Your Workouts Are Making It Harder To Get Pregnant (It’s Not Your Age!) | Dr. Sasha Hakman

The fitter you are, the easier conceiving should be. It doesn't always work that way. Dr. Sasha Hakman, a fertility specialist and three time IVF patient herself, breaks down what actually affects your chances in your 30s, what the numbers really look like, and why an hour of high intensity training every day can work against you.

We cover your real odds of conceiving in a given month, why you can't test egg quality, when to check your AMH and freeze your eggs, declining sperm counts and why he should be tested first, the MTHFR and folic acid myth, melatonin and CoQ10, how to track ovulation properly, the fertile six day window, and the rapid fire myths about conception you can stop believing.

TIMESTAMPS:

0:00 - Preview/Trailer

1:36 - Intro

7:20 - The fear women feel about conceiving in their 30s and 40s

8:40 - Being called geriatric at 35

9:07 - Why that term is really just insurance coding

9:22 - Advanced maternal age, and what is actually riskier

10:13 - When you are most fertile, and it isn't your teens

10:32 - Your real odds of conceiving in any given month

11:33 - The 12 month rule under 35, and 6 months over

12:00 - Why waiting costs you, and how long sperm takes to fix

12:36 - Conception rates from 35 to 39, and what happens at 40

13:05 - When you shouldn't wait six months at all

13:46 - Male infertility and the decline in sperm counts

14:37 - Why sperm is a window into a man's overall health

15:16 - The heart condition she caught through a semen analysis

15:49 - Why she tests from the start, not after a year

17:08 - Sam on Ian's vasectomy reversal

17:53 - Reversal success rates by how long it's been

18:26 - Pregnancy rates after a reversal at 35

20:08 - Her own IVF story at 32

22:25 - The adrenal condition behind her ovulation issues

24:12 - The embryo transfer, then conceiving naturally

25:28 - Going back for a second IVF round at 37

26:21 - 26 eggs, 15 mature, 6 embryos, 3 normal

28:29 - Should every woman get tested

28:54 - You cannot test egg quality, only quantity

29:37 - AMH, and why she looks for outliers and trends

30:35 - Why to check your egg quantity sooner than later

31:30 - Quantity vs quality, and the noise online

32:41 - When to freeze your eggs

34:27 - How to prep your body for conception

34:50 - High protein, high fiber, fewer ultra processed foods

35:15 - Exercise: resistance training plus cardio

35:44 - When your workouts start working against you

36:18 - Body fat, weight and miscarriage risk

37:27 - Stress, and which kind really interferes

37:54 - Sam on coming off Ironman training

38:52 - Supplements, and prenatals for both of you

39:18 - The MTHFR myth

42:30 - The patient who skipped folic acid

44:31 - CoQ10 and the supplements with real evidence

44:58 - Melatonin for egg quality

46:43 - Where to get your egg quantity checked

47:44 - Track your cycle and gather the data

48:17 - LH, FSH and what ovulation tests show

50:38 - What ovulation actually feels like

51:58 - Sam's gut protocol and getting rid of H pylori

52:49 - Testing your vaginal microbiome before trying

54:55 - The fertile six day window

55:30 - How long sperm really survives

55:56 - How often to have sex when you're trying

56:23 - Why frequent ejaculation improves sperm quality

57:25 - How long the egg survives after ovulation

58:22 - Does the Mucinex trick work

1:01:27 - The emotional toll of trying

1:01:56 - Why conceiving is a team sport

1:05:35 - Rapid fire: myth or fact

1:06:56 - Does an orgasm help conception

1:07:59 - Can you ovulate without a positive test

1:08:40 - What empowerment means to her

1:09:08 - Where to find her

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CONNECT WITH DR. SASHA HAKMAN:

Instagram: https://www.instagram.com/tryingwithdrhakman/

Podcast | Trying with Dr. Sasha Hakman: https://open.spotify.com/show/6KbKJpOEUClmcaWB4xjh0D

Website: https://www.sashahakmanmd.com/

SAM'S LINKS:

ELEVATE App | free 7 day trial: https://www.elevatebysam.com/

Macro Guide: https://samanthachristine.co/nutrition-guides

Running Programs: https://samanthachristine.co/running-guides

#tryingtoconceive #fertilityafter35 #womenshealth

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