"Poor egg quality" is not a diagnosis. It's where clinics stop looking.

If you've been told you have poor egg quality after failed IVF, low AMH, embryo arrest, or recurrent pregnancy loss, this episode will change how you understand that label and what to do next.

Here's the truth most women are never told: poor egg quality is not directly measured. It's a conclusion clinics infer based on age, embryo grading, or how your ovaries responded to stimulation. When IVF fails, that label often becomes the end of the conversation instead of the beginning of a deeper investigation.

In this episode, I break down the five physiological patterns we see repeatedly in women with low AMH, failed IVF, embryo arrest, and pregnancy loss and why correcting these patterns can lead to pregnancy even when AMH does not change.

In this episode, you'll learn:

• Why "poor egg quality" is a label, not a test result and what clinics are actually inferring

• How gut and vaginal microbiome stress drive inflammation and impair nutrient absorption critical for egg development

• Why mineral depletion disrupts mitochondrial energy, hormone signaling, and cellular communication in the ovary

• How blood sugar instability and circadian disruption interfere with ovulation and progesterone

• Why nervous system overload and HPA-axis patterns affect immune balance, implantation, and early embryo development

I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally. For over a decade, my team and I have reviewed hundreds of failed IVF cases and helped couples improve pregnancy outcomes naturally and alongside IVF. We specialize in low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, and recurrent pregnancy loss using functional testing and personalized fertility strategies.

This episode is for you if:

• You were told you have poor egg quality with no clear explanation why

• IVF failed, embryos stopped growing, or all embryos tested were abnormal

• You don't want another medication tweak or repeated protocol, you want answers

👉 Start with a Functional Fertility Second Opinion If you want an expert review of your labs, IVF history, and full health picture to identify patterns being missed, this is the first step before another cycle.

Learn more and apply here.

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Timestamps *]:pointer-events-auto scroll-mt-[calc(var(--header-height)+min(200px,max(70px,20svh)))]" dir="auto" tabindex="-1" data-turn-id= "request-WEB:3cfacf52-f02a-46a1-a05a-812e2ca69b36-49" data-testid= "conversation-turn-38" data-scroll-anchor="true" data-turn= "assistant">

00:00 – Poor egg quality is not a diagnosis Why egg quality is assumed, not measured, and what clinics actually use as proxies like age, embryo grading, and IVF response.

01:10 – What clinics are not evaluating when egg quality is blamed Inflammation, mineral status, immune balance, nervous system regulation, and metabolic health are rarely assessed.

02:15 – Stress physiology, low AMH, and hormone signaling How chronic stress, adrenal function, and thyroid signaling influence AMH, FSH, and follicle development.

03:20 – Gut and microbiome health and egg development Why gut inflammation, infections, and poor nutrient absorption can directly affect ovarian environment and outcomes.

04:55 – Food sensitivities, immune activation, and fertility How immune reactions and chronic inflammation can disrupt egg maturation and implantation.

06:10 – Mineral depletion and egg energy production The role of iron, magnesium, zinc, and other minerals in mitochondrial function and hormone synthesis.

07:25 – Blood sugar instability and ovulation health Why glucose swings, night waking, and metabolic stress impact egg development even in normal-weight individuals.

08:20 – Mitochondrial function and the 90-day egg development window Why egg development takes time and how energy production affects egg competence.

09:10 – Nervous system dysregulation and fertility outcomes How anxiety, trauma, perfectionism, and chronic vigilance signal the body that it is not safe for reproduction.

10:40 – Why pregnancy can happen with low AMH How improving the internal environment can lead to pregnancy even when AMH stays low or unchanged.

If you're over 35 with low AMH and have experienced a failed IVF cycle or been told IVF is your only option, this episode is for you. AMH provides information, but it does not tell the full story about your ability to get pregnant. In this episode, we break down what actually predicts pregnancy success when AMH is low and why focusing only on numbers often leads to frustration and stalled progress.

You'll learn:

• What AMH truly represents and why it reflects ovarian reserve, not egg capability

• Why IVF often fails for women with low AMH despite "normal" standard lab results

• The difference between producing many eggs versus developing one high-quality egg

• How inflammation, digestion, immune activation, and mineral depletion affect egg development

• Why mitochondrial health is essential for egg quality and embryo development

• How stress physiology and circadian rhythm disruption impact ovulation, progesterone, and implantation

• The four underlying patterns we consistently see improve before pregnancy occurs, regardless of AMH

Sarah Clark is the founder of Fab Fertile Inc. and the host of Get Pregnant Naturally. For over a decade, her team has helped hundreds of couples improve their chances of pregnancy success naturally and with IVF. Fab Fertile specializes in low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, and recurrent pregnancy loss using functional testing and personalized fertility strategies.

This episode is especially for you if:

• You have low AMH and are over 35

• You've had a failed IVF cycle or been advised donor eggs are your only option

• You want a deeper understanding of what actually drives egg quality and pregnancy success

• You're looking for a functional fertility approach beyond standard clinic protocols

Next Steps in Your Fertility Journey

Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey.

Not sure where to start? Download our most popular guide: Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action

For personalized support to improve pregnancy success, book a call here.

---

Timestamps

00:00 Low AMH After 35: What AMH Really Means for Fertility 01:02 Low AMH vs Egg Quality: Why Numbers Don't Predict Pregnancy 02:08 Why IVF Often Fails With Low AMH and Diminished Ovarian Reserve 03:18 Hidden Reasons IVF Fails: Inflammation, Digestion, and Immune Stress 04:28 Mitochondrial Health and Egg Quality After 35 05:35 Ovulation Stability and Why Weak Ovulation Blocks Pregnancy 06:42 Signs of Inflammation in Women With Low AMH and High FSH 07:52 Stress, Sleep, and Circadian Rhythm Effects on Fertility Hormones 09:00 What Improves Before Pregnancy Happens With Low AMH 10:12 What to Do Next After Failed IVF With Low AMH

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Resources

📩 Get your free 10-day elimination diet plan Email [email protected] with the subject line 10 DAY to receive your guide.

Why A Mineral Deficiency Matters When You Are Trying To Conceive: https://fabfertile.com/blogs/podcasts/why-a-mineral-deficiency-matters-when-you-are-trying-to-conceive-with-terra-vitiello?_pos=2&_sid=c33eefa71&_ss=r

Improving Egg Quality and Fertility: The Gut Fertility Connection for Low AMH, High FSH, and Poor Egg Quality: https://fabfertile.com/blogs/podcasts/improving-egg-quality-and-fertility-the-gut-fertility-connection-for-low-amh-high-fsh-and-poor-egg-quality?_pos=8&_sid=9b852ae0f&_ss=r

How Gluten Impacts Implantation, AMH/FSH & Fertility Health: https://fabfertile.com/blogs/education/the-impact-of-gluten-on-embryo-implantation-pregnancy-loss-nk-cells-endo-and-amh-fsh-levels?_pos=4&_sid=8f32ae154&_ss=r

Fab Fertile Method: https://www.fabfertile.com/what-we-do/

Ultimate Guide to Getting Pregnant This Year If You Have Low AMH / High FSH: https://fabfertile.clickfunnels.com/optinvbzjfsii

Our favorite fertility tracker (use code FABFERTILE15 to save 15%) https://www.inito.com/en-us/

💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH

Please note: We only promote products that Sarah Clark or the Fab Fertile team has personally used and believes are helpful for those trying to conceive. We may receive a small commission.

As 2025 wraps up, it is normal to ask, "What's next for my fertility?" Maybe your cycles felt unpredictable, lab results felt confusing, or you have been living in constant action mode with supplements, protocols, and timelines. In this episode, we slow it down and get intentional. Instead of piling on more, we look at what your body has been signaling and how to enter 2026 with a clear, steady plan using a functional fertility lens.

*]:pointer-events-auto scroll-mt-[calc(var(--header-height)+min(200px,max(70px,20svh)))]" dir="auto" tabindex="-1" data-turn-id= "df629748-81ec-4f99-92dd-c234bac71fb7" data-testid= "conversation-turn-79" data-scroll-anchor="true" data-turn= "assistant"> You'll learn:

• Why pausing at year-end can support ovarian signaling and reduce the stress loop that keeps you stuck

• How to review 2025 without spiraling, including what helped, what added pressure, and what your symptoms have been communicating

• Which labs to consider rechecking in 2026 and why they matter for fertility strategy, including TSH, vitamin D, ferritin, hsCRP, AMH, and FSH.

• The foundation for egg quality support through mitochondria basics, including sleep, protein, minerals, and CoQ10.

• How to build a realistic nervous system plan that fits a Type A life, so your next step is aligned, not rushed

Sarah Clark is the founder of Fab Fertile Inc. and the host of Get Pregnant Naturally. Her team specializes in functional approaches for low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, recurrent miscarriage and helping couples prepare their bodies for pregnancy success naturally or with IVF.

This episode is especially for you if:

• You have low AMH (ng/mL), high FSH, DOR, or POI and want to enter 2026 with a plan that supports your body without adding more overwhelm

• You have been pushing through and want to make decisions based on insight, not urgency

• You want a functional fertility approach that connects testing, nutrition, lifestyle, and emotional balance in a practical way

Next Steps in Your Fertility Journey

Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey.

Not sure where to start? Download our most popular guide: Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action

For personalized support to improve pregnancy success, book a call here.

---

Timestamps

00:00 – Reflecting on fertility as 2025 ends and why slowing down matters

01:05 – Why constant doing and hypervigilance disrupt ovarian signaling

02:10 – Nervous system dysregulation in low AMH, high FSH, DOR, and POI

03:15 – Why rushing into IVF at year-end can backfire

04:40 – Secondary infertility and when fertility issues appear unexpectedly

05:20 – Reviewing what actually helped your energy, sleep, digestion, and mood

06:15 – Supplements vs personalized testing and why guessing adds stress

07:30 – Gut health, thyroid, inflammation, and missed underlying imbalances

08:45 – Retesting labs and focusing on mitochondria and egg quality

10:05 – Choosing your next fertility step intentionally, not from fear

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Resources

📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility

Your Labs Are Normal" But Are They? 20 Overlooked Blood Markers & Functional Tests to Improve Egg Quality & Fertility: https://fabfertile.com/blogs/podcasts/your-labs-are-normal-but-are-they-20-overlooked-blood-markers-functional-tests-to-improve-egg-quality-fertility

Trying Everything and Still Not Pregnant? Why Your Nervous System May Be the Missing Link: https://fabfertile.com/blogs/education/stress-low-amh-high-fsh-dor?_pos=2&_sid=8e3a507b6&_ss=r

Fab Fertile Method https://www.fabfertile.com/what-we-do/

Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH - https://fabfertile.clickfunnels.com/optinvbzjfsii

Our favorite fertility tracker (use code FABFERTILE15 to save 15) - https://www.inito.com/en-us/?srsltid=AfmBOoo85sXu_esmFN5Kz6iysaTkBKgYl35Jubv-BaLkkxXVggdk6nes

---

💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946

---

Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.

If you have low AMH, high FSH, diminished ovarian reserve , or premature ovarian insufficiency and keep hearing that your TSH is "normal," you may be missing a key piece of your fertility story. Even small shifts in thyroid function can influence egg quality, ovarian reserve, embryo development, implantation, and early pregnancy. In this episode, we look at how thyroid health connects to your labs, symptoms, and IVF outcomes so you can understand what is being overlooked.

You'll learn:

• Why a normal TSH does not always mean your thyroid is optimal for fertility

• The thyroid markers most clinics miss and why they matter

• How thyroid patterns influence egg development, ovarian aging, and implantation

• The connection between thyroid antibodies, low AMH, and IVF failure

• Practical steps to support thyroid function and improve your chances of conception

Sarah Clark is the founder of Fab Fertile Inc. and the host of Get Pregnant Naturally. Her team specializes in functional approaches for low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, recurrent miscarriage and helping couples prepare their bodies for pregnancy success naturally or with IVF.

This episode is especially for you if:

• You have low AMH, DOR, POI, or high FSH and want clarity on how thyroid health plays a role

• You have irregular cycles, unexplained infertility, or repeated loss and wonder if your thyroid is involved

• You have thyroid symptoms, thyroid antibodies, or a diagnosis like Hashimoto's and want to understand how this affects ovarian function

Next Steps in Your Fertility Journey

Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey.

Not sure where to start? Download our most popular guide: Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action

For personalized support to improve pregnancy success, book a call here.

---

Timestamps

00:00 Why thyroid health matters for low AMH, DOR, and POI 01:02 Normal TSH vs optimal TSH for fertility 02:14 Full thyroid panel and what your REI may be missing 03:00 How low thyroid slows follicle development 03:45 Oxidative stress, inflammation, and egg quality 04:30 Thyroid dysfunction and accelerated ovarian aging 05:10 Hyperthyroidism, cycle disruption, and implantation 06:02 Thyroid antibodies and IVF outcomes 07:12 What high TPO antibodies mean for your transfer 08:00 Functional steps to support thyroid and egg quality

---

📩 Get your free Thyroid & Fertility Guide! Email [email protected] with the subject line THYROID to receive your guide and learn how to optimize your thyroid for better egg quality and fertility.

Why Optimizing Thyroid Matters For Low AMH, High FSH and Antral Follicle Count: https://fabfertile.com/blogs/podcasts/why-optimizing-thyroid-matters-for-low-amh-high-fsh-and-antral-follicle-count?_pos=5&_sid=eddf1bb4a&_ss=r

Can Hypothyroidism Cause Infertility: https://fabfertile.com/blogs/education/can-hypothyroidism-cause-infertility?_pos=6&_sid=eddf1bb4a&_ss=r

Fab Fertile Method https://www.fabfertile.com/what-we-do/

Our favorite fertility tracker (use code FABFERTILE15 to save 15) - https://www.inito.com/en-us/?srsltid=AfmBOoo85sXu_esmFN5Kz6iysaTkBKgYl35Jubv-BaLkkxXVggdk6nes

---

💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946

---

Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.

Being told you have Primary Ovarian Insufficiency (POI) or premature menopause can feel like the door has closed on your fertility. But these terms don't mean the same thing and understanding the distinction is essential, especially if you're still hoping to conceive. In this episode, we break down what's actually happening hormonally in each condition, why they're often confused, and how a functional fertility approach can help you understand what may still be possible.

You'll learn:

• The key differences between POI, premature menopause, and early menopause

• What your labs are really telling you about ovarian function

• Signs that your ovaries may still be active even if your cycle has stopped

• Which functional tests give deeper insight into thyroid, immune, gut, and adrenal factors that influence ovarian health

• How inflammation, autoimmune activity, stress physiology, and nutrient imbalances can drive ovarian shutdown

• Supportive nutritional, lifestyle, and mind-body strategies that may improve hormone communication and egg health

• When to combine functional and conventional care to optimize your chances of conception

This episode is especially for you if:

• You've been told you have POI, premature menopause, or early menopause and want clarity about whether your ovaries have truly stopped functioning

• You're under 45 with irregular or missing cycles, hot flashes, or elevated FSH, and want to understand your next steps from a functional-fertility lens

• You've felt dismissed or told "it's over," yet you want to explore supportive strategies that may help your hormones and ovaries regain activity, naturally or alongside medical care

Sarah Clark is the founder of Fab Fertile Inc. and the host of Get Pregnant Naturally. Her team specializes in functional approaches for low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, recurrent miscarriage and helping couples prepare their bodies for pregnancy success naturally or with IVF.

Next Steps in Your Fertility Journey

Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey.

Not sure where to start? Download our most popular guide: Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action

For personalized support to improve pregnancy success, book a call here.

---

Timestamps

00:00 Understanding POI and early menopause and why the distinction changes your fertility options when cycles are irregular or absent.

01:45 What POI before age 40 means and how irregular periods and fluctuating FSH can still indicate remaining ovarian activity.

03:00 Real examples of women with AMH at 0.04 ng/mL and 0.08 ng/mL who conceived by addressing inflammation, gut health, thyroid, and stress patterns.

04:00 How disrupted communication between the brain and ovaries drives POI and the role of autoimmunity, nutrient status, and the nervous system.

05:00 What premature menopause looks like on labs and why confirming ovarian shutdown matters when planning next steps.

06:10 How some women in their forties regain cycles and conceive naturally and what this reveals about hormonal resilience.

08:00 Factors that accelerate ovarian aging, including elevated hsCRP, gut infections, thyroid imbalance, environmental toxins, and nutrient gaps.

09:50 Why the gut and vaginal microbiome influence egg quality and implantation and how hidden infections affect fertility outcomes.

10:50 How functional thyroid ranges guide fertility decisions and why a TSH below 2 mIU/L supports better ovarian signaling and hormone balance.

14:40 Nutrition, mitochondrial support, mineral balance, and mind body work that help improve egg health and ovulation signaling.

---

Resources

📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility.

📩 Get your free Protein for Fertility Guide! Email [email protected] with the subject line PROTEIN to receive your guide and learn how to fuel your body for stronger cycles and better fertility outcomes.

📩 Get your free Thyroid for Fertility Guide! Email [email protected] with the subject line THYROID to receive your guide and learn the optimal thyroid lab ranges for conception, plus often missed nutrition, lifestyle, and testing strategies to improve thyroid function so pregnancy is more likely to succeed.

Is Ureaplasma Affecting Your Fertility? How It Impacts Low AMH, Poor Egg Quality & IVF Success: https://fabfertile.com/blogs/podcasts/the-hidden-threat-ureaplasma-s-impact-on-ivf-success?_pos=3&_sid=61d224007&_ss=r

Why Addressing Homocysteine Levels Can Boost Egg and Sperm Health: https://fabfertile.com/blogs/podcasts/why-addressing-homocysteine-levels-can-boost-egg-and-sperm-health?_pos=1&_sid=09ab3d411&_ss=r

The Shocking Truth About POI and Autoimmune Diseases: https://fabfertile.com/blogs/podcasts/the-shocking-truth-about-poi-and-autoimmune-diseases?_pos=1&_sid=15ebee0b5&_ss=r

9 FAQs About Low AMH And High FSH That Can Help You Improve Pregnancy Success: https://fabfertile.com/blogs/education/9-faqs-about-low-amh-and-high-fsh-that-can-help-you-improve-pregnancy-success?_pos=1&_sid=b70e5c62a&_ss=r

Our favorite fertility tracker (use code FABFERTILE15 to save 15) - https://www.inito.com/en-us/?srsltid=AfmBOoo85sXu_esmFN5Kz6iysaTkBKgYl35Jubv-BaLkkxXVggdk6nes

---

💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946

---

Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.

If you're over 40 and have been told your ovarian reserve is low, you've likely heard things like your only option is IVF with donor eggs or your time has run out. But those statements rarely tell the full story.

In today's episode, Improve Ovarian Reserve to Get Pregnant After 40, we explore what ovarian reserve actually measures, why it does not define your fertility potential, and how a functional fertility approach can support egg quality, hormone communication, and your chances of pregnancy, whether naturally or with IVF.

Even after 40, your body can respond when you understand the underlying imbalances that influence ovarian function.

You'll learn

• What AMH, FSH, and AFC truly indicate and why they don't measure egg quality • How mitochondrial energy, nutrient levels, and antioxidants influence egg development after 40 • The role of thyroid health and why optimal TSH should be below 2.0 when trying to conceive • How gut infections, immune dysregulation, and vaginal microbiome imbalances affect ovarian reserve • Which functional tests help uncover hidden imbalances that impact egg potential, including GI MAP, DUTCH, GrowBaby, and HTMA

This episode is especially for you if:

• You are 40 or older and have been told your AMH is low or your FSH is high

• You have experienced failed IVF cycles, early loss, or poor egg quality and want to know what else you can do

• You want a functional fertility framework that looks at hormone communication, egg energy, and whole body imbalances rather than just chasing lab numbers

Sarah Clark is the founder of Fab Fertile Inc. and the host of Get Pregnant Naturally. Her team specializes in functional approaches for low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, recurrent miscarriage and helping couples prepare their bodies for pregnancy success naturally or with IVF.

Next Steps in Your Fertility Journey

Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey.

Not sure where to start? Download our most popular guide: Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action

For personalized support to improve pregnancy success, book a call here.

---

Timestamps

00:00 What low ovarian reserve really means after 40

Why AMH and FSH do not predict your ability to conceive and why your fertility is not defined by these numbers.

01:00 AMH, FSH and AFC explained for women over 40

How ovarian reserve tests measure quantity, not quality and why functional fertility looks deeper.

02:00 Case study: Diminished ovarian reserve at 41 with autoimmune clues

A real example of low AMH and Hashimoto's with gut infections that resulted in a natural pregnancy.

04:00 Mitochondria and egg energy after 40

How mitochondrial function influences egg maturation and which nutrients support better ovarian energy.

05:00 Thyroid health and why TSH must be optimal to conceive

The full thyroid picture and why ferritin, antibodies and gluten sensitivity matter for ovarian reserve.

07:00 Mineral balance and heavy metals that affect ovarian reserve

How magnesium, copper imbalance and toxic metals influence egg quality and hormone stability.

08:30 Adrenal stress and cortisol patterns that lower ovarian signaling

How chronic stress suppresses FSH and LH and what adrenal patterns look like on testing.

10:00 Gut health, estrogen metabolism and inflammation

How dysbiosis, leaky gut and yeast overgrowth interfere with follicle growth and hormone balance.

11:00 Vaginal microbiome and hidden infections linked to failed implantation

Why Ureaplasma, Mycoplasma and high pH environments reduce embryo success and implantation.

13:00 Case study: Natural pregnancy at 43 with DOR

A woman with low AMH and high FSH who addressed gut, adrenal and thyroid imbalances and conceived naturally.

---

Resources

📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility.

5 Tips to Get Pregnant Even with Poor Egg Quality: https://fabfertile.com/blogs/podcasts/5-tips-to-get-pregnant-even-with-poor-egg-quality

Why A Mineral Deficiency Matters When You Are Trying To Conceive: https://fabfertile.com/blogs/podcasts/why-a-mineral-deficiency-matters-when-you-are-trying-to-conceive-with-terra-vitiello?_pos=1&_sid=ae769fc7d&_ss=r

DUTCH Test 101: Why It's Important For Fertility: https://fabfertile.com/blogs/podcasts/dutch-test-101-why-its-important-for-fertility?_pos=2&_sid=a6f8a8c87&_ss=r

Why Genomic Testing Can Help With Recurrent Pregnancy Loss, Birth Outcomes and Preconception Health: https://fabfertile.com/blogs/podcasts/why-genomic-testing-can-help-with-recurrent-pregnancy-loss-birth-outcomes-and-preconception-health?_pos=8&_sid=f28fd1802&_ss=r

Our favorite fertility tracker (use code FABFERTILE15 to save 15) - https://www.inito.com/en-us/?srsltid=AfmBOoo85sXu_esmFN5Kz6iysaTkBKgYl35Jubv-BaLkkxXVggdk6nes

---

💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946

---

Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.

If you've been told you have poor egg quality, you might feel like your options are limited or that your body isn't capable of what you want most. In this episode, 5 Tips to Get Pregnant Even with Poor Egg Quality, we break down what egg quality really means, what affects it, and how to support your fertility through a functional-fertility lens. You'll learn practical, research-informed strategies that influence the environment where your eggs mature and develop.

You'll learn:

• What poor egg quality actually means and why it's about cellular function, not the number of eggs

• How oxidative stress, thyroid issues, inflammation, toxin exposure, and blood sugar imbalances affect egg development

• The top functional strategies to support mitochondrial energy, hormone communication, and ovulation

• How gut health, minerals, detoxification, and nervous system regulation impact egg and embryo quality

• Research-backed mind–body approaches shown to improve pregnancy outcomes in IVF and natural conception

This episode is especially for you if:

• You've been told you have poor egg quality, low AMH, or high FSH and want to understand what's actually behind those numbers

• You've had failed IVF cycles or early losses and want to know what else you can do to influence your outcome

• You want a whole body, functional fertility approach that supports egg development, mitochondrial health, and hormone communication

Sarah Clark is the founder of Fab Fertile Inc. and the host of Get Pregnant Naturally. Her team specializes in functional approaches for low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, recurrent miscarriage and helping couples prepare their bodies for pregnancy success naturally or with IVF.

Next Steps in Your Fertility Journey

Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey.

Not sure where to start? Download our most popular guide: Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action

For personalized support to improve pregnancy success, book a call here.

---

Timestamps

00:00 – What Poor Egg Quality Really Means Understanding how oxidative stress, thyroid imbalance, inflammation, mitochondrial issues, and chronic stress affect egg development.

01:42 – Why Functional Fertility Testing Changes Outcomes How deeper testing like GI MAP, DUTCH, and nutrient panels uncovers what IVF and basic labs often miss.

03:20 – Success Story: Improving Egg Quality with Hashimoto's and Low AMH A real case of transforming egg health after being told IVF was the only option.

04:08 – Mitochondrial Support for Better Egg Development Key nutrients like CoQ10, omega 3s, B vitamins, magnesium, and antioxidant rich foods that influence egg energy and embryo potential.

05:04 – Why Fasting, Keto, and Undereating Lower Fertility How shaky blood sugar, cortisol spikes, long fasting windows, and restrictive diets impact ovulation and hormone balance.

07:00 – Blood Sugar, Protein Targets, and Egg Free Breakfast Ideas Optimal A1C ranges, how to stabilize blood sugar, and how protein supports hormone communication and egg maturation.

08:40 – Reducing Inflammation and Daily Toxin Exposure Plastics, fragrances, water filtration, and anti inflammatory eating patterns that support healthy follicles.

09:50 – Functional Lab Testing to Personalize Your Fertility Plan Why combining GI MAP, food sensitivities, mineral testing, and mycotoxin screening gives a clearer picture of egg quality barriers.

13:10 – Thyroid, Adrenals, Liver, and Key Nutrients for Fertility How TSH, ferritin, vitamin D, homocysteine, cortisol patterns, and estrogen detox impact egg and embryo quality.

19:00 – The Mind Body Connection and Research Behind IVF Success What the Domar studies and HRV research show about stress, cortisol, and improving ovarian function.

22:10 – The 90 Day Egg Development Window and IVF Readiness Why creating a low inflammation, nutrient rich environment improves egg quality and IVF response.

---

Resources

📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility.

📩 Get your free Protein for Fertility Guide! Email [email protected] with the subject line PROTEIN to receive your guide and learn how to fuel your body for stronger cycles and better fertility outcomes.

📩 Get your free Thyroid for Fertility Guide! Email [email protected] with the subject line THYROID to receive your guide and learn the optimal thyroid lab ranges for conception, plus often missed nutrition, lifestyle, and testing strategies to improve thyroid function so pregnancy is more likely to succeed.

📩 Get your free 7 Day Egg Free Breakfast Guide! Email [email protected] with the subject line BREAKFAST to receive seven days of egg free, fertility focused breakfast ideas designed to support hormone balance, stabilize blood sugar, and nourish women with low AMH or high FSH.

Why Addressing Homocysteine Levels Can Boost Egg and Sperm Health: https://fabfertile.com/blogs/podcasts/why-addressing-homocysteine-levels-can-boost-egg-and-sperm-health?_pos=1&_sid=d928e28d3&_ss=r

Is Ureaplasma Affecting Your Fertility? How It Impacts Low AMH, Poor Egg Quality & IVF Success: https://fabfertile.com/blogs/podcasts/the-hidden-threat-ureaplasma-s-impact-on-ivf-success?_pos=4&_sid=660678fc8&_ss=r

Our favorite fertility tracker (use code FABFERTILE15 to save 15) - https://www.inito.com/en-us/?srsltid=AfmBOoo85sXu_esmFN5Kz6iysaTkBKgYl35Jubv-BaLkkxXVggdk6nes

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💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946

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Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.

If you've ever been told your FSH is too high or that you're not a good candidate for IVF, today's episode will help you understand what that number actually means and the many ways you can still support your fertility. When most people hear "high FSH," they immediately think poor ovarian reserve or low egg count. That's not the full story. In this episode, we look at what high FSH signals, how to interpret it alongside other markers, and what both conventional and functional fertility options can help you move forward with clarity.

You'll learn:

• What high FSH actually measures and why context matters when paired with AMH, estradiol, and AFC • How inflammation, stress, thyroid imbalance, sleep, and environmental toxins influence FSH • Conventional treatment options such as mini IVF, natural cycle IVF, Letrozole, and individualized stimulation protocols • How functional fertility improves the internal environment so your ovaries respond better to any treatment • The key labs, nutrients, and lifestyle factors that support egg quality and hormone communication in high FSH cases

This episode is especially for you if:

• You've been told you have high FSH or diminished ovarian reserve and worry the window is closing • You've had canceled IVF cycles or poor responses and want to understand what else you can do • You want to see how a functional fertility approach can support egg quality so your next steps feel strategic and not desperate

Sarah Clark is the founder of Fab Fertile Inc. and the host of Get Pregnant Naturally. Her team specializes in functional approaches for low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, recurrent miscarriage and helping couples prepare their bodies for pregnancy success naturally or with IVF.

Next Steps in Your Fertility Journey

Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey.

Not sure where to start? Download our most popular guide: Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action

For personalized support to improve pregnancy success, book a call here.

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TIMESTAMPS

00:00 – What High FSH Really Means for Fertility

What FSH actually measures, why it does not reflect egg quality, and why high FSH is often misunderstood in conventional fertility care.

01:00 – The Emotional Impact of High FSH and Canceled IVF Cycles

Understanding why high FSH triggers fear, how it influences IVF decisions, and how a functional lens shifts your strategy.

02:00 – Real Case Story: FSH in the 60s Reduced to 7

A Fab Fertile client lowered FSH dramatically after three failed IVFs and conceived with her own eggs after being told donor eggs were the only option.

03:00 – Drivers of High FSH: Inflammation, Stress, Thyroid, Sleep, and Toxins

FSH as feedback, not failure. Exploring how inflammation, poor sleep, blood sugar imbalance, thyroid dysfunction, and environmental toxins impact ovarian response.

04:00 – Conventional Treatment Options for High FSH

Mini IVF, natural-cycle IVF, Letrozole, Clomid, individualized protocols, medication dosing considerations, and how clinics determine next steps.

05:00 – Why Medication Alone Isn't Enough: The Functional Fertility Lens

How functional testing identifies hidden blocks like gut infections, food sensitivities, chronic inflammation, nutrient deficiencies, and nervous system dysregulation.

06:00 – Hidden Stressors That Disrupt Egg Quality and Hormone Signaling

Parasites, H. pylori, bacterial overgrowths, mold exposure, toxin load, fragrances, plastics, and irregular cortisol patterns that impact egg development.

09:00 – Key Fertility Labs for High FSH

Optimal vs normal ranges for thyroid markers, vitamin D, ferritin, fasting insulin, A1C, homocysteine, and how methylation affects hormone detox and ovarian health.

12:00 – Functional Testing That Personalizes Your Fertility Plan

GI-MAP, food sensitivity testing, DUTCH hormone mapping, genetic testing (MTHFR, COMT, GST), and vaginal microbiome tests for implantation and inflammation insights.

18:00 – When to Pause IVF and Re-Evaluate Your Strategy

Why repeating protocols isn't effective when the internal environment isn't optimized. When a 3–6 month reset can improve ovarian response and IVF success.

19:00 – Final Takeaway: High FSH as a Message, Not a Verdict

High FSH is information, not a dead end. How combining functional optimization with conventional care improves egg quality, hormone signaling, and overall fertility outcomes.

RESOURCES

📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility.

📩 Get your free Protein for Fertility Guide! Email [email protected] with the subject line PROTEIN to receive your guide and learn how to fuel your body for stronger cycles and better fertility outcomes.

The Link Between Sleep and Fertility: Why Getting Enough Rest Matters: https://fabfertile.com/blogs/podcasts/how-poor-sleep-could-be-sabotaging-your-egg-quality?_pos=6&_sid=08f940f89&_ss=r

What does gut health have to do with hormone balance and infertility: https://fabfertile.com/blogs/education/gut-health-hormone-balance-fertility?_pos=5&_sid=6f54e787f&_ss=

Pregnancy After 40 with Low AMH and High FSH: https://fabfertile.com/blogs/education/pregnancy-after-40-with-low-amh-and-high-fsh?_pos=2&_sid=2db9414bf&_ss=r

Is Ureaplasma Affecting Your Fertility? How It Impacts Low AMH, Poor Egg Quality & IVF Success: https://fabfertile.com/blogs/podcasts/the-hidden-threat-ureaplasma-s-impact-on-ivf-success?_pos=1&_sid=9fb48e0cb&_ss=r

Pregnant Naturally at 43: Overcoming Low AMH, High FSH, and Two Miscarriages: https://fabfertile.com/blogs/podcasts/pregnant-naturally-43-low-amh-high-fsh?_pos=12&_sid=0b542adca&_ss=r

AMH Diet – Start This Today to Support Fertility & Get Pregnant This Year: https://fabfertile.com/blogs/podcasts/amh-diet-start-this-today-to-support-fertility-get-pregnant-this-year?_pos=4&_sid=003fecbea&_ss=r

Our favorite fertility tracker (use code FABFERTILE15 to save 15) - https://www.inito.com/en-us/?srsltid=AfmBOoo85sXu_esmFN5Kz6iysaTkBKgYl35Jubv-BaLkkxXVggdk6nes

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💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946

---

Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.

You've been told your AMH is too low or that your egg quality isn't good enough, especially if you're over 40. But AMH doesn't define your fertility; it's a reflection of ovarian reserve, not your ability to conceive.

In this episode, we explore how a functional fertility approach can help you uncover the real reasons AMH is low and how to support your eggs, hormones, and body so you can move forward with confidence whether naturally or with IVF.

You'll Learn:

• What AMH really measures and why many women with low AMH still conceive once key systems are supported.

• The underlying causes that lower AMH: inflammation, gut health, blood-sugar imbalance, thyroid/adrenal dysfunction, and nutrient depletion.

• Which functional labs reveal what conventional testing often misses (GI-MAP, DUTCH, micronutrients).

• How to support egg quality after 40 through personalized nutrition, targeted supplements, toxin reduction, and nervous-system regulation.

• When IVF fits best and how preparing your body 3–6 months in advance can improve response, embryo quality, and implantation.

• Inspiring success stories, including Samantha (age 44, AMH 0.02 ng/mL), who conceived naturally after addressing gut infections, insulin resistance, and stress.

This episode is especially for you if:

• You've been told your AMH is low and want to understand what that really means for your fertility.

• You're in your late 30s or 40s and want evidence-based ways to support egg quality naturally.

• You're unsure if IVF is the next step and want clarity before investing time, money, and hope.

Sarah Clark is the founder of Fab Fertile Inc. and the host of Get Pregnant Naturally. Her team specializes in functional approaches for low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, recurrent miscarriage and helping couples prepare their bodies for pregnancy success naturally or with IVF.

Next Steps in Your Fertility Journey

Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey.

Not sure where to start? Download our most popular guide: Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action

For personalized support to improve pregnancy success, book a call here.

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TIMESTAMPS

00:00 – What Low AMH Really Means for Fertility → Understanding what anti-Müllerian hormone (AMH) actually measures, and why it doesn't define your pregnancy potential.

02:00 – Why Egg Quality Matters More Than Egg Quantity → How mitochondrial health, inflammation, and hormone balance shape egg potential even with low AMH.

03:30 – Inflammation, Stress, and the Type-A Fertility Pattern → The hidden link between hsCRP, stress, and fertility outcomes in high-achieving women over 40.

05:00 – Functional Team Approach: Beyond Hormones and IVF → How the Fab Fertile Method integrates thyroid, gut, and nervous system insights to improve ovarian reserve and egg health.

07:30 – Gut Health and Fertility Connection → What infections like H. pylori mean for nutrient absorption, estrogen balance, and ovarian function.

09:30 – Blood Sugar, Sleep, and Mood Clues to Hormonal Imbalance → Recognizing insulin resistance and blood-sugar swings as hidden drivers of poor egg quality and disrupted cycles.

11:00 – Foundational Fertility Supplements That Actually Matter → How CoQ10, magnesium, vitamin D3/K2, and methylated prenatals support mitochondria and hormone regulation.

12:00 – Samantha's Story: Natural Conception at 44 with AMH 0.02 ng/mL → A real client case showing how addressing gut, thyroid, and adrenal imbalances made conception possible after repeated loss.

15:00 – Functional Tests That Reveal Why AMH Is Low → The key labs: full thyroid panel, hsCRP, ferritin, insulin, GI-MAP, DUTCH, and nutrient testing to find what's missed in conventional care.

18:00 – Creating a Fertile Environment After 40 → Practical steps to support egg quality, anti-inflammatory diet, toxin reduction, nervous system regulation, and realistic IVF timing.

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RESOURCES

📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility.

The Link Between Sleep and Fertility: Why Getting Enough Rest Matters: https://fabfertile.com/blogs/podcasts/how-poor-sleep-could-be-sabotaging-your-egg-quality?_pos=6&_sid=08f940f89&_ss=r

What does gut health have to do with hormone balance and infertility: https://fabfertile.com/blogs/education/gut-health-hormone-balance-fertility?_pos=5&_sid=6f54e787f&_ss=

Pregnancy After 40 with Low AMH and High FSH: https://fabfertile.com/blogs/education/pregnancy-after-40-with-low-amh-and-high-fsh?_pos=2&_sid=2db9414bf&_ss=r

How To Improve Low Estrogen And Get Pregnant Naturally (especially if you've been told IVF or Donor Eggs are the only option): https://fabfertile.com/blogs/education/how-to-improve-low-estrogen-and-get-pregnant-naturally-especially-if-youve-been-told-ivf-or-donor-eggs-are-the-only-option?_pos=2&_sid=9a2c4879e&_ss=r

Our favorite fertility tracker (use code FABFERTILE15 to save 15) - https://www.inito.com/en-us/?srsltid=AfmBOoo85sXu_esmFN5Kz6iysaTkBKgYl35Jubv-BaLkkxXVggdk6nes

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💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946

---

Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.

Could what's happening in your mouth be impacting your fertility?

In this episode of Get Pregnant Naturally, we explore the fascinating connection between your oral microbiome and reproductive health. From silent gum inflammation to the role of mouth breathing, you'll learn how your oral health can influence egg quality, implantation, gut balance, and even sperm DNA integrity.

We're breaking down simple, practical steps, like the timing of dental cleanings, gentle oral-care swaps, and ways to reduce inflammation that can make a measurable difference on your fertility journey.

If you're trying to conceive and want to uncover overlooked yet powerful strategies, this episode is for you.

You'll learn:

• Why oral inflammation is often silent, but still disrupts fertility

• How male fertility is also impacted by oral bacteria

• The link between gum health, egg quality, and implantation

• Practical (and gentle!) oral-care strategies that support reproductive health

• The surprising connection between mouth breathing, sleep, and hormone signaling

This episode is especially for you if:

• You've experienced canceled cycles, poor egg quality, or miscarriage without clear answers

• You're preparing for your next egg retrieval or transfer and want to optimize every detail

• You have bleeding gums, recurring cavities, or gingivitis and never considered how oral health affects fertility

Not sure where to start? Download our most popular resource: The Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH. It breaks everything down step by step to help you understand your options and take action.

For personalized support to improve pregnancy success, book a call here.

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TIMESTAMPS

00:00 Can your mouth affect your fertility? How oral health connects to low AMH, high FSH, and diminished ovarian reserve.

02:10 The oral microbiome and reproductive health Why inflammation in the mouth can influence egg quality, implantation, and hormone balance.

05:00 Gum disease, inflammation, and egg quality decline How chronic oral inflammation impacts ovarian health, mitochondrial function, and embryo development.

08:20 Sperm DNA fragmentation and oral dysbiosis Why men's gum health and oral bacteria matter for sperm DNA integrity and IVF outcomes.

11:10 Mouth breathing, stress, and hormone disruption The surprising link between airway health, cortisol, sleep, and reproductive hormones.

14:05 The gut oral axis and fertility How oral and gut microbiomes interact and why healing the mouth helps the gut (and vice versa).

17:15 Functional fertility approach to oral inflammation Reducing inflammation through nutrition, detox support, and targeted supplements to improve fertility.

20:05 Fertility friendly oral care routine The best ways to support your oral microbiome: dental cleanings, oil pulling, hydroxyapatite toothpaste, and non-toxic swaps.

23:00 Optimizing IVF success through whole body health How addressing hidden inflammation and oral health can improve egg and sperm quality before IVF.

26:10 Next steps for low AMH and DOR Why focusing on oral, gut, and immune health together helps improve ovarian response and pregnancy success.

28:00 Final thoughts Key takeaways for improving fertility through oral and systemic health.

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RESOURCES

📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility.

Fygg Toothpaste: code FABFERTILE to save 15% - https://fygg.com

Boka Toothpaste: https://www.boka.com/

Healthy Sleep, Sleep Apnea And Why It Matters For Fertility: https://fabfertile.com/blogs/podcasts/healthy-sleep-sleep-apnea-and-why-it-matters-for-fertility?_pos=1&_sid=12eb99c30&_ss=r

The Link Between Sleep and Fertility: Why Getting Enough Rest Matters: https://fabfertile.com/blogs/podcasts/how-poor-sleep-could-be-sabotaging-your-egg-quality?_pos=6&_sid=19d28e939&_ss=r

Why Your Dental Routine Matters For Fertility and Pregnancy Success Outcomes: https://fabfertile.com/blogs/podcasts/why-your-dental-routine-matters-for-fertility-and-pregnancy-success-outcomes?_pos=2&_sid=dfe113e30&_ss=r

Our favorite fertility tracker (use code FABFERTILE15 to save 15) - https://www.inito.com/en-us/?srsltid=AfmBOoo85sXu_esmFN5Kz6iysaTkBKgYl35Jubv-BaLkkxXVggdk6nes

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💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946

---

Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.