Baby or Bust with Dr Lora Shahine

You are what you eat, but you can also be what you apply and breathe. In this episode of Baby or Bust, environmental research scientist Dr. Lariah Edwards shares her findings on the latest research about toxins and reproductive health with our host Dr. Lora Shahine. As a research scientist in the Department of Health Science at Columbia University and alumna of the Agents of Change in Environmental Justice Fellowship, Dr. Edwards is an expert in hormone-altering chemicals. Together with Dr. Shahine, she shares where we can find toxins, the impact on fertility, how chemical regulation works, and where to start with reducing exposure. Connect with Dr. Lora Shahine on social media. Tik Tok | Instagram | Twitter | YouTube | LinkedIn This episode of Baby Or Bust is produced by Mark Ramsey, Jaime Solis, and Greg Moga and executive produced by Paul Anderson and Nick Panella for Workhouse Media. Baby Or Bust is produced in partnership with the Seattle Sperm Bank. Advertising Inquiries: info@audiotocracy.com

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  21:31] Closing  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: [00:00] Intro [01:36] The controversy around exercise and fertility  [02:38] Reviewing the research  [04:01] Exercise during IVF – what’s the worry? [07:50] Fertility Story: Exercise extremes, the stress of cutting back for many patients, and the Female Athlete Triad  [12:09] Outro 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: [00:00] 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] Intro and Why Dr. Shahine admires her Mom [05:02]2 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  [25:34] Outro 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: [00:00] Intro [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