FERTILITY Q&A: Ovulation, Recurrent Loss, IUI, PMOS, and More

When your cycles are regular, your ultrasound looks normal, or you have been pregnant before, how do you know when it is time to look deeper?

Fertility testing does not always give you the whole picture. An LH surge is not the same as the day you ovulate, a normal ultrasound cannot rule out every uterine issue, and previous pregnancies do not protect you from secondary infertility or recurrent loss.

In this Fertility Q&A, Dr. Natalie Crawford answers your questions about ovulation tracking, recurrent chemical pregnancies, PMOS (formerly PCOS), low sperm motility, failed embryo transfers, Hashimoto’s, unexplained infertility, IUI, and when to pursue a more complete fertility evaluation.

TIMESTAMPS:

00:00 Fertility Q&A

00:20 When Do You Actually Ovulate After an LH Surge?

02:00 What Should Be Tested After Recurrent Chemical Pregnancies?

03:58 Should You Fast or Exercise Fasted With PMOS (PCOS)?

06:15 What Does Low Sperm Motility Mean for Fertility?

08:43 When Should You Schedule a Saline Sonogram or HSG?

09:35 What Should You Do After Multiple Failed Embryo Transfers?

11:49 Can Creatine Make Endometriosis Worse?