Get Pregnant Naturally

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 didn't get a second opinion. I went on to have both of my children through donor eggs. Years later, I discovered non-celiac gluten sensitivity, gut issues, and chronic stress that hadn't been part of my fertility conversations.

I can't say those issues caused my POI. But I wish someone had helped me understand my broader health alongside the diagnosis.

What if your POI diagnosis is important information, but there are still health patterns that deserve attention?

In this episode, I share three areas our team considers when reviewing cases involving POI, low AMH, high FSH, and failed IVF: gut and immune health, thyroid and autoimmune patterns, and chronic stress and nervous system regulation.

We explore what these patterns may reveal about your broader health and the questions they can help you bring to your medical team.

In this episode:

• What POI means and why it isn't simply another name for menopause
• Why AMH, FSH and follicle count don't explain every aspect of your reproductive health
• How digestive symptoms and nutrient absorption fit into a broader health review
• Why thyroid function and autoimmune history deserve attention
• What iron, B12, folate and homocysteine may reveal about nutritional status
• Why sleep, under-fueling, excessive exercise and chronic stress deserve context
• Where nervous system support fits alongside fertility treatment
• Why your bone and cardiovascular health matter after a POI diagnosis
• Questions to ask before deciding on another IVF cycle or donor eggs

You may have POI, and donor eggs may still be the right option for you. Investigating your broader health doesn't promise to reverse the diagnosis or change your fertility outcome.

You don't have to put IVF on hold to investigate your health. Both can happen in parallel.

The goal is to understand your results, identify what else deserves attention, and make your next fertility decision with more clarity. Your health matters whichever path you choose.

FREE RESOURCE: THE ULTIMATE GUIDE TO GETTING PREGNANT WITH LOW AMH AND HIGH FSH

If you're navigating low AMH, high FSH, or diminished ovarian reserve, this free guide walks you through important fertility markers, nutrition and lifestyle strategies, and what to consider as you plan your next steps.

Get your free copy here.

FUNCTIONAL FERTILITY SECOND OPINION

Book with your partner if you're trying to conceive together, and upload your labs and test results to our secure portal before the call.

We review what you already have, your fertility history, previous IVF response, and the health of both partners to identify questions that may not have been explored and discuss potential next steps.

Book here

ABOUT THE HOST

I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over one million downloads. For almost 12 years, my team and I have worked with couples navigating low AMH, diminished ovarian reserve, high FSH, POI, recurrent pregnancy loss, and failed IVF.

We look across fertility history, previous treatment, bloodwork, functional testing, and the health of both partners to identify patterns that may not have been explored. We work alongside your fertility clinic, not instead of it.

Sarah Clark, founder of Fab Fertile, host of Get Pregnant Naturally (1M+ downloads), and author of Fabulously Fertile.

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, and miscarriage

• Why thyroid medication may be necessary, but other health concerns can still deserve attention

• How gut health, nutrient deficiencies, blood sugar, and nervous system regulation fit into our functional fertility approach

Your reproductive health doesn't exist in a silo. We look for patterns across your symptoms, health history, and testing while working alongside your fertility specialist.

I'm Sarah Clark, founder of Fab Fertile, author of Fabulously Fertile, and host of Get Pregnant Naturally, a podcast with over one million downloads.

My functional fertility team specializes in helping couples navigating low AMH, high FSH, diminished ovarian reserve (DOR), premature ovarian insufficiency (POI), recurrent miscarriage, and failed IVF. We use functional lab testing, targeted nutrition and lifestyle strategies, and nervous system regulation to identify patterns that may have been missed.

We work alongside your medical team, not instead of them.

Free Thyroid and Fertility Guide: https://fabfertile.com/pages/thyroid-guide

Subscribe to Get Pregnant Naturally and share this episode with someone navigating failed IVF.

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 still don't understand why your ovaries aren't responding.

What if changing your IVF protocol isn't the only thing worth investigating?

In this episode, we explore why poor ovarian response deserves a closer look at your overall health and how a functional fertility approach can work alongside your fertility clinic.

In this episode:

• Why low AMH and diminished ovarian reserve can make IVF stimulation challenging

• What to consider when only one or two follicles develop, or your IVF cycle is canceled

• Why mini IVF, lower medication doses or a different stimulation protocol may be worth discussing with your fertility specialist

• How thyroid function, nutrient deficiencies and blood sugar regulation fit into your fertility assessment

• Why digestion, inflammation, sleep and chronic stress deserve attention

• Why the male partner's health matters, even when the focus has been on your ovarian response

• How to investigate your health while continuing to explore IVF treatment options

You may decide to try another IVF protocol. Or you may need time to consider other fertility options.

You don't have to put IVF on hold to investigate your health. Both can happen in parallel.

The goal is to make your next decision with more clarity and fewer unanswered questions.

FUNCTIONAL FERTILITY SECOND OPINION

Book with your partner if you're trying to conceive together, and upload your labs and test results to our secure portal before the call.

We review what you already have, your fertility history, previous IVF response, and the health of both partners to identify questions that may not have been explored and discuss potential next steps.

Book here

ABOUT THE HOST

I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over one million downloads. For almost 12 years, my team and I have worked with couples navigating low AMH, diminished ovarian reserve, high FSH, POI, recurrent pregnancy loss, and failed IVF.

We look across fertility history, previous treatment, bloodwork, functional testing, and the health of both partners to identify patterns that may not have been explored. We work alongside your fertility clinic, not instead of it.

Sarah Clark, founder of Fab Fertile, host of Get Pregnant Naturally (1M+ downloads), and author of Fabulously Fertile.

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 AMH and FSH? Has anyone reviewed what happened during your IVF cycles, including follicle response, fertilization, and embryo development?

And has anyone looked beyond your ovaries?

Donor eggs can be a wonderful path to parenthood. This isn't about ruling them out. It's about understanding your options and making a decision with fewer unanswered questions.

In this episode:

• Why low AMH and high FSH don't tell the whole story about your fertility

• What to ask when donor eggs are recommended after failed IVF

• Why your previous IVF response, fertilization, and embryo development matter

• Why the male partner needs to be investigated beyond a normal semen analysis, including sperm DNA fragmentation

• What may still be worth reviewing, including thyroid and autoimmune patterns, metabolic health, inflammation, gut health and the nervous system

• How to determine whether further investigation could meaningfully inform your next fertility decision

• Why being informed about donor eggs doesn't mean you have to decide immediately

You may ultimately choose donor eggs. Or you may decide there are still questions worth exploring with your fertility team.

Either way, you deserve to understand why a particular path is being recommended.

FUNCTIONAL FERTILITY SECOND OPINION

Book with your partner and upload your labs and testing into our secure portal before the call. If you've done testing in the last three months, we won't automatically ask you to repeat it.

We review what you already have, your fertility history, previous IVF response and the health of both partners to identify questions that may not have been explored and discuss potential next steps.

Book here

ABOUT THE HOST

I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over one million downloads. For almost 12 years, my team and I have worked with couples navigating low AMH, diminished ovarian reserve, high FSH, POI, recurrent pregnancy loss, and failed IVF.

We look across fertility history, previous treatment, bloodwork, functional testing, and the health of both partners to identify patterns that may not have been explored. We work alongside your fertility clinic, not instead of it.

Sarah Clark, founder of Fab Fertile, host of Get Pregnant Naturally (1M+ downloads), and author of Fabulously Fertile.

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 did they connect what they found to your fertility history, IVF response, and the health of both partners?

Doing functional medicine and having a complex fertility case investigated aren't necessarily the same thing.

In this episode:

Why general functional medicine may miss patterns that matter in low AMH, DOR, POI, recurrent loss and failed IVF

Why more testing and more supplements aren't necessarily the answer

What may still be worth investigating, including inflammation, autoimmune and thyroid patterns, the nervous system, gut health and vaginal microbiome

Why his side matters beyond a normal semen analysis, including sperm DNA fragmentation

How your IVF history, embryo development and recurrent losses become part of the investigation

What to ask about the work you've already done before another IVF cycle

You're not starting over. You're figuring out what hasn't been connected yet.

CHAPTERS

00:00 I've already done functional medicine 02:10 General functional medicine versus complex fertility cases 03:40 High achieving, hypervigilant and the nervous system 04:30 His side beyond a normal semen analysis 10:50 Your fertility history, IVF response and recurrent loss

FUNCTIONAL FERTILITY SECOND OPINION

Book with your partner and load your labs and testing into our secure portal before the call. If you've done testing in the last three months, we won't ask you to repeat it. We look at what you already have, your fertility history and the health of both partners, see what's been missed, and give you a plan to put it all together.

Book here

ABOUT THE HOST

I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over one million downloads. For almost 12 years, my team and I have worked with couples navigating low AMH, diminished ovarian reserve, high FSH, POI, recurrent pregnancy loss and failed IVF.

We look across fertility history, previous treatment, bloodwork, functional testing, and the health of both partners to identify patterns that may not have been explored. We work alongside your fertility clinic, not instead of it.

Sarah Clark, founder of Fab Fertile, host of Get Pregnant Naturally (1M+ downloads), and author of Fabulously Fertile.

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 its own, it's a poor predictor of whether you'll conceive naturally, and it can't tell you the quality of your eggs.

So instead of building your whole plan around raising that number, the better question is what else deserves a look.

In this episode:

What low AMH can and can't tell you about IVF response, natural conception, and egg quality

Why chasing a higher AMH isn't the main goal, even when we do see it move

What may be shaping the environment your eggs are developing in, including inflammation, thyroid health, blood sugar, nutrient status, gut and vaginal microbiome, and the nervous system

Why your partner's health matters and why a normal semen analysis isn't always the full picture

Low AMH is important information. It isn't your entire fertility story.

CHAPTERS

00:00 When AMH becomes the explanation for everything 02:00 What AMH can and can't tell you 03:00 Why did this happen? 04:00 The environment your eggs develop in 07:00 His side and what hasn't been investigated

FUNCTIONAL FERTILITY SECOND OPINION

Book with your partner and load your labs and testing into our secure portal. We look at patterns across your fertility history, bloodwork, existing testing, and the health of both partners to identify what may not have been investigated. Whether you're trying naturally, preparing for IVF or deciding what to do after a failed cycle, we'll help you understand what deserves your attention next. Book here

ABOUT THE HOST

I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over one million downloads. For almost 12 years, my team and I have worked with couples navigating low AMH, diminished ovarian reserve, high FSH, POI, recurrent pregnancy loss and failed IVF.

We look across fertility history, previous treatment, bloodwork, functional testing, and the health of both partners to identify patterns that may not have been explored. We work alongside your fertility clinic, not instead of it.

Sarah Clark, founder of Fab Fertile, host of Get Pregnant Naturally (1M+ downloads), and author of Fabulously Fertile.

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 not the same thing. No one can guarantee another IVF cycle, a different protocol, PRP, or donor eggs will work. You don't need to know your decision is going to work. You need to know why you're making it.

In this episode, I walk through when you genuinely need more information after failed IVF, recurrent pregnancy loss, low AMH or high FSH, and when research has become the thing keeping you stuck.

We look at what has actually been investigated for both partners, including autoimmune history, inflammation, food sensitivity, bloating, skin changes, male bloodwork and sperm DNA fragmentation beyond a semen analysis that came back

And instead of asking what else should I research? I give you a different question:

What information would actually change my decision?

Whether that's IVF number four, trying again after loss, continuing with your own eggs, or moving to donor eggs.

Preparing is not the same as being evaluated.

CHAPTERS

00:00 AMH 0.2, FSH 40 and fifteen versions of the same question 01:20 When you do need more information 02:20 What has actually been investigated, for both of you 05:20 What information would change your decision 08:10 Fear about time, fear of choosing wrong, and certainty

FUNCTIONAL FERTILITY SECOND OPINION

Book with your partner and load your labs into the secure portal. We look at your history, your bloodwork, what you've already tried and your current plan, and talk through what has not been investigated and how to work on it alongside your clinic, in parallel. It is not IVF or your health. It is both.

Book here → https://fabfertile.com/pages/second-opinion

ABOUT THE HOST

I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over one million downloads. My functional fertility team works with couples navigating low AMH and failed IVF, reviewing functional lab results, gut microbiome, food sensitivity, vaginal microbiome, nutrigenomics, HTMA, DUTCH, toxin testing, and bloodwork alongside nervous system work, to help identify patterns that may not have been considered. We work alongside your medical team, not instead of them.

Sarah Clark, founder of Fab Fertile, host of Get Pregnant Naturally (1M+ downloads), and author of Fabulously Fertile.

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

She 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 going on with her health.

In this episode, I walk through our client's POI success story, including her Hashimoto's, inflammation, low vitamin D, B12 and iron, chronic stress, gut and vaginal microbiome, her partner's health, and what happened the month before her planned IVF.

After eight months of following the Fab Fertile Method, she became pregnant naturally the month before she was planning to start IVF.

This is her story of looking beyond AMH and FSH and asking: what else might have been missed?

00:00 POI at 37 with an AMH of 0.16 and an FSH of 45 04:00 Told donor eggs were her only option 06:30 Inflammation, nutrients, stress and her gut 20:10 PRP timing and the month before her planned IVF 24:20 Why AMH and FSH alone are not the whole picture

FUNCTIONAL FERTILITY SECOND OPINION

Book with your partner and load your labs into the secure portal. We review your bloodwork for patterns and talk through what is worth digging into before another IVF cycle. Book your call with your partner here.

ABOUT THE HOST

I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over one million downloads. My functional fertility team works with couples navigating low AMH and failed IVF, reviewing functional lab results, gut microbiome, food sensitivity, vaginal microbiome, nutrigenomics, HTMA, DUTCH, toxin testing, and bloodwork alongside nervous system work, to help identify patterns that may not have been considered. We work alongside your medical team, not instead of them.

Sarah Clark, founder of Fab Fertile, host of Get Pregnant Naturally (1M+ downloads), and author of Fabulously Fertile.

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 clinic may have had good reasons for saying egg quality. They also cannot test it directly. That makes it a conclusion rather than a finding, and it is usually where the investigation stops.

In this episode, what I would want looked at before another retrieval includes the 90 days before stimulation started and his side beyond a semen analysis that came back fine.

Preparing is not the same as being evaluated.

CHAPTERS

00:00 Day three looked fine. Day five, there was nothing to transfer 01:20 Why egg quality is a conclusion, not a test result 04:00 The 90 days before the retrieval, for both of you 05:30 Blood sugar, the full thyroid picture, inflammation and nutrients 09:30 His side beyond the semen analysis

FUNCTIONAL FERTILITY SECOND OPINION

Book with your partner and load your labs. We review your bloodwork for patterns your clinic is not set up to examine, and talk through what is worth investigating before another retrieval or transfer. It is not IVF or your health. It is both. Book here → second opinion

ABOUT THE HOST

I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over one million downloads. My functional fertility team works with couples navigating low AMH and failed IVF, reviewing functional lab results, gut microbiome, food sensitivity, vaginal microbiome, nutrigenomics, HTMA, DUTCH, toxin testing, and bloodwork alongside nervous system work, to help identify patterns that may not have been considered. We work alongside your medical team, not instead of them.

Sarah Clark, founder of Fab Fertile, host of Get Pregnant Naturally (1M+ downloads), and author of Fabulously Fertile.

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 had never been tested for.

She followed our Fab Fertile Method and did one more IVF. That transfer worked, and they had their daughter.

This is one couple, and it is not a promise. What it shows is what a complete investigation looked like before that last cycle.

CHAPTERS

00:00 Three failed IVFs, two losses, and a donor egg recommendation 01:20 Told donor eggs at 28. Why I never got a second opinion 03:00 A 10-day luteal phase and the symptoms nobody counted 04:30 What testing showed: absorption, inflammation, and a decade of birth control 06:30 His side. Sleep, headaches, and DNA fragmentation nobody had looked for 11:45 What changed before the last transfer

FUNCTIONAL FERTILITY SECOND OPINION

Book with your partner and load your labs. We review your bloodwork for patterns your clinic is not set up to examine, and talk through what is worth investigating before another cycle or transfer. It is not IVF or your health. It is both. Book here →

ABOUT THE HOST

I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over one million downloads. My functional fertility team works with couples navigating low AMH and failed IVF, reviewing functional lab results, gut microbiome, food sensitivity, vaginal microbiome, nutrigenomics, HTMA, DUTCH, toxin testing, and bloodwork alongside nervous system work, to help identify patterns that may not have been considered. We work alongside your medical team, not instead of them.

Sarah Clark, founder of Fab Fertile, host of Get Pregnant Naturally (1M+ downloads), and author of Fabulously Fertile.