Aimee Raupp | The Fertility Authority Podcast

Aimee Raupp

For over 21 years Aimee Raupp, MS LAc, has helped women get and stay pregnant against all odds. As a licensed acupuncturist, herbalist, functional medicine clinician, and bestselling author, Aimee brings real science, real clinical experience, and a whole lot of hope to every episode. This is The Fertility Authority. aimeeraupp.substack.com

Episodes

  1. 3d ago

    The Real Driver of Low AMH and POI

    Rethinking AMH and Ovarian Reserve: The Inflammation Connection In this episode, Aimee Raupp challenges traditional beliefs about AMH levels and ovarian reserve, emphasizing how inflammation plays a crucial role in ovarian aging. She discusses groundbreaking research suggesting that ovarian decline isn’t solely about egg quantity but also the health of the ovarian environment. Key topics: * The history and misconceptions surrounding AMH testing * Why AMH is not a definitive measure of total egg reserve * The impact of systemic inflammation on ovarian aging * The discovery of ovarian stem cells and the potential for new egg formation * How chronic inflammation damages granulosa cells, reducing AMH * The importance of understanding the ovarian environment in fertility * The influence of autoimmune conditions, gut health, and diet on ovarian reserve * Practical steps to identify and reduce ovarian inflammation * The significance of current research outpacing mainstream medical guidance * Encouragement to look beyond AMH numbers to understand true fertility health Timestamps: 00:41 - Introduction and the history of AMH testing 01:09 - Why a high or low AMH isn’t the full fertility story 01:52 - Inflammation’s role in ovarian health and aging 02:22 - Limitations of AMH as a fertility marker 03:20 - The analogy of the factory to explain AMH fluctuations 04:16 - Women in menopause still have eggs: myth vs. reality 04:45 - Ovarian environment vs. egg quantity 05:13 - The American Society of Reproductive Medicine’s stance on AMH 05:48 - Challenging the dogma: Are we really running out of eggs? 06:16 - Recent studies and the impact of ovarian stem cell research 07:07 - Breakthrough research by Jonathan Tilly on ovarian stem cells 08:05 - Evidence supporting the regeneration of follicles in adults 09:03 - The lag between research and clinical practice 09:32 - The myth of running out of eggs and new findings 10:01 - The longevity of eggs in menopause 11:01 - Rethinking ovarian aging and the role of inflammation 11:32 - How inflammation damages the ovarian support system 12:02 - NLRP3 inflammasome system and chronic stress 12:29 - The destruction of granulosa cells and declining AMH 13:28 - How turning off the inflammatory alarm can slow ovarian aging 13:53 - Linking inflammation to conditions like endometriosis and Hashimoto’s 14:16 - Impact of diet and gut health on ovarian reserve 15:18 - Numbers are data points, not destiny 15:46 - Viewing AMH as a smoke detector for inflammation 16:10 - Root cause workup and anti-inflammatory strategies 16:39 - Invitation to explore part two of the series for practical insights Resources & Links: * Yes You Can Get Pregnant – Revised Edition by Aimee Raupp * Jonathan Tilly - Northeastern University (search for his current publications) * NLRP3 Inflammasome research Connect with Aimee Raupp: * Instagram * Website This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit aimeeraupp.substack.com/subscribe

    The Real Driver of Low AMH and POI
  2. Jun 29

    She Was 45, Had 7 Retrievals, 2 Failed Transfers, and Got Pregnant Naturally. This Is Rebecca's Story.

    SHOW NOTES This is one of the most remarkable fertility journeys I have ever had the privilege of witnessing in over 21 years of clinical practice. Rebecca came to me as an acupuncture patient in 2012. Over the next decade I watched her freeze eggs in her mid thirties, improve her AMH and FSH through diet and lifestyle, navigate a demanding career in New York City, find her person, and then embark on one of the most grueling and ultimately triumphant paths to motherhood I have ever seen up close. Seven retrievals. Two failed transfers. Two mock cycles. Hysteroscopies. Endometrial biopsies. Seven rounds of PRP. Two IUIs. A chronic endometritis diagnosis that changed everything. A clinic switch. And one sweet, perfect baby boy. She was 45 when she got pregnant. She gave birth at 46. In this episode Rebecca shares everything. The failed transfers and what we found when we dug deeper. The immune panel that finally gave us answers. The decision to switch clinics. The ovarian PRP. The Egg Quality Diet. The emotional work. The mantra she said to herself every single day. And what she wants every woman in the thick of this journey to know. This is not a story about luck. This is a story about belief, about doing the work, and about what becomes possible when you refuse to accept that your biology is fixed. What we cover in this episode: Why the foundations you build in your mid thirties matter enormously even years later. How Rebecca's AMH and FSH actually improved between her first and second egg freeze through diet, acupuncture, and lifestyle. What chronic endometritis is, why it is so frequently missed, and how it was affecting her transfers. The immune panel that changed the entire clinical picture. Why switching clinics and moving to low stim and mini stim protocols made a difference. Ovarian PRP and what Rebecca noticed cycle by cycle. The Egg Quality Diet and how she implemented it fully. Managing a high stress career while going through fertility treatment. The emotional and spiritual work that held her together. Her mantra and why she credits belief as one of the most important parts of her journey. Resources mentioned in this episode: Yes, You Can Get Pregnant by Aimee Raupp, revised 2026 edition: aimeeraupp.com/booksThe Egg Quality Diet by Aimee Raupp: aimeeraupp.com/booksWork with Aimee and her team: aimeeraupp.com/coachingThe Fertility Authority on Substack: aimeeraupp.com/substack Rebecca's mantra: I am worthy. I prayed and it is coming. I am doing all I need to do. We are ready. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit aimeeraupp.substack.com/subscribe

    She Was 45, Had 7 Retrievals, 2 Failed Transfers, and Got Pregnant Naturally. This Is Rebecca's Story.

About

For over 21 years Aimee Raupp, MS LAc, has helped women get and stay pregnant against all odds. As a licensed acupuncturist, herbalist, functional medicine clinician, and bestselling author, Aimee brings real science, real clinical experience, and a whole lot of hope to every episode. This is The Fertility Authority. aimeeraupp.substack.com