Latest / The Trauma Therapist / Holistic Fertility Care with Gabriela Rosa

Transcript

Holistic Fertility Care with Gabriela Rosa · The Trauma Therapist

0:00
Speaker 1: Welcome to the Trauma Theriver's podcast. My name is Gamiferson
0:03
Speaker 1: and I interview incredible people who share the story of
0:07
Speaker 1: how trauma has shaped their lives. And a big thank
0:10
Speaker 1: you for sponsoring today's episode goes to my guest and
0:13
Speaker 1: our sponsors Kody five four three two one. Our folks,
0:24
Speaker 1: welcome back to the podcast. Very excited to have as
0:26
Speaker 1: Mike us today. Gabriella Rosa. Gabriella, welcome, Thank you so
0:33
Speaker 1: much for having me, guys.
0:34
Speaker 2: It's lovely to be here.
0:35
Speaker 1: O of the Rosa Institute, the world's first entirely virtual
0:39
Speaker 1: and holistic fertility clinic. She's a Harvard trained fertility specialist
0:43
Speaker 1: who has spent decades not only treating the biological side
0:47
Speaker 1: of reproductive health, but also holding space for the psychological
0:50
Speaker 1: pain that comes with it. Her clinical insights are matched
0:53
Speaker 1: by her deep empathy for what our patients go through
0:56
Speaker 1: and her belief that we need to start calling this
0:58
Speaker 1: what it is, trauma that deserves to be witnessed and
1:02
Speaker 1: treated with compassion. I love that, Gabriella. Before we get
1:07
Speaker 1: going show with the listeners, where you're from originally and
1:10
Speaker 1: where you are currently. Then we'll dive in.
1:15
Speaker 2: So I was born in Brazil, i was raised in Australia,
1:20
Speaker 2: and I've lived in Boston for a few years now,
1:23
Speaker 2: so I've lived in other places too. It's just so
1:26
Speaker 2: happens that when people ask me where are you from,
1:28
Speaker 2: I'm like, I have to literally stop and think, It's like,
1:31
Speaker 2: where am I from?
1:34
Speaker 1: How does this start? For you? How did all this begin?
1:41
Speaker 2: It started a long time ago. Two thousand and one
1:44
Speaker 2: is when I graduated and thought that I would change
1:46
Speaker 2: the world by helping people have healthy babies. And it
1:51
Speaker 2: was really interesting because how it started is certainly not
1:54
Speaker 2: how it's going, you know, because what ended up happening
1:58
Speaker 2: was that in the beginning, I used to have patients
2:02
Speaker 2: who would come to me just wanted to prepare, and
2:04
Speaker 2: in fact, I think that was more my focus. You
2:06
Speaker 2: know that I was young, I was a new graduate.
2:10
Speaker 2: I didn't really know kind of, you know, exactly the
2:15
Speaker 2: focus that I was going to my career was going
2:18
Speaker 2: to take. And it wasn't even you know, I was
2:20
Speaker 2: about to say the career, the focus that I was
2:22
Speaker 2: going to give my career, And the truth is that
2:25
Speaker 2: it was the people who showed up in my rooms
2:28
Speaker 2: that gave me the focus that my career ended up
2:30
Speaker 2: taking because when I first started in my decision to
2:35
Speaker 2: support people who wanted to have healthy babies, I was
2:38
Speaker 2: very much thinking about preconception preparation, you know, and what
2:43
Speaker 2: it is that people needed to do as a couple
2:46
Speaker 2: unit to be able to get their bodies healthy, to
2:50
Speaker 2: be able to get their gammy so to speak, you know,
2:54
Speaker 2: to be the best possible to be able to create
2:56
Speaker 2: a baby. About ten years into doing that, I have
3:00
Speaker 2: a lady that is referred in my rooms who basically
3:04
Speaker 2: has been trying to get pregnant for ten years. She
3:09
Speaker 2: essentially had been told she had had multiple filed IDF cycles.
3:12
Speaker 2: She had been told that, you know, getting older, it's
3:15
Speaker 2: probably your eggs. The reality was that it was much
3:18
Speaker 2: more than juerr eggs. There were lots of things that
3:21
Speaker 2: were going on. And as much as I felt kind
3:24
Speaker 2: of out of my depth at that point, and I
3:26
Speaker 2: did tell her that, I said, listen, I don't know
3:28
Speaker 2: that what I do is going to really be the
3:30
Speaker 2: thing that's going to support you to have the baby
3:33
Speaker 2: that you want, but let's try and see what happens.
3:38
Speaker 2: I can certainly help to improve your health. And so
3:40
Speaker 2: based on that agreement, we decided to move forward about
3:43
Speaker 2: four months three and a half. Four months later, she
3:45
Speaker 2: was pregnant for the first time in ten years, naturally
3:48
Speaker 2: with her own eggs. So that to me was like
3:52
Speaker 2: a big kind of life. Is this real? Truly? Yeah.
4:00
Speaker 2: I was treating her as a naturopathic doctor, and I
4:03
Speaker 2: was supporting naturopathy. We focused very much on the physical, emotional, mental,
4:09
Speaker 2: spiritual aspects of a being. And I already had framework,
4:15
Speaker 2: you know, process that I was kind of helping people
4:18
Speaker 2: with so that I didn't forget things. I had kind
4:20
Speaker 2: of like, for lack of a better way to describe it,
4:23
Speaker 2: a master checklist, you know that I basically used to
4:26
Speaker 2: go through and really kind of make sure have all
4:29
Speaker 2: of these things being checked. And so once she got pregnant,
4:33
Speaker 2: I was dubious. I was skeptical of that result. And
4:36
Speaker 2: I really thought, like, lad, I, you know, it's it's
4:46
Speaker 2: so easy to brush it off as kind of like
4:53
Speaker 2: got pregnant. It was lucky, she got lucky, you know,
4:57
Speaker 2: she finally got lucky and she got pregnant. It just
5:00
Speaker 2: so happened that the association was that I was in
5:03
Speaker 2: her life at that time, So that was kind of
5:06
Speaker 2: what I brushed it off to and somebody there in
5:09
Speaker 2: a few months after her taked to me with nineteen
5:12
Speaker 2: years of the fertility. It's very similar story the f
5:17
Speaker 2: cycles that failed, other treatments that had failed. And at
5:20
Speaker 2: this point I was I was kind of less unwilling
5:23
Speaker 2: to take her on because the first lady I was
5:25
Speaker 2: kind of unwilling. I was like, look, I don't know.
5:28
Speaker 2: I actually tried to convince her not to be treated
5:31
Speaker 2: by me. She's like, no, no, no, I'm going to
5:35
Speaker 2: give up anyway, so you might as well treat me.
5:38
Speaker 2: So I was like, okay, alright, let's do this. And
5:40
Speaker 2: so the second lady, I was kind of like, look,
5:43
Speaker 2: I don't know if this is going to happen for
5:45
Speaker 2: you in terms of treatment, if that's going to be
5:47
Speaker 2: enough after everything you've been through. But there is this
5:50
Speaker 2: lady that I just treated that got pregnant after ten years,
5:53
Speaker 2: so we may as well be going to go and
5:55
Speaker 2: see what happens. So went about five months later, this
5:59
Speaker 2: woman is praying. I'm like, okay, this sounds like a
6:04
Speaker 2: this is a big coincidence, and even so I am
6:07
Speaker 2: going to shift what I do right now. And that
6:11
Speaker 2: was the pivot point for me because what I learned
6:14
Speaker 2: or what I experienced with these two women because they
6:18
Speaker 2: had completely this detached themselves from the need for the outcome.
6:26
Speaker 2: They basically they didn't have that level of anxiety and
6:31
Speaker 2: desperation that is so hard in this kind of situation
6:37
Speaker 2: when you're treating people who you know in that first year.
6:41
Speaker 2: It's hard to treat people in that first year because
6:44
Speaker 2: the look the second one was absolutely like she was
6:52
Speaker 2: dragged in my office by her husband, like she didn't
6:55
Speaker 2: even want to be there. She was rude. She was
6:57
Speaker 2: just like, oh my god, really sit here and look
7:00
Speaker 2: at this woman's face. That was kind of the feeling
7:03
Speaker 2: that I had, you know, And I have to take
7:06
Speaker 2: put if so I said, listen, if you don't want
7:08
Speaker 2: to do this, you don't have to so, but you
7:10
Speaker 2: have to decide, like I'm not going to waste my
7:12
Speaker 2: time or yours by you kind of being half in
7:15
Speaker 2: half out. So and I'll call it with my patience,
7:18
Speaker 2: I have always called it like I'm not you know,
7:21
Speaker 2: kind of I have to step on the eggshells with
7:25
Speaker 2: them because even though I find that people appreciate even
7:28
Speaker 2: though they've gone through so much, and there is a
7:32
Speaker 2: high chance that they may be disappointed, you know, when
7:37
Speaker 2: they go through fertility treatment out there in the world,
7:40
Speaker 2: because seventy one percent of IVF cycles fail. But it
7:45
Speaker 2: is literally that high. And this is a population data,
7:48
Speaker 2: which means that people have been conditioned to expect that
7:53
Speaker 2: they will go through fertility treatment after they've been through
7:57
Speaker 2: a couple of cycles and it might not work. So
8:01
Speaker 2: it's one of those things that you know, and it's
8:03
Speaker 2: very different because it's very interesting how different stages of
8:07
Speaker 2: the journey, and now I've seen it all, I can
8:09
Speaker 2: really very much delineate people at different stages in that journey.
8:15
Speaker 2: But this couple just very finished, quickly finishing this story.
8:19
Speaker 2: When basically we finally actually got to it, I treated
8:23
Speaker 2: them and they got pregnant, you know, and I was
8:26
Speaker 2: at that point really what was really interesting for me
8:30
Speaker 2: was the fact that they didn't have that desperation, that
8:34
Speaker 2: high level anxiety of like, oh my god, if this
8:37
Speaker 2: doesn't work, my life was going to be over, you know.
8:40
Speaker 2: And so at that moment I decided, Okay, you know what,
8:44
Speaker 2: even if this treatment wasn't the thing that made them pregnant,
8:49
Speaker 2: right and again, remember this is way before my thesis,
8:53
Speaker 2: my master's thesis, and our data, you know, our study
8:56
Speaker 2: and all of that, and I'll talk about that in
8:58
Speaker 2: a moment. But so at that point, I really didn't
9:01
Speaker 2: know if this was the thing that was working. And
9:03
Speaker 2: so I decided though, that from that moment onwards, I
9:07
Speaker 2: was going to call out only to people who had
9:11
Speaker 2: been trying for two years or more, who typically had
9:16
Speaker 2: failed through IVF, who had experienced miscarriages, and who really
9:20
Speaker 2: had been struggling to have a baby for more than
9:23
Speaker 2: two years. And so after those two women, why that
9:27
Speaker 2: was what I spent the next ten years doing. Is like,
9:32
Speaker 2: because at the two year mark, I realized that they
9:35
Speaker 2: weren't so desperate and it was more of this kind
9:40
Speaker 2: of like and also I like a challenge, you know,
9:43
Speaker 2: it's kind of like it's much for me. It has
9:47
Speaker 2: always been much more interesting when it's a very difficult
9:50
Speaker 2: and very complex case. And so that I can kind
9:53
Speaker 2: of dive deep into.
9:57
Speaker 1: I want you to talk a little bit about and
9:59
Speaker 1: then we're going to get more into detail, how why
10:01
Speaker 1: this topic subject? Why this for you?
10:08
Speaker 2: So you know, it's really funny because I just knew
10:14
Speaker 2: when I was graduating, you know, and it was funny
10:18
Speaker 2: because I used to work for an obstitucian gynacologist and
10:21
Speaker 2: at the time I was thinking, you know, we used
10:24
Speaker 2: to get all these cute babies coming into the office,
10:26
Speaker 2: and I used to get lovely cuddles, and so, you know,
10:30
Speaker 2: the moms used to go in for their six week
10:31
Speaker 2: post natal check up, and it was the receptionist that
10:35
Speaker 2: used to have to take care of the baby whilst
10:37
Speaker 2: they were screaming and crying whilst the mother was you know,
10:40
Speaker 2: in the in the rooms, and so it was just
10:43
Speaker 2: really lovely because usually they would stop crying when they
10:46
Speaker 2: were held, and then by the time the mom came out,
10:49
Speaker 2: they were either asleep or kind of settled, and then
10:52
Speaker 2: I could give them back. So that was really really lovely.
10:55
Speaker 2: And so I thought, in my ignorance that if I
10:59
Speaker 2: special in pediatrics, I wanted to specialize in something. I
11:02
Speaker 2: knew that I wanted to master a topic, and I
11:04
Speaker 2: didn't really care at the time what it was going
11:07
Speaker 2: to be, but I just knew that I wanted to
11:09
Speaker 2: be the best in the world at something, and pediatrics
11:13
Speaker 2: was that kind of like, oh, it's interesting, But then
11:17
Speaker 2: my boss, there's something to me that I will never forget,
11:20
Speaker 2: he goes Gabriella, that is the worst idea you've ever had.
11:23
Speaker 2: Your patient will not be your patient. Your patient is
11:25
Speaker 2: the parent of your patient, and your patient can't speak. No,
11:29
Speaker 2: that's a bad idea. I'm like, oh, yes, you have
11:32
Speaker 2: a very good point. So I went back to kind
11:35
Speaker 2: of scratch, so to speak, and started to rethink what
11:38
Speaker 2: else could I do? And my other consideration, I guess,
11:43
Speaker 2: is that I really wanted to make an impactful difference
11:46
Speaker 2: that was lasting, a sort of legacy, you know, and
11:52
Speaker 2: I felt that babies had something to do with that.
11:55
Speaker 2: And then I realized that, okay, you know, one way
11:58
Speaker 2: to make the world a better place is making it
12:00
Speaker 2: one healthier baby at a time. And that was kind
12:03
Speaker 2: of the thing that just, I don't know, delusion, whatever
12:07
Speaker 2: you call it. It was just a thing that made
12:10
Speaker 2: me kind of go, Actually, I can see myself having
12:14
Speaker 2: this conversation for the next twenty years, you know, As
12:17
Speaker 2: it turns out, it's been twenty five, you know, so far,
12:21
Speaker 2: and it's being a conversation that has kept me going
12:25
Speaker 2: and that I've developed new interests and new passion for
12:29
Speaker 2: it at different stages for different reasons, you know. So
12:32
Speaker 2: I've had to kind of like really reconnect with the
12:36
Speaker 2: why of what I do what I do many times
12:39
Speaker 2: in those twenty five years, as I'm sure anybody who
12:43
Speaker 2: has been in any career, you know, in one career.
12:45
Speaker 2: I mean, by these days, a child at twenty five
12:48
Speaker 2: has had twenty five careers, you know. So it's like,
12:52
Speaker 2: we don't know that it's going to be very similar
12:54
Speaker 2: for everybody moving on from here, but certainly for people
12:58
Speaker 2: who have had one career for a very long time time,
13:00
Speaker 2: you know that you have to kind of spark that
13:04
Speaker 2: passion in some other way, you know. And for me
13:07
Speaker 2: it was through doing different degrees and learning different things
13:10
Speaker 2: and adding to my ability to demonstrate results at the
13:16
Speaker 2: level that we do, which is literally we only treat
13:18
Speaker 2: couples who have been trying to conceive or have experienced
13:22
Speaker 2: in fertility or failed treatments on average actually for four years.
13:29
Speaker 2: And so that was the result of my master's thesis
13:32
Speaker 2: at Harvard when I did my master's with public health there,
13:34
Speaker 2: that was what I did. I actually dove deep into
13:37
Speaker 2: doing studying my own program, and it turned out that
13:40
Speaker 2: even though in the beginning with those two women that
13:44
Speaker 2: I realized that Okay, actually this does work. We had
13:48
Speaker 2: the study had a cohort of five hundred and forty
13:50
Speaker 2: four patients, and we were able to demonstrate a seventy
13:53
Speaker 2: eight point eight percent live birth rate, most of which
13:57
Speaker 2: were natural conceptions. So forty seven point seven of those
14:00
Speaker 2: was natural conception. So that and you know, almost fifty
14:05
Speaker 2: percent had experienced failed IF treatments before coming to us,
14:10
Speaker 2: and fifty one point five had experienced miscarriages before coming
14:13
Speaker 2: to us. So and even though most people were told
14:16
Speaker 2: you need donor egg, only five point six percent actually did.
14:20
Speaker 2: So what was really interesting is that when I look
14:23
Speaker 2: back at young Gabriella, you know, at the beginning of
14:27
Speaker 2: these two cases, that I thought, well, I don't know
14:29
Speaker 2: if this is enough. Now I know it's everything they need,
14:32
Speaker 2: you know, so I'm likely in a very different place
14:35
Speaker 2: from that perspective. But it's just really it's it's really
14:38
Speaker 2: heartwarming actually to look at the journey from that lens,
14:41
Speaker 2: because I don't actually stop to do that very often.
14:45
Speaker 2: And what we've been able to do, it's been quite
14:48
Speaker 2: a fascinated journey.
14:49
Speaker 1: To feel the passion you have for this. But we
14:53
Speaker 1: we're we got what the hell are you doing differently.
14:57
Speaker 1: So let me let me behold on before we have that.
15:00
Speaker 3: Yeah, set the stage for us. We've got you're a
15:03
Speaker 3: naturopathic physician. Okay, so obviously or not. I mean, we've
15:11
Speaker 3: got what allopathic doctors on one end medicine on one.
15:16
Speaker 1: Set the stage for us. What's the difference?
15:18
Speaker 2: Yeah, yeah, and yeah sure. So basically, you know, the
15:23
Speaker 2: journey for couples who are struggling to conceive in twenty
15:28
Speaker 2: twenty five is very much and I really truly hope
15:31
Speaker 2: that's why I actually went to do my doctorate because
15:34
Speaker 2: I want to change the healthcare system because it is
15:37
Speaker 2: so broken, especially for people who are struggling to conceive.
15:41
Speaker 2: And I'll explain why, but basically, what happens when people
15:46
Speaker 2: are infertility is the only diagnosis that is self reported
15:50
Speaker 2: based on time. So all that you need to be
15:54
Speaker 2: considered quote unquote and fertile is you've been trying for
15:56
Speaker 2: twelve months. You go to your doctor and you say,
15:59
Speaker 2: I've been trying to have a baby for the last
16:00
Speaker 2: twelve months and it hasn't happened. So at that point
16:03
Speaker 2: in the three to five minute consultation you are going
16:07
Speaker 2: to have, they're going to hand you over a referral
16:10
Speaker 2: and you're going to see either an endoctrinologist or a
16:14
Speaker 2: IVF doctor or a gynecologist, someone who basically is going
16:19
Speaker 2: to do some more tests in terms of fertility, typically
16:22
Speaker 2: for the woman, it should be for both partners because
16:25
Speaker 2: fertility is a team sport and it's a fifty to
16:27
Speaker 2: fifty equation. So that's the first thing that I do differently,
16:32
Speaker 2: is I treat couples. I don't treat just one person, Okay,
16:37
Speaker 2: so yeah, I treat both partners. That's the first thing,
16:41
Speaker 2: and that is a critical critical piece of why we
16:44
Speaker 2: get the kinds of results we do. So then once
16:49
Speaker 2: they go to that appointment, literally what's going to happen
16:51
Speaker 2: next is that they're going to be told, look, you
16:54
Speaker 2: know you're getting older, you need IVF, you need to
16:55
Speaker 2: hurry up, you're running out of time, and so they're
16:58
Speaker 2: going to ibfy. Nine have started IVF cycles, and mind you,
17:03
Speaker 2: a huge percentage of people don't go into IVF because
17:05
Speaker 2: they can't afford it, so they're looking for other options.
17:09
Speaker 2: But twenty nine percent of IVF cycles that are started
17:13
Speaker 2: yield a baby at the end of it. So if
17:17
Speaker 2: seventy one percent fail Okay, So what happens at that
17:21
Speaker 2: point people are literally told it's a numbers game. Better
17:25
Speaker 2: like next time, we were learning your body. This time,
17:28
Speaker 2: now listen, if you're going to learn my body, don't
17:30
Speaker 2: charge me twenty thousand dollars for your trial and error.
17:33
Speaker 2: You know, So like, let's figure out a better way
17:36
Speaker 2: for you to learn my body. But that's a whole
17:39
Speaker 2: other story. And so basically what ends up happening is
17:43
Speaker 2: that once they go and do that cycle and it
17:46
Speaker 2: hasn't worked, they're usually just told exactly those things and
17:49
Speaker 2: told to go into another cycle. Now, population data shows
17:53
Speaker 2: us there was a study that was publishing Human reproduction
17:55
Speaker 2: and was one hundred and seventy eight thousand cycles, and
17:59
Speaker 2: it's shows that on average, in order to get close
18:02
Speaker 2: to an eighty percent life birth rate, they needed eight cycles.
18:08
Speaker 2: Eight cycles. Now, I don't know who wants to experience
18:12
Speaker 2: three miscarriages before they get investigated or have eight cycles
18:17
Speaker 2: to get pregnant. Like the people who literally have reports
18:22
Speaker 2: self report infertility go into an AVF cycle and have
18:26
Speaker 2: a baby from that are very very rare. But that's
18:29
Speaker 2: what we see publicized in the media, right, That's what
18:33
Speaker 2: we see. So people expect that they're going to go
18:36
Speaker 2: into IVFIN, they're going to end up with a baby,
18:37
Speaker 2: like they literally equate those two things, and it's not
18:41
Speaker 2: an equal equation, right, It literally is not. And so
18:46
Speaker 2: that's also the part where I do things very differently.
18:51
Speaker 2: I want to know what is making you need AVF
18:54
Speaker 2: to begin with. If five VF has failed, I want
18:57
Speaker 2: to know why, what are the obstacles that have left
19:00
Speaker 2: to that outcome, Because usually when we're talking about inability
19:04
Speaker 2: to conceive, inability to keep a healthy pregnancy to term,
19:08
Speaker 2: those are results of many biochemical chain reactions that start
19:13
Speaker 2: way upstream, and so what ends up happening is that
19:17
Speaker 2: when we are trying to address those issues by just
19:21
Speaker 2: focusing on getting the egg and the sperm together hoping
19:25
Speaker 2: for a baby, it fails more than it succeeds. Whereas
19:29
Speaker 2: the place of leverage that we have to optimize those
19:32
Speaker 2: gamings is really much much much sooner. And it is
19:36
Speaker 2: not just about the egg. It's about the egg and
19:39
Speaker 2: the sperm. Because forty percent of the reasons why infertility, miscarriage,
19:43
Speaker 2: fil treatments happen is because of male factor. Forty percent
19:46
Speaker 2: is because of female factor, and twenty percent is because
19:49
Speaker 2: of embryonic factors and others. But you know, that's really
19:52
Speaker 2: what it comes down to, is that there is a
19:55
Speaker 2: misclassification of the problem. Okay in steam therapy. So basically
20:02
Speaker 2: what happens is that people are told you have infertility. Okay, why,
20:07
Speaker 2: oh it's unexplained. Excuse me? In what planet do you
20:14
Speaker 2: fix a problem you don't know you have? Right, and
20:16
Speaker 2: hence fire, the results aren't as great as they could be.
20:19
Speaker 2: And so again I've turned that on its head. I
20:23
Speaker 2: want to find what are the obstacles. I want to
20:25
Speaker 2: define the problem. I want to have proper diagnoses, diagnoses
20:29
Speaker 2: and diagnostic tests. I want to really understand what is
20:33
Speaker 2: getting in the way so that we can then actually
20:36
Speaker 2: figure out what is going to be the best strategy.
20:38
Speaker 2: Because you can line up ten men with low sperm
20:42
Speaker 2: orphology utility account and you can have ten different reasons
20:45
Speaker 2: as to why, and usually it's all very generic.
20:48
Speaker 1: I realized this podcast biochemistry and so forth of fertility.
20:56
Speaker 1: But stepping back a little bit, you said you treat
21:00
Speaker 1: the couple, how do you how what does that mean
21:06
Speaker 1: to treat the man in this sense?
21:09
Speaker 2: Yeah, that's a great question. Yeah, So The first thing
21:13
Speaker 2: is that I look at where are they at, Like literally,
21:16
Speaker 2: I want to understand what's happening. What are their exposures,
21:20
Speaker 2: what are the things that they're doing, What are the
21:22
Speaker 2: things that they're not doing that they need to be doing,
21:25
Speaker 2: you know. So really I'm taking a very in depth
21:28
Speaker 2: case of just to give you an idea. Our initial
21:32
Speaker 2: intake questionnaire is fifty pages. I'm asking everything from how
21:36
Speaker 2: they commute to work, because if a guy commutes on
21:40
Speaker 2: a cycle or a motorcycle in peak out traffic, I
21:44
Speaker 2: know pollution is going to be a problem. I know
21:47
Speaker 2: heat to the testicles is going to be a problem.
21:49
Speaker 2: I know that there's obviously an increased risk of other
21:52
Speaker 2: aspects that are going to impact him in terms of
21:54
Speaker 2: you know, possible accidents, stress, you know, all of those things.
21:58
Speaker 2: So just by asking the question of how do you
22:01
Speaker 2: commute to work and how long do you commute for,
22:05
Speaker 2: I have an immense amount of information about his exposures
22:08
Speaker 2: in the day to day and so then I can say, oh, Rash,
22:12
Speaker 2: is this somewhere where we need to intervene or is
22:14
Speaker 2: it not? And sometimes it is and sometimes it isn't.
22:17
Speaker 2: For one man, it might be that he sits on
22:19
Speaker 2: a tractor engine because he's a farmer in a field
22:24
Speaker 2: that has been sprayed with pesticides, and you know, and
22:29
Speaker 2: he's literally heating up his testicles all day long. Those
22:33
Speaker 2: factors are absolutely going to be a major factor and
22:36
Speaker 2: a major problem. And of course the recommendations for someone
22:39
Speaker 2: like that is going to be very different to someone
22:41
Speaker 2: who takes the ferry to work. You know, so who
22:46
Speaker 2: is having a different scenery, who's in the ocean, who
22:49
Speaker 2: is you know, kind of not having to worry about
22:52
Speaker 2: traffic and being you know, not run over by other
22:56
Speaker 2: motorists and whatever else. So can you see that just
23:00
Speaker 2: in that there are multiple possibilities, and then you take
23:05
Speaker 2: that and your times are by a million inputs because
23:10
Speaker 2: there's so many different things that we're doing all day
23:12
Speaker 2: today that we don't even think about picking up the
23:15
Speaker 2: receipts that you get from the cashier that is laden
23:19
Speaker 2: with BPA, this fannel a and other bis fannels and
23:22
Speaker 2: thaltes and all of those things that are demonstrated to
23:26
Speaker 2: be endocrime disruptors and imbalance hormones and negatively impact equality
23:30
Speaker 2: sperm quality. Now, if you are a cashier and you're
23:33
Speaker 2: holding that all day every day, and then you're touching
23:36
Speaker 2: your face, you're touching your hair, you are covered in
23:40
Speaker 2: under crime disruptors all day long. So you see, in
23:44
Speaker 2: the most indefensive places, we need to be aware of
23:48
Speaker 2: where do those exploders come from? And that is just
23:51
Speaker 2: a tip of the iceberg of what people are exposed to.
23:54
Speaker 2: Because then there are the actionable items that people actually
23:58
Speaker 2: engage in. Some people eat McDonald's seven days a week.
24:03
Speaker 2: Other people have a vegan organic you know, in which
24:06
Speaker 2: vegan organic is also a problem if I diet that
24:11
Speaker 2: you know, don't get enough protein. Other people have a
24:14
Speaker 2: good Meriterranean diet like you know, So then you have
24:17
Speaker 2: to kind of figure out, okay, what are all of
24:19
Speaker 2: the components that make up this human being? As a
24:23
Speaker 2: first question, what is it that is the twenty percent
24:27
Speaker 2: of the effort that is going to give us eighty
24:30
Speaker 2: percent of a result? And here we're trying to look
24:32
Speaker 2: at changing systems like not just you know, oh you
24:36
Speaker 2: need to eat this food. It's not that. It's about okay,
24:40
Speaker 2: how can we structure a life around not having to
24:44
Speaker 2: think about the things you need to do? So then
24:47
Speaker 2: we're looking at building new systems to figure out how
24:50
Speaker 2: do we fit into those systems in a way that
24:52
Speaker 2: actually optimizes our health, fertility, emotional wellbeing, you know, et cetera.
24:57
Speaker 2: And then we're also looking at at the diagnostics, the
25:02
Speaker 2: labs and the additional tests, which you know, if you
25:05
Speaker 2: go to a GP to go to tell them that
25:07
Speaker 2: you're infertile, they will have to do four tests, and
25:10
Speaker 2: only four tests. They need to check for the patiency
25:13
Speaker 2: of the Filippine troops to see that they're clear. They
25:15
Speaker 2: need to make sure that a woman is ovulating, so
25:17
Speaker 2: they will do a progesterone test, and you know how
25:20
Speaker 2: accurate that is it is another question. They will then
25:22
Speaker 2: have to look at the uterests to see canny carry
25:24
Speaker 2: a pregnancy to term. And then finally, if the partner
25:29
Speaker 2: is there, there will be the recommendation to do a
25:31
Speaker 2: semen analysis. But usually the partner is not there, and
25:34
Speaker 2: so what happens is that they're told her, you know,
25:36
Speaker 2: your husband probably needs a semin analysis. The woman goes
25:39
Speaker 2: home and says to her husband, you need a semen analysis.
25:41
Speaker 2: He'll go nah, right, and so it's like, well, actually,
25:47
Speaker 2: yeah you do. And you know, so then after those
25:53
Speaker 2: three or four tests, they're basically told, we've done all
25:57
Speaker 2: the tests and everything is normal. There is no bigger lie.
26:02
Speaker 2: There is no bigger lie. And it's not because the
26:05
Speaker 2: doctor is trying to be malicious or you know, it's
26:09
Speaker 2: because the guideline that they received from their professional association
26:13
Speaker 2: then from the healthcare system is these are the only
26:16
Speaker 2: things you need to check. As long as you've checked that,
26:18
Speaker 2: you've done your job. Wow.
26:19
Speaker 1: Wow, wow, it's broken, to say the least. We don't
26:25
Speaker 1: have a lot of time, but I'm speaking with Gabriella Rosa,
26:28
Speaker 1: a founder and CEO of the Rosa Institute, the world's
26:31
Speaker 1: first entirely virtual and holistic fertility clinic. Let's talk a
26:36
Speaker 1: little bit about that. How did that come about?
26:43
Speaker 2: It came about from me realizing that I didn't have
26:46
Speaker 2: sixty patient facing patient hours a week anymore. After I've
26:50
Speaker 2: had my first child, and I was very much in
26:55
Speaker 2: a situation where my kid did not sleep for more
26:58
Speaker 2: than twenty minutes or an hour and minutes all the
27:00
Speaker 2: way through the day and night for the first nine
27:02
Speaker 2: months of his life. And so I was like, who
27:05
Speaker 2: am I? What is my name again? I forget and
27:10
Speaker 2: I realized that, okay, I can't keep the pace that
27:13
Speaker 2: I was able to keep when before he was born.
27:16
Speaker 2: You know, I used to literally start work at five
27:18
Speaker 2: point thirty, you know, six o'clock in the morning and
27:21
Speaker 2: go for the next ten or eleven hours and do
27:23
Speaker 2: that six days a week. And and so that made
27:28
Speaker 2: me really question, one, do I continue doing what I'm doing?
27:32
Speaker 2: That was that was at one point was definitely a question.
27:36
Speaker 2: I remember it was about three months two months, three
27:39
Speaker 2: months into having had him, that I'm thinking, I don't
27:43
Speaker 2: know that I can keep doing life like this, you know,
27:46
Speaker 2: like continue running a practice, continue And I actually thought
27:50
Speaker 2: of shutting down my practice for you know, like a moment,
27:54
Speaker 2: and my mom goes, don't be crazy, don't do that.
27:56
Speaker 2: I'm like, what, Like, I thought that you would want
27:59
Speaker 2: me to take care of my child. She goes, you
28:01
Speaker 2: know what, your child will grow and you know they
28:05
Speaker 2: will leave, and then what what are you left with?
28:08
Speaker 2: I'm like, oh, my god. My mother. By the way,
28:11
Speaker 2: she's a primary school teacher for thirty five years of
28:14
Speaker 2: five year olds, right, and so she is no nonsense,
28:19
Speaker 2: like she is that woman you know, like, don't you
28:24
Speaker 2: there do with me? She's hardcore, and so you know
28:28
Speaker 2: when she were like, well, she just had that to me.
28:30
Speaker 2: I'm thinking that she's going to coddle me, and like,
28:32
Speaker 2: you know, go oh it's okay. I'm like she's like no,
28:35
Speaker 2: I'm like, oh god. But it was the best thing
28:38
Speaker 2: that she did. It was, you know, because she she
28:41
Speaker 2: literally made me see that that is true. You know.
28:44
Speaker 2: You now, I'm so grateful and thankful that I didn't
28:48
Speaker 2: make that and my son is thirteen and literally driving
28:52
Speaker 2: me insane. Jake, I love you. If you ever watched
28:56
Speaker 2: this or listen to this, I still love you, you know.
29:00
Speaker 2: But it was It's just one of those really funny
29:02
Speaker 2: things that you know, I realized, all right, I need
29:05
Speaker 2: to do something else. So I decided to pivot entirely
29:08
Speaker 2: into I already had fifty percent of the people who
29:11
Speaker 2: were coming to me were literally calling into the clinic,
29:14
Speaker 2: not coming into the clinic, and so I'm like literally
29:17
Speaker 2: on the cord a telephone, you know, those old things.
29:20
Speaker 2: And so basically that was when I decided that, well,
29:23
Speaker 2: that makes no sense for me to have to get
29:25
Speaker 2: dressed up, put it on, makeup, do all of these things.
29:28
Speaker 2: And at the time, the conversions of technology with the
29:32
Speaker 2: ability to like reach people at a much cheaper rage.
29:35
Speaker 2: I don't know if you remember, but you know, like
29:37
Speaker 2: in the nineties used to cost like twenty five dollars
29:39
Speaker 2: a minutes to call overseas. These you know, by twenty twelve,
29:45
Speaker 2: twenty thirteen, we had a situation where Skype was making
29:49
Speaker 2: calling overseas virtually free, and so that was the opportunity
29:53
Speaker 2: that I saw of going, all right, these people are
29:56
Speaker 2: not coming in. I am a host partum speeding mother
30:01
Speaker 2: who can't even remember her name and needs to work
30:05
Speaker 2: less hours. And luckily I could still remember my work.
30:09
Speaker 2: But it was just like, you know, it was really
30:12
Speaker 2: a very difficult time for me, and I did not
30:15
Speaker 2: care if it was going to fail. I was just like,
30:17
Speaker 2: you know what, if this thing breaks down, shut down,
30:20
Speaker 2: Like at that point, I just didn't care because I
30:22
Speaker 2: was so exhausted. And that was a great gift and blessing.
30:29
Speaker 4: Yeah, exactly exactly, And I was really at that place,
30:36
Speaker 4: and because I wanted that place, I couldn't care less
30:38
Speaker 4: if it worked, if it didn't work, Like I was
30:40
Speaker 4: just like, you know what, I just need to get
30:41
Speaker 4: a night sleep.
30:43
Speaker 2: I don't really care what else goes on after that,
30:46
Speaker 2: And so I did that and it worked, and I
30:49
Speaker 2: was like, oh my god. And then all of a
30:51
Speaker 2: sudden we were seeing people from all over the world.
30:53
Speaker 2: We were running the Fertility Challenge program, which is a
30:55
Speaker 2: free educational program to thousands of people. We were like,
31:00
Speaker 2: it just completely changed everything. And then I just decided that, Okay,
31:04
Speaker 2: this is a good idea. So I've really focused heavily
31:08
Speaker 2: on creating the process deliberately as a result of like
31:12
Speaker 2: it just happening to me. And now it's been over
31:17
Speaker 2: two hundred and four thousand people in more than one
31:20
Speaker 2: hundred and eleven countries, and it's it's being you know,
31:26
Speaker 2: an interesting journey that's.
31:28
Speaker 1: Breakthrough overcoming infertility and recurrenments one of them. Yes, we'll
31:34
Speaker 1: have that linked up here at the Sooners page, but
31:37
Speaker 1: as we kind of want.
31:38
Speaker 2: Yes, And by the way, guy, just so you know,
31:42
Speaker 2: the book is free on Spotify and YouTube, so people
31:46
Speaker 2: can listen to it. They can for free and all that.
31:50
Speaker 2: It's available also in booksellers, but you know, I made
31:53
Speaker 2: it free because I've really wanted people to be able
31:55
Speaker 2: to have access to the information that can transform their life,
31:58
Speaker 2: and so they can go and search it in those places.
32:01
Speaker 1: More about you and what you're doing.
32:06
Speaker 2: They can go to Fertility breaksthrough dot com or they
32:10
Speaker 2: can google me, which is Gabriella Rosa. Gabriello is g
32:13
Speaker 2: A B R I E L A R O s
32:16
Speaker 2: A Gabriella Rosa type Gabriella versa. On Google. You will
32:19
Speaker 2: find me for sure if you add fertility bonus points
32:22
Speaker 2: to you. And and really, fertility Breakthrough dot com is
32:27
Speaker 2: the portal to all the things. And I'm in every
32:29
Speaker 2: social media platform, so they'll find it there.
32:32
Speaker 1: To your passion is seriously and your humor is just infectious, and.
32:39
Speaker 2: I yeah, you're You're so nice to be here.
32:43
Speaker 1: Thank you so much for being here. All right, we'll
32:46
Speaker 1: be in touch.
32:48
Speaker 2: Thank you,