How early have you done a pregnancy test? 

Are you stuck questioning the result?

In this episode of Baby or Bust, Dr. Lora Shahine reviews pregnancy tests: when to test, how accurate tests can be, why testing too early can make things even more confusing, and what can cause both false negatives and false positives.

This episode is packed full of helpful information - save for reference and share!

In this episode you'll hear:

[2:22] Understanding pregnancy tests and their importance

[4:52] When should you test? 

[6:26] Information on specific tests

[7:35] False positives and false negatives

[12:56] Why do fertility clinics tell you not to test early?

[13:46] Closing thoughts

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

AshLeigh Meyer Dunham is one of five reproductive law lawyers in Alabama and the only one who has done IVF. She was front and center when IVF stopped for 3 weeks in early 2024 due to a lawsuit brought by IVF patients in front of the State Supreme Court. On this episode of Baby or Bust, Dr. Shahine asks AshLeigh to explain what happened in Alabama, how treatments restarted, and what the process means for access to IVF in the future.

AshLeigh explains why the way IVF restarted in Alabama is not a permanent solution and what this means for the future of IVF in Alabama and all of the United States. 

Threats, political and legal, against IVF have been all over the news lately. All the controversy and proposed legislation is downright terrifying because for some, as IVF may be the best or only option they have to build their families. 

One thing is very clear: people's right to build their families how and when they choose — and sometimes to build them at all — is under attack. Please share this episode to educate and spread knowledge and awareness. 

In this episode you'll hear:

[2:35] AshLeigh's IVF journey

[5:40] Legal context around Alabama's IVF ban

[15:15] Legal and clinical implications of an IVF ban

[36:55] Ongoing legal challenges

[42:00] Advocacy and legislative efforts

[47:20] Future prospects with reproductive rights

Resources mentioned: 

 Find AshLeigh Meyer Dunham on IG - @magiccityfertilitylaw and her firm www.magiccityfamilylaw.com

 The Case Discussed: LePage v. Center for Reproductive Medicine, P.C.: hlaw.justia.com/cases/alabama/supreme-court/2024/sc-2022-0579.html

 doctorsforfertility.com: nonprofit co-founded by Dr. Shahine 

 www.fightforalabamafamilies.org

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Infertility is a deeply personal, often heart-wrenching experience. Suddenly, pregnancy and family building are completely out of your control. Fertility challenges can wreak havoc on your body, your mind, and your relationships. 

In this episode of Baby or Bust, Dr. Lora Shahine talks openly with Carrie Hauskens, founder of Blooming with Care. Carrie is sharing her eight-year struggle with fertility — a journey that ultimately ended with the decision to live child-free. 

Carrie talks about what she went through, why she and her husband decided to stop fertility treatment, and the ways they both dealt (and are still dealing) with their grief. Carrie found support in the infertility community, which is why she started sharing her own story. 

Fertility treatment can be a roller coaster, and if the time comes when you need to say "enough" and step off, Carrie's story may help you make peace with that decision.

In this episode you'll hear:

[4:00] Carrie Hausken's personal story: 

• trying without assistance
• IVF & stillbirth
• Surrogacy
• Considering adoption
• Becoming child-free

[7:43] Honoring the grief

[9:58] Deciding to be child-free

[15:42] What does "stopping" really mean?

[17:27] The impact of trying, and stopping, on their relationship

[25:04] Being changed by Infertility

[31:49] Life for Carrie, now, child-free

[39:06] Connecting with Carrie Hauskens

Resources mentioned: 

www.bloomingwithcare.com

IG - @bloomingwithcare

TikTok - @bloomingwithcare

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

June 2024 is the 50th anniversary of Pride in Seattle. In honor and celebration of LGBTQ+ family building, Dr. Shahine welcomes colleagues Dr. Stephanie Rothenberg and Dr. Darcy Broughton to talk about the Center for LGBTQ+ Family Building at Pacific NW Fertility. 

Although the fertility community hasn't always been inclusive and open to all family building options, Pacific NW Fertility (PNWF) has been proudly serving the Queer community since the organization opened its doors in 2005. In 2020, Drs. Rothenberg and Broughton co-founded the Center for LGBTQ+ Family Building at PNWF and they share what makes the Center unique. 

'It's more than a website; it's creating a safe place for all family building journeys with inclusive language, trained team members, and feedback from our patients.'

In this episode you'll hear:

[1:00] LBGTQ+ Pride in Seattle, WA & at PNWF

[3:00] Meet Dr. Darcy Broughton 

[4:20] Meet Dr. Stephanie Rothenberg

[6:15] The LGBTQ Center for Family Building at PNWF

[9:59] Learning to care for LGBTQ patients from a fertility standpoint

[12:14] Benefits of having a dedicated center for LGBTQ Family Builiding 

[19:22] 50 years of Pride in Seattle

[21:42] What to look for in a clinic

Resources mentioned: 

PNWF Center for LGBTQ+ Fertility: pnwfertility.com/center-for-lgbtq-fertility 

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

If you've struggled to get pregnant, grappled through multiple IVF cycles, experienced a loss, or delivered early, you know first hand that pregnancy is NOT always blissful. Unfortunately for some, the process of building a family can border on traumatic. 

If this is the case for you or someone you know, the information and insights from Parijat Deshpande could shed some light on how to work through the anxiety that lives alongside infertility and high-risk pregnancy. 

Parijat is founder of Ruvelle, bestselling author, speaker, and high-risk pregnancy consultant. In this episode of Baby or Bust, Dr. Lora Shahine dives deep with Parijat into anxiety before and during a high-risk pregnancy and learning how to calm your nervous system so you can move through the trauma that causes your anxiety.

In this episode you'll hear:

[3:30] Meet Parijat Deshpande - she's been through it all

[8:15] An evolutionary benefit of anxiety in pregnancy 

[10:41] Calming your nervous system when you're anxious

• Learning to acknowledge your feelings
• Recognizing what's going on in your body

[15:19] Tips for "completing the threat cycle" (calming down)

[21:33] Dr. Shahine answers a question from a YouTube listener about the HSG procedure

[25:00] Learning more about somatic trauma work

[30:04] Using somatic therapy to improve pregnancy outcomes

[32:50] Parijat's business Ruvelle - support for high-risk pregnancy

[35:56] Leaning into hope and ways to connect with Parijat

Resources mentioned: 

ruvelle.com

IG - @healthy.highriskpregnancy

Pregnancy Brain by Parijat Deshpande

Delivering Miracles Podcast

What Women Need to Know About Pregnancy Anxiety episode on Delivering Miracles Podcast

Dr. Lora Shahine on Delivering Miracles Podcast | Episode 54

Dr. Lora Shahine on Delivering Miracles Podcast | Episode 69

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

It's not just the big traditional holidays that can be triggering when you're struggling with fertility. It's the softer, sneak-up-on you days too, Father's Day being one of those. 

So often the female partner is the focus of the fertility journey, but the male partner is on the ride too. It can be harder for men to express their feelings and take space for what they need when they are wearing the care-taker/problem-solver hat in the relationship. 

So let's make a little space for the "other" partner today. Dr. Lora Shahine opens up the conversation with her guest Dr. Erica Bove who is an OBGYN, Reproductive Endocrinologist and Fertility Coach.   

Dr. Bove wears her doctor coat and coaching badge simultaneously, which allows her to care for the patient but also help couples navigate the impact infertility can have on their relationship.  

With Father's Day coming up in just a few days, you will walk away from this episode with tips on how to support the partner who isn't getting the treatments but is still emotionally invested in the process. Or you can pass this episode along to that partner, providing self-care tips for a hard day. 

In this episode you'll hear:

[2:35] Meet Dr. Erica Bove–OBGYN, Reproductive Endocrinologist, & Fertility Coach

[9:20] Complicated feelings about Father's Day 

[10:51] How the fertility journey impacts men

[14:16] The emotions that show up during infertility

[19:19] Focusing on the relationship in the midst of it all

• Going back to the beginning
• Zooming out on the big picture
• Finding shared value

[32:42] Tips to support a loved one or to protect yourself on a hard day

Resources mentioned: 

Love and Science Fertility Coaching w/ Dr. Erica Bove www.loveandsciencefertility.com

Love and Science Fertility Podcast: Mother's Day Episode 

Baby or Bust: The Real Cost of Fertility Episode

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Who should have the power to decide on your future fertility options? What becomes of frozen gametes and embryos in this new, post-Roe political climate? And if you are ready to get involved, how do you actually advocate for reproductive rights? 

This is part 2 of Dr. Lora Shahine's discussion with Barbara Collura, President and CEO of RESOLVE, the National Infertility Association. In this part of the discussion, Dr. Shahine and Barbara talk about the threats to IVF, access to fertility care, and effective ways to advocate for reproductive rights. 

You'll finish this episode more informed and ready to take action with one, two, or all three of the action steps Barbara provides. 

In this episode you'll hear:

[1:15] Review of part one & overview of part two

[2:30] RESOLVE's purpose and mission

[3:54] The history of a threat to IVF

[7:25] Access to fertility care

[12:06] Advocacy for reproductive rights: Spotlighting Alabama

[17:21] Reproductive rights

[23:59] Next steps to make a difference; including federal protection for IVF

[28:11] Three actionable steps

Resources mentioned: 

resolve.org

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

What does advocating for reproductive rights have to do with IVF? Surely people who want to have a baby wouldn't have to fight for that right in a post-Roe world? 

Well, as it turns out, the reality is that the science behind IVF doesn't always mesh with the idea that life begins at conception. 

This week, Dr. Lora Shahine welcomes Barb Collura, President and CEO of RESOLVE, the National Infertility Association dedicated to advocating for fertility treatments and ensuring that building a family is attainable for all.

In this episode, Barb shares her fertility journey, details the issues IVF and other reproductive rights are facing, and explains why fighting to protect IVF is necessary.

Many in the reproductive space saw the writing on the wall long ago. Here, Barb and Dr. Shahine break down how the overturning of Roe vs. Wade has threatened the process of IVF. They also discuss how Personhood Bills in various states end up impacting IVF — intentionally or unintentionally. 

There is much more to the conversation between Barb Collura and Dr. Shahine, so make sure to come back for part two on the next episode of Baby or Bust!

In this episode you'll hear:

[1:06] Is IVF under threat?

[2:44] Meet Barb Collura, President and CEO of RESOLVE

[10:12] Learn about RESOLVE

[14:12] What does reproductive rights (and Roe vs. Wade) have to do with IVF?

[16:40] Personhood bills in different states

[22:06] A voice for infertility among the politics

[27:47] Stay tuned for more from Barb Collura

Resources mentioned: 

resolve.org

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Infertility changes a person, physically, mentally, and emotionally — it affects our identity, our relationships, our hopes and expectations for the future. How we manage these changes will be different for each person. 

In this unique and personal episode, Dr. Lora Shahine is a guest on the Infertility Feelings podcast with hosts Doug and Jesse. Listeners will hear her share her own fertility journey and all the emotions she experienced being simultaneously doctor and patient. 

Jesse and Doug also explain their process groups — safe spaces where members can talk about the issues and feelings that come with infertility. A great tool for managing the emotional toll that infertility takes, this form of group therapy could help members come out the other side understanding what their bodies and minds have gone through. 

In this episode you'll hear:

[:46] Meet the hosts of the Infertility Feelings Podcast

[2:35] Dr. Lora Shahine shares her fertility journey through 2 pregnancies

[7:04] Being a Fertility Doctor and Fertility patient at the same time

[10:28] The impact of fertility on other parts of your life

[13:51] Acceptance of a new reality

[16:24] Infertility as a first "real" struggle

[18:47] How infertility changes you

[23:27] The changes your body goes through during infertility

[28:24] Dealing with feelings of failure

[30:19] Doug & Jesse's Process Groups

[36:06] Balancing patient's dreams with best course of action

Resources mentioned: 

Uniquely Knitted www.uniquelyknitted.org

Process Groups: www.uniquelyknitted.org/programs/process-groups

Infertility Feelings Podcast: www.uniquelyknitted.org/podcast/infertility-feelings-podcast

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

The cost of fertility treatments can be a huge stress on anyone navigating assisted reproduction. Unfortunately, those who are already dealing with the physical and emotional challenges of infertility may also be burdened with the financial challenge of fertility treatments. And it's important that those facing IVF, IUI, egg retrieval, surrogacy or any of the many, often costly procedures have the resources they need.

 Fortunately, there is help: Angela Rastegar is the cofounder and CEO of Sunfish, a financial solutions company for family building of all kinds. and she has helped individuals and couples plan for the cost of fertility, make it affordable and accessible. 

 In this episode, Dr. Lora Shahine and Angela share their own experiences and highlight the need for affordable solutions so those exploring fertility options can build the families they dream of. 

 In this episode you'll hear:

[:59] Meet Angela Rastegar - founder and CEO of Sunfish

[3:48] Infertility is a disease; why is there such a gap between access and need?

[6:09] How much does IVF, donor egg, surrogacy, adoption really cost?

[10:34] What does Sunfish do?

[18:08] The IVF Success Program (Money Back) offered by Sunfish

[22:30] Financial Planning for building your family

[31:18] Closing

 Resources mentioned: 

www.joinsunfish.com

Follow Sunfish on IG @joinsunfish

Sunfish on LinkedIn www.linkedin.com/company/joinsunfish

Sunfish on Twitter twitter.com/joinsunfish

 Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Mother's Day is not a celebration for everyone. When struggling with infertility and miscarriage - this particular holiday can be full of many mixed emotions. In this special episode of the Baby or Bust Fertility Podcast, Dr. Shahine shares many personal reflections on how tough Mother's Day can be for the fertility community and leaves you with tips on how to cope.

Finish this episode with ideas and inspiration to care for yourself this Mother's Day weekend. 

In this episode you'll hear:

[:54 ] Mother's Day is full of mixed emotions

[3:11] This episode is dedicated to those that are struggling with fertility

[3:51] Tip #1 - Recognize and feel the emotions

[6:51] Tip #2 - Just say no

[9:50] Tip #3 - Ask for help

[12:25] Tip #4 - Indulge

[14:01] Tip #5 - Make plans

[15:51] Let's Recap

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Did you know that 1 in 5 Americans have tried marijuana at least once in their life? It is the most commonly used recreational drug in the U.S. but many do not realize how it impacts fertility, success with IVF, miscarriage risk, and pregnancy health. 

It's easy to assume that something that is legal medically and sometimes recreationally in many states could be harmful to your health, especially your reproductive health.  

If you've been curious about marijuana use and fertility - this episode is a valuable resource full of studies on cannabis use on female and male fertility, time to pregnancy, menstrual cycles, IVF outcomes, and pregnancy risks. 

In this episode you'll hear:

[0:59] Marijuana use in the U.S - both recreational & medical

[2:19] Facts about cannabis - THC and CBD

• Risks to general health
• Risks to reproductive health

[4:17] Let's review the evidence: Male fertility & marijuana

[9:13] Let's review the evidence: Female fertility & marijuana

[13:03] Recap and suggestions for next steps

Resources mentioned: 

Association Between Use of Marijuana and Male Reproductive Hormones and Semen Quality: A Study Among 1,215 Healthy Young Men pubmed.ncbi.nlm.nih.gov26283092

Modifiable and non-modifiable risk factors for poor sperm morphology (regular marijuana use associated with poor sperm morphology) pubmed.ncbi.nlm.nih.gov/24899128

Effects of delta-9-tetrahydrocannabinol, the primary psychoactive cannabinoid in marijuana, on human sperm function in vitro. pubmed.ncbi.nlm.nih.gov/16500334

Human sperm express cannabinoid receptor Cb1, the activation of which inhibits motility, acrosome reaction, and mitochondrial function hpubmed.ncbi.nlm.nih.gov/15562018

A prospective study of the effects of female and male marijuana use on in vitro fertilization (IVF) and gamete intrafallopian transfer (GIFT) outcomes pubmed-ncbi-nlm-nih-gov.ucsf.idm.oclc.org/16458631

Male Preconception Marijuana Use and Spontaneous Abortion: A Prospective Cohort Study pubmed.ncbi.nlm.nih.gov/33165011

Impact of Tobacco and Marijuana on Infertility and Early Reproductive Wastage pubmed-ncbi-nlm-nih-gov.ucsf.idm.oclc.org/35125388

Cannabis use while trying to conceive: a prospective cohort study evaluating associations with fecundability, live birth and pregnancy loss pubmed.ncbi.nlm.nih.gov/33421071

Marijuana smoking and outcomes of infertility treatment with assisted reproductive technologies pubmed-ncbi-nlm-nih-gov.ucsf.idm.oclc.org/31505640

A prospective study of the effects of female and male marijuana use on in vitro fertilization (IVF) and gamete intrafallopian transfer (GIFT) outcomes pubmed-ncbi-nlm-nih-gov.ucsf.idm.oclc.org/16458631

Cannabis use during pregnancy and postpartum pubmed-ncbi-nlm-nih-gov.ucsf.idm.oclc.org/32060189

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

*Trigger Warning: Late Pregnancy Loss

The loss of a wanted pregnancy, at any stage, is utterly heartbreaking. How in the world do you pick yourself up again after such a devastating loss? There is not a right or wrong way to grieve; there's only your way.

On this episode of Baby or Bust, therapist, author, and speaker Lindsey Henke joins Dr. Lora Shahine to discuss the impacts of miscarriage, stillbirth, and loss. The founder of Pregnancy After Loss Support, Lindsey has her own heartbreaking story of a loss very late in her pregnancy. Lindsey's story is raw and real, and she is so gracious to share it with us. 

Lindsey talks through her experience and how she found ways to cope with her grief. She shares how she still honors her daughter, Nora. If you've been through your own loss, or if you're trying to support someone after a miscarriage, this episode could help deepen your understanding of the grief that accompanies such heartbreak. 

In this episode you'll hear:

[2:18] Meet Lindsey

[9:32] Dealing with loss

[19:34] Feeling "ready" to try again

[26:36] Pregnancy after loss

[31:17] Seeking support from loved ones

[43:38] 5 ways to honor loss

Resources mentioned: 

lindseymhenke.com

lindseymhenke.com/when-skies-are-gray-book

pregnancyafterlosssupport.org

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Candles can be romantic, even sexy. But ironically, some can make it harder for you to get pregnant. Many common candles can have an impact on fertility, so if you're trying to build your family, you may want to reconsider how you set the mood.

Candles and scents may impact fertility, but never fear: information is power. On this episode of Baby or Bust, you will learn what you need to know about fertility and candles. 

In this episode, Dr. Lora Shahine is chatting with Tristan Weholt, founder of Rox Hill Candle Co. Tristan is here to share her insight on parabens, paraffin wax, and the harmful chemicals that are present in some candles. 

Dr. Shahine and Tristan also discuss the differences between store-bought, mass-produced candles and those that are purchased through smaller companies – like knowing what ingredients are in the products you purchase. 

Protecting reproductive rights is more important now than ever. For National Infertility Awareness Week, here's how you can help:

This pineapple candle (citrus scent) was created in honor of infertility and reproductive rights.

Proceeds for candles purchased this week (April 21-27, 2024) will be donated to three non-profit organizations working hard to educate, advocate, and protect reproductive rights:

• ASRM (The American Society of Reproductive Medicine)
• Resolve 
• Doctors for Fertility
  

In this episode you'll hear:

[1:40] Meet Tristan Weholt, founder of Rox Hill Candle Co.

[5:11] What you need to know about the wax that goes into candles

[8:57] The importance of the wick for candles

[10:47] Considering the scent of your candle choices

[14:02] How to know if a candle is safe

[17:30] A candle for fertility 

Resources mentioned: 

www.roxhillcandleco.com

The Pineapple Candle: roxhillcandleco.com/products/roxhill-candle-co-x-dr-lora-shahine

Rox Hill Candle Co on IG: @roxhillcandleco

Fragrance & Oils from  makesy.com

National Library of Medicine - Phthalates and Their Impacts on Human Health

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

For many struggling with infertility, building a family may take more than two people. Egg donation, sperm donation, surrogacy or using a gestational carrier can be a beautiful way to build a family, but the process can be full of many questions and misconceptions along the way. 

Why do egg and sperm donors donate? Can third-party donors really be anonymous in this age of in-home genetic testing? Should parents be open with their children about their biological origins? If so, when is the right time to share or disclose this? Finally, is it possible a parent won't bond with their baby if there's no biological connection between them?

In Part Two of their discussion on the myths and misconceptions around fertility, Dr Shahine and licensed therapist Lisa Schuman tackle questions about third-party family building.

Lisa Schuman is an award-winning researcher, therapist, author, and expert in donor conception, surrogacy and fertility treatment. Her organization, The Center for Family Building, is dedicated to helping people have an easier journey to becoming parents.

In this episode you'll hear:

[0:00] What is "third-party reproduction"?

• Why do egg and sperm donors donate?
• The healing power of donation, a patient story
• Lisa discusses the growing trend of knowing gamete donors

[6:24] Do you disclose to your children that they are the result of donation?

• Is anonymity even possible any more?
• Should you disclose to your child? Why and when?
• Practice the conversation to make it easier for parent and child
• Why it's a good and powerful thing to "own your story" 

[13:50] Bonding with your child

• Dealing with the continuing stigma of infertility
• Understanding parents' concerns over bonding with donor-conceived children
• Where does that bond truly come from?
• Developing trust between parents and children

[20:29] Myths around third party family building

• The role of genetics
• How family bonds happen

Resources mentioned: 

Center for Family Building

familybuilding.net/author/lisa-schuman-lcsw

Subscribe to Lisa's podcast, "Building Your Family":  spotify.com/show/1iPTI62w2fANnkOLaSjsCe

Pacific Northwest Fertility Center Egg Donation Program: httpnwfertility.com/donor-egg-program/

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Trying is supposed to be the fun part, right? Ask anyone struggling with infertility and they may share that intimacy can start to feel like a job after a while. Many fertility patients have found that at-home inseminations can be an option for trying to conceive at home.

At-home inseminations are not the same as intrauterine inseminations in a fertility clinic and cannot substitute for consults, testing, and guidance from a reproductive endocrinologist. However, they can be an option to consider as a first-line treatment, for those who have difficulty with intimacy, and for some people using frozen donor sperm from a sperm bank.

On this episode of Baby or Bust, Dr. Lora Shahine is talking all about at-home inseminations with Mauren Brown, founder of Mosie Baby. The Mosie Baby Kit for At-Home Insemination is the first FDA-cleared insemination syringe kit, and it has helped over 100,000 people access a fertility option that can take place in the comfort of their own home. 

Dr. Shahine and Maureen discuss the inspiration of Mosie Baby, how the syringe is designed, who might benefit from this option, and the future of at-home insemination. 

This episode of Baby or Bust Fertility Podcast was not sponsored by Mosie Baby. 

You can learn more at the Mosie Baby website and by watching Dr. Shahine's YouTube video on at-home inseminations. 

In this episode you'll hear:

[1:02] Meet Maureen Brown – founder of Mosie Baby

• The inspiration for Mosie Baby 

• Frank, Maureen's son is the first Mosie Baby

[5:42] Mosie Baby vs. IUI in the clinic 

[8:03] The Mosie Baby design

[10:20] FDA clearance of Mosie Baby

[15:10] Is Mosie Baby right for you?

[19:27] When is a good time to try Mosie Baby?

[22:51] A few basics about conceiving

[25:49] The future of at-home insemination

[27:07] Other groups that could benefit from Mosie Baby

[29:08] Closing 

Resources mentioned: 

Mosie Baby: At Home Insemination Kit by Mosie Baby FSA/HSA approved 

Dr. Shahine's YouTube Video on at-home inseminations: youtu.be/vQF1EL7u96I?si=LCnCiSg-4b7kDgXw 

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

There are many fertility misconceptions, but when you're trying to conceive, it is tough to tell the truth from the myths.

What really will help you get pregnant?

Stay pregnant? 

And have a healthy baby? 

Your friends can be convinced that certain positions helped them. Instagram can make you feel you are to blame for your miscarriage.

In this episode, first shared on Lisa Schuman's podcast, Building Your Family, Dr. Lora Shahine and host Lisa debunk some common fertility myths. 

You'll finish this valuable episode knowing not only more about 5 common fertility assumptions but the why and rationale about why people can get so confused.

Host Lisa Schuman is an award-winning researcher, therapist, author, and expert in donor conception, surrogacy and fertility treatment. Her organization, The Center for Family Building, is dedicated to helping people have an easier journey to becoming parents.

In this episode you'll hear:

[0:00] Meet Lisa, founder of The Center for Family Building and host of Building Your Family

[3:25] Myth #1 - Positions matter for getting pregnant and determining the baby's sex

[8:40] Myth #2 - Myths around miscarriage, including the biggie: "It's the pregnant person's fault."

[12:12-15:35]  Myth #4 Stress and Infertility 

[16:36] Myth #4 - The body is "just an oven," and if it's not your egg, even though you're carrying it, you have no influence on the baby.

Resources mentioned: 

familybuilding.net/author/lisa-schuman-lcsw

Subscribe to Lisa's podcast, "Building Your Family": spotify.com/show/1iPTI62w2fANnkOLaSjsCe

Pacific Northwest Fertility Center: pnwfertility.com

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Endometriosis is a common yet often misdiagnosed chronic inflammatory disease associated with pain and infertility..

Never heard of endometriosis? You're not alone. Despite it being a painful condition, it can take, on average 7 - 8 years to get a correct diagnosis. 

March is Endometriosis Awareness Month, and given the often debilitating pain this condition can cause — and how hard it can be for people in pain to be HEARD by medical professionals — we think it's really important for everyone to be aware of it.

If you know someone who experiences excessive pain during their period, please share this episode. And if that person is you, please continue to advocate for yourself and your health care — find a doctor who will listen and conduct the necessary tests. 

In this episode you'll hear:

[0:00] What is endometriosis, and how common is it?

[3:38] What are the symptoms, and how is it diagnosed?

[7:23] What is the connection between hormonal contraception and endometriosis?

[10:02] Signals that endometriosis may be present

[14:46] The importance of advocating for yourself 

Resources mentioned: 

American Society of Reproductive Medicine: 

www.asrm.org/news-and-events/asrm-news/latest-news/resource-roundup-endometriosis

American College of Obstetricians and Gynecologists:

www.acog.org/womens-health/faqs/endometriosis

National Institutes of Health:

medlineplus.gov/endometriosis.html

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

In the wake of the Dobbs decision that effectively ended federal abortion rights protection under Roe v Wade, the fate of IVF and fertility treatments has been hanging in the balance.

In Alabama in February/March of 2024, a decision on the rights of a fetus brought IVF to a halt. Was this was the "pro-life" movement had in mind? To prohibit people from building the families they envision?

Fortunately, that outcome was "patched," thanks to activism by reproductive rights' advocates, among others. One of the most important voices in this ongoing conversation (and spoiler: this conversation didn't start when Roe v Wade ended) is that of Elizabeth Carr, the first IVF baby in the United States.

Elizabeth Carr, who has been "in the media since three cells old," chose a career in journalism, and she is now fully in as an advocate for fertility treatments like IVF. She has a podcast called The First, does public speaking, hosts events, and speaks out when needed to protect the rights of people to create their families as they choose. Learn more about Elizabeth on her website: https://ejordancarr.com/.

In this episode you'll hear:

[0:00] Introducing Elizabeth Carr, the first IVF baby in the United States.

[2:22] The timeline up and through the Alabama Supreme Court decision

• Impacts of the AL Supreme Court decision
• Governor Ivey's bill to protect IVF

[8:26] Impact of the AL decision on IVF access

[13:23] "Personhood" bills and their impacts on IVF and embryo freezing

• Alabama shows the need for education around fertility treatments
• Fertility treatments are not discussed accurately by media and politicians

[19:08] The truths of IVF

• IVF helps those with infertility, cancer survivors, those who've suffered missed miscarriages, etc.
• IVF stigma can cause pharmacists to refuse to provide needed medication for fear of repercussions

[24:14] Attending the President's State of the Union address

[26.18] Why is IVF so polarizing?

[33:30] Infertility advocacy and reproductive rights

[43:04] Calls to action

Resources mentioned: 

doctorsforfertility.com

fightforfamilies.resolve.org

ASRM Advocacy

Find Elizabeth Carr

The First podcast

Elizabeth Carr on Instagram @ejordan12

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Learn about a different kind of support resource for miscarriage and pregnancy loss on this week's episode of the Baby or Bust Fertility podcast.

Dr. Shahine interviews Emily Carrington, founder of the Early Pregnancy Loss Association. Emily has turned her own story of confusion and payment plans for her miscarriages into a support system to educate women on the realities of miscarriage and navigate the medical bills that can pile up.  

Learn about the unique miscarriage care kits that Emily's team ships anywhere in the US for FREE. These kits include self care items, education information, and real life needs for a pregnancy loss at home you didn't know you need - until you do.

Listen now - see links below to more resources.

In this episode you'll hear:

[0:00] What is "early pregnancy loss"?

• Who are the EPLA and what do they provide?

[2:37] Early pregnancy loss and the financial burdens that come with it

• Emily shares her personal story of loss and how the lack of resources convinced her to start an organization to help others. 

[7:31] The toll of miscarriage

• Dr. Shahine shares her own story of the emotional toll of miscarriage
• Emily talks about why her organization focuses on early pregnancy loss

[12:32] Miscarriage care kits

• How EPLA's miscarriage care kits differ from others in their contents
• The necessity of more education to deal with miscarriage

[18:42] Financial support for miscarriage-related medical bills

• EPLA has a program that offers financial support
• Available in Michigan, but can be copied globally
• Care kits can be shipped to anywhere in the US, overnight

Resources mentioned: 

If you are experiencing pregnancy loss or know someone else who is, you can order a miscarriage care kit here: www.miscarriagecare.com/care-kit-request.

Early Pregnancy Loss Association: www.miscarriagecare.com 

Dr. Shahine's books on miscarriage and recurrent pregnancy loss: drlorashahine.com/books 

Episode 60: "There is no Heartbeat" What's Next and Options after a Diagnosis of Missed Miscarriage

Parent Support of Puget Sound: Miscarriage, Stillbirth and Infant loss support in Seattle and surrounding areas in Washington State: psofpugetsound.org

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Secondary infertility — difficulty conceiving or carrying a subsequent pregnancy — comes with a unique set of challenges. Being a parent with infertility can create tension between feeling grateful for the family you have yet grieving the family you desire. 

In this episode, Dr. Lora Shahine talks with Allie Karagozian, occupational therapist, business owner, and podcaster. Allie shares her own fertility journey and why she created a special way to support those suffering with secondary infertility. Through her podcast, Secondary Infertility, and her support groups, Holding Both, Allie provides support for mothers struggling with secondary infertility. 

In this episode you'll hear:

[0:00] What is secondary infertility?

[3:20] What are the unique challenges of secondary infertility?

• Guilt for wanting "more" 
• Providing a sibling for an existing child
• Age gaps between children and societal pressure to have more

[11:18] Secondary infertility support groups

• Lack of support for those experiencing secondary infertility
• The need for a safe space to discuss the challenges
• The importance of emotional support and community

[20:07] Secondary infertility support for men

• Men are often sidelined during fertility challenges
• Men also need emotional support

Resources mentioned: 

One and Only by Lauren Sandler: https://www.laurenosandler.com/the-book

Episode with Miscarriage Doula Arden Cartrette: drlorashahine.com/podcast/arden-cartrette-on-pregnancy-loss

Finding Allie Karagozian:

Allie on Instagram: @holdingboth 

Allie's Website: www.holdingbothllc.com 

Allie's Podcast on Instagram: @secondaryinfertility.pod

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

"I am so sorry, but the baby has stopped developing."

A  "missed" or "silent" miscarriage is when the fetus has stopped developing, but the body hasn't gotten the message to end the pregnancy yet. It can be devastating, and unfortunately, there are often decisions that the pregnant person will need to make.

In this episode, Dr. Lora Shahine talks about what a missed miscarriage is, what actions you may need to take if diagnosed with a missed miscarriage, and what the pros, cons, and risks are of the different options.

In this episode you'll hear:

[0:00] What is a missed miscarriage?

• What questions might you have for your doctor?
• What are the symptoms that a missed miscarriage may be occuring?
• Why is it sometimes referred to as an "abortion"?

[4:54] What are the medical options for proceeding after a diagnosis?

• There are options to pursue, with pros and cons.
• Will the body naturally miscarry the fetus? Is there a risk of infection?
• What are the emotional impacts?

[10:22] Medical management of missed miscarriages

[13:22] Surgical management of missed miscarriages

• Who might need surgical intervention?
• What does it entail?
• Diagnosing chromosomal imbalances

[20:22] Advocating for care

• How to talk to your care team about interventions
• Dr. Shahine's book Not Broken: drlorashahine.com/books
• Understanding it's not the pregnant person's fault and how to advocate for care
• Resources for support and healing
  

Resources mentioned: 

Dr. Shahine's books: drlorashahine.com/books

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

How much does what we eat impact our fertility?

Certainly food influences pregnancy and fertility much more than most of us know, possibly more than our doctors know! Fortunately, a book is coming that can change all that, and in this episode, Dr. Lora Shahine is talking with the authors about fertility, food, nutrition, the science of food and fertility, the myths surrounding nutrition and reproduction (hint: it's NOT all about BMI), and so much more.

Dr. Angela Thyer is a reproductive endocrinologist and Judy Simon is a registered dietitian and reproductive health nutritionist in Seattle, and together they've written Getting to Baby: A Food-First Fertility Plan to Improve Your Odds and Shorten Your Time to Pregnancy. 

Getting to Baby is a deep dive into choosing the right foods to reduce inflammation and support a healthy body; eating to support conception, healthy pregnancy, and IVF treatments; and actually enjoying shopping, cooking, and eating.

In this episode you'll hear:

[0:00] Introducing the idea of fertility nutrition with a focus on plant-based foods

[0:51] Nutrition's impact on fertility with medical doctor and registered dietitian

[2:31] Nutrition and fertility with a focus on evidence-based information

[3:55] Creating a supportive community for people with fertility issues

[5:03] Fertility, nutrition, and cooking with guidance from a reproductive endocrinologist and a dietitian

[9:55] The importance of plant-based foods and limiting processed foods

[15:33] What does a "holistic approach" to nutrition and fertility look like?

[21:11] Avoiding restrictive dieting

[22:56] Nutrition accessibility

[31:03] Lifestyle tips for better health

Resources mentioned: 

Getting to Baby by Angela Thyer, MD and Judy Simon, RDN (find at Penguin Random House Books)

Judy Simon, RD on Instagram - @fertilenutrition

Angela Thyer, MD on Instagram @angelathyermd

More education on nutrition and fertility:

Improving Fertility with Diet and Nutrition with Dr. Lora Shahine

https://youtu.be/Lxwv0VLZyEk

Foods that Improve Your Fertility with Dr. Lora Shahine

https://youtu.be/tBJo9ggmdzA

Foods to Avoid When You're Trying to Conceive with Dr. Lora Shahine

https://youtu.be/Ch86VS6yxPE

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Women are often conditioned to sacrifice our own goals, health, and happiness in favor of everyone else's. But does it have to be that way? In this unique and personal episode, Dr. Lora Shahine is a guest on the podcast Spilling the Tea with Dr. Joyce. 

With host Dr. Joyce Park, Dr. Shahine shares her story of finding her direction in life at the intersection of her infertility journey and her passion for women's health. 

Both Dr. Park and Dr. Shahine became aware of the need for more education around infertility in the medical field. Their conversation also includes their experiences as fertility doctors on social media platforms, emphasizing the importance of connection, education, and innovation in the medical field. 

Finally, they discuss ethical challenges in reproductive medicine, including the tension between medical advancements and moral objections, and the need for compassionate care.

Dr. Joyce is a board-certified dermatologist, founder of virtual dermatology clinic Skin Refinery, and content creator and educator at Tea with MD and all of its associated social media channels. You can find her on YouTube, Tiktok, and Instagram: @TeawithMD

In this episode you'll hear:

[3:38] Dr. Shahine's 'ah-ha' moment of choosing medicine

[11:53] Education through Social Media platforms

[28:23] Faith, religion, and reproductive rights

[33:12] Managing expectations and ethical concerns with reproductive rights

[40:52] Fertility, family planning, and work-life balance for women in medicine 

[43:15] Being busy and professional AND staying sane

Resources mentioned: 

www.teawithmd.com

www.skinrefinery.co

@TeawithMD: YouTube, Tiktok, and Instagram

 Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Whether you're convinced of their medicinal properties or not, the pineapple is a wonderful and long-lived symbol of hope and strength in the fertility community. 

In this episode, Dr. Lora Shahine explains a little about where the symbol comes from, a couple myths to watch out for, and how the pineapple symbol can help you on your fertility journey, 

In this episode you'll hear:

• [1:14] Pineapples are everywhere in the fertility community!
• [2:37] The medical connection to the pineapple
• [5:09] The symbolic connection the the pineapple
• [6:02] Summary

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Many people struggling with infertility are curious about the claims that acupuncture will improve fertility and decrease time to pregnancy, but they don't explore this option because of…needles. 

What if you could get the potential fertility-boosting benefits of acupuncture without the sticks? 

In this episode, doctor of acupuncture, teacher, researcher, and practitioner of integrative East-Asian Medicine Dr. Lee Hullender Rubin talks with Dr. Shahine about the recent research and claims that Laser Photobiomodulation (PBM) (or needleless acupuncture) can improve fertility, PCOS, male factor infertility, and more.

In this episode you'll hear:

[0:00] Innovative acupuncture treatment without needles: hooray for the needle-hesitant!

[2:04] Non-invasive acupuncture using laser therapy: what are the benefits?

[5:00] LED and laser therapy for fertility: how does it work?

[9:43] The effectiveness of laser therapy in fertility treatments

[14:46] Some results from laser acupuncture for fertility treatment

[21:25] Regulating hormones for fertility treatment: how laser can help regulate EMH levels for fertility benefits 

• PCOS patients
• Egg quality for IVF cycles

[27:49] Using laser therapy to improve IVF outcomes

[27:58] What about sperm? Does laser affect sperm numbers or motility?

[32:18] Two fertility cases with different outcomes

[37:50] The future of acupuncture for fertility 

Resources mentioned: 

Baby or Bust, Episode 39: Dr. Lee Hullendar Rubin on Acupuncture and Fertitlity drlorashahine.com/podcast/dr-lee-hullender-rubin-on-acupuncture-and-fertility

Dr. Lee Hullendar Rubin's website: www.rosefinchhealth.com

Dr. Lee Hullendar Rubin on Instagram: @rosefinhhealth

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Many say raising children "takes a village," but what about the team you create on your family building journey through infertility, miscarriage, IVF and early pregnancy? The "trying to conceive" village can include doctors, nurses, therapists, acupuncturists, friends, family, and maybe a fertility coach. 

If you're curious about what a fertility coach is and are considering working with one, you'll learn all about it in this episode in which Dr. Shahine interviews fertility coach Ceire Nevins. 

You'll finish knowing what's different about a fertility coach - how they help you meet your goals, support you on the journey, and more. Be sure to pay attention to the red flags Dr. Shahine and Ceire review, so you also know what you DON'T want in a fertility coach.

In this episode you'll hear:

[0:00] What is fertility coaching and how does it help?

[6:29] Fertility coaching and empowering clients to advocate for themselves 

• Non-medical advice and advocacy for patients undergoing fertility treatments
• Ceire's personal journey with infertility and how it led her to become a fertility coach

[12:06] Fertility coaching and holistic health

[17:47] How to find a qualified fertility coach 

• Personal experience with infertility and credentials
• Coaches who promise unrealistic results 

[24:01] Fertility coaching and support for individuals undergoing IVF

• The importance of support and self-care 
• Reframing the mindset from goal-oriented to system-based

Resources mentioned: 

Ceire's Fertility Mama website: www.thefertilitymama.com

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

PGT-A, PGT-M, PGT-SR, Carrier Screening, Karyotype — oh my! The options available for genetic screening in fertility testing and IVF treatment can get confusing.

Understanding testing available to you BEFORE treatment as well as DURING the IVF process is key. These tests can decrease risk of disease and miscarriage and improve success rates with a single embryo transfer, but there are pros and cons for every intervention. It can be difficult to keep it all straight and overwhelming to know what to do. 

In this episode, Dr. Lora Shahine goes in depth on what tests are available, what they are screening for, who is a good candidate for genetic testing, and what your options are when the results come in.

You'll finish this episode understanding genetic testing and screening in fertility and IVF and knowing what questions to ask your doctor about what's right for your personal situation.

As always, please share this episode with others on or considering a fertility treatment journey — if you don't know anyone (or know you know anyone), consider leaving us a review to help others find the podcast.

In this episode you'll hear:

[0.00] Genetic testing of embryos for IVF patients. 

• genetic screening of embryos for infertility patients, including testing for specific mutations and benefits
• genetic testing options for embryos, including PGT-A, PGT-M, and PGT-S

[3:10] Genetic testing for embryos before IVF

• preimplantation genetic testing (PGT) for single gene disorders in IVF
• genetic disorders and the importance of carrier screening before IVF 
• the option to test embryos for specific mutations
• PGT Sr. is preimplantation genetic testing for structural rearrangement, which requires knowing what to look for before testing embryos

[10.23] Balanced translocations and their impact on pregnancy

• what are balanced translocations and what is their effect on fertility
• what are your management options
• testing embryos for chromosome content to reduce miscarriage risk

[15:58] Genetic testing for embryos during IVF 

• preimplantation genetic testing for aneuploidy (PGT-A)
• the risk of chromosomal abnormalities 
• what are your options when the results come in

[21:58] Karyotype test for people having recurrent pregnancy loss

• this week's fertility story: couple with 10 miscarriages
• both partners should test for a balanced translocation with a karyotype test
• the importance of seeking a second medical opinion and not giving up hope on fertility treatments

Resources mentioned: 

ASRM Committee Opinion of Preimplantation Genetic Testing for Monogenic Conditions 

ACOG summary of Preimplantation Testing 

ACOG FAQ's about Genetic Carrier Screening 

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Infertility advocate and health enthusiast Adelaide White is an invaluable source of light and hope to so many on TikTok and Instagram, Dr. Shahine included.

In this episode, the tables are flipped as Adelaide interviews Lora on All Things Fertility Journey, from the educational journey of a reproductive endocrinologist to the differences among the fertility treatment choices to the many causes of infertility to the heartbreak of recurrent pregnancy loss.

Through it all, one message is clear: infertility and pregnancy loss are not your fault. Culturally, we have such a tendency to blame infertility on the partner who plans to carry the pregnancy, and that's both wholly inaccurate and hugely unhelpful. Shame and guilt have no place in this process, and that's why podcasts like Adelaide's and Dr. Shahine's exist, so please share widely to spread the word. 

In this episode you'll hear:

[0:00] Fertility treatments with a reproductive endocrinologist — what to expect

[8:43] Fertility success rates with IVF

[14:16] Fertility treatments and hormone levels 

[19:12] Fertility treatment options and miscarriage risk 

[22:51] Miscarriage causes, egg retrieval pain, and IVF success and why recurrent pregnancy loss is not your fault 

[28:06] Fertility treatments and when to seek medical help: is one year enough? 

[33:30] Fertility treatment options and why advocating for oneself is so important 

[40:40] Infertility and its impact on various cultures, races, and socio-economic groups

[43:37] The fertility journey and advocacy

Resources mentioned: 

Adelaide's podcast The Waiting Room: podcasts.apple.com/us/podcast/the-waiting-room/id1588061814

Adelaide's Instagram: www.instagram.com/adelaide_awhite/?hl=en

Dr. Shahine's books, including Not Broken: drlorashahine.com/books 

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Those undergoing IVF sometimes hear they shouldn't exercise or they might put the process at risk. However, we know a sedentary lifestyle isn't healthy for your fertility either.

For many, exercise doesn't just keep their bodies healthy, it's also critical to managing stress, aiding with sleep, and managing mental health — which can also impact fertility.

So how much exercise is too much when trying to conceive and in early pregnancy? In this episode, Dr. Shahine helps us understand the facts and decide what is right for your personal situation.

In this episode you'll hear:

[1:36] The controversy around exercise and fertility 

[2:38] Reviewing the research 

[4:01] Exercise during IVF – what's the worry?

[7:50] Fertility Story: Exercise extremes, the stress of cutting back for many patients, and the Female Athlete Triad 

Resources mentioned: 

Studies mentioned referenced in these blog posts by Dr. Shahine

My Recommendations on Exercise and Fertility

IVF and Fitness: What You Need to Know

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

We considered posting this episode on New Year's Eve, when toasting in the New Year is likely to happen, rather than New Year's Day, when many celebrants are waking up to a sore head, a fuzzy tongue, and second thoughts about that third round of shots.

It's OK to celebrate — but alcohol is a tricky question when it comes to fertility. How much is too much?

In this episode you'll hear:

[0:00] Intro

[2:20] Stopping alcohol in pregnancy message is out but what about while trying

[4:28] Research of female fertility and alcohol intake – studies resources listed below

[8:30] Research of male fertility and alcohol – studies and resources listed below

[10:44] Recap of the evidence for reproductive health

[11:23] What I tell my patients about alcohol and fertility 

[14:23] Fertility Story – alcohol and fertility

Resources mentioned: 

Female reproductive health research:

Eggert, J et al. Effects of alcohol consumption on female fertility during an 18-year period Fert Ster 2004;81:379-383

https://www.sciencedirect.com/science/article/pii/S0015028203027171

Anwar MY, et al. The association between alcohol intake and fecundability during menstrual cycle phases. Hum Reprod 2021;36:2538-2538.

https://academic.oup.com/humrep/article/36/9/2538/6294415?login=false

Mikkelsen EM, et al. Alcohol consumption and fecundability: prospective Danish cohort study. BMJ 2016;354:i4262

https://www.bmj.com/content/354/bmj.i4262.long

Tolsrup JS, et al. Alcohol use as predictor for infertility in a representative population of Danish women. Acta Obstet Gynecol Scand. 2003 Aug;82(8):744-9. doi: 10.1034/j.1600-0412.2003.00164.x.

https://pubmed.ncbi.nlm.nih.gov/12848646/

What does ASRM say?

In their Optimizing Natural Fertility Practice Committee Guideline:

https://www.asrm.org/globalassets/asrm/asrm-content/news-and-publications/practice-guidelines/for-non-members/optimizing_natural_fertility.pdf

Male reproductive health research:

Finelli R, et al. Impact of Alcohol Consumption on Male Fertility Potential: A Narrative Review. Int J Environ Res Public Health. 2022 Jan; 19(1): 328.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8751073/

Hassan M, et al. Negative lifestyle is associated with a significant reduction in fecundity. Fert Ster 2004; 384-392.

https://www.sciencedirect.com/science/article/pii/S0015028203028462

What does ASRM say?

In their Optimizing Natural Fertility Practice Committee Guideline:

https://www.asrm.org/globalassets/asrm/asrm-content/news-and-publications/practice-guidelines/for-non-members/optimizing_natural_fertility.pdf

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books  

If you've ever wondered where Dr. Shahine gets her ferocity from, well, meet Charlene. 

Inspired by Julia Louis-Dreyfus's Wiser Than Me podcast, Dr. Shahine interviews a woman she truly admires: her mother, Charlene Kelly Ewing. 

Despite being "all of 5 feet," according to daughter Lora, Charlene meets every challenge head-on and, at age 79, still pushes herself to do what she's afraid of.

The diminutive Southern belle may have a soft voice, but Dr Shahine knows to listen: her mom has been a guiding force as well as her daughter's biggest cheerleader. 

Whether she's impressed by her daughter's ability to watch gnarly medical procedures and still eat pizza, or her drive to help others through not only health care but also health education, Charlene Ewing is as inspired by her daughter as her daughter is by her mom.

Have a listen, then give yourself the gift of talking with a woman you admire. 

Happy holidays from Baby or Bust!

In this episode you'll hear:

[00:00] Why Dr. Shahine admires her Mom

[05:02] Mom shares Dr. Shahine's inspiration to be a physician and why she didn't think it would really happen

[10:23] Family Fertility Stories – What we share and don't share and what it means – Mom's fertility, endometriosis and period struggles 

[16:02] Secondary infertility and the fear of having kids born far apart in age

[19:42] On balancing work and motherhood – Why Mom worked and how she modeled independence

[25:00] Leading with curiosity 

Resources mentioned: 

Wiser Than Me podcast: https://podcasts.apple.com/us/podcast/wiser-than-me-with-julia-louis-dreyfus/id1678559416

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books  

"Why didn't I know all this already?"

       - Pretty much everyone who reads Toni Weschler's book

 The stigma around women's reproductive systems isn't just an inconvenience, it removes a critical way women get insight into their bodies and health overall: period power.

 The menstrual cycle tells us a whole lot more than if we're pregnant or not, or menopausal or not, says author Toni Weschler. Her seminal (oh, the irony of that adjective!) work, Taking Charge of Your Fertility, is all about understanding and taking charge of your reproductive health and being "cycle savvy."

 In this episode, Dr. Lora Shahine and Toni Weschler talk about the origin of this amazing work. (Hint: it has to do with women being really angry.) And despite the title, it's not all about helping people who are hoping to become pregnant. It's about, says the author, "teaching women on a day-to-day basis what is going on with their body on that day" and taking advantage of all the insights into your health charting your cycle can give you.  

 In this episode you'll hear:

[02:26] What is 'Taking Charge of Your Fertility' and why Toni 'hates' the title

[04:44] Toni's inspiration to write the book

[09:50] The difference between the rhythm method and fertility awareness 

[11:22] The 3 signs of fertility explained 

[14:56] What the menstrual cycle can teach you about your health

[18:51] Being a pioneer: How did Toni research for her book in 1990s?

[26:31] The difficult process of pitching the book – lesson in rejection from Toni

[36:30] The challenges of writing the book – Toni fought for her vision

Fertility Story: 

[41:21] Toni's 'Birth Announcement'

[42:23] The responsibility of 'Taking Charge of Your Fertility' and what inspires Toni

[44:42] Instagram Questions:

• Nikki: Is there another edition? Yes! 30th anniversary edition out in 2025
• Alexa: What fertility or period apps does Toni recommend?
• Claudia: How can teens learn about their cycles? 

[53:12] Final thoughts: Advocate for Your Care

Resources mentioned:

Toni's website: www.tcoyf.com

Taking Charge of Your Fertility the book: www.tcoyf.com/taking-charge-of-your-fertility

Toni's Cycle Savvy Smart Teen's Guide to Her Body: www.cyclesavvy.com

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books 

No two fertility journeys are alike, but Tara Lipinski's experience is perhaps even more unique than most. The champion, gold-medal-ice-skater-turned-sports-analyst was 35 and still not necessarily ready to start building her family. So she decided to put her options "on ice" — literally preserving eggs and/or embryos until she and her husband Todd were ready.

However, the process turned out to be more complicated than it appeared when a diagnosis of endometriosis sent them down a different path. 

What followed was two surgeries, four miscarriages, six failed transfers, and five years of treatment, hope, and heartbreak.

Spoiler alert: perfect Georgie was born in 2023, so there is a happy ending, but the picture on Instagram of Tara, curled up on her couch, heart-broken and clutching pregnancy tests, sent waves through the fertility community. Here was a very public figure speaking very publicly about her struggles to build her family.

Please listen and share to help us continue the conversation.

In this episode you'll hear:

[07:74] Why Tara and Todd shared their story on their Unexpecting podcast

[13:19] How did Tara's athletic career prepare her and NOT prepare her for infertility 

[19:51] Reflecting on relationships through infertility, men vs. women on coping

[30:02]When to share and not share the fertility journey 

[34:53] When we are surprised by infertility

[38:01] Misconceptions and reality about surrogacy

[46:12] Instagram Questions

  Amanda: Did you and Todd ever consider giving up?

  Marena: How did you and Todd keep going?

  Dana: Advice to someone who is struggling with infertility?

[55:21] Finding Tara and her podcast

Resources mentioned: 

Tara on Instagram: @taralipinski

Tara Lipinski: taralipinski.com

Tara Lipinski: Unexpecting Tara and Todd's podcast

Babyquest Foundation Fertility Grants: babyquestfoundation.org

Sunfish financial solutions for fertility treatment:joinsunfish.com

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

The biological clock, geriatric pregnancy, poor egg quality, diminished ovarian reserve  - if you're trying to conceive in your 40s you've likely heard or been reminded of the link between age and fertility - but there is hope! 

In this episode of Baby or Bust, Dr. Lora Shahine provides insights on optimizing reproductive health and making informed decisions about family planning into your 40s. 

She covers age and fertility, family goals, the importance of early testing, practical tips for conception, and considerations for using IVF as a strategic family-building tool option. 

You'll walk away from this episode feeling empowered with knowledge to maximize your chances of a successful pregnancy after 40. 

In this episode you'll hear:

[1:47] Age & fertility

[9:40] An important first step: family building goals

[12:25] Next step: don't wait for testing

[15:38] Tips for trying to conceive

[18:44] Is IVF right for me?

Resources mentioned: 

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

The good news: IUIs can work! Intrauterine insemination (sometimes laughingly referred to as "the turkey baster method"), or IUI, can help overcome issues like low sperm count or low sperm motility by getting sperm closer to where it needs to be around the time of ovulation.

This method of dealing with infertility is also less expensive and much less invasive for the person hoping to carry the pregnancy. It can also be a great method if you're planning on using donor sperm.

The harder news to hear: it may not work the first time. 

That said, there are things you can do to increase your chances of a successful IUI, and in this episode, Dr. Shahine goes into your many options, both medical and behavioral. 

In this episode you'll hear:

[00:00] Intro to the Episode

[01:27] IUI review – what it is, how it works, how is it different from IVF

[04:31] Tips BEFORE you do your first IUI

   Tip #1 Get testing before you start 

   Tip #2 Review your family goals with your doctor

   Tip #3 Make a long-term plan – how many IUIs?

[06:10] 5 Tips for Success with IUIs

   [06:10] Tip # 1 Medications used with IUIs

   [07:25] Tip #2 Monitoring with IUI cycle: OPK vs. Ultrasounds

   [08:33] Tip#3 Use of Trigger Shots for timing IUI

   [09:11] Tip#4 Optimize sperm counts for IUI to improve success

   [10:15] Tip #5 Optimize overall health to improve success with IUI

[11:43] Chances of Success with IUI

[12:33] Fertility Story for the week – An indication for IUI that you may not have heard of before

[15:37] Summary and Outro

Resources mentioned: 

Drlorashahine.com

hello@drlorashahine.com

Tips for Timing Trying: Dr. Shahine's video on Baby-Making Tips

Tips for Ovulation: Dr. Shahine's video on How to Know When You are Ovulating

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Ep 47: Weight and Fertility: Optimizing Heath NOT Restriction and Shame with Dr. Stephanie Fein

 Weight loss for fertility is controversial and complicated, and to be perfectly honest, more research is needed to fully understand the link between body weight and fertility. Whatever studies find, weight loss for fertility should never involve shaming or guilt.

 In this episode, Dr. Shahine talks weight and fertility with Stephanie Fein, MD. Dr. Fein started in social psychology, then moved to Internal Medicine, where she completed a residency program. She then went on to obtain a Masters in Public Health. 

 All of these skills came together when Dr. Fein was moonlighting at a weight-loss clinic while doing her residency; a conference on weight and fertility solidified her decision to move into helping people optimize their fertility with weight loss.

 What does the research really show?

 Perhaps most important to understand, no two bodies are the same, and many of the numbers and other information you'll hear on the Internet (and maybe even from your doctor), won't apply for all.

 In this episode you'll hear:

Time Stamps

[00:00-03:18] Intro to the show and Dr. Stephanie Fein

[03:19-07:27] Dr. Fein's inspiration from medical doctor to Weight Loss for Fertility

[07:28-16:43] Research on weight and fertility – Why BMI as a marker?

[11:32-15:33] Obesity, reproductive health and Insulin, visceral fat, and hormones

[15:34-16:43] PCOS and inflammation

[16:44:19:15] Realistic weight loss expectations and sustainability 

[19:16-26:27] Why people overeat – changing your relationship with food

[26:28-30:13] Dr. Fein's advice on how to talk to your doctor about weight 

Dr. Fein answers Questions from Instagram Community Follow @drlorashahie

[30:20]- Trish asks "How does gastric bypass impact fertility and pregnancy"

[31:20]- Sara asks "Can I use Ozempic or Wegovy while trying to conceive?"

[38:14]-Samantha asks "Is it ok to try to lose weight while trying to conceive?"

[36:00-38:14] Summary and finding Dr. Stephanie Fein

If you want information about weight loss and possible impacts on fertility, you can find Dr. Fein on her website: stephaniefeinmd.com

Resources mentioned: 

Podcast 'Weight Loss for Fertility with Dr. Stephanie Fein': stephaniefeinmd.com/podcasts/weight-loss-for-fertility

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Holiday events can mean facing some awkward questions about family building - are you ready?

"So, when are you having another?" "You had a baby? It's about time!" "When are you going to make your mom a grandma?" "Baby weight, huh?" "Should you be drinking that when you're breastfeeding?" UGH.

Holiday conversations — especially when alcohol and holiday conviviality reduces people's inhibitions — can be kind of awful. So this year, please put yourself first. Dr. Shahine has some great tips on how you can do that.

From finding an ally (hint: it doesn't have to be your partner, who is likely fighting their own conversational battles) to designing conversational strategies from polite deflection to well-deserved zingers, being prepared in advance can really help in the moment.

In this episode you'll hear:

[00:00] Intro to Baby or Bust and Episode on Holidays with Infertility 

[01:26] Intro Tips for Surviving and Thriving Thanksgiving with Infertility 

[02:05] Tip #1 Don't Go

[03:06] Tip #2 Find Your Ally

[04:38] Tip #3 Plan Your Answers to Awkward Fertility Conversations

[06:02] Tip #4 Plan an Exit Strategy

[06:33] Tip #5 Plan Self Care and Recharge

[07:51] Fertility Story: My First Holiday Season with a Baby after struggling with Infertility – the awkward fertility conversations continued

[09:51] Outro and thank you

Learn more from Dr. Shahine www.drlorashahine.com

Send your fertility stories, topics you'd like to learn about, and people you want Dr. Shahine to interview to hello@drlorashahine.com.

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books 

In this episode, Dr. Shahine explores the benefits and research supporting Yoga for Fertility with master instructor and author of the first book on the subject, Lynn Jensen. 

People on fertility journeys often say they feel like their bodies don't belong to them anymore. Between the tests and the treatments and the theories, it's easy to see how people can feel disconnected physically and emotionally.

Lynn Jensen's Yoga for Fertility classes helps heal bodies AND minds. Lynn has a specialization in yoga for the fertility journey, so her students can trust that they're maximizing their physical and emotional wellness.

Lynn is a Registered Yoga Teacher through the Yoga Alliance and a Certified Yoga Therapist through the International Association of Yoga Therapists since 2013. 

Not only does Lynn have highly specialized training, she's been through the journey herself. Her classes often turn into impromptu counseling sessions, and her students make lifelong bonds with her and each other.

In this podcast, Lynn and Dr Shahine talk about the many ways yoga heals and strengthens the body for fertility and the mind for the challenges of the journey. 

Find Lynn and sign up for classes at her website, https://yogaforfertility.net/.

In this episode you'll hear:

[00:00] Intro to Episode 45 

[03:23] Lynn's Fertility Story and Origins of Yoga for Fertility

[08:46] What Makes Yoga for Fertility Different from Other Practices?

   [10:30 Chakra system and relation to hormones

   [11:21] Dr. Shahine describes a class she took with Lynn

   [12:28] Yoga poses changing through the menstrual cycle 

   [13:41] Lynn's favorite pose during the two week wait

[14:48] The research that supports the benefits of Yoga for Fertility

[21:03] Lynn's advice on exercise during fertility treatment like IVF

[25:37] Lynn describes a typical class

[28:39] Lynn guides Dr. Shahine through a breathing exercise

Questions from Instagram @drlorashahine:

[33:10] Sandy: Is it ok to do yoga during an IVF cycle?

[33:28] Katrina: Who are your classes for? Egg freezing? Couples?

[35:18] Anne: Can yoga help patients with miscarriage?

[37:19] How to find a certified yoga for fertility instructor?

[38:29] Tribute to Lynn from a former student

[39:11] How to find Lynn and Yoga for Fertility: https://yogaforfertility.net/instructor/

Resources mentioned in the show: 

Domar A, et al. Impact of group psychological interventions on pregnancy rates in infertile women Fertil Steril 2000 Apr;73(4):805-11. doi: 10.1016/s0015-0282(99)00493-8.

Dumbala et al 2020. Effect of Yoga on Psychological Distress among Women Receiving Treatment for Infertility. https://pubmed.ncbi.nlm.nih.gov/32669765/

Thakur 2021. Effect of yoga on polycystic ovarian syndrome: A systematic review.

https://pubmed.ncbi.nlm.nih.gov/?term=yoga+and+fertility&filter=simsearch1.fha

Yoga Can Improve Assisted Reproduction Technology Outcomes in Couples With Infertility. https://pubmed.ncbi.nlm.nih.gov/29112941/

Return to Zero: HOPE Kiley Hannish. Support for miscarriage, recurrent pregnancy loss, stillbirth: https://rtzhope.org/

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books  

It's easier to be shocked by the story The Retrievals podcast reports and moves on but extremely important to reflect on why it happened in order to prevent history repeating itself (again).

For months, a nurse at a Fertility Center in the United States replaced the pain reliever fentanyl with normal saline, taking the fentenyl for her own use, but left women undergoing egg retrievals without pain relief.

Patients in pain for a procedure is horrible enough, but it's extremely disturbing that the women who tried to report and question what happened felt like their concerns were ignored. 

In this episode of Baby or Bust, Dr. Lora Shahine takes us through what an egg retrieval process should be like and is like, the majority of the time. Dr. Shahine also explores the history of women and the medical community and why women so often have to advocate for themselves to get even a minimum of care. She leaves with tips on how to advocate for yourself so you receive the attention and care you deserve.

Listen and share! 

Take a moment to follow the show and leave a review wherever you listen to podcasts!

What you'll hear in this episode: 

[00:00] Intro to Episode: The Gender Bias in Medicine

[00:37] Intro to Baby or Bust and thank to our sponsor Seattle Sperm Bank

[01:12] Intro to the Retrievals Podcast by the New York Times and Serial Network: The Story 

[04:38] What is pain control supposed to be like for a retrieval? 

            [04:43] Fentanyl: What is it and What does it do?

            [05:12] Midazolam (Versed): What is it and What does it do?

            [10:22] What pain control is like at my clinic PNWF in Seattle

            [10:40] Propofol: What is it and Why is it different?

            [12:15] Dr. Shahine describes her own experience with her egg retrieval 

[12:52] Why did this happen? Why is it common for women to feel dismissed in medicine?

[14:43] The gender bias in medicine – pain, endometriosis, and more

[16:15] The book Doing Harm by Maya Dusenbery 

[17:02] The knowledge gap – women excluded from medical trials, lack of teaching women's health in medical training, lack of investment in research into diseases that mainly impact women

[18:30] The trust gap: doctors not trusting women's description of symptoms

[19:25] What can be done to change this?

[20:10] Learning how to advocate for YOUR care: Tips for you from Dr. Shahine 

[22:31] Recap

[23:46] Fertility Story of the Week: The patient that told Dr. Shahine about the Retrievals Podcast

[25:53] Resources and thank you

Resources mentioned:

Retrievals article in New York Times 

The Retrievals podcast on Apple

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine

Instagram | YouTube | Tiktok | Her Books 

Ovarian Hyperstimulation Syndrome (OHSS) is one of the scariest risk factors of IVF, but it doesn't have to be. With preparation, treatment choices, and prevention, you can avoid this uncomfortable and potentially dangerous risk factor from ovarian stimulation.

To maximize the number of eggs retrieved for IVF and egg freezing, fertility treatment involves stimulating the ovaries to mature more eggs. A higher egg number can often predict a higher success rate with treatment, but a side effect can be significant fluid shifts and bloating also known as OHSS. 

When OHSS occurs, it can be mild, moderate, or severe, with symptoms ranging from discomfort and bloating to significant dehydration, shortness of breath, nausea, and even hospitalization for recovery.

In this episode, Dr. Shahine does a deep dive into OHSS. 

You'll learn

1. What OHSS is
2. Why OHSS happens and Who is at risk
3. Ways to prevent OHSS
4. Ways to treat symptoms if it occurs so you have a speedy recovery

This week's fertility story is about an OHSS patient Dr. Shahine will never forget from her training. It's a reminder to never to ignore your care team's instructions. 

In this episode you'll hear: 

[00:00] Intro: What is OHSS and why is it scary?

[01:07] My experience caring for patients with OHSS over the years 

[02:13] OHSS Definition, Classification

[05:29] Physiology of OHSS – Why does it happen?

[07:12] Risk factors for OHSS – Who is at risk?

[09:41] Treatment options to prevent and recover quickly from OHSS

[09:55] Prevention of OHSS 

• What to know before you start stimulation 
• Choosing a protocol and medications to add to decrease risk 
• Metformin, trigger shot, cabergoline, and more

[21:47] Treatment if OHSS happens 

• How to recover faster
• Increasing electrolytes and protein at home, 
• When do you need IV fluids or hospitalization to recover (rarely)

[25:58] Fertility story of Dr. Shahine's Patient: Warning of the dangers of OHSS 

[31:51] Outro and thank you 

Resources mentioned: 

Try LMNT daily during your stimulation process to increase electrolyte intake and decrease the symptoms of bloating during IVF and egg freezing. Mix one packet in 40 ounces of water and sip throughout the day. 

LMNT has sodium and potassium to help decrease bloating as well as magnesium to prevent constipation (common after egg retrieval) 

Using this link: drinklmnt.com/DrShahine or code DrShahine at checkout to get a sample pack of all flavors with your first purchase.

 Dr. Shahine's YouTube Videos on OHSS

Mastering OHSS Prevention

OHSS is the Biggest Risk Factor for IVF: What you need to know

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine

Instagram | YouTube | Tiktok | Her Books 

Studies mentioned in podcast

Who is at risk of OHSS? 

1. Younger age: One study showed 60% of women who got OHSS were less than 35 yo 
   • https://academic.oup.com/ajhp/article-abstract/65/12/1148/5127940?redirectedFrom=fulltext 
2. Lower BMI: Some studies show a higher risk of OHSS if BMI <23 but not all studies show an association https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7851086/  
   • A higher ovarian reserve predicts higher risk of OHSS: AMH > 5  https://www.sciencedirect.com/science/article/abs/pii/S0002937814001689 
   • Antral Follicle count >24 https://www.sciencedirect.com/science/article/abs/pii/S0015028212005961 
   • For more information on ovarian reserve testing see my video: https://youtu.be/bYJWXIY6GHg 
3. Patients with PCOS often have a high AMH and high AFC – if you're diagnosed with PCOS – ask about OHSS risk in IVF 
4. A high response to stimulation in the IVF cycle can predict risk of OHSS 
   • Estradiol levels at time of trigger  >3500 pg/mL: https://pubmed.ncbi.nlm.nih.gov/12773437/ 
   • More than 20 follicles https://www.tandfonline.com/doi/full/10.1080/14647270601021743 
   • More than 15 eggs retrieved https://www.sciencedirect.com/science/article/pii/S0015028213034584 

 Aspirin and OHSS: https://www.sciencedirect.com/science/article/pii/S0015028209001320 

Metformin and OHSS: https://academic.oup.com/humrep/article/26/8/2178/645906 

Trigger shot and OHSS: https://www.sciencedirect.com/science/article/abs/pii/S1472648310602003 

Cabergoline and OHSS: https://academic.oup.com/jcem/article/92/8/2931/2597480

Like our own expert Siri, Leslie Schrock should be available on-demand for anyone who's struggling with fertility.

And she can be! With two books and now on an episode of Baby or Bust, everyone can access her informed and sensitive approach to miscarriage, medically necessary abortion, and other fertility challenges.

Leslie Schrock is an author, entrepreneur, and angel investor who has been involved in health and fertility for pretty much her entire working life. Her first book, Bumpin': The Modern Guide to Pregnancy mixes clinical research with practical advice for working families. Her second book, Fertility Rules, does the same for fertility. 

After working in advertising for many years, Leslie helped found and grow Rock Health, a digital health startup incubator and venture fund and was named one of the Most Creative People in Business by Fast Company.

In this episode you'll hear:

[00:37:] Thank you to sponsors

[01:10:] Learn more about author, Leslie Schrock

[02:23:] Episode starts — How Dr. Shahine found Leslie's books and what was different about 'Bumpin' and 'Fertility Rules'

[04:54]: Leslie's fertility story — expectations crashed, recurrent pregnancy loss, terminating a highly desired pregnancy, a tough pregnancy and delivery, and more

[09:18:] What's different about Leslie's writing and her motivation – giving facts without fear, allowing all the feelings and frustrations without shame and guilt

Busting fertility myths with Leslie Schrock

[16:34:] Myth #1 "Fertility is a Woman's Problem" The role of men in reproduction — "Men need a seat at the fertility table!"

[24:00:] Myth #2 "Supplements Cure Infertility" — What you need and don't need while trying to conceive and how to find what's safe

[27:21:] Myth #3 "We Always Know the Cause of Miscarriage" — The patients with easy conception but miscarriage experience a different kind of infertility. Is it really just "bad luck"?

[32:46:] The Hope Trial at Stanford — enroll to learn more about genetics and recurrent miscarriage 

[34:50: Myth] #4 "Abortion is NOT healthcare" — Sometimes abortion is not a choice. Terminating a highly desired pregnancy for a lethal anomaly was a heartbreaking experience for Leslie

[39:25]: Learn about the non-profit Doctors for Fertility 

[39:43]: Myth #5 "Once you have a baby, no more infertility" — Secondary infertility impacted both Dr. Shahine and Leslie

[42:45:] Wrapping up and thank you

Resources mentioned: 

leslieschrock.com 

Bumpin' by Leslie Schrock

Fertility Rules by Leslie Schrock

doctorsforfertility.com

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine
Instagram | YouTube | Tiktok | Her Books 

Baby or Bust is back - better than ever.

After a little break, your podcast about all things fertility is back. Same host, Dr. Lora Shahine, same goals to educate and support the fertility community but new format and new production team. We're moving away from seasons and delivering weekly content. We listened to your feedback and will continue interviews but adding episodes with in-depth education from Dr. Shahine on certain topics.

Send us topics you'd like to learn about and interview suggestions to hello@drlorashahine.com

In this episode, we answer the question: How does a sperm bank work with donors to meet the needs of patients? 

Host Dr. Lora Shahine interviews Angelo Allard, the General Supervisor at Seattle Sperm Bank (SSB) — one of the largest and most respected sperm banks in the country.  For almost 15 years, Angelo has been working with patients to find the right donors and build happy, healthy families. 

Angelo explains in-depth every step of the process, from how SSB vets and approves donors, through the regulation and oversight of sperm banks and how SSB supports recipients in choosing their donor, to how much gametes cost, and even how you can return unused vials. 

Angelo also answers listeners' questions, so if you still have unanswered questions after the episode, be sure to connect with Dr. Shahine or the Seattle Sperm Bank for answers!

In this episode you'll hear:

[0:00-03:28] Intro

[03:29-4:54] Angelo's role at Seattle Sperm Bank

[04:55-11:54] Can anyone donate? Learn how donors are screened

[11:55-14:27] Are sperm counts really falling around the world? Angelo says "Yes."

[14:28-16:50] Are sperm banks regulated? Learn about lab and sperm bank oversight.

[16:51-26:18 ]How do recipients choose a donor? What do they learn about the donor? Photos?

[26:18-30:02] How do you know what type of sperm preparation to buy? Learn about the different labels and preparation.

[30:03-30:21] How much does donor sperm cost?

[30:22-32:55] How many vials of donor sperm should someone buy?

[32:56-33:22] Can you return donor sperm you don't use?

[33:23-36:17] Can a donor truly be anonymous?

[36:18-39:01] How many children can a donor have from donation?

Questions from Instagram:

[39:02- 40:16] How do you appeal to different races and ethnicities to donate?

[40:17-42:03] Any impact on sperm banks or use of donor sperm after overturn of Roe v Wade?

[42:04-44:02] How do recipients learn about any new health information on donors in the future?

[44:03-48:16] Angelo's memorable and inspirational patient story

[48:17-49:55] Outro

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine

Instagram | YouTube | Tiktok | Her Books 

Since Roe v. Wade was overturned, reproductive rights have been called into question—including IVF. On this episode of Baby or Bust, our host Dr. Lora Shahine meets with Chris Charbonneau, the longest-serving CEO of Planned Parenthood and host of the Fall of Roe podcast, for her take on what's coming.

Roe v. Wade is about much more than elective abortion, and this timely episode breaks down the national implication for American residents. Chris shares her wisdom on the anti-choice movement, the misunderstandings about abortions, the power of words, and why fertilized embryos for IVF may also be at risk.

Connect with Dr. Lora Shahine on social media.

Tik Tok | Instagram | Twitter | YouTube | LinkedIn

This episode of Baby Or Bust is produced by Mark Ramsey, Jaime Solis, and Greg Moga and executive produced by Paul Anderson and Nick Panella for Workhouse Media. Baby Or Bust is produced in partnership with the Seattle Sperm Bank.

Advertising Inquiries: info@audiotocracy.com

If you're struggling with infertility, you'll often try anything to get that family you desire—including acupuncture. Dr. Lee Hullender Rubin, an internationally recognized and award-winning doctor of acupuncture, meets with host Dr. Lora Shahine to dispel myths and share truths about Eastern Medicine and fertility.

With over 30 peer-reviewed research publications about acupuncture and fertility, Dr. Lee Hullender Rubin is a true master of the craft. In this episode, she teaches about the Eastern Medicine approach to fertility care, including lifestyle modifications, herbs, and acupuncture, along with the science behind this approach.

Connect with Dr. Lora Shahine on social media.

Tik Tok | Instagram | Twitter | YouTube | LinkedIn

This episode of Baby Or Bust is produced by Mark Ramsey, Jaime Solis, and Greg Moga and executive produced by Paul Anderson and Nick Panella for Workhouse Media. Baby Or Bust is produced in partnership with the Seattle Sperm Bank.

Advertising Inquiries: info@audiotocracy.com

Ectopic pregnancies are scary, dangerous, and heart-breaking if you're trying to build your family. If you've been diagnosed with an ectopic pregnancy and confused - you're not alone!

In this episode, Dr. Lora Shahine explains ectopic pregnancies — what they are, why they happen, and who may be most at risk.  She discusses everything from how they are diagnosed to treatment options to what comes next. 

No matter the circumstances, pregnancy losses are difficult. Please take care of yourself during this emotional time. And remember that your doctor is the best person to discuss your options with you.

In this episode you'll hear:

[1:21] What is an ectopic pregnancy and how can it happen?

[3:13] How common are ectopic pregnancies?

[3:25] The risk factors involved with ectopic pregnancy

[5:46] Diagnosis and why it's tricky

[10:17] Treatment options for ectopic pregnancy

[14:06] An important message for YOU

Resources mentioned: 

Cleveland Clinic Overview of Ectopic Pregnancy: my.clevelandclinic.org/health/diseases/9687-ectopic-pregnancy#overview 

Article on Recurrent Ectopic Pregnancy: www.ncbi.nlm.nih.gov/pmc/articles/PMC7414932/#:~:text=However%2C%20with%20a%2010%E2%80%9320,risk%20as%20much%20as%20possible

Stay Up to Date in Fertility News and Events:  Weekly Newsletter

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

There's a movement of single women creating families by choice—and today's guest is a leading voice on the topic. Host and reproductive endocrinologist Lora Shahine is joined by Mikki Morrissette, author of Choosing Single Motherhood and founder of the online resource Choice Mom.

As a single mom by choice, Mikki is deeply familiar with the unique fulfillments and challenges of starting a family solo. In this episode, she details the financial considerations and career implications of becoming a choice mom, discusses finding a sperm donor, shares benefits of being a single mom by choice, and more. This episode

Connect with Dr. Lora Shahine on social media.

Tik Tok | Instagram | Twitter | YouTube | LinkedIn

This episode of Baby Or Bust is produced by Mark Ramsey, Jaime Solis, and Greg Moga and executive produced by Paul Anderson and Nick Panella for Workhouse Media. Baby Or Bust is produced in partnership with the Seattle Sperm Bank.

Advertising Inquiries: info@audiotocracy.com

When you're used to checking off boxes for life's milestones—college, husband, career, friends—infertility can be a tough pill to swallow. In this episode, our Baby or Bust guest Brett Russo dishes the details behind her memoir The Underwear in My Shoe: My Journey through IVF, Unfiltered with host Dr. Lora Shahine.

While there are many infertility memoirs out there, Brett's story takes honesty to a whole new level. In this episode, she details starting pregnancy in her late 30s, witnessing friends get easily pregnant, going through IUI, experiencing IVF, grief, and what she would change if she could do it all over again.

Connect with Dr. Lora Shahine on social media.

Tik Tok | Instagram | Twitter | YouTube | LinkedIn

This episode of Baby Or Bust is produced by Mark Ramsey, Jaime Solis, and Greg Moga and executive produced by Paul Anderson and Nick Panella for Workhouse Media. Baby Or Bust is produced in partnership with the Seattle Sperm Bank.

Advertising Inquiries: info@audiotocracy.com

You are what you eat, but you can also be what you apply and breathe. In this episode of Baby or Bust, environmental research scientist Dr. Lariah Edwards shares her findings on the latest research about toxins and reproductive health with our host Dr. Lora Shahine.

As a research scientist in the Department of Health Science at Columbia University and alumna of the Agents of Change in Environmental Justice Fellowship, Dr. Edwards is an expert in hormone-altering chemicals. Together with Dr. Shahine, she shares where we can find toxins, the impact on fertility, how chemical regulation works, and where to start with reducing exposure.

Connect with Dr. Lora Shahine on social media.

Tik Tok | Instagram | Twitter | YouTube | LinkedIn

This episode of Baby Or Bust is produced by Mark Ramsey, Jaime Solis, and Greg Moga and executive produced by Paul Anderson and Nick Panella for Workhouse Media. Baby Or Bust is produced in partnership with the Seattle Sperm Bank.

Advertising Inquiries: info@audiotocracy.com

On July 25, 1978, family building changed forever when the world's first IVF baby was born. On today's episode of Baby or Bust, our host and reproductive endocrinologist Dr. Lora Shahine meets with now-adult Louise Brown to discuss her experience as a living symbol of the powers of fertility medicine.

Over 10 million babies have been born through in vitro fertilization worldwide, and Louise Brown was the first. She shares her parents' journey of choosing IVF, questions she got from friends growing up, and how she advocates for IVF.

Connect with Dr. Lora Shahine on social media.

Tik Tok | Instagram | Twitter | YouTube | LinkedIn

This episode of Baby Or Bust is produced by Mark Ramsey, Jaime Solis, and Greg Moga and executive produced by Paul Anderson and Nick Panella for Workhouse Media. Baby Or Bust is produced in partnership with the Seattle Sperm Bank.

Advertising Inquiries: info@audiotocracy.com