30/07/2026
Most couples labeled "unexplained" were never given a full investigation in the first place.
In a conventional fertility workup, the focus is often narrow. Ovulation. Tubes. Basic semen analysis.
But fertility is a whole body process & the environment your egg, s***m, and uterus develop in matters.
Here are the areas I almost always investigate deeper with my clients.
👉🏻Gut health
Hidden gut infections, dysbiosis, and chronic inflammation can disrupt hormone signaling and immune balance needed for implantation.
👉🏻Uterine microbiome
The uterus is not sterile. An imbalanced microbiome or chronic endometritis can interfere with embryo implantation and early development.
👉🏻Iron regulation
Ferritin alone does not tell the whole story. Iron overload or poor regulation can increase oxidative stress that affects egg quality and the uterine environment.
👉🏻Insulin sensitivity
Many women are told their blood sugar is "normal" because glucose or A1c look fine. But fasting insulin, HOMA IR, and triglyceride patterns often reveal metabolic stress that impacts ovulation and implantation.
👉🏻Sperm DNA fragmentation
A basic semen analysis can look "normal" while underlying DNA damage in s***m increases miscarriage risk and lowers embryo quality.
👉🏻Endocrine disruptors
Microplastics, BPA, phthalates, and other environmental chemicals interfere with hormone signaling and mitochondrial function in egg and s***m.
👉🏻Chronic sleep deprivation
Your reproductive hormones depend on circadian rhythm. Poor sleep increases inflammation, cortisol, and insulin resistance.
👉🏻Mineral depletion
Minerals regulate energy production, thyroid signaling, blood sugar, and inflammatory balance. When these are depleted, the body may not feel safe supporting pregnancy.
When these pieces are addressed, subtle shifts in physiology can completely change fertility outcomes.
"Unexplained" often just means unexplored.
If you're tired of guessing and ready to learn how to work with your body to get pregnant, comment READY.