161: Preconception to Parenthood: Fertility Truths with Dr. Leah Hechtman

Update: 2025-06-24

Description

I am so thrilled to connect with my mentor Dr. Leah Hechtman on my podcast today. She is a phenomenal clinician, a researcher and an incredible human being. We explored so many different topics within the fertility space - from preconception care, to achieving a natural pregnancy to using ART to support your family goals. I hope you enjoy this episode just as much as I did.

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Key Takeways

5:07 Dr. Leah's personal health journey

15:37 Increasing complexity of fertility cases

25:21 Oldest patient with spontaneous pregnancy

30:00 When to consider assisted reproduction

35:49 Importance of thorough pre-IVF investigations

41:13 Gut microbiome's connection to fertility

46:54 Complexity of treating chronic infections

55:17 Changing landscape of women's fertility choices

Memorable Quotes

"So much of how we practice and the benefit of how we practice is the creation of the path for them to get there. It's connecting them to the right people, doing all the things we need to do so that if it becomes a 52 or 55 year old woman, you help them navigate how to create what they're wanting to achieve."

"I strongly believe that the body will bring us things and it's a privilege to be able to try and understand how and why. I have this tenacity, stubbornness, whichever way you want to look at it. This part of me doesn't stop until I find the paper that explains it."

"Find the right care team. Find the people that believe that you can, and find the healthcare team that are there to support you to achieve it in whatever way that you want. Entertain the idea that you may not have a child exactly the way that you thought that you would, but you'll still have your family."