Brave & Curious with Dr Lora Shahine

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

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. [16:36- 21:21] Myth #5 "Women Using Donor Egg Aren't Really Mothers" [22:04] Dr. Shahine reflects on how humbling infertility can be and why she loves educating on the topic 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

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 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 [email protected] 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 [email protected]. 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 What OHSS is Why OHSS happens and Who is at risk Ways to prevent OHSS 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? 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 Lower BMI: Some studies show a higher risk of OHSS if BMI 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 Patients with PCOS often have a high AMH and high AFC – if you're diagnosed with PCOS – ask about OHSS risk in IVF 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 [email protected] 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: [email protected]

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: [email protected]

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: [email protected]

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: [email protected]

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: [email protected]

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: [email protected]

Miscarriage is common, but many feel alone and unsupported as they process their loss. On today's Brand Therapy episode, host and reproductive endocrinologist Dr. Lora Shahine meets with Arden Cartrette, The Miscarriage Doula, to discuss grief, support systems, miscarriage doulas, and pregnancy loss. A certified birth and bereavement doula, Arden established an online community and team of doulas to help bring empathetic support to people who have experienced miscarriages. As someone who's experienced infertility and recurrent pregnancy loss, Arden shares how people process miscarriage, the risks of toxic positivity, pregnancy after miscarriage, triggers, and the benefits of a miscarriage doula. 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: [email protected]

When you have a child and are ready to have another, secondary infertility can be confusing and devastating. Baby or Bust host and reproductive endocrinologist Dr. Lora Shahine meets with Alison Prato, a journalist, podcaster, and co-founder of Fertility Rally, to discuss the misconceptions and experiences of secondary infertility. Alison got pregnant with her first child at 34 without reproductive assistance, and she never expected to have struggles getting pregnant with her second. After experiencing multiple pregnancy losses, she was diagnosed with secondary infertility, which changed her life forever. This episode explores the pressure of creating a sibling, grief about changed family plans, assumptions about fertility, and recommendations for advocating for your care. 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: [email protected]

The two-week wait can be an agonizing time for hopeful parents. In this Baby or Bust episode, reproductive endocrinologists Dr. Lora Shahine and Dr. Temeka Zore discuss the science of early pregnancy, including the two-week wait, a positive pregnancy test, and first-trimester bleeding. Whether you are trying for a baby with or without reproductive assistance, the two-week wait and early pregnancy can be overwhelming. Dr. Temeka Zore has valuable insights from helping patients during this time, and in this episode, she teaches the signs of implantation bleeding, early symptoms of pregnancy, progesterone's impact on menstruation, and why you can get false positives on home tests. 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: [email protected]

Infertility can impact every part of your life—including your relationship with your partner. Baby or Bust host Dr. Lora Shahine meets with guest Chiemi Rajamahendran, an infertility and grief coach, to discuss the mental aspects of fertility, including sadness, anger, resentment, and shame. Chiemi Rajamahendran supports individuals and couples worldwide who are facing infertility and loss, and in today's episode, she shares her techniques for grappling with the emotional rollercoaster of fertility. From acknowledging your emotions (positive and negative) to processing trauma to prioritizing communication to enjoying intimacy, this episode will help you show compassion for yourself, your partner, and your experiences. 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: [email protected]

Fitness and fertility can be a confusing juggling act of myths, recommendations, and reality. In today's Baby or Bust episode, host and reproductive endocrinologist Dr. Lora Shahine meets with licensed physical therapist and Pilates teacher Jessica Valant to discuss her fertility journey and her fitness recommendations when you're trying to conceive. Jessica is an open book during this episode, and she shares her endometriosis diagnosis, pregnancy journey, IVF experience with multiple failed cycles, and healing your body through movement. Lora and Jessica also discuss honoring fear, exercising during IVF and pregnancy, listening to your body, and busting common exercise myths. This episode will help you feel empowered to feel safe in your own body. 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: [email protected]

We've come a long way in fertility education, but many individuals aren't aware of family-building options. Baby or Bust host Dr. Lora Shahine meets with guest Kellee Stewart (Hot Tub Time Machine, All American, Chicago Med) to discuss her fertility journey's trajectory from egg freezing to advocacy. In this heartfelt and educational episode, Kellee shares how her lack of fertility knowledge kickstarted a lifelong commitment to fertility advocacy. She shares her perspective on egg freezing, educational lapses on reproductive health, systemic healthcare biases against Black women, and why she's determined to be a force for change. This episode is informative, fascinating, and deeply inspiring. 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: [email protected]

It seems like the stigma of infertility is coming out of the shadows, but is that true for all communities? On today's Baby or Bust, host and reproductive endocrinologist Dr. Lora Shahine meets with Andrea Helton León (also known as @hotmessivfmom) to discuss the taboo of infertility in the Latinx community. Andrea experienced eight recurrent pregnancy losses and felt isolated. Between her family and her Spanish congregation church community, no one acknowledged or discussed infertility. Andrea decided to share her fertility journey online publicly, and now, with a community of over 150k people, she's paving the way for meaningful infertility discourse in her culture. This episode is a gripping discussion about shame, community, IVF, and IUI⁠ through a Hispanic lens. 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: [email protected]

Lights, camera, fertility. Today's Baby or Bust episode brings back season one guest, stand-up comedian, writer, and fertility advocate Jennifer "Jay" Palumbo to discuss the misrepresentations of infertility in celebrity news with reproductive endocrinologist and host Dr. Lora Shahine. Fertility can be a lonely journey, and it doesn't help when headlines skip over important details. Our guest Jennifer "Jay" Palumbo drills down into the implications of fertility headlines in the news, including Kourtney Kardashian and IVF, Hilary Swank getting pregnant with twins at 48, Chrissy Teigen's pregnancy loss, and more. 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: [email protected]

Infertility is both a physical and emotional struggle, and today's guest is an open book about hers. On this episode of Baby or Bust, our host Dr. Lora Shahine welcomes Sarah Herron, a three-time Bachelor contestant whose fertility journey coincided with a diagnosis of type two bipolar disorder. This episode focuses on Sarah's experience caring for her mental health with infertility. She shares her many different diagnoses—endometriosis, infertility, bipolar disorder—and the way she supported herself while building her family. 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: [email protected]

Many infertility journeys happen behind closed doors, but the new film "Conception" puts IVF in the spotlight. In this Baby or Bust episode, reproductive endocrinologist and host Dr. Lora Shahine meets with writer, producer, and director Tarun Verma to discuss the making of his film about infertility. As a former pharmacist who was heavily involved in the fertility space, Tarun was inspired to create a story that followed a couple undergoing IVF. Now debuting his film "Conception," he shares the thoughtful considerations behind this project. Dr. Lora Shahine and Tarun discuss real-life moments that inspired the script, assembling a diverse cast, capturing the complexity of experiencing infertility, and where you can view the film. 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: [email protected]

Two reproductive endocrinologists walk into a podcast recording... And the result is a fascinating discussion about egg freezing. In this episode, Dr. Lora Shahine meets with Dr. Aimee Eyvazzadeh (also known as "The Egg Whisperer") to articulate the controversies, misunderstandings, and opportunities with egg freezing. As a leading voice in oocyte cryopreservation, Dr. Aimee has shaped public discourse around egg freezing through her wildly popular podcast and social media presence. She shares the ins and outs of egg freezing (Who should do this? What's the process? What should we know?) and why you might want to make this empowering choice. 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: [email protected]

To many, getting pregnant can feel like a struggle, and today's guest transformed that struggle into strength. In this Baby or Bust episode, reproductive endocrinologist Dr. Lora Shahine meets with IVF advocate and entrepreneur Samantha Busch about everything she learned in her fertility journey. Samantha knew she wanted to be a mom, but what she didn't expect was experiencing infertility at 25. To our host, Samantha shares her family-building journey with her husband, Kyle Busch, complete with PCOS, Clomid, IVF, surrogacy, and her journey towards advocacy. 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: [email protected]

fReality TV has many ups and downs, and your fertility journey can often be the same. In this Baby or Bust episode, host and reproductive endocrinologist Dr. Lora Shahine meets with Golnesa "GG" Gharachedaghi for a frank discussion about her tumultuous journey toward motherhood—and no topic is off limits. GG always knew she wanted to be a mother, but life seemingly had other plans. With Dr. Shahine, GG reflects on pregnancy loss, including an ectopic pregnancy, losing both fallopian tubes, using a sperm donor, utilizing IVF, and being a single mom by choice. 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: [email protected]