330: Resiliency Radio with Dr. Jill: Perimenopause: The Silent Fertility Disrupter with Dr. Jaime Knopman

In this episode of Resiliency Radio with Dr. Jill, Dr. Jill Carnahan welcomes reproductive endocrinologist and fertility specialist Dr. Jaime Knopman to explore the often-overlooked connection between perimenopause, fertility decline, and reproductive health.

With infertility now affecting an estimated one in six people worldwide, Dr. Knopman explains why fertility should be treated as an essential marker of women's health—not a conversation that begins only when someone is ready to become pregnant. Together, they discuss ovarian reserve, AMH testing, egg freezing, delayed motherhood, fertility after cancer treatment, and what women need to understand about their reproductive timeline.

Whether you're planning a family now, considering pregnancy later, or entering perimenopause, this conversation provides practical insights to help you make informed decisions about fertility and your future.

🔑 5 Key Discussions

① 🧬 Perimenopause & the Fertility Window

⇨ Fertility naturally declines with age, even while menstrual cycles and ovulation may continue during perimenopause.

⇨ Understanding your reproductive timeline earlier gives you more options for future family planning.

② 🥚 Egg Freezing & Fertility Preservation

⇨ Egg freezing can provide an important option for women delaying pregnancy or facing treatments that may affect fertility.

⇨ Fertility preservation is increasingly becoming part of proactive reproductive healthcare rather than something considered only after a medical diagnosis.

③ 🧪 Understanding AMH & Ovarian Reserve

⇨ AMH blood testing and antral follicle counts can help estimate the quantity of eggs remaining in the ovaries.