How do you make decisions about having children when your career is thriving, your life is busy, and you feel like you should be able to plan everything? Dr. Lucky Sekhon, double board-certified reproductive endocrinologist and infertility specialist at RMA of New York and author of The Lucky Egg, shares how she helps ambitious women feel informed and empowered at every stage of their fertility journey. She has guided thousands of individuals and couples, and her mission is to replace fear and misinformation with clarity and hope. We explore why fertility includes an element of luck that no amount of planning can control, and why that means you never need to blame yourself. Dr. Lucky explains what a fertility check-up can and cannot tell you, how hormones like AMH, insulin, and cortisol fit into the picture, and why the basics matter more than any supplement. We also talk about the role of the male factor, how to think about fertility alongside a busy career, and what she learned from her own journey freezing embryos as a fertility doctor. This episode is about fertility, egg freezing, hormones, misinformation, and the uncomfortable reality that biology does not always work according to our carefully planned timelines. Timestamp 00:00 Intro 04:23 Why fertility involves an element of luck 07:48 Balancing career and fertility goals 17:29 What age does and does not mean for fertility 20:13 What fertility testing can and cannot tell you 23:17 What a fertility check-up includes 27:52 Supplements, lifestyle, and what actually helps 32:46 Hormones and fertility: AMH, FSH, progesterone, and insulin 40:10 What a low AMH really means 44:22 The most common causes of infertility, including male factor 48:51 Dr. Lucky’s own fertility journey What We Cover Why fertility includes an element of luck that no amount of planning can control How to plan around your biology with a clear roadmap What AMH and ultrasound can show, and why no test can measure egg quality What a fertility check-up includes and what questions to expect Why a healthy baseline matters more than 20 different supplements How AMH, FSH, progesterone, insulin, and cortisol affect fertility The most common causes of infertility, including ovulation problems, PMOS (formerly PCOS), and male factor How to weigh career decisions alongside your personal goals Dr. Lucky’s own experience freezing embryos and why self-blame is so common The impact of chronic stress, under-eating, overtraining and sleep deprivation on fertility Why Dr. Lucky wrote The Lucky Egg and the fertility knowledge gap it fills Key Takeaways AMH is not a fertility score. It provides information about ovarian reserve, but it cannot tell you the quality of your eggs or whether you will get pregnant. You cannot biohack your way out of biology. A healthy lifestyle matters, but supplements and optimization protocols cannot erase the biological clock. No test measures egg quality. AMH and follicle counts show how many eggs you have, which helps guide treatment, but they cannot predict whether you will get pregnant. Know when to ask for help. A fertility doctor can step in after one year of trying if you are under 35, six months if you are 35 or older, and three months at 40. Fertility is a two-person equation. Male factors contribute to a substantial proportion of infertility, so both partners should be evaluated. Information creates options. Understanding your biology earlier can help you make decisions about timing, egg or embryo freezing and family planning from a position of knowledge rather than panic. Basics beat supplements. What is good for your heart is good for your fertility, including regular movement, strength training, and enough food. A low AMH is not a verdict. It does not mean you cannot get pregnant, and it can vary from cycle to cycle. Be kind to yourself. Even fertility doctors struggle with self-blame, and everyone’s path is different. Guest Resources Get The Lucky Egg: Understanding Your Fertility and How to Get Pregnant NOW: https://us.macmillan.com/books/9781250408716/theluckyegg/ Connect With Me 🌍 Website: https://charlenegisele.com 📸 Instagram: https://instagram.com/charlenegisele 💼 LinkedIn: https://www.linkedin.com/in/charlène-gisèle-bourliout/ ✉️ Subscribe to my Life Less Burnt Out Newsletter: https://charlenegisele.com/newsletter/