Just because you're getting periods, right, you can be getting periods into your 50s,

it does not mean that you're able to get pregnant. The quality of your egg is so far reduced

that it would not translate into a healthy pregnancy.

Hey everybody. What's going on? Welcome back to the Macro Hour. And today, I am joined with Dr.

Knopman. Is that how I pronounce it? Yeah, that was perfect.

She is double board certified reproductive endocrinologist. She is a director of fertility preservation at the CCRM

fertility in New York and the author of her upcoming book, Own Your Fertility. She's also known as

the Queen of Egg freezing. She combines leading edge science with a deeply human approach to reproductive care,

to helping women better understand these hormonal shifts that we all experience and that in a ways of how they impact fertility.

And including the often overlooked stage of paramedopause.

So I'm excited that you're here,

Jamie, Dr. Jamie, welcome to the show. Thank you so much for having me. You're welcome.

Like I said, before we even like hit record, I'm just stoked to pick your brain on this topic.

But before we even dive into the buckets that I want to navigate with you, can you share what

first led you? Like, why, why this space? What led you into reproductive endocrinology and women's

fertility in the first place? Yeah, sure. So I knew I wanted to be a doctor since I was eight years

old in the second grade. I read this book about Elizabeth Blackwell and I was like first female

physician in the U.S. and I was like, that's what I want to do. I thought when I got to med school,

I knew I wanted to do women's health. I thought it was probably going to be like breast cancer

surgery. But then after going through rotations, I realized I just really wanted women's health,

not necessarily anything surgical and went into the field of OBGYN. I was fascinated by hormones and how the whole system

worked. I used to say it was like watching the Philharmonic, right? Like all the conductor, the brain

...