Trying to Conceive with Dr. Sasha Hakman

As a double board-certified OB-GYN and reproductive endocrinologist, I’ve dedicated my career to helping individuals navigate their reproductive health. However, my passion for this podcast stems not just from my professional background, but from my own fertility journey—giving me a firsthand understanding of the emotional and physical challenges that come with trying to conceive. Through this platform, I will break down the science of fertility in an approachable way, share real patient stories, and explore the latest innovations in reproductive medicine.

  1. VOR 2 TAGEN

    Male Factor Infertility: Why Men Need to Get Tested at 20 (Not When It's Too Late)

    What happens when you're the picture of health, crushing it in your career, and then find out you can't get your partner pregnant? In this episode, I sit down with Brian Mazza, entrepreneur, founder of High Performance Lifestyle Training, and one of the few men openly talking about male infertility. Brian shares his deeply personal journey from receiving devastating test results to navigating IVF, relationship strain, and ultimately becoming a father to two boys through ICSI. We talk about the moment he found out about his low sperm count, motility, and morphology, and how that diagnosis made him feel like a failure despite being in incredible shape. Brian opens up about the shame, the embarrassment, and the defensiveness that came with being told he was the reason they couldn't conceive naturally. He also shares how it nearly broke his marriage, the moment he offered his wife a divorce so she could have kids with someone else, and the turning point that brought them back together. This conversation goes beyond the medical side of infertility. We dive into the emotional toll on men, the lack of conversation around male factor infertility, and why so many guys suffer in silence. Brian explains why he decided to go public with his story, how he raised over $80,000 by running 50 miles from Cornell to his home, and why he believes every man should get tested early and often. We also talk about fatherhood, what it means to show up for your kids every single day, and why Brian has made a personal pledge to never let his sons see him tired or drink alcohol. His approach to parenting is rooted in presence, discipline, and leading by example, and it's clear that his infertility journey shaped the father he is today. If you're a man navigating infertility, a woman supporting a partner through it, or anyone who wants to understand the male perspective on fertility struggles, this episode will give you insight, hope, and a reminder that infertility does not define your masculinity or your ability to be an incredible parent. Brian's story is proof that with the right medical care, emotional resilience, and a strong partnership, you can get through this and come out the other side with everything you've been hoping for. _____ Follow Brian Mazza on Instagram: @brianmazzaHigh Performance Lifestyle Training: @hpltraining Follow Dr Sasha!TikTok: @sashahakmanmdInstagram: @sashahakmanmd @tryingtoconceivepodYouTube: @tryingtoconceivepod Want to receive my weekly newsletter? Sign up at sashahakmanmd.com/newsletter to receive updates, answers to Q&A and more!If you haven't already, please rate, review, and follow the podcast to be notified of new episodes every 2 weeks.If you're interested in becoming a patient go to sashahakmanmd.com to learn more! Learn more about your ad choices. Visit megaphone.fm/adchoices

    36 Min.
  2. 22. APR.

    Unexplained Infertility? The Truth About Endometriosis Doctors Don’t Always Tell You

    I see this all the time. You’re doing everything right, your tests look “normal,” and yet… you’re still not getting pregnant. What if something is being missed? In this episode, I’m breaking down one of the most underdiagnosed and misunderstood conditions in fertility: endometriosis. I walk you through what endometriosis actually is, how it impacts your body, and more importantly, how it can affect your ability to conceive. From inflammation and egg quality to blocked tubes and implantation issues, this condition can interfere with fertility in ways most people don’t even realize. We also talk about why symptoms don’t always match severity. Some women have severe pain and no fertility issues, while others have zero symptoms and struggle to conceive. This is what makes endometriosis so difficult to diagnose and why so many cases go unnoticed. I dive into how we evaluate for endometriosis today, including updated guidelines that no longer require surgery for diagnosis, as well as newer testing options and imaging limitations. Then we get into the big questions: When should you suspect endometriosis? Should you consider surgery or avoid it? Does removing endometriosis actually improve fertility? When is it time to move to IUI or IVF? I also break down real clinical scenarios so you can understand how treatment decisions are made based on age, symptoms, ovarian reserve, and fertility goals. If you’ve been told you have “unexplained infertility,” or you suspect something deeper is going on, this episode will give you clarity on what might be happening and what your next steps could look like. Endometriosis is complex, but understanding it can completely change your fertility journey. _____ Follow Dr Sasha! TikTok: @sashahakmanmd Instagram: @sashahakmanmd @tryingtoconceivepod YouTube: @tryingtoconceivepod If you haven't already, please rate, review, and follow the podcast to be notified of new episodes every 2 weeks. If you're interested in becoming a patient go to sashahakmanmd.com to learn more! Learn more about your ad choices. Visit megaphone.fm/adchoices Learn more about your ad choices. Visit megaphone.fm/adchoices

    50 Min.
  3. 15. APR.

    8 Embryo Transfers, 6 Years of Infertility, and the IVF Story That Finally Worked | ft. Abbe Feder

    Can you really get pregnant after seven failed embryo transfers? What does it take to keep going when nothing seems to work? In this episode, I sit down with Abbe Feder to talk about one of the most intense fertility journeys I’ve ever heard. After 6 years of trying to conceive, 8 embryo transfers, a miscarriage, an ectopic pregnancy, and multiple failed IVF cycles, Abby finally got her miracle… twins. But this conversation goes far beyond just the outcome. We break down what unexplained infertility actually means, why IVF doesn’t always work even when everything looks “perfect,” and the emotional toll that no one prepares you for. Abbe shares the mindset shifts that helped her keep going, the financial realities of fertility treatment, and the truth about resilience during infertility. We also talk about the hardest moments along the way, including pregnancy loss, the waiting, the uncertainty, and the constant cycle of hope and disappointment. Abbe now helps women navigate infertility through coaching, and her ability to put feelings into words will make you feel seen in a way that’s hard to explain. If you’re going through infertility, considering IVF, or supporting someone who is, this episode will change how you think about the journey. And if nothing else, I hope it reminds you that you’re not alone. Abbe Feder is a fertility coach and founder of Encircle Fertility. After experiencing 6 years of unexplained infertility, multiple IVF cycles, pregnancy loss, and ultimately having twins, Abbe now helps women navigate the emotional and mental challenges of infertility. Her work focuses on normalizing the experience and supporting women through one of the most difficult journeys of their lives.Follow Abbe Instagram: @abbefeder @encirclefertilityWebsite: https://www.incirclefertility.com_____Follow Dr Sasha!TikTok: @sashahakmanmdInstagram: @sashahakmanmd @tryingtoconceivepodYouTube: @tryingtoconceivepod If you haven't already, please rate, review, and follow the podcast to be notified of new episodes every 2 weeks.If you're interested in becoming a patient go to sashahakmanmd.com to learn more! Learn more about your ad choices. Visit megaphone.fm/adchoices

    1 Std. 1 Min.
  4. 8. APR.

    The Best Fertility Supplements for Egg Quality, PCOS, and Pregnancy Prep From an OBGYN

    Are you wasting money on fertility supplements that don’t actually help you get pregnant? In this solo episode, I break down the truth about fertility supplements, what is worth taking when you are trying to conceive, and what may be overhyped or unnecessary. There is so much conflicting information online, especially around prenatal vitamins, folic acid, and trending supplements, so I wanted to walk through this in a clear and evidence-based way. I share what I recommend starting with before pregnancy, including prenatal vitamins and key nutrients that support fertility and early fetal development. I also explain the controversy around folic acid vs methylfolate and MTHFR, and why this topic is often misunderstood. From there, I get into the most popular fertility supplements for egg quality and sperm quality, including CoQ10, omega-3s, vitamin D, melatonin, and antioxidants. I also talk through how age impacts egg quality, when supplements may actually make a difference, and why they should always be used alongside proper medical care and lifestyle support. I also touch on PCOS and why inositol can be a helpful supplement for improving insulin resistance and supporting ovulation in certain cases. If you are trying to conceive, preparing for pregnancy, navigating infertility, or doing IVF, this episode will help you better understand which fertility supplements may actually support your goals and which ones may not be worth your time or money. Follow along for more conversations on fertility, TTC, egg quality, PCOS, hormone health, prenatal nutrition, and pregnancy preparation. _____Follow Dr Sasha!TikTok: @sashahakmanmdInstagram: @sashahakmanmd @tryingtoconceivepodYouTube: @tryingtoconceivepodWant to receive my weekly newsletter? Sign up at sashahakmanmd.com/newsletter to receive updates, answers to Q&A and more!If you haven't already, please rate, review, and follow the podcast to be notified of new episodes every 2 weeks.If you're interested in becoming a patient go to sashahakmanmd.com to learn more! Learn more about your ad choices. Visit megaphone.fm/adchoices

    41 Min.
  5. 1. APR.

    Fertility Doctor Explains Egg Freezing, AMH, and the Truth About Your Biological Clock | Dr. Jessica Ryniec

    Should you freeze your eggs? And if you do, how many do you actually need to feel confident about your future fertility? In this episode, Dr. Sasha Hakman sits down with Dr. Jessica Ryniec, a reproductive endocrinologist based in Boston, to break down everything you need to know about fertility preservation. From egg freezing to embryo banking, this conversation covers the science, the process, the myths, and the practical decisions that come with preserving your fertility. Dr. Ryniec explains why fertility preservation has become so popular, who should consider it, and how the process actually works from evaluation to egg retrieval. You'll learn what ovarian reserve testing really tells you, why AMH matters even if it doesn't predict pregnancy, and how age impacts both egg quality and quantity. They discuss the reality that egg quality declines over time due to DNA repair breakdown, and why waiting too long can significantly reduce your chances of success. This episode dives into the technical side of egg freezing, including how vitrification revolutionized the field, what happens in the lab once your eggs are retrieved. Dr. Ryniec shares her approach to counseling patients on how many eggs to freeze based on age and family goals, and why 70% chance of one live birth is often a comfortable target for many patients. They also tackle the debate between freezing eggs versus embryos in a committed relationship, and why most fertility doctors have done fertility preservation themselves. Dr. Ryniec discusses the role of AI in egg selection, the limitations of current technology, and why fertility preservation is better thought of as a head start rather than insurance. You'll also learn about priming protocols, how birth control pills and IUDs can temporarily suppress ovarian response, and why lifestyle factors like sleep, hydration, and movement matter more than extreme dietary restrictions. Dr. Ryniec shares her thoughts on when it's too old to freeze eggs, how to optimize egg health in the 90 days before a cycle, and why smoking and daily fast food are bigger concerns than occasional gluten or dairy. This episode is essential listening for anyone considering egg freezing, wondering if they should wait to optimize their health first, or trying to decide between eggs and embryos. Whether you're single, in a relationship, or simply want to understand your options, this conversation will give you the knowledge and confidence to make the right decision for your future family. _____ Follow Dr. Jessica Ryniec on Instagram and TikTok: @jessicaryniecmd Follow Dr Sasha! TikTok: @sashahakmanmd Instagram: @sashahakmanmd @tryingtoconceivepod YouTube: @tryingtoconceivepod Want to receive my weekly newsletter? Sign up at sashahakmanmd.com/newsletter to receive updates, answers to Q&A and more! If you haven't already, please rate, review, and follow the podcast to be notified of new episodes every 2 weeks. If you're interested in becoming a patient go to sashahakmanmd.com to learn more! Learn more about your ad choices. Visit megaphone.fm/adchoices

    54 Min.
  6. 25. MÄRZ

    What Actually Happens in an IVF Lab (And Why No One Talks About It) | Shaun Reed

    What really happens to your eggs once they leave the operating room? And how much does the embryology lab actually impact IVF success? In this episode, Dr. Sasha Hakman sits down with Shaun Reed, an experienced embryologist from Utah Fertility Center, to break down one of the most misunderstood parts of the fertility journey: the IVF lab. From egg retrieval to embryo transfer, Shaun walks through what happens behind the scenes, why it matters, and what patients should actually care about. You’ll learn what a day in the life of an embryologist looks like, how labs protect eggs and embryos through strict quality control, and why temperature and pH are critical at every step. Shaun explains how eggs are identified and handled, and the debate around when to strip eggs during the IVF process. We also dive into conventional insemination vs ICSI, why most clinics now use ICSI, and how embryologists manually select sperm under a microscope. Shaun shares insights on sperm processing technologies like Zymot, incubation methods including time lapse systems, and what truly impacts embryo development. A major focus of this episode is embryo grading. Shaun explains why grades like AA vs BB are more subjective than patients think, and why even lower graded embryos can still lead to successful pregnancies. We also discuss zero PN embryos and why many still result in normal, healthy outcomes. Finally, we explore the future of IVF, including AI in embryo selection, PGT biopsy, and popular lab add ons. Shaun shares what is worth it, what is not, and why the embryology lab may be one of the most important factors in IVF success. This episode is essential for anyone going through IVF, considering egg freezing, or wanting a deeper understanding of what happens to their eggs and embryos behind the scenes. _____ Follow Shaun Reed on Instagram: @shaun.ology Follow Dr Sasha! TikTok: @sashahakmanmd Instagram: @sashahakmanmd @tryingtoconceivepod YouTube: @tryingtoconceivepod Want to receive my weekly newsletter? Sign up at sashahakmanmd.com/newsletter to receive updates, answers to Q&A and more! If you haven't already, please rate, review, and follow the podcast to be notified of new episodes every 2 weeks. If you're interested in becoming a patient go to sashahakmanmd.com to learn more! Learn more about your ad choices. Visit megaphone.fm/adchoices

    52 Min.
  7. 18. MÄRZ

    I Thought I Had PCOS (But I Was Wrong): Understanding Testing, Treatment & Fertility

    Could your PCOS diagnosis actually be something else? In this episode of the Trying to Conceive Podcast, Dr. Sasha Hakman breaks down polycystic ovary syndrome (PCOS), one of the most common and misunderstood hormonal conditions affecting fertility. She also shares her personal experience of believing she had PCOS for years before discovering through expanded genetic testing that she actually had non-classical congenital adrenal hyperplasia (NCCAH), a condition that can closely mimic PCOS but requires different treatment. Dr. Hakman explains what PCOS really is, why it has nothing to do with ovarian cysts, and how it is properly diagnosed using the Rotterdam criteria. She also walks through the essential lab work needed to rule out other hormonal conditions, including thyroid disorders, elevated prolactin, adrenal disorders, and testosterone producing tumors. You will also learn why testing 17-hydroxyprogesterone is a critical step that is often missed. The episode explores how insulin resistance and elevated androgens drive many PCOS symptoms such as irregular periods, infertility, acne, and unwanted hair growth. Dr. Hakman also discusses the long term health risks associated with PCOS, including type 2 diabetes, metabolic syndrome, cardiovascular disease, and endometrial cancer. Finally, she covers evidence based treatment strategies, from lifestyle changes like nutrition and resistance training to medications and fertility treatments such as Letrozole. Whether you have been diagnosed with PCOS, suspect you might have it, or want to better understand hormonal and metabolic health, this episode provides a clear and practical guide to navigating this complex condition. _____ Follow Dr Sasha! TikTok: @sashahakmanmd Instagram: @sashahakmanmd @tryingtoconceivepod YouTube: @tryingtoconceivepod Want to receive my weekly newsletter? Sign up at sashahakmanmd.com/newsletter to receive updates, answers to Q&A and more! If you haven't already, please rate, review, and follow the podcast to be notified of new episodes every 2 weeks. If you're interested in becoming a patient go to sashahakmanmd.com to learn more! Learn more about your ad choices. Visit megaphone.fm/adchoices

    55 Min.
  8. How to Choose a Safe Prenatal: Manufacturing, Ingredients & Avoiding False Claims with Sam Diamond

    11. MÄRZ

    How to Choose a Safe Prenatal: Manufacturing, Ingredients & Avoiding False Claims with Sam Diamond

    How do you know if the prenatal vitamin you're taking actually contains what it claims? And why do some supplements promise everything but deliver almost nothing? In this episode, Dr. Sasha Hakman sits down with Sam Diamond, co-founder of Bird & Be to pull back the curtain on the supplement industry. From sourcing ingredients to third party testing, manufacturing challenges, and regulatory differences between the US and Canada, this conversation reveals what most brands don't want you to know. Sam Diamond shares her personal journey navigating PCOS and pregnancy loss, and how working with fertility naturopaths opened her eyes to the power of integrative care. That experience led her to co-create a line of supplements built on evidence, transparency, and real clinical input from reproductive endocrinologists and naturopathic doctors. We discuss why not all prenatals are created equal, the truth about folic acid versus methylated folate, how to spot misleading labels like proprietary blends, and why elemental dosing matters more than you think. Sam also explains the science behind inositol for PCOS and insulin resistance, the 40 to 1 ratio that actually works, and why combining it with medications like Metformin or Letrozole may improve outcomes. You'll learn what third party testing really means, how heavy metals end up in supplements, why some ingredients like choline are nearly impossible to dose correctly in a capsule, and what certifications like Clean Label and NSF actually verify. We also talk about why Canada's pre-market licensing system offers stronger consumer protection than the FDA's supplement regulations, and how that impacts product quality and safety. If you've ever wondered whether your prenatal is safe, effective, or worth the money, this episode will give you the tools to evaluate any supplement with confidence. Sam breaks down what to look for on a label, what red flags to avoid, and why the best prenatal is always the one you'll actually take. This is essential listening for anyone trying to conceive, currently pregnant, or simply wanting to make informed decisions about reproductive health. _____ Follow Bird & Be Co at https://birdandbe.com/ and on Instagram @birdbeco Follow Dr Sasha! TikTok: @sashahakmanmd Instagram: @sashahakmanmd @tryingtoconceivepod YouTube: @tryingtoconceivepod Want to receive my weekly newsletter? Sign up at sashahakmanmd.com/newsletter to receive updates, answers to Q&A and more! If you haven't already, please rate, review, and follow the podcast to be notified of new episodes every 2 weeks. If you're interested in becoming a patient go to sashahakmanmd.com to learn more! Learn more about your ad choices. Visit megaphone.fm/adchoices

    53 Min.

Info

As a double board-certified OB-GYN and reproductive endocrinologist, I’ve dedicated my career to helping individuals navigate their reproductive health. However, my passion for this podcast stems not just from my professional background, but from my own fertility journey—giving me a firsthand understanding of the emotional and physical challenges that come with trying to conceive. Through this platform, I will break down the science of fertility in an approachable way, share real patient stories, and explore the latest innovations in reproductive medicine.

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