In this insightful episode of Fertility in Focus, Dr. Christina Burns sits down with Dr. Jennifer Kulp-Makarov, MD, FACOG, Board-Certified OB/GYN & REI Specialist, founder of Fleura Fertility. With over 16 years of experience and training at Johns Hopkins and Yale, Dr. Kulp-Makarov shares her patient-centered approach to IVF, individualized protocols, and cutting-edge fertility treatments. Discover how she is transforming the patient experience, optimizing egg quality, and supporting couples, women, and LGBTQIA+ families through a more personalized, stress-free, and effective IVF journey. In This Episode, You’ll Learn: How a boutique, patient-focused approach improves IVF outcomes.The benefits of mini IVF and the Goldilocks method for women over 40 or with low AMH.Why individualized FSH monitoring matters for egg quality and success.The importance of considering sperm quality and male fertility in IVF.Advances in PRP and emerging treatments to enhance egg quality.How to set realistic expectations for IVF cycles, stress management, and long-term family planning.How to assess whether a center has a good labThe scoop on rapamycinIns and outs of IVF for egg quality challengesShould you consider Ovarian PRP Timestamps: [00:01] Introduction: Meet Dr. Jennifer Kulp-Makarov and her patient-first philosophy. [01:48] Moving from large IVF centers to a boutique practice: Why patient experience matters. [03:17] The impact of stress, billing, and communication on IVF success. [05:42] Mini IVF and the Goldilocks approach: Personalized, lower-dose protocols. [14:50] Monitoring FSH levels: How adjusting doses improves egg quality. [19:10] Optimizing outcomes for challenging cases: Sperm quality, egg quality, and individualized care. [29:43] Experimental and promising treatments: Rapamycin, ovarian PRP, and future innovations. [32:43] PRP procedures and how they enhance ovarian function. [35:00] Supporting patients emotionally: The importance of a tailored, long-term IVF plan. Connect with Dr. Jennifer Kulp-Makarov & Fleura Fertility: Website: Fleura Fertility Instagram: @FleuraFertility Location: New York City, NY About Dr. Christina Burns: Dr. Christina Burns is the founder and Doctor of Chinese Medicine at the Naturna Institute. Committed, compassionate, and highly skilled in multiple disciplines, Dr. Burns has been in practice since 2004. She empowers both women and men to achieve their optimal life and health goals through natural medicine practices, integrative nutrition, lifestyle management, and personalized mind-body programs. Dr. Burns holds advanced certifications in acupuncture, herbs, nutrition, life coaching, and yoga therapy. She is also the best-selling author of "The Ultimate Fertility Guidebook." Connect with Dr. Christina Burns: Website: https://www.christinaburns.com/ Instagram: https://www.instagram.com/drchristinaburns/ Order the Ultimate Fertility Guidebook: https://a.co/d/hq0nFOo Join the Eating for Optimal Fertility Course: https://naturna.mn.co/ Order Junk Juice: https://junkjuicemagic.com/ Follow along with the Naturna Institute: Book an Appointment: https://naturna.janeapp.com/#/list Instagram: https://www.instagram.com/naturna_life/