If you have been diagnosed with diminished ovarian reserve but have no explanation as to why - you need to dig deeper. Diminished ovarian reserve is a sign of high oxidative stress and poor aging in general. In this podcast episode, I talk about ovarian health - how it works and how to preserve it. Tune in to learn more.

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Key Takeways

5:06 Don't compare your fertility journey to others

10:14 Why doctors oversimplify diminished ovarian reserve

15:52 The ovary's capacity for transformation

21:28 Addressing oxidative stress in diminished ovarian reserve

26:34 Preserving ovarian health for longevity and wellbeing

Memorable Quotes

"Your single cell has the capacity to become a baby. Just think about that for a second. So it is the site of highest amount of mitochondria because of embryogenesis to make a baby. There's a lot of nutrients and there's a lot of energy."

"If you have been diagnosed with diminished ovarian reserve or premature ovarian insufficiency, I want you to think back of if there was a time where you felt the high energy and the abundance and the vitality, and look back at a picture and see if you can remember how you felt."

"The ovaries are our deepest connection to the past generation. That's why it's so confronting to even think about. It's very triggering to even think about, oh, we're ready to start trying to conceive, or I think I'm having issues because it makes you feel like something is wrong with you, but really what it's doing is bringing out some past stuff that is essentially a burden that you are carrying and you didn't realize you were carrying it."

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The way that they're involved in sterogenesis, to the production of estrogen and progesterone and testosterone. Of course, not as much testosterone for us, but lots of estrogen and progesterone. That is our feminine power. Those hormones are what make us women. And it is the site of greatest transformation and capacity. Your single cell has the capacity to become a baby. Just think about that for a second. So it is the site of highest amount of mitochondria because of embryogenesis to make a baby. There's a lot of nutrients and there's a lot of energy. So I think it's such a fascinating cell. Pregnancy is a natural process. So if it's not happening or if it's not sticking, something is missing. After having a family member go through infertility and experiencing a miscarriage myself, I realized how little support and education women have around infertility. I to Change that. I'm Dr. Jane Levesque. I'm a naturopathic doctor and a natural fertility expert. Tune in every Tuesday at 9am for insightful case studies, expert interviews, and practical tips on how you can optimize fertility naturally. If you've been struggling with infertility, pregnancy loss, women's health issues, or you just want to be proactive and prepare yourself for the next big chapter in your life, this show is for you.

All right, ladies, today I want to talk to you about diminished ovarian reserve and really premature ovarian insufficiency. I do think that those two go hand in hand, but I want to talk about it from a perspective of the older pregnancy. So if you're over the age of 35, it's different when if you have premature ovarian insufficiency and you know, your FSH and your LH numbers are in the 70s and you're 20 years old and the AMH is not existent, I would consider that's a classic premature ovarian insufficiency case. But what I am seeing is this diminished ovarian reserve. Slash a lot of women going into early menopause, which technically in my eyes is still premature or ovarian insufficiency when you're not having the amount of eggs that you, quote, unquote, should have at the age of 35, at the age of 37 or 38 even. And I want to kind of unpack that a little bit because the only option that it feels like women have after the age of 35, and I'll use my sister a lot as an example because she didn't meet her partner until she was 36. They didn't start trying until they were 37. And you know, she gave birth at 38 to her first kid and her second one at 40. And the doctors basically did looked at her and were just like, well, because you're over 35, try for six months. If nothing happens, come in and do IVF. And so she, like both her and her partner just did not want to go that route. And they just kind of figured, hey, if nothing happens and it's not meant to be. But I'm really glad that my sister came to me instead of just her doctor or just giving up because let's face it, there's a lot of women who kind of say if it doesn't happen, then I guess it's not meant to be. And you know, they just close that chapter for themselves where there's other women who have a much harder time closing that chapter. And in reality, to me. So if you want to have a baby after the age of 35, you should absolutely have a baby after the age of 35, or even if you're pushing 40, if that's what you want to do. Just don't approach it in the same way as if you would have a baby at 25, because it's a completely different body and you are not in your prime. I always say you are closer to menopause than you are to puberty. When you're having babies after the age of 35, and especially if there has been history of birth control, we cannot approach pregnancy in the same way. You are going to have to work 10 times harder than people around you. And what I mean by that is like there's for sure some 35 year olds that get pregnant easily and 37 year olds that get pregnant easily. But I talk a lot about this as well, is like, I don't care how easy it was for you to get pregnant, show me the pregnancy, show me the postpartum period, show me the baby. And sometimes even myself. Like that's how I've learned in the practitioners that I've hired, Sutina and Dr. Nicole, we've all had either pregnancy, miscarriage or postpartum experiences that basically made us go, why didn't anybody tell us about this? Why didn't anybody tell me that? And we are all practitioners, meaning we're studying the body and we're learning and we were still blindsided by the fact of how complex the experience is and everything that needs to go into it. Regardless of your age, whether you're 25 or 35. At 35, it's just that time is not on your side. So I don't want you to feel ashamed, I don't want you to feel judged. If there's a doctor that's shaming you and making you feel like you've missed your chance and you ran out of time and why didn't you want to have kids earlier? Like, that's not a good doctor that's going to help you. So you just need to go ahead and find another doctor. If you want to have a baby, you can have a baby. Don't feel shame, don't feel judgment, but just don't approach it in the same way that you would as a 25 year old. And if you see people around you that are getting pregnant, whether they're your age or younger or older, do not compare yourself to them because you have no idea about anything in their history because people are not talking about it. Women are not sitting and talking about their horrific postpartum experience because their horrific postpartum experience is what they're living. They don't have time to share it. And by the time they share it, it seems like, oh, it's been three years, it's not that bad. We as practitioners hear that all the time and we can see it coming a mile away, whether it's the postpartum, whether it's inability of being able to breastfeed, whether it's complications during pregnancy, whether it's issues for the baby when they're out and the neurological disease development that we're seeing. Do not compare yourself to the glimpse that you see. Well, this person got pregn really easily. That doesn't serve you. So stop doing that, especially when you're older, because you just don't have time for that. You just don't have time to feel bitter or angry or sad that someone else has what you don't, because you don't actually know what they have. And so that's a different tangent. But let's talk about, you know, the premature ovarian insufficiency from this and diminished ovarian reserve from this aspect of like, if you're 35, it's not like all of your eggs go away. And this is something that I'm talking about at the cell core presentation. So let me run down the ovarian biology and like how many follicles we have left the 20 to 40 week gestation. When your mom is pregnant with you, you have 6 to 7 million follicles, which is incredible. Then at Birth, that number drops quite drastically to about 700,000 follicles. At puberty, we're seeing a bigger drop to 400,000 follicles. So even though you're not ovulating, even though you're not, like, nothing is happening, the follicles are diminishing. And I think that that's important to understand because we assume that there's something that's happening with age that I'm going to talk to you about that's causing the ovarian reserve to be diminished. Monthly, we're losing 20 to 30 follicles per cycle. And 20 to 30. Only one response. Sure, maybe two, but you're losing 20 to 30.

And so, you know, by the time you're hitting certain age, like 40, you don't have hundreds of thousands of follicles. You maybe have 50 or 70,000 follicles, but they're not as responsive. And we don't know why. Some respond and some don't. But what we do know is that ovarian tissue and ovaries in general are very sensitive to oxidative stress. And so what happens as we're aging is we're accumulating oxidative stress, right? Everything in the reaction causes stress. Like, even if you think about exercise, exercise is a stress on the body. We want to have that kind of stress on the body to build muscle, to build strong bones. But the actual magic happens in the recovery. You're not building muscle while you're lifting weights, you're building muscle when you're recovering. And so the oxidative stress, there's a natural amount of oxidative stress. Just as happens from every reaction in the body, in the processes, that number goes up even higher when you're under high stress. You're not sleeping well, you're eating junk food, you know, your blood sugar is dysregulated, you have environmental toxic load, you have a chronic infection. And so what's happening right now in the population of humans, if you look around is people are quite unhealthy, right? If you go to the airport, tell me how many people you see that are vibrant, that are fit, that have good energy, they're standing upright. And how many people you see who are overweight, who have bags under their eyes, who are like, they're just tired, you could see that their energy. And maybe you're one of those people and you can feel it, that the energy is not where it should be. And of course, there's a big spectrum, right? There's the guy that has an extra £100. And then there is the guy that has an extra 20 pounds. Still level of inflammation, still hormonal imbalance, still oxidative stress. It's just a lot further along for somebody who is 100 pounds overweight versus 20 pounds overweight. Now, weight is obviously not the only way that we can tell because I've seen lots of people who are not carrying any extra weight, and they have an insane amount of oxidative stress. So that's not the only place it's coming from. It's just a really good. A simple example. So if we know, ladies, that our ovaries are sensitive to oxidative damage, which means environmental toxics, inflammations, chronic infections, whether it's parasites, bacterial, viral, fungal, yeast, you know, you name it, then what happens? As we age, we're accumulating that inflammation, we're accumulating that oxidative stress. And. And unfortunately, that's where we're seeing the implications on the ovaries. That's when we're seeing the diminished ovarian reserve. We're seeing that because there's high levels of inflammation, because there's high toxic load, because there's not enough antioxidants, because there's high stress and excess weight and cortisol, blood sugar. Right. Like all of these things. That is why we're seeing the diminished ovarian reserve. I think doctors are so simplistic in just saying, oh, it's because you're old and that's why you have poor egg quality. And so you should do ivf. And it's like, well, IVF is not really going to help you make better eggs. It's just going to pull out the best of what you've got. And so in my opinion, it's, you have to prepare for IVF minimum six months. But if you're younger, if you're early 30s, you should be giving yourself at least a year, if not a year and a half, to do some really deep cleansing. Because, you know, I'll have women who have insane levels of heavy metals. That's not safe. That's a huge oxidative stress. That's why they have the premature ovarian insufficiency because of these abnormally high levels of heavy metals and industrial toxins, which, by the way, probably were passed on from their mom and the environment that they grew up in later, you know, as kids. So if we want to break the cycle and if I get you to think about what is the ovary, you know, and the ovary, ladies, is the only cell in the body that can become what it can become a human life. So it requires an insane amount of energy, the mitochondrial function, which is the thing, the powerhouse of the cell, an insane amount of energy, insane amount of nutrients. It's a very complex process for the body to do that, to have fertilization, to make an embryo, to start making a human being. And so if we look at the spiritual role of the ovary and the energetics of the ovary, why are they there? How do you feel when your ovaries are on and functioning well versus when they're not? And I always like to use the example of myself. When I looked at this picture, I think I was like 16, maybe 18, like very young, early puberty, you know, still very much going through it. I just. And I compare to my picture now. You look so different. Your flesh looks different, your. The energy that you're emitting looks different. And then I think, you know, if I look at my mom, because she's been through the whole cycle of when mom was like, you know, when she first had us, and then what mom was like after she had us, and kind of early signs of perimenopause, which actually starts a lot sooner for women than we think. We just don't know that because that is the sign of the ovaries shredding down and producing less hormones. And we start to notice less hormones in our body, the progesterone, the estrogen, the testosterone, the libido goes down, all of that. And then I look at my mom in menopause, post menopausal, if you will, she looks so different. And so that is a byproduct of the ovaries and the hormones that they're producing or not producing. And so it's impacting the way that we feel, the way that we look in the way that we experience the world. And so if you have been diagnosed with diminished ovarian reserve or premature ovarian insufficiency, I want you to think back of if there was a time where you felt the high energy and the abundance and the, you know, the vitality, and look back at a picture and see if you can remember how you felt. Because some of you, unfortunately, if you've had premature ovarian insufficiency, basically, like you didn't, the ovaries never turned on, which is, you know, a much more serious condition and definitely is generational. And we need to understand the history of your mom and her mom when she was pregnant. So your grandma and your mom when they were pregnant with you and when your grandma was pregnant with your mom, because there's generational disease and inflammation markers that are being passed down and toxins that are causing the, you know, the inflammation and the methylation patterns and all that stuff to be off. And there's probably generational trauma. And the ovaries are our deepest connection to the past generation. That's why it's so confronting to even think about. It's very triggering to even think about, oh, we're ready to start trying to conceive, or I think I'm having issues because it makes you feel like something is wrong with you, but really what it's doing is bringing out some past stuff that is essentially a quote, unquote burden that you are carrying and you didn't realize you were carrying it. And I think that, you know, our connection to our past generation is you can think of it as for better or for worse. I always think it's for better because it gives us an opportunity to work through those past traumas and become a better version of ourselves, if you will. Let go, become a new version of ourselves and break some familial patterns that have been maybe ingrained in for multiple, multiple generations. And so I love looking at the physical component of the ovary, but also at this spiritual component of the ovary and how it impacts us and the hormone production and, you know, the feel and how we experience the world. So this is from my mentor, Dr. Leah Hechman, when she talks about the ovaries and the oocytes and this deepest connection to the lineage of our genetic line. It is our doorway to make changes from the previous generation to help break the cycle into the next. And it is the greatest source of our feminine energy reserve. If you think about what the ovaries do and the way that they're involved in stereogenesis to the production of estrogen and progesterone and testosterone. Of course, not as much testosterone for us, but lots of estrogen and progesterone. That is our feminine power. Those hormones are what make us women. And it is the site of greatest transformation and capacity. Your single cell has the capacity to become a baby.

Just think about that for a second. So it is the site of highest amount of mitochondria because it embryogenesis to make a baby. There's a lot of nutrients and there's a lot of energy. So I think it's such a fascinating cell. And when I see doctors just go, oh, you have diminished ovarian reserve. Just do ivf. We're overlooking this whole Giant component of what does it actually mean to you? And why are you here? Why is your ovary diminished? Why is the ovarian reserve diminished? Why? And we can start to unpack some of your life, some of your parents life and actually process it and learn how to take care of ourself and learn how to preserve ovarian function. Because truthfully, we should all be as women trying to preserve our ovarian function for as long as possible because it is a sign of good health. It's not about even trying to get pregnant at 45, but if you have a healthy period at 45 and you still have signs of ovulation and yes, the quality of the egg is going to be down or the quantity of eggs that are responding and is it, Are you going to ovulate every cycle? You know, every woman is different. But we should be preserving the function of the ovary. The thing that makes us hormones, the thing that, you know, in the shift from. And again, I'll use my mom because I've seen the shift of her being, you know, a young mother to then older parent to now being in the post menopause and how her role has changed in my life and how she has changed. And you know, for some things for the better, some things for the worse, and how it's connected to the level of hormones that she has in the body, it's very hard for us to do it ourselves. But I am noticing shifts in my hormones and I'm very well aware. So I'm 38 years old and my mom went around menopause in 50. So I know that my symptoms actually of menopausal symptoms started around 35. And so they're subtle. They're things like my muscles don't feel as strong as puffy, my skin is a little bit looser, I feel a little bit more inflamed, or I'm having a little bit more difficulty time falling asleep. Not all the time, just sometimes. And so it's these subtle changes that happen over the years that then lead to the big event when the ovaries do shut down. But the goal is to keep them on for as long as we can, because like I said, that is a sign of great health. And so if we're seeing women with diminished ovarian reserve at the age of 35, that's a red flag to me because that's telling me that's an aging woman that's telling me that she has a lot of oxidative stress and inflammation. And so my job as a practitioner is to figure out where that damage is coming from. How long has that damage been there and what do we need to do to reverse it? How much do we need to do to reverse it? And I think that women at the age of 35 and after feel especially the closer you get to 40, you feel a lot of shame about admitting that you still want to have a baby and that you're trying to have a baby. Because people are like, just give it up. You're too old and it's not about anybody else but you on your journey, right? So first of all, like, I just want to shame. I want to shame all the doctors that are shaming you. It's like they just don't get it. They don't look at it from the spiritual component of what it means and they're not looking at your desire and the dialogue that you're having with two souls. Like, this is something that my mentor says a lot, Dr. Leah Hedgeman, where it's so much more than just the physical aspect, right? This for us women, there's a dialogue between two souls. We generally feel like we want to bring a baby because we feel the soul so strongly close to us. Maybe we haven't recognized that, but it's like you're doing anything that you can to have a baby because you do feel this soul nearby and you want to be able to bring it into this world. And so it's not about you can the shame component, like, I just want to wipe it off because it's at the end of the day, like life works out the way that it works out. And if you want to have a baby, then I think you should have a choice. But you also have to be realistic that you are having baby after accumulating years of damage and maybe probably not taking care of yourself. Like, I don't see women with diminished ovarian reserve who have had abundance and energy and good boundaries. And like through the other latter half of their life. Usually women have been putting themselves on the side. They maybe had breast implants, they smoked. They like they've just treated their body. Not great. It could be really high stress. I have someone who's like, we've always eaten healthy and we've always done this, but she's works 12 hour days and she's done that for the last 10 years. Like, of course you're going to have diminished ovarian reserve. All of your energy has been going towards working for somebody, not building yourself. I have so many CEOs and driven women who put all of their time and energy into building someone else's business or doing and just thinking, one, the time comes, I'll want to have a baby. And so I encourage you to start taking care of your ovaries, no matter how old you are, because your ovaries are a vital organ and they will dictate a lot of your livelihood and how you experience the world. When you have higher estrogen levels, meaning you're ovulating, you're experiencing the world very differently from a woman who has is in menopause. So I want you to get in touch with that sensation and think about your mom and how she is now versus how she was, you know, when she was younger. And let's learn from that. So the point that I'm trying to make is we have. When you have diminished ovarian reserve, you have a lot of oxidative stress. We need to understand where that oxidative stress is coming from, so then we can treat it accordingly. And what I will say is, you don't have time. You don't have time to just try things and see what happens. Or, well, we'll just try getting pregnant. If the goal is to have a healthy baby, you need to be healthy. Your partner needs to be healthy. His sperm involvement is really, really important when the quality of the egg isn't super great. So he needs to be involved. And I have a lot of podcasts on that, but I see women who are 35, who are 38, who are 39, and they're just like, I'm not sure I want to have a baby. And it's like, you don't have time for that. You have to make a decision. And I think some of you have a hard time making decision because you have so much brain fog, because you have so much inflammation, because you're so uncertain about the whole thing. And it's like, I just need you to get, like, I don't want you to have a regret. I don't have, like, weird fetish where I need you to have a baby. Like, that's not it. But what I hate seeing is women on the fence who are just like, I think so, but I don't know. And it's like, do you or do you not? This is a, like, answer that question for yourself and take however long you need to, because if this is something that, you know, if I look down the road, 10 years down the road, and I'm going to have deep, deep regret that I didn't do everything, that's one of the worst feelings that you can live with. And so I don't want you to have that regret. I want you to make a decision now and then I want you to be very methodical with the rest of your decisions. Because, you know, I have women who are really driven and they have their careers and they want to do that and they want to have a baby. And I'm like, you can do it, but not at the same time. So you can't be going to work events. You can't be running all these big workshops and doing all of this stuff while cutting on sleep, going out to eat, because you put so much energy into your work. But I'm taking supplements, but I am doing the castor oil packs. But I am, like, the older you are, the more all in you have to go with your partner. And I'll say, like, your partner has to be all in with you, because if he doesn't want to have a kid, but he wants to support you, that's totally fine. But if he doesn't want to have a kid and he doesn't really want to support you, then I'm wondering how supportive that environment is for you to heal. And so, again, I don't want you as a woman to feel bad that you want to have a baby, But I also don't at 42 years old. But I don't want you to be delusional and think that, yep, it's just gonna be easy. Or I don't have to, like, I don't want to have to work that hard. You have to decide if this is what you truly want, and then, you know, quote, unquote, how hard you're willing to work for it. Because I'll tell you, I have my two kids, and if somebody told me I couldn't have them, I don't know if I would give up, you know, So I very much can resonate with a lot of my women who just don't want to give up. We want to be smart about where we're putting our time, energy, and money and how much we need to do. Depending on how severe the diminished ovarian reserve is, how much inflammation you've had, infections, how long it's been at the toxin level.

But there are some really great therapies out there, whether it's stem cell therapy, prp, where they're actually helping to rejuvenate the ovarian tissue. That's not the pathway that most people are going to go though, right? Like, it's expensive. It's still new. It's still experimental. It's not the pathway that most of you guys are going to go. The pathway that most of us need to go is clean up our diet, clean up our environment, do some really deep detoxing, do some meditating, prioritize our sleep, make sure we learn how to fuel our own bodies versus, you know, learning what other people are doing. You need to understand how to fuel your own body and how it works and how you process foods, how you process meats, how you process veggies, which veggies your system likes, which you need more of, what you know, how your microbiome works, all that stuff. You need to learn how to take care of yourself. And then we can see if you need some support from the medical conventional system and whether it's doing just a timed cycle with a little bit of letrozole, or if you need to do, you know, a little bit more of invasive procedure like IVF or iui. Like, everybody's family planning journey is going to be very different here, but everybody, if you have diminished ovarian reserve, you have high oxidative stress. And so you need to figure out where that stress is coming from before you pump your body full of drugs to try to get the best egg out. I think, like, that point is underestimated. And I see so many women going through multiple cycles of IVF and then having terrible implantation experience and all of this stuff. And they've never had a stool analysis done. They have no idea how many environmental toxins their bodies like. They have no idea what their nutrient levels are doing, whether it's as simple as vitamin D or as more specific like zinc and copper balance. That we know has an implication on the outcome of the pregnancy and the risk of miscarriage and the risk of developing neurological disorders. So we know this information. Now, maybe you guys don't know, obviously I'm talking about it and sharing it, but figure out why you have diminished ovarian reserve in the first place. And ladies, please, please, please keep your ovaries as healthy as possible for as long as you can. This isn't just about your fertility journey. This is your longevity and how you experience the world. And ovaries are very, very sensitive to oxidative damage. So unfortunately, the order of priority for the body is not to preserve the ovaries. You can live without your ovaries for a long time, right? Menopause diminished, over no ovary function, and we're fine. We can live. You can't live without your heart. You can't live without your brain, you can't live without your, you know, your liver. And so the body's list of priorities or immune system function always goes there to support and to provide. And then the ovaries kind of get the spillover. But if you don't have spillover because your bucket is empty, then they're never getting anything. So we want to learn how to take care of our feminine energy. We need to learn. That's what taking care of your overeas, it's, remember what I said, it is the greatest source of our feminine energy reserve. And so when I see women who are sitting in front of me who have diminished ovarian reserve, they have a lot of masculine energy and they have very little feminine energy. And the masculine energy is the go getter and the doer and the action taker. And the feminine energy is the nurturer and the caretaker, the one that can, the peacemaker, the one that can say no. And women don't have that. If you are listening to it and you have it, it's like just a simple action of like, how do I step into my feminine energy? What does that mean for me? And maybe you don't have a good example in your life. Meaning your mom wasn't a good example of feminine energy. She was actually quite masculine, which is why you're the way that you are. There is examples of it in the world. There is influencers, there's people. And so you need to just find it, pick it and model some of the behavior. What would somebody do? And if, even if you don't know, it's a good question to ask yourself. What would somebody do who has stepping into their feminine energy and their feminine power? How would they act? That helps us to preserve our ovaries, it helps us to connect to them and it helps us truly heal. Break some generational cycles, you guys. We talk about this in my Fertility 101 group membership program. It's almost like every time women are like, and what detox do I do and what supplements do I take in castor oil packs? And I'm doing all this stuff and I'm like, okay, now how are you stepping into your feminine energy? Oh, you're still working 12 hours a day. Oh, you're only going to bed for six hours. How are we going to change that? And they come to a conclusion that they actually need to flip their whole life upside down because they haven't. They built a life on a masculine energy that disregards them completely. And so if you're trying to grow A baby that you then need to nurture and literally grow from your tissue. I don't. It's not like a funny haha thing, but it's funny how the universe makes us learn to take care of ourselves first before we can take care of a tiny human. And of course there's plenty of people who get pregnant and then, you know, figured it out. I was one of those people where it's like, yeah, I was taking care of myself, but I could have done a lot better. But I'm telling you, the pregnancy and the postpartum experience is what will then show up. Pain and the trauma will show up in different areas of our life. And I think if we can sort it before we get pregnant, the lessons are a lot easier down the road because when you do have the baby and you're still trying to learn those lessons, they're very difficult because now you have this tiny human and it's very confronting to see a reflection of the good, the bad and the ugly in the babies that you have made. And so I do a lot of work on that with self forgiveness and with my babies and I've talked about my story and I won't get into that now, but talk to your ovaries, ladies, step into your feminine energy, feminine power, and let's learn how to take care of them. I talk a lot about equality and there's the physical components and then there's this mental and emotional shifts that we need to make.

If you guys have any questions, if you'd love to join myself, either the fertility one on one membership or working one on one with myself or one of my practitioners, please fill out the application link down below in the podcast. Otherwise, I thank you so much for being here. I hope you found it helpful and I'll see you next week. Thank you so much for listening. To read the full show notes of this episode, including summary, timestamps, guest quotes and any resources that were mentioned on the episode. Visit drjanelevesque.com forward slash podcast. And if you're getting value from these episodes, I'd love it if you took 2 minutes to share it with a friend. Rate and leave me a review at Rate this podcast.com forward/doctorjane. The reviews will help with the discoverability of the show and who knows, I might share your review on my next episode. Thank you so much for tuning in and let's make your fertility journey your healing journey.