Sarah Clark
Get Pregnant Naturally
Get Pregnant Naturally is the podcast for women and couples facing low AMH, high FSH, failed IVF, miscarriage, premature ovarian insufficiency (POI), diminished ovarian reserve (DOR), or a donor egg recommendation, and who are not ready to accept that recommendation before the full picture has been investigated. Hosted by Sarah Clark, founder of Fab Fertile, author of Fabulously Fertile, and host of a podcast with over one million downloads, Get Pregnant Naturally offers a functional fertility second opinion. Each week, Sarah walks through the lab work most fertility clinics do not run: gut mi...
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Episodes
Low AMH and Failed IVF? Pregnant Naturally at AMH 0.27 ng/mL 06.07.2026 8:01
You were told your AMH is low, and maybe that IVF was your only option. Maybe you went through it, and it did not work. Maybe you already have one child and have been told this time is different. And some part of you has been wondering whether that number is really the whole story. Here is what most women are never told. AMH reflects egg quantity, not egg quality, and not your ability to conceive....
Low AMH, Failed IVF, Told Donor Eggs? The Nervous System Behind Your Numbers 29.06.2026 14:32
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...
Told It Was Unexplained? 9 Tests Your Miscarriage Workup Skipped 22.06.2026 18:45
You were told to try again. Maybe you were told it was bad luck, or to wait until it happened a third time before anyone would look. Here is what changed this year. In 2026, the American Society for Reproductive Medicine updated its definition of recurrent pregnancy loss for the first time since 2012. Two losses now meet the definition, not three, and a positive test that ended early counts. The o...
Told Donor Eggs? 11 Things Your Clinic Probably Missed 15.06.2026 15:11
For most people, donor eggs is at the bottom of the list. It is not where you wanted to land. And if your clinic is recommending it, something in you is saying there has to be more to look at first. Here is what we see every week. The donor egg recommendation rarely arrives after a complete workup. It arrives after looking at the AMH, the FSH, the follicle count, maybe a basic semen analysis, and...
Multiple Failed IVF And Told Donor Eggs? The System Your Clinic Never Looked At 08.06.2026 12:13
You have done IVF more than once. Maybe twice. Maybe three times. Maybe more. Each cycle they tweaked the protocol. Higher dose. Lower dose. Different stimulation drug. Different trigger. Added growth hormone. Added DHEA. Mini IVF. Dual stim. Each cycle the protocol changed. And now they are telling you donor eggs. Here is the question this episode is about. They changed the protocol every time. D...
How Long Should I Try With My Own Eggs Before Donor Eggs? 01.06.2026 9:50
Your clinic told you donor eggs. You walked out wondering how much time you actually have left. Whether waiting six months means missing your window. Whether trying with your own eggs one more time is brave or stupid. The honest answer is longer than your clinic implied. And the window is not your AMH number. In this episode: - Why a 2024 study in Archives of Gynecology and Obstetrics found that o...
Told Donor Eggs After Failed IVF? The Gut Pattern Your Clinic Did Not Test 25.05.2026 12:44
Told donor eggs after failed IVF? There is a category of testing that your fertility clinic does not run. We rarely run a stool test and find nothing. The IVF cycle did not work. Maybe it was poor response. Maybe it was canceled before retrieval. Maybe you got embryos and they arrested. Maybe the transfer failed. Your clinic looked at your numbers and told you donor eggs. In this episode, Sarah Cl...
The Workup Most REIs Skip Before Recommending Donor Eggs 18.05.2026 12:35
The donor egg recommendation rarely comes after a complete workup. It comes after AMH, FSH, and an antral follicle count. That is usually where the investigation stops. In this episode, Sarah Clark walks through what is missing from the workup before women are told donor eggs are their only path: the full thyroid panel, not just TSH. Stool DNA testing for H. pylori, parasites, and food sensitiviti...
Told Donor Eggs at 43? Pregnant Naturally with Low AMH 11.05.2026 13:21
Low AMH, high FSH, two miscarriages, told donor eggs were her only option. At 43, she conceived naturally. Here's what her clinic missed before the donor egg recommendation. This episode is for the woman sitting with a donor egg recommendation. Low AMH or high FSH on the chart. Failed IVF or recurrent miscarriage in the history. A clinic that said the numbers leave you no other options. Sarah Clar...
Why Iron Could Be Behind Your Low AMH, Failed IVF and Miscarriage 04.05.2026 37:47
Most women with low AMH and high FSH get one of two answers about their iron: "it's fine," or "it's low, here's a supplement." Both leave the real problem untouched. Failed transfers, failed IVF cycles, miscarriage, irregular cycles, exhaustion that won't lift, and nobody asking why the iron is low in the first place. This episode shows you what the full iron panel actually reveals. In this episod...
Told Donor Eggs Were Your Only Option? Sarah's POI Story and What Her REI Never Tested For 27.04.2026 47:27
Sarah Clark was told donor eggs were her only option. No second opinion. No workup. Just an IVF brochure pulled off the shelf. This is the story of what was actually going on, and what nobody looked for. At 28, Sarah was diagnosed with premature ovarian failure (now called premature ovarian insufficiency). Her OB/GYN handed her an IVF brochure during the appointment. She went to the REI, got on th...
Why "Normal" Labs Aren't Optimized for Fertility | TSH, Ferritin, Glucose & IVF Failure 20.04.2026 10:49
Your TSH is "normal." Your ferritin is "normal." Your glucose is "normal." And IVF still isn't working. Here's why normal lab ranges were never built for fertility and what optimal actually looks like. Most reference ranges are designed to flag disease in the general population, not to optimize egg quality, embryo competence, or implantation. That gap is where a lot of unexplained IVF failure, emb...
The IVF Mistake That Causes Failed Cycles to Keep Repeating 13.04.2026 11:36
If you're heading into another IVF cycle after a failed transfer, you're probably being told to trust the process and try again. But what if the process is the problem? In this episode, we get into how to tell whether your next cycle is actually different — or whether you're about to repeat the same outcome with a new protocol number. In this episode you'll learn: The three signs your last cycle w...
Normal Semen Analysis but IVF Still Failing? What Wasn't Tested 06.04.2026 10:35
Failed IVF with normal sperm? You're not alone, and the answer may be in what wasn't tested. DNA fragmentation and oxidative stress don't show up on a standard semen analysis. But they can drive fertilization failure, embryo arrest, and poor blastocyst development. If the male side was cleared after the basic parameters were evaluated, it may not have been fully evaluated. In this episode, you'll...
Why a Good Embryo Doesn't Implant in IVF (What's Often Missed) 30.03.2026 12:58
If your IVF transfer failed despite a good embryo, normal lining, and a smooth protocol, you may have been told it was "just bad luck." But failed implantation with a euploid or high-quality embryo is not random. It often means key biological factors were never fully evaluated before the transfer. You followed the plan. The embryo looked good. The lining was "fine." And it still didn't work. This...
Unexplained IVF Failure What Is Being Missed Before Your Next Cycle 23.03.2026 9:30
Unexplained IVF failure happens when a cycle doesn't work, and no clear cause is identified, but that doesn't mean nothing is wrong. In many cases, it means the biology behind the cycle wasn't fully evaluated. You did everything you were told to do. The protocol looked good. The embryos developed. The lining was fine. And it still didn't work. Then you hear the word "unexplained." That's where man...
Failed IVF Cycle: How to Audit What Went Wrong Before Trying Again 16.03.2026 11:54
When an IVF cycle fails, the focus usually shifts to the next protocol. Different medications. Higher doses. Another retrieval. But an IVF cycle produces a huge amount of biological data that is rarely fully analyzed before repeating treatment. Ovarian response, egg maturity, embryo development, and the internal environment around transfer all provide important signals about what may be influencin...
Why Implantation Fails: Gut Health, Inflammation and the Vaginal Microbiome 09.03.2026 5:30
Implantation failure is often blamed on the uterus. The lining. The timing. The transfer protocol. But implantation is not something the uterus decides on its own. Implantation is an immune event that reflects what is happening across the entire body. When inflammation, gut dysfunction, or microbial imbalance is present, the immune system may not shift into the receptive state required for implant...
Why Your IVF Cycle Was Decided 90 Days Before It Started 02.03.2026 8:35
Most couples do not walk into IVF lightly. By the time you reach a cycle, you have likely changed your diet, added supplements, tried acupuncture, adjusted your lifestyle, and done everything you were told might help. And yet, stimulation begins, and the outcome feels underwhelming. Here's the biological reality: egg and sperm development are influenced during the 90 days before a cycle ever start...
Day 3 vs Day 5 Embryo Arrest: What the Timing Really Means 23.02.2026 7:51
Poor embryo development is not random. And "it just didn't work" is not an explanation. If your embryos stopped growing on Day 3 or Day 5, you've likely been told some version of the same thing. Bad luck. Egg quality. Try again. But Day 3 vs Day 5 embryo arrest are not interchangeable events. The timing carries biological clues. And when those clues are ignored, couples often repeat cycles without...
Why Rushing Into the Next IVF Cycle Often Backfires 16.02.2026 10:07
After a failed IVF cycle, the pressure to move quickly into the next one can feel overwhelming. Clinics often encourage momentum. Emotionally, it can feel safer to stay in motion than to pause. But rushing into another IVF cycle too quickly can quietly reinforce the same biological conditions that shaped the last outcome. If you've been told to increase stimulation, change protocols, or "just try...
Recurrent Implantation Failure: Why the Explanation Often Feels Incomplete 09.02.2026 12:17
If you've been told your embryos look good, your lining is appropriate, and your hormones are in range, yet implantation keeps failing, it can leave you with a nagging feeling that something is missing, but you can't quite put your finger on it. Most couples don't repeat IVF or transfers casually. They follow the plan that's laid out, adjust protocols, and keep moving forward because that's what m...
Why Smart Women Stay Stuck in Fertility Treatment (And the Pattern That Keeps Repeating) 02.02.2026 9:02
Most smart women don't stay stuck in fertility treatment because they aren't trying hard enough. They stay stuck because the same pattern keeps repeating, even when the outcomes don't change. If you've done multiple cycles, followed every recommendation, tried different protocols, and still ended up with the same results, this episode is for you. This isn't about which supplement to take or what p...
Why IVF Failure Is Rarely Just "Bad Luck" 26.01.2026 9:05
If you've been told your failed IVF cycle was "just bad luck" or blamed on "egg quality," that explanation is incomplete. Bad luck is not a diagnosis. It simply means the underlying biological patterns have not yet been identified. IVF is a technical process that happens in a lab, but embryos still develop inside a living biological environment. If inflammation, energy production, immune signaling...
Low AMH Is Not a Diagnosis: A Case That Changed the Outcome Without Chasing the Number 19.01.2026 8:01
If you've been told your AMH is low and IVF is your only option, or you already went through IVF and it didn't work, this episode will change how you interpret that number and what decision actually deserves your attention next. Here's what most patients are never told: AMH reflects egg quantity, not egg capability. It helps clinics predict medication response, but it does not explain why eggs dev...
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