. Lora Shahine shares five essential strategies to enhance fertility. You’ll hear tips on optimizing nutrition, tracking ovulation and menstrual cycles, managing stress, improving lifestyle habits, and knowing when to seek specialized care. Dr. Shahine also highlights common pitfalls to avoid when trying to conceive.

Whether you're actively planning for a family or simply curious about reproductive health, this episode provides valuable tips and encouragement for your journey.

In this episode you’ll hear:

[1:32] Tip #1 Optimizing nutrition

[4:38] Tip #2 Tracking ovulation & cycles

[7:00] Tip #3 Managing stress & mental health

[10:40] Tip #4 Optimize your lifestyle

[14:51] Tip #5 When to see a fertility specialist

[18:33] Common mistakes

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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Can birth control really cause infertility? Is the obsession with hormonal balance grounded in fact or fiction? Does hovering over a public toilet protect you from disease? Don’t let “medical” myths affect your health decisions!

Dr. Karen Tang, board certified OBGYN, founder of Thrive Gynecology and women’s health expert, is back for an eye-opening conversation that will tackle these questions and more, addressing the widespread misinformation about women’s health.

In this episode, Dr. Lora Shahine and Dr. Tang explore how social media influences health narratives, for bad and good. They also emphasize the importance of individualized care, empowering women to make informed choices about their health and well-being.

After this episode, you’ll have a deeper understanding of women's health topics, including painful periods, endometriosis, PCOS, and the myths surrounding tampons, fertility, and toilet etiquette. Learn why severe pain should never be dismissed, how to address "butt pain" during menstruation, and why patient advocacy is vital. This episode is packed with actionable advice and empowering insights to help you take charge of your health.

In this episode you’ll hear:

[3:31] Birth control myths

[16:03] Understanding hormonal balance

[22:31] Do you have painful periods?

[27:34] The truth about tampons and endometriosis

[29:32] Public toilet etiquette: to hover or not to hover

[35:46] PCOS & the misconception of weight and symptoms

[38:04] Advocating for your health

Resources mentioned:

karentangmd.com

It’s Not Hysteria: Everything You Need to Know About Your Reproductive Heath (But Were Never Told)

Follow @karentangmd on Instagram | YouTube | Tiktok

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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Have you been told your debilitating period pain is normal?

Have you ever wondered if you have endometriosis?

Maybe you’re curious how you can find out for sure?

In this conversation Dr. Karen Tang, author of It’s Not Hysteria and founder of Thrive Gynecology, joins Dr. Lora Shahine to delve into the complexities of endometriosis, a common, often-misdiagnosed condition that affects many women. In this episode you’ll hear the symptoms, challenges, myths, and various treatment options available.

Drs. Tang and Shahine share their experiences caring for women with endometriosis for years - Dr. Tang’s perspective as a minimally invasive gynecology surgeon and Dr. Shahine as a reproductive endocrinologist and fertility specialist. They share how little they learned about endometriosis in early medical training, patient stories of doctor’s dismissing obvious symptoms of the disease, and how much we still need to learn and research to help.

You’ll finish this episode empowered to advocate for your care and find the right doctor to help you with your next steps.

In this episode you’ll hear:

[3:46] Understanding endometriosis

[9:18] Causes and theories for endometriosis

[17:24] Diagnosis & surgical confirmation

[26:57] Treatment options

[35:32] Advocating for yourself and your health

Resources mentioned:

karentangmd.com

It’s Not Hysteria: Everything You Need to Know About Your Reproductive Heath (But Were Never Told)

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Do you dread holiday gatherings because of those awkward “When are you going to have a baby?” questions? Why do people feel it’s appropriate to ask if you’re “trying” [wink wink] yet? Nothing sucks the fun out of a party like “you better not wait too long” or “when are you going to make your mom a grandma”?

Painful comments and questions come up year round, but holiday parties can be a real minefield. To help, Yoga, Pilates, Meditation, and Breathwork teacher Jennifer Edmonds is joining Baby or Bust to help you navigate inappropriate small talk.

In this conversation, Dr. Lora Shahine and Jennifer discuss the necessity of setting boundaries around your fertility and parenthood journey, particularly during the holiday season. Learn to shut down awkward questions from others, indulge in some genuine self-care, and get the joy of the holiday season back.

Here’s an idea: share this episode with a family member or friend before a gathering, and engage them as your ally. Start setting those boundaries so you can relax and enjoy yourself during the next holiday gathering.

In this episode you’ll hear:

[1:10] Meet Jennifer Edmonds

[3:30] Jennifer’s fertility story

[9:55] Coping mechanisms for family gatherings

[17:55] Prepping for nosy questions

[20:23] Setting boundaries with kindness

[21:44] Handling unwanted advice

[25:22] Take care of yourself

[27:44] Finding joy amidst the struggle

[33:20] Practical tips for daily calm

[37:25] Connecting with Jennifer

Resources Mentioned:

www.elementpilatesyoga.com

Follow Jen on Tiktok @elementpilatesandyoga

Follow Jen on YouTube @elementpilatesyoga

Follow Jen on IG @jen.elementpilatesyoga

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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On July 25, 1978, family building changed forever when the world's first IVF baby was born. Over 12 million babies have been born through in vitro fertilization worldwide, and Louise Joy Brown was the first.

In this very special 100th episode of Baby or Bust, Dr. Lora Shahine sits down with now-adult Louise Brown. They discuss her experience as a living symbol of the powers of fertility medicine. Louise shares her parents' journey of choosing IVF, questions she got from friends growing up, and how she advocates for IVF now.

You can catch the Netflix movie, Joy starring Bill Nighy, out now, which is the biological drama set in the 1960s and 1970s about the nurse, scientist, and surgeon determined to develop the first “test tube baby.”

In this episode you’ll hear:

[0:30] The Birth of IVF: A Historical Milestone

[1:21] Growing Up as the First IVF Baby

[4:16] Family and Media Challenges

[7:05] Personal Reflections and Advocacy

[16:31] Modern IVF and Future Hopes

[27:09] Concluding Thoughts and Gratitude

Resources mentioned:

Joy 2024 film

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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Do you have a friend or family member struggling to build their family? How about someone in your life who recently experienced a miscarriage or loss? What can we give people that helps them feel better, know that we’re thinking of them, and provides the right kind of support?

In this special episode of Baby or Bust, Dr. Lora Shahine is providing five thoughtful gift ideas for loved ones facing family building challenges. Within each category, Dr. Shahine provides specific examples and ways to personalize these gifts for the person in your life.

It can be hard to know how to support those facing the challenges of infertility, pregnancy loss, or IVF treatments. You’ll walk away from this episode with lots of ideas to provide encouragement and meaningful ways to show you care.

If you have other ideas of gifts you think should be added to the list, find Dr. Shahine @drlorashahine on Instagram and drop a comment on the episode post!

In this episode you’ll hear:

[1:10] Gift ideas overview

[2:35] Gift #1: Inspirational books or affirmational cards

[4:21] Gift #2: Jewelry or charms

[5:44] Gift #3: Self-care kits

[7:50] Gift #4: Pineapple-themed items

[12:31] Gift #5: Self-care beauty items

[14:32] Discount codes!

Resources mentioned:

Roxhill Candle Company - Pineapple Candle - portion of proceeds donated to fertility nonprofits

Doctor Rogers Restore - safer skincare products. Save 15% with DRSHAHINE code at checkout

Shop Sorette - collection of products vetted for transparency, accountability, and safety profile. Save 15% with DRSHAHINE15 at checkout

Dr. Shahine Amazon Storefront - collection of ideas (Using link results in Dr. Shahine receiving small commission)

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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Are you curious about the latest weight loss drugs? Considering Ozempic or other semaglutides but also planning to try to conceive? With all the buzz around these medications, it can feel like everyone is trying them—but what do we really know about their impact on fertility?

In this episode of Baby or Bust, host Dr. Lora Shahine is joined by Dr. Spencer Nadolsky, a board-certified family physician specializing in obesity and lipidology, and co-host of the popular podcast Docs Who Lift. Together, they dive into the intersection of weight loss medications and fertility, answering your most pressing questions.

Topics include:

  • The history and science behind semaglutides.
  • Key differences between popular weight loss drugs like Ozempic and Wegovy.
  • Short- and long-term side effects of these medications.
  • What fertility patients need to know about using semaglutides while trying to conceive.

Dr. Nadolsky shares expert insights and actionable tips, providing clarity on managing the chronic condition of obesity and navigating the latest advancements in weight loss medications. Whether you're on a fertility journey or simply curious about these treatments, this episode is packed with valuable information.

Tune in for expert guidance on how semaglutides and weight loss medications could impact your fertility goals!

In this episode you’ll hear:

[2:20] Meet Dr. Spencer Nadolsky

[5:26] Specializing in obesity medicine & lipidology

[8:10] The evolution of weight loss medication

[12:46] Patient access & experience with weight loss medications

[18:25] The reason people lose weight with semaglutides

[29:04] Weight loss medication & fertility

[41:52] The future of weight loss medication

[43:58] Listener questions from IG

Resources mentioned:

drspencer.com

Docs Who Lift Podcast

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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How does your daily skincare routine impact fertility, pregnancy, or your overall health? Which products and sunscreen are ok while trying to conceive and pregnant and which are NOT? Can you do botox, filler, red light therapy while trying to conceive?

Dr. Heather Rogers joins Baby or Bust to answer these questions and give valuable advice on finding a safer skincare routine without compromising your safe care. Dr. Rogers is a double-board certified dermatologist and founder of Doctor Rogers Skin Care line. She knows building a family isn’t easy for everyone and can take longer than you might like. So her recommendations are in line with putting yourself first and making your skincare routine manageable and safer for the various stages of fertility, pregnancy, and all stages of life.

In the education-packed episode, Dr. Lora Shahine and Dr. Rogers discuss endocrine disruptors and toxins, tips for finding the right products for you, practical recommendations for using retinol, fillers, sunscreen, red light therapy, Botox, and IPL before and during pregnancy, and Dr. Rogers shares her top 5 products for your best skin.

In this episode you’ll hear:

[2:08] Meet Dr. Heather Rogers, founder of Doctor Rogers Skin Care

[4:38] So many choices for skincare: Find Safer Ones

[8:05] The truth about parabens and endocrine disruptors

[13:45] Navigating skincare product safety

[19:08] Dos and Don’ts for trying to conceive products and pregnancy products

[28:34] The five products you need for amazing skin

[35:09] Red light therapy

[37:35] Sunscreen recommendations

[41:35] Where to find more information from Dr. Heather Rogers

Resources mentioned:

www.doctorrogers.com Enjoy 15% discount with code DRSHAHINE at checkout

www.mdinseattle.com

Follow Dr. Rogers on Instagram & Tiktok @drheatherrogers

Follow Doctor Rogers Skin Care @doctor.rogers

Ep 80 Finding Safer Products with Lanning Ardente: Let Sorette Do the Research for You

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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Have you seen the stories about surrogacy scams out this year? Are you considering using a gestational carrier or financing a fertility or IVF treatment and worried about making the right (or wrong) choice for next steps?

Reproductive endocrinologist Dr. Brian Levine is Dr. Lora Shahine’s guest for this episode of Baby or Bust. The founder of CCRM Fertility of New York and Nodal Surrogacy, Dr. Levine has a unique perspective, having been on the ground through the evolution of surrogacy in New York since it became legal in 2021.

In this conversation, you’ll learn more about the recent surrogacy scams and how to protect yourself. Dr. Levine shares the importance of transparency, addresses some common misconceptions about surrogacy, and shares some of the positive experiences families have had through this process.

In this episode you’ll hear:

[1:50] Meet Dr. Brian Levine

[2:30] The birth of Nodal and Surrogacy in New York

[6:15] Nodal’s approach to surrogacy

[8:53] Seam Escrow Agency Fraud

[15:23] Protecting yourself against fraud

[21:47] Common questions, concerns and misconceptions surrounding surrogacy

[47:54] Sharing stories and supporting others

[51:28] Connecting with Dr. Brian Levine and Nodal

Resources mentioned:

Follow Dr. Brian Levine on IG - @drbrianlevine

www.nodal.com

Stories mentioned:

SEAM Fraud

Couple unable to bring baby home from Mexico Story

Chinese actress accused of abandoning 2 babies in the US

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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Many of us live for that first cup of coffee in the morning. But. How much caffeine is okay when you’re trying to get pregnant? Can cutting out caffeine completely positively impact fertility? What about when you’re pregnant — is caffeine ok then? Where do you find the best information for your situation?

Dr. Lora Shahine explores caffeine consumption and its effects on fertility from both Western and Eastern medical perspectives. You’ll get practical information on caffeine content in various beverages (including that o-so-important coffee), answers to the most common patient questions, and a personalized recommendation for those trying to conceive.

After this episode, you’ll feel more equipped to make the best decision for yourself. Be sure and review your personal situation with your doctor.

In this episode you’ll hear:

[1:55] A Western evidence-based approach to caffeine and fertility

[7:00] The Eastern medicine approach to caffeine and fertility

[9:27] How much caffeine is in your favorite pick-me-ups?

[10:30] Dr. Shahine’s personal recommendations

Resources mentioned:

Caffeine Chart - find how much is in what you’re having: www.cspinet.org/caffeine-chart

1988 Wilcox Study Caffeine Harms Fertility

Large Danish Study Reassuring Results on Caffeine and Fertility

Men's Fertility and Caffeine Study mentioned

Planting the Seeds of Fertility: An Integrative Approach to Fertility Care

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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Should we try for another child? Can we handle all the treatments, ups and downs, and possible heartbreak that comes with trying again? Will my child be okay without a sibling? Will our family feel complete with “just” one child?

Lauren Sandler, award-winning journalist and author, is joining Baby or Bust to share her thoughts and insights on parenthood and chat about her bestselling book One and Only: The Freedom of Having an Only Child, and the Joy of Being One. This is the book that ignited an international conversation about single-child families.

In this conversation, Lauren Sandler shares with Dr. Lora Shahine her experience as an only child and a mother of an only child. They explore the cultural pressure surrounding family size and society’s heavy expectations put on parents to have more than one.

You’ll hear Lauren share the importance of personal choice in parenting, debunk myths about only children, and highlight the significance of happiness and fulfillment in parenting. You’ll walk away ready to embrace your unique family dynamics and make empowered choices about your lives and families.

In this episode you’ll hear:

[2:29] Meet Lauren Sandler, author of One and Only

[5:13] Getting questions about family building

[8:43] 2 by 2––Society’s Expectation

[11:05] What does research say about single children?

[17:20] Pros of being an only child

[23:42] Assumptions about an only child’s life and future

[30:23] Lauren’s life today

Resources mentioned:

www.laurenosandler.com/about

One and Only book: www.laurenosandler.com/the-book

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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How do you heal and move forward from miscarriage and stillbirth? Will you ever feel whole again after such heartbreak? Where do you even go from there after such a profound experience?

Dr. Kiley Hanish is joining Dr. Lora Shahine on Baby or Bust for this episode to share her story and the support community for loss she created. Kiley and her husband, Sean, shared their story of stillbirth in the Emmy-nominated film Return to Zero, starring Minnie Driver in 2014. The lack of care she received through her son’s stillbirth led her down the path to create the nonprofit organization Return to Zero: H.O.P.E., so that other families would have a better experience.

Kiley’s personal experience and insights into her own healing are profound. You’ll hear her share how to navigate a new reality, accepting that grief is a lifelong journey, the importance of education for healthcare workers to support grieving families, and the entire journey of founding Return to Zero foundations and creating the film.

If you or someone you know has experienced loss, find support at rtzhope.org

In this episode you’ll hear:

[2:17] Kiley’s story of the movie Return to Zero

[10:57] The impact of the film

[16:48] Return to Zero: H.O.P.E.––the organization

[24:00] Additional resources, for family and friends

[27:36] A message on loss, from Kiley

[29:44] Wave of Light Gathering

Resources mentioned:

rtzhope.org

Return to Zero the film: www.imdb.com/title/tt2538130/?ref_=fn_al_

Wave of Light Gathering: rtzhope.org/events-page/wave-of-light-gathering

RTZ Family & Friends resources: rtzhope.org/family

Recognition of Life Certificate: rtzhope.org/certificate

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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Can you relate to not feeling completely happy when you get a positive pregnancy result? Do you get really anxious while waiting for your routine checkups or ultrasounds? Are you having many mixed emotions, including negative ones, about your positive pregnancy test?

Guess what––you’re not alone. Many women who have experienced loss go through the ups and downs, the rollercoaster of emotions, waiting to see if this time it really will be okay.

In this episode, Dr. Shahine assures us that if you’re pregnant again miscarriage, and feeling nervous and anxious, you’re not alone. She gives tips on how to cope and how to find support. Sometimes that reassurance doesn’t come from your friends and family, so she shares some valuable resources that will help you.

In this episode you’ll hear:

[0:37] Story time

[1:52] A lesson on mixed emotions

[6:30] ALL feelings are valid

[7:37] Seeking help and finding support

[10:27] Two helpful resources

Resources mentioned:

Dr. Lora Sahine’s books - drlorashahine.com/books

RPLA Support Groups - https://rplassociation.org/events

Return to Zero Retreats and Support Groups - rtzhope.org/parents

RESOLVE Support Groups - resolve.org/get-help/find-a-support-group

Finding Calm for the Expectant Mom by Alice D. Domar

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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Have you or someone you loved experienced the heartbreak of miscarraige and feel desperate to know why it happened? Have you questioned food you ate, exercise you did, stress levels, and searched for answers from doctors, friends, and the internet? We still have so much to learn about pregnancy loss and recurrent miscarriage but there are people asking the questions and finding the answers!

Megan Hanson is the Co-Founder and Executive Director of the Recurrent Pregnancy Loss Association (RPLA). Megan and her husband started RPLA in 2019 after their own experience of recurrent pregnancy loss. This nonprofit organization funds research into recurrent miscarriages and provides support to individuals and families who have lost pregnancies.

In this episode of the Baby or Bust Fertility Podcast, Dr. Lora Shahine and Megan go through the development and purpose of RPLA. They discuss challenges in miscarriage research and the need to raise awareness about how many women are impacted by recurrent miscarriage. Megan shares her personal journey with recurrent miscarriage, IVF, and gestational surgery, and the emotional toll all of this had on her path to parenthood.

Community support and advocacy are key for those who are struggling with recurrent miscarriages. Find out how to get involved, find support, or provide support for others at rplassociation.org.

In this episode you’ll hear:

[1:26] Recurrent Pregnancy Loss Association (RPLA)

[6:41] Gaps in research for miscarriage and fertility

[10:21] RPLA and RESOLVE’s efforts for advocacy

[19:38] What is the latest research telling us?

[34:00] Megan’s journey

[44:00] Finding support and getting involved

Resources mentioned:

Megan’s blog: misbehavinguterus.com

Miscarriage Research: med.stanford.edu/lathi/research.html

Give to RESOLVE: resolve.org/take-action/donate/ways-to-give

Dr. Lora Shahine’s books: drlorashahine.com/books

RPLA Resources

rplassociation.org

Follow RPLA:

  • IG @rplassociation
  • Facebook @rplassociation1
  • YouTube @rplassociation1
  • LinkedIn @rpl-association

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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Are you curious about reproductive rights in the US? Are you worried about access to IVF and medical treatment for your reproductive health?

On June 24, 2022, the Supreme Court overturned Roe v. Wade, not only eliminating the federal right to abortion care but threatening access to contraception, IVF, and many aspects of reproductive health. It’s been two years, so where are we now?

In this episode of Baby or Bust, Dr. Shahine discusses the current state of reproductive rights in the US. She reviews exactly what lead to the Dobbs decision, why IVF stopped in Alabama for 3 weeks, and the resulting fallout of the overturn of Roe v. Wade over the last 2 years.

She leaves you with action items and resources to learn more.

In this episode you’ll hear:

[2:44] June 24, 2022

[3:52] Doctors for Fertility

[6:13] What is the Dobbs decision? And how does it impact reproductive rights?

[13:17] Challenges associated with accessing contraception

[16:18] Building a family & access to IVF in the wake of June 24, 2022

[24:00] Broader implications on maternal healthcare

[29:51] How to get involved & make a difference for future generations

Resources mentioned:

doctorsforfertility.com

Follow @doctorsforfertility | Instagram, Facebook, LinkedIn, & TikTok

Please email hello@drlorashahine.com if you want a copy of resources for facts and updates shared in this episode.

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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Should you freeze your eggs? What age? What’s the success rate? How much does it cost?

Natalie Lampert has insight into women's top questions about egg freezing, and she is here to share it with you. An award-winning journalist and author of The Big Freeze, her work focuses on women’s health and the fertility industry. Her story will answer your questions and provide insight into the world of egg freezing.

In this conversation, Natalie and Dr. Lora Shahine discuss Natalie’s personal journey with fertility preservation, the historical context of egg freezing, the impact of big corporations' fertility benefits, the need for comprehensive information, and what to consider if you are thinking about freezing your eggs.

In this episode you’ll hear:

[3:00] Meet Natalie Lampert

[4:55] Historical context and the development of egg freezing

[11:55] Misinformation around egg freezing: be informed, not persuaded

[13:25] Egg freezing is assurance, not insurance

[16:33] Who is freezing their eggs? And why?

[22:53] Natalie’s personal decision

[42:52] Advice for women considering egg freezing

[46:50] Final thoughts and resources

Resources mentioned:

www.natalielampert.com

The Big Freeze by Natalie Lampert

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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How early have you done a pregnancy test?

Are you stuck questioning the result?

In this episode of Baby or Bust, Dr. Lora Shahine reviews pregnancy tests: when to test, how accurate tests can be, why testing too early can make things even more confusing, and what can cause both false negatives and false positives.

This episode is packed full of helpful information - save for reference and share!

In this episode you’ll hear:

[2:22] Understanding pregnancy tests and their importance

[4:52] When should you test?

[6:26] Information on specific tests

[7:35] False positives and false negatives

[12:56] Why do fertility clinics tell you not to test early?

[13:46] Closing thoughts

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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AshLeigh Meyer Dunham is one of five reproductive law lawyers in Alabama and the only one who has done IVF. She was front and center when IVF stopped for 3 weeks in early 2024 due to a lawsuit brought by IVF patients in front of the State Supreme Court. On this episode of Baby or Bust, Dr. Shahine asks AshLeigh to explain what happened in Alabama, how treatments restarted, and what the process means for access to IVF in the future.

AshLeigh explains why the way IVF restarted in Alabama is not a permanent solution and what this means for the future of IVF in Alabama and all of the United States.

Threats, political and legal, against IVF have been all over the news lately. All the controversy and proposed legislation is downright terrifying because for some, as IVF may be the best or only option they have to build their families.

One thing is very clear: people’s right to build their families how and when they choose — and sometimes to build them at all — is under attack. Please share this episode to educate and spread knowledge and awareness.

In this episode you’ll hear:

[2:35] AshLeigh’s IVF journey

[5:40] Legal context around Alabama’s IVF ban

[15:15] Legal and clinical implications of an IVF ban

[36:55] Ongoing legal challenges

[42:00] Advocacy and legislative efforts

[47:20] Future prospects with reproductive rights

Resources mentioned:

Find AshLeigh Meyer Dunham on IG - @magiccityfertilitylaw and her firm www.magiccityfamilylaw.com

The Case Discussed: LePage v. Center for Reproductive Medicine, P.C.: hlaw.justia.com/cases/alabama/supreme-court/2024/sc-2022-0579.html

doctorsforfertility.com: nonprofit co-founded by Dr. Shahine

www.fightforalabamafamilies.org

Dr. Shahine’s Weekly Newsletter on Fertility News and Recommendations

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*Trigger Warning: Late Pregnancy Loss

The loss of a wanted pregnancy, at any stage, is utterly heartbreaking. How in the world do you pick yourself up again after such a devastating loss? There is not a right or wrong way to grieve; there’s only your way.

On this episode of Baby or Bust, therapist, author, and speaker Lindsey Henke joins Dr. Lora Shahine to discuss the impacts of miscarriage, stillbirth, and loss. The founder of Pregnancy After Loss Support, Lindsey has her own heartbreaking story of a loss very late in her pregnancy. Lindsey’s story is raw and real, and she is so gracious to share it with us.

Lindsey talks through her experience and how she found ways to cope with her grief. She shares how she still honors her daughter, Nora. If you’ve been through your own loss, or if you’re trying to support someone after a miscarriage, this episode could help deepen your understanding of the grief that accompanies such heartbreak.

In this episode you’ll hear:

[2:18] Meet Lindsey

[9:32] Dealing with loss

[19:34] Feeling “ready” to try again

[26:36] Pregnancy after loss

[31:17] Seeking support from loved ones

[43:38] 5 ways to honor loss

Resources mentioned:

lindseymhenke.com

lindseymhenke.com/when-skies-are-gray-book

pregnancyafterlosssupport.org

Stay Up to Date in Fertility News and Events: Weekly Newsletter

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Women are often conditioned to sacrifice our own goals, health, and happiness in favor of everyone else’s. But does it have to be that way? In this unique and personal episode, Dr. Lora Shahine is a guest on the podcast Spilling the Tea with Dr. Joyce.

With host Dr. Joyce Park, Dr. Shahine shares her story of finding her direction in life at the intersection of her infertility journey and her passion for women’s health.

Both Dr. Park and Dr. Shahine became aware of the need for more education around infertility in the medical field. Their conversation also includes their experiences as fertility doctors on social media platforms, emphasizing the importance of connection, education, and innovation in the medical field.

Finally, they discuss ethical challenges in reproductive medicine, including the tension between medical advancements and moral objections, and the need for compassionate care.

Dr. Joyce is a board-certified dermatologist, founder of virtual dermatology clinic Skin Refinery, and content creator and educator at Tea with MD and all of its associated social media channels. You can find her on YouTube, Tiktok, and Instagram: @TeawithMD

In this episode you’ll hear:

[3:38] Dr. Shahine’s ‘ah-ha’ moment of choosing medicine

[11:53] Education through Social Media platforms

[28:23] Faith, religion, and reproductive rights

[33:12] Managing expectations and ethical concerns with reproductive rights

[40:52] Fertility, family planning, and work-life balance for women in medicine

[43:15] Being busy and professional AND staying sane

Resources mentioned:

www.teawithmd.com

www.skinrefinery.co

@TeawithMD: YouTube, Tiktok, and Instagram

Stay Up to Date in Fertility News and Events: Weekly Newsletter

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The biological clock, geriatric pregnancy, poor egg quality, diminished ovarian reserve - if you’re trying to conceive in your 40s you’ve likely heard or been reminded of the link between age and fertility - but there is hope!

In this episode of Baby or Bust, Dr. Lora Shahine provides insights on optimizing reproductive health and making informed decisions about family planning into your 40s.

She covers age and fertility, family goals, the importance of early testing, practical tips for conception, and considerations for using IVF as a strategic family-building tool option.

You’ll walk away from this episode feeling empowered with knowledge to maximize your chances of a successful pregnancy after 40.

In this episode you’ll hear:

[1:47] Age & fertility

[9:40] An important first step: family building goals

[12:25] Next step: don’t wait for testing

[15:38] Tips for trying to conceive

[18:44] Is IVF right for me?

Resources mentioned:

Stay Up to Date in Fertility News and Events: Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

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Ectopic pregnancies are scary, dangerous, and heart-breaking if you’re trying to build your family. If you’ve been diagnosed with an ectopic pregnancy and confused - you’re not alone!

In this episode, Dr. Lora Shahine explains ectopic pregnancies — what they are, why they happen, and who may be most at risk. She discusses everything from how they are diagnosed to treatment options to what comes next.

No matter the circumstances, pregnancy losses are difficult. Please take care of yourself during this emotional time. And remember that your doctor is the best person to discuss your options with you.

In this episode you’ll hear:

[1:21] What is an ectopic pregnancy and how can it happen?

[3:13] How common are ectopic pregnancies?

[3:25] The risk factors involved with ectopic pregnancy

[5:46] Diagnosis and why it’s tricky

[10:17] Treatment options for ectopic pregnancy

[14:06] An important message for YOU

Resources mentioned:

Cleveland Clinic Overview of Ectopic Pregnancy: my.clevelandclinic.org/health/diseases/9687-ectopic-pregnancy#overview

Article on Recurrent Ectopic Pregnancy: www.ncbi.nlm.nih.gov/pmc/articles/PMC7414932/#:~:text=However%2C%20with%20a%2010%E2%80%9320,risk%20as%20much%20as%20possible

Stay Up to Date in Fertility News and Events: Weekly Newsletter

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Do you find yourself Googling everything you feel or don’t feel to find out if it’s ‘normal’ in the first trimester of pregnancy? You’re not alone. That’s why there’s so much information out there! The problem is: what sources can you trust?

In this episode, you’ll get first-trimester information and questions answered by Dr. Lora Shahine – a source you already know and trust.

In this episode devoted entirely to the first trimester, Dr. Shahine talks about common experiences and things you might want to get checked out. She answers the top questions she hears from her own first-trimester patients and gives expert tips for a healthy start to your pregnancy.

If you’re not quite ready for this episode yet, save it for later. Take care of yourself, and remember to always consult with your own doctor about your care.

In this episode you’ll hear:

[2:24] What is going on in your body during the first trimester?

[4:45] Common symptoms during the first trimester

[10:10] Top first-trimester questions:

  • weight gain
  • cramping
  • bleeding/spotting
  • foods to avoid
  • exercise

[17:15] Tips for taking care of yourself during the first trimester

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Do an internet search for “fertility supplements”... yeah, maybe don’t. You can easily get overwhelmed by an avalanche of supplement information and advice when you’re trying to conceive. But … what supplements can truly help you get pregnant faster? And whose advice can you trust?

Supplements and “super foods” go in and out of fashion faster than bangs-or-no-bangs, and the latest “hot” supplement is CoQ10. Coenzyme Q10 is an antioxidant our bodies make naturally, or that we can get from dietary sources. However, as with anything you add to your body in a concentrated fashion like a supplement, you need to know the benefits AND the risks.

In this episode, Dr. Shahine is separating fact from fiction when it comes to the supplement CoQ10 and your fertility. There are some benefits to CoQ10, such as improving egg quality and sperm parameters, but it’s important to understand the evidence is still not definitive.

This episode will arm you with information you can take back to your healthcare provider. Then you’ll know what questions to ask to get a supplement regimen that is most beneficial to you.

In this episode you’ll hear:

[2:04] What is CoQ10?

[3:41] How CoQ10 works

[4:45] Possible side effects

[5:47] Evidence of CoQ10 for female fertility

[14:55] Evidence of CoQ10 for male factor

[17:46] What Dr. Shahine tells her own patients about CoQ10

Resources mentioned:

Review article of nutrients for IVF, Hart et al. 2024 RBMO www.rbmojournal.com/action/showPdf?pii=S1472-6483%2823%2900869-6

Review article CoQ10 info, Rodriguez-Valera 2021 J Molecular Science www.mdpi.com/1422-0067/22/17/9541

CoQ10 levels decrease in levels with age, Ben-Meir et al. 2015 Fert Stert www.sciencedirect.com/science/article/pii/S001502821500374X

Animal studies showing improved egg and embryo quality with CoQ10 supplementation journals.sagepub.com/doi/full/10.4137/CMRH.S14681

Randomized controlled trial CoQ10 aneuploidy rates in women doing IVF/ICSI, Bentov et al. 2014 Sage

journals.sagepub.com/doi/full/10.4137/CMRH.S14681

Review article on antioxidants (including CoQ10) and male fertility, Kaltsas et al. Medicine 2023

www.mdpi.com/1648-9144/59/10/1769

Sperm motility improved in men given CoQ10, Balercia, G.2009 Fert Stert www.fertstert.org/article/S0015-0282(08)00487-1/fulltext

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There is an overwhelmingly long list of what not to eat, use, or be around while trying to conceive and in early pregnancy. Knowing which products are safer — and which you should limit or avoid when pregnant — is challenging.

We know that toxins can be harmful, but what exactly is in the products you’re using? The ingredients are confusing. The marketing is confusing. What if someone were already researching pregnancy-safe products? Well, have we got good news for you….

Lanning Ardente, founder and CEO of Sorette, joins Dr. Shahine on this episode of Baby or Bust. Lanning explains toxins, so-called “blackbox” ingredients, and how to evaluate brands and products.

You’ll walk away from this episode with useful information to help you check products on your own. Lanning also shares three things you can do right now to find safer products to use on a daily basis.

In this episode you’ll hear:

[3:10] Meet Lanning Ardente

[8:41] Sorette’s mission

[16:30] How does Sorette choose their products?

[18:45] Reading the box of products you purchase

[21:39] Hidden ingredients

[26:44] Sorette’s brand partners

[28;15] Three things you can do today to find safer products

[31:27] Closing

Resources mentioned:

shopsorette.com (Get 15% off at shopsorette.superfiliate.com/DRSHAHINE15)

madesafe.org

www.ewg.org

Dr. Shahine Budget Friendly Ways to Decrease Toxins

Baby or Bust, Episode 19: Environmental Toxins and Reproductive Health

Podcast: Verified-Dust Up

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"Morning sickness" is a misnomer - nausea and vomiting in pregnancy can occur any time of day and night and leave you feeling miserable.

In this episode, Dr. Lora Shahine covers the causes of nausea and vomiting during pregnancy. She’s also sharing her expert tips for prevention and relief. It’s everything you’ve wondered, and need to know, right in one place!

In this episode you’ll hear:

[01:48] How common is nausea in pregnancy?

[02:36] Risk factors for nausea and vomiting in pregnancy

[03:49] Causes for nausea and vomiting during pregnancy

[07:26] Tips for prevention

[07:35] Treatment options & tips for relief

[17:55] When to worry or ask for help

Resources mentioned:

ACOG review of Nausea and Vomiting in Pregnancy: pubmed.ncbi.nlm.nih.gov/29266076

www.acog.org/womens-health/faqs/morning-sickness-nausea-and-vomiting-of-pregnancy

Acupressure point for relief: www.mskcc.org/cancer-care/patient-education/acupressure-nausea-and-vomiting

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Infertility is a deeply personal, often heart-wrenching experience. Suddenly, pregnancy and family building are completely out of your control. Fertility challenges can wreak havoc on your body, your mind, and your relationships.

In this episode of Baby or Bust, Dr. Lora Shahine talks openly with Carrie Hauskens, founder of Blooming with Care. Carrie is sharing her eight-year struggle with fertility — a journey that ultimately ended with the decision to live child-free.

Carrie talks about what she went through, why she and her husband decided to stop fertility treatment, and the ways they both dealt (and are still dealing) with their grief. Carrie found support in the infertility community, which is why she started sharing her own story.

Fertility treatment can be a roller coaster, and if the time comes when you need to say “enough” and step off, Carrie’s story may help you make peace with that decision.

In this episode you’ll hear:

[4:00] Carrie Hausken’s personal story:

  • trying without assistance
  • IVF & stillbirth
  • Surrogacy
  • Considering adoption
  • Becoming child-free

[7:43] Honoring the grief

[9:58] Deciding to be child-free

[15:42] What does “stopping” really mean?

[17:27] The impact of trying, and stopping, on their relationship

[25:04] Being changed by Infertility

[31:49] Life for Carrie, now, child-fee

[39:06] Connecting with Carrie Hauskens

Resources mentioned:

www.bloomingwithcare.com

IG - @bloomingwithcare

TikTok - @bloomingwithcare

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June 2024 is the 50th anniversary of Pride in Seattle. In honor and celebration of LGBTQ+ family building, Dr. Shahine welcomes colleagues Dr. Stephanie Rothenberg and Dr. Darcy Broughton to talk about the Center for LGBTQ+ Family Building at Pacific NW Fertility.

Although the fertility community hasn’t always been inclusive and open to all family building options, Pacific NW Fertility (PNWF) has been proudly serving the Queer community since the organization opened its doors in 2005. In 2020, Drs. Rothenberg and Broughton co-founded the Center for LGBTQ+ Family Building at PNWF and they share what makes the Center unique.

‘It’s more than a website; it’s creating a safe place for all family building journeys with inclusive language, trained team members, and feedback from our patients.’

In this episode you’ll hear:

[1:00] LBGTQ+ Pride in Seattle, WA & at PNWF

[3:00] Meet Dr. Darcy Broughton

[4:20] Meet Dr. Stephanie Rothenberg

[6:15] The LGBTQ Center for Family Building at PNWF

[9:59] Learning to care for LGBTQ patients from a fertility standpoint

[12:14] Benefits of having a dedicated center for LGBTQ Family Builiding

[19:22] 50 years of Pride in Seattle

[21:42] What to look for in a clinic

Resources mentioned:

PNWF Center for LGBTQ+ Fertility: pnwfertility.com/center-for-lgbtq-fertility

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If you’ve struggled to get pregnant, grappled through multiple IVF cycles, experienced a loss, or delivered early, you know first hand that pregnancy is NOT always blissful. Unfortunately for some, the process of building a family can border on traumatic.

If this is the case for you or someone you know, the information and insights from Parijat Deshpande could shed some light on how to work through the anxiety that lives alongside infertility and high-risk pregnancy.

Parijat is founder of Ruvelle, bestselling author, speaker, and high-risk pregnancy consultant. In this episode of Baby or Bust, Dr. Lora Shahine dives deep with Parijat into anxiety before and during a high-risk pregnancy and learning how to calm your nervous system so you can move through the trauma that causes your anxiety.

In this episode you’ll hear:

[3:30] Meet Parijat Deshpande - she’s been through it all

[8:15] An evolutionary benefit of anxiety in pregnancy

[10:41] Calming your nervous system when you’re anxious

  • Learning to acknowledge your feelings
  • Recognizing what’s going on in your body

[15:19] Tips for “completing the threat cycle” (calming down)

[21:33] Dr. Shahine answers a question from a YouTube listener about the HSG procedure

[25:00] Learning more about somatic trauma work

[30:04] Using somatic therapy to improve pregnancy outcomes

[32:50] Parijat’s business Ruvelle - support for high-risk pregnancy

[35:56] Leaning into hope and ways to connect with Parijat

Resources mentioned:

ruvelle.com

IG - @healthy.highriskpregnancy

Pregnancy Brain by Parijat Deshpande

Delivering Miracles Podcast

What Women Need to Know About Pregnancy Anxiety episode on Delivering Miracles Podcast

Dr. Lora Shahine on Delivering Miracles Podcast | Episode 54

Dr. Lora Shahine on Delivering Miracles Podcast | Episode 69

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It's not just the big traditional holidays that can be triggering when you’re struggling with fertility. It’s the softer, sneak-up-on you days too, Father’s Day being one of those.

So often the female partner is the focus of the fertility journey, but the male partner is on the ride too. It can be harder for men to express their feelings and take space for what they need when they are wearing the care-taker/problem-solver hat in the relationship.

So let’s make a little space for the “other” partner today. Dr. Lora Shahine opens up the conversation with her guest Dr. Erica Bove who is an OBGYN, Reproductive Endocrinologist and Fertility Coach.

Dr. Bove wears her doctor coat and coaching badge simultaneously, which allows her to care for the patient but also help couples navigate the impact infertility can have on their relationship.

With Father’s Day coming up in just a few days, you will walk away from this episode with tips on how to support the partner who isn’t getting the treatments but is still emotionally invested in the process. Or you can pass this episode along to that partner, providing self-care tips for a hard day.

In this episode you’ll hear:

[2:35] Meet Dr. Erica Bove–OBGYN, Reproductive Endocrinologist, & Fertility Coach

[9:20] Complicated feelings about Father’s Day

[10:51] How the fertility journey impacts men

[14:16] The emotions that show up during infertility

[19:19] Focusing on the relationship in the midst of it all

  • Going back to the beginning
  • Zooming out on the big picture
  • Finding shared value

[32:42] Tips to support a loved one or to protect yourself on a hard day

Resources mentioned:

Love and Science Fertility Coaching w/ Dr. Erica Bove www.loveandsciencefertility.com

Love and Science Fertility Podcast: Mother’s Day Episode

Baby or Bust: The Real Cost of Fertility Episode

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Who should have the power to decide on your future fertility options? What becomes of frozen gametes and embryos in this new, post-Roe political climate? And if you are ready to get involved, how do you actually advocate for reproductive rights?

This is part 2 of Dr. Lora Shahine’s discussion with Barbara Collura, President and CEO of RESOLVE, the National Infertility Association. In this part of the discussion, Dr. Shahine and Barbara talk about the threats to IVF, access to fertility care, and effective ways to advocate for reproductive rights.

You’ll finish this episode more informed and ready to take action with one, two, or all three of the action steps Barbara provides.

In this episode you’ll hear:

[1:15] Review of part one & overview of part two

[2:30] RESOLVE’s purpose and mission

[3:54] The history of a threat to IVF

[7:25] Access to fertility care

[12:06] Advocacy for reproductive rights: Spotlighting Alabama

[17:21] Reproductive rights

[23:59] Next steps to make a difference; including federal protection for IVF

[28:11] Three actionable steps

Resources mentioned:

resolve.org

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What does advocating for reproductive rights have to do with IVF? Surely people who want to have a baby wouldn’t have to fight for that right in a post-Roe world?

Well, as it turns out, the reality is that the science behind IVF doesn’t always mesh with the idea that life begins at conception.

This week, Dr. Lora Shahine welcomes Barb Collura, President and CEO of RESOLVE, the National Infertility Association dedicated to advocating for fertility treatments and ensuring that building a family is attainable for all.

In this episode, Barb shares her fertility journey, details the issues IVF and other reproductive rights are facing, and explains why fighting to protect IVF is necessary.

Many in the reproductive space saw the writing on the wall long ago. Here, Barb and Dr. Shahine break down how the overturning of Roe vs. Wade has threatened the process of IVF. They also discuss how Personhood Bills in various states end up impacting IVF — intentionally or unintentionally.

There is much more to the conversation between Barb Collura and Dr. Shahine, so make sure to come back for part two on the next episode of Baby or Bust!

In this episode you’ll hear:

[1:06] Is IVF under threat?

[2:44] Meet Barb Collura, President and CEO of RESOLVE

[10:12] Learn about RESOLVE

[14:12] What does reproductive rights (and Roe vs. Wade) have to do with IVF?

[16:40] Personhood bills in different states

[22:06] A voice for infertility among the politics

[27:47] Stay tuned for more from Barb Collura

Resources mentioned:

resolve.org

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Infertility changes a person, physically, mentally, and emotionally — it affects our identity, our relationships, our hopes and expectations for the future. How we manage these changes will be different for each person.

In this unique and personal episode, Dr. Lora Shahine is a guest on the Infertility Feelings podcast with hosts Doug and Jesse. Listeners will hear her share her own fertility journey and all the emotions she experienced being simultaneously doctor and patient.

Jesse and Doug also explain their process groups — safe spaces where members can talk about the issues and feelings that come with infertility. A great tool for managing the emotional toll that infertility takes, this form of group therapy could help members come out the other side understanding what their bodies and minds have gone through.

In this episode you’ll hear:

[:46] Meet the hosts of the Infertility Feelings Podcast

[2:35] Dr. Lora Shahine shares her fertility journey through 2 pregnancies

[7:04] Being a Fertility Doctor and Fertility patient at the same time

[10:28] The impact of fertility on other parts of your life

[13:51] Acceptance of a new reality

[16:24] Infertility as a first “real” struggle

[18:47] How infertility changes you

[23:27] The changes your body goes through during infertility

[28:24] Dealing with feelings of failure

[30:19] Doug & Jesse’s Process Groups

[36:06] Balancing patient’s dreams with best course of action

Resources mentioned:

Uniquely Knitted www.uniquelyknitted.org

Process Groups: www.uniquelyknitted.org/programs/process-groups

Infertility Feelings Podcast: www.uniquelyknitted.org/podcast/infertility-feelings-podcast

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The cost of fertility treatments can be a huge stress on anyone navigating assisted reproduction. Unfortunately, those who are already dealing with the physical and emotional challenges of infertility may also be burdened with the financial challenge of fertility treatments. And it’s important that those facing IVF, IUI, egg retrieval, surrogacy or any of the many, often costly procedures have the resources they need.

Fortunately, there is help: Angela Rastegar is the cofounder and CEO of Sunfish, a financial solutions company for family building of all kinds. and she has helped individuals and couples plan for the cost of fertility, make it affordable and accessible.

In this episode, Dr. Lora Shahine and Angela share their own experiences and highlight the need for affordable solutions so those exploring fertility options can build the families they dream of.

In this episode you’ll hear:

[:59] Meet Angela Rastegar - founder and CEO of Sunfish

[3:48] Infertility is a disease; why is there such a gap between access and need?

[6:09] How much does IVF, donor egg, surrogacy, adoption really cost?

[10:34] What does Sunfish do?

[18:08] The IVF Success Program (Money Back) offered by Sunfish

[22:30] Financial Planning for building your family

[31:18] Closing

Resources mentioned:

www.joinsunfish.com

Follow Sunfish on IG @joinsunfish

Sunfish on LinkedIn www.linkedin.com/company/joinsunfish

Sunfish on Twitter twitter.com/joinsunfish

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Mother’s Day is not a celebration for everyone. When struggling with infertility and miscarriage - this particular holiday can be full of many mixed emotions. In this special episode of the Baby or Bust Fertility Podcast, Dr. Shahine shares many personal reflections on how tough Mother’s Day can be for the fertility community and leaves you with tips on how to cope.

Finish this episode with ideas and inspiration to care for yourself this Mother’s Day weekend.

In this episode you’ll hear:

[:54 ] Mother’s Day is full of mixed emotions

[3:11] This episode is dedicated to those that are struggling with fertility

[3:51] Tip #1 - Recognize and feel the emotions

[6:51] Tip #2 - Just say no

[9:50] Tip #3 - Ask for help

[12:25] Tip #4 - Indulge

[14:01] Tip #5 - Make plans

[15:51] Recap

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Did you know that 1 in 5 Americans have tried marijuana at least once in their life? It is the most commonly used recreational drug in the U.S. but many do not realize how it impacts fertility, success with IVF, miscarriage risk, and pregnancy health.

It’s easy to assume that something that is legal medically and sometimes recreationally in many states could be harmful to your health, especially your reproductive health.

If you’ve been curious about marijuana use and fertility - this episode is a valuable resource full of studies on cannabis use on female and male fertility, time to pregnancy, menstrual cycles, IVF outcomes, and pregnancy risks.

In this episode you’ll hear:

[0:59] Marijuana use in the U.S - both recreational & medical

[2:19] Facts about cannabis - THC and CBD

  • Risks to general health
  • Risks to reproductive health

[4:17] Let’s review the evidence: Male fertility & marijuana

[9:13] Let’s review the evidence: Female fertility & marijuana

[13:03] Recap and suggestions for next steps

Resources mentioned:

Association Between Use of Marijuana and Male Reproductive Hormones and Semen Quality: A Study Among 1,215 Healthy Young Men pubmed.ncbi.nlm.nih.gov26283092

Modifiable and non-modifiable risk factors for poor sperm morphology (regular marijuana use associated with poor sperm morphology) pubmed.ncbi.nlm.nih.gov/24899128

Effects of delta-9-tetrahydrocannabinol, the primary psychoactive cannabinoid in marijuana, on human sperm function in vitro. pubmed.ncbi.nlm.nih.gov/16500334

Human sperm express cannabinoid receptor Cb1, the activation of which inhibits motility, acrosome reaction, and mitochondrial function hpubmed.ncbi.nlm.nih.gov/15562018

A prospective study of the effects of female and male marijuana use on in vitro fertilization (IVF) and gamete intrafallopian transfer (GIFT) outcomes pubmed-ncbi-nlm-nih-gov.ucsf.idm.oclc.org/16458631

Male Preconception Marijuana Use and Spontaneous Abortion: A Prospective Cohort Study pubmed.ncbi.nlm.nih.gov/33165011

Impact of Tobacco and Marijuana on Infertility and Early Reproductive Wastage pubmed-ncbi-nlm-nih-gov.ucsf.idm.oclc.org/35125388

Cannabis use while trying to conceive: a prospective cohort study evaluating associations with fecundability, live birth and pregnancy loss pubmed.ncbi.nlm.nih.gov/33421071

Marijuana smoking and outcomes of infertility treatment with assisted reproductive technologies pubmed-ncbi-nlm-nih-gov.ucsf.idm.oclc.org/31505640

A prospective study of the effects of female and male marijuana use on in vitro fertilization (IVF) and gamete intrafallopian transfer (GIFT) outcomes pubmed-ncbi-nlm-nih-gov.ucsf.idm.oclc.org/16458631

Cannabis use during pregnancy and postpartum pubmed-ncbi-nlm-nih-gov.ucsf.idm.oclc.org/32060189

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Candles can be romantic, even sexy. But ironically, some can make it harder for you to get pregnant. Many common candles can have an impact on fertility, so if you’re trying to build your family, you may want to reconsider how you set the mood.

Candles and scents may impact fertility, but never fear: information is power. On this episode of Baby or Bust, you will learn what you need to know about fertility and candles.

In this episode, Dr. Lora Shahine is chatting with Tristan Weholt, founder of Rox Hill Candle Co. Tristan is here to share her insight on parabens, paraffin wax, and the harmful chemicals that are present in some candles.

Dr. Shahine and Tristan also discuss the differences between store-bought, mass-produced candles and those that are purchased through smaller companies – like knowing what ingredients are in the products you purchase.

Protecting reproductive rights is more important now than ever. For National Infertility Awareness Week, here’s how you can help:

This pineapple candle (citrus scent) was created in honor of infertility and reproductive rights.

Proceeds for candles purchased this week (April 21-27, 2024) will be donated to three non-profit organizations working hard to educate, advocate, and protect reproductive rights:

  • ASRM (The American Society of Reproductive Medicine)
  • Resolve
  • Doctors for Fertility

In this episode you’ll hear:

[1:40] Meet Tristan Weholt, founder of Rox Hill Candle Co.

[5:11] What you need to know about the wax that goes into candles

[8:57] The importance of the wick for candles

[10:47] Considering the scent of your candle choices

[14:02] How to know if a candle is safe

[17:30] A candle for fertility

21:31] Closing

Resources mentioned:

www.roxhillcandleco.com

The Pineapple Candle: roxhillcandleco.com/products/roxhill-candle-co-x-dr-lora-shahine

Rox Hill Candle Co on IG: @roxhillcandleco

Fragrance & Oils from makesy.com

National Library of Medicine - Phthalates and Their Impacts on Human Health

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For many struggling with infertility, building a family may take more than two people. Egg donation, sperm donation, surrogacy or using a gestational carrier can be a beautiful way to build a family, but the process can be full of many questions and misconceptions along the way.

Why do egg and sperm donors donate? Can third-party donors really be anonymous in this age of in-home genetic testing? Should parents be open with their children about their biological origins? If so, when is the right time to share or disclose this? Finally, is it possible a parent won’t bond with their baby if there’s no biological connection between them?

In Part Two of their discussion on the myths and misconceptions around fertility, Dr Shahine and licensed therapist Lisa Schuman tackle questions about third-party family building.

Lisa Schuman is an award-winning researcher, therapist, author, and expert in donor conception, surrogacy and fertility treatment. Her organization, The Center for Family Building, is dedicated to helping people have an easier journey to becoming parents.

In this episode you’ll hear:

[0:00] What is “third-party reproduction”?

  • Why do egg and sperm donors donate?
  • The healing power of donation, a patient story
  • Lisa discusses the growing trend of knowing gamete donors

[6:24] Do you disclose to your children that they are the result of donation?

  • Is anonymity even possible any more?
  • Should you disclose to your child? Why and when?
  • Practice the conversation to make it easier for parent and child
  • Why it’s a good and powerful thing to “own your story”

[13:50] Bonding with your child

  • Dealing with the continuing stigma of infertility
  • Understanding parents’ concerns over bonding with donor-conceived children
  • Where does that bond truly come from?
  • Developing trust between parents and children

[20:29] Myths around third party family building

  • The role of genetics
  • How family bonds happen

Resources mentioned:

Center for Family Building

familybuilding.net/author/lisa-schuman-lcsw

Subscribe to Lisa’s podcast, “Building Your Family”: spotify.com/show/1iPTI62w2fANnkOLaSjsCe

Pacific Northwest Fertility Center Egg Donation Program:

httpnwfertility.com/donor-egg-program/

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Trying is supposed to be the fun part, right? Ask anyone struggling with infertility and they may share that intimacy can start to feel like a job after a while. Many fertility patients have found that at-home inseminations can be an option for trying to conceive at home.

At-home inseminations are not the same as intrauterine inseminations in a fertility clinic and cannot substitute for consults, testing, and guidance from a reproductive endocrinologist. However, they can be an option to consider as a first-line treatment, for those who have difficulty with intimacy, and for some people using frozen donor sperm from a sperm bank.

On this episode of Baby or Bust, Dr. Lora Shahine is talking all about at-home inseminations with Mauren Brown, founder of Mosie Baby. The Mosie Baby Kit for At-Home Insemination is the first FDA-cleared insemination syringe kit, and it has helped over 100,000 people access a fertility option that can take place in the comfort of their own home.

Dr. Shahine and Maureen discuss the inspiration of Mosie Baby, how the syringe is designed, who might benefit from this option, and the future of at-home insemination.

This episode of Baby or Bust Fertility Podcast was not sponsored by Mosie Baby.

You can learn more at the Mosie Baby website and by watching Dr. Shahine’s YouTube video on at-home inseminations.

In this episode you’ll hear:

[1:02] Meet Maureen Brown – founder of Mosie Baby

  • The inspiration for Mosie Baby
  • Frank, Maureen’s son is the first Mosie Baby

[5:42] Mosie Baby vs. IUI in the clinic

[8:03] The Mosie Baby design

[10:20] FDA clearance of Mosie Baby

[15:10] Is Mosie Baby right for you?

[19:27] When is a good time to try Mosie Baby?

[22:51] A few basics about conceiving

[25:49] The future of at-home insemination

[27:07] Other groups that could benefit from Mosie Baby

[29:08] Closing

Resources mentioned:

Mosie Baby: At Home Insemination Kit by Mosie Baby FSA/HSA approved

Dr. Shahine’s YouTube Video on at-home inseminations: youtu.be/vQF1EL7u96I?si=LCnCiSg-4b7kDgXw

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There are many fertility misconceptions, but when you’re trying to conceive, it is tough to tell the truth from the myths.

What really will help you get pregnant?

Stay pregnant?

And have a healthy baby?

Your friends can be convinced that certain positions helped them. Instagram can make you feel you are to blame for your miscarriage.

In this episode, first shared on Lisa Schuman’s podcast, Building Your Family, Dr. Lora Shahine and host Lisa debunk some common fertility myths.

You’ll finish this valuable episode knowing not only more about 5 common fertility assumptions but the why and rationale about why people can get so confused.

Host Lisa Schuman is an award-winning researcher, therapist, author, and expert in donor conception, surrogacy and fertility treatment. Her organization, The Center for Family Building, is dedicated to helping people have an easier journey to becoming parents.

In this episode you’ll hear:

[0:00] Meet Lisa, founder of The Center for Family Building and host of Building Your Family

[3:25] Myth #1 - Positions matter for getting pregnant and determining the baby’s sex

[8:40] Myth #2 - Myths around miscarriage, including the biggie: “It’s the pregnant person’s fault.”

[12:12-15:35] Myth #4 Stress and Infertility

[16:36] Myth #4 - The body is “just an oven,” and if it’s not your egg, even though you’re carrying it, you have no influence on the baby.

[16:36- 21:21] Myth #5 "Women Using Donor Egg Aren’t Really Mothers" [22:04] Dr. Shahine reflects on how humbling infertility can be and why she loves educating on the topic Resources mentioned:

familybuilding.net/author/lisa-schuman-lcsw

Subscribe to Lisa’s podcast, “Building Your Family”: spotify.com/show/1iPTI62w2fANnkOLaSjsCe

Pacific Northwest Fertility Center: pnwfertility.com

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Endometriosis is a common yet often misdiagnosed chronic inflammatory disease associated with pain and infertility..

Never heard of endometriosis? You’re not alone. Despite it being a painful condition, it can take, on average 7 - 8 years to get a correct diagnosis.

March is Endometriosis Awareness Month, and given the often debilitating pain this condition can cause — and how hard it can be for people in pain to be HEARD by medical professionals — we think it’s really important for everyone to be aware of it.

If you know someone who experiences excessive pain during their period, please share this episode. And if that person is you, please continue to advocate for yourself and your health care — find a doctor who will listen and conduct the necessary tests.

In this episode you’ll hear:

[0:00] What is endometriosis, and how common is it?

[3:38] What are the symptoms, and how is it diagnosed?

[7:23] What is the connection between hormonal contraception and endometriosis?

[10:02] Signals that endometriosis may be present

[14:46] The importance of advocating for yourself

Resources mentioned:

American Society of Reproductive Medicine:

www.asrm.org/news-and-events/asrm-news/latest-news/resource-roundup-endometriosis

American College of Obstetricians and Gynecologists:

www.acog.org/womens-health/faqs/endometriosis

National Institutes of Health:

medlineplus.gov/endometriosis.html

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In the wake of the Dobbs decision that effectively ended federal abortion rights protection under Roe v Wade, the fate of IVF and fertility treatments has been hanging in the balance.

In Alabama in February/March of 2024, a decision on the rights of a fetus brought IVF to a halt. Was this was the “pro-life” movement had in mind? To prohibit people from building the families they envision?

Fortunately, that outcome was “patched,” thanks to activism by reproductive rights’ advocates, among others. One of the most important voices in this ongoing conversation (and spoiler: this conversation didn’t start when Roe v Wade ended) is that of Elizabeth Carr, the first IVF baby in the United States.

Elizabeth Carr, who has been “in the media since three cells old,” chose a career in journalism, and she is now fully in as an advocate for fertility treatments like IVF. She has a podcast called The First, does public speaking, hosts events, and speaks out when needed to protect the rights of people to create their families as they choose. Learn more about Elizabeth on her website: https://ejordancarr.com/.

In this episode you’ll hear:

[0:00] Introducing Elizabeth Carr, the first IVF baby in the United States.

[2:22] The timeline up and through the Alabama Supreme Court decision

  • Impacts of the AL Supreme Court decision
  • Governor Ivey’s bill to protect IVF

[8:26] Impact of the AL decision on IVF access

[13:23] “Personhood” bills and their impacts on IVF and embryo freezing

  • Alabama shows the need for education around fertility treatments
  • Fertility treatments are not discussed accurately by media and politicians

[19:08] The truths of IVF

  • IVF helps those with infertility, cancer survivors, those who’ve suffered missed miscarriages, etc.
  • IVF stigma can cause pharmacists to refuse to provide needed medication for fear of repercussions

[24:14] Attending the President’s State of the Union address

[26.18] Why is IVF so polarizing?

[33:30] Infertility advocacy and reproductive rights

[43:04] Calls to action

Resources mentioned:

doctorsforfertility.com

fightforfamilies.resolve.org

ASRM Advocacy

Find Elizabeth Carr

The First podcast

Elizabeth Carr on Instagram @ejordan12

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Learn about a different kind of support resource for miscarriage and pregnancy loss on this week’s episode of the Baby or Bust Fertility podcast.

Dr. Shahine interviews Emily Carrington, founder of the Early Pregnancy Loss Association. Emily has turned her own story of confusion and payment plans for her miscarriages into a support system to educate women on the realities of miscarriage and navigate the medical bills that can pile up.

Learn about the unique miscarriage care kits that Emily’s team ships anywhere in the US for FREE. These kits include self care items, education information, and real life needs for a pregnancy loss at home you didn’t know you need - until you do.

Listen now - see links below to more resources.

In this episode you’ll hear:

[0:00] What is “early pregnancy loss”?

  • Who are the EPLA and what do they provide?

[2:37] Early pregnancy loss and the financial burdens that come with it

  • Emily shares her personal story of loss and how the lack of resources convinced her to start an organization to help others.

[7:31] The toll of miscarriage

  • Dr. Shahine shares her own story of the emotional toll of miscarriage
  • Emily talks about why her organization focuses on early pregnancy loss

[12:32] Miscarriage care kits

  • How EPLA’s miscarriage care kits differ from others in their contents
  • The necessity of more education to deal with miscarriage

[18:42] Financial support for miscarriage-related medical bills

  • EPLA has a program that offers financial support
  • Available in Michigan, but can be copied globally
  • Care kits can be shipped to anywhere in the US, overnight

Resources mentioned:

If you are experiencing pregnancy loss or know someone else who is, you can order a miscarriage care kit here: www.miscarriagecare.com/care-kit-request.

Early Pregnancy Loss Association: www.miscarriagecare.com

Dr. Shahine’s books on miscarriage and recurrent pregnancy loss: drlorashahine.com/books

Episode 60: “There is no Heartbeat” What’s Next and Options after a Diagnosis of Missed Miscarriage

Parent Support of Puget Sound: Miscarriage, Stillbirth and Infant loss support in Seattle and surrounding areas in Washington State: psofpugetsound.org

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Secondary infertility — difficulty conceiving or carrying a subsequent pregnancy — comes with a unique set of challenges. Being a parent with infertility can create tension between feeling grateful for the family you have yet grieving the family you desire.

In this episode, Dr. Lora Shahine talks with Allie Karagozian, occupational therapist, business owner, and podcaster. Allie shares her own fertility journey and why she created a special way to support those suffering with secondary infertility. Through her podcast, Secondary Infertility, and her support groups, Holding Both, Allie provides support for mothers struggling with secondary infertility.

In this episode you’ll hear:

[0:00] What is secondary infertility?

[3:20] What are the unique challenges of secondary infertility?

  • Guilt for wanting “more”
  • Providing a sibling for an existing child
  • Age gaps between children and societal pressure to have more

[11:18] Secondary infertility support groups

  • Lack of support for those experiencing secondary infertility
  • The need for a safe space to discuss the challenges
  • The importance of emotional support and community

[20:07] Secondary infertility support for men

  • Men are often sidelined during fertility challenges
  • Men also need emotional support

Resources mentioned:

One and Only by Lauren Sandler: https://www.laurenosandler.com/the-book

Episode with Miscarriage Doula Arden Cartrette: drlorashahine.com/podcast/arden-cartrette-on-pregnancy-loss

Finding Allie Karagozian:

Allie on Instagram: @holdingboth

Allie’s Website: www.holdingbothllc.com

Allie’s Podcast on Instagram: @secondaryinfertility.pod

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“I am so sorry, but the baby has stopped developing.”

A “missed” or “silent” miscarriage is when the fetus has stopped developing, but the body hasn’t gotten the message to end the pregnancy yet. It can be devastating, and unfortunately, there are often decisions that the pregnant person will need to make.

In this episode, Dr. Lora Shahine talks about what a missed miscarriage is, what actions you may need to take if diagnosed with a missed miscarriage, and what the pros, cons, and risks are of the different options.

In this episode you’ll hear:

[0:00] What is a missed miscarriage?

  • What questions might you have for your doctor?
  • What are the symptoms that a missed miscarriage may be occuring?
  • Why is it sometimes referred to as an “abortion”?

[4:54] What are the medical options for proceeding after a diagnosis?

  • There are options to pursue, with pros and cons.
  • Will the body naturally miscarry the fetus? Is there a risk of infection?
  • What are the emotional impacts?

[10:22] Medical management of missed miscarriages

[13:22] Surgical management of missed miscarriages

  • Who might need surgical intervention?
  • What does it entail?
  • Diagnosing chromosomal imbalances

[20:22] Advocating for care

  • How to talk to your care team about interventions
  • Dr. Shahine’s book Not Broken: drlorashahine.com/books
  • Understanding it’s not the pregnant person’s fault and how to advocate for care
  • Resources for support and healing

Resources mentioned:

Dr. Shahine’s books: drlorashahine.com/books

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How much does what we eat impact our fertility?

Certainly food influences pregnancy and fertility much more than most of us know, possibly more than our doctors know! Fortunately, a book is coming that can change all that, and in this episode, Dr. Lora Shahine is talking with the authors about fertility, food, nutrition, the science of food and fertility, the myths surrounding nutrition and reproduction (hint: it’s NOT all about BMI), and so much more.

Dr. Angela Thyer is a reproductive endocrinologist and Judy Simon is a registered dietitian and reproductive health nutritionist in Seattle, and together they’ve written Getting to Baby: A Food-First Fertility Plan to Improve Your Odds and Shorten Your Time to Pregnancy.

Getting to Baby is a deep dive into choosing the right foods to reduce inflammation and support a healthy body; eating to support conception, healthy pregnancy, and IVF treatments; and actually enjoying shopping, cooking, and eating.

In this episode you’ll hear:

[0:00] Introducing the idea of fertility nutrition with a focus on plant-based foods

[0:51] Nutrition's impact on fertility with medical doctor and registered dietitian

[2:31] Nutrition and fertility with a focus on evidence-based information

[3:55] Creating a supportive community for people with fertility issues

[5:03] Fertility, nutrition, and cooking with guidance from a reproductive endocrinologist and a dietitian

[9:55] The importance of plant-based foods and limiting processed foods

[15:33] What does a “holistic approach” to nutrition and fertility look like?

[21:11] Avoiding restrictive dieting

[22:56] Nutrition accessibility

[31:03] Lifestyle tips for better health

Resources mentioned:

Getting to Baby by Angela Thyer, MD and Judy Simon, RDN (find at Penguin Random House Books)

Judy Simon, RD on Instagram - @fertilenutrition

Angela Thyer, MD on Instagram @angelathyermd

More education on nutrition and fertility:

Improving Fertility with Diet and Nutrition with Dr. Lora Shahine

https://youtu.be/Lxwv0VLZyEk

Foods that Improve Your Fertility with Dr. Lora Shahine

https://youtu.be/tBJo9ggmdzA

Foods to Avoid When You’re Trying to Conceive with Dr. Lora Shahine

https://youtu.be/Ch86VS6yxPE

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Whether you’re convinced of their medicinal properties or not, the pineapple is a wonderful and long-lived symbol of hope and strength in the fertility community.

In this episode, Dr. Lora Shahine explains a little about where the symbol comes from, a couple myths to watch out for, and how the pineapple symbol can help you on your fertility journey,

In this episode you’ll hear:

  • [1:14] Pineapples are everywhere in the fertility community!
  • [2:37] The medical connection to the pineapple
  • [5:09] The symbolic connection the the pineapple
  • [6:02] Summary

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Many people struggling with infertility are curious about the claims that acupuncture will improve fertility and decrease time to pregnancy, but they don’t explore this option because of…needles.

What if you could get the potential fertility-boosting benefits of acupuncture without the sticks?

In this episode, doctor of acupuncture, teacher, researcher, and practitioner of integrative East-Asian Medicine Dr. Lee Hullender Rubin talks with Dr. Shahine about the recent research and claims that Laser Photobiomodulation (PBM) (or needleless acupuncture) can improve fertility, PCOS, male factor infertility, and more.

In this episode you’ll hear:

[0:00] Innovative acupuncture treatment without needles: hooray for the needle-hesitant!

[2:04] Non-invasive acupuncture using laser therapy: what are the benefits?

[5:00] LED and laser therapy for fertility: how does it work?

[9:43] The effectiveness of laser therapy in fertility treatments

[14:46] Some results from laser acupuncture for fertility treatment

[21:25] Regulating hormones for fertility treatment: how laser can help regulate EMH levels for fertility benefits

  • PCOS patients
  • Egg quality for IVF cycles

[27:49] Using laser therapy to improve IVF outcomes

[27:58] What about sperm? Does laser affect sperm numbers or motility?

[32:18] Two fertility cases with different outcomes

[37:50] The future of acupuncture for fertility

Resources mentioned:

Baby or Bust, Episode 39: Dr. Lee Hullendar Rubin on Acupuncture and Fertitlity drlorashahine.com/podcast/dr-lee-hullender-rubin-on-acupuncture-and-fertility

Dr. Lee Hullendar Rubin’s website: www.rosefinchhealth.com

Dr. Lee Hullendar Rubin on Instagram: @rosefinhhealth

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Many say raising children “takes a village,” but what about the team you create on your family building journey through infertility, miscarriage, IVF and early pregnancy? The “trying to conceive” village can include doctors, nurses, therapists, acupuncturists, friends, family, and maybe a fertility coach.

If you’re curious about what a fertility coach is and are considering working with one, you’ll learn all about it in this episode in which Dr. Shahine interviews fertility coach Ceire Nevins.

You’ll finish knowing what’s different about a fertility coach - how they help you meet your goals, support you on the journey, and more. Be sure to pay attention to the red flags Dr. Shahine and Ceire review, so you also know what you DON’T want in a fertility coach.

In this episode you’ll hear:

[0:00] What is fertility coaching and how does it help?

[6:29] Fertility coaching and empowering clients to advocate for themselves

  • Non-medical advice and advocacy for patients undergoing fertility treatments
  • Ceire’s personal journey with infertility and how it led her to become a fertility coach

[12:06] Fertility coaching and holistic health

[17:47] How to find a qualified fertility coach

  • Personal experience with infertility and credentials
  • Coaches who promise unrealistic results

[24:01] Fertility coaching and support for individuals undergoing IVF

  • The importance of support and self-care
  • Reframing the mindset from goal-oriented to system-based

Resources mentioned:

Ceire’s Fertility Mama website: www.thefertilitymama.com

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PGT-A, PGT-M, PGT-SR, Carrier Screening, Karyotype — oh my! The options available for genetic screening in fertility testing and IVF treatment can get confusing.

Understanding testing available to you BEFORE treatment as well as DURING the IVF process is key. These tests can decrease risk of disease and miscarriage and improve success rates with a single embryo transfer, but there are pros and cons for every intervention. It can be difficult to keep it all straight and overwhelming to know what to do.

In this episode, Dr. Lora Shahine goes in depth on what tests are available, what they are screening for, who is a good candidate for genetic testing, and what your options are when the results come in.

You’ll finish this episode understanding genetic testing and screening in fertility and IVF and knowing what questions to ask your doctor about what’s right for your personal situation.

As always, please share this episode with others on or considering a fertility treatment journey — if you don’t know anyone (or know you know anyone), consider leaving us a review to help others find the podcast.

In this episode you’ll hear:

[0.00] Genetic testing of embryos for IVF patients.

  • genetic screening of embryos for infertility patients, including testing for specific mutations and benefits
  • genetic testing options for embryos, including PGT-A, PGT-M, and PGT-S

[3:10] Genetic testing for embryos before IVF

  • preimplantation genetic testing (PGT) for single gene disorders in IVF
  • genetic disorders and the importance of carrier screening before IVF
  • the option to test embryos for specific mutations
  • PGT Sr. is preimplantation genetic testing for structural rearrangement, which requires knowing what to look for before testing embryos

[10.23] Balanced translocations and their impact on pregnancy

  • what are balanced translocations and what is their effect on fertility
  • what are your management options
  • testing embryos for chromosome content to reduce miscarriage risk

[15:58] Genetic testing for embryos during IVF

  • preimplantation genetic testing for aneuploidy (PGT-A)
  • the risk of chromosomal abnormalities
  • what are your options when the results come in

[21:58] Karyotype test for people having recurrent pregnancy loss

  • this week’s fertility story: couple with 10 miscarriages
  • both partners should test for a balanced translocation with a karyotype test
  • the importance of seeking a second medical opinion and not giving up hope on fertility treatments

Resources mentioned:

ASRM Committee Opinion of Preimplantation Genetic Testing for Monogenic Conditions

ACOG summary of Preimplantation Testing

ACOG FAQ’s about Genetic Carrier Screening

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Infertility advocate and health enthusiast Adelaide White is an invaluable source of light and hope to so many on TikTok and Instagram, Dr. Shahine included.

In this episode, the tables are flipped as Adelaide interviews Lora on All Things Fertility Journey, from the educational journey of a reproductive endocrinologist to the differences among the fertility treatment choices to the many causes of infertility to the heartbreak of recurrent pregnancy loss.

Through it all, one message is clear: infertility and pregnancy loss are not your fault. Culturally, we have such a tendency to blame infertility on the partner who plans to carry the pregnancy, and that’s both wholly inaccurate and hugely unhelpful. Shame and guilt have no place in this process, and that’s why podcasts like Adelaide’s and Dr. Shahine’s exist, so please share widely to spread the word.

In this episode you’ll hear:

[0:00] Fertility treatments with a reproductive endocrinologist — what to expect

[8:43] Fertility success rates with IVF

[14:16] Fertility treatments and hormone levels

[19:12] Fertility treatment options and miscarriage risk

[22:51] Miscarriage causes, egg retrieval pain, and IVF success and why recurrent pregnancy loss is not your fault

[28:06] Fertility treatments and when to seek medical help: is one year enough?

[33:30] Fertility treatment options and why advocating for oneself is so important

[40:40] Infertility and its impact on various cultures, races, and socio-economic groups

[43:37] The fertility journey and advocacy

Resources mentioned:

Adelaide’s podcast The Waiting Room: podcasts.apple.com/us/podcast/the-waiting-room/id1588061814

Adelaide’s Instagram: www.instagram.com/adelaide_awhite/?hl=en

Dr. Shahine’s books, including Not Broken: drlorashahine.com/books

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Those undergoing IVF sometimes hear they shouldn’t exercise or they might put the process at risk. However, we know a sedentary lifestyle isn’t healthy for your fertility either.

For many, exercise doesn’t just keep their bodies healthy, it’s also critical to managing stress, aiding with sleep, and managing mental health — which can also impact fertility.

So how much exercise is too much when trying to conceive and in early pregnancy? In this episode, Dr. Shahine helps us understand the facts and decide what is right for your personal situation.

In this episode you’ll hear:

[00:00] Intro

[01:36] The controversy around exercise and fertility

[02:38] Reviewing the research

[04:01] Exercise during IVF – what’s the worry?

[07:50] Fertility Story: Exercise extremes, the stress of cutting back for many patients, and the Female Athlete Triad

[12:09] Outro

Resources mentioned:

Studies mentioned referenced in these blog posts by Dr. Shahine

My Recommendations on Exercise and Fertility

IVF and Fitness: What You Need to Know

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We considered posting this episode on New Year's Eve, when toasting in the New Year is likely to happen, rather than New Year's Day, when many celebrants are waking up to a sore head, a fuzzy tongue, and second thoughts about that third round of shots.

It's OK to celebrate — but alcohol is a tricky question when it comes to fertility. How much is too much?

In this episode you’ll hear:

[00:00] Intro

[2:20] Stopping alcohol in pregnancy message is out but what about while trying

[4:28] Research of female fertility and alcohol intake – studies resources listed below

[8:30] Research of male fertility and alcohol – studies and resources listed below

[10:44] Recap of the evidence for reproductive health

[11:23] What I tell my patients about alcohol and fertility

[14:23] Fertility Story – alcohol and fertility

Resources mentioned:

Female reproductive health research:

Eggert, J et al. Effects of alcohol consumption on female fertility during an 18-year period Fert Ster 2004;81:379-383

https://www.sciencedirect.com/science/article/pii/S0015028203027171

Anwar MY, et al. The association between alcohol intake and fecundability during menstrual cycle phases. Hum Reprod 2021;36:2538-2538.

https://academic.oup.com/humrep/article/36/9/2538/6294415?login=false

Mikkelsen EM, et al. Alcohol consumption and fecundability: prospective Danish cohort study. BMJ 2016;354:i4262

https://www.bmj.com/content/354/bmj.i4262.long

Tolsrup JS, et al. Alcohol use as predictor for infertility in a representative population of Danish women. Acta Obstet Gynecol Scand. 2003 Aug;82(8):744-9. doi: 10.1034/j.1600-0412.2003.00164.x.

https://pubmed.ncbi.nlm.nih.gov/12848646/

What does ASRM say?

In their Optimizing Natural Fertility Practice Committee Guideline:

https://www.asrm.org/globalassets/asrm/asrm-content/news-and-publications/practice-guidelines/for-non-members/optimizing_natural_fertility.pdf

Male reproductive health research:

Finelli R, et al. Impact of Alcohol Consumption on Male Fertility Potential: A Narrative Review. Int J Environ Res Public Health. 2022 Jan; 19(1): 328.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8751073/

Hassan M, et al. Negative lifestyle is associated with a significant reduction in fecundity. Fert Ster 2004; 384-392.

https://www.sciencedirect.com/science/article/pii/S0015028203028462

What does ASRM say?

In their Optimizing Natural Fertility Practice Committee Guideline:

https://www.asrm.org/globalassets/asrm/asrm-content/news-and-publications/practice-guidelines/for-non-members/optimizing_natural_fertility.pdf

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If you’ve ever wondered where Dr. Shahine gets her ferocity from, well, meet Charlene.

Inspired by Julia Louis-Dreyfus’s Wiser Than Me podcast, Dr. Shahine interviews a woman she truly admires: her mother, Charlene Kelly Ewing.

Despite being “all of 5 feet,” according to daughter Lora, Charlene meets every challenge head-on and, at age 79, still pushes herself to do what she’s afraid of.

The diminutive Southern belle may have a soft voice, but Dr Shahine knows to listen: her mom has been a guiding force as well as her daughter’s biggest cheerleader.

Whether she’s impressed by her daughter’s ability to watch gnarly medical procedures and still eat pizza, or her drive to help others through not only health care but also health education, Charlene Ewing is as inspired by her daughter as her daughter is by her mom.

Have a listen, then give yourself the gift of talking with a woman you admire.

Happy holidays from Baby or Bust!

In this episode you’ll hear:

[00:00] Intro and Why Dr. Shahine admires her Mom

[05:02]2 Mom shares Dr. Shahine’s inspiration to be a physician and why she didn’t think it would really happen

[10:23] Family Fertility Stories – What we share and don’t share and what it means – Mom’s fertility, endometriosis and period struggles

[16:02] Secondary infertility and the fear of having kids born far apart in age

[19:42] On balancing work and motherhood – Why Mom worked and how she modeled independence

[25:00] Leading with curiosity

[25:34] Outro

Resources mentioned:

Wiser Than Me podcast: https://podcasts.apple.com/us/podcast/wiser-than-me-with-julia-louis-dreyfus/id1678559416

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“Why didn’t I know all this already?”

  • Pretty much everyone who reads Toni Weschler’s book

The stigma around women’s reproductive systems isn’t just an inconvenience, it removes a critical way women get insight into their bodies and health overall: period power.

The menstrual cycle tells us a whole lot more than if we’re pregnant or not, or menopausal or not, says author Toni Weschler. Her seminal (oh, the irony of that adjective!) work, Taking Charge of Your Fertility, is all about understanding and taking charge of your reproductive health and being “cycle savvy.”

In this episode, Dr. Lora Shahine and Toni Weschler talk about the origin of this amazing work. (Hint: it has to do with women being really angry.) And despite the title, it’s not all about helping people who are hoping to become pregnant. It’s about, says the author, “teaching women on a day-to-day basis what is going on with their body on that day” and taking advantage of all the insights into your health charting your cycle can give you.

In this episode you’ll hear:

[00:00] Intro

[02:26] What is ‘Taking Charge of Your Fertility’ and why Toni ‘hates’ the title

[04:44] Toni’s inspiration to write the book

[09:50] The difference between the rhythm method and fertility awareness

[11:22] The 3 signs of fertility explained

[14:56] What the menstrual cycle can teach you about your health

[18:51] Being a pioneer: How did Toni research for her book in 1990s?

[26:31] The difficult process of pitching the book – lesson in rejection from Toni

[36:30] The challenges of writing the book – Toni fought for her vision

Fertility Story:

[41:21] Toni’s ‘Birth Announcement’

[42:23] The responsibility of ‘Taking Charge of Your Fertility’ and what inspires Toni

[44:42] Instagram Questions:

  • Nikki: Is there another edition? Yes! 30th anniversary edition out in 2025
  • Alexa: What fertility or period apps does Toni recommend?
  • Claudia: How can teens learn about their cycles?

[53:12] Final thoughts: Advocate for Your Care

Resources mentioned:

Toni’s website: www.tcoyf.com

Taking Charge of Your Fertility the book: www.tcoyf.com/taking-charge-of-your-fertility

Toni’s Cycle Savvy Smart Teen’s Guide to Her Body: www.cyclesavvy.com

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No two fertility journeys are alike, but Tara Lipinski’s experience is perhaps even more unique than most. The champion, gold-medal-ice-skater-turned-sports-analyst was 35 and still not necessarily ready to start building her family. So she decided to put her options “on ice” — literally preserving eggs and/or embryos until she and her husband Todd were ready.

However, the process turned out to be more complicated than it appeared when a diagnosis of endometriosis sent them down a different path.

What followed was two surgeries, four miscarriages, six failed transfers, and five years of treatment, hope, and heartbreak.

Spoiler alert: perfect Georgie was born in 2023, so there is a happy ending, but the picture on Instagram of Tara, curled up on her couch, heart-broken and clutching pregnancy tests, sent waves through the fertility community. Here was a very public figure speaking very publicly about her struggles to build her family.

Please listen and share to help us continue the conversation.

In this episode you’ll hear:

[00:00] Intro

[07:74] Why Tara and Todd shared their story on their Unexpecting podcast

[13:19] How did Tara’s athletic career prepare her and NOT prepare her for infertility

[19:51] Reflecting on relationships through infertility, men vs. women on coping

[30:02]When to share and not share the fertility journey

[34:53] When we are surprised by infertility

[38:01] Misconceptions and reality about surrogacy

[46:12] Instagram Questions

Amanda: Did you and Todd ever consider giving up?

Marena: How did you and Todd keep going?

Dana: Advice to someone who is struggling with infertility?

[55:21] Outro and Finding Tara and her podcast

Resources mentioned:

Tara on Instagram: @taralipinski

Tara Lipinski: taralipinski.com

Tara Lipinski: Unexpecting Tara and Todd’s podcast

Babyquest Foundation Fertility Grants: babyquestfoundation.org

Sunfish financial solutions for fertility treatment:joinsunfish.com

Stay Up to Date in Fertility News and Events: Weekly Newsletter

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The good news: IUIs can work! Intrauterine insemination (sometimes laughingly referred to as “the turkey baster method”), or IUI, can help overcome issues like low sperm count or low sperm motility by getting sperm closer to where it needs to be around the time of ovulation.

This method of dealing with infertility is also less expensive and much less invasive for the person hoping to carry the pregnancy. It can also be a great method if you’re planning on using donor sperm.

The harder news to hear: it may not work the first time.

That said, there are things you can do to increase your chances of a successful IUI, and in this episode of Baby or Bust, Dr. Shahine goes into your many options, both medical and behavioral.

In this episode you’ll hear:

[00:00] Intro to the Episode

[01:27] IUI review – what it is, how it works, how is it different from IVF

[04:31] Tips BEFORE you do your first IUI

Tip #1 Get testing before you start

Tip #2 Review your family goals with your doctor

Tip #3 Make a long-term plan – how many IUIs?

[06:10] 5 Tips for Success with IUIs

[06:10] Tip # 1 Medications used with IUIs

[07:25] Tip #2 Monitoring with IUI cycle: OPK vs. Ultrasounds

[08:33] Tip#3 Use of Trigger Shots for timing IUI

[09:11] Tip#4 Optimize sperm counts for IUI to improve success

[10:15] Tip #5 Optimize overall health to improve success with IUI

[11:43] Chances of Success with IUI

[12:33] Fertility Story for the week – An indication for IUI that you may not have heard of before

[15:37] Summary and Outro

Resources mentioned:

Drlorashahine.com

hello@drlorashahine.com

Tips for Timing Trying: Dr. Shahine’s video on Baby-Making Tips

Tips for Ovulation: Dr. Shahine’s video on How to Know When You are Ovulating

Stay Up to Date in Fertility News and Events: Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

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Ep 47: Weight and Fertility: Optimizing Heath NOT Restriction and Shame with Dr. Stephanie Fein

Weight loss for fertility is controversial and complicated, and to be perfectly honest, more research is needed to fully understand the link between body weight and fertility. Whatever studies find, weight loss for fertility should never involve shaming or guilt.

In this episode, Dr. Shahine talks weight and fertility with Stephanie Fein, MD. Dr. Fein started in social psychology, then moved to Internal Medicine, where she completed a residency program. She then went on to obtain a Masters in Public Health.

All of these skills came together when Dr. Fein was moonlighting at a weight-loss clinic while doing her residency; a conference on weight and fertility solidified her decision to move into helping people optimize their fertility with weight loss.

What does the research really show?

Perhaps most important to understand, no two bodies are the same, and many of the numbers and other information you’ll hear on the Internet (and maybe even from your doctor), won’t apply for all.

In this episode you’ll hear:

Time Stamps

[00:00-03:18] Intro to the show and Dr. Stephanie Fein

[03:19-07:27] Dr. Fein’s inspiration from medical doctor to Weight Loss for Fertility

[07:28-16:43] Research on weight and fertility – Why BMI as a marker?

[11:32-15:33] Obesity, reproductive health and Insulin, visceral fat, and hormones

[15:34-16:43] PCOS and inflammation

[16:44:19:15] Realistic weight loss expectations and sustainability

[19:16-26:27] Why people overeat – changing your relationship with food

[26:28-30:13] Dr. Fein’s advice on how to talk to your doctor about weight

Dr. Fein answers Questions from Instagram Community Follow @drlorashahie

[30:20]- Trish asks “How does gastric bypass impact fertility and pregnancy”

[31:20]- Sara asks “Can I use Ozempic or Wegovy while trying to conceive?”

[38:14]-Samantha asks “Is it ok to try to lose weight while trying to conceive?”

[36:00-38:14] Summary and finding Dr. Stephanie Fein

If you want information about weight loss and possible impacts on fertility, you can find Dr. Fein on her website: stephaniefeinmd.com

Resources mentioned:

Podcast ‘Weight Loss for Fertility with Dr. Stephanie Fein’: stephaniefeinmd.com/podcasts/weight-loss-for-fertility

Stay Up to Date in Fertility News and Events: Weekly Newsletter

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Holiday events can mean facing some awkward questions about family building - are you ready?

“So, when are you having another?” “You had a baby? It’s about time!” “When are you going to make your mom a grandma?” “Baby weight, huh?” “Should you be drinking that when you’re breastfeeding?” UGH.

Holiday conversations — especially when alcohol and holiday conviviality reduces people’s inhibitions — can be kind of awful. So this year, please put yourself first. Dr. Shahine has some great tips on how you can do that.

From finding an ally (hint: it doesn’t have to be your partner, who is likely fighting their own conversational battles) to designing conversational strategies from polite deflection to well-deserved zingers, being prepared in advance can really help in the moment.

In this episode you’ll hear:

[00:00] Intro to Baby or Bust and Episode on Holidays with Infertility

[01:26] Intro Tips for Surviving and Thriving Thanksgiving with Infertility

[02:05] Tip #1 Don’t Go

[03:06] Tip#2 Find Your Ally

[04:38] Tip#3 Plan Your Answers to Awkward Fertility Conversations

[06:02] Tips#4 Plan an Exit Strategy

[06:33] Tip#5 Plan Self Care and Recharge

[07:51] Fertility Story: My First Holiday Season with a Baby after struggling with Infertility – the awkward fertility conversations continued

[09:51] Outro and thank you

Learn more from Dr. Shahine www.drlorashahine.com

Send your fertility stories, topics you’d like to learn about, and people you want Dr. Shahine to interview to hello@drlorashahine.com.

Stay Up to Date in Fertility News and Events: Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

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In this episode, Dr. Shahine explores the benefits and research supporting Yoga for Fertility with master instructor and author of the first book on the subject, Lynn Jensen.

People on fertility journeys often say they feel like their bodies don’t belong to them anymore. Between the tests and the treatments and the theories, it’s easy to see how people can feel disconnected physically and emotionally.

Lynn Jensen’s Yoga for Fertility classes helps heal bodies AND minds. Lynn has a specialization in yoga for the fertility journey, so her students can trust that they’re maximizing their physical and emotional wellness.

Lynn is a Registered Yoga Teacher through the Yoga Alliance and a Certified Yoga Therapist through the International Association of Yoga Therapists since 2013.

Not only does Lynn have highly specialized training, she’s been through the journey herself. Her classes often turn into impromptu counseling sessions, and her students make lifelong bonds with her and each other.

In this podcast, Lynn and Dr Shahine talk about the many ways yoga heals and strengthens the body for fertility and the mind for the challenges of the journey.

Find Lynn and sign up for classes at her website, https://yogaforfertility.net/.

In this episode you’ll hear:

[00:00] Intro to Episode 45

[03:23] Lynn’s Fertility Story and Origins of Yoga for Fertility

[08:46] What Makes Yoga for Fertility Different from Other Practices?

[10:30 Chakra system and relation to hormones

[11:21] Dr. Shahine describes a class she took with Lynn

[12:28] Yoga poses changing through the menstrual cycle

[13:41] Lynn’s favorite pose during the two week wait

[14:48] The research that supports the benefits of Yoga for Fertility

[21:03] Lynn’s advice on exercise during fertility treatment like IVF

[25:37] Lynn describes a typical class

[28:39] Lynn guides Dr. Shahine through a breathing exercise

Questions from Instagram @drlorashahine:

[33:10] Sandy: Is it ok to do yoga during an IVF cycle?

[33:28] Katrina: Who are your classes for? Egg freezing? Couples?

[35:18] Anne: Can yoga help patients with miscarriage?

[37:19] How to find a certified yoga for fertility instructor?

[38:29] Tribute to Lynn from a former student

[39:11] How to find Lynn and Yoga for Fertility: https://yogaforfertility.net/instructor/

Resources mentioned in the show:

Domar A, et al. Impact of group psychological interventions on pregnancy rates in infertile women Fertil Steril 2000 Apr;73(4):805-11. doi: 10.1016/s0015-0282(99)00493-8.

Dumbala et al 2020. Effect of Yoga on Psychological Distress among Women Receiving Treatment for Infertility. https://pubmed.ncbi.nlm.nih.gov/32669765/

Thakur 2021. Effect of yoga on polycystic ovarian syndrome: A systematic review.

https://pubmed.ncbi.nlm.nih.gov/?term=yoga+and+fertility&filter=simsearch1.fha

Yoga Can Improve Assisted Reproduction Technology Outcomes in Couples With Infertility. https://pubmed.ncbi.nlm.nih.gov/29112941/

Return to Zero: HOPE Kiley Hannish. Support for miscarriage, recurrent pregnancy loss, stillbirth: https://rtzhope.org/

Stay Up to Date in Fertility News and Events: Weekly Newsletter

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It’s easier to be shocked by the story The Retrievals podcast reports and moves on but extremely important to reflect on why it happened in order to prevent history repeating itself (again).

For months, a nurse at a Fertility Center in the United States replaced the pain reliever fentanyl with normal saline, taking the fentenyl for her own use, but left women undergoing egg retrievals without pain relief.

Patients in pain for a procedure is horrible enough, but it’s extremely disturbing that the women who tried to report and question what happened felt like their concerns were ignored.

In this episode of Baby or Bust, Dr. Lora Shahine takes us through what an egg retrieval process should be like and is like, the majority of the time. Dr. Shahine also explores the history of women and the medical community and why women so often have to advocate for themselves to get even a minimum of care. She leaves with tips on how to advocate for yourself so you receive the attention and care you deserve.

Listen and share!

Take a moment to follow the show and leave a review wherever you listen to podcasts!

What you’ll hear in this episode:

[00:00] Intro to Episode: The Gender Bias in Medicine

[00:37] Intro to Baby or Bust and thank to our sponsor Seattle Sperm Bank

[01:12] Intro to the Retrievals Podcast by the New York Times and Serial Network: The Story

[04:38] What is pain control supposed to be like for a retrieval?

[04:43] Fentanyl: What is it and What does it do?

[05:12] Midazolam (Versed): What is it and What does it do?

[10:22] What pain control is like at my clinic PNWF in Seattle

[10:40] Propofol: What is it and Why is it different?

[12:15] Dr. Shahine describes her own experience with her egg retrieval

[12:52] Why did this happen? Why is it common for women to feel dismissed in medicine?

[14:43] The gender bias in medicine – pain, endometriosis, and more

[16:15] The book Doing Harm by Maya Dusenbery

[17:02] The knowledge gap – women excluded from medical trials, lack of teaching women’s health in medical training, lack of investment in research into diseases that mainly impact women

[18:30] The trust gap: doctors not trusting women’s description of symptoms

[19:25] What can be done to change this?

[20:10] Learning how to advocate for YOUR care: Tips for you from Dr. Shahine

[22:31] Recap

[23:46] Fertility Story of the Week: The patient that told Dr. Shahine about the Retrievals Podcast

[25:53] Resources and thank you

Resources mentioned:

Retrievals article in New York Times

The Retrievals podcast on Apple

Stay Up to Date in Fertility News and Events: Weekly Newsletter

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Ovarian Hyperstimulation Syndrome (OHSS) is one of the scariest risk factors of IVF, but it doesn’t have to be. With preparation, treatment choices, and prevention, you can avoid this uncomfortable and potentially dangerous risk factor from ovarian stimulation.

To maximize the number of eggs retrieved for IVF and egg freezing, fertility treatment involves stimulating the ovaries to mature more eggs. A higher egg number can often predict a higher success rate with treatment, but a side effect can be significant fluid shifts and bloating also known as OHSS.

When OHSS occurs, it can be mild, moderate, or severe, with symptoms ranging from discomfort and bloating to significant dehydration, shortness of breath, nausea, and even hospitalization for recovery.

In this episode, Dr. Shahine does a deep dive into OHSS.

You'll learn

  1. What OHSS is
  2. Why OHSS happens and Who is at risk
  3. Ways to prevent OHSS
  4. Ways to treat symptoms if it occurs so you have a speedy recovery

This week’s fertility story is about an OHSS patient Dr. Shahine will never forget from her training. It’s a reminder to never to ignore your care team’s instructions.

In this episode you'll hear:

[00:00] Intro: What is OHSS and why is it scary?

[01:07] My experience caring for patients with OHSS over the years

[02:13] OHSS Definition, Classification

[05:29] Physiology of OHSS – Why does it happen?

[07:12] Risk factors for OHSS – Who is at risk?

[09:41] Treatment options to prevent and recover quickly from OHSS

[09:55] Prevention of OHSS

  • What to know before you start stimulation
  • Choosing a protocol and medications to add to decrease risk
  • Metformin, trigger shot, cabergoline, and more

[21:47] Treatment if OHSS happens

  • How to recover faster
  • Increasing electrolytes and protein at home,
  • When do you need IV fluids or hospitalization to recover (rarely)

[25:58] Fertility story of Dr. Shahine’s Patient: Warning of the dangers of OHSS

[31:51] Outro and thank you

Resources mentioned:

Try LMNT daily during your stimulation process to increase electrolyte intake and decrease the symptoms of bloating during IVF and egg freezing. Mix one packet in 40 ounces of water and sip throughout the day.

LMNT has sodium and potassium to help decrease bloating as well as magnesium to prevent constipation (common after egg retrieval)

Using this link: drinklmnt.com/DrShahine or code DrShahine at checkout to get a sample pack of all flavors with your first purchase.

Dr. Shahine’s YouTube Videos on OHSS

Mastering OHSS Prevention

OHSS is the Biggest Risk Factor for IVF: What you need to know

Stay Up to Date in Fertility News and Events: Weekly Newsletter

Follow @drlorashahine

Instagram | YouTube | Tiktok | Her Books

Studies mentioned in podcast

Who is at risk of OHSS?

  1. Younger age: One study showed 60% of women who got OHSS were less than 35 yo
    • https://academic.oup.com/ajhp/article-abstract/65/12/1148/5127940?redirectedFrom=fulltext
  2. Lower BMI: Some studies show a higher risk of OHSS if BMI 5 https://www.sciencedirect.com/science/article/abs/pii/S0002937814001689
  3. Antral Follicle count >24 https://www.sciencedirect.com/science/article/abs/pii/S0015028212005961
  4. For more information on ovarian reserve testing see my video: https://youtu.be/bYJWXIY6GHg
  5. Patients with PCOS often have a high AMH and high AFC – if you’re diagnosed with PCOS – ask about OHSS risk in IVF
  6. A high response to stimulation in the IVF cycle can predict risk of OHSS
    • Estradiol levels at time of trigger >3500 pg/mL: https://pubmed.ncbi.nlm.nih.gov/12773437/
    • More than 20 follicles https://www.tandfonline.com/doi/full/10.1080/14647270601021743
    • More than 15 eggs retrieved https://www.sciencedirect.com/science/article/pii/S0015028213034584

Aspirin and OHSS: https://www.sciencedirect.com/science/article/pii/S0015028209001320

Metformin and OHSS: https://academic.oup.com/humrep/article/26/8/2178/645906

Trigger shot and OHSS: https://www.sciencedirect.com/science/article/abs/pii/S1472648310602003

Cabergoline and OHSS: https://academic.oup.com/jcem/article/92/8/2931/2597480

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Like our own expert Siri, Leslie Schrock should be available on-demand for anyone who’s struggling with fertility.

And she can be! With two books and now on an episode of Baby or Bust, everyone can access her informed and sensitive approach to miscarriage, medically necessary abortion, and other fertility challenges.

Leslie Schrock is an author, entrepreneur, and angel investor who has been involved in health and fertility for pretty much her entire working life. Her first book, Bumpin': The Modern Guide to Pregnancy mixes clinical research with practical advice for working families. Her second book, Fertility Rules, does the same for fertility.

After working in advertising for many years, Leslie helped found and grow Rock Health, a digital health startup incubator and venture fund and was named one of the Most Creative People in Business by Fast Company.

In this episode you'll hear:

[00:00:] Intro

[00:37:] Baby or Bust Intro and Thank you to sponsors

[01:10:] Intro for Episode: Learn more about author, Leslie Schrock

[02:23:] Episode starts — How Dr. Shahine found Leslie’s books and what was different about ‘Bumpin’ and ‘Fertility Rules’

[04:54]: Leslie’s fertility story — expectations crashed, recurrent pregnancy loss, terminating a highly desired pregnancy, a tough pregnancy and delivery, and more

[09:18:] What’s different about Leslie’s writing and her motivation – giving facts without fear, allowing all the feelings and frustrations without shame and guilt

Busting fertility myths with Leslie Schrock

[16:34:] Myth #1 “Fertility is a Woman’s Problem” The role of men in reproduction — “Men need a seat at the fertility table!”

[24:00:] Myth #2 “Supplements Cure Infertility” — What you need and don’t need while trying to conceive and how to find what’s safe

[27:21:] Myth #3 “We Always Know the Cause of Miscarriage” — The patients with easy conception but miscarriage experience a different kind of infertility. Is it really just “bad luck”?

[32:46:] The Hope Trial at Stanford — enroll to learn more about genetics and recurrent miscarriage

[34:50: Myth] #4 “Abortion is NOT healthcare” — Sometimes abortion is not a choice. Terminating a highly desired pregnancy for a lethal anomaly was a heartbreaking experience for Leslie

[39:25]: Learn about the non-profit Doctors for Fertility

[39:43]: Myth #5 “Once you have a baby, no more infertility” — Secondary infertility impacted both Dr. Shahine and Leslie

[42:45:] Wrapping up and thank you

Resources mentioned:

leslieschrock.com

Bumpin' by Leslie Schrock

Fertility Rules by Leslie Schrock

doctorsforfertility.com

Stay Up to Date in Fertility News and Events: Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

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Baby or Bust is back - better than ever.

After a little break, your podcast about all things fertility is back. Same host, Dr. Lora Shahine, same goals to educate and support the fertility community but new format and new production team. We’re moving away from seasons and delivering weekly content. We listened to your feedback and will continue interviews but adding episodes with in-depth education from Dr. Shahine on certain topics.

Send us topics you’d like to learn about and interview suggestions to hello@drlorashahine.com

In this episode, we answer the question: How does a sperm bank work with donors to meet the needs of patients?

Host Dr. Lora Shahine interviews Angelo Allard, the General Supervisor at Seattle Sperm Bank (SSB) — one of the largest and most respected sperm banks in the country. For almost 15 years, Angelo has been working with patients to find the right donors and build happy, healthy families.

Angelo explains in-depth every step of the process, from how SSB vets and approves donors, through the regulation and oversight of sperm banks and how SSB supports recipients in choosing their donor, to how much gametes cost, and even how you can return unused vials.

Angelo also answers listeners' questions, so if you still have unanswered questions after the episode, be sure to connect with Dr. Shahine or the Seattle Sperm Bank for answers!

In this episode you'll hear:

[0:00-03:28] Intro

[03:29-4:54] Angelo’s role at Seattle Sperm Bank

[04:55-11:54] Can anyone donate? Learn how donors are screened

[11:55-14:27] Are sperm counts really falling around the world? Angelo says "Yes."

[14:28-16:50] Are sperm banks regulated? Learn about lab and sperm bank oversight.

[16:51-26:18 ]How do recipients choose a donor? What do they learn about the donor? Photos?

[26:18-30:02] How do you know what type of sperm preparation to buy? Learn about the different labels and preparation.

[30:03-30:21] How much does donor sperm cost?

[30:22-32:55] How many vials of donor sperm should someone buy?

[32:56-33:22] Can you return donor sperm you don’t use?

[33:23-36:17] Can a donor truly be anonymous?

[36:18-39:01] How many children can a donor have from donation?

Questions from Instagram:

[39:02- 40:16] How do you appeal to different races and ethnicities to donate?

[40:17-42:03] Any impact on sperm banks or use of donor sperm after overturn of Roe v Wade?

[42:04-44:02] How do recipients learn about any new health information on donors in the future?

[44:03-48:16] Angelo’s memorable and inspirational patient story

[48:17-49:55] Outro

Stay Up to Date in Fertility News and Events: Weekly Newsletter

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Since Roe v. Wade was overturned, reproductive rights have been called into question—including IVF. On this episode of Baby or Bust, our host Dr. Lora Shahine meets with Chris Charbonneau, the longest-serving CEO of Planned Parenthood and host of the Fall of Roe podcast, for her take on what's coming.

Roe v. Wade is about much more than elective abortion, and this timely episode breaks down the national implication for American residents. Chris shares her wisdom on the anti-choice movement, the misunderstandings about abortions, the power of words, and why fertilized embryos for IVF may also be at risk.

Connect with Dr. Lora Shahine on social media.

Tik Tok | Instagram | Twitter | YouTube | LinkedIn

This episode of Baby Or Bust is produced by Mark Ramsey, Jaime Solis, and Greg Moga and executive produced by Paul Anderson and Nick Panella for Workhouse Media. Baby Or Bust is produced in partnership with the Seattle Sperm Bank.

Advertising Inquiries: info@audiotocracy.com

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If you're struggling with infertility, you'll often try anything to get that family you desire—including acupuncture. Dr. Lee Hullender Rubin, an internationally recognized and award-winning doctor of acupuncture, meets with host Dr. Lora Shahine to dispel myths and share truths about Eastern Medicine and fertility.

With over 30 peer-reviewed research publications about acupuncture and fertility, Dr. Lee Hullender Rubin is a true master of the craft. In this episode, she teaches about the Eastern Medicine approach to fertility care, including lifestyle modifications, herbs, and acupuncture, along with the science behind this approach.

Connect with Dr. Lora Shahine on social media.

Tik Tok | Instagram | Twitter | YouTube | LinkedIn

This episode of Baby Or Bust is produced by Mark Ramsey, Jaime Solis, and Greg Moga and executive produced by Paul Anderson and Nick Panella for Workhouse Media. Baby Or Bust is produced in partnership with the Seattle Sperm Bank.

Advertising Inquiries: info@audiotocracy.com

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There's a movement of single women creating families by choice—and today's guest is a leading voice on the topic. Host and reproductive endocrinologist Lora Shahine is joined by Mikki Morrissette, author of Choosing Single Motherhood and founder of the online resource Choice Mom.

As a single mom by choice, Mikki is deeply familiar with the unique fulfillments and challenges of starting a family solo. In this episode, she details the financial considerations and career implications of becoming a choice mom, discusses finding a sperm donor, shares benefits of being a single mom by choice, and more. This episode

Connect with Dr. Lora Shahine on social media.

Tik Tok | Instagram | Twitter | YouTube | LinkedIn

This episode of Baby Or Bust is produced by Mark Ramsey, Jaime Solis, and Greg Moga and executive produced by Paul Anderson and Nick Panella for Workhouse Media. Baby Or Bust is produced in partnership with the Seattle Sperm Bank.

Advertising Inquiries: info@audiotocracy.com

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When you're used to checking off boxes for life's milestones—college, husband, career, friends—infertility can be a tough pill to swallow. In this episode, our Baby or Bust guest Brett Russo dishes the details behind her memoir The Underwear in My Shoe: My Journey through IVF, Unfiltered with host Dr. Lora Shahine.

While there are many infertility memoirs out there, Brett's story takes honesty to a whole new level. In this episode, she details starting pregnancy in her late 30s, witnessing friends get easily pregnant, going through IUI, experiencing IVF, grief, and what she would change if she could do it all over again.

Connect with Dr. Lora Shahine on social media.

Tik Tok | Instagram | Twitter | YouTube | LinkedIn

This episode of Baby Or Bust is produced by Mark Ramsey, Jaime Solis, and Greg Moga and executive produced by Paul Anderson and Nick Panella for Workhouse Media. Baby Or Bust is produced in partnership with the Seattle Sperm Bank.

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You are what you eat, but you can also be what you apply and breathe. In this episode of Baby or Bust, environmental research scientist Dr. Lariah Edwards shares her findings on the latest research about toxins and reproductive health with our host Dr. Lora Shahine.

As a research scientist in the Department of Health Science at Columbia University and alumna of the Agents of Change in Environmental Justice Fellowship, Dr. Edwards is an expert in hormone-altering chemicals. Together with Dr. Shahine, she shares where we can find toxins, the impact on fertility, how chemical regulation works, and where to start with reducing exposure.

Connect with Dr. Lora Shahine on social media.

Tik Tok | Instagram | Twitter | YouTube | LinkedIn

This episode of Baby Or Bust is produced by Mark Ramsey, Jaime Solis, and Greg Moga and executive produced by Paul Anderson and Nick Panella for Workhouse Media. Baby Or Bust is produced in partnership with the Seattle Sperm Bank.

Advertising Inquiries: info@audiotocracy.com

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On July 25, 1978, family building changed forever when the world's first IVF baby was born. On today's episode of Baby or Bust, our host and reproductive endocrinologist Dr. Lora Shahine meets with now-adult Louise Brown to discuss her experience as a living symbol of the powers of fertility medicine.

Over 10 million babies have been born through in vitro fertilization worldwide, and Louise Brown was the first. She shares her parents' journey of choosing IVF, questions she got from friends growing up, and how she advocates for IVF.

Connect with Dr. Lora Shahine on social media.

Tik Tok | Instagram | Twitter | YouTube | LinkedIn

This episode of Baby Or Bust is produced by Mark Ramsey, Jaime Solis, and Greg Moga and executive produced by Paul Anderson and Nick Panella for Workhouse Media. Baby Or Bust is produced in partnership with the Seattle Sperm Bank.

Advertising Inquiries: info@audiotocracy.com

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Miscarriage is common, but many feel alone and unsupported as they process their loss. On today's Brand Therapy episode, host and reproductive endocrinologist Dr. Lora Shahine meets with Arden Cartrette, The Miscarriage Doula, to discuss grief, support systems, miscarriage doulas, and pregnancy loss.

A certified birth and bereavement doula, Arden established an online community and team of doulas to help bring empathetic support to people who have experienced miscarriages. As someone who's experienced infertility and recurrent pregnancy loss, Arden shares how people process miscarriage, the risks of toxic positivity, pregnancy after miscarriage, triggers, and the benefits of a miscarriage doula.

Connect with Dr. Lora Shahine on social media.

Tik Tok | Instagram | Twitter | YouTube | LinkedIn

This episode of Baby Or Bust is produced by Mark Ramsey, Jaime Solis, and Greg Moga and executive produced by Paul Anderson and Nick Panella for Workhouse Media. Baby Or Bust is produced in partnership with the Seattle Sperm Bank.

Advertising Inquiries: info@audiotocracy.com

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When you have a child and are ready to have another, secondary infertility can be confusing and devastating. Baby or Bust host and reproductive endocrinologist Dr. Lora Shahine meets with Alison Prato, a journalist, podcaster, and co-founder of Fertility Rally, to discuss the misconceptions and experiences of secondary infertility.

Alison got pregnant with her first child at 34 without reproductive assistance, and she never expected to have struggles getting pregnant with her second. After experiencing multiple pregnancy losses, she was diagnosed with secondary infertility, which changed her life forever. This episode explores the pressure of creating a sibling, grief about changed family plans, assumptions about fertility, and recommendations for advocating for your care.

Connect with Dr. Lora Shahine on social media.

Tik Tok | Instagram | Twitter | YouTube | LinkedIn

This episode of Baby Or Bust is produced by Mark Ramsey, Jaime Solis, and Greg Moga and executive produced by Paul Anderson and Nick Panella for Workhouse Media. Baby Or Bust is produced in partnership with the Seattle Sperm Bank.

Advertising Inquiries: info@audiotocracy.com

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The two-week wait can be an agonizing time for hopeful parents. In this Baby or Bust episode, reproductive endocrinologists Dr. Lora Shahine and Dr. Temeka Zore discuss the science of early pregnancy, including the two-week wait, a positive pregnancy test, and first-trimester bleeding.

Whether you are trying for a baby with or without reproductive assistance, the two-week wait and early pregnancy can be overwhelming. Dr. Temeka Zore has valuable insights from helping patients during this time, and in this episode, she teaches the signs of implantation bleeding, early symptoms of pregnancy, progesterone's impact on menstruation, and why you can get false positives on home tests.

Connect with Dr. Lora Shahine on social media.

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This episode of Baby Or Bust is produced by Mark Ramsey, Jaime Solis, and Greg Moga and executive produced by Paul Anderson and Nick Panella for Workhouse Media. Baby Or Bust is produced in partnership with the Seattle Sperm Bank.

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Infertility can impact every part of your life—including your relationship with your partner. Baby or Bust host Dr. Lora Shahine meets with guest Chiemi Rajamahendran, an infertility and grief coach, to discuss the mental aspects of fertility, including sadness, anger, resentment, and shame.

Chiemi Rajamahendran supports individuals and couples worldwide who are facing infertility and loss, and in today's episode, she shares her techniques for grappling with the emotional rollercoaster of fertility. From acknowledging your emotions (positive and negative) to processing trauma to prioritizing communication to enjoying intimacy, this episode will help you show compassion for yourself, your partner, and your experiences.

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This episode of Baby Or Bust is produced by Mark Ramsey, Jaime Solis, and Greg Moga and executive produced by Paul Anderson and Nick Panella for Workhouse Media. Baby Or Bust is produced in partnership with the Seattle Sperm Bank.

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Fitness and fertility can be a confusing juggling act of myths, recommendations, and reality. In today's Baby or Bust episode, host and reproductive endocrinologist Dr. Lora Shahine meets with licensed physical therapist and Pilates teacher Jessica Valant to discuss her fertility journey and her fitness recommendations when you're trying to conceive.

Jessica is an open book during this episode, and she shares her endometriosis diagnosis, pregnancy journey, IVF experience with multiple failed cycles, and healing your body through movement. Lora and Jessica also discuss honoring fear, exercising during IVF and pregnancy, listening to your body, and busting common exercise myths. This episode will help you feel empowered to feel safe in your own body.

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This episode of Baby Or Bust is produced by Mark Ramsey, Jaime Solis, and Greg Moga and executive produced by Paul Anderson and Nick Panella for Workhouse Media. Baby Or Bust is produced in partnership with the Seattle Sperm Bank.

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We've come a long way in fertility education, but many individuals aren't aware of family-building options. Baby or Bust host Dr. Lora Shahine meets with guest Kellee Stewart (Hot Tub Time Machine, All American, Chicago Med) to discuss her fertility journey's trajectory from egg freezing to advocacy.

In this heartfelt and educational episode, Kellee shares how her lack of fertility knowledge kickstarted a lifelong commitment to fertility advocacy. She shares her perspective on egg freezing, educational lapses on reproductive health, systemic healthcare biases against Black women, and why she's determined to be a force for change. This episode is informative, fascinating, and deeply inspiring.

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This episode of Baby Or Bust is produced by Mark Ramsey, Jaime Solis, and Greg Moga and executive produced by Paul Anderson and Nick Panella for Workhouse Media. Baby Or Bust is produced in partnership with the Seattle Sperm Bank.

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It seems like the stigma of infertility is coming out of the shadows, but is that true for all communities? On today's Baby or Bust, host and reproductive endocrinologist Dr. Lora Shahine meets with Andrea Helton León (also known as @hotmessivfmom) to discuss the taboo of infertility in the Latinx community.

Andrea experienced eight recurrent pregnancy losses and felt isolated. Between her family and her Spanish congregation church community, no one acknowledged or discussed infertility. Andrea decided to share her fertility journey online publicly, and now, with a community of over 150k people, she's paving the way for meaningful infertility discourse in her culture. This episode is a gripping discussion about shame, community, IVF, and IUI⁠ through a Hispanic lens.

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This episode of Baby Or Bust is produced by Mark Ramsey, Jaime Solis, and Greg Moga and executive produced by Paul Anderson and Nick Panella for Workhouse Media. Baby Or Bust is produced in partnership with the Seattle Sperm Bank.

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Lights, camera, fertility. Today's Baby or Bust episode brings back season one guest, stand-up comedian, writer, and fertility advocate Jennifer "Jay" Palumbo to discuss the misrepresentations of infertility in celebrity news with reproductive endocrinologist and host Dr. Lora Shahine.

Fertility can be a lonely journey, and it doesn't help when headlines skip over important details. Our guest Jennifer "Jay" Palumbo drills down into the implications of fertility headlines in the news, including Kourtney Kardashian and IVF, Hilary Swank getting pregnant with twins at 48, Chrissy Teigen's pregnancy loss, and more.

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This episode of Baby Or Bust is produced by Mark Ramsey, Jaime Solis, and Greg Moga and executive produced by Paul Anderson and Nick Panella for Workhouse Media. Baby Or Bust is produced in partnership with the Seattle Sperm Bank.

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Infertility is both a physical and emotional struggle, and today's guest is an open book about hers. On this episode of Baby or Bust, our host Dr. Lora Shahine welcomes Sarah Herron, a three-time Bachelor contestant whose fertility journey coincided with a diagnosis of type two bipolar disorder.

This episode focuses on Sarah's experience caring for her mental health with infertility. She shares her many different diagnoses—endometriosis, infertility, bipolar disorder—and the way she supported herself while building her family.

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This episode of Baby Or Bust is produced by Mark Ramsey, Jaime Solis, and Greg Moga and executive produced by Paul Anderson and Nick Panella for Workhouse Media. Baby Or Bust is produced in partnership with the Seattle Sperm Bank.

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Many infertility journeys happen behind closed doors, but the new film "Conception" puts IVF in the spotlight. In this Baby or Bust episode, reproductive endocrinologist and host Dr. Lora Shahine meets with writer, producer, and director Tarun Verma to discuss the making of his film about infertility.

As a former pharmacist who was heavily involved in the fertility space, Tarun was inspired to create a story that followed a couple undergoing IVF. Now debuting his film "Conception," he shares the thoughtful considerations behind this project. Dr. Lora Shahine and Tarun discuss real-life moments that inspired the script, assembling a diverse cast, capturing the complexity of experiencing infertility, and where you can view the film.

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This episode of Baby Or Bust is produced by Mark Ramsey, Jaime Solis, and Greg Moga and executive produced by Paul Anderson and Nick Panella for Workhouse Media. Baby Or Bust is produced in partnership with the Seattle Sperm Bank.

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Two reproductive endocrinologists walk into a podcast recording... And the result is a fascinating discussion about egg freezing. In this episode, Dr. Lora Shahine meets with Dr. Aimee Eyvazzadeh (also known as "The Egg Whisperer") to articulate the controversies, misunderstandings, and opportunities with egg freezing.

As a leading voice in oocyte cryopreservation, Dr. Aimee has shaped public discourse around egg freezing through her wildly popular podcast and social media presence. She shares the ins and outs of egg freezing (Who should do this? What's the process? What should we know?) and why you might want to make this empowering choice.

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This episode of Baby Or Bust is produced by Mark Ramsey, Jaime Solis, and Greg Moga and executive produced by Paul Anderson and Nick Panella for Workhouse Media. Baby Or Bust is produced in partnership with the Seattle Sperm Bank.

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To many, getting pregnant can feel like a struggle, and today's guest transformed that struggle into strength. In this Baby or Bust episode, reproductive endocrinologist Dr. Lora Shahine meets with IVF advocate and entrepreneur Samantha Busch about everything she learned in her fertility journey.

Samantha knew she wanted to be a mom, but what she didn't expect was experiencing infertility at 25. To our host, Samantha shares her family-building journey with her husband, Kyle Busch, complete with PCOS, Clomid, IVF, surrogacy, and her journey towards advocacy.

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This episode of Baby Or Bust is produced by Mark Ramsey, Jaime Solis, and Greg Moga and executive produced by Paul Anderson and Nick Panella for Workhouse Media. Baby Or Bust is produced in partnership with the Seattle Sperm Bank.

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Reality TV has many ups and downs, and your fertility journey can often be the same. In this Baby or Bust episode, host and reproductive endocrinologist Dr. Lora Shahine meets with Golnesa "GG" Gharachedaghi for a frank discussion about her tumultuous journey toward motherhood—and no topic is off limits.

GG always knew she wanted to be a mother, but life seemingly had other plans. With Dr. Shahine, GG reflects on pregnancy loss, including an ectopic pregnancy, losing both fallopian tubes, using a sperm donor, utilizing IVF, and being a single mom by choice.

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This episode of Baby Or Bust is produced by Mark Ramsey, Jaime Solis, and Greg Moga and executive produced by Paul Anderson and Nick Panella for Workhouse Media. Baby Or Bust is produced in partnership with the Seattle Sperm Bank.

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Doing time in prison is one thing, but doing it during childbearing years can be a lifetime sentence of its own. In this gripping episode of Baby or Bust, Amanda Knox shares her experience of wrongfully losing her most fertile years in prison with our host Dr. Lora Shahine.

Since being in an Italian prison for four years and on trial for murder for another eight, Amanda Knox has used her platform to speak out about the fertility consequences on women in prison. In an honest discussion with host and reproductive endocrinologist Lora Shahine, Amanda shares her lifelong desire to be a mom, women's unique challenges of becoming mothers after prison, her grief with a miscarriage, trauma's impact on fertility, and more.

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This episode of Baby Or Bust is produced by Mark Ramsey, Jaime Solis, and Greg Moga and executive produced by Paul Anderson and Nick Panella for Workhouse Media. Baby Or Bust is produced in partnership with the Seattle Sperm Bank.

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We hope you enjoyed season one of Baby Or Bust as much as we enjoyed creating it for you! We are taking a little break to build an incredible season two for you, so please be sure to follow Dr. Shahine on social media to stay in the loop on everything ahead.

If you've enjoyed the show, please consider leaving us a review on Apple Podcasts, or wherever you listen to podcasts.

We'll be back soon and thank you so much for listening!

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Baby Or Bust is Produced by Mark Ramsey, Jaime Solis, and Greg Moga. Executive Produced by Nick Panella, and Andrew Greenwood for Workhouse Media. Baby Or Bust is a Mark Ramsey Media production.

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Fasten your seatbelts for a controversial⁠—and educational⁠—episode about COVID-19 and fertility. In this intimate episode, host and reproductive endocrinologist Dr. Lora Shahine provides an illuminating medical overview of the pandemic's impact on the fertility community.

This episode quells COVID-19 rumors and fears by deciphering studies about infections and vaccinations. Lora highlights the origins of misleading COVID-19 vaccine fears, addresses COVID-19's effect on menstrual cycles and fertility, and provides her take on risks associated with getting vaccinated. For a digestible analysis of COVID-19 and fertility data, listen to this episode.

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Baby Or Bust is Produced by Mark Ramsey, Jaime Solis, and Greg Moga. Executive Produced by Nick Panella, and Andrew Greenwood for Workhouse Media. Baby Or Bust is a Mark Ramsey Media production.

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Today's men have almost 60% less sperm than their parents or grandparents, and research points to environmental toxins as the likely culprit. Host and reproductive endocrinologist Dr. Lora Shahine meets with Dr. Shanna Swan, an award-winning scientist, and researcher, to talk through toxins' impact on our reproductive and overall health.

With over 200 scientific papers (including one that went viral) and a successful book, Dr. Swan is a leading voice in toxins awareness in fertility medicine. This episode tackles big topics about humanity—Are humans on their way to extinction? Why are sperm counts dropping? Does our species have a reproductive problem?—and get specifics about actions to reduce exposure to endocrine disruptors.

You can learn more about Dr. Swan here: https://www.shannaswan.com/

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Baby Or Bust is Produced by Mark Ramsey, Jaime Solis, and Greg Moga. Executive Produced by Nick Panella, and Andrew Greenwood for Workhouse Media. Baby Or Bust is a Mark Ramsey Media production.

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Building a family with donor sperm is more common today than ever before. In this episode of Baby or Bust, Dr. Lora Shahine meets with the father of modern sperm donation, Dr. Cappy Rothman, who explores the past, present, and future of the sperm donation process.

As the co-founder of California Cryobank, the world's largest sperm bank, Dr. Rothman has been at the forefront of assisted reproduction since its inception. Dr. Shahine and Dr. Rothman dig into the history of sperm banking (spoiler alert: The concept wasn't well-received when first shared in the 1950s) and his advocacy for sperm bank access for couples experiencing infertility. The episode also touches upon 23andMe and Ancestry.com's implications with donor anonymity, what people generally want in a donor, the information captured by sperm banks, and much, much more.

You can learn more about Dr. Rothman here: https://www.laweekly.com/the-god-of-sperm/

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Baby Or Bust is Produced by Mark Ramsey, Jaime Solis, and Greg Moga. Executive Produced by Nick Panella, and Andrew Greenwood for Workhouse Media. Baby Or Bust is a Mark Ramsey Media production.

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Sperm donation is more common than ever, but it's rare to hear about the donor's motivations and repercussions—until now. Host and reproductive endocrinologist Dr. Lora Shahine meets with long-time sperm donor Zack to learn about his experience discovering, applying, and becoming a frequent donor.

Zack's initial motivation for becoming a sperm donor seems like something out of a movie script: He was a starving student who needed to pay the rent. What started as a solution to make ends meet has grown into a mission to help others build families, and this Baby or Bust episode explores the ins and outs of embracing this much-needed role in the fertility process. From detailing the application process to remembering his own family's reactions, this refreshing discussion will open your eyes to the possibilities that come from sperm donations.

You can learn more about The Seattle Sperm bank here: https://www.seattlespermbank.com/

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Baby Or Bust is Produced by Mark Ramsey, Jaime Solis, and Greg Moga. Executive Produced by Nick Panella, and Andrew Greenwood for Workhouse Media. Baby Or Bust is a Mark Ramsey Media production.

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Surrogacy is shrouded in misconceptions, and it's often the answer to the end of a long infertility journey. Eloise Drane, the owner of egg donor and surrogacy agency Family Inceptions, tackles the misunderstood topic head-on with Baby or Bust host and reproductive endocrinologist Dr. Lora Shahine.

Eloise Drane is deeply familiar with the surrogacy process—personally and professionally. As a six-time egg donor and three-time gestational surrogate, this episode highlights Eloise's perspective on traditional vs. gestational surrogacy, the role of a surrogacy agency, considerations with surrogacy compensation, and advice for intended parents. Together with Dr. Shahine, this episode gives an honest depiction of surrogacy while dispelling common stigmas.

You can learn more about Eloise here: https://familyinceptions.com/about-us/meet-our-team/

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Baby Or Bust is Produced by Mark Ramsey, Jaime Solis, and Greg Moga. Executive Produced by Nick Panella, and Andrew Greenwood for Workhouse Media. Baby Or Bust is a Mark Ramsey Media production.

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Male infertility: How common is it, and what can you do to beat the odds? In this information-packed episode of Baby or Bust, reproductive endocrinologist and host Dr. Lora Shahine speaks with Dr. Paul Turek, a leading innovator in male reproductive health and founder of The Turek Clinic, to separate fact from fiction with male infertility.

This episode gives you all the must-knows about improving male fertility—from the food you consume and the lifestyle you lead. Dr. Turek shares his wisdom on why history is the most crucial consideration for a low sperm count, clarifies what evidence says about ideal nutrition, and addresses if someone can really be too fit to be fertile. Our host and guest also touch upon marijuana's effect on sperm motility, the risks of BPA exposures with reproductive health, supplements that might improve sperm count, and Dr. Turek's views on COVID-19's relationship to sperm production. A must-listen for anyone interested in the male factor of infertility.

You can learn more about Dr. Paul Turek here: https://www.theturekclinic.com

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Baby Or Bust is Produced by Mark Ramsey, Jaime Solis, and Greg Moga. Executive Produced by Nick Panella, and Andrew Greenwood for Workhouse Media. Baby Or Bust is a Mark Ramsey Media production.

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Many women suffer in pain—from periods, intercourse, and everyday life—for years before getting a diagnosis. In today's episode, Dr. Lora Shahine meets with guest Dr. Sonia Bahlani, a chronic pelvic pain specialist, to uncover advice that helps listeners advocate for the care they need and deserve.

The two doctors discuss our society's acceptance of pain as part of the female experience (spanning back to the 1800s) if periods are supposed to be painful, and common signs of endometriosis. Dr. Bahlani also shares her recommendations for listening to your body, rejecting gaslighting, recognizing racial bias in medical environments, and considering a holistic approach to health for pain relief.

You can learn more about Dr. Sonia Bahlani here: https://www.pelvicpaindoc.com

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Baby Or Bust is Produced by Mark Ramsey, Jaime Solis, and Greg Moga. Executive Produced by Nick Panella, and Andrew Greenwood for Workhouse Media. Baby Or Bust is a Mark Ramsey Media production.

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There are many ways to build a family, and today we're talking about adoption. Host and reproductive endocrinologist Dr. Lora Shahine meets with Cathie Quillet, a licensed marriage and family therapist, author, and public speaker, to expound on the ins and outs of adoption.

This episode focuses on Cathie's endometriosis diagnosis that forever changed her perspective on building a family. Cathie shares her story on overcoming immense fertility challenges—including multiple miscarriages, IVF, partial hysterectomy, and oophorectomy—as part of her journey to adoption. Additional topics discussed include an overview of adoption agencies, deciding between domestic and international adoptions, adoption waiting lists, adoption costs, and a step-by-step guide to adoption.

You can learn more about Cathie here: https://thequilletinstitute.com/about-cathie/

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Baby Or Bust is Produced by Mark Ramsey, Jaime Solis, and Greg Moga. Executive Produced by Nick Panella, and Andrew Greenwood for Workhouse Media. Baby Or Bust is a Mark Ramsey Media production.

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Each person's fertility journey can be full of surprises, and Baby or Bust guest Kaci Aitchison Boyle is no exception. Host and reproductive endocrinologist Dr. Lora Shahine sits down with communications master (and former patient) Kaci to discuss her experience undergoing years of fertility treatments—and a surprise pregnancy at age 40.

This episode focuses on Kaci's fertility story, starting with the common misconception from adolescence that getting pregnant is easy for everyone. Kaci shares her challenges starting a family, learning about different fertility treatments, undergoing multiple rounds of IUI and IVF, and the experience of being a parent after loss. For anyone struggling to build a family, this episode will provide you with comfort and hope.

You can learn more about Kaci here: https://www.linkedin.com/in/kaciaitchison/

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Baby Or Bust is Produced by Mark Ramsey, Jaime Solis, and Greg Moga. Executive Produced by Nick Panella, and Andrew Greenwood for Workhouse Media. Baby Or Bust is a Mark Ramsey Media production.

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Let's get to the heart of emotional stress and its impact on physical health. Reproductive endocrinologist and host Dr. Lora Shahine welcomes Dr. Ali Domar, a world leader in mind-body medicine, for an honest discussion about stress, infertility, grief, empathy, and the many different emotions that come with family building.

Dr. Domar is a pioneer in the application of mind/body medicine and reproductive health, and in this episode, she sheds light on the discoveries she's made about stress and the body throughout her career. Dr. Shahine and Dr. Domar dive right into stress and its correlation with infertility, along with the benefits of developing mind/body management skills. Additional points of discussion include the differences between the way men and women process stress with infertility, the emotional impact of IVF between partners, and celebrities' impact—for better and for worse—on the way we understand infertility.

You can learn more about Dr. Domar here: http://www.dralicedomar.com

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Baby Or Bust is Produced by Mark Ramsey, Jaime Solis, and Greg Moga. Executive Produced by Nick Panella, and Andrew Greenwood for Workhouse Media. Baby Or Bust is a Mark Ramsey Media production.

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Infertility can feel like a women's club, but men are also affected by the emotional tolls. Dr. Lora Shahine speaks with Jon and Laura of Infertility Man (a website, YouTube channel, and soon-to-be book) to share their perspective on building a family through IVF after Jon survived testicular cancer.

Jon and Laura chat about their decision to proceed with IVF, document their fertility story online, and mission to illuminate the male factor in infertility. The two recount undergoing 14+ egg retrievals and IVF cycles, share tips for improving couples' communication and discuss finding normalcy through daily routines.

You can learn more about Jon and Laura here: https://www.infertilityman.com

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Baby Or Bust is Produced by Mark Ramsey, Jaime Solis, and Greg Moga. Executive Produced by Nick Panella, and Andrew Greenwood for Workhouse Media. Baby Or Bust is a Mark Ramsey Media production in partnership with the Seattle Sperm Bank.

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Buckle up for some frank conversations about infertility. In this episode of Baby or Bust, host Dr. Lora Shahine meets with Jennifer "Jay" Palumbo, an award-winning writer, stand-up comic, and infertility advocate, to discuss pop culture's role in misconceptions about IVF and fertility.

Our guest, an infertility warrior and women's health advocate, brings a refreshing voice to mainstream fertility discussions. Lora and Jennifer discuss the nuances of fertility-related controversies by prominent figures (including Paris Hilton, Chrissy Teigen, Jennifer Lopez, Michelle Obama, Lena Dunham, and Janet Jackson) and clarify misunderstandings about fertility in public discourse.

You can learn more about Jennifer here: https://wonderwomanwriter.com/

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Baby Or Bust is Produced by Mark Ramsey, Jaime Solis, and Greg Moga. Executive Produced by Nick Panella, and Andrew Greenwood for Workhouse Media. Baby Or Bust is a Mark Ramsey Media production.

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This episode acknowledges the loneliness of infertility and support systems to help. Reproductive endocrinologist and host Dr. Lora Shahine meets with podcaster and advocate Kaela McDougall to discuss the pain of infertility, humor as a tool for healing, and the special connection shared between those who have experienced infertility.

Kaela is the co-host of The Infertile Mafia, a podcast dedicated to sharing truths about infertility, IVF, and trying to conceive. In this episode of Baby or Bust, Kaela tells her story about experiencing infertility, starting her podcast, and finding solace in the strong community she's discovered on social media. Lora and Kaela explore the benefits of honoring your emotions, finding strength in vulnerability, and advocating for yourself.

You can find more about Kaela here: https://infertilemafia.podbean.com/

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Baby Or Bust is Produced by Mark Ramsey, Jaime Solis, and Greg Moga. Executive Produced by Nick Panella, and Andrew Greenwood for Workhouse Media. Baby Or Bust is a Mark Ramsey Media production.

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It's tough to know when to see a fertility doctor, and this episode will help you figure out the right time. Host Dr. Lora Shahine joins friend and fellow reproductive endocrinologist Dr. Natalie Crawford for an informative chat about their work, including misleading media portrayals and relationships with infertility patients.

As doctors who have committed their careers to helping others build families, Dr. Shahine and Dr. Crawford have seen it all. This episode debunks common misconceptions—IVF recommendations, waiting periods before seeing a fertility doctor, patient ages—through a lens of compassion. This episode gives a run-through of what you can expect in your first visit, finding a clinic that's a good fit, and considerations with at-home testing.

You can learn more about Dr. Natalie Crawford here: https://www.nataliecrawfordmd.com

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Baby Or Bust is Produced by Mark Ramsey, Jaime Solis, and Greg Moga. Executive Produced by Nick Panella, and Andrew Greenwood for Workhouse Media. Baby Or Bust is a Mark Ramsey Media production.

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When you're in the LGBTQ+ community, there's a lot to navigate with parenthood. Today, host Dr. Lora Shahine welcomes Jaimie Kelton and Robin Hopkins, creators and authors of the podcast and book If These Ovaries Could Talk, for an enlightening conversation about building—and celebrating—families of all forms.

This episode is a crash course on the reproductive possibilities within the LGBTQ+ community. Jaimie, Robin, and Lora discuss reproductive discrimination, second-parent adoption laws, and deciding the road that's right for you. Lora also shares her medical insight on reproductive possibilities among a couple with uteruses and ovaries, such as receiving donor sperm and undergoing reciprocal IVF.

You can find more about Jaimie and Robin here: https://www.ovariestalk.com

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Baby Or Bust is Produced by Mark Ramsey, Jaime Solis, and Greg Moga. Executive Produced by Nick Panella, and Andrew Greenwood for Workhouse Media. Baby Or Bust is a Mark Ramsey Media production.

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Today, we're talking all about egg donors as a way of building your family. Host and reproductive endocrinologist Dr. Lora Shahine meets with Dr. Shannon Clark, a double board-certified OB/GYN, and maternal-fetal medicine specialist, who became pregnant via egg donor after multiple failed cycles of IVF.

While Dr. Clark is a physician, she's also experienced life as a fertility patient. In this episode, Dr. Clark tells her story about building a family after 40 and the ultimate decision to use an egg donor. She and Dr. Shahine discuss the beauty of egg donations, egg donor registry selections, celebrating your journey, and more.

You can learn more about Dr. Shannon Clark here: https://www.babiesafter35.com

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Baby Or Bust is Produced by Mark Ramsey, Jaime Solis, and Greg Moga. Executive Produced by Nick Panella, and Andrew Greenwood for Workhouse Media. Baby Or Bust is a Mark Ramsey Media production.

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Infertility affects people from all walks of life, but Black women are twice as likely to suffer from infertility and half as likely to seek treatment. This thought-provoking episode of Baby or Bust features guest Chiquita Lockley, film director, and producer, who discusses the perception and reality of infertility in the Black community with our host Dr. Lora Shahine.

This episode explores the complex relationship between fertility medicine and the Black community, spawning from historical burdens in slavery to modern-day stigmas and shame. With a determination to educate through documentary filmmaking, Chiquita reflects on the absence of meaningful conversations about fertility and PCOS in families, health class, and mainstream media, along with biases towards Black women in medical environments.

You can more about Chiquita Lockley here: https://www.linkedin.com/in/chiquita-lockley-61333692

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Baby Or Bust is Produced by Mark Ramsey, Jaime Solis, and Greg Moga. Executive Produced by Nick Panella, and Andrew Greenwood for Workhouse Media. Baby Or Bust is a Mark Ramsey Media production.

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Experiencing infertility can be a lonely journey, and our guest Kimberly Nicholson transformed that loneliness into a movement. In this no-holds-barred episode with host Dr. Lora Shahine, Kimberly shares her experience of founding a peer-led infertility support group along with additional recommendations for anyone feeling isolated in their fertility experience.

This episode focuses on Kimberly's story on the other side of infertility. After experiencing infertility's emotional highs and lows, Kimberly created a support group to give back to the infertility community. She and Lora discuss the pros and cons of fertility support groups, resources for finding local groups, what a typical meeting looks like, and valuable tips for anyone thinking of joining an infertility support group.

You can learn more about finding a support group near you at https://resolve.org/support/find-a-support-group/

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Baby Or Bust is Produced by Mark Ramsey, Jaime Solis, and Greg Moga. Executive Produced by Nick Panella, and Andrew Greenwood for Workhouse Media. Baby Or Bust is a Mark Ramsey Media production in partnership with the Seattle Sperm Bank.

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One in four pregnancies end in miscarriage, yet many with this experience suffer in the shadows. In this Baby or Bust episode, host Dr. Lora Shahine meets with Dr. Ruth Lathi, an OB/GYN professor and Director of the Multi-specialty Recurrent Pregnancy Loss program at Stanford University, to discuss pregnancy loss and finding support.

Our guest shares her motivation to open a repeat pregnancy loss center, misconceptions about miscarriage, common causes of miscarriage, and bringing compassion to patients. With multiple references to studies and patient stories, Dr. Shahine and Dr. Lathi broach this challenging topic with information and empathy.

You can learn more about Dr. Ruth Lathi here: https://profiles.stanford.edu/ruth-lathi

Connect with Dr. Lora Shahine on social media:

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Baby Or Bust is Produced by Mark Ramsey, Jaime Solis, and Greg Moga. Executive Produced by Nick Panella, and Andrew Greenwood for Workhouse Media. Baby Or Bust is a Mark Ramsey Media production in partnership with the Seattle Sperm Bank.

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It's said that laughter is the best medicine, but does that apply to a fertility journey? This episode's Baby or Bust guest Karen Jeffries certainly thinks so. With an avid social media following and successful book, Karen joins host and reproductive endocrinologist Dr. Lora Shahine to discuss humor's crucial role in her IVF experience, online community, and book Hilariously Infertile.

From PCOS diagnosis to IUI to IVF, Karen's fertility journey was full of ups, downs, tears, and—intentionally—laughter. Together with host Dr. Shahine, Karen reflects on moments from her family-building experience with unapologetic honesty. With laugh-out-loud stories, this episode will inspire you to choose comedy as a tool for self-care and empowerment.

You can learn more about Karen Jeffries here: https://www.hilariouslyinfertile.com

Connect with Dr. Lora Shahine on social media:

Tik Tok | Instagram | Twitter | YouTube | LinkedIn

Baby Or Bust is Produced by Mark Ramsey, Jaime Solis, and Greg Moga. Executive Produced by Nick Panella, and Andrew Greenwood for Workhouse Media. Baby Or Bust is a Mark Ramsey Media production in partnership with the Seattle Sperm Bank.

Advertising Inquiries: https://redcircle.com/brands

View Details

Baby Or Bust season 1 teaser.

Connect with Dr. Lora Shahine on social media!

Tik Tok | Instagram | Twitter | YouTube | LinkedIn

Baby Or Bust is Produced by Mark Ramsey, Jaime Solis, and Greg Moga. Executive Produced by Nick Panella, and Andrew Greenwood for Workhouse Media. Baby Or Bust is a Mark Ramsey Media production in partnership with the Seattle Sperm Bank.

Advertising Inquiries: https://redcircle.com/brands