Today on PCOS Explained, we’re revisiting a fascinating conversation with my good friend Angela Heap, a leading fertility nutritionist, who shares groundbreaking research on how the microbial balance in the vagina and uterus could influence everything from conception to miscarriage risk.

We’ve all heard about the gut microbiome, but did you know that your vaginal microbiome plays a crucial role in reproductive health? 

Angela breaks down how specific bacteria help protect against infections, support implantation, and even impact pregnancy outcomes. She also explains why women with PCOS often have a disrupted vaginal microbiome, how this could contribute to fertility challenges, and what steps can be taken to restore balance.

We get into the latest testing options for assessing the vaginal microbiome, why misdiagnosed recurrent infections could be harming your fertility, and how a tailored approach—not a one-size-fits-all treatment—is key to restoring a healthy environment. Plus, Angela shares real-world case studies where microbiome interventions have led to successful pregnancies.

If you’ve struggled with recurrent thrush, bacterial vaginosis, unexplained infertility, or multiple miscarriages, this episode is a must-listen. We also discuss practical ways to improve your microbiome through nutrition, probiotics, and targeted treatments—without falling for ineffective, trendy “fixes” like vaginal cleansing products.

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