Fertility Collapse: Why It’s Harder Than Ever to Have a Baby

Oct 13

Today I’m joined by Dr. Natalie Crawford, a board-certified OB/GYN, reproductive endocrinologist, and co-founder of Fora Fertility, for a deep conversation on women’s health, fertility, and the future of reproductive medicine.

We explore Dr. Crawford’s personal journey and what she learned as both a patient and physician, and how those experiences transformed the way she cares for others. From AMH testing and egg freezing to cycle tracking and environmental toxins, Dr. Crawford breaks down what women need to know about fertility at every stage of life.

She also shares her perspective on why infertility rates are rising, the overlooked role of inflammation and lifestyle, and how to proactively approach testing and treatment. We talk about birth control myths, PCOS, declining sperm counts, and why fertility is one of the most important markers of overall health.

Chapters:

00:00 – Introduction

02:15 – Dr. Crawford’s personal fertility journey & miscarriages

07:07 – Discovering inflammation, toxins & celiac connection

09:56 – Rising infertility rates & sperm count decline

12:18 – Cycle tracking, wearables & hormone testing

15:11 – AMH testing & why it’s controversial

20:14 – Fertility testing, anatomy & semen analysis

26:26 – Patient stories & whole-body fertility approach

34:17 – Environmental toxins & endocrine disruptors

40:09 – Egg quality, biological age & lifestyle factors

46:28 – Advanced strategies: red light therapy, IVF testing, add-ons