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.