When your cycles are regular, your ultrasound looks normal, or you have been pregnant before, how do you know when it is time to look deeper?

Fertility testing does not always give you the whole picture. An LH surge is not the same as the day you ovulate, a normal ultrasound cannot rule out every uterine issue, and previous pregnancies do not protect you from secondary infertility or recurrent loss.

In this Fertility Q&A, Dr. Natalie Crawford answers your questions about ovulation tracking, recurrent chemical pregnancies, PMOS (formerly PCOS), low sperm motility, failed embryo transfers, Hashimoto’s, unexplained infertility, IUI, and when to pursue a more complete fertility evaluation.

TIMESTAMPS:

00:00 Fertility Q&A

00:20 When Do You Actually Ovulate After an LH Surge?

02:00 What Should Be Tested After Recurrent Chemical Pregnancies?

03:58 Should You Fast or Exercise Fasted With PMOS (PCOS)?

06:15 What Does Low Sperm Motility Mean for Fertility?

08:43 When Should You Schedule a Saline Sonogram or HSG?

09:35 What Should You Do After Multiple Failed Embryo Transfers?

11:49 Can Creatine Make Endometriosis Worse?

12:50 How Should You Prepare for Pregnancy With Hashimoto’s?

14:48 When Does Recurrent Loss Require a Fertility Evaluation?

17:42 When Should Both Partners Get Karyotype Testing?

18:41 Is IUI Worth Trying for Unexplained Infertility?

21:41 Who Is the Best Candidate for IUI?

22:32 How Long Can Fertility Be Affected After IUD Removal?

23:50 How to Submit Your Fertility Questions

AS A WOMAN WITH DR. NATALIE CRAWFORD:

YouTube: https://youtube.com/playlist?list=PLveZDgg3_HZ9m7Wy3C6Vvyrj_NtEOwj_l

Apple Podcasts: https://podcasts.apple.com/us/podcast/as-a-woman/id1449553339

Spotify: https://open.spotify.com/show/12IYOLH9liu60gk5D0bRPk

HOST RESOURCES:

Order The Fertility Formula: https://www.nataliecrawfordmd.com/book

Newsletter: https://www.nataliecrawfordmd.com/newsletter

Instagram: https://www.instagram.com/nataliecrawfordmd

YouTube: https://www.youtube.com/@NatalieCrawfordMD

Become a patient: https://www.forafertility.com

Earn FREE CE/CME: https://learnatpinnacle.com/education

This episode is brought to you by The Pinnacle Podcast Network.

ABOUT DR. NATALIE CRAWFORD:

Natalie Crawford, MD, is a double board-certified OB/GYN and reproductive endocrinologist, co-founder of Fora Fertility, and author of The Fertility Formula. She helps women understand their hormones, fertility, and reproductive health so they can make informed decisions about their bodies.

Disclaimer: Natalie Crawford, MD, is a doctor, but she is not your doctor. This content is for general education and is not a substitute for individualized medical care.

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