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As a Woman

Why Failing First No Longer Works for Fertility

As a Woman

Natalie Crawford

Medicine, Health & Fitness

4.81.1K Ratings

🗓️ 14 April 2026

⏱️ 24 minutes

🧾️ Download transcript

Summary

In this solo episode, Dr. Natalie Crawford pulls back the curtain on why the current fertility system asks women to “fail first” before offering help and why she’s no longer accepting that as the norm. Drawing from both her professional experience and personal journey through infertility and pregnancy loss, she shares the deeper “why” behind her new book, The Fertility Formula. This conversation isn’t about fear, it’s about giving women the information they were never taught and the power to make decisions before time makes them for them. If fertility is finite, then understanding it sooner isn’t optional, it’s essential. What You’ll Learn: The surprising shift in reproductive statistics that makes the traditional "wait 12 months" rule a dangerous relic of the past. The specific 90-day biological window where your daily choices directly influence egg and sperm quality before conception. Why your menstrual cycle is actually a "top vital sign" and what its nuances reveal about your long-term longevity. The invisible biological mechanism where chronic inflammation "hijacks" your reproductive potential and how to lower that burden. The critical difference between genetic "luck" and the metabolic factors you can actually control to change your fertility outcome. Resources: Order The Fertility Formula! ⁠https://www.nataliecrawfordmd.com/book⁠ Newsletter: nataliecrawfordmd.com/newsletter Instagram: @nataliecrawfordmd Youtube Channel: Natalie Crawford MD Interested in becoming a patient?: Fora Fertility Earn FREE CE/CME: Learn at Pinnacle App This episode is brought to you by The Pinnacle Podcast Network.  Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript

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0:00.0

Today, the fertility formula is finally available.

0:03.0

We have to take a step back and think about medicine and preventive care and how it exists.

0:07.0

It exists to serve people and populations and not individuals.

0:11.0

The reality is I'm sick of the current narrative of fertility, that you have to fail first before you even qualify for an evaluation.

0:19.0

Fertility is finite. Tell me how waiting until you have proven

0:24.2

failure makes sense anymore. Because it doesn't for me. This mentality has got to change. The belief that

0:29.6

waiting is normal, the struggle is required, and that help comes only after loss is exactly why I wrote

0:35.8

the book. Today, the fertility formula is finally

0:42.4

available. This is the book that I wish I had had when I went through infertility myself and

0:47.6

pregnancy loss. And this is the book that I wrote for all of my patients. And I'm so thankful for all

0:52.8

of your support and I'm so excited that you're going to be able to get it into your hands. The reality is I'm sick of my patients. And I'm so thankful for all of your support and I'm so excited that you're

0:54.9

going to be able to get it into your hands. The reality is I'm sick of the current narrative of

0:58.8

fertility, that you have to fail first before you even qualify for an evaluation. In almost every other

1:05.7

area of medicine, we believe in prevention. We screen for heart disease before you have a heart attack.

1:28.1

We check blood sugar before you get diabetes. But when it comes to your fertility, women are told to wait. To wait until you fail to get pregnant for 12 months. To wait until you've lost enough pregnancies to count. To wait until you're struggling or time is taken even more from you. And as somebody who went through this,

1:34.0

I know personally and professionally just how wrong and hurtful this thinking is. Fertility is one of the only areas of medicine, where you're asked to prove that you failed before we even

1:38.5

offer help. And I no longer accept that as the standard of care. Despite the fact that 50%

1:43.6

of infertilities due to male factors, we still also see that women carry the standard of care. Despite the fact that 50% of infertilities due to male

1:44.7

factors, we still also see that women carry the burden of reproduction. The belief that waiting

1:49.5

is normal, that struggle is required, and that help comes only after loss, is exactly why I wrote

1:55.4

the book. Not to create fear, but to create a better model of care, one that is based on information, prevention,

2:01.8

and choice. So I'm so excited for you to finally get the fertility formula. So why do women have to

...

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