Trying with Dr. Sasha Hakman

A birth plan can help you feel prepared for labor, but birth does not always go according to plan. In this solo episode, Dr. Sasha Hakman shares her perspective as both a board-certified OB-GYN and a mom preparing for her third delivery after IVF. She breaks down birth plans, hospital vs. home birth, induction at 39 weeks, VBAC and TOLAC, epidurals, doulas, delayed cord clamping, cord blood banking, and the interventions that may come up during labor. Most importantly, she explains why informed decision-making, flexibility, and finding a care team you trust matter more than creating the "perfect" birth experience.

In this episode, we cover:

→ How to create a realistic birth plan, why Dr. Sasha prefers a one-page list of preferences, and why shared decision-making and informed consent should be at the center of your delivery experience

→ The different approaches to birth, including low-intervention and unmedicated labor, epidural-focused plans, planned induction, scheduled C-section, and TOLAC (trial of labor after cesarean) with the goal of a VBAC

→ Home birth vs. hospital birth, the risks Dr. Sasha considers when choosing where to deliver, who should not consider a home birth, and why she personally prioritizes delivering at a hospital with a high-level NICU

→ Dr. Sasha's first two birth stories, including her scheduled C-section for a breech baby, her unexpectedly fast TOLAC and vaginal delivery, and what those experiences have changed about her birth plan for baby number three

→ 39-week induction vs. waiting for spontaneous labor, what the ARRIVE trial found about elective induction, and why Dr. Sasha personally hopes to deliver by 39 weeks

→ How an induction of labor actually works, including cervical ripening, Foley balloons, Pitocin (oxytocin), medication options, membrane sweeps, dates, nipple stimulation, and why some induction medications are not appropriate after a previous C-section

→ Low-intervention labor, when to go to the hospital, why active labor is now generally considered around 6 centimeters, intermittent vs. continuous fetal monitoring, eating and drinking during labor, and choosing the position that feels best for you

→ Why Dr. Sasha has changed her perspective on doulas, how the right doula can provide continuous support and advocacy, and why your partner may need support during labor too

→ Epidurals and pain management, including the benefits and risks of epidural anesthesia, whether epidurals increase C-section risk, IV pain medication, spinal headaches, blood pressure changes, and why Dr. Sasha plans to request an epidural early this time

→ What happens during pushing and delivery, including tearing vs. episiotomy, vacuum and forceps-assisted delivery, and when interventions may help avoid an emergency C-section

→ What happens immediately after birth, including skin-to-skin, delayed cord clamping for 30 to 60 seconds, placenta delivery, postpartum Pitocin, breastfeeding, and monitoring for postpartum hemorrhage

→ Cord blood banking vs. donation, why Dr. Sasha does not personally plan to use private cord blood banking, and why she prefers donating cord blood to a public bank when possible

→ Dr. Sasha's birth plan for baby number three: spontaneous labor if possible, delivery by 39 weeks, early pain control, continuous fetal monitoring, openness to intervention when medically necessary, and ultimately one priority, a healthy mom and healthy baby

Follow Dr. Sasha! TikTok: @sashahakmanmd Instagram: @sashahakmanmd @tryingpod YouTube: @sashahakmanmd

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What does it actually take to raise emotionally resilient kids without losing yourself in the process?

In Part 2 of my conversation with pediatrician and PedsDocTalk founder Dr. Mona Amin, we move from her personal journey into some of the most debated topics in modern parenting: sleep training, co-sleeping, gentle parenting, attachment, boundaries, emotional regulation, and the pressure to get everything "right."

Dr. Mona explains why parenting is rarely as black and white as social media makes it seem. We talk about what the research actually says about sleep training and attachment, why parental sleep matters too, and how families can think about co-sleeping through the lens of risk reduction rather than judgment.

We also unpack the difference between gentle, permissive, authoritative, and authoritarian parenting. Dr. Mona shares why validation alone isn't always enough, why some children actually become more dysregulated when parents over-explain their emotions, and how loving limits can give children both the connection and boundaries they need.

Plus, we get into tantrums, hitting, whining, yelling, parental guilt, repairing after you lose your cool, and why modeling emotional regulation may be one of the most powerful tools we have as parents.

This conversation is such an important reminder that no parent is going to get every moment right. What matters is building a relationship where your child knows they are loved, their emotions are safe with you, and they can always come back to you.

In this episode

→ How Dr. Mona's own birth trauma changed the way she communicates medical and parenting information

→ What the research says about sleep training, attachment, and the Ferber method

→ Why there is no one-size-fits-all approach to infant and toddler sleep

→ Co-sleeping, bed sharing, safe sleep, SIDS risk, and the importance of risk reduction

→ Why a child's temperament and "cuddle quota" can completely change what works for their family

→ Gentle parenting versus permissive, authoritative, and authoritarian parenting

→ Why over-validating a child during a tantrum can sometimes make things worse

→ How to set firm boundaries without shaming or dismissing your child's emotions

→ What to do when your child hits, whines, screams, or becomes completely dysregulated

→ Why parents need to regulate themselves before they can help regulate their children

→ How apologizing after yelling or losing your temper can model accountability

→ Why repair matters more than being a perfect parent

→ How positive reinforcement helps shape behavior without creating shame

→ What emotional resilience actually looks like as children grow

→ Dr. Mona's approach to evidence-based medicine without fear mongering

→ The parenting myths she is most tired of correcting online

→ What she hopes her own children understand about their childhood when they're adults

Follow Dr. Mona!Instagram: @pedsdoctalk 

Follow Dr. Sasha! TikTok: @sashahakmanmd Instagram: @sashahakmanmd @tryingpod YouTube: @sashahakmanmd

Want to receive my weekly newsletter? Sign up at sashahakmanmd.com/newsletter for updates, Q&A answers and more! If you haven't already, please rate, review, and follow the podcast to be notified of new episodes every week. If you're interested in becoming a patient go to sashahakmanmd.com to learn more!

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WARNING: This episode includes detailed discussion of traumatic birth, a NICU stay, a newborn stroke and seizures, maternal sepsis, repeat surgeries, and fear of dying in childbirth.

What happens when the birth experience you imagined becomes a medical emergency, and the journey to growing your family takes a turn you never expected?

In this deeply personal episode of Trying, Dr. Sasha Hakman sits down for part 1 of 2 episodes with pediatrician and mother of two Dr. Mona Amin, known as Dr. Mona of PedsDocTalk, to discuss her journey through birth trauma, a NICU stay, secondary infertility, IVF, and the emotional work of healing after an unexpected birth experience.

Dr. Mona shares the terrifying complications surrounding the birth of her son, including an emergency during her C-section, his neonatal stroke and seizures, and her own life-threatening postpartum complications. Despite being a physician herself, she describes what it felt like to have her symptoms dismissed and the importance of advocating for yourself when something doesn't feel right.

When she and her husband decided to try for a second child, Dr. Mona discovered that scar tissue from her previous surgeries had caused a hydrosalpinx, a fluid-filled, blocked fallopian tube that complicated her ability to conceive. She takes us through the decision to pursue IVF, the emotional weight of having only one viable embryo, and the eventual birth of her daughter.

Together, Dr. Sasha and Dr. Mona explore the grief that can accompany an unexpected birth experience, the impact of medical trauma on both parents, and why motherhood, bonding, and healing do not have to look the way we originally imagined.

In this episode

Follow Dr. Mona!Instagram: @pedsdoctalk 

Follow Dr. Sasha! TikTok: @sashahakmanmd Instagram: @sashahakmanmd @tryingpod YouTube: @sashahakmanmd

Want to receive my weekly newsletter? Sign up at sashahakmanmd.com/newsletter for updates, Q&A answers and more! If you haven't already, please rate, review, and follow the podcast to be notified of new episodes every week. If you're interested in becoming a patient go to sashahakmanmd.com to learn more!

Thank you to our sponsors!

Go to https://olliesmile.com and enter code TRYING at checkout for 10% off your order! 

Use my link at thrivemarket.com/trying  to get $20 off your first three orders —  That covers your membership fee! Sign up now before this exclusive offer ends

Support your cells and how you age with Mitopure® Gummies from Timeline.Visit

timeline.com/SASHA and 20% off your Mitopure® Gummies.

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In this solo Q&A episode of Trying with Dr. Sasha Hakman, Dr. Sasha answers listener questions across fertility, IVF, embryo transfer, hormone health, pregnancy, exercise, and reproductive genetics.

From adenomyosis treatment before embryo transfer and ways to support a short luteal phase to whole genome sequencing, balanced translocations, IVF in your 40s, male factor infertility, and exercise during treatment, Dr. Sasha breaks down what the evidence tells us, where the research is still limited, and why fertility care often needs to be highly individualized.

As always, this episode is for general education and is not personal medical advice.

In this episode, we cover:

➜ Adenomyosis, why it can affect implantation, and when Depo Lupron and letrozole may be considered before embryo transfer

➜ Using Inito to track FSH, LH, estrogen, and progesterone, confirm ovulation, and potentially identify a luteal phase defect

➜ Whole genome sequencing of embryos, polygenic risk scores, monogenic conditions, Juniper Genomics, Orchid, Nucleus, and the limitations of embryo genetic testing

➜ Persistent chronic endometritis after doxycycline, when additional antibiotics may be needed, and where EMMA/ALICE testing may have a role

➜ Resistance training, powerlifting, pelvic floor health, urinary incontinence, prolapse, and what researcher Margie Davenport's work suggests about exercise in pregnancy

➜ Balanced translocations, genetic counseling, untested embryos, embryo biopsy and re-freezing, and how maternal age can influence decisions around PGT

➜ Vaginal estrogen and the vaginal microbiome, Evvy testing, and using progesterone supplementation to support a short luteal phase

➜ Reproductive immunology after miscarriage or failed embryo transfer, plus when a rheumatologist or reproductive immunologist may be helpful

➜ ICSI for male factor infertility, high AMH, reproductive urology, varicoceles, hypothalamic amenorrhea, restoring ovulation, and trying to conceive after losing your period

➜ Fertility and IVF in your 40s, including the realities of egg quality, ovarian reserve, repeated IVF cycles, and when donor eggs may enter the conversation

➜ Pregnancy symptoms that deserve evaluation, including ocular migraines, shortness of breath, severe fatigue, low ferritin, and iron deficiency

➜ IVF add-ons including Neupogen, hCG washes, steroids, IV intralipids, and uterine PRP, and why limited evidence does not always stop patients with recurrent implantation failure from considering them

➜ Luteal phase ovarian stimulation, estrogen and testosterone priming, diminished ovarian reserve, follicle synchronization, and individualized stimulation protocols

➜ Exercise during ovarian stimulation and after frozen embryo transfer, plus microdose Lupron protocols, FSH stimulation, hCG triggers, and OHSS risk

CHAPTERS

00:00 Solo Q&A and a reminder about general medical advice01:00 Adenomyosis treatment before transfer and tracking ovulation with Inito08:03 Whole genome sequencing, embryo genetics and chronic endometritis13:55 Resistance training, pelvic floor health, balanced translocations and untested embryos20:44 Vaginal estrogen, the microbiome and lengthening the luteal phase23:44 Reproductive immunology, ICSI and male factor infertility27:29 Hypothalamic amenorrhea and trying for another baby in your 40s30:34 Migraines in pregnancy, iron deficiency and IVF success in the mid to late 40s35:22 Neupogen, IVF add-ons and luteal phase stimulation39:06 Exercise during IVF and after embryo transfer, plus microdose Lupron protocols

Episodes and experts mentioned:

Follow Dr. Sasha!

TikTok: @sashahakmanmd

Instagram: @sashahakmanmd @tryingpod

YouTube: @sashahakmanmd

Want to receive my weekly newsletter? Sign up at sashahakmanmd.com/newsletter for updates, Q&A answers and more! If you haven't already, please rate, review, and follow the podcast to be notified of new episodes every week. If you're interested in becoming a patient go to sashahakmanmd.com to learn more!

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Stillbirth is a topic many expectant parents are afraid to talk about, but understanding your baby’s movement patterns can be an empowering tool during pregnancy.

In this episode of Trying with Dr. Sasha Hakman, Dr. Sasha sits down with Karina Bennett, ambassador for Count the Kicks, a stillbirth prevention program created by Healthy Birth Day, Inc. Karina shares the story of losing her son to stillbirth and how that experience led her to advocacy, education, and a mission to help other families recognize changes in fetal movement before it is too late.

Together, Sasha and Karina break down what kick counting actually looks like, when to start, what counts as movement, and why knowing your baby’s individual pattern matters more than comparing your pregnancy to someone else’s. They also discuss anterior placentas, decreased fetal movement, advocating for yourself when something feels wrong, the limitations of at-home Dopplers, and why seeking evaluation is never an overreaction.

This conversation is not about creating fear. It is about giving pregnant women information they can use to feel more connected to their baby, more confident in what is normal, and more empowered to speak up when something changes.

In this episode, we cover:

→ Karina’s personal experience with stillbirth and how losing her son led her to Count the Kicks and stillbirth prevention advocacy

→ Why talking about stillbirth does not have to be fear-based and how education can help expectant parents feel more empowered during pregnancy

→ What fetal movement can tell you about your baby’s well-being and why changes in your baby’s normal pattern deserve attention

→ When to begin tracking fetal movement in the third trimester and how recommendations may differ for higher-risk pregnancies

→ What actually counts as a “kick,” including jabs, rolls, swishes, and other movements

→ Why the goal is not simply reaching a universal number of kicks, but learning how long it typically takes your individual baby to reach 10 movements

→ How the free Count the Kicks app tracks movement patterns, timing, and movement strength over time

→ How tracking fetal movement may reduce anxiety, create reassurance, and help parents bond with their baby during pregnancy

→ What an anterior placenta can mean for your perception of fetal movement and why knowing your own baby’s pattern is still important

→ Why hearing a heartbeat with an at-home Doppler does not replace evaluation for decreased fetal movement or testing like a nonstress test

→ What to do when your baby’s movement pattern changes and why you should never worry about being a burden for asking to be evaluated

→ How to advocate for yourself if you feel dismissed by a provider, including seeking another provider or going to labor and delivery when something does not feel right

→ The ripple effect of pregnancy loss on mothers, fathers, siblings, grandparents, and entire families, and why partners need space and support to grieve too

→ Finding support after stillbirth through therapy, community, advocacy, creative outlets, and giving yourself space to process an unimaginable loss

Learn more about Karina + Count the Kicks

Count the Kicks is a free fetal movement tracking resource designed to help expectant parents learn their baby’s normal movement patterns during the third trimester.

Instagram: @countthekicksusDownload the free Count the Kicks app on iOS or Android.

Stay connected with Dr. Sasha

Follow Trying with Dr. Sasha Hakman for honest, expert-led conversations about fertility, pregnancy, reproductive health, and everything that comes with trying to grow a family.

Subscribe wherever you listen to podcasts and on YouTube @tryingpodwithdrhakman.

Have a question or a topic you want Dr. Sasha to cover? Leave it in the comments or submit it for an upcoming episode.

New episodes drop every Wednesday.

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Join the newsletter for fertility education, reproductive health insights, episode updates, and more from Dr. Sasha.

Interested in becoming a patient? Visit Dr. Sasha’s practice information to learn more about consultations and fertility care.

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Ovarian hyperstimulation syndrome, or OHSS, is a potential complication of ovarian stimulation that Dr. Sasha believes every patient going through IVF or egg freezing should understand. After seeing thousands of women comment that they wished they had known about OHSS before treatment, she knew it deserved a deeper conversation.

In this solo episode, Dr. Sasha breaks down what OHSS actually is, why it happens, who is most at risk, and the steps fertility doctors can take to help prevent it. She explains the important role trigger shots play, the difference between mild and more serious cases, and the symptoms patients should know to look out for. She also opens up about her own experience with OHSS and shares what she’s learned from managing it in her patients.

In this episode:

The biggest takeaway: OHSS shouldn’t be something you first learn about after it happens. The more you understand your risk factors and treatment options, the better equipped you are to have informed conversations with your doctor throughout your fertility journey.

Follow Dr. Sasha! TikTok: @sashahakmanmd Instagram: @sashahakmanmd @tryingpod YouTube: @sashahakmanmd

Want to receive my weekly newsletter? Sign up at sashahakmanmd.com/newsletter for updates, Q&A answers and more! If you haven't already, please rate, review, and follow the podcast to be notified of new episodes every week. If you're interested in becoming a patient go to sashahakmanmd.com to learn more!

Thank you to our sponsor!

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Getting stronger after pregnancy is not about "bouncing back." It is about rebuilding your body, fueling it properly, and creating habits you can actually maintain. In this episode, Dr. Sasha sits down with certified personal trainer and nutritionist Samantha Christine to talk about postpartum body recomposition, strength training, nutrition, macros, GLP-1 medications, and what it really takes to feel strong and confident in your body again. Samantha also opens up about her own postpartum transformation, losing her period at a very low body fat percentage, and why she now encourages women to chase strength instead of a number on the scale.

In this episode, we cover:

→ Samantha's postpartum transformation, how she lost 18% body fat through nutrition and progressive overload, and why meaningful body recomposition takes time

→ Why we need to move away from "bounce back" culture and give the body time to recover after pregnancy, birth, and breastfeeding

→ Where to start with postpartum nutrition, including adequate calories, protein, healthy fats, carbohydrates, fiber, whole foods, and why cutting calories too quickly can backfire

→ Body recomposition and progressive overload explained, plus why building lean muscle can completely change your body even when the number on the scale barely moves

→ How to start tracking macros without becoming overwhelmed, including Samantha's approach to protein intake and why calories alone do not tell the full story

→ Why some women may actually be undereating, what basal metabolic rate (BMR) means, and how chronically low calorie intake can interfere with energy, training, and body composition goals

→ GLP-1 medications, the rise of "skinny culture," and the potential consequences of using weight loss medications to become increasingly lean, including menstrual cycle loss and concerns about bone health

→ Samantha's experience losing her period for 13 months at approximately 11% body fat and why being smaller did not ultimately mean being stronger or healthier

→ How to balance cardio and strength training without sacrificing muscle, including the nutrition strategy Samantha used while training for a Half Ironman

→ Reverse dieting explained, why Samantha gradually increases calories for some clients who have been chronically undereating, and why eating more can sometimes be part of improving body composition

→ How busy women and moms can make fitness sustainable with simple 30 to 45 minute workouts, compound movements, at-home options, and realistic goals

→ Why consistency matters more than perfection, how long to give a new nutrition and fitness routine before judging your progress, and why the best plan is one you can still follow on your worst days

→ How motherhood can shift the motivation to exercise from simply changing your appearance to taking care of your children's mother and modeling healthy behaviors for your family

Follow Samantha Christine!

Instagram: @samcfit_

Listen to the EMPWR Podcast and find Samantha's Elevate fitness and nutrition app for more from Samantha.

Follow Dr. Sasha!

TikTok: @sashahakmanmd @tryingwithdrhakman

Instagram: @sashahakmanmd @tryingwithdrhakman

YouTube: @sashahakmanmd

Want to receive my weekly newsletter?

Sign up at sashahakmanmd.com/newsletter for updates, Q&A answers and more! If you haven't already, please rate, review, and follow the podcast to be notified of new episodes every week. If you're interested in becoming a patient go to sashahakmanmd.com to learn more!

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IVF medication protocols can be one of the most confusing parts of fertility treatment. In this solo episode, reproductive endocrinologist Dr. Sasha Hakman explains how IVF medications actually work, why different patients may need different stimulation protocols, and how factors like AMH, ovarian reserve, age, previous IVF response, and risk of ovarian hyperstimulation syndrome (OHSS) influence treatment decisions.

In this episode, we cover:

Episodes Dr. Sasha mentions:

Quick terminology guide:

HPO axis = hypothalamic-pituitary-ovarian axis | GnRH = gonadotropin-releasing hormone | FSH = follicle-stimulating hormone | LH = luteinizing hormone | AMH = anti-Müllerian hormone | hMG = human menopausal gonadotropin | hCG = human chorionic gonadotropin | OHSS = ovarian hyperstimulation syndrome | VEGF = vascular endothelial growth factor | DOR = diminished ovarian reserve

Follow Dr. Sasha!

TikTok: @sashahakmanmd @tryingwithdrhakman

Instagram: @sashahakmanmd @tryingwithdrhakman

YouTube: @sashahakmanmd

Want to receive my weekly newsletter? Sign up at sashahakmanmd.com/newsletter for updates, Q&A answers and more! If you haven't already, please rate, review, and follow the podcast to be notified of new episodes every week. If you're interested in becoming a patient go to sashahakmanmd.com to learn more!

Thank you to our sponsors!

For a limited time only, our listeners get 10% off + free shipping at ⁠Tumbleliving.com⁠/DRSASHA

Support your cells and how you age with Mitopure® Gummies from Timeline. Visit ⁠timeline.com/SASHA⁠ and 20% off your Mitopure® Gummies.

Use my link ⁠thrivemarket.com/TRYING⁠  to get $20 off your first three orders —  That covers your membership fee! Sign up now before this exclusive offer ends.

Visit ⁠Carawayhome.com/DRSASHA⁠ to take an additional 10% off your next purchase

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We share more with a reproductive endocrinologist than you'd think — hormones drive skin and hair just as much as fertility. In this episode, Dr. Sasha sits down with triple board-certified dermatologist Dr. Mamina Turegano to break down what's really behind hormonal acne and hair loss, the environmental factors quietly wrecking our skin, and the exact prescriptions, supplements, and skincare routines that actually work.

In this episode, we cover:

Follow Dr. Mamina Turegano! Instagram/social: @dr.mamino

Follow Dr. Sasha! TikTok: @sashahakmanmd Instagram: @sashahakmanmd @tryingpod YouTube: @sashahakmanmd

Want to receive my weekly newsletter? Sign up at sashahakmanmd.com/newsletter for updates, Q&A answers and more! If you haven't already, please rate, review, and follow the podcast to be notified of new episodes every week. If you're interested in becoming a patient go to sashahakmanmd.com to learn more!

Thank you to our sponsors! 

For a limited time, try OneSkin with 15% off using code DRSASHA at oneskin.co/DRSASHA

Thousands of people are already using Rula to get affordable, high-quality therapy that’s actually covered by insurance. Visit Rula.com/DRSASHA to get started

Use my link at thrivemarket.com/trying to get $20 off your first three orders —  That covers your membership fee! Sign up now before this exclusive offer ends.

Head to vitaclean.co and use code DRSASHA at checkout for 20% off your Starter Kits purchase.

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Secondary infertility affects millions of women — and yet it remains one of the most isolating diagnoses in the fertility space. You already have a child, so you feel like you can't complain. But the confusion, grief, and frustration are completely real. In this solo episode, Dr. Sasha Hakman breaks down exactly what secondary infertility is, why it happens, and what to do about it — including causes that will genuinely surprise you. If you've been pregnant before and are struggling to get pregnant again, this episode was made for you.

In this episode, we cover:

Follow Dr. Sasha! TikTok: @sashahakmanmd Instagram: @sashahakmanmd @tryingpod YouTube: @sashahakmanmd

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