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As a Woman

Unexplained Infertility: What It Is and What to Do Next

As a Woman

Natalie Crawford

Health & Fitness, Medicine

4.81.1K Ratings

🗓️ 11 November 2025

⏱️ 40 minutes

🧾️ Download transcript

Summary

Dr. Natalie Crawford, board-certified OBGYN and REI discusses the frustrating and often confusing world of unexplained infertility. If you’ve been told “everything looks normal” yet you’re still struggling to conceive, you’re not alone, and you deserve real answers. In this episode, Dr. Crawford breaks down what unexplained infertility really means, why so many couples receive this diagnosis, and what you can do to move forward with clarity, confidence, and hope. Key Topics:  1. The Fertility Puzzle - Why "normal" test results don't tell the whole story - Hidden factors affecting conception - Breaking down the medical mystery 2. Body's Hidden Inflammation - How silent inflammation impacts fertility - Everyday factors that disrupt reproductive health - Simple ways to calm your body's internal storm 3. Beyond Traditional Testing - What doctors aren't seeing in standard fertility exams - The role of egg and sperm quality - Advanced approaches to understanding fertility challenges 4. Empowering Your Fertility Journey - Lifestyle changes that make a difference - When to consider advanced treatments - Taking control of your reproductive health Pre-order Dr. Crawford's debut book, The Fertility Formula, now! ⁠https://www.nataliecrawfordmd.com/book⁠ Want to receive my weekly newsletter? Sign up at ⁠⁠⁠⁠nataliecrawfordmd.com/newsletter⁠⁠⁠⁠ to receive updates, Q&A, special content, and freebies If you haven’t already, please rate, review, and follow the podcast to be notified of new episodes every Tuesday. Plus, be sure to follow along on Instagram ⁠⁠⁠⁠@nataliecrawfordmd,⁠⁠⁠⁠ check out Natalie’s YouTube channel Natalie Crawford MD⁠⁠⁠⁠, and if you're interested in becoming a patient, check out ⁠⁠⁠⁠Fora Fertility. Join the Learn at Pinnacle app ⁠to earn FREE CE Credit for listening to this episode! This episode is brought to you by The Pinnacle Podcast Network! Learn more about Pinnacle at learnatpinnacle.com  Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript

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0:00.0

Imagine going through months or years of trying to get pregnant,

0:02.7

only to be told that everything is normal and you're still not getting pregnant.

0:07.0

That's the reality for up to 30% of couples struggling with infertility.

0:10.8

I always like to say, hey, unexplained, it doesn't mean that everything's normal.

0:15.3

In fact, it means the exact opposite.

0:17.7

It puts you into a harder category.

0:20.3

The right answer of, oh, it's unexplained,

0:22.9

everything's normal, you should just keep trying as you have been, is actually the opposite approach

0:28.1

to what I think we should be doing. And I think the messaging that this sends to patients is really

0:32.7

harmful because our words do matter.

0:40.2

Welcome back to the As a Woman podcast.

0:44.9

I'm your host, Dr. Natalie Crawford, and today we are breaking down one of the most frustrating diagnosis in reproductive medicine, unexplained infertility.

0:49.2

In this episode, we'll talk about what unexplained infertility really means and what it

0:53.5

doesn't.

0:55.3

Why getting this diagnosis can feel so discouraging, but why there's still hope. And the steps that you can take to move

1:00.7

forward with clarity and confidence and what I recommend you do if you have unexplained

1:04.8

infertility. So if you've ever been told your test results are normal, everything looks fine,

1:09.3

but you're still not getting pregnant.

1:15.6

This is the conversation for you. I will admit, as a fertility doctor, unexplained infertility is one of my least favorite things, and I think it needs a complete rebrand,

1:20.4

because it is extremely frustrating. By definition, let's go over that first. This means that

1:26.8

you've come in for a standard fertility

1:28.7

evaluation and the top causes of infertility or the things that we can easily test for are

...

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