The Egg Whisperer Show

Could your vaginal microbiome affect implantation and IVF success? And could the bacteria in your gut influence how your body responds to fertility supplements?
These are important questions, and we're learning more about how the microbiome may play a role in reproductive health. I'm joined by returning guest Dr. Mark Ratner, Chief Science Officer at Theralogix, to talk about the latest research connecting the microbiome, fertility, and NAD+. We discuss vaginal and endometrial microbiome testing, probiotics for both women and men, and the differences between the NAD+ precursors NR and NMN. I also ask Mark what this emerging science means for patients, how we can use this information in fertility care, and where we still need more research.
Read the full show notes on my website.
Get your copy of my new book, The Egg Whisperer Way, now available on my website.
In this episode, we cover:
The differences between the gut, vaginal, endometrial, and seminal microbiomes, and how each may influence reproductive health.

Why Lactobacillus dominance matters for vaginal health, and how antibiotics and estrogen can affect the vaginal microbiome.

The different options for vaginal microbiome testing, when I recommend testing for my patients, and how endometrial testing with EMMA is different.

What we know about oral and vaginal probiotics and their potential impact on implantation and IVF outcomes.

What emerging research tells us about probiotics for men with low sperm counts or other abnormal semen parameters.

Theralogix's TreBiome synbiotic and the science behind OvaNAD+'s combination of two NAD+ precursors, NR and NMN.

The differences between oral NAD+ precursors and NAD+ infusions, when to consider supplementation before fertility treatment, and why we need to distinguish promising research from proven results.

Resources
TreBiome Pre / Pro / Post Biotic
Theralogix Website and All Supplements
OvaNAD+
Evvy Vaginal Microbiome Test: https://www.evvy.com/vaginal-microbiome-test
Juno Bio Vaginal Microbiome Test: https://www.juno.bio/products/juno-vaginal-microbiome-test
MicroGenDX VaginalKEY Test: https://microgendx.com/product/vaginal-test-service/
Igenomix EMMA Endometrial Microbiome Test: https://www.igenomix.eu/our-services/emma-endometrial-microbiome-metagenomic-analysis/
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Dr. Aimee Eyvazzadeh is one of America's most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org.

I'm so delighted to have Meaghan Doyle back on the show today to talk about the truth about abnormal embryos. Meaghan is a genetic counselor, and founder of DNAide, where she specializes in infertility, preimplantation genetic testing, and preconception genetic counseling. In this discussion, Meaghan and I are talking about the different kinds of embryo testing, what genetic test results should be used for, and why all fertility patients need to ask for reports on "abnormal" embryos. The truth is that sometimes, patients are told that their embryos are abnormal but never learn much more about the embryo itself. In some situations, those abnormal embryos can become healthy pregnancies and healthy, live babies, so it's important to learn as much as you can about all of the results of the genetic testing done on your embryos.

To set the stage for this conversation, I asked Meaghan what it means to genetically test an embryo, and here's what she explained:
"It means that we've taken a sample from the outer layer of the embryo, usually a few cells, and sent that sample to a genetic testing lab. And there's actually a few different types of genetic testing that can be done on that sample. Generally, when we say an embryo has had genetic testing, we're referring to a test called PGT-A. And so when we say an embryo has been genetically tested, usually that's what we're referring to."

So what happens when an embryo comes back as "abnormal," and what can you do if it happens to you? Tune in to hear Meaghan explain.

Thank you for joining me, Meaghan!
You can find Meaghan's site for DNAide Genetic Counseling here: https://www.dnaide.com/

Get your copy of my new book, The Egg Whisperer Way, now available on my website.

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Today on The Egg Whisperer Show, I'm really excited to be joined by Dr. Ellen Vora. I feel we are very much alike. She's passionate about easing the real suffering that people experience from anxiety and mental health issues. I can't wait to have her come on and share some new insights about anxiety (it turns out it's not just a "neck up" problem), the difference between "false" anxiety and true anxiety, and how to handle the anxiety that often comes up as a fertility patient. We'll also be talking more about her book, which came out this year, titled "The Anatomy of Anxiety."

Dr. Ellen Vora is a holistic psychiatrist, acupuncturist, and yoga teacher. She takes a functional medicine approach to mental health—considering the whole person and addressing imbalance at the root. Dr. Vora received her B.A. from Yale University and her M.D. from Columbia University, and she is board-certified in psychiatry and integrative holistic medicine. She lives in New York City with her husband and daughter.

Read the full transcript on Dr. Aimee's Website.

Visit Dr. Ellen Vora's site.

Get your copy of my new book, The Egg Whisperer Way, now available on my website.

Click to find The Egg Whisperer Show podcast on your favorite podcasting app.
 
Watch videos of Dr. Aimee answer Ask the Egg Whisperer Questions on YouTube.
 
Sign up for The Egg Whisperer newsletter to get updates
 
Dr. Aimee Eyvazzadeh is one of America's most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org.

I'm so excited to share this special episode of "FertiliTEA with Dr. D," where I had the honor of joining my dear friend and colleague, Dr. D, to talk all things fertility. As the Egg Whisperer, I'm passionate about helping people on their journey to parenthood, and it was a joy to connect with Dr. D: someone who shares my dedication and obsession for supporting patients through every step of their fertility journey. Together, we dove into the science, the stories, and the hope that drives us both in this field.
In this episode, we cover:
Why "perfect" embryos don't always lead to pregnancy, and what factors might be at play
The latest thinking on supplements for egg and sperm quality, including CoQ10, NAD, and rapamycin
How genetics, epigenetics, and the uterine environment impact implantation and pregnancy
The importance of personalized fertility care, including testing for endometriosis, endometritis, and the uterine microbiome
The role of weight, nutrition, and GLP-1 medications in fertility and pregnancy outcomes
Advances in sperm DNA fragmentation testing and embryo selection
The emotional, spiritual, and practical realities of fertility treatment, including the option of gestational carriers

Resources:
American Society of Reproductive Medicine (ASRM): https://www.asrm.org/
Information on supplements discussed: CoQ10, NAD+, Rapamycin
Pre-implantation genetic testing (PGT-A): https://www.asrm.org/topics/topics-index/preimplantation-genetic-testing/
Endometrial receptivity and microbiome testing: ERA Test, EMMA/ALICE Test

If you have questions or want to learn more, don't hesitate to reach out. Thank you for listening, and thank you to Dr. D for having me on the show!
 
Get your copy of my new book, The Egg Whisperer Way, now available on my website.
 
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Dr. Aimee Eyvazzadeh is one of America's most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org.

Whether you're local to me (San Francisco) or halfway around the world, it doesn't matter. I'm sharing science-based information with you today so that you don't have to turn to Google, tarot cards, or your co-worker when it comes to fertility advice.
Your situation is unique. I want you to keep that in mind. What you need may be different than someone else. What you need is based on you.
In a sense, your path to fertility treatment should be as customized as your coffee order.
So this is what I do with my patients. I start by getting to know them, and their fertility health.
Have you been starting with you?
What I mean is, do you know what your diagnosis is? Is there a clear and compelling answer for why you may not be getting pregnant? I don't believe in "unexplained infertility". There is an answer and my job is to help you find it.

In this episode, you'll learn all about how to pick the best fertility treatment plan for you.

Read the full transcript and get more information on the website.

Learn how to get a fertility diagnosis in five easy steps!
Get your copy of my new book, The Egg Whisperer Way, now available on my website.

Dr. Aimee Eyvazzadeh is one of America's most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org.

Other ways to connect:
Subscribe to my YouTube channel for more fertility tips
Join Egg Whisperer School
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