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June 29, 2026 • 14 mins

Failed IVF? Low AMH? High FSH? Told donor eggs? Book a free Functional Fertility Second Opinion before your next fertility decision.→ fabfertile.com

Low AMH, failed IVF, or told donor eggs, and still no real explanation for why? This episode looks at the system a standard fertility workup rarely checks: the nervous system, and how chronic stress affects egg quality, progesterone, thyroid function, and ovulation.

If you are a high-achieving, Type A woman who has been told your stress is handled and your thyroid is fine, this is the seven things behind low AMH, diminished ovarian reserve, and recurrent pregnancy loss that rarely get investigated, including the cortisol pattern, the full thyroid panel, blood sugar, prolactin, and the stress nerves that run directly through the ovary.

This episode covers: low AMH and high FSH, the cortisol curve, a single blood draw misses, thyroid antibodies and reverse T3 behind a "normal" TSH, how stress pulls raw material away from progesterone, blood sugar, and the 3 am wake-up, elevated prolactin, and the nervous system inside the ovary affecting egg quality.

This episode is for you if you have low AMH, diminished ovarian reserve, a failed or cancelled IVF cycle, or recurrent miscarriage, and you have been told donor eggs are your only option, and no one has explained why this is happening.

CHAPTERS
00:00 Why the woman who handles everything is the one who needs this
03:00 The seven things, and why this is physiology, not mindset
03:40 One: survival first, and reproduction turned down
05:00 Two: why a single cortisol draw misses the pattern
06:00 Three: thyroid antibodies and reverse T3 behind a normal TSH
06:50 Four: how stress competes with progesterone
07:50 Five: the 3am wake-up is blood sugar, not anxiety
09:00 Six: the prolactin that got flagged, then dropped
09:30 Seven: the nervous system inside the ovary
11:00 What you can actually change
12:30 The Functional Fertility Second Opinion

NEXT STEPS
What Your Clinic Missed guide: the lab markers behind each of the seven, in writing. Email hello@fabfertile.ca, subject MISSED.

Functional Fertility Second Opinion: a call where I review your full picture, your labs, your blood sugar, and your partner's results, and help you make an informed next decision. Email hello@fabfertile.ca, subject FERTILE, or book a call with your partner here.

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.

Subscribe to Get Pregnant Naturally for weekly episodes on fertility optimization, IVF preparation, and the lab work your doctor probably isn't running.

Get Pregnant Naturally: A Functional Fertility Second Opinion.

If this show has helped you make sense of your numbers, please leave a review. It helps other women find the show and be their own advocate.

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