Get Pregnant Naturally

Sarah Clark

Get Pregnant Naturally is the podcast for individuals and couples who have tried fertility treatments or done everything they were told and still do not have answers. Hosted by Sarah Clark, founder of Fab Fertile, the show offers a functional fertility second opinion to help you understand what may be affecting your cycle, hormones, and ability to conceive when standard testing comes back normal. Each episode looks at patterns that are often overlooked in fertility care, including metabolic health, inflammation, hormone signaling, gut health, and nervous system stress, so you can think more clearly about what to do next. If you have been told everything looks normal, egg quality is the issue, or there is no clear explanation for why pregnancy is not happening, this podcast is for you.

  1. 3D AGO

    Why Implantation Fails: Gut Health, Inflammation and the Vaginal Microbiome

    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 implantation, even when embryos appear strong and transfers are performed correctly. In this episode we step back from the narrow focus on the uterus and explore how gut health, inflammation, and the vaginal microbiome can quietly interfere with implantation. These factors are often missed during standard fertility workups but can influence whether the body can support implantation. In this episode, you'll learn • Why implantation is an immune decision, not simply a mechanical one • How gut health influences immune signaling that affects implantation • The connection between chronic inflammation and repeated implantation failure • How the vaginal microbiome can influence the local immune environment of the uterus • Why focusing only on the uterus may miss the biological pattern affecting implantation I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally. For over a decade, my team and I have reviewed hundreds of low AMH and failed IVF cases using functional testing alongside conventional fertility care. We specialize in helping couples identify the physiological patterns driving poor outcomes so decisions are grounded in interpretation, not guesswork. If you've been moving from cycle to cycle without a clear way to evaluate what's actually been addressed, I created a free resource called the Embryo Audit Checklist. It helps you organize past cycles and labs so you can see what's been looked at and what may not have been considered yet. Access it here. 👉 Start with a Functional Fertility Second Opinion If you want an expert review of your labs, IVF history, and full health picture to identify missed patterns, this is the smartest first step before another cycle. Learn more and apply here. Timestamps *]:pointer-events-auto scroll-mt-[calc(var(--header-height)+min(200px,max(70px,20svh)))]" dir="auto" tabindex="-1" data-turn-id= "request-WEB:ef5ed9ec-1067-4281-a607-f5ce0dded746-89" data-testid= "conversation-turn-12" data-scroll-anchor="true" data-turn= "assistant"> 00:00 Implantation failure and why the focus often stays only on the uterus 01:00 Implantation is an immune decision, not just a mechanical one 02:05 How inflammation can interfere with embryo implantation 03:10 Gut health and immune signaling affecting fertility 04:20 Gut infections and microbiome imbalance in fertility cases 05:25 When embryos look good but implantation still fails 06:20 Why the partner's microbiome and health may also matter 07:05 The role of the vaginal microbiome in implantation 08:05 Why testing the vaginal microbiome alone can miss the bigger picture 09:00 The Embryo Audit Checklist and Functional Fertility Second Opinion

    6 min
  2. MAR 2

    Why Your IVF Cycle Was Decided 90 Days Before It Started

    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 starts. Follicles recruited at stimulation were already developing months earlier. During that window, metabolic signaling, inflammatory load, hormonal communication, and stress physiology quietly set the ceiling for response. When outcomes disappoint, protocols are often adjusted. Doses increase. Supplements stack. Timelines shorten. But stimulation does not create egg quality. It recruits what has already been developing. In this episode, we clarify the difference between preparing for IVF and auditing biological readiness so your next decision is informed, not reactive. In this episode, you'll learn: Why egg and sperm quality are shaped months before retrieval How metabolic instability and inflammation influence follicle recruitment Why adding support without removing interference often changes very little The difference between execution and systems readiness How a functional systems lens protects time, energy, and future cycles I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally. For over a decade, my team and I have reviewed hundreds of low AMH and failed IVF cases using functional testing alongside conventional fertility care. We specialize in helping couples identify the physiological patterns driving poor outcomes so decisions are grounded in interpretation, not guesswork. If you've been moving from cycle to cycle without a clear way to evaluate what's actually been addressed, I created a free resource called the Embryo Audit Checklist. It helps you organize past cycles and labs so you can see what's been looked at and what may not have been considered yet. Access it here. 👉 Start with a Functional Fertility Second Opinion If you want an expert review of your labs, IVF history, and full health picture to identify patterns being missed, this is the smartest first step before another cycle. Learn more and apply here. TImestamps [00:00] Why IVF Really Starts 90 Days Before Stimulation Understanding follicle development timing and why egg and sperm quality are shaped months before retrieval. [01:00] The 3 Biological Patterns That Limit IVF Success An overview of ovarian signaling, inflammation, and metabolic readiness before a cycle begins. [02:00] Why Stimulation Medications Don't Create Egg Quality How IVF drugs recruit existing follicles rather than improve underlying egg quality. [03:00] Inflammation and hs-CRP: What Gets Missed Before IVF How elevated inflammatory markers can quietly influence follicle recruitment and embryo development. [04:00] When Pre-IVF Prep Becomes Busy Work Why stacking supplements without investigating root physiological drivers rarely changes outcomes. [04:45] Blood Sugar, Gut Health, and Immune Signaling Before IVF How metabolic instability and immune activation affect egg and sperm quality. [05:30] Stress Physiology and Cortisol Dominance in Fertility The impact of chronic nervous system activation on ovarian signaling and implantation. [06:00] Preparing for IVF vs Auditing Biological Readiness The difference between assuming the plan is correct and evaluating whether the body is ready. [06:30] Is Now the Right Time to Push the System? Why timing matters before deploying another IVF cycle. [07:00] The Embryo Audit Checklist and Functional Fertility Second Opinion How to review your labs, IVF history, and systems patterns before making another high-stakes decision.

    9 min
  3. FEB 23

    Day 3 vs Day 5 Embryo Arrest: What the Timing Really Means

    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 addressing what actually shaped the outcome. In this episode, we break down what early arrest, later arrest, and repeating arrest patterns may be signaling and how to think more clearly before your next attempt. In this episode, you'll learn: Why Day 3 embryo arrest often reflects maternal energy and developmental support patterns Why Day 5 embryo arrest often leans toward paternal or combined biological coordination How sperm contribution becomes more influential as embryo activation progresses Why repeating embryo arrest is usually a shared systems pattern, not a single isolated issue How to use embryo timing as data instead of accepting vague explanations I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally. For over a decade, my team and I have reviewed hundreds of low AMH and failed IVF cases using functional testing alongside conventional fertility care. We specialize in helping couples identify the physiological patterns driving poor outcomes so decisions are grounded in interpretation, not guesswork. If you've been moving from cycle to cycle without a clear way to evaluate what's actually been addressed, I created a free resource called the Embryo Audit Checklist. It helps you organize past cycles and labs so you can see what's been looked at and what may not have been considered yet. Access it here. 👉 Start with a Functional Fertility Second Opinion If you want an expert review of your labs, IVF history, and full health picture to identify patterns being missed, this is the smartest first step before another cycle. Learn more and apply here. Timestamps 00:00 Why Embryo Arrest Is Not Random 01:05 Early Embryo Arrest: What Day 3 Often Signals About Egg Development 02:00 Signs of Low Egg Energy: Sleep, Stress, Blood Sugar and Cycle Changes 03:05 Later Embryo Arrest: Why Day 5 Often Leans Paternal or Combined 03:45 Sperm Quality Factors: Motility, Morphology, DNA Fragmentation 04:30 Environmental Stress, Illness and Inflammation Impact on Embryo Development 05:00 The Embryo Audit Checklist: Organizing Your IVF Pattern Data 05:20 Repeating Embryo Arrest Across Cycles: Shared Systems Pattern 06:00 Why Changing Protocols Alone Often Fails 06:30 Functional Fertility Second Opinion: Interpreting Your Full Biological Picture

    8 min
  4. FEB 16

    Why Rushing Into the Next IVF Cycle Often Backfires

    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 again," this episode challenges that reflex. Because before another round begins, the more important question is: What actually needs to shift in the biology? In this episode of Get Pregnant Naturally, we explore why recovery windows matter after a failed IVF cycle and how back-to-back stimulation can compound physiological stress, especially in cases of low AMH, embryo arrest, or recurrent implantation failure. In this episode, you'll learn: Why stacking IVF cycles too closely can affect cellular energy and egg development How hormonal rhythm and communication break down when recovery time is skipped The hidden impact of inflammation and immune load between cycles Why more medication does not always mean better coordination inside the system How to recognize when repetition is happening without recalibration IVF is physically and emotionally demanding. Medications, procedures, disrupted sleep, and stress all increase the body's workload. Biology improves during recovery windows, not during nonstop stimulation. Strategic pauses are not delays. They are opportunities for recalibration. I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally. For over a decade, my team and I have reviewed hundreds of low AMH and failed IVF cases using functional testing alongside conventional fertility care. We specialize in helping couples identify the physiological patterns driving poor outcomes so decisions are grounded in interpretation, not guesswork. If you've been moving from cycle to cycle without a clear way to evaluate what's actually been addressed, I created a free resource called the Embryo Audit Checklist. It helps you organize past cycles and labs so you can see what's been looked at and what may not have been considered yet. Access it here. 👉 Start with a Functional Fertility Second Opinion If you want an expert review of your labs, IVF history, and full health picture to identify patterns being missed, this is the smartest first step before another cycle. Learn more and apply here. --- Timestamps 00:00 Why Rushing Into the Next IVF Cycle Can Backfire 01:10 What Happens When You Stack IVF Cycles Too Close Together 02:05 IVF Recovery Windows and Cellular Energy Depletion 03:15 How Back-to-Back Cycles Impact Egg Maturity and Embryo Development 04:05 Hormone Communication Breakdown During Repeated Stimulation 05:10 Why More Medication Doesn't Always Improve IVF Outcomes 06:00 Embryo Audit Checklist: What to Review Before Another Transfer 06:45 Detox Load, Liver Stress, and IVF Medications 07:20 Inflammation and Failed IVF Cycles: The Overlooked Pattern 08:40 Functional Fertility Second Opinion Before Your Next IVF Round

    10 min
  5. FEB 9

    Recurrent Implantation Failure: Why the Explanation Often Feels Incomplete

    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 makes sense. When outcomes don't change, the explanation often shifts to chance, timing, or trying again. In this episode, we talk about why those explanations often feel unsatisfying, and why implantation failure can persist even when everything looks reasonable on paper. Not because you haven't done enough, but because the full picture may never have been looked at all at once. This conversation is about stepping back and asking better questions before moving forward again. In this episode, we explore: Why "good embryos" and "normal labs" don't always translate into implantation How focusing on individual results can miss what's happening across the whole system Why changing protocols doesn't always address repeat outcomes The kinds of patterns that tend to go unexplored when everything looks fine How to think more clearly about whether another cycle is actually the next step Rather than offering another checklist or protocol, this episode helps you zoom out and understand why implantation is rarely a single-factor issue. I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally. For over a decade, my team and I have reviewed hundreds of low AMH and failed IVF cases using functional testing alongside conventional fertility care. We specialize in helping couples identify the physiological patterns driving poor outcomes so decisions are grounded in interpretation, not guesswork. If you've been moving from cycle to cycle without a clear way to evaluate what's actually been addressed, I created a free resource called the Embryo Audit Checklist. It helps you organize past cycles and labs so you can see what's been looked at and what may not have been considered yet. Access it here. 👉 Start with a Functional Fertility Second Opinion If you want an expert review of your labs, IVF history, and full health picture to identify patterns being missed, this is the smartest first step before another cycle. Learn more and apply here. --- Timestamps 00:00 – When "everything looks normal" but implantation keeps failing 01:05 – Why repeating a protocol often doesn't change the outcome 01:45 – Implantation failure as a big-picture issue, not a single lab problem 02:15 – Pattern 1: Inflammation and immune balance 03:05 – Signs of quiet inflammation that are often dismissed 04:20 – Why standard fertility testing often misses immune activation 05:00 – Pattern 2: Gut and microbiome health and implantation stability 06:10 – How antibiotics, infections, and digestion history can matter later 07:45 – Pattern 3: Stress load, energy, and high-functioning bodies 09:55 – When to pause and question the plan before moving forward again

    12 min
  6. FEB 2

    Why Smart Women Stay Stuck in Fertility Treatment (And the Pattern That Keeps Repeating)

    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 protocol to ask for next. It's about how fertility decisions are being made, and why that matters more than effort. In this episode, I break down the common patterns I see that keep people looping through treatment without getting real clarity. In this episode, you'll hear about: Why clinics often move straight to "try again" instead of stopping to look at what's actually happening How following the plan can feel safe, even when the plan isn't working Why being busy in treatment isn't the same as making progress How fear of rocking the boat keeps people doing the familiar, even when it's disappointing The quiet cost of time, money, and energy when nothing truly changes I also share why I created the Embryo Audit Checklist. Not to give you more things to do, but to help you step back and look at your own data clearly so you can see patterns instead of reacting to the next suggestion. Email hello@fabfertile.ca subject line CHECKLIST for your copy. I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally. For over a decade, my team and I have reviewed hundreds of low AMH and failed IVF cases using functional testing alongside conventional fertility care. We specialize in helping couples identify the physiological patterns driving poor outcomes so decisions are grounded in interpretation, not guesswork. This episode is for you if: You've done "everything right" but the outcomes keep repeating You feel like you're always doing something but not moving forward You want to understand what's missing before committing to another cycle 👉 Start with a Functional Fertility Second Opinion If you want an expert review of your labs, IVF history, and full health picture to identify patterns being missed, this is the smartest first step before another cycle. Learn more and apply here. --- Timestamps 00:00 – Why doing "more" isn't changing fertility outcomes Effort isn't the issue when results keep repeating. Decision patterns are. 01:00 – Why fertility treatment rewards compliance, not interpretation How clinics are built for protocols, not understanding why things fail. 02:05 – Outsourcing thinking to authority and why it feels safe Why following the plan feels reassuring even when it keeps producing the same outcome. 03:00 – Medical confidence vs actual completeness When "bad luck" and "poor egg quality" stop deeper investigation. 03:45 – Mistaking motion for progress in fertility treatment New clinics, new supplements, new protocols — same biology. 04:45 – Why activity brings emotional relief but not biological change Doing something feels better than slowing down to assess what's actually working. 05:30 – Fear of deviating from conventional fertility logic Why familiar disappointment often feels safer than uncertainty. 06:15 – The invisible cost of delay in fertility decisions Time, money, and emotional energy add up even when nothing changes. 06:45 – Why the Embryo Audit Checklist exists How stepping back to organize your data reveals patterns you've been missing. 07:40 – Changing the frame, not just the protocol Why progress requires changing how decisions are made, not just what you try next.

    9 min
  7. JAN 26

    Why IVF Failure Is Rarely Just "Bad Luck"

    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, or sperm DNA integrity are compromised, no protocol change alone can override that physiology. Repeating cycles without deeper interpretation often leads to the same outcomes, higher costs, and more emotional exhaustion. In this episode, I walk through the three biological patterns I consistently see behind embryo arrest, poor blast development, failed transfers, and unexplained IVF failure. More importantly, you'll learn how to use your past cycles as meaningful data so you can stop guessing and start making more strategic decisions before another round. In this episode, you'll learn: Why a technically "perfect" IVF cycle can still fail despite good labs and protocols How low cellular energy production impacts embryo development and early growth Why sperm DNA fragmentation often matters long before clinics flag it as abnormal How oxidative stress, inflammation, hormonal signaling, and metabolic strain influence embryo quality How to interpret repeated IVF outcomes instead of labeling them as unexplained or bad luck I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally. For over a decade, my team and I have reviewed hundreds of low AMH and failed IVF cases using functional testing alongside conventional fertility care. We specialize in helping couples identify the physiological patterns driving poor outcomes so decisions are grounded in interpretation, not guesswork. This episode is for you if: You've experienced embryo arrest, failed transfers, or repeated IVF cycles without clear answers You've been told everything looks "normal" but results keep falling short You want a smarter way to evaluate what your body is signaling before investing in another cycle 👉 Start with a Functional Fertility Second Opinion If you want an expert review of your labs, IVF history, and full health picture to identify patterns being missed, this is the smartest first step before another cycle. Learn more and apply here. --- Timestamps 00:00 – Why "Bad Luck" Is Not a Diagnosis After IVF Failure Failed IVF cycles are often dismissed as bad luck or egg quality, but that explanation misses the biological patterns driving outcomes. 01:05 – How Low Energy Production Impacts Embryo Development and Arrest Inflammation, thyroid signaling, nutrient depletion, and blood sugar instability can limit cellular energy and stall embryo growth. 02:05 – Why Inflammation and Thyroid Patterns Matter in IVF Outcomes Functional interpretation of inflammatory markers and thyroid signaling reveals hidden stress on embryo development. 02:45 – Sperm DNA Fragmentation and Repeated IVF Failure Why standard clinic thresholds often miss DNA damage that affects embryo quality and implantation. 03:20 – Oxidative Stress and DNA Damage in Male Fertility How inflammation, poor sleep, alcohol, metabolic strain, and toxins increase oxidative damage to sperm DNA. 03:55 – Low Mitochondrial Energy and Hormonal Imbalance in Sperm Health How cellular energy production and hormonal signaling impact sperm DNA integrity even when semen numbers look normal. 04:35 – Chronic Inflammation, Gut Imbalance, and Partner Microbiome Crossover How immune activation and shared microbiome patterns can perpetuate fertility disruption. 05:05 – Environmental Toxins and Occupational Exposure Affecting Sperm Quality The role of radiation, chemicals, air quality, pesticides, and heat exposure in sperm DNA damage. 06:00 – Immune and Stress Signaling and Implantation Challenges Why a body under chronic stress prioritizes survival over reproduction. 07:10 – Using IVF Cycles as Data and When to Seek a Functional Second Opinion How to interpret repeated IVF outcomes instead of escalating protocols blindly.

    9 min
  8. JAN 19

    Low AMH Is Not a Diagnosis: A Case That Changed the Outcome Without Chasing the Number

    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 develop poorly, why embryos arrest, or why outcomes fail to improve despite protocol changes. When IVF fails, the cycle itself becomes valuable data if you know how to interpret it across systems instead of treating it as bad luck or age alone. In this episode, I walk through a real case where the outcome changed not because the AMH changed, but because the physiological environment influencing egg development was finally evaluated. This is not about avoiding IVF or chasing numbers. It is about understanding what the data is actually telling you so you can make a better next decision. In this episode, you'll learn: Why AMH predicts stimulation response, not egg health or developmental capacity How inflammatory load quietly interferes with ovarian signaling and embryo development Why nutrient absorption and utilization patterns matter more than supplement volume How brain–hormone signaling influences ovulation timing, progesterone, and cycle predictability Why nervous system state shapes immune balance, implantation readiness, and resilience under treatment stress I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally. For over a decade, my team and I have reviewed hundreds of low AMH and failed IVF cases using functional testing alongside conventional fertility care. We specialize in helping couples identify the physiological patterns driving poor outcomes so decisions are grounded in interpretation, not guesswork. This episode is for you if: You were told your AMH is low, and no one explained what that actually means IVF failed, response was poor, or embryos stopped developing without clear answers You want better interpretation before repeating another protocol or escalating treatment 👉 Start with a Functional Fertility Second Opinion If you want an expert review of your labs, IVF history, and full health picture to identify patterns being missed, this is the smartest first step before another cycle. Learn more and apply here. --- Timestamps 00:00 – Low AMH and IVF: What the Number Actually Tells Us (and What It Doesn't) Reframing AMH as a planning metric, not a diagnosis or predictor of natural pregnancy. 01:00 – Why AMH Does Not Measure Egg Quality or Uterine Receptivity How AMH predicts medication response only and why poor response requires deeper interpretation. 02:00 – When Failed IVF Becomes Valuable Data Instead of Bad Luck Why canceled cycles, failed transfers, and losses reveal patterns when properly interpreted. 03:00 – The Four System Patterns That Influence Egg Development Inflammatory load, nutrient absorption, brain–hormone signaling, and nervous system state. 04:00 – Why These Patterns Don't Tell You What To Do (They Tell You What to Evaluate) Moving away from DIY protocols toward clinical interpretation and sequencing. 05:00 – Why Escalation Made Sense From the Clinic's Perspective Understanding conventional IVF logic and what was missing in the evaluation process. 05:45 – Restoring Capacity Instead of Forcing Pregnancy Why physiology must be addressed hierarchically instead of through checklists. 06:30 – How We Knew the Physiology Was Shifting Before Pregnancy Upstream fertility signals: cycle predictability, energy, sleep, stress resilience, ovulation clarity. 07:15 – Natural Conception Without Chasing the AMH Number Why AMH change was irrelevant and why AMH should never end the investigation after IVF failure. 08:00 – Pause Before Repeating IVF: Readiness Over Urgency Why better interpretation leads to better decisions before another cycle.

    8 min
4.6
out of 5
103 Ratings

About

Get Pregnant Naturally is the podcast for individuals and couples who have tried fertility treatments or done everything they were told and still do not have answers. Hosted by Sarah Clark, founder of Fab Fertile, the show offers a functional fertility second opinion to help you understand what may be affecting your cycle, hormones, and ability to conceive when standard testing comes back normal. Each episode looks at patterns that are often overlooked in fertility care, including metabolic health, inflammation, hormone signaling, gut health, and nervous system stress, so you can think more clearly about what to do next. If you have been told everything looks normal, egg quality is the issue, or there is no clear explanation for why pregnancy is not happening, this podcast is for you.

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