As a Woman

Fertility Q&A: IVF Add-Ons, Sperm DNA Testing, and More

September 29, 2026·21 min
Episode Description from the Publisher

Which IVF add-ons and fertility tests are actually worth considering, and what should you know before your next embryo transfer? In this episode of the As a Woman podcast, fertility doctor Natalie Crawford, MD, answers your questions about IVF add-ons, sperm DNA fragmentation testing, ICSI, fresh versus frozen embryo transfers, recurrent pregnancy loss, celiac disease, endometriosis after surgery, and more. She explains what these options can and cannot tell you, and how to think through treatment choices after a setback. IN THIS EPISODE: 00:00 Fertility Q&A 00:22 When Can You Try Again After a Missed Miscarriage? 04:49 How Can You Avoid Gluten Cross-Contamination With Celiac Disease? 06:14 Can Adderall Affect Sperm Health and Fertility? 07:03 What Is ICSI and When Is It Used in IVF? 07:51 Fresh vs. Frozen Embryo Transfer: Which Is Better? 09:55 Should You Change Your Fertility Protocol After Recurrent Loss? 12:51 What Comes Next for Fertility After Endometriosis Surgery? 13:54 Are Antibiotics or Steroids Helpful Before Embryo Transfer? 14:53 Should You Test Sperm DNA Fragmentation or Karyotype? 16:47 Can Stress or Recurrent Yeast Infections Affect Fertility? 17:45 What Can Cause Recurrent Pregnancy Loss With Normal Testing? 19:34 Should You Get Sperm DNA Testing for Low Sperm Morphology? AS A WOMAN WITH DR. NATALIE CRAWFORD: YouTube: https://youtube.com/playlist?list=PLveZDgg3_HZ9m7Wy3C6Vvyrj_NtEOwj_l  Apple Podcasts: https://podcasts.apple.com/us/podcast/as-a-woman/id1449553339  Spotify: https://open.spotify.com/show/12IYOLH9liu60gk5D0bRPk  HOST RESOURCES: Order The Fertility Formula: https://www.nataliecrawfordmd.com/book  Newsletter: https://www.nataliecrawfordmd.com/newsletter  Instagram: https://www.instagram.com/nataliecrawfordmd  YouTube: https://www.youtube.com/@NatalieCrawfordMD  Become a patient: https://www.forafertility.com  Earn FREE CE/CME: https://learnatpinnacle.com/education  This episode is brought to you by The Pinnacle Podcast Network. ABOUT DR. NATALIE CRAWFORD: Natalie Crawford, MD, is a double board-certified OB/GYN and reproductive endocrinologist, co-founder of Fora Fertility, and author of The Fertility Formula. She helps women understand their hormones, fertility, and reproductive health so they can make informed decisions about their bodies. Disclaimer: Natalie Crawford, MD, is a doctor, but she is not your doctor. This content is for general education and is not a substitute for individualized medical care. Learn more about your ad choices. Visit megaphone.fm/adchoices

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