Fertility Collapse: Why It’s Harder Than Ever to Have a Baby

Today I’m joined by Dr. Natalie Crawford, a board-certified OB/GYN, reproductive endocrinologist, and co-founder of Fora Fertility, for a deep conversation on women’s health, fertility, and the future of reproductive medicine.

We explore Dr. Crawford’s personal journey and what she learned as both a patient and physician, and how those experiences transformed the way she cares for others. From AMH testing and egg freezing to cycle tracking and environmental toxins, Dr. Crawford breaks down what women need to know about fertility at every stage of life.

She also shares her perspective on why infertility rates are rising, the overlooked role of inflammation and lifestyle, and how to proactively approach testing and treatment. We talk about birth control myths, PCOS, declining sperm counts, and why fertility is one of the most important markers of overall health.

Chapters:

00:00 – Introduction
02:15 – Dr. Crawford’s personal fertility journey & miscarriages
07:07 – Discovering inflammation, toxins & celiac connection
09:56 – Rising infertility rates & sperm count decline
12:18 – Cycle tracking, wearables & hormone testing
15:11 – AMH testing & why it’s controversial
20:14 – Fertility testing, anatomy & semen analysis
26:26 – Patient stories & whole-body fertility approach
34:17 – Environmental toxins & endocrine disruptors
40:09 – Egg quality, biological age & lifestyle factors
46:28 – Advanced strategies: red light therapy, IVF testing, add-ons
56:00 – Birth control myths & fertility impact
01:04:09 – Menopause, genetics & shifting timelines
01:12:01 – Fertility myths & misconceptions
01:16:07 – Prenatal vitamins, folate vs. methylfolate debate
01:21:18 – PCOS explained & why diagnosis matters
01:28:36 – Closing thoughts, book & where to find Dr. Crawford

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