The fitter you are, the easier conceiving should be. It doesn't always work that way. Dr. Sasha Hakman, a fertility specialist and three time IVF patient herself, breaks down what actually affects your chances in your 30s, what the numbers really look like, and why an hour of high intensity training every day can work against you. We cover your real odds of conceiving in a given month, why you can't test egg quality, when to check your AMH and freeze your eggs, declining sperm counts and why he should be tested first, the MTHFR and folic acid myth, melatonin and CoQ10, how to track ovulation properly, the fertile six day window, and the rapid fire myths about conception you can stop believing. TIMESTAMPS: 0:00 - Preview/Trailer 1:36 - Intro 7:20 - The fear women feel about conceiving in their 30s and 40s 8:40 - Being called geriatric at 35 9:07 - Why that term is really just insurance coding 9:22 - Advanced maternal age, and what is actually riskier 10:13 - When you are most fertile, and it isn't your teens 10:32 - Your real odds of conceiving in any given month 11:33 - The 12 month rule under 35, and 6 months over 12:00 - Why waiting costs you, and how long sperm takes to fix 12:36 - Conception rates from 35 to 39, and what happens at 40 13:05 - When you shouldn't wait six months at all 13:46 - Male infertility and the decline in sperm counts 14:37 - Why sperm is a window into a man's overall health 15:16 - The heart condition she caught through a semen analysis 15:49 - Why she tests from the start, not after a year 17:08 - Sam on Ian's vasectomy reversal 17:53 - Reversal success rates by how long it's been 18:26 - Pregnancy rates after a reversal at 35 20:08 - Her own IVF story at 32 22:25 - The adrenal condition behind her ovulation issues 24:12 - The embryo transfer, then conceiving naturally 25:28 - Going back for a second IVF round at 37 26:21 - 26 eggs, 15 mature, 6 embryos, 3 normal 28:29 - Should every woman get tested 28:54 - You cannot test egg quality, only quantity 29:37 - AMH, and why she looks for outliers and trends 30:35 - Why to check your egg quantity sooner than later 31:30 - Quantity vs quality, and the noise online 32:41 - When to freeze your eggs 34:27 - How to prep your body for conception 34:50 - High protein, high fiber, fewer ultra processed foods 35:15 - Exercise: resistance training plus cardio 35:44 - When your workouts start working against you 36:18 - Body fat, weight and miscarriage risk 37:27 - Stress, and which kind really interferes 37:54 - Sam on coming off Ironman training 38:52 - Supplements, and prenatals for both of you 39:18 - The MTHFR myth 42:30 - The patient who skipped folic acid 44:31 - CoQ10 and the supplements with real evidence 44:58 - Melatonin for egg quality 46:43 - Where to get your egg quantity checked 47:44 - Track your cycle and gather the data 48:17 - LH, FSH and what ovulation tests show 50:38 - What ovulation actually feels like 51:58 - Sam's gut protocol and getting rid of H pylori 52:49 - Testing your vaginal microbiome before trying 54:55 - The fertile six day window 55:30 - How long sperm really survives 55:56 - How often to have sex when you're trying 56:23 - Why frequent ejaculation improves sperm quality 57:25 - How long the egg survives after ovulation 58:22 - Does the Mucinex trick work 1:01:27 - The emotional toll of trying 1:01:56 - Why conceiving is a team sport 1:05:35 - Rapid fire: myth or fact 1:06:56 - Does an orgasm help conception 1:07:59 - Can you ovulate without a positive test 1:08:40 - What empowerment means to her 1:09:08 - Where to find her THIS EPISODE IS BROUGHT TO YOU BY: LAGOON SLEEP: Fully adjustable pillows matched to your body type and sleep position through a 60 second quiz. https://www.lagoonsleep.com/SAMCFIT with code: SAMCFIT for 15% off your first purchase, plus a 100 night trial! 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SASHA HAKMAN: Instagram: https://www.instagram.com/tryingwithdrhakman/ Podcast | Trying with Dr. Sasha Hakman: https://open.spotify.com/show/6KbKJpOEUClmcaWB4xjh0D Website: https://www.sashahakmanmd.com/ SAM'S LINKS: ELEVATE App | free 7 day trial: https://www.elevatebysam.com/ Macro Guide: https://samanthachristine.co/nutrition-guides Running Programs: https://samanthachristine.co/running-guides #tryingtoconceive #fertilityafter35 #womenshealth Learn more about your ad choices. Visit megaphone.fm/adchoices