Get Pregnant Naturally
Get Pregnant Naturally is the podcast for women and couples facing low AMH, high FSH, failed IVF, miscarriage, premature ovarian insufficiency (POI), diminished ovarian reserve (DOR), or a donor egg recommendation, and who are not ready to accept that recommendation before the full picture has been investigated. Hosted by Sarah Clark, founder of Fab Fertile, author of Fabulously Fertile, and host of a podcast with over one million downloads, Get Pregnant Naturally offers a functional fertility second opinion. Each week, Sarah walks through the lab work most fertility clinics do not run: gut microbiome, food sensitivity, vaginal microbiome, nutrigenomics, HTMA...
Premature Ovarian Insufficiency (POI): What to Know Before Donor Eggs
High FSH? Low AMH? Diminished ovarian reserve or POI? Failed IVF or told donor eggs are your only option? Book a free Functional Fertility Second Opinion before your next fertility decision → fabfertile.com
You've been diagnosed with premature ovarian insufficiency and told your ovaries aren't responding as expected. Maybe you've had a canceled IVF cycle, retrieved very few eggs, or been advised to consider donor eggs.
You're trying to understand what this means and whether there's anything else worth investigating before making your next decision.
When I was diagnosed with POI at 28, I di...
Failed IVF and Normal TSH? What Your Thyroid Tests May Be Missing
Book your free 45-minute Functional Fertility Second Opinion: https://fabfertile.com/pages/book
You've been through IVF, maybe more than once, and your doctor says your TSH is normal. But has anyone looked at your full thyroid picture?
In this episode, I'm sharing why TSH alone may not tell the whole story, especially if you're navigating low AMH, high FSH, diminished ovarian reserve, POI, or failed IVF.
You'll learn:
What TSH, Free T4, Free T3, and thyroid antibodies can tell us
What research says about thyroid autoimmunity, IVF outcomes...
Low AMH and Failed IVF: Why Didn't You Respond to Stimulation?
Low AMH? Diminished ovarian reserve or POI? Failed IVF or told donor eggs are your only option? Book a free Functional Fertility Second Opinion before your next fertility decision → fabfertile.com
You have low AMH or diminished ovarian reserve. You've gone through IVF stimulation, but only one or two follicles developed. Maybe your cycle was canceled before egg retrieval.
Now you're wondering whether mini IVF, lower medication doses, or a different protocol could give you a better response.
But you're also frustrated. You've already invested time, money, and hope into IVF, and you sti...
Before You Say Yes to Donor Eggs: What You Need to Know
Low AMH? Diminished ovarian reserve or POI? Failed IVF or told donor eggs are your only option? Book a free Functional Fertility Second Opinion before your next fertility decision → fabfertile.com
You've been told your AMH is too low. Your FSH is too high. Your IVF cycle didn't work.
And now donor eggs are being recommended.
Maybe donor eggs are the right next step for you. But before making that decision, have you been given the full picture of what's happening with your fertility?
Was the recommendation based mainly on your AM...
Tried Functional Medicine for Low AMH or Failed IVF? What Might Still Be Missing
Low AMH? Diminished ovarian reserve or POI? Failed IVF or recurrent loss? Book a free Functional Fertility Second Opinion before your next fertility decision → fabfertile.com
You've done the stool test. You've worked on your gut, changed your diet and taken the supplements. You've addressed your thyroid, hormones and inflammation.
So when someone asks whether anyone has looked deeper into your health, your answer is:
I've already done functional medicine.
But did your practitioner specialize in low AMH, diminished ovarian reserve, POI, recurrent pregnancy loss or failed IVF?
And di...
Low AMH? Why It's a Poor Predictor of Getting Pregnant Naturally
Low AMH? High FSH? Diminished ovarian reserve or POI? Book a free Functional Fertility Second Opinion before your next fertility decision → fabfertile.com
Your AMH came back low. Your FSH is elevated. You've been told you have diminished ovarian reserve and may not respond well to IVF.
And very quickly, that gets translated into: I'm not going to get pregnant.
That isn't what AMH was designed to tell you.
AMH is useful for helping predict how your ovaries may respond to stimulation and how many eggs may be retrieved during IVF. On...
Failed IVF, Low AMH or Told Donor Eggs? Stuck Deciding What to Do Next
Failed IVF? Low AMH? High FSH? Told donor eggs? Book a free Functional Fertility Second Opinion before your next fertility decision → fabfertile.com
Your AMH is 0.2 ng/mL. Your FSH is 40. Another IVF cycle has failed, you've experienced another loss, or donor eggs are now on the table.
So you research. You ask ChatGPT fifteen versions of what should I do next? and every answer gives you five more things to investigate.
You have more fertility information than ever, and you're still terrified of making the wrong decision.
Information and certainty are...
Pregnant at 37 With POI: Her Low AMH and High FSH Story
POI? Low AMH? High FSH? Told donor eggs are your only option? Book a free Functional Fertility Second Opinion before your next fertility decision → fabfertile.com
ÂShe was diagnosed with POI at 37. Her AMH was 0.16, her FSH was hovering around 45, and her ultrasound showed three follicles and at one point, none. Her IUI cycles were cancelled, and she was labeled a poor responder.
Then she was told she was not a candidate for IUI or IVF and that donor eggs were her only option.
But she wanted to know what else might be goin...
Embryos Stopped Growing at Day 3? 3 Questions Before You Go Again
Failed IVF? Embryos arrested at Day 3? Told it was your egg quality? Book a free Functional Fertility Second Opinion before your next retrieval → fabfertile.com
Day three, you got the call that your embryos were developing, and you let yourself feel hopeful. Day five, there is nothing to transfer, and you are told it was your egg quality.
Then you read online that embryos stopping after day three could point to sperm. So now you do not know what actually happened, or whether anything is left to investigate before you go again.
Your cl...
Low AMH, Failed IVF and Miscarriage: What Changed for This Couple
Told donor eggs after failed IVF and miscarriage? Book a free Functional Fertility Second Opinion before your next cycle → here.
Heather had been trying for five years. Three failed IVFs. Two losses. At 38, with diminished ovarian reserve, she was told donor eggs were her only option.
She had a 10-day luteal phase, daily fatigue, PMS, body aches she had been told were normal, and a decade of hormonal birth control behind her. None of it had been connected to her fertility. Her partner's semen analysis was not clean either, and he had DNA fragmentation that ha...
Follicles Not Responding? Is Low AMH the Whole Explanation
Follicles not responding? Cycle cancelled? Told it is your low AMH? Book a free Functional Fertility Second Opinion before your next IVF decision → fabfertile.com
You have done the injections. You have gone in for monitoring. They may have increased the medication already.
And then you hear it again. The follicles are not responding. There are one or two growing. Maybe the cycle gets cancelled. Maybe you make it all the way to retrieval and get one egg.
When you ask why, the answer comes back the same way every time. It is yo...
Failed IVF and No Embryos to Transfer? 3 Questions Before You Go Again (Low AMH, Embryo Arrest, Donor Eggs)
Failed IVF? Low AMH? High FSH? Told donor eggs? Book a free Functional Fertility Second Opinion before your next fertility decision → fabfertile.com
You got eggs. After everything, that part finally went right.
Then day one, this many fertilized. Day three, this many are still growing. Then the call where someone tells you none of them made it.
And what comes next, almost word for word on call after call, is you going back through your twenties. The years when maybe you weren't taking the best care of yourself. Maybe you drank more, we...
Poor Responder After a Cancelled IVF Cycle: 3 Questions to Ask Before You Go Again (Low AMH, Failed IVF, Diminished Ovarian Reserve)
Failed IVF? Low AMH? High FSH? Told donor eggs? Book a free Functional Fertility Second Opinion before your next fertility decision → fabfertile.com
Your cycle was cancelled on day eight or day nine. Someone called and said there were not enough follicles and it was not worth going ahead. At the follow up, you heard the words poor responder.
What do you actually do with that? Change the protocol. Go again next month. Take three months off and work on your health. Get another opinion. Or accept that this is what your ovaries are capable of...
Failed IVF? 5 Questions to Ask Before Another IVF Cycle
Failed IVF? Low AMH? High FSH? Told donor eggs? Book a free Functional Fertility Second Opinion before your next fertility decision → fabfertile.com
After a failed cycle, the pressure to decide arrives fast. Another retrieval. A different protocol. A different clinic. Donor eggs. And underneath all of it, the question of what to do next.
This episode is not an argument against IVF. It is the opposite. It is about walking into the next cycle having looked at the whole picture rather than only the protocol.
These are the five questions I would as...
High FSH and Told Donor Eggs? What Should the Number Actually Decide?
Failed IVF? Low AMH? High FSH? Told donor eggs? Book a free Functional Fertility Second Opinion before your next fertility decision.→ fabfertile.com
You knew before the nurse called. You had been checking the portal, and there it was. FSH, flagged high. You read the range beside it several times, then searched the number late at night hoping it would tell you what it meant for your future. What came back was not an explanation. It felt like a verdict. Diminished ovarian reserve. Poor responder. Consider donor eggs.
A high FSH is a real finding, an...
What to Bring to a Fertility Second Opinion: 7 Questions to Ask After Failed IVF, Low AMH, or a Donor Egg Recommendation
Failed IVF? Low AMH? High FSH? Told donor eggs? Book a free Functional Fertility Second Opinion before your next fertility decision.→ fabfertile.com
You have the appointment booked. Maybe it is a second opinion with a different clinic. Maybe it is a consult after a cycle that did not go the way you expected. You have your lab work, your partner is ready to join, and you have your questions ready. And some part of you is wondering whether the whole picture will actually be looked at this time.
Here is what most women are ne...
IVF Failure Often Starts Before Stimulation Begins
Failed IVF? Low AMH? High FSH? Told donor eggs? Book a free Functional Fertility Second Opinion before your next fertility decision.→ fabfertile.com
IVF stimulation doesn't create egg quality. It reveals it.
Most people think an IVF cycle starts on day one of stimulation. Biologically, that's already too late.
You were told the protocol would be adjusted. Maybe the dose went up. Maybe they switched you to a different one entirely. And the result was the same, or close enough that nobody could explain the difference. Somewhere in it, you started wondering whether th...
Embryo Arrest: Why Embryos Stop Growing Before Day 5
Failed IVF? Low AMH? High FSH? Told donor eggs? Book a free Functional Fertility Second Opinion before your next fertility decision.→ fabfertile.com
The fertilization report looked good. You had eggs. They fertilized. Day three looked fine. Then came the call. Nothing made it past day five, or one did, and it was graded poor, and the cycle was over. You were told it was egg quality, or it was a numbers game, or that you have to try again.
Here is what that explanation leaves out. An embryo does not run on one engine th...
Low AMH and Failed IVF? Pregnant Naturally at AMH 0.27 ng/mL
Failed IVF? Low AMH? High FSH? Told donor eggs? Book a free Functional Fertility Second Opinion before your next fertility decision.→ fabfertile.com
You were told your AMH is low, and maybe that IVF was your only option. Maybe you went through it, and it did not work. Maybe you already have one child and have been told this time is different. And some part of you has been wondering whether that number is really the whole story.
Here is what most women are never told. AMH reflects egg quantity, not egg quality, and not yo...
Low AMH, Failed IVF, Told Donor Eggs? The Nervous System Behind Your Numbers
Failed IVF? Low AMH? High FSH? Told donor eggs? Book a free Functional Fertility Second Opinion before your next fertility decision.→ fabfertile.com
Low AMH, failed IVF, or told donor eggs, and still no real explanation for why? This episode looks at the system a standard fertility workup rarely checks: the nervous system, and how chronic stress affects egg quality, progesterone, thyroid function, and ovulation.
If you are a high-achieving, Type A woman who has been told your stress is handled and your thyroid is fine, this is the seven things behind low AMH, diminished ov...
Told It Was Unexplained? 9 Tests Your Miscarriage Workup Skipped
Failed IVF? Low AMH? High FSH? Told donor eggs? Book a free Functional Fertility Second Opinion before your next fertility decision.→ fabfertile.com
You were told to try again. Maybe you were told it was bad luck, or to wait until it happened a third time before anyone would look.
Here is what changed this year. In 2026, the American Society for Reproductive Medicine updated its definition of recurrent pregnancy loss for the first time since 2012. Two losses now meet the definition, not three, and a positive test that ended early counts. The old number kept wo...
Told Donor Eggs? 11 Things Your Clinic Probably Missed
Failed IVF? Low AMH? High FSH? Told donor eggs? Book a free Functional Fertility Second Opinion before your next fertility decision.→ fabfertile.com
For most people, donor eggs is at the bottom of the list. It is not where you wanted to land. And if your clinic is recommending it, something in you is saying there has to be more to look at first.
Here is what we see every week. The donor egg recommendation rarely arrives after a complete workup. It arrives after looking at the AMH, the FSH, the follicle count, maybe a ba...
Multiple Failed IVF And Told Donor Eggs? The System Your Clinic Never Looked At
Failed IVF? Low AMH? High FSH? Told donor eggs? Book a free Functional Fertility Second Opinion before your next fertility decision.→ fabfertile.com
You have done IVF more than once. Maybe twice. Maybe three times. Maybe more.
Each cycle they tweaked the protocol. Higher dose. Lower dose. Different stimulation drug. Different trigger. Added growth hormone. Added DHEA. Mini IVF. Dual stim.
Each cycle the protocol changed.
And now they are telling you donor eggs.
Here is the question this episode is about. They changed the protocol every time. Did anyo...
How Long Should I Try With My Own Eggs Before Donor Eggs?
Failed IVF? Low AMH? High FSH? Told donor eggs? Book a free Functional Fertility Second Opinion before your next fertility decision.→ fabfertile.com
Your clinic told you donor eggs. You walked out wondering how much time you actually have left. Whether waiting six months means missing your window. Whether trying with your own eggs one more time is brave or stupid.
The honest answer is longer than your clinic implied. And the window is not your AMH number.
In this episode:
- Why a 2024 study in Archives of Gynecology and Obstetrics foun...
Told Donor Eggs After Failed IVF? The Gut Pattern Your Clinic Did Not Test
Failed IVF? Low AMH? High FSH? Told donor eggs? Book a free Functional Fertility Second Opinion before your next fertility decision.→ fabfertile.com
Told donor eggs after failed IVF? There is a category of testing that your fertility clinic does not run. We rarely run a stool test and find nothing.
The IVF cycle did not work. Maybe it was poor response. Maybe it was canceled before retrieval. Maybe you got embryos and they arrested. Maybe the transfer failed. Your clinic looked at your numbers and told you donor eggs.
In this episode, Sa...
The Workup Most REIs Skip Before Recommending Donor Eggs
Failed IVF? Low AMH? High FSH? Told donor eggs? Book a free Functional Fertility Second Opinion before your next fertility decision.→ fabfertile.com
The donor egg recommendation rarely comes after a complete workup. It comes after AMH, FSH, and an antral follicle count. That is usually where the investigation stops.
In this episode, Sarah Clark walks through what is missing from the workup before women are told donor eggs are their only path: the full thyroid panel, not just TSH. Stool DNA testing for H. pylori, parasites, and food sensitivities. The vaginal microbiome. The male pa...
Told Donor Eggs at 43? Pregnant Naturally with Low AMH
Failed IVF? Low AMH? High FSH? Told donor eggs? Book a free Functional Fertility Second Opinion before your next fertility decision.→ fabfertile.com
Low AMH, high FSH, two miscarriages, told donor eggs were her only option. At 43, she conceived naturally. Here's what her clinic missed before the donor egg recommendation.
This episode is for the woman sitting with a donor egg recommendation. Low AMH or high FSH on the chart. Failed IVF or recurrent miscarriage in the history. A clinic that said the numbers leave you no other options.
Sarah Clark walks through th...
Why Iron Could Be Behind Your Low AMH, Failed IVF and Miscarriage
Failed IVF? Low AMH? High FSH? Told donor eggs? Book a free Functional Fertility Second Opinion before your next fertility decision.→ fabfertile.com
Most women with low AMH and high FSH get one of two answers about their iron: "it's fine," or "it's low, here's a supplement." Both leave the real problem untouched. Failed transfers, failed IVF cycles, miscarriage, irregular cycles, exhaustion that won't lift, and nobody asking why the iron is low in the first place. This episode shows you what the full iron panel actually reveals.
In this episode, Sarah Clark sits down wi...
Told Donor Eggs Were Your Only Option? Sarah's POI Story and What Her REI Never Tested For
Failed IVF? Low AMH? High FSH? Told donor eggs? Book a free Functional Fertility Second Opinion before your next fertility decision.→ fabfertile.com
Sarah Clark was told donor eggs were her only option. No second opinion. No workup. Just an IVF brochure pulled off the shelf. This is the story of what was actually going on, and what nobody looked for.
At 28, Sarah was diagnosed with premature ovarian failure (now called premature ovarian insufficiency). Her OB/GYN handed her an IVF brochure during the appointment. She went to the REI, got on the donor egg li...
Why "Normal" Labs Aren't Optimized for Fertility | TSH, Ferritin, Glucose & IVF Failure
Failed IVF? Low AMH? High FSH? Told donor eggs? Book a free Functional Fertility Second Opinion before your next fertility decision.→ fabfertile.com
Your TSH is "normal." Your ferritin is "normal." Your glucose is "normal." And IVF still isn't working. Here's why normal lab ranges were never built for fertility and what optimal actually looks like.
Most reference ranges are designed to flag disease in the general population, not to optimize egg quality, embryo competence, or implantation. That gap is where a lot of unexplained IVF failure, embryo arrest, and recurrent loss live.
In...
The IVF Mistake That Causes Failed Cycles to Keep Repeating
Failed IVF? Low AMH? High FSH? Told donor eggs? Book a free Functional Fertility Second Opinion before your next fertility decision.→ fabfertile.com
If you're heading into another IVF cycle after a failed transfer, you're probably being told to trust the process and try again.
But what if the process is the problem?
In this episode, we get into how to tell whether your next cycle is actually different — or whether you're about to repeat the same outcome with a new protocol number.
In this episode you'll learn:
The three signs...Normal Semen Analysis but IVF Still Failing? What Wasn't Tested
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Failed IVF? Low AMH? High FSH? Told donor eggs? Book a free Functional Fertility Second Opinion before your next fertility decision.→ fabfertile.com
Failed IVF with normal sperm? You're not alone, and the answer may be...
Why a Good Embryo Doesn't Implant in IVF (What's Often Missed)
Failed IVF? Low AMH? High FSH? Told donor eggs? Book a free Functional Fertility Second Opinion before your next fertility decision.→ fabfertile.com
If your IVF transfer failed despite a good embryo, normal lining, and a smooth protocol, you may have been told it was "just bad luck."
But failed implantation with a euploid or high-quality embryo is not random. It often means key biological factors were never fully evaluated before the transfer.
You followed the plan.
The embryo looked good.
The lining was "fine."
And it still didn't work.
Unexplained IVF Failure What Is Being Missed Before Your Next Cycle
Failed IVF? Low AMH? High FSH? Told donor eggs? Book a free Functional Fertility Second Opinion before your next fertility decision.→ fabfertile.com
Unexplained IVF failure happens when a cycle doesn't work, and no clear cause is identified, but that doesn't mean nothing is wrong. In many cases, it means the biology behind the cycle wasn't fully evaluated.
You did everything you were told to do.
The protocol looked good. The embryos developed. The lining was fine.
And it still didn't work.
Then you hear the word "unexplained."
Failed IVF Cycle: How to Audit What Went Wrong Before Trying Again
Failed IVF? Low AMH? High FSH? Told donor eggs? Book a free Functional Fertility Second Opinion before your next fertility decision.→ fabfertile.com
When an IVF cycle fails, the focus usually shifts to the next protocol.
Different medications.
Higher doses.
Another retrieval.
But an IVF cycle produces a huge amount of biological data that is rarely fully analyzed before repeating treatment.
Ovarian response, egg maturity, embryo development, and the internal environment around transfer all provide important signals about what may be influencing the outcome. Yet many couples are encouraged to mov...
Why Implantation Fails: Gut Health, Inflammation and the Vaginal Microbiome
Failed IVF? Low AMH? High FSH? Told donor eggs? Book a free Functional Fertility Second Opinion before your next fertility decision.→ fabfertile.com
Implantation failure is often blamed on the uterus.
The lining. The timing. The transfer protocol.
But implantation is not something the uterus decides on its own.
Implantation is an immune event that reflects what is happening across the entire body. When inflammation, gut dysfunction, or microbial imbalance is present, the immune system may not shift into the receptive state required for implantation, even when embryos appear strong and tr...
Why Your IVF Cycle Was Decided 90 Days Before It Started
Most couples do not walk into IVF lightly.
By the time you reach a cycle, you have likely changed your diet, added supplements, tried acupuncture, adjusted your lifestyle, and done everything you were told might help.
And yet, stimulation begins, and the outcome feels underwhelming.
Here's the biological reality: egg and sperm development are influenced during the 90 days before a cycle ever starts. Follicles recruited at stimulation were already developing months earlier. During that window, metabolic signaling, inflammatory load, hormonal communication, and stress physiology quietly set the ceiling for response.
When...
Day 3 vs Day 5 Embryo Arrest: What the Timing Really Means
Poor embryo development is not random. And "it just didn't work" is not an explanation.
If your embryos stopped growing on Day 3 or Day 5, you've likely been told some version of the same thing. Bad luck. Egg quality. Try again.
But Day 3 vs Day 5 embryo arrest are not interchangeable events.
The timing carries biological clues. And when those clues are ignored, couples often repeat cycles without addressing what actually shaped the outcome.
In this episode, we break down what early arrest, later arrest, and repeating arrest patterns may be signaling and...
Why Rushing Into the Next IVF Cycle Often Backfires
After a failed IVF cycle, the pressure to move quickly into the next one can feel overwhelming. Clinics often encourage momentum. Emotionally, it can feel safer to stay in motion than to pause.
But rushing into another IVF cycle too quickly can quietly reinforce the same biological conditions that shaped the last outcome.
If you've been told to increase stimulation, change protocols, or "just try again," this episode challenges that reflex. Because before another round begins, the more important question is:
What actually needs to shift in the biology?
In this...
Recurrent Implantation Failure: Why the Explanation Often Feels Incomplete
If you've been told your embryos look good, your lining is appropriate, and your hormones are in range, yet implantation keeps failing, it can leave you with a nagging feeling that something is missing, but you can't quite put your finger on it.
Most couples don't repeat IVF or transfers casually. They follow the plan that's laid out, adjust protocols, and keep moving forward because that's what makes sense. When outcomes don't change, the explanation often shifts to chance, timing, or trying again.
In this episode, we talk about why those explanations often feel unsatisfying...
