
After five years of fertility challenges, multiple pregnancy losses, and four failed IVF outcomes, Sarah and James were exhausted. They had been told to try another IVF cycle, but they still didn't understand why they were struggling to get pregnant or stay pregnant. Instead of immediately repeating the same treatment, they decided to pause IVF and take a deeper look at both partners' health. Five months later, they were pregnant naturally. This isn't a story about being anti-IVF. IVF can be an incredible fertility tool, and many couples absolutely need it. But treatment and investigation are not the same thing. In this episode, I'm walking you through what we discovered when we looked beyond the standard fertility workup — including sperm DNA fragmentation, insulin, thyroid health, gut health, inflammation, nutrient status, minerals, and the reproductive environment as a whole. "Treatment and investigation are not the same thing." - Brooke Boskovich. In This Episode, You'll Learn: Why repeated IVF cycles should not replace investigating why implantation or pregnancy is failing Why both partners need a comprehensive fertility evaluation after failed IVF or recurrent miscarriage How sperm DNA fragmentation can reveal an important piece of male fertility that a basic semen analysis may miss Why fasting insulin can tell you something very different from glucose and A1C How gut health, inflammation, immune health, thyroid function, and nutrient status can influence the reproductive environment Why minerals matter for energy production, hormone function, and egg maturation What the three-to-four-month preconception window can do for egg and sperm health Why individualized fertility care is more useful than adding more supplements or following another generic fertility diet Why sometimes taking a few months to investigate and prepare can be a more strategic step than immediately starting another IVF cycle — Connect & Learn More: Support the show: Please leave me a comment or a review wherever you listen to this podcast Subscribe on Apple Podcasts: apple.co/4faTvVq Learn more about this episode: thefertilitydietitian.health Contact me: brooke@thefertilitydietitian.health Check out my Digital Store: thefertilitydietitian.health/shop Facebook: facebook.com/BrookeTheFertilityDietitian Instagram: instagram.com/the.fertility.dietitian YouTube: youtube.com/@TheFertilityDietitianPodcast
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