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 Fertility Docs Uncensored Today’s episode of Fertility Docs Uncensored is hosted by Dr. Carrie Bedient from the Fertility Center of Las Vegas, Dr. Susan Hudson from Texas Fertility Center, and Dr. Abby Eblen from Nashville Fertility Center, they are joined by guest Dr. Michael Homer of RSC Bay Area in Los Gatos and Menlo Park. The discussion focuses on natural conception success rates compared to IUI and IVF, with a strong emphasis on the impact of age. Patients under 35 have the highest chance of conceiving naturally, while success declines with age, making early evaluation important. Patients are considered to have infertility if they have tried to conceive after unprotected intercourse for one year. The doctors discuss when you should see a fertility doctor sooner. The group highlights earlier evaluation for patients over 36, those with endometriosis, prior pelvic surgery, irregular ovulation, or a partner with low sperm count. What are realistic success rates with IUI? IUI success is largely age-based and generally brings patients close to their natural baseline but does not exceed it. Who are the best candidates for IUI? Ideal candidates include those who ovulate or respond to oral medications, have open fallopian tubes, and have a partner with adequate sperm parameters. When is IVF a better option? IVF may be more effective for patients seeking a faster path to pregnancy or those with lower chances using less aggressive treatments. Younger patients may achieve multiple embryos from one retrieval, while older patients benefit from quicker feedback and the ability to repeat cycles if needed. IVF success rates for patients under 35 are often around 65%, though many patients underestimate their chances for success. This episode is sponsored by Reproductive Science Center. 

 Fertility Docs Uncensored Today’s episode of Fertility Docs Uncensored is hosted by Dr. Carrie Bedient from the Fertility Center of Las Vegas, Dr. Susan Hudson from Texas Fertility Center, and Dr. Abby Eblen from Nashville Fertility Center. In this question-driven episode, we take a deep and thoughtful look at pregnancy loss, especially for patients who feel stuck after “normal” test results. We explore what additional evaluation options exist when standard workups don’t provide answers and discuss how thinking outside the box can uncover overlooked causes. What testing can be considered after recurrent pregnancy loss with normal results? We discuss sperm DNA fragmentation testing, uterine evaluation with saline sonogram, and when to consider less obvious causes such as tubal factor, particularly in cases of recurrent pregnancy loss of unknown location or repeated very early losses. Could some early losses represent undiagnosed tubal pregnancies? We walk through that possibility and when it should be investigated. How does endometriosis impact implantation and miscarriage risk? We review the role of the Receptiva assay and BCL6 as a marker of inflammation that may contribute to failed implantation or early pregnancy loss, particularly in IVF cycles. We also explain how IVF can shift the “tipping point” by helping identify embryos with chromosomal abnormalities, which are common due to egg-related factors and increase with age. Why does time matter more as women get older? Each miscarriage can take months to resolve, delaying future attempts and compounding age-related fertility decline. Finally, we address the emotional toll of recurrent pregnancy loss and the importance of building resilience through counseling, journaling, and support systems. This podcast was sponsored by Shady Grove Fertility. 

 Fertility Docs Uncensored Today’s episode of Fertility Docs Uncensored is hosted by Dr. Carrie Bedient from the Fertility Center of Las Vegas, Dr. Susan Hudson from Texas Fertility Center, and Dr. Abby Eblen from Nashville Fertility Center. In this episode, the hosts explain why vaginal ultrasounds are a cornerstone of fertility care, highlighting how they provide more detailed and accurate imaging than abdominal ultrasounds for evaluating reproductive anatomy and guiding treatment. The discussion reviews the use of transvaginal ultrasound in both diagnostic and therapeutic settings. The physicians describe saline infusion sonography (also called hydrosonogram) as a key test to evaluate the uterine cavity and assess whether the fallopian tubes are open, noting that tubes are typically only visible when abnormal, such as when blocked and dilated. They outline how ultrasound allows visualization of the uterus, measurement of the endometrial lining, and confirmation of a trilaminar pattern prior to embryo transfer. Structural findings such as fibroids and adenomyosis are discussed, including when fibroids may require surgical removal due to distortion of the uterine cavity or large size. The episode also explains how ultrasound is used to evaluate the ovaries, including identifying common cysts. Functional cysts such as follicles, corpus luteum cysts, and hemorrhagic corpus luteum are described as normal, benign, and self-resolving. Other cysts, including endometriomas and dermoid cysts, are reviewed with a focus on when surgical management is appropriate versus when observation is preferred to preserve ovarian reserve. The hosts also highlight how ultrasound is essential for monitoring follicle development during IVF cycles and is used in real time during egg retrieval procedures, emphasizing its central role throughout fertility treatment. This podcast was sponsored by Shady Grove Fertility. 

Fertility Docs Uncensored Today’s episode of Fertility Docs Uncensored is hosted by Dr. Carrie Bedient from the Fertility Center of Las Vegas, Dr. Susan Hudson from Texas Fertility Center, and Dr. Abby Eblen from Nashville Fertility Center. Today, their guest is Dr. Alex Quaas from Shady Grove Fertility in San Diego. In this episode, the group discusses how physicians develop individualized fertility treatment plans, using real-world scenarios to highlight how age, ovarian reserve, reproductive goals, and emotional considerations all shape decision-making in reproductive medicine. The discuss a 36-year-old patient with a high antral follicle count, elevated AMH, irregular cycles, and otherwise normal testing who desires two children. Dr. Quaas explores treatment options such as ovulation induction and timed intercourse as a reasonable first-line approach, while also addressing how advancing maternal age increases the risk of genetically abnormal embryos. He explains when in vitro fertilization (IVF) may be advantageous, particularly for embryo banking to support future family building. The case is then reframed to consider diminished ovarian reserve, prompting a shift toward recommending earlier IVF to maximize the likelihood of obtaining genetically normal embryos. Additional factors influencing treatment planning are reviewed, including the impact of endometriosis severity on fertility potential and how mental health, emotional resilience, and tolerance for uncertainty may guide patients toward more or less aggressive approaches. The physicians also explain how IVF protocols can be customized, including decisions around stimulation intensity, the number of eggs fertilized, and whether to pursue genetic testing. Throughout the episode, the emphasis remains on shared decision-making, in which physicians provide guidance and patients ultimately choose the path that best aligns with their goals and values. This podcast was sponsored by Shady Grove Fertility.

 Fertility Docs Uncensored Today’s episode of Fertility Docs Uncensored is hosted by Dr. Carrie Bedient from the Fertility Center of Las Vegas, Dr. Susan Hudson from Texas Fertility Center, and Dr. Abby Eblen from Nashville Fertility Center. In this episode, titled Age and Lifestyle: How They Interact, the doctors tackle one of the most common and emotionally loaded questions in fertility care: does age matter more than lifestyle when it comes to getting pregnant? The discussion starts with a clear answer—female age is the single most important predictor of fertility outcomes. While lifestyle choices absolutely matter, age plays the dominant role, especially as women move into their late 30s and early 40s. The doctors explain why maintaining a healthy body weight, avoiding alcohol, cigarettes, and marijuana, eating a Mediterranean-style diet, and exercising regularly are all recommended when trying to conceive. But how much can lifestyle really offset age related fertility decline? The episode also explores whether lifestyle changes have a bigger impact once pregnancy occurs. Why do heavier patients face higher risks of complications such as preeclampsia, gestational diabetes, and stillbirth? And can weight loss before pregnancy reduce those risks? The doctors then address what happens in the early to mid-40s, when age often overwhelms lifestyle efforts due to declining egg number and increasing genetic abnormalities. Why do women at 42 or 43 struggle to conceive even when they are otherwise healthy? What role do egg genetics play at that point? Finally, the episode answers whether chromosomal abnormalities are driven more by age or lifestyle, and why age particularly over 35 has the greatest impact, while lifestyle has minimal influence on egg genetics. This podcast was sponsored by Fertility Centers of Illinois at Milwaukee. 

 Fertility Docs Uncensored is hosted by Dr. Carrie Bedient from the Fertility Center of Las Vegas, Dr. Susan Hudson from Texas Fertility Center, and Dr. Abby Eblen from Nashville Fertility Center. In today’s episodes the docs talk about a subject many infertility patients ask about. We talk about the financial aspect of infertility in this episode entitled Things You Should Know About Your Fertility Coverage. The doctors explain the complexities of fertility insurance and what patients should know before starting treatment. They cover the differences between plans that offer no infertility coverage, those that cover only diagnostic testing, and those that cover certain treatments like IUI but not IVF. The discussion includes how many IUI cycles may be required before IVF is covered, the limits on coverage for IVF or third-party payers like Progyny, Maven, and Carrot, and restrictions on egg freezing or embryo creation. The doctors also highlight how high deductibles can affect out-of-pocket costs and point out that some small grants are available, usually based on need or a patient’s fertility journey. They emphasize the importance of understanding your coverage and using your fertility clinic as a resource to navigate insurance options. This podcast was sponsored by The Fertility Centers of Illinois at Milwaukee. 

 Fertility Docs Uncensored is hosted by Dr. Carrie Bedient from the Fertility Center of Las Vegas, Dr. Susan Hudson from Texas Fertility Center, and Dr. Abby Eblen from Nashville Fertility Center. Today, the Docs answer a wide range of general IVF questions that commonly come up during treatment. The discussion includes scenarios where fertilization rates are good but embryo development is poor, resulting in few or no usable embryos. The doctors explore possible contributing factors in both the egg and the sperm, test options that may provide more insight, and consider treatment strategies for future cycles. They also address procedural challenges during egg retrievals, medication considerations, and lifestyle factors that may impact outcomes. Other topics include treatment your doctor may consider if embryos do not develop well after fertilization. The hosts explain when DNA fragmentation testing for the male partner may be helpful and how advanced genetic testing, such as PGT-A+, can help determine whether the issue is related to egg or sperm quality. They discuss when growth hormone may be considered during stimulation and what evidence supports its use. The episode also covers what happens if an ovary cannot be safely accessed during an egg retrieval, why safety always comes first, and whether bowel prep or weight loss may improve access in future cycles. Additional questions addressed include whether this problem can recur, how GLP-1 medications should be managed around retrievals, whether breastfeeding impacts frozen embryo transfer success, and why sedation practices during egg retrieval vary between clinics and countries. 

 Fertility Docs Uncensored is hosted by Dr. Carrie Bedient from the Fertility Center of Las Vegas, Dr. Susan Hudson from Texas Fertility Center, and Dr. Abby Eblen from Nashville Fertility Center. In this episode, the Fertility Docs walk listeners through what typically happens after a positive pregnancy test following IVF. The doctors explain how early pregnancy is monitored, beginning with the first pregnancy blood test about two weeks after embryo transfer and continuing with repeat hormone testing every few days to ensure appropriate rises. They discuss what doctors look for on early ultrasounds, why some patients need closer monitoring, and how different outcomes such as viable pregnancies, biochemical pregnancies, ectopic pregnancies, or abnormal intrauterine pregnancies are identified and managed. The episode also covers when patients go back to their OB/GYN once a pregnancy is progressing normally. The doctors answered many common questions patients search for after seeing that first positive test. Questions such as what happens after a positive IVF pregnancy test and how often pregnancy hormone levels are checked come up frequently. They explain how much hCG should rise in early pregnancy and what it means if it does not increase appropriately. The episode addresses when the first ultrasound is done after IVF and what doctors are hoping to see at five to six weeks of pregnancy. They discuss what an ectopic pregnancy is, how it is diagnosed, and why it can be difficult to distinguish early on from an abnormal intrauterine pregnancy. Other common concerns include what a biochemical pregnancy means, how abnormal pregnancies are treated, and when expectant management may be appropriate. Finally, the hosts review how long fertility clinics typically follow patients during early pregnancy and when care is transferred to an obstetrician. 

 Fertility Docs Uncensored is hosted by Dr. Carrie Bedient from the Fertility Center of Las Vegas, Dr. Susan Hudson from Texas Fertility Center, and Dr. Abby Eblen from Nashville Fertility Center. In this episode, we explore the various genetic tests available for infertility patients, including carrier screening, prenatal testing, and testing done during IVF. We discuss why these tests are important, what they detect, and how they can influence family planning decisions. We give you answers to many questions you may have. What is expanded carrier screening, and what types of traits does it look for in prospective parents? How does being a carrier for recessive traits affect a child, and what is the probability of a child being impacted if both parents carry the same trait? Which traits are typically tested, and why are only severe conditions included? How can results from carrier screening influence decisions about pursuing IVF and embryo selection? What is NIPT testing, and how is it performed during pregnancy? What types of chromosomal abnormalities can NIPT detect, and when is this testing appropriate? How is genetic testing performed at the time of IVF, and what are the different tests available for embryos? What is PGT-A, and how does it assess chromosomal abnormalities? How do PGT-M, PGT-SR, and PGT-P tests evaluate for recessive traits, structural abnormalities, and conditions caused by multiple genes? How do these tests help couples make informed decisions about their reproductive options? What are the advantages of testing embryos before implantation compared to testing during pregnancy? How can understanding these genetic testing options reduce risks and improve outcomes for patients undergoing fertility treatments? Knowing the answers to these questions will help you decide which of these tests are right for you. 

 Fertility Docs Uncensored is hosted by Dr. Carrie Bedient from the Fertility Center of Las Vegas, Dr. Susan Hudson from Texas Fertility Center, and Dr. Abby Eblen from Nashville Fertility Center. In this episode, we discuss everything patients should know when preparing for a frozen embryo transfer (FET). From what to do the day before to how the procedure is performed, we cover the steps to help make the process as smooth and stress-free as possible. We answer all of your questions about what to do before, during, and after the procedure. What should you do to prepare before coming in for a frozen embryo transfer? Why is staying well hydrated the day before so important? Which routine medications should you continue, including those for high blood pressure, diabetes, or thyroid conditions? What types of clothing are recommended for comfort during the procedure? What happens when you first arrive at the clinic? Why is a full bladder necessary for the transfer, and what happens if it is too full? How is the embryo transfer procedure performed, and how is the catheter prepared and loaded? What should you expect immediately after the procedure? How soon can you get up, use the restroom, and go home? What activities can you resume that day, and are there any restrictions? Understanding these steps helps reduce anxiety and improve the overall experience of a frozen embryo transfer. 

 Fertility Docs Uncensored is hosted by Dr. Carrie Bedient from the Fertility Center of Las Vegas, Dr. Susan Hudson from Texas Fertility Center, and Dr. Abby Eblen from Nashville Fertility Center. In this episode, we discuss frequently asked questions such as whether birth control pills affect fertility, whether IVF is painful, and whether anyone can safely carry a pregnancy. We cover conceiving with irregular menstrual cycles and what lifestyle factors, including alcohol, caffeine, and marijuana use, may impact fertility. We also explore complementary therapies such as acupuncture and review which supplements are helpful and which are unnecessary. We address IVF success rates, intrauterine insemination (IUI), and when each treatment option may be appropriate. Male factor infertility topics, including low sperm count and erectile dysfunction, are also discussed, along with how they can influence fertility treatment planning. Topics and questions covered in this episode include: Do birth control pills affect fertility? Does IVF hurt? Can anyone carry a pregnancy? Can I get pregnant with irregular cycles? Can I drink alcohol or coffee while trying to conceive? Can I use marijuana when trying to conceive? Does acupuncture improve fertility? What fertility supplements should I take? What are IVF success rates? Can I do IUI? How does low sperm count affect fertility? How does erectile dysfunction impact conception? This podcast was sponsored by IVF Florida. 

 Fertility Docs Uncensored is hosted by Dr. Carrie Bedient from the Fertility Center of Las Vegas, Dr. Susan Hudson from Texas Fertility Center, and Dr. Abby Eblen from Nashville Fertility Center. In this episode, we explain the initial fertility workup for patients seeing a fertility specialist for the first time. This includes evaluation of the uterus, fallopian tubes, sperm, and ovarian reserve using AMH testing. We discuss how fertility physicians assess egg count and why each component of the evaluation is important. We review ovulation tracking methods, including ovulation predictor kits, and explain how they are used to properly time intercourse. Timed intercourse is discussed as a first-line fertility treatment option, including when it may be effective and when additional intervention is recommended. We also cover fertility medications such as letrozole and clomiphene citrate, used with timed intercourse or with ultrasound follicular monitoring to track egg development. The role of Ovidrel in triggering ovulation and improving timing is explained, along with its benefits. Finally, we discuss intrauterine insemination and the use of the FemVue catheter, which can help deliver sperm more effectively to a specific fallopian tube. This episode provides a comprehensive overview of fertility treatment options that do not involve IVF. This podcast was sponsored by IVF Florida. 

  Fertility Docs Uncensored is hosted by Dr. Carrie Bedient from the Fertility Center of Las Vegas, Dr. Susan Hudson from Texas Fertility Center, and Dr. Abby Eblen from Nashville Fertility Center. What is ovarian hyperstimulation syndrome (OHSS)? OHSS is a condition that can occur after ovarian stimulation, most often during IVF cycles, when the ovaries respond excessively to fertility medications. Who is at highest risk for OHSS? Patients at increased risk include women with a high egg count, younger patients, and patients with PCOS (polycystic ovary syndrome). Does pregnancy increase the risk of OHSS? Yes; a fresh embryo transfer can increase the risk because the pregnancy hormone (hCG) may worsen or prolong OHSS symptoms. How has the risk of OHSS decreased in modern IVF treatment? The use of GnRH agonist (Lupron) trigger shots has dramatically reduced the risk by quickly lowering estrogen levels and preventing severe symptoms. How is OHSS treated? Treatment focuses on symptom management; medications such as cabergoline (Dostinex) and letrozole may be used to lower estrogen levels and shorten symptom duration. When should patients call their doctor about OHSS symptoms? Patients should call immediately if they experience low urine output, an inability to drink fluids, severe abdominal pain, shortness of breath, or pain or swelling in the arms or legs. Why is it important to call your doctor if you are concerned? OHSS can be serious, and early evaluation and treatment are critical. Patients should always contact their doctor if they are worried about symptoms. This podcast was sponsored by U.S. Fertility. 

 Fertility Docs Uncensored is hosted by Dr. Carrie Bedient from the Fertility Center of Las Vegas, Dr. Susan Hudson from Texas Fertility Center, and Dr. Abby Eblen from Nashville Fertility Center. In this episode, they are joined by Ravi Agarwal, MD, from Reproductive Science Center of the San Francisco Bay Area in San Ramon. In this episode, they discussed the unique fertility challenges for women over 40 trying to conceive. Challenges include changes in egg number and egg quality that can affect their chances of conception and carrying a pregnancy. The hosts and their guest discuss how age impacts fertility, how testing guides treatment decisions, and why a personalized approach is essential. During this episode, the docs answered the following questions: What are the biggest fertility challenges women face after age 40? Women over 40 commonly experience both a decreased number of eggs and declining egg quality. As eggs age, they are more likely to have genetic abnormalities, which can make conception more difficult and increase the risk of miscarriage. Why does egg quality decline with age? Egg quality declines due to age-related genetic changes. A higher percentage of eggs become chromosomally abnormal over time, making it harder to achieve a healthy pregnancy. What fertility testing is recommended for women over 40? Testing often includes: AMH (Anti-Müllerian Hormone) to estimate ovarian reserve. Antral follicle count via ultrasound to assess how many eggs are present in the ovaries. These tests help predict treatment response and guide next steps. Can having more eggs help offset poor egg quality? In some women over 40, a higher egg number may partially compensate for reduced egg quality, increasing the likelihood of finding a genetically healthy egg. Do all women over 40 need IVF? No. Not every woman over 40 requires IVF. Some women can conceive without treatment, some are good IVF candidates, and others may not benefit from IVF at all. How do doctors decide which treatment is best after age 40? Treatment decisions are individualized and based on age, egg reserve, egg quality, medical history, and personal goals. This podcast was sponsored by U.S. Fertility. 

 Fertility Docs Uncensored is hosted by Dr. Carrie Bedient from the Fertility Center of Las Vegas, Dr. Susan Hudson from Texas Fertility Center, and Dr. Abby Eblen from Nashville Fertility Center with special guest Lauren Makler, Founder of Cofertility. In this episode of Fertility Docs Uncensored, the Docs welcome back Lauren Makler for a deeper dive into how to choose an egg donor—and why selecting a reputable, ethical organization matters. Lauren explains that not all donor agencies operate with the same standards, so intended parents should ensure the group they partner with strictly follows guidelines set by the American Society for Reproductive Medicine. These include essential criteria such as donor age (typically 21–34) and comprehensive medical, psychological, and lifestyle screening. Lauren also highlights a recent study showing that donors over age 25 often have better outcomes, potentially due to increased emotional maturity and readiness for the medical demands of the process. She emphasizes the importance of reviewing a donor’s anti-mullerian hormone (AMH) level to predict egg yield and notes that nicotine, marijuana, and excessive alcohol use can disqualify a donor because of their impact on fertility. Further screening, including family medical history and genetic carrier testing, ensures compatibility between donor and intended parents. The Cofertility team recognizes that families have different pathways; some prioritize speed and choose frozen donor eggs, while others prefer to wait for the ideal donor match. Cofertility enhances this process by offering donor videos, giving families a more personal connection beyond written profiles so that both parties have the best possible experience. This podcast was sponsored by Cofertility.