Making Fertility Treatment Decisions: A Framework for Choosing Your Next Step

Making Fertility Treatment Decisions: A Framework for Choosing Your Next Step

Choosing the next step in your fertility journey can feel overwhelming — IUI or IVF? Wait or escalate? Dr. Erica breaks down the exact framework she uses with her patients and clients to cut through analysis paralysis and make evidence-based, values-aligned decisions about treatment. In this episode: * Why every treatment plan has to start with your desired family size — and why this question gets skipped so often * The history that actually matters: how long you've truly had sperm-and-egg exposure (not just "trying") * Red flags that move IVF up the timeline: tubal disease risk factors, genetic conditions, and more * Why the difference in success rates between trying 6 months vs. 12 months under 35 is smaller than you'd think * The “two to three follicles” rule for IUI cycles for unexplained infertility or endometriosis — and why hitting that goal can take you from under 5% to 10–15% success per month * Letrozole vs. Clomid: side effects, success rates, and why letrozole is often the better first choice * "Hybrid therapy": using a baby dose of FSH with letrozole in women in their late 30s — the physiology behind why it works * When IVF makes sense from the start: large desired family size, genetic risk, tubal factor, or PGT-M/PGT-SR indications * Why "less is more" isn't always wrong, even when IVF feels like the safer bet * Reframing scarcity mindset around embryo numbers and aneuploidy risk Support the show [https://www.buzzsprout.com/2285234/support] As always, please keep in mind that this is my perspective and nothing in this podcast is medical advice. If you found this conversation valuable, book a consult call with me using this link: https://www.loveandsciencefertility.com/private-fertility-consult [https://www.loveandsciencefertility.com/private-fertility-consult] Follow us on social media: IG: www.instagram.com/loveandsciencefertility [https://www.instagram.com/loveandsciencefertility/] FB: www.facebook.com/profile.php?id=61553692167183 [https://www.facebook.com/profile.php?id=61553692167183] Please don’t let infertility have the final word. We are here to take the burden from you so that you can achieve your goal of building your family with confidence and compassion. I’m rooting for you always. In Gratitude, Dr. Erica Bove

Father's Day on the Fertility Journey: Tools for Getting Through the Weekend

Father's Day can hit differently when you're in the middle of a fertility journey. Whether you're navigating it as a couple, as a male partner who is secretly dreading the weekend, or as someone supporting a loved one through it — this episode is for you. Dr. Erica covers why these "softer holidays" can feel like salt in the wound, why men in particular are often left without language or permission to process grief on the fertility journey, and how couples can use this moment as an unexpected doorway back to each other. In this episode: * Why Father's Day (and Mother's Day) hit so hard on the fertility journey — and why that makes complete sense * The emotional burden men carry as "protectors" and why giving them permission to feel is good for everyone * The serenity prayer reframe: what you can control, what you can't, and why knowing the difference matters * A communication framework for sharing feelings and needs — especially when you and your partner are on different pages * How to use curiosity ("what is it like to be you right now?") to reconnect with your partner * Tips for supporting a loved one through this weekend — including one thing to absolutely not do * Five tools (plus a bonus) for getting through Father's Day with more grace and agency:  * Trigger prevention and real-time management * Honoring all of your feelings — including the ones that coexist * Knowing your village before you need them * Boundaries and permission to leave situations which are causing pain * Intention setting before you walk in the door * Trusting the process and finding your reasons for authentic hope Support the show [https://www.buzzsprout.com/2285234/support] As always, please keep in mind that this is my perspective and nothing in this podcast is medical advice. If you found this conversation valuable, book a consult call with me using this link: https://www.loveandsciencefertility.com/private-fertility-consult [https://www.loveandsciencefertility.com/private-fertility-consult] Follow us on social media: IG: www.instagram.com/loveandsciencefertility [https://www.instagram.com/loveandsciencefertility/] FB: www.facebook.com/profile.php?id=61553692167183 [https://www.facebook.com/profile.php?id=61553692167183] Please don’t let infertility have the final word. We are here to take the burden from you so that you can achieve your goal of building your family with confidence and compassion. I’m rooting for you always. In Gratitude, Dr. Erica Bove

Unlocking Creativity to Improve Fertility: Practical Strategies for Women Physicians, with Dr. Lara Salyer

In this insightful interview, Dr. Laura Salyer and Dr. Erica Bove explore the intersection of creativity, nervous system regulation, and healing in healthcare professionals, especially women physicians on the fertility journey. They discuss practical strategies to reduce stress, foster joy, and enhance fertility through flow science and trauma-informed approaches. Key Topics: * The role of creativity and flow in healing and stress reduction * Impact of medical trauma and gender bias on women physicians * Practical tools for nervous system regulation and actual self-care * The connection between stress, cortisol, and fertility * Trauma-informed approaches in healthcare organizations Dr. Lara Salyer is an integrative and family physician, leadership mentor, and Creativity Catalyst. After experiencing burnout fifteen years into her own medical career, she began exploring a different way of living and leading. One rooted not only in science and strategy, but also in nervous system awareness, embodiment, creativity, self-trust, and sustainable success. What started as painting, running, and tiny moments of creative expression became something much larger– a return to herself. That experience transformed the way she understands leadership, healing, performance, and human potential. Today, she helps women in medicine reconnect with the parts of themselves that became buried beneath overfunctioning, perfectionism, caregiving, and chronic responsibility. Through trauma-informed leadership, transformational coaching, strategic redesign, creativity, flow neuroscience, and embodied practices, she supports women who are ready to stop abandoning themselves in the name of achievement. Here is a link to her free resource Catalyst Energetics™, a somatically informed framework designed to help clinicians reconnect with parts of themselves that were often set aside during medical training. This map offers a way back — gently, safely, and without force: https://rightbrainrescue.com/l/digital_download/971232/catalyst-energetics [https://rightbrainrescue.com/l/digital_download/971232/catalyst-energetics] https://drlarasalyer.com/ [https://drlarasalyer.com/] IG: @drlarasalyer [https://www.instagram.com/drlarasalyer/] Support the show [https://www.buzzsprout.com/2285234/support] As always, please keep in mind that this is my perspective and nothing in this podcast is medical advice. If you found this conversation valuable, book a consult call with me using this link: https://www.loveandsciencefertility.com/private-fertility-consult [https://www.loveandsciencefertility.com/private-fertility-consult] Follow us on social media: IG: www.instagram.com/loveandsciencefertility [https://www.instagram.com/loveandsciencefertility/] FB: www.facebook.com/profile.php?id=61553692167183 [https://www.facebook.com/profile.php?id=61553692167183] Please don’t let infertility have the final word. We are here to take the burden from you so that you can achieve your goal of building your family with confidence and compassion. I’m rooting for you always. In Gratitude, Dr. Erica Bove

Getting Through the Day: The Emotional Toolkit for Female Physicians with Dr. Shivana Naidoo

In this deeply personal and practical episode, Dr. Erica welcomes child psychiatrist and founder of Do Better MD, Dr. Shivana Naidoo, for a conversation that goes far beyond the clinical. Dr. Naidoo is the host of Thinking It Through with Dr. Naidoo and a fellow speaker from the Women Physicians Wellness Retreat in Grand Cayman — and this episode is exactly the kind of conversation that retreat was made for. Together, they explore the emotional terrain that female physicians navigate every single day — as healers, patients, partners, and women in the middle of their own fertility journeys. In this episode, you'll hear: * Dr. Naidoo's journey into child psychiatry — and what drew her to the power of bearing witness to someone's suffering as treatment * The mental health statistics you need to know: why infertility carries anxiety and depression rates comparable to cancer, and why that number climbs with every unsuccessful cycle * Both doctors share their own miscarriage stories — the isolation, the hormonal upheaval, and the "bad womb" narrative that so many women carry * Why the physician brain (analytical, high-achieving, Type A) can actually work against us when it comes to the fertility journey * Practical strategies for getting through your clinical day when you're also navigating fertility treatment — from pre-preparing for triggering patient questions to canned responses that feel authentic, not performative * The conservation framework for giving yourself permission not to give 100% to every patient — and why that actually makes you a better doctor * How compassion fatigue, countertransference, and moral injury show up differently for physicians who are their own patients * The body-first approach to recognizing when you need support — because the body keeps score when the mind is in denial Dr. Shivana Naidoo can be found at: * 📧 knowbetter@dobettermd.com * 🌐 dobettermd.com * 📱 Instagram: @drshrivananaidu * 🎙️ Podcast: Thinking It Through with Dr. Naidoo, Child Psychiatrist If you're a female physician who has ever felt like you're failing at everything simultaneously — your patients, your fertility journey, your relationships — this episode is for you. You are not alone. One in four female physicians faces infertility. One in three female surgeons. We see you. Support the show [https://www.buzzsprout.com/2285234/support] As always, please keep in mind that this is my perspective and nothing in this podcast is medical advice. If you found this conversation valuable, book a consult call with me using this link: https://www.loveandsciencefertility.com/private-fertility-consult [https://www.loveandsciencefertility.com/private-fertility-consult] Follow us on social media: IG: www.instagram.com/loveandsciencefertility [https://www.instagram.com/loveandsciencefertility/] FB: www.facebook.com/profile.php?id=61553692167183 [https://www.facebook.com/profile.php?id=61553692167183] Please don’t let infertility have the final word. We are here to take the burden from you so that you can achieve your goal of building your family with confidence and compassion. I’m rooting for you always. In Gratitude, Dr. Erica Bove

The Science of Stillness: How Mindfulness & Meditation Support Your Fertility Journey with Dr. Nirali Dubal

In this episode, Dr. Erica sits down with Dr. Nirali Dubal — board-certified pediatrician, ICF-certified life coach, and certified mindfulness meditation teacher — to explore how mindfulness and meditation can support high-achieving women on the fertility journey. What we cover: * What the research says about meditation and the brain (functional MRI studies, prefrontal cortex changes) * How meditation reduces stress, improves sleep, and supports immune function * Why you don't need hours a day — even 2 minutes counts * Dr. Nirali's personal journey from pediatrician to meditation teacher * How to reconnect mind and body when you're stuck in "analysis paralysis" * Emotional regulation on the rollercoaster of fertility * Practical ways to start (micro-meditations, body scans, Insight Timer) Resources mentioned: * Insight Timer app (free guided meditations) * Dr. Nirali's website: niralidubal.com * Instagram/Facebook: @PeacewithPurpose Support the show [https://www.buzzsprout.com/2285234/support] As always, please keep in mind that this is my perspective and nothing in this podcast is medical advice. If you found this conversation valuable, book a consult call with me using this link: https://www.loveandsciencefertility.com/private-fertility-consult [https://www.loveandsciencefertility.com/private-fertility-consult] Follow us on social media: IG: www.instagram.com/loveandsciencefertility [https://www.instagram.com/loveandsciencefertility/] FB: www.facebook.com/profile.php?id=61553692167183 [https://www.facebook.com/profile.php?id=61553692167183] Please don’t let infertility have the final word. We are here to take the burden from you so that you can achieve your goal of building your family with confidence and compassion. I’m rooting for you always. In Gratitude, Dr. Erica Bove