Fertility Expert Answers MOST POPULAR FERTILITY QUESTIONS
All right, it’s Q&A time, and we’re back to answer your questions. I’m getting some of the most popular asked questions about fertility, miscarriage, your menstrual cycles, and getting pregnant. If you’re excited about this, then please make sure that you like this video. Leave a comment below letting us know what you think about the questions asked. And if you have any questions, please also leave those below. And make sure to subscribe to get the best fertility tips, so you can get pregnant fast.
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So, I think it’s Elizabeth who says, “I’m 40 and I’m going through my fourth missed miscarriage.” I’m sorry to hear that. No miscarriage is fun, but having four missed miscarriages is really difficult. Each time this miscarriage happens earlier – eight weeks, seven weeks, five and a half, and now four weeks. Is there something to this? You know, that’s really interesting. There’s a couple of things that I would think of here. And now, if they haven’t already begun to want to do some additional testing for you, then I would say that’s for sure where we need to start. We need to do some ongoing testing focused on your immune system, focused on blood clotting factors. And in addition to that, implantation failure. I know this doesn’t quite seem like implantation failure, but that early one, that four and even maybe that five and a half week one, I would say could technically be called implantation failure. So, I definitely think we need to look at those areas. I also have questions for you, which unfortunately you can’t answer right now, but I would ask a follow-up question: have you had any successful pregnancies? Because that might impact how we look at this as well. This is challenging, and we need to definitely get to the root cause here, so that we can get a better understanding of why this is happening.
One thing that’s often overlooked – I should say that differently – is male factor here. I know that’s going to get dismissed because you’ve actually been able to fertilize the egg and get pregnant, but I do think that that has to be something that needs to be ruled out as well. And I would recommend for him, at least the semen analysis, but at best also a DNA fragmentation test with that, so we can get a clearer picture there. Those implantation failure tests are going to be biopsies of endometrial tissue that really should be done at a fertility clinic as well. So, those are my thoughts on that. It’s really difficult to know why this is happening, but I do think we need to dive deeper to figure that out.
Alright, this next question comes from Sarah. “Hello, doctor. Do you know if having a too high level of B12 impacts fertility? It’s at 800 at the moment, and I believe the max recommended daily value is 500.” Thank you so much for all your videos. I wish I was in San Diego. So, I’m actually going to comment on that last part first. Thank you. I appreciate that you watch the videos and that they’re helpful for you. So, I’m glad that’s helpful. You do not have to be in San Diego to work with me. I work with couples all over the world through my Hope Fertility Coaching program. If you want more information on that and you want to apply to qualify to see if we can help you and speak to a real member on my team to dive deeper into your case and learn more, then go ahead and use the link in the description below. We can support you where you are, Sarah, even with everything that you’re going through.
But to support you right now on this question is, I actually don’t think that your B12 is that high. I often see B12 much higher, and if we’re supplementing, that’s a real reason why we would see it that high. The recommended value, the reference range here, is a bit outdated at 500. We want it in that range at least, but I’m also very, very fine. B vitamins can be definitely, especially this one B12, can be higher like it is for you without any consequence. And you might actually need it to be this level to get what you need out of it and to help with methylation. So, I’m not overly concerned with this. I would say to you that just make sure you’re on a methylated B12 or methylated B complex. I think that’s going to be better suited for you as well.
By the way, I know that for Sarah, I recommended that regardless of where she is, she can join my Hope Coaching program. This is exactly what I do with the members in the program. Every Thursday, we talk live one-on-one in our group coaching call. So, someone like Elizabeth in the first question with all her miscarriage questions, you know, we would have this conversation about what the next steps are and what testing she needs to do. Someone like Sarah here who has her B12 question, we would answer that every Thursday as well in my group coaching program, where we support all the members on a regular basis. So, this is something that if you want more support on and you want more guidance on your journey, you want to see if we’re a good fit for you, again, just like I recommended that for Sarah, I’m going to recommend it for all of you. Go ahead and use the link in the description below to apply and see if we can support you on your fertility journey.
Now, the next question is trying to get pregnant with one tube. Is it possible, doc? The short answer is, absolutely, it’s possible. It can be harder, it can take longer, but it’s a hundred percent possible. And that’s something that I want all of you to recognize. Just because you have one fallopian tube – and I don’t have my little stuffed doll here, but I can actually see it over there, and I don’t want to get up to get it while we’re talking – but your fallopian tube, as long as you have one healthy fallopian tube on one side, if you’re ovulating from the other side, it can cross over, come over, and try to grab that egg for you. So, you can do it. Often, I do find it takes longer, it’s a little bit harder, and so that’s just something to consider. But it is definitely possible. We want to make sure that the other tube is open, so you do want to make sure that that’s the case and just give it a little bit of a try, okay?
Alright, so this next question comes from – I can’t help but say her name – Hippie Panda. Hey, I like it. Here she says, “Low AMH in 2018 but managed to conceive via IVF and gave birth to a healthy baby in 2019. Now I’m 40, trying for number two. Doctor prescribed CoQ10, 1200 mls per day, vitamin D, folate, and DHEA. I’m also overweight. He wants me to lose at least 16 kilograms in three months. Obviously, that’s not safe, right?” So, I’ve got a couple of things to say here. The first one, which was the actual question that she asked, which was, “It’s not safe to lose that much weight in three months.” If it’s done properly with the right support, I think it can be okay. But I’d look for you to drop one pound a week. And so, if you’ve got three months, 12 weeks, that’s 12 pounds. I think that’s totally doable. You might even do a little bit more, maybe one, one and a half pounds. And so, you could probably bump that up.
With that being said, if you conceived with low AMH before, you can do it again. Now, I understand you used IVF before, but that doesn’t mean you can’t get pregnant now for number two with your age and your AMH level. So, believe in that. With the supplements that you’re taking, I’m fine with the CoQ10, although I think the dosage is quite high and unnecessary. And I’m good with vitamin D and folate. DHEA, I’d be a bit hesitant here, especially if you are overweight. I think it’s going to make it harder for you to lose that weight, and I’m not even sure if it’s necessary, especially if they haven’t tested your DHEA levels. For anyone who works with me in my coaching program, we never, ever, ever recommend DHEA unless we’ve had those hormone levels tested and we know what they are, so we can know what levels to recommend. My guess is she was told to be on 75 milligrams, which is probably way too high. So, we want to make sure you get tested before you get on DHEA. I have many videos on this topic. You could search the YouTube channel for those, but that is something that I think needed to be mentioned, which is why I wanted to highlight it here. But good luck on your journey. I believe in you and do believe that you can conceive number two. So, good luck.
The next question here is, says, “Is it possible to conceive naturally after multiple miscarriages? I’ve had three miscarriages. Two had gone by themselves, meaning I think you passed naturally, and one was a missed abortion within two years. The doctor told me that there’s only a 50/50 percent chance of getting pregnant or having a miscarriage. What should I do?” I think you should continue to try. But just like I mentioned in the beginning when we talked about miscarriage or addressed that other miscarriage question, I think you need answers and I think you need support. So, first and foremost is to do more testing. If you’ve had three losses, then what could be the cause? If you’re not going to do anything to address the underlying root cause, then how can we expect a different result? So, we do need to do some additional testing, just like I mentioned for her. At the very least, immunological testing and blood clotting factors or and testing. So, those would be the two at the top of the list. And if you haven’t had all your other hormones and labs done, then I do recommend checking those as well. 50/50 is not bad, so don’t think that’s a bad thing. It just means that they don’t know if you can or can’t conceive, and so they’re just saying, “Well, I think it’s a 50/50 chance.” Most of the time at your best in terms of conception and having a healthy pregnancy, when you’re 20, you have at best a 25 to 30 percent chance. So, 50/50 is just fine. Don’t think of that as a negative thing. But I do think you need to get the proper support so that you can find out what’s going on here and make the proper and necessary changes that will get you the results that you’re looking for.
Alright, I am so enjoying answering these questions, and this next one kind of ties into the last two of the questions that we’ve had around miscarriage. So, this one says it’s from Shannon. She says, “Thank you for sharing. Can you do a video about getting pregnant when you have autoimmune disease or autoimmune disease issues – excuse me – inflammation, cell issues, etc.?” Well, absolutely. First and foremost, I have done these videos already, so you can look at the YouTube channel, Fertility TV, check them out. They might not be listed like this, but they would be under topics like miscarriage or recurrent pregnancy loss and maybe even implantation failure. Autoimmune disease issues are common with recurrent pregnancy loss, so we do see that unfortunately often with pregnancy loss and miscarriage, which is why I’ve mentioned it before when we’re talking about that. In addition, inflammation is something that can also be an issue. Inflammation is necessary or a little bit of that inflammatory response for implantation, but if we have too much inflammation, it causes all sorts of problems. Some things we don’t think of as an inflammatory response is one is thyroid issues, two is metabolic syndrome or metabolic issues, blood sugar issues, diabetes. These are all inflammatory responses, also potentially immune responses in the body that need to be handled as well. Inflammation comes in many, many ways. Endometriosis can be inflammation, you know. So, we need to understand what you mean by inflammation so that we can better support you and answer your questions. But absolutely, inflammation will impact it.
Coming back to the autoimmune issues, yes, thyroid issues are the most common thing that we’ll see. Not all thyroid issues will lead to miscarriage, so autoimmune thyroid issues can definitely lead to a pregnancy loss. And then there are other immune issues that can also be issues for holding onto a pregnancy, like lupus, rheumatoid arthritis, NK cells. These are some common things that we typically see.
Now, I don’t know what you mean by “cell issues” here, so unfortunately, I can’t ask you. But if you mean like cells are degrading or not as healthy or strong, then yes, absolutely, those can all lead to fertility issues. So, we want to support all these things, which is why it’s important to dig deeper and get more answers. And hopefully, that helped you out with your question, Shannon.
Alright, one more here. She says, “In April of this year, I found out my AMH was .073. I’ve been tracking ovulation and trying for the last three years, and I can’t afford fertility treatments right now. So, I’m just going to try until I either start menopause or until I’m able to get enough money to get help. Thank you for your videos. I’m not losing hope. I’m also 43, and my partner is younger. I think your determination is amazing and awesome, and I want to see you continue to do it.”
I would rephrase what you said: “I’m going to keep trying until I either start menopause or I’m able to get enough money to get help.” I would add a third thing: “I’m going to keep trying until I get pregnant. Or, if I keep trying and I’m not pregnant, then I head into menopause or I’m able to generate enough money to get the support that I need.” I would word that differently for you. Your words are powerful, they mean a lot, and they can change so many things. So, let’s rephrase that, okay?
I do believe that even though your AMH is .073, as I’ve mentioned before in previous videos, that you can get pregnant with that number. That number is more important for IVF than it is for you to try naturally. And as long as you are having a regular cycle, you are ovulating regularly, and you’re able to have regular intercourse and timed intercourse around ovulation to achieve fertilization, then you can get pregnant. So, let’s keep that going. But there are tons of things that you can continue to do for free. One of which is watching these videos. Another one is downloading my free guide that I talked about before this video started or in the beginning of this video. So, keep your hopes up, stay with it, start to make necessary changes to your health so that you can get the results that you deserve.
Alright, thanks for watching until the end. Again, I want to remind you to post your questions to get a chance to get them answered, just like these were answered in this video. Sometimes I’ll answer those questions below this video in the comment section, and sometimes I’ll save them just like I did for this one, so that we can answer them live or on a video like this. If you really want to go deep into your fertility, find the root cause that’s not letting you get pregnant, be sure to fill out the application to find out if we can support you. You can do that by using the link in the description below. This will allow you to speak to a real human on my team so we can identify if this is the right next step for you and see if you are a good fit to join the Hope Fertility Program. Now, make sure to check out this next video right here to keep learning more about your fertility. Until the next video, stay fertile.