This episode explores fertility issues and concerns, primarily addressing listener questions. The podcast host, Dr. Natalie Crawford, a board-certified OBGYN and fertility physician, answers questions about cystic fibrosis and its implications for male infertility, including the condition CBAVD (congenital bilateral absence of the vas deferens). More significantly, she discusses the optimal treatment for hydrosalpinx before IVF, advocating for salpingectomy or proximal tubal occlusion over fluid aspiration, except in rare cases of severe pelvic scarring. For instance, a caller's experience highlights the challenges of finding information about CBAVD and the lack of insurance coverage for related testing and procedures. As the discussion pivots to egg freezing, Dr. Crawford explains the factors influencing egg maturity and retrieval, emphasizing the importance of individualized protocols and considering factors like AMH levels and prior hormonal treatments. Finally, the episode addresses the use of fertility supplements during pregnancy, recommending a cautious approach and focusing on essential nutrients like prenatal vitamins, vitamin D, and omega-3 fatty acids, while advising against inositol and other supplements unless medically indicated. This means for listeners seeking fertility support, a personalized approach is crucial, considering individual medical history and seeking multiple opinions when necessary.
