Latest / The Iconic Midlife with Roxy Manning / Your Fertility After 40: Myths, Misunderstandings, and Realities with Dr. Shahin Ghadir

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Your Fertility After 40: Myths, Misunderstandings, and Realities with Dr. Shahin Ghadir · The Iconic Midlife with Roxy Manning

• 0:00
  Better
• 0:00
  to
• 0:00
  have
• 0:00
  one
• 0:01
  egg
• 0:01
  frozen
• 0:01
  than
• 0:02
  no
• 0:02
  egg.
• 0:02
  I
• 0:02
  had
• 0:03
  a
• 0:03
  patient
• 0:03
  once
• 0:03
  who
• 0:03
  was
• 0:04
  able
• 0:04
  to
• 0:04
  have
• 0:04
  one
• 0:05
  egg
• 0:05
  come
• 0:05
  out
• 0:05
  of
• 0:06
  her
• 0:06
  and
• 0:06
  that
• 0:06
  was
• 0:07
  her
• 0:07
  beautiful
• 0:07
  baby.
• 0:07
  That's
• 0:08
  so
• 0:08
  nice.
• 0:09
  She
• 0:09
  tells
• 0:10
  me,
• 0:10
  I
• 0:10
  know
• 0:10
  my
• 0:10
  chance
• 0:11
  of
• 0:11
  success
• 0:11
  is
• 0:11
  less
• 0:11
  than
• 0:12
  1%,
• 0:12
  but
• 0:13
  I'm
• 0:13
  willing
• 0:13
  to
• 0:14
  try.
• 0:14
  People
• 0:15
  should
• 0:15
  really
• 0:15
  take
• 0:16
  their
• 0:16
  health
• 0:16
  into
• 0:16
  their
• 0:17
  own
• 0:17
  hands
• 0:17
  and
• 0:18
  make
• 0:18
  that
• 0:18
  move
• 0:18
  and
• 0:19
  go
• 0:19
  to
• 0:19
  the
• 0:19
  doctor.
• 0:19
  Are
• 0:20
  there
• 0:20
  things
• 0:20
  that
• 0:21
  they
• 0:21
  can
• 0:21
  do
• 0:22
  to
• 0:22
  increase
• 0:22
  their
• 0:23
  chances
• 0:23
  of
• 0:23
  fertility?
• 0:24
  You
• 0:25
  want
• 0:25
  to
• 0:25
  make
• 0:25
  sure
• 0:25
  that
• 0:25
  you're
• 0:26
  taking
• 0:26
  your
• 0:26
  prenatal,
• 0:27
  you're
• 0:27
  taking
• 0:27
  your
• 0:28
  omega
• 0:28
  3s,
• 0:29
  the
• 0:29
  DHA,
• 0:30
  you're
• 0:30
  taking
• 0:31
  your
• 0:31
  methylated
• 0:32
  folates.
• 0:32
  Is
• 0:33
  that
• 0:33
  like
• 0:34
  a
• 0:34
  vitamin
• 0:34
  or
• 0:34
  a
• 0:34
  supplement
• 0:35
  that
• 0:35
  you
• 0:35
  could
• 0:35
  continue
• 0:36
  to
• 0:36
  take
• 0:36
  after
• 0:37
  you've
• 0:37
  had
• 0:37
  your
• 0:38
  baby?
• 0:38
  You
• 0:39
  know,
• 0:39
  it's
• 0:39
  really
• 0:39
  emotionally
• 0:40
  taxing
• 0:41
  at
• 0:41
  some
• 0:41
  point.
• 0:41
  How
• 0:41
  does
• 0:42
  she
• 0:42
  protect
• 0:42
  her
• 0:42
  mental
• 0:43
  and
• 0:43
  emotional
• 0:44
  health?
• 0:44
  If
• 0:45
  you
• 0:45
  have
• 0:45
  no
• 0:46
  emotional
• 0:47
  support
• 0:48
  from
• 0:48
  your
• 0:48
  doctor,
• 0:49
  then
• 0:49
  you
• 0:49
  are
• 0:50
  in
• 0:50
  the
• 0:50
  wrong
• 0:50
  place.
• 0:51
  My
• 0:52
  team
• 0:52
  gives
• 0:53
  so
• 0:53
  much
• 0:54
  love
• 0:55
  and
• 0:55
  are
• 0:56
  so
• 0:56
  compassionate
• 0:57
  and
• 0:57
  caring
• 0:57
  to
• 0:58
  my
• 0:58
  patients.
• 0:59
  Decades
• 0:59
  from
• 1:00
  now,
• 1:00
  people
• 1:00
  in
• 1:01
  their
• 1:01
  20s,
• 1:01
  it's
• 1:01
  going
• 1:01
  to
• 1:01
  be
• 1:01
  a
• 1:02
  part
• 1:02
  of
• 1:02
  a
• 1:02
  normal
• 1:03
  part
• 1:03
  of
• 1:03
  being
• 1:03
  a
• 1:03
  female.
• 1:04
  Finish
• 1:04
  college,
• 1:05
  freeze
• 1:05
  your
• 1:05
  eggs,
• 1:06
  move
• 1:06
  on.
• 1:06
  It's
• 1:07
  a
• 1:07
  graduation
• 1:07
  gift
• 1:07
  to
• 1:08
  give
• 1:08
  yourself.
• 1:08
  Huh?
• 1:13
  Okay,
• 1:14
  real
• 1:14
  talk.
• 1:15
  When
• 1:15
  it
• 1:15
  comes
• 1:15
  to
• 1:15
  fertility
• 1:16
  in
• 1:16
  midlife,
• 1:17
  there
• 1:17
  is
• 1:17
  so
• 1:17
  much
• 1:17
  confusion
• 1:18
  out
• 1:18
  there.
• 1:19
  From
• 1:19
  social
• 1:20
  media
• 1:20
  myths
• 1:21
  to
• 1:21
  to
• 1:21
  outdated
• 1:21
  advice.
• 1:22
  It
• 1:22
  can
• 1:23
  feel
• 1:23
  like
• 1:23
  no
• 1:23
  one's
• 1:23
  telling
• 1:24
  women
• 1:24
  the
• 1:24
  truth
• 1:25
  about
• 1:25
  their
• 1:25
  options
• 1:26
  or
• 1:26
  the
• 1:26
  urgency
• 1:27
  until
• 1:27
  it's
• 1:28
  too
• 1:28
  late.
• 1:28
  That
• 1:29
  ends
• 1:29
  today.
• 1:30
  My
• 1:30
  guest
• 1:30
  is
• 1:31
  Dr.
• 1:31
  Shaheen
• 1:31
  Ghadir,
• 1:32
  a
• 1:33
  world
• 1:33
  renowned
• 1:33
  fertility
• 1:34
  specialist,
• 1:35
  founding
• 1:35
  partner
• 1:36
  of
• 1:36
  Southern
• 1:36
  California
• 1:37
  Reproductive
• 1:38
  center,
• 1:38
  and
• 1:39
  someone
• 1:39
  who
• 1:39
  has
• 1:39
  helped
• 1:40
  thousands
• 1:40
  of
• 1:40
  women,
• 1:40
  celebrities
• 1:41
  included,
• 1:42
  navigate
• 1:43
  the
• 1:43
  most
• 1:43
  personal,
• 1:44
  high
• 1:44
  stakes
• 1:44
  decisions
• 1:45
  of
• 1:45
  their
• 1:45
  lives.
• 1:46
  We're
• 1:46
  talking
• 1:47
  freezing
• 1:47
  eggs,
• 1:48
  kids
• 1:48
  getting
• 1:48
  pregnant
• 1:48
  in
• 1:48
  your
• 1:49
  40s,
• 1:49
  hormone
• 1:50
  truth
• 1:50
  bombs,
• 1:51
  and
• 1:51
  the
• 1:51
  emotional
• 1:52
  weight
• 1:52
  of
• 1:52
  wanting
• 1:53
  a
• 1:53
  baby.
• 1:53
  When
• 1:53
  time
• 1:54
  feels
• 1:54
  stacked
• 1:55
  against
• 1:55
  you.
• 1:56
  Whether
• 1:56
  you're
• 1:56
  child
• 1:56
  free
• 1:57
  by
• 1:57
  choice,
• 1:58
  thinking
• 1:58
  about
• 1:58
  solo
• 1:59
  motherhood,
• 1:59
  or
• 2:00
  trying
• 2:00
  to
• 2:00
  beat
• 2:00
  the
• 2:01
  clock
• 2:01
  with
• 2:01
  science
• 2:01
  on
• 2:02
  your
• 2:02
  side,
• 2:03
  this
• 2:03
  episode
• 2:03
  is
• 2:04
  required
• 2:04
  listening.
• 2:05
  So
• 2:06
  let's
• 2:06
  get
• 2:06
  into
• 2:06
  it.
• 2:07
  Well,
• 2:08
  welcome
• 2:09
  to
• 2:09
  the
• 2:09
  iconic
• 2:09
  midlife.
• 2:10
  How
• 2:10
  are
• 2:10
  you
• 2:11
  doing
• 2:11
  today?
• 2:12
  I'm
• 2:12
  doing
• 2:12
  really
• 2:13
  well
• 2:13
  and
• 2:13
  I'm
• 2:13
  excited
• 2:13
  to
• 2:14
  be
• 2:14
  here.
• 2:14
  Oh,
• 2:15
  good.
• 2:15
  I'm
• 2:16
  so
• 2:16
  excited
• 2:16
  to
• 2:17
  talk
• 2:17
  to
• 2:17
  you
• 2:17
  because
• 2:17
  as
• 2:18
  you
• 2:18
  can
• 2:18
  imagine,
• 2:19
  fertility
• 2:20
  is
• 2:20
  such
• 2:20
  a
• 2:21
  big
• 2:21
  issue
• 2:21
  for
• 2:22
  midlife
• 2:22
  women.
• 2:23
  And
• 2:23
  once
• 2:23
  you
• 2:23
  hit
• 2:23
  40,
• 2:24
  I
• 2:24
  feel
• 2:25
  like,
• 2:25
  you
• 2:25
  know,
• 2:25
  the
• 2:25
  things
• 2:26
  start
• 2:26
  going
• 2:26
  through
• 2:26
  your
• 2:27
  head
• 2:27
  if
• 2:27
  maybe
• 2:28
  you've
• 2:28
  wanted
• 2:28
  to
• 2:28
  have
• 2:29
  children
• 2:29
  but
• 2:30
  you
• 2:30
  haven't
• 2:30
  gotten
• 2:31
  there
• 2:31
  yet
• 2:31
  or
• 2:31
  you
• 2:31
  haven't
• 2:31
  met
• 2:32
  the
• 2:32
  right
• 2:32
  person,
• 2:32
  or
• 2:33
  you're
• 2:33
  just
• 2:33
  trying
• 2:33
  to
• 2:33
  figure
• 2:33
  out,
• 2:34
  like
• 2:34
  how
• 2:34
  to
• 2:34
  do
• 2:34
  it
• 2:35
  sort
• 2:35
  of
• 2:36
  on
• 2:36
  your
• 2:36
  Own.
• 2:36
  So
• 2:37
  I
• 2:37
  wanted
• 2:37
  to
• 2:37
  get,
• 2:38
  you
• 2:38
  know,
• 2:38
  your
• 2:39
  take
• 2:39
  on
• 2:39
  what
• 2:40
  fertility
• 2:40
  after
• 2:41
  40
• 2:41
  looks
• 2:41
  like.
• 2:42
  Um,
• 2:43
  and,
• 2:43
  you
• 2:43
  know,
• 2:44
  just
• 2:44
  to
• 2:44
  kind
• 2:44
  of
• 2:44
  start
• 2:44
  things
• 2:45
  off,
• 2:45
  you
• 2:45
  know,
• 2:45
  I
• 2:46
  feel
• 2:46
  like
• 2:46
  there
• 2:46
  are
• 2:47
  so
• 2:47
  many,
• 2:47
  like,
• 2:47
  myths
• 2:48
  and,
• 2:48
  you
• 2:49
  know,
• 2:49
  half
• 2:49
  truths
• 2:50
  and
• 2:50
  things
• 2:50
  that
• 2:50
  kind
• 2:51
  of
• 2:51
  fly
• 2:51
  around
• 2:51
  that,
• 2:52
  you
• 2:52
  know,
• 2:52
  people
• 2:53
  really
• 2:53
  want
• 2:53
  to
• 2:53
  get
• 2:53
  clear
• 2:54
  on.
• 2:54
  So
• 2:56
  just
• 2:56
  to
• 2:56
  start
• 2:56
  it
• 2:57
  out,
• 2:57
  like
• 2:57
  for
• 2:57
  a
• 2:57
  woman,
• 2:58
  let's
• 2:58
  say
• 2:58
  she's
• 2:59
  40
• 2:59
  or
• 2:59
  40
• 3:00
  plus,
• 3:01
  how
• 3:01
  likely
• 3:02
  is
• 3:02
  a
• 3:03
  woman
• 3:03
  at
• 3:03
  that
• 3:03
  stage
• 3:04
  in
• 3:04
  life
• 3:05
  going
• 3:06
  to
• 3:06
  be
• 3:06
  to
• 3:07
  get
• 3:07
  pregnant
• 3:08
  naturally?
• 3:09
  This
• 3:09
  is
• 3:10
  an
• 3:10
  incredibly
• 3:10
  important
• 3:11
  topic.
• 3:12
  Women
• 3:12
  over
• 3:12
  the
• 3:12
  age
• 3:13
  of
• 3:13
  40
• 3:13
  are
• 3:14
  now
• 3:15
  a
• 3:15
  large
• 3:15
  population
• 3:17
  of
• 3:17
  pregnancies.
• 3:18
  Women
• 3:19
  are
• 3:19
  no
• 3:19
  longer
• 3:19
  having
• 3:20
  that
• 3:20
  many
• 3:21
  kids
• 3:21
  in
• 3:21
  their
• 3:21
  20s.
• 3:22
  We
• 3:23
  know
• 3:23
  some
• 3:23
  women
• 3:23
  are
• 3:24
  starting
• 3:24
  in
• 3:24
  their
• 3:24
  30s,
• 3:25
  but
• 3:25
  they're
• 3:25
  also
• 3:25
  starting
• 3:26
  a
• 3:26
  lot
• 3:26
  of
• 3:26
  their
• 3:26
  careers
• 3:27
  in
• 3:27
  their
• 3:27
  30s.
• 3:28
  So
• 3:28
  it's
• 3:28
  complicated.
• 3:29
  Many,
• 3:30
  many
• 3:30
  women
• 3:31
  walking
• 3:31
  into
• 3:31
  my
• 3:31
  office
• 3:32
  are
• 3:32
  very
• 3:33
  interested
• 3:33
  in
• 3:33
  having
• 3:34
  children
• 3:34
  in
• 3:34
  their
• 3:34
  40s.
• 3:35
  And
• 3:35
  the
• 3:36
  chance
• 3:36
  of
• 3:36
  having
• 3:37
  a
• 3:37
  healthy
• 3:37
  pregnancy
• 3:38
  after
• 3:39
  the
• 3:39
  age
• 3:39
  of
• 3:39
  40
• 3:40
  falls
• 3:40
  to
• 3:40
  be
• 3:40
  under
• 3:41
  10%.
• 3:42
  When
• 3:42
  a
• 3:42
  woman
• 3:43
  is
• 3:43
  20
• 3:43
  years
• 3:44
  old,
• 3:44
  it
• 3:45
  has
• 3:45
  been
• 3:45
  known
• 3:45
  that
• 3:46
  90%
• 3:47
  of
• 3:47
  her
• 3:47
  eggs
• 3:47
  are
• 3:48
  good
• 3:48
  and
• 3:48
  10%
• 3:49
  are
• 3:49
  bad.
• 3:50
  That
• 3:50
  statistic
• 3:51
  reverses
• 3:52
  by
• 3:52
  the
• 3:52
  time
• 3:52
  you're
• 3:53
  40,
• 3:53
  where
• 3:54
  90%
• 3:54
  of
• 3:55
  your
• 3:55
  eggs
• 3:55
  are
• 3:55
  bad
• 3:55
  and
• 3:55
  only
• 3:56
  10%
• 3:56
  are
• 3:57
  good.
• 3:57
  So
• 3:57
  making
• 3:58
  pregnancy
• 3:58
  very,
• 3:59
  very
• 3:59
  challenging
• 3:59
  for
• 4:00
  some
• 4:00
  people.
• 4:00
  Now
• 4:01
  we
• 4:01
  always
• 4:02
  hear
• 4:02
  of
• 4:02
  that
• 4:02
  woman
• 4:02
  that
• 4:03
  got
• 4:03
  pregnant
• 4:03
  at
• 4:03
  46
• 4:04
  or
• 4:04
  47,
• 4:05
  and
• 4:05
  you
• 4:05
  know,
• 4:05
  in
• 4:06
  her
• 4:06
  family,
• 4:06
  her
• 4:06
  grandmother
• 4:07
  had
• 4:07
  the
• 4:07
  baby
• 4:07
  at
• 4:08
  49.
• 4:09
  But
• 4:09
  those
• 4:09
  are
• 4:09
  really,
• 4:10
  really
• 4:11
  rare
• 4:11
  cases.
• 4:12
  And
• 4:12
  that's
• 4:13
  why
• 4:13
  we're
• 4:13
  here,
• 4:13
  to
• 4:14
  make
• 4:14
  sure
• 4:14
  that
• 4:14
  people
• 4:14
  think
• 4:15
  ahead,
• 4:16
  do
• 4:16
  everything
• 4:16
  they
• 4:16
  can,
• 4:17
  and
• 4:17
  know
• 4:17
  all
• 4:18
  of
• 4:18
  their
• 4:18
  challenges
• 4:19
  and
• 4:19
  choices
• 4:20
  that
• 4:20
  are
• 4:20
  going
• 4:20
  to
• 4:20
  be
• 4:20
  made
• 4:21
  to
• 4:21
  make
• 4:21
  this
• 4:21
  an
• 4:22
  easier
• 4:23
  transition.
• 4:24
  What
• 4:25
  do
• 4:25
  you
• 4:25
  think?
• 4:25
  Because
• 4:25
  I've
• 4:26
  heard,
• 4:26
  you
• 4:26
  know,
• 4:26
  different
• 4:27
  numbers,
• 4:27
  but
• 4:28
  generally
• 4:28
  speaking,
• 4:29
  I've
• 4:29
  heard
• 4:29
  the
• 4:30
  number
• 4:30
  35,
• 4:31
  like
• 4:31
  35
• 4:31
  years
• 4:32
  old
• 4:32
  is
• 4:32
  sort
• 4:32
  of
• 4:33
  the
• 4:34
  tipping
• 4:34
  point
• 4:34
  is
• 4:35
  between,
• 4:36
  you
• 4:36
  know,
• 4:36
  like
• 4:37
  being,
• 4:38
  having
• 4:38
  an
• 4:38
  easier
• 4:39
  time
• 4:39
  of
• 4:39
  getting
• 4:39
  pregnant
• 4:40
  naturally
• 4:41
  versus
• 4:41
  after.
• 4:42
  What
• 4:42
  do
• 4:43
  you
• 4:43
  think
• 4:43
  about
• 4:43
  that?
• 4:45
  So
• 4:45
  35
• 4:46
  changes.
• 4:47
  Lots
• 4:47
  of
• 4:47
  definitions
• 4:48
  put
• 4:48
  some
• 4:48
  people
• 4:49
  into
• 4:49
  the
• 4:49
  advanced
• 4:50
  maternal
• 4:50
  age
• 4:51
  category,
• 4:52
  but
• 4:52
  it
• 4:52
  is
• 4:52
  not
• 4:53
  a
• 4:53
  light
• 4:53
  switch.
• 4:54
  There
• 4:54
  are
• 4:54
  some
• 4:54
  people,
• 4:55
  we
• 4:55
  do
• 4:56
  know
• 4:56
  that
• 4:56
  statistics
• 4:56
  and
• 4:57
  studies
• 4:57
  have
• 4:57
  shown
• 4:58
  that
• 4:58
  from
• 4:59
  the
• 4:59
  age
• 4:59
  of
• 4:59
  26
• 5:00
  to
• 5:00
  28,
• 5:00
  that's
• 5:01
  when
• 5:01
  women
• 5:02
  start
• 5:02
  to
• 5:02
  have
• 5:02
  a
• 5:02
  decline
• 5:03
  in
• 5:03
  fertility.
• 5:04
  I
• 5:04
  have
• 5:04
  had
• 5:05
  patients
• 5:05
  of
• 5:05
  mine
• 5:05
  that
• 5:05
  came
• 5:06
  in
• 5:06
  at
• 5:06
  31,
• 5:07
  32,
• 5:07
  33
• 5:08
  and
• 5:08
  had
• 5:08
  an
• 5:09
  incredibly
• 5:09
  difficult
• 5:10
  time
• 5:10
  getting
• 5:10
  pregnant.
• 5:11
  And
• 5:11
  then
• 5:12
  I
• 5:12
  have
• 5:12
  had
• 5:12
  45
• 5:13
  year
• 5:13
  old
• 5:13
  women
• 5:13
  come
• 5:14
  in
• 5:14
  and
• 5:14
  it
• 5:14
  was
• 5:14
  easy.
• 5:15
  So
• 5:15
  when
• 5:15
  you
• 5:15
  say
• 5:16
  35,
• 5:16
  I
• 5:17
  think
• 5:17
  it's
• 5:17
  an
• 5:17
  average
• 5:19
  when
• 5:19
  some
• 5:20
  women
• 5:20
  begin
• 5:20
  to
• 5:21
  have
• 5:21
  difficulties,
• 5:22
  but
• 5:22
  everyone
• 5:23
  is
• 5:23
  on
• 5:23
  Their
• 5:23
  own
• 5:24
  timeline.
• 5:24
  And
• 5:24
  that's
• 5:25
  what
• 5:25
  I
• 5:25
  can't
• 5:25
  stress
• 5:26
  enough
• 5:26
  is
• 5:26
  that
• 5:26
  the
• 5:27
  importance
• 5:27
  of
• 5:28
  doing
• 5:28
  testing
• 5:29
  annually,
• 5:30
  discussing
• 5:30
  these
• 5:30
  things
• 5:31
  with
• 5:31
  your
• 5:31
  doctor,
• 5:32
  knowing
• 5:32
  where
• 5:33
  you
• 5:33
  stand,
• 5:34
  so
• 5:34
  there's
• 5:34
  not
• 5:34
  a
• 5:34
  big
• 5:35
  surprise
• 5:35
  hitting
• 5:35
  you
• 5:36
  at
• 5:36
  the
• 5:36
  wrong
• 5:36
  time.
• 5:37
  That's
• 5:37
  also
• 5:37
  a
• 5:38
  good
• 5:38
  point.
• 5:38
  It's
• 5:38
  very
• 5:39
  individual,
• 5:39
  in
• 5:40
  other
• 5:40
  words.
• 5:40
  So,
• 5:40
  like,
• 5:41
  people
• 5:41
  should
• 5:42
  really
• 5:42
  take
• 5:42
  their
• 5:42
  health
• 5:43
  into
• 5:43
  their
• 5:43
  own
• 5:44
  hands
• 5:44
  and
• 5:44
  make
• 5:45
  that
• 5:45
  move
• 5:45
  and
• 5:45
  go
• 5:45
  to
• 5:45
  the
• 5:46
  doctor.
• 5:46
  And
• 5:47
  get
• 5:47
  these
• 5:47
  things
• 5:47
  tested
• 5:48
  100%.
• 5:50
  So
• 5:50
  what
• 5:51
  is.
• 5:51
  What
• 5:51
  is
• 5:51
  the
• 5:52
  woman
• 5:52
  asking
• 5:53
  for
• 5:53
  when
• 5:53
  she,
• 5:53
  let's
• 5:54
  say
• 5:54
  she's
• 5:54
  going
• 5:54
  into
• 5:54
  her
• 5:55
  OB
• 5:55
  GYN
• 5:55
  and
• 5:56
  she's
• 5:57
  thinking
• 5:57
  about
• 5:57
  having
• 5:57
  a
• 5:58
  baby.
• 5:58
  And
• 5:59
  are
• 5:59
  there
• 5:59
  certain
• 6:00
  tests
• 6:00
  that
• 6:01
  she
• 6:01
  should
• 6:01
  be
• 6:01
  asking
• 6:02
  for
• 6:02
  from
• 6:03
  her
• 6:03
  doctor?
• 6:04
  Absolutely.
• 6:05
  So
• 6:05
  some
• 6:05
  of
• 6:05
  the
• 6:06
  most
• 6:06
  important,
• 6:07
  telling
• 6:07
  your
• 6:08
  doctor,
• 6:08
  I
• 6:08
  am
• 6:08
  interested
• 6:09
  in
• 6:09
  fertility,
• 6:10
  even
• 6:10
  If
• 6:11
  I'm
• 6:11
  not
• 6:11
  100%
• 6:12
  sure
• 6:12
  when,
• 6:13
  and
• 6:13
  I'd
• 6:14
  love
• 6:14
  to
• 6:14
  do
• 6:14
  a
• 6:14
  fertility
• 6:15
  assessment.
• 6:16
  The
• 6:16
  fertility
• 6:16
  assessment
• 6:17
  should
• 6:18
  include
• 6:18
  a
• 6:19
  blood
• 6:19
  test
• 6:20
  called
• 6:20
  amh,
• 6:22
  anti
• 6:23
  mullerian
• 6:23
  hormone.
• 6:24
  The
• 6:25
  AMH
• 6:25
  hormone
• 6:26
  is
• 6:26
  released
• 6:27
  from
• 6:27
  the
• 6:27
  eggs
• 6:27
  in
• 6:27
  the
• 6:27
  body.
• 6:28
  So
• 6:28
  the
• 6:29
  more
• 6:29
  eggs
• 6:29
  you
• 6:29
  have,
• 6:30
  the
• 6:30
  more
• 6:30
  AMH
• 6:31
  will
• 6:31
  be
• 6:31
  on
• 6:31
  your
• 6:32
  blood
• 6:32
  test.
• 6:32
  The
• 6:33
  less
• 6:33
  eggs
• 6:33
  you
• 6:34
  have,
• 6:34
  the
• 6:34
  less
• 6:34
  AMH
• 6:35
  will
• 6:35
  be
• 6:35
  on
• 6:35
  your
• 6:36
  blood
• 6:36
  test.
• 6:36
  So
• 6:37
  that
• 6:37
  is
• 6:37
  a
• 6:37
  very,
• 6:37
  very
• 6:38
  important
• 6:38
  process.
• 6:40
  And
• 6:40
  also
• 6:41
  doing
• 6:41
  an
• 6:41
  ultrasound
• 6:42
  that
• 6:42
  looks
• 6:42
  at
• 6:43
  the
• 6:43
  ovary
• 6:44
  by
• 6:44
  looking,
• 6:44
  it's
• 6:45
  very.
• 6:45
  I
• 6:45
  try
• 6:45
  to
• 6:45
  explain
• 6:46
  this
• 6:46
  to
• 6:46
  patients
• 6:47
  in
• 6:47
  this
• 6:47
  way.
• 6:47
  When
• 6:47
  you
• 6:47
  look
• 6:47
  at
• 6:48
  someone's
• 6:48
  face
• 6:49
  and
• 6:49
  they
• 6:49
  have
• 6:49
  a
• 6:49
  lot
• 6:49
  of
• 6:50
  wrinkles,
• 6:50
  you
• 6:50
  can
• 6:51
  tell
• 6:51
  that
• 6:51
  person
• 6:51
  is
• 6:52
  older.
• 6:52
  When
• 6:53
  you
• 6:53
  look
• 6:53
  at
• 6:53
  someone's
• 6:53
  face
• 6:54
  and
• 6:54
  they
• 6:54
  have
• 6:54
  flawless
• 6:55
  skin,
• 6:55
  you're
• 6:55
  like,
• 6:55
  that
• 6:55
  person
• 6:56
  is
• 6:56
  very
• 6:56
  young.
• 6:57
  When
• 6:57
  I
• 6:58
  look
• 6:58
  at
• 6:58
  the
• 6:58
  ovary
• 6:58
  on
• 6:59
  ultrasound
• 6:59
  and
• 6:59
  it
• 7:00
  has
• 7:00
  a
• 7:00
  lot
• 7:00
  of
• 7:00
  these
• 7:00
  little
• 7:01
  bubbles
• 7:01
  called
• 7:02
  antral
• 7:02
  follicles,
• 7:03
  I
• 7:04
  know
• 7:04
  that
• 7:04
  that
• 7:04
  ovary
• 7:05
  is
• 7:05
  healthy
• 7:05
  and
• 7:05
  has
• 7:06
  a
• 7:06
  great
• 7:06
  reserve
• 7:07
  of
• 7:07
  eggs
• 7:07
  inside
• 7:08
  of
• 7:08
  it.
• 7:08
  When
• 7:09
  I
• 7:09
  look
• 7:09
  at
• 7:09
  an
• 7:09
  ovary
• 7:09
  on
• 7:10
  ultrasound
• 7:10
  and
• 7:10
  it
• 7:10
  has
• 7:11
  very
• 7:11
  few
• 7:11
  of
• 7:11
  these
• 7:12
  little
• 7:12
  bubbles
• 7:12
  on
• 7:12
  it,
• 7:13
  it
• 7:13
  tells
• 7:13
  me
• 7:13
  that
• 7:14
  that
• 7:14
  ovary
• 7:14
  has
• 7:14
  had
• 7:14
  a
• 7:15
  decline
• 7:15
  in
• 7:15
  its
• 7:15
  fertility
• 7:16
  and
• 7:16
  its
• 7:16
  egg
• 7:16
  reserve.
• 7:17
  So
• 7:18
  those
• 7:18
  are
• 7:18
  the
• 7:18
  two
• 7:19
  biggest
• 7:19
  things.
• 7:19
  One
• 7:20
  is
• 7:20
  looking
• 7:20
  at
• 7:20
  the
• 7:20
  ovary
• 7:21
  to
• 7:21
  see
• 7:21
  how
• 7:21
  youthful
• 7:21
  it
• 7:22
  looks,
• 7:22
  and
• 7:22
  one
• 7:22
  is
• 7:22
  the
• 7:23
  AMH
• 7:23
  level.
• 7:24
  There
• 7:24
  are
• 7:24
  also
• 7:24
  some
• 7:24
  blood
• 7:25
  tests
• 7:25
  that
• 7:25
  are
• 7:25
  done
• 7:25
  on
• 7:25
  day
• 7:26
  two
• 7:26
  or
• 7:26
  three
• 7:26
  of
• 7:26
  the
• 7:26
  period
• 7:28
  that
• 7:28
  are
• 7:28
  called
• 7:28
  FSH
• 7:29
  and
• 7:30
  estradiol
• 7:31
  and
• 7:31
  lh.
• 7:32
  These
• 7:32
  are
• 7:32
  all
• 7:33
  things
• 7:33
  that
• 7:33
  kind
• 7:33
  of
• 7:33
  give
• 7:33
  me
• 7:34
  more
• 7:34
  information.
• 7:34
  There's
• 7:35
  also
• 7:35
  some
• 7:35
  hormones
• 7:36
  like
• 7:36
  thyroid
• 7:36
  and
• 7:37
  prolactin
• 7:37
  that
• 7:38
  are
• 7:38
  indirectly
• 7:39
  related
• 7:39
  with
• 7:39
  fertility
• 7:40
  but
• 7:40
  still
• 7:41
  important.
• 7:41
  So
• 7:42
  all
• 7:42
  of
• 7:42
  these
• 7:42
  things
• 7:42
  are
• 7:43
  assessed
• 7:43
  whenever
• 7:43
  someone
• 7:44
  comes
• 7:44
  in
• 7:44
  as
• 7:44
  a
• 7:44
  consult.
• 7:45
  And
• 7:45
  most
• 7:46
  of
• 7:46
  them,
• 7:46
  I
• 7:47
  can
• 7:47
  say
• 7:47
  obese
• 7:48
  check.
• 7:49
  So
• 7:49
  your
• 7:49
  gynecologist
• 7:50
  should
• 7:50
  be
• 7:50
  able
• 7:51
  to
• 7:51
  check
• 7:51
  some
• 7:51
  of
• 7:51
  these
• 7:51
  things.
• 7:52
  Not
• 7:53
  every
• 7:53
  single
• 7:54
  OB
• 7:54
  GYN
• 7:55
  is
• 7:55
  excellent
• 7:55
  at
• 7:56
  understanding
• 7:57
  and
• 7:57
  comprehending
• 7:58
  and
• 7:58
  being
• 7:59
  able
• 7:59
  to
• 7:59
  give
• 7:59
  a
• 7:59
  patient
• 8:00
  some
• 8:00
  of
• 8:00
  the
• 8:00
  results
• 8:00
  of
• 8:01
  what
• 8:01
  it
• 8:01
  really
• 8:02
  means.
• 8:03
  So
• 8:03
  it's
• 8:03
  hard
• 8:03
  for
• 8:04
  them
• 8:04
  to
• 8:04
  kind
• 8:04
  of
• 8:04
  like
• 8:05
  relay
• 8:05
  it
• 8:05
  onto
• 8:06
  the
• 8:06
  patient.
• 8:07
  They
• 8:07
  don't
• 8:07
  do
• 8:07
  this
• 8:07
  every
• 8:08
  day.
• 8:08
  They're
• 8:08
  not
• 8:08
  fertility
• 8:09
  specialists.
• 8:10
  So
• 8:10
  that's
• 8:10
  why
• 8:10
  I
• 8:11
  tell
• 8:11
  people,
• 8:11
  if
• 8:11
  you
• 8:11
  have
• 8:11
  an
• 8:12
  opportunity
• 8:12
  of
• 8:12
  discussing
• 8:13
  all
• 8:13
  your
• 8:13
  options
• 8:14
  and
• 8:14
  doing
• 8:15
  this
• 8:15
  assessment
• 8:15
  with
• 8:15
  the
• 8:16
  fertility
• 8:16
  doctor,
• 8:16
  it's
• 8:17
  going
• 8:17
  to
• 8:17
  be
• 8:17
  much,
• 8:18
  much
• 8:18
  better
• 8:19
  than
• 8:19
  doing
• 8:20
  it
• 8:20
  with
• 8:20
  your
• 8:21
  ob
• 8:21
  gyn.
• 8:22
  Yeah,
• 8:22
  absolutely.
• 8:24
  So,
• 8:24
  you
• 8:24
  know,
• 8:24
  I
• 8:24
  think
• 8:25
  there's
• 8:25
  also
• 8:25
  a
• 8:25
  lot
• 8:25
  of
• 8:25
  confusion
• 8:26
  between
• 8:27
  the
• 8:27
  terminology.
• 8:28
  Right.
• 8:28
  So
• 8:28
  we
• 8:28
  hear
• 8:29
  ivf,
• 8:30
  iui,
• 8:31
  we
• 8:31
  hear
• 8:32
  egg
• 8:32
  freezing,
• 8:33
  embryo
• 8:34
  freezing.
• 8:34
  So
• 8:35
  can
• 8:35
  you
• 8:35
  walk
• 8:35
  us
• 8:35
  through
• 8:36
  that
• 8:36
  as
• 8:36
  it
• 8:36
  relates
• 8:37
  to
• 8:37
  kind
• 8:37
  of
• 8:37
  a
• 8:38
  midlife
• 8:38
  woman?
• 8:39
  Let's
• 8:39
  say
• 8:39
  she's
• 8:39
  like
• 8:40
  40
• 8:40
  plus.
• 8:41
  Is
• 8:41
  there,
• 8:42
  like,
• 8:42
  are
• 8:42
  there
• 8:42
  certain
• 8:42
  directions?
• 8:44
  Generally
• 8:44
  speaking,
• 8:45
  egg
• 8:45
  freezing
• 8:46
  is
• 8:46
  reserved
• 8:46
  for
• 8:46
  someone
• 8:47
  who
• 8:47
  does
• 8:47
  not
• 8:47
  have
• 8:47
  a
• 8:48
  partner
• 8:48
  or
• 8:49
  can
• 8:49
  make
• 8:49
  the
• 8:49
  decision
• 8:49
  on
• 8:50
  what
• 8:50
  to
• 8:50
  use
• 8:51
  to
• 8:51
  fertilize,
• 8:52
  like,
• 8:52
  sperm
• 8:53
  in
• 8:53
  the
• 8:53
  future.
• 8:54
  So
• 8:54
  if
• 8:54
  you're
• 8:55
  waiting
• 8:55
  for
• 8:55
  the
• 8:55
  right
• 8:56
  partner
• 8:56
  or
• 8:56
  trying
• 8:57
  to
• 8:57
  figure
• 8:57
  out
• 8:57
  what
• 8:57
  sperm
• 8:58
  to
• 8:58
  use,
• 8:59
  that's
• 8:59
  when
• 8:59
  you
• 8:59
  use.
• 9:00
  That's
• 9:00
  when
• 9:00
  you
• 9:00
  freeze
• 9:01
  just
• 9:01
  your
• 9:01
  eggs.
• 9:02
  Because
• 9:02
  once
• 9:02
  you
• 9:02
  put
• 9:02
  a
• 9:03
  sperm
• 9:03
  into
• 9:03
  an
• 9:04
  egg,
• 9:04
  then
• 9:04
  it's
• 9:05
  called
• 9:05
  an
• 9:05
  embryo,
• 9:06
  and
• 9:06
  there's
• 9:06
  no
• 9:06
  taking
• 9:07
  that
• 9:07
  sperm
• 9:07
  back
• 9:08
  out.
• 9:08
  So
• 9:09
  if
• 9:09
  you
• 9:10
  are
• 9:11
  40
• 9:11
  years
• 9:11
  old
• 9:11
  and
• 9:12
  you
• 9:12
  have
• 9:12
  not
• 9:13
  conceived,
• 9:14
  you're
• 9:14
  thinking
• 9:15
  there's
• 9:15
  a
• 9:15
  small
• 9:16
  chance
• 9:16
  you
• 9:16
  will,
• 9:17
  or
• 9:17
  you
• 9:17
  may
• 9:18
  want
• 9:18
  to,
• 9:18
  or
• 9:18
  you
• 9:19
  may
• 9:19
  change
• 9:19
  your
• 9:19
  mind.
• 9:20
  That's
• 9:20
  a
• 9:21
  perfect
• 9:21
  person
• 9:22
  to
• 9:22
  freeze
• 9:23
  their
• 9:23
  eggs
• 9:23
  if
• 9:23
  they're
• 9:23
  single.
• 9:25
  We
• 9:25
  have
• 9:25
  had
• 9:26
  many,
• 9:26
  many,
• 9:27
  many
• 9:27
  women
• 9:28
  freeze
• 9:28
  their
• 9:28
  eggs
• 9:29
  after
• 9:29
  the
• 9:29
  age
• 9:29
  of
• 9:29
  40.
• 9:30
  Some
• 9:31
  have
• 9:31
  done
• 9:31
  incredibly
• 9:32
  well.
• 9:32
  Sadly,
• 9:33
  not
• 9:33
  every
• 9:34
  single
• 9:34
  person
• 9:34
  who
• 9:34
  freezes
• 9:35
  their
• 9:35
  eggs
• 9:36
  over
• 9:36
  the
• 9:36
  age
• 9:36
  of
• 9:36
  40
• 9:37
  has
• 9:37
  a
• 9:37
  robust
• 9:38
  outcome.
• 9:39
  But
• 9:39
  we
• 9:40
  have
• 9:40
  had
• 9:40
  many
• 9:40
  people
• 9:41
  do
• 9:41
  very
• 9:42
  well.
• 9:43
  I
• 9:43
  have
• 9:43
  this.
• 9:44
  This
• 9:44
  theory
• 9:45
  in
• 9:45
  my
• 9:45
  head
• 9:45
  that
• 9:45
  it's
• 9:45
  better
• 9:46
  to
• 9:46
  have
• 9:46
  one
• 9:46
  egg
• 9:47
  frozen
• 9:47
  than
• 9:47
  no
• 9:47
  egg.
• 9:48
  Because
• 9:49
  I
• 9:49
  had
• 9:49
  a
• 9:49
  patient
• 9:50
  once
• 9:50
  who
• 9:50
  was
• 9:50
  able
• 9:51
  to
• 9:51
  have
• 9:51
  one
• 9:51
  egg
• 9:52
  come
• 9:52
  out
• 9:52
  of
• 9:52
  her,
• 9:53
  and
• 9:53
  that
• 9:53
  was
• 9:53
  her
• 9:53
  beautiful
• 9:54
  baby.
• 9:55
  The
• 9:55
  embryo,
• 9:56
  on
• 9:56
  the
• 9:56
  other
• 9:56
  hand,
• 9:56
  is
• 9:57
  better
• 9:57
  for
• 9:58
  partners.
• 9:59
  So
• 9:59
  if
• 9:59
  you.
• 9:59
  If
• 9:59
  there's
• 10:00
  a
• 10:00
  male
• 10:00
  and
• 10:00
  a
• 10:00
  female
• 10:01
  in
• 10:01
  the
• 10:01
  relationship,
• 10:02
  you
• 10:02
  then
• 10:02
  put
• 10:03
  the
• 10:03
  sperm
• 10:03
  with
• 10:04
  the
• 10:04
  egg
• 10:04
  and
• 10:04
  then
• 10:04
  make
• 10:05
  an
• 10:05
  embryo,
• 10:06
  because
• 10:06
  the
• 10:06
  embryo,
• 10:07
  as
• 10:07
  it
• 10:07
  grows,
• 10:08
  is
• 10:08
  able
• 10:08
  to
• 10:09
  have
• 10:09
  genetic
• 10:09
  testing
• 10:10
  on
• 10:10
  it
• 10:10
  done,
• 10:11
  and
• 10:11
  we
• 10:11
  will
• 10:11
  know
• 10:11
  if
• 10:12
  it's
• 10:12
  genetically
• 10:12
  normal
• 10:13
  or
• 10:13
  not.
• 10:14
  You
• 10:15
  cannot
• 10:15
  do
• 10:16
  that
• 10:16
  on
• 10:16
  an
• 10:16
  egg.
• 10:17
  You
• 10:18
  cannot
• 10:18
  check
• 10:18
  the
• 10:19
  health
• 10:19
  of
• 10:19
  the
• 10:19
  egg
• 10:20
  alone
• 10:20
  because
• 10:21
  it
• 10:21
  damages
• 10:21
  the
• 10:21
  egg.
• 10:22
  But
• 10:22
  an
• 10:22
  Embryo
• 10:23
  goes
• 10:23
  from
• 10:24
  one
• 10:24
  cell
• 10:24
  to
• 10:25
  two
• 10:25
  cells
• 10:25
  to
• 10:26
  four
• 10:26
  cells
• 10:27
  8,
• 10:27
  16
• 10:27
  and
• 10:28
  continues.
• 10:29
  By
• 10:29
  the
• 10:30
  time
• 10:30
  it's
• 10:30
  been
• 10:30
  growing
• 10:31
  for
• 10:31
  five
• 10:31
  to
• 10:31
  seven
• 10:31
  days
• 10:32
  in
• 10:32
  our
• 10:32
  lab,
• 10:33
  it's
• 10:33
  between
• 10:33
  150
• 10:34
  and
• 10:34
  300
• 10:35
  cells.
• 10:35
  And
• 10:36
  we
• 10:36
  have
• 10:36
  the
• 10:36
  capability
• 10:38
  from
• 10:38
  taking
• 10:38
  a
• 10:39
  couple
• 10:39
  of
• 10:39
  these
• 10:39
  cells
• 10:40
  and
• 10:40
  sending
• 10:40
  them
• 10:40
  off
• 10:41
  for
• 10:42
  genetic
• 10:42
  testing,
• 10:43
  freezing
• 10:44
  the
• 10:44
  embryo,
• 10:44
  and
• 10:44
  a
• 10:44
  week
• 10:45
  later
• 10:45
  we
• 10:45
  get
• 10:45
  genetic
• 10:45
  testing
• 10:46
  results
• 10:46
  which
• 10:46
  let
• 10:47
  us
• 10:47
  know
• 10:47
  if
• 10:48
  the
• 10:48
  embryo
• 10:48
  is
• 10:48
  healthy
• 10:49
  or
• 10:49
  not.
• 10:50
  So
• 10:50
  is,
• 10:50
  do
• 10:50
  we
• 10:50
  have
• 10:51
  a
• 10:51
  higher
• 10:51
  rate
• 10:51
  of,
• 10:52
  like,
• 10:52
  birth
• 10:52
  defects
• 10:53
  and
• 10:53
  things
• 10:53
  like
• 10:53
  that
• 10:53
  after,
• 10:54
  you
• 10:55
  know,
• 10:55
  40
• 10:55
  and
• 10:55
  above?
• 10:56
  We
• 10:57
  do.
• 10:57
  Okay.
• 10:58
  We
• 10:58
  100%
• 10:59
  have
• 10:59
  more
• 10:59
  chromosomal
• 11:00
  defects
• 11:01
  because
• 11:01
  women
• 11:02
  are
• 11:02
  born
• 11:02
  with
• 11:03
  all
• 11:03
  of
• 11:03
  the
• 11:03
  eggs
• 11:03
  that
• 11:04
  they
• 11:04
  have
• 11:04
  in
• 11:04
  their
• 11:04
  body
• 11:04
  the
• 11:05
  day
• 11:05
  they're
• 11:05
  born.
• 11:06
  And
• 11:06
  those
• 11:06
  eggs
• 11:07
  have
• 11:07
  been
• 11:08
  there
• 11:08
  now
• 11:08
  for
• 11:09
  40
• 11:09
  plus
• 11:10
  years.
• 11:10
  So
• 11:11
  during
• 11:11
  that
• 11:11
  time,
• 11:12
  some
• 11:12
  of
• 11:12
  these
• 11:13
  eggs
• 11:13
  begin
• 11:14
  to
• 11:14
  have
• 11:14
  what
• 11:15
  we
• 11:15
  call
• 11:15
  sticky
• 11:16
  chromosomes,
• 11:17
  chromosomes
• 11:17
  that
• 11:18
  stick
• 11:18
  together.
• 11:19
  That's
• 11:19
  why,
• 11:20
  for
• 11:20
  example,
• 11:20
  women
• 11:21
  that
• 11:21
  are
• 11:21
  over
• 11:21
  35
• 11:23
  have
• 11:23
  a
• 11:23
  higher
• 11:23
  risk
• 11:23
  of
• 11:24
  down
• 11:24
  syndrome.
• 11:25
  Down
• 11:25
  syndrome
• 11:26
  is
• 11:26
  an
• 11:26
  embryo
• 11:26
  that
• 11:27
  has
• 11:27
  an
• 11:27
  extra
• 11:27
  chromosome
• 11:28
  21.
• 11:29
  Because
• 11:29
  when
• 11:29
  the
• 11:30
  female
• 11:30
  egg
• 11:30
  has
• 11:30
  been
• 11:31
  there
• 11:31
  for
• 11:31
  a
• 11:31
  while,
• 11:32
  maybe
• 11:32
  two
• 11:32
  of
• 11:32
  the
• 11:33
  21s
• 11:33
  stuck
• 11:33
  together,
• 11:34
  and
• 11:34
  then
• 11:34
  the
• 11:35
  male
• 11:35
  partner
• 11:36
  gave
• 11:36
  a
• 11:36
  21.
• 11:37
  So
• 11:37
  now
• 11:37
  we
• 11:37
  have
• 11:37
  three
• 11:38
  chromosome
• 11:38
  21s,
• 11:39
  which
• 11:39
  is
• 11:39
  down
• 11:40
  syndrome,
• 11:40
  and
• 11:41
  obviously
• 11:41
  not
• 11:42
  a
• 11:42
  perfectly
• 11:43
  normal
• 11:43
  pregnancy.
• 11:44
  Okay.
• 11:45
  So
• 11:45
  that's
• 11:45
  kind
• 11:45
  of
• 11:46
  how
• 11:46
  the
• 11:46
  birth
• 11:46
  defect
• 11:47
  comes
• 11:47
  into
• 11:48
  play.
• 11:49
  It
• 11:49
  also
• 11:49
  happens
• 11:49
  with
• 11:50
  sperm.
• 11:50
  So
• 11:51
  studies
• 11:51
  have
• 11:51
  shown
• 11:52
  that
• 11:52
  men
• 11:52
  that
• 11:52
  are
• 11:53
  over
• 11:53
  the
• 11:53
  age
• 11:53
  of
• 11:53
  40
• 11:53
  have
• 11:54
  a
• 11:54
  higher
• 11:54
  risk
• 11:54
  of
• 11:54
  chromosomal
• 11:55
  problems
• 11:55
  and
• 11:56
  other
• 11:56
  defects
• 11:57
  as
• 11:57
  well.
• 11:57
  Okay.
• 11:58
  So
• 11:58
  it
• 11:58
  is
• 11:58
  reliant
• 11:59
  on
• 11:59
  the
• 11:59
  sperm
• 12:00
  as
• 12:00
  well.
• 12:00
  I
• 12:00
  mean,
• 12:00
  it's
• 12:01
  really
• 12:01
  important
• 12:01
  to
• 12:01
  test
• 12:02
  both.
• 12:03
  Absolutely,
• 12:04
  absolutely.
• 12:06
  It
• 12:06
  is
• 12:07
  very
• 12:07
  important
• 12:07
  to
• 12:08
  know
• 12:08
  that
• 12:09
  the
• 12:11
  issues
• 12:11
  with
• 12:12
  egg
• 12:13
  are
• 12:13
  equally
• 12:14
  as
• 12:14
  important
• 12:14
  as
• 12:15
  sperm.
• 12:16
  And
• 12:16
  the
• 12:17
  reasons
• 12:18
  why
• 12:18
  people
• 12:18
  aren't
• 12:19
  getting
• 12:19
  pregnant
• 12:20
  are
• 12:20
  equal,
• 12:21
  male
• 12:21
  and
• 12:21
  female.
• 12:22
  Okay,
• 12:23
  that's
• 12:23
  really
• 12:24
  good
• 12:24
  to
• 12:24
  know.
• 12:24
  Yeah.
• 12:25
  So
• 12:25
  we
• 12:26
  usually
• 12:26
  say
• 12:27
  40%
• 12:27
  of
• 12:28
  the
• 12:28
  issue
• 12:28
  comes
• 12:28
  from
• 12:28
  the
• 12:28
  egg.
• 12:29
  40%
• 12:29
  comes
• 12:30
  from
• 12:30
  the
• 12:30
  sperm.
• 12:30
  And
• 12:31
  sadly,
• 12:31
  even
• 12:32
  to
• 12:32
  this
• 12:32
  day,
• 12:32
  we
• 12:32
  have
• 12:33
  about
• 12:33
  20%
• 12:33
  of
• 12:33
  pregnancies
• 12:34
  that
• 12:34
  we
• 12:34
  that
• 12:34
  are
• 12:35
  infertility
• 12:35
  issues
• 12:36
  that
• 12:36
  are
• 12:36
  unexplained,
• 12:37
  and
• 12:37
  we
• 12:37
  just
• 12:38
  don't
• 12:38
  know
• 12:38
  why.
• 12:39
  Wow,
• 12:40
  that's
• 12:40
  interesting.
• 12:40
  So
• 12:41
  even
• 12:41
  now,
• 12:41
  I
• 12:42
  mean,
• 12:42
  you
• 12:42
  couldn't
• 12:42
  say
• 12:42
  with
• 12:43
  maybe
• 12:43
  100%
• 12:44
  every
• 12:44
  single
• 12:44
  time.
• 12:45
  This
• 12:45
  is
• 12:46
  why,
• 12:46
  you
• 12:46
  know,
• 12:46
  like,
• 12:47
  this
• 12:47
  pregnancy
• 12:48
  didn't
• 12:48
  come
• 12:48
  to
• 12:48
  fruition
• 12:49
  or
• 12:49
  why
• 12:49
  it
• 12:49
  wasn't
• 12:49
  successful
• 12:50
  because
• 12:51
  it
• 12:51
  could
• 12:51
  be
• 12:51
  a
• 12:51
  whole.
• 12:52
  And
• 12:52
  within
• 12:52
  that
• 12:52
  fertility,
• 12:53
  like,
• 12:53
  infertility
• 12:54
  range,
• 12:55
  is
• 12:55
  that
• 12:56
  just,
• 12:56
  you
• 12:56
  know,
• 12:57
  could
• 12:57
  it
• 12:57
  be
• 12:57
  environmental?
• 12:58
  Could
• 12:58
  it
• 12:59
  be
• 12:59
  like,
• 12:59
  health
• 13:00
  within,
• 13:00
  you
• 13:01
  know,
• 13:01
  one
• 13:01
  of
• 13:01
  the
• 13:01
  two
• 13:01
  people?
• 13:02
  Is
• 13:02
  this
• 13:03
  just
• 13:03
  like
• 13:03
  a
• 13:03
  mix
• 13:03
  of
• 13:04
  different
• 13:04
  factors?
• 13:05
  You
• 13:06
  just.
• 13:06
  There's
• 13:07
  many
• 13:07
  things
• 13:07
  we
• 13:07
  can
• 13:08
  figure
• 13:08
  out
• 13:08
  these
• 13:08
  days.
• 13:09
  But
• 13:10
  as
• 13:10
  much
• 13:10
  as
• 13:10
  our
• 13:11
  science
• 13:11
  had
• 13:11
  advanced,
• 13:13
  it's
• 13:13
  still
• 13:13
  not
• 13:13
  100%
• 13:14
  with
• 13:14
  figuring
• 13:15
  things
• 13:15
  out.
• 13:15
  100%
• 13:16
  why
• 13:17
  a
• 13:17
  pregnancy
• 13:17
  doesn't
• 13:18
  implant
• 13:18
  100%
• 13:19
  if
• 13:19
  it's
• 13:19
  the
• 13:19
  egg
• 13:20
  or
• 13:20
  the
• 13:20
  sperm.
• 13:21
  Those
• 13:21
  are
• 13:21
  the
• 13:21
  things
• 13:21
  that
• 13:21
  we,
• 13:22
  we
• 13:22
  kind
• 13:22
  of
• 13:22
  just
• 13:23
  don't
• 13:23
  know.
• 13:24
  And
• 13:24
  what
• 13:24
  is.
• 13:24
  Because
• 13:25
  there's
• 13:25
  also,
• 13:25
  I
• 13:25
  feel
• 13:26
  like
• 13:26
  some
• 13:26
  confusion
• 13:26
  between
• 13:27
  IVF
• 13:27
  and
• 13:27
  iui.
• 13:29
  Yes.
• 13:29
  So
• 13:29
  I
• 13:29
  know
• 13:30
  some
• 13:30
  people
• 13:30
  start
• 13:30
  out
• 13:31
  doing
• 13:31
  maybe
• 13:31
  IUI
• 13:32
  and
• 13:32
  then
• 13:32
  they
• 13:32
  move
• 13:33
  to
• 13:33
  ivf.
• 13:34
  Yeah.
• 13:35
  Tell
• 13:35
  us
• 13:35
  a
• 13:35
  little
• 13:35
  bit
• 13:35
  about
• 13:36
  that.
• 13:36
  In
• 13:37
  the
• 13:37
  past,
• 13:37
  a
• 13:38
  lot
• 13:38
  of
• 13:38
  patients,
• 13:40
  I've
• 13:40
  been
• 13:40
  doing
• 13:40
  this
• 13:40
  for
• 13:41
  20
• 13:41
  years
• 13:41
  now
• 13:41
  and
• 13:42
  we
• 13:42
  used
• 13:42
  to
• 13:42
  do
• 13:42
  a
• 13:42
  lot
• 13:43
  of
• 13:43
  iuis
• 13:44
  intrauterine
• 13:45
  insemination
• 13:46
  or
• 13:47
  what,
• 13:48
  or
• 13:48
  artificial
• 13:49
  insemination
• 13:49
  or
• 13:49
  what
• 13:50
  someone,
• 13:50
  the
• 13:50
  layperson
• 13:51
  may
• 13:51
  call
• 13:52
  the
• 13:52
  turkey
• 13:52
  baster.
• 13:53
  When
• 13:53
  you
• 13:54
  take
• 13:54
  the
• 13:54
  sperm
• 13:55
  and
• 13:55
  wash
• 13:55
  it
• 13:55
  up
• 13:56
  and
• 13:56
  then
• 13:56
  you
• 13:56
  just
• 13:56
  inject
• 13:56
  it
• 13:57
  up
• 13:57
  into
• 13:57
  the
• 13:57
  uterus.
• 13:59
  Unfortunately,
• 13:59
  other
• 14:00
  than
• 14:00
  cleaning
• 14:01
  up
• 14:01
  the
• 14:01
  sperm
• 14:01
  and
• 14:02
  getting
• 14:02
  the
• 14:02
  sperm
• 14:02
  up
• 14:02
  into
• 14:03
  the
• 14:03
  uterus,
• 14:04
  it
• 14:04
  really
• 14:04
  doesn't
• 14:05
  do
• 14:05
  anything
• 14:06
  else.
• 14:07
  Okay.
• 14:08
  It
• 14:08
  doesn't
• 14:08
  affect
• 14:09
  the
• 14:09
  egg
• 14:09
  in
• 14:09
  any
• 14:10
  way.
• 14:10
  So
• 14:11
  for
• 14:11
  a
• 14:11
  40
• 14:12
  year
• 14:12
  old
• 14:12
  woman
• 14:13
  to
• 14:13
  do
• 14:13
  an
• 14:14
  IUI,
• 14:16
  it's
• 14:16
  really
• 14:16
  not
• 14:16
  that
• 14:17
  beneficial
• 14:18
  unless
• 14:19
  it's
• 14:19
  purely
• 14:20
  because
• 14:21
  of
• 14:21
  sperm.
• 14:23
  And
• 14:23
  we
• 14:23
  know
• 14:24
  that
• 14:24
  getting
• 14:24
  the
• 14:25
  sperm
• 14:25
  up
• 14:25
  into
• 14:25
  the
• 14:25
  uterus
• 14:26
  is
• 14:26
  going
• 14:26
  to
• 14:26
  give
• 14:26
  us
• 14:26
  a
• 14:26
  better
• 14:26
  outcome.
• 14:27
  That's
• 14:27
  when
• 14:28
  an
• 14:28
  IUI
• 14:28
  is
• 14:28
  beneficial
• 14:29
  for
• 14:30
  an
• 14:30
  older
• 14:30
  woman.
• 14:31
  In
• 14:32
  vitro
• 14:32
  fertilization,
• 14:33
  or
• 14:33
  ivf,
• 14:35
  where
• 14:35
  the
• 14:36
  word
• 14:36
  in
• 14:36
  vitro
• 14:37
  means
• 14:37
  outside
• 14:37
  of
• 14:38
  the
• 14:38
  body
• 14:38
  fertilization.
• 14:40
  So
• 14:40
  it
• 14:40
  means
• 14:40
  that
• 14:41
  the
• 14:41
  egg
• 14:41
  and
• 14:41
  the
• 14:41
  sperm
• 14:42
  go
• 14:42
  into
• 14:42
  a
• 14:42
  petri
• 14:43
  dish
• 14:43
  and
• 14:43
  that
• 14:44
  is
• 14:44
  where
• 14:44
  they're
• 14:44
  fertilized.
• 14:45
  That
• 14:45
  is
• 14:46
  what's
• 14:46
  called
• 14:46
  ivf.
• 14:48
  Okay.
• 14:49
  And
• 14:49
  the
• 14:49
  benefits
• 14:50
  of
• 14:50
  IVF
• 14:51
  is
• 14:51
  that
• 14:52
  we
• 14:52
  can
• 14:52
  take
• 14:53
  multiple
• 14:53
  eggs
• 14:54
  out
• 14:54
  of
• 14:54
  the
• 14:54
  female.
• 14:55
  As
• 14:56
  long
• 14:56
  as
• 14:56
  there's
• 14:56
  an
• 14:56
  egg
• 14:56
  reserve
• 14:57
  and
• 14:57
  she
• 14:57
  responds
• 14:58
  to
• 14:58
  our
• 14:58
  medicine,
• 14:59
  we
• 14:59
  may
• 14:59
  be
• 14:59
  able
• 14:59
  to
• 14:59
  get
• 15:00
  5,
• 15:00
  10,
• 15:01
  20,
• 15:01
  30
• 15:02
  eggs
• 15:02
  out
• 15:03
  of
• 15:03
  a
• 15:03
  woman
• 15:03
  even
• 15:04
  over
• 15:04
  the
• 15:04
  age
• 15:04
  of
• 15:04
  40.
• 15:05
  And
• 15:05
  that's
• 15:05
  how
• 15:06
  we
• 15:06
  have
• 15:06
  like
• 15:06
  30
• 15:07
  options
• 15:07
  of
• 15:07
  making
• 15:07
  an
• 15:08
  embryo.
• 15:09
  We're
• 15:09
  also
• 15:09
  able
• 15:10
  to
• 15:10
  pick
• 15:10
  the
• 15:10
  best
• 15:11
  looking
• 15:11
  sperm
• 15:11
  under
• 15:12
  the
• 15:12
  microscope
• 15:12
  and
• 15:13
  then
• 15:13
  inject
• 15:13
  that
• 15:14
  sperm
• 15:15
  directly
• 15:15
  into
• 15:16
  the
• 15:16
  egg
• 15:16
  and
• 15:17
  then
• 15:17
  help
• 15:17
  with
• 15:18
  fertilization.
• 15:19
  So
• 15:19
  also
• 15:19
  increase
• 15:20
  fertilization
• 15:20
  rates.
• 15:22
  Then
• 15:22
  we're
• 15:23
  able
• 15:23
  to
• 15:23
  observe
• 15:24
  the
• 15:24
  growth
• 15:24
  of
• 15:24
  the
• 15:24
  embryo
• 15:25
  and
• 15:25
  make
• 15:25
  decisions
• 15:26
  on
• 15:26
  which
• 15:26
  one
• 15:26
  we're
• 15:27
  growing
• 15:27
  the
• 15:27
  nicest.
• 15:28
  And
• 15:28
  then
• 15:29
  finally
• 15:29
  doing
• 15:29
  the
• 15:29
  biopsy
• 15:30
  for
• 15:30
  genetic
• 15:31
  screening
• 15:31
  which
• 15:31
  tells
• 15:32
  us
• 15:32
  which
• 15:32
  embryo
• 15:32
  is
• 15:33
  genetically
• 15:34
  healthy
• 15:34
  and
• 15:34
  normal
• 15:35
  versus
• 15:35
  not.
• 15:36
  So
• 15:36
  once
• 15:37
  we
• 15:37
  get
• 15:37
  multiple
• 15:38
  healthy
• 15:38
  embryos
• 15:38
  back,
• 15:39
  the
• 15:39
  major
• 15:40
  benefit
• 15:40
  for
• 15:41
  us
• 15:41
  is
• 15:41
  that
• 15:41
  we
• 15:42
  can
• 15:42
  also
• 15:42
  preserve
• 15:43
  them.
• 15:43
  So
• 15:43
  if
• 15:43
  you
• 15:44
  make
• 15:44
  suddenly
• 15:44
  four
• 15:44
  embryos
• 15:45
  at
• 15:45
  the
• 15:45
  age
• 15:45
  of
• 15:45
  40,
• 15:46
  guess
• 15:47
  what?
• 15:47
  You
• 15:47
  have
• 15:47
  four
• 15:48
  chances
• 15:48
  of
• 15:48
  having
• 15:49
  four
• 15:49
  kids.
• 15:51
  But
• 15:51
  with
• 15:51
  IUI,
• 15:52
  it
• 15:52
  all
• 15:52
  happens
• 15:53
  internally.
• 15:54
  You
• 15:54
  can't
• 15:54
  genetically
• 15:55
  test
• 15:55
  an
• 15:55
  embryo.
• 15:56
  You
• 15:56
  cannot
• 15:57
  preserve
• 15:57
  any
• 15:58
  of
• 15:58
  the
• 15:58
  embryos
• 15:58
  or
• 15:59
  eggs,
• 16:00
  and
• 16:00
  you
• 16:00
  have
• 16:00
  no
• 16:01
  control
• 16:01
  over
• 16:01
  gender,
• 16:02
  and
• 16:02
  you
• 16:02
  have
• 16:02
  no
• 16:03
  control
• 16:03
  about
• 16:03
  the
• 16:04
  timing.
• 16:04
  It
• 16:04
  just
• 16:04
  has
• 16:04
  to
• 16:05
  happen.
• 16:05
  So
• 16:05
  there's
• 16:06
  a
• 16:06
  lot
• 16:06
  of
• 16:06
  benefits
• 16:08
  for
• 16:08
  IVF
• 16:09
  that
• 16:09
  we
• 16:10
  have
• 16:10
  available
• 16:10
  that
• 16:11
  IUI
• 16:11
  does
• 16:11
  not
• 16:12
  offer
• 16:12
  at
• 16:12
  all.
• 16:13
  Now,
• 16:13
  the
• 16:13
  downside
• 16:14
  is
• 16:14
  that
• 16:14
  IUI
• 16:15
  is
• 16:15
  not
• 16:16
  that
• 16:16
  expensive
• 16:17
  because
• 16:17
  it's
• 16:17
  not
• 16:17
  that
• 16:17
  involved,
• 16:18
  but
• 16:18
  its
• 16:19
  success
• 16:19
  rates
• 16:19
  are
• 16:19
  extremely
• 16:20
  low.
• 16:21
  And
• 16:21
  then
• 16:21
  IVF
• 16:22
  is
• 16:22
  much
• 16:22
  more
• 16:23
  involved,
• 16:24
  much
• 16:24
  more
• 16:24
  costly,
• 16:25
  but
• 16:25
  much
• 16:25
  higher
• 16:26
  pregnancy
• 16:26
  rates.
• 16:27
  Yeah.
• 16:27
  What
• 16:27
  are
• 16:28
  the
• 16:28
  pregnancy
• 16:28
  rates
• 16:29
  of
• 16:29
  an
• 16:29
  IVF
• 16:30
  for,
• 16:30
  like,
• 16:30
  women
• 16:31
  over
• 16:31
  40,
• 16:31
  do
• 16:31
  you
• 16:31
  think?
• 16:32
  It
• 16:33
  really,
• 16:33
  really
• 16:33
  depends.
• 16:34
  It's
• 16:34
  very
• 16:34
  difficult
• 16:35
  to
• 16:35
  answer
• 16:35
  that
• 16:35
  question.
• 16:36
  The
• 16:37
  way
• 16:37
  that
• 16:37
  I
• 16:37
  like
• 16:37
  to
• 16:37
  answer
• 16:38
  the
• 16:38
  question
• 16:38
  is
• 16:38
  that
• 16:39
  I
• 16:39
  don't
• 16:39
  know
• 16:40
  what,
• 16:41
  when
• 16:41
  I'm
• 16:41
  talking
• 16:42
  to
• 16:42
  someone,
• 16:42
  what
• 16:42
  your
• 16:43
  pregnancy
• 16:44
  rate
• 16:44
  is,
• 16:44
  but
• 16:45
  I
• 16:45
  can
• 16:45
  tell
• 16:45
  you
• 16:46
  if
• 16:46
  we
• 16:46
  are
• 16:46
  able
• 16:47
  to
• 16:47
  create
• 16:48
  one
• 16:49
  genetically
• 16:50
  normal
• 16:50
  embryo,
• 16:51
  that
• 16:52
  one
• 16:52
  genetically
• 16:53
  normal
• 16:53
  embryo,
• 16:54
  with
• 16:54
  my
• 16:54
  own
• 16:54
  personal
• 16:55
  statistic,
• 16:56
  is
• 16:56
  84%
• 16:57
  for
• 16:58
  implantation.
• 16:59
  So
• 16:59
  the
• 16:59
  pregnancy
• 17:00
  will
• 17:00
  come
• 17:00
  to
• 17:01
  84%,
• 17:01
  will
• 17:02
  come
• 17:02
  to
• 17:02
  fruition?
• 17:03
  Yes.
• 17:04
  Okay,
• 17:04
  that's
• 17:05
  high.
• 17:05
  I
• 17:05
  mean,
• 17:05
  that's.
• 17:06
  I've
• 17:07
  worked
• 17:07
  very
• 17:07
  hard
• 17:08
  to
• 17:08
  get
• 17:08
  it
• 17:08
  this
• 17:08
  high.
• 17:10
  You're
• 17:10
  like,
• 17:10
  they
• 17:10
  don't
• 17:11
  pay
• 17:11
  me
• 17:11
  the
• 17:11
  big
• 17:11
  bucks
• 17:11
  for
• 17:12
  nothing.
• 17:14
  That's
• 17:14
  funny.
• 17:15
  Yeah.
• 17:15
  No,
• 17:16
  that's
• 17:16
  great.
• 17:16
  You
• 17:16
  know,
• 17:16
  it's
• 17:16
  funny.
• 17:17
  I
• 17:17
  was
• 17:17
  actually
• 17:17
  with
• 17:18
  some
• 17:18
  girlfriends
• 17:19
  this
• 17:19
  past
• 17:19
  weekend,
• 17:19
  and
• 17:20
  a
• 17:20
  couple
• 17:20
  of
• 17:20
  them
• 17:20
  have
• 17:20
  done
• 17:21
  IVF
• 17:22
  past
• 17:22
  40
• 17:23
  to
• 17:23
  get
• 17:23
  pregnant.
• 17:24
  And
• 17:25
  because
• 17:26
  they
• 17:26
  were
• 17:26
  taking
• 17:26
  the
• 17:27
  medications
• 17:27
  along
• 17:28
  with
• 17:28
  it
• 17:28
  for
• 17:29
  their
• 17:29
  IVF
• 17:30
  journey,
• 17:30
  they're
• 17:31
  now
• 17:31
  afraid
• 17:32
  to
• 17:32
  take
• 17:32
  HRTs
• 17:34
  as
• 17:34
  they're
• 17:35
  entering
• 17:35
  into
• 17:35
  perimenopause
• 17:36
  and
• 17:36
  menopause.
• 17:37
  Now,
• 17:37
  do
• 17:38
  you
• 17:38
  think
• 17:38
  that
• 17:38
  that
• 17:38
  is
• 17:38
  a
• 17:39
  fair
• 17:39
  assessment,
• 17:40
  or
• 17:41
  are
• 17:41
  they
• 17:42
  two
• 17:42
  separate
• 17:42
  things
• 17:42
  that
• 17:43
  they,
• 17:43
  you
• 17:43
  know,
• 17:43
  should
• 17:43
  be
• 17:43
  treated
• 17:44
  differently?
• 17:45
  Completely.
• 17:46
  Two
• 17:46
  separate
• 17:46
  things
• 17:47
  that
• 17:47
  need
• 17:47
  to
• 17:48
  be
• 17:48
  treated
• 17:48
  separately.
• 17:49
  One
• 17:50
  has
• 17:50
  nothing
• 17:50
  to
• 17:51
  do
• 17:51
  with
• 17:51
  the
• 17:51
  other.
• 17:52
  There
• 17:53
  are
• 17:53
  no
• 17:54
  studies
• 17:54
  that
• 17:54
  have
• 17:55
  ever
• 17:55
  correlated
• 17:56
  or
• 17:56
  said
• 17:57
  that
• 17:57
  if
• 17:57
  you've
• 17:57
  done
• 17:58
  ivf,
• 17:58
  you
• 17:58
  have
• 17:58
  a
• 17:58
  higher
• 17:59
  chance
• 17:59
  of
• 17:59
  cancers.
• 18:00
  Never
• 18:00
  in
• 18:01
  the
• 18:01
  history
• 18:01
  of
• 18:01
  me
• 18:02
  doing
• 18:02
  this
• 18:02
  over
• 18:02
  20
• 18:03
  years,
• 18:03
  we've
• 18:03
  never
• 18:03
  had
• 18:03
  those
• 18:04
  studies.
• 18:05
  So
• 18:05
  if
• 18:05
  people
• 18:06
  are
• 18:06
  thinking,
• 18:06
  wow,
• 18:06
  I've
• 18:07
  already
• 18:07
  done
• 18:07
  all
• 18:07
  that.
• 18:08
  I've
• 18:08
  already
• 18:08
  given
• 18:08
  all
• 18:09
  these
• 18:09
  hormones.
• 18:10
  It's
• 18:10
  not
• 18:10
  accurate
• 18:11
  what
• 18:11
  they're
• 18:11
  thinking.
• 18:13
  And
• 18:13
  the
• 18:13
  doses
• 18:14
  of
• 18:14
  HRT
• 18:14
  that
• 18:15
  people
• 18:15
  get,
• 18:16
  people
• 18:16
  don't
• 18:16
  understand
• 18:17
  that
• 18:17
  the
• 18:17
  dose
• 18:18
  of
• 18:18
  HRT
• 18:19
  is
• 18:19
  almost
• 18:20
  one
• 18:20
  tenth
• 18:21
  of
• 18:21
  a
• 18:21
  birth
• 18:21
  control
• 18:22
  pill.
• 18:22
  Their
• 18:23
  whole
• 18:23
  life,
• 18:23
  they
• 18:23
  were
• 18:23
  happy
• 18:24
  to
• 18:24
  take
• 18:24
  a
• 18:24
  birth
• 18:24
  control
• 18:25
  pill,
• 18:25
  but
• 18:25
  now
• 18:26
  that
• 18:26
  their
• 18:26
  own
• 18:26
  Hormones
• 18:27
  are
• 18:27
  going
• 18:27
  down,
• 18:28
  and
• 18:28
  the
• 18:28
  HRT
• 18:29
  pill
• 18:29
  is
• 18:30
  one
• 18:30
  tenth
• 18:31
  a
• 18:31
  birth
• 18:31
  control
• 18:32
  pill.
• 18:32
  They're
• 18:32
  suddenly
• 18:32
  scared.
• 18:33
  Now,
• 18:33
  I'm
• 18:34
  not
• 18:34
  advocating
• 18:35
  that
• 18:35
  everyone
• 18:36
  going
• 18:36
  into
• 18:37
  perimenopause
• 18:37
  or
• 18:38
  menopause
• 18:38
  should
• 18:38
  be
• 18:38
  on
• 18:39
  it.
• 18:39
  That's
• 18:39
  a
• 18:39
  bigger
• 18:40
  discussion
• 18:40
  with
• 18:40
  your
• 18:41
  doctor
• 18:41
  to
• 18:41
  see
• 18:42
  what
• 18:42
  your
• 18:42
  risk
• 18:42
  factors
• 18:43
  are.
• 18:43
  The
• 18:43
  timing
• 18:44
  of
• 18:44
  when
• 18:44
  you
• 18:45
  start
• 18:45
  is
• 18:46
  important.
• 18:46
  If
• 18:47
  it's
• 18:47
  you
• 18:48
  stop
• 18:48
  and
• 18:48
  you
• 18:48
  go
• 18:48
  into
• 18:49
  menopause
• 18:49
  for
• 18:49
  five
• 18:49
  years,
• 18:50
  then
• 18:50
  go
• 18:50
  on
• 18:50
  it.
• 18:50
  It's
• 18:51
  very
• 18:51
  different
• 18:51
  than
• 18:52
  if
• 18:52
  you're
• 18:52
  not
• 18:53
  quite.
• 18:53
  And
• 18:53
  you
• 18:53
  go
• 18:53
  on
• 18:53
  it.
• 18:54
  During
• 18:54
  the
• 18:54
  perimenopause,
• 18:55
  the
• 18:55
  statistics
• 18:56
  of
• 18:56
  what's
• 18:57
  safe
• 18:57
  and
• 18:57
  not
• 18:57
  is
• 18:58
  very
• 18:58
  different.
• 18:58
  And
• 18:58
  that's
• 18:58
  a
• 18:59
  deep
• 18:59
  discussion
• 19:00
  and
• 19:00
  an
• 19:00
  important
• 19:01
  one
• 19:01
  with
• 19:02
  your
• 19:02
  gynecologist.
• 19:04
  Yeah,
• 19:04
  that's
• 19:04
  a
• 19:04
  good
• 19:05
  point.
• 19:05
  And
• 19:05
  also
• 19:06
  the
• 19:06
  birth
• 19:07
  control
• 19:07
  pill,
• 19:07
  that's
• 19:08
  synthetic
• 19:08
  hormones.
• 19:09
  That's
• 19:09
  not
• 19:09
  even
• 19:09
  bioidentical
• 19:10
  hormones.
• 19:11
  It's
• 19:12
  true,
• 19:12
  but
• 19:13
  not
• 19:13
  all
• 19:13
  HRT
• 19:14
  is
• 19:14
  always
• 19:15
  bioidentical
• 19:16
  as
• 19:16
  well.
• 19:17
  So
• 19:17
  it's
• 19:17
  a
• 19:17
  big
• 19:18
  discussion
• 19:18
  point
• 19:18
  there.
• 19:19
  And
• 19:19
  I
• 19:19
  think
• 19:19
  it's
• 19:20
  interesting,
• 19:20
  too,
• 19:20
  because
• 19:21
  we
• 19:21
  look
• 19:21
  around,
• 19:21
  especially
• 19:22
  in
• 19:22
  Hollywood
• 19:22
  and
• 19:23
  Los
• 19:23
  Angeles,
• 19:23
  and,
• 19:24
  you
• 19:24
  know,
• 19:24
  we
• 19:25
  see
• 19:25
  a
• 19:25
  lot
• 19:25
  of
• 19:25
  celebrities,
• 19:26
  let's
• 19:26
  say,
• 19:26
  that
• 19:27
  are
• 19:27
  like
• 19:27
  50,
• 19:28
  53,
• 19:28
  who
• 19:29
  are
• 19:29
  having
• 19:29
  babies,
• 19:29
  you
• 19:30
  know,
• 19:30
  well
• 19:30
  into
• 19:31
  their
• 19:31
  50s,
• 19:32
  you
• 19:32
  know,
• 19:32
  but
• 19:33
  they're
• 19:33
  not
• 19:33
  really
• 19:33
  saying,
• 19:34
  you
• 19:34
  know,
• 19:34
  how
• 19:34
  they're
• 19:35
  doing
• 19:35
  it.
• 19:36
  And
• 19:36
  I
• 19:37
  think
• 19:37
  it
• 19:37
  kind
• 19:37
  of
• 19:37
  leads
• 19:37
  people,
• 19:38
  right,
• 19:38
  to
• 19:38
  kind
• 19:39
  of
• 19:39
  second
• 19:39
  guess.
• 19:40
  They're
• 19:40
  like,
• 19:40
  okay,
• 19:41
  if
• 19:41
  I
• 19:41
  see
• 19:41
  this
• 19:41
  person
• 19:42
  in
• 19:42
  the
• 19:42
  public
• 19:43
  eye
• 19:43
  at
• 19:43
  55
• 19:44
  getting
• 19:44
  pregnant,
• 19:45
  maybe
• 19:45
  I
• 19:45
  can
• 19:45
  do
• 19:46
  it
• 19:46
  too,
• 19:46
  you
• 19:46
  know,
• 19:47
  and
• 19:47
  they
• 19:47
  don't
• 19:47
  really
• 19:48
  get.
• 19:48
  So
• 19:48
  tell
• 19:49
  me
• 19:49
  your
• 19:49
  take
• 19:49
  on
• 19:49
  that.
• 19:50
  What
• 19:50
  are
• 19:50
  your
• 19:50
  thoughts
• 19:50
  on
• 19:51
  that?
• 19:52
  So
• 19:53
  there
• 19:53
  has,
• 19:54
  to
• 19:54
  the
• 19:54
  best
• 19:54
  of
• 19:55
  my
• 19:55
  knowledge,
• 19:55
  there
• 19:55
  is
• 19:56
  absolutely
• 19:57
  zero
• 19:57
  data
• 19:58
  that
• 19:58
  says
• 19:59
  that
• 20:00
  a
• 20:00
  woman
• 20:00
  who
• 20:01
  is
• 20:01
  50
• 20:01
  or
• 20:02
  above
• 20:02
  can
• 20:03
  get
• 20:03
  pregnant
• 20:03
  on
• 20:03
  her
• 20:04
  own
• 20:04
  with
• 20:04
  IVF
• 20:06
  unless
• 20:07
  you
• 20:07
  froze
• 20:07
  your
• 20:07
  eggs
• 20:08
  at
• 20:09
  an
• 20:09
  age
• 20:09
  where
• 20:09
  your
• 20:10
  egg
• 20:10
  was
• 20:10
  functional.
• 20:11
  So
• 20:11
  if
• 20:11
  you
• 20:12
  froze
• 20:12
  your
• 20:12
  eggs
• 20:13
  at
• 20:13
  the
• 20:13
  age,
• 20:14
  you
• 20:14
  know,
• 20:14
  when
• 20:15
  people
• 20:15
  do,
• 20:16
  like
• 20:16
  in
• 20:16
  their
• 20:16
  30s
• 20:17
  or
• 20:17
  early
• 20:18
  30s
• 20:18
  or
• 20:18
  20s,
• 20:19
  then
• 20:19
  you
• 20:19
  can
• 20:19
  do
• 20:20
  great.
• 20:20
  You
• 20:21
  could
• 20:21
  have
• 20:21
  also
• 20:21
  frozen
• 20:22
  your
• 20:22
  eggs
• 20:22
  in
• 20:22
  your
• 20:22
  early
• 20:23
  40s
• 20:23
  and
• 20:23
  just
• 20:23
  been
• 20:23
  very
• 20:24
  lucky.
• 20:24
  And
• 20:25
  good
• 20:25
  eggs
• 20:25
  still.
• 20:25
  And
• 20:26
  you
• 20:26
  can
• 20:26
  get
• 20:26
  pregnant,
• 20:27
  but
• 20:27
  if
• 20:27
  you
• 20:27
  didn't
• 20:28
  freeze
• 20:28
  your
• 20:28
  eggs,
• 20:28
  then
• 20:29
  those
• 20:29
  are
• 20:29
  pregnancies
• 20:30
  with
• 20:30
  egg
• 20:30
  donors.
• 20:31
  So
• 20:32
  those
• 20:32
  are
• 20:32
  when
• 20:32
  you
• 20:33
  go
• 20:33
  and
• 20:33
  say,
• 20:34
  listen,
• 20:34
  my
• 20:34
  own
• 20:34
  eggs
• 20:35
  are
• 20:35
  not
• 20:35
  doing
• 20:35
  it.
• 20:36
  I
• 20:36
  really
• 20:36
  want
• 20:37
  to
• 20:37
  have
• 20:37
  a
• 20:37
  kid.
• 20:38
  I
• 20:38
  at
• 20:38
  this
• 20:38
  point,
• 20:39
  what
• 20:39
  I
• 20:39
  need
• 20:39
  to
• 20:39
  do
• 20:40
  is
• 20:40
  I
• 20:40
  need
• 20:40
  to
• 20:40
  use
• 20:40
  an
• 20:40
  egg
• 20:41
  of
• 20:41
  someone
• 20:41
  in
• 20:41
  their
• 20:41
  20s,
• 20:42
  which
• 20:42
  is
• 20:42
  an
• 20:42
  egg
• 20:42
  donor.
• 20:43
  But
• 20:44
  no
• 20:44
  one,
• 20:44
  no
• 20:45
  one
• 20:45
  is
• 20:45
  really
• 20:46
  raising
• 20:46
  their
• 20:46
  hands
• 20:46
  and
• 20:47
  saying,
• 20:47
  I
• 20:47
  used
• 20:47
  an
• 20:47
  egg
• 20:47
  donor.
• 20:48
  Now
• 20:48
  we
• 20:49
  do.
• 20:49
  I've
• 20:49
  Done
• 20:50
  thousands
• 20:50
  of
• 20:50
  egg
• 20:50
  donor
• 20:51
  cases.
• 20:52
  I
• 20:52
  really
• 20:52
  don't
• 20:52
  know.
• 20:54
  I
• 20:54
  don't
• 20:54
  think
• 20:54
  that
• 20:55
  people
• 20:55
  are
• 20:55
  just
• 20:55
  running
• 20:56
  around
• 20:56
  announcing
• 20:56
  that.
• 20:57
  Right,
• 20:58
  right.
• 20:58
  It's
• 20:59
  almost
• 20:59
  like
• 20:59
  there's
• 21:00
  like
• 21:00
  shame
• 21:01
  or.
• 21:01
  I
• 21:02
  don't
• 21:02
  know
• 21:02
  if
• 21:02
  it's
• 21:02
  embarrassment
• 21:03
  or
• 21:03
  just
• 21:03
  not.
• 21:03
  What
• 21:03
  do
• 21:04
  you
• 21:04
  think
• 21:04
  it
• 21:04
  is?
• 21:05
  What
• 21:05
  I
• 21:06
  can
• 21:06
  tell
• 21:06
  you
• 21:06
  is
• 21:07
  over
• 21:07
  the
• 21:07
  last
• 21:07
  20
• 21:07
  years,
• 21:09
  the
• 21:09
  People's
• 21:10
  openness
• 21:11
  to
• 21:12
  the
• 21:12
  fact
• 21:12
  that
• 21:13
  they
• 21:13
  have
• 21:13
  done
• 21:13
  IVF
• 21:14
  has
• 21:14
  changed
• 21:15
  significantly.
• 21:16
  Like,
• 21:16
  it
• 21:17
  went
• 21:17
  from
• 21:17
  like
• 21:17
  nine,
• 21:18
  no
• 21:18
  one
• 21:18
  would
• 21:18
  talk
• 21:18
  about
• 21:19
  it
• 21:19
  to
• 21:19
  now.
• 21:20
  Everyone's
• 21:20
  like,
• 21:20
  oh,
• 21:21
  I
• 21:21
  froze
• 21:21
  my
• 21:21
  eggs.
• 21:21
  Oh,
• 21:22
  I'm
• 21:22
  doing
• 21:22
  ivf.
• 21:23
  And
• 21:23
  it's
• 21:23
  like
• 21:23
  a
• 21:23
  cool
• 21:23
  thing.
• 21:24
  It's
• 21:24
  like,
• 21:24
  you're
• 21:24
  smart,
• 21:25
  you're
• 21:25
  resourceful,
• 21:26
  you
• 21:26
  know
• 21:26
  what
• 21:26
  you're
• 21:26
  doing
• 21:26
  in
• 21:26
  this
• 21:27
  world.
• 21:28
  But
• 21:28
  the
• 21:28
  idea
• 21:29
  of
• 21:29
  something
• 21:29
  incredibly
• 21:30
  personal
• 21:31
  like
• 21:31
  your
• 21:32
  egg
• 21:32
  didn't
• 21:32
  work
• 21:33
  and
• 21:33
  now
• 21:34
  you
• 21:34
  had
• 21:34
  to
• 21:34
  use
• 21:35
  an
• 21:35
  egg
• 21:35
  donor,
• 21:36
  I
• 21:36
  don't
• 21:36
  think
• 21:36
  it's
• 21:37
  something
• 21:37
  that
• 21:37
  is
• 21:37
  as
• 21:37
  easily
• 21:38
  talked
• 21:39
  about.
• 21:40
  I'm
• 21:40
  not
• 21:41
  sure
• 21:41
  if
• 21:41
  something
• 21:41
  that
• 21:42
  personal
• 21:42
  needs
• 21:42
  to
• 21:42
  be
• 21:43
  talked
• 21:43
  about
• 21:44
  now.
• 21:44
  I'm
• 21:45
  sure
• 21:45
  there
• 21:45
  are
• 21:45
  some
• 21:45
  people
• 21:46
  that
• 21:46
  feel
• 21:46
  very
• 21:46
  comfortable
• 21:47
  talking
• 21:47
  about
• 21:47
  it,
• 21:48
  and
• 21:48
  I'm
• 21:48
  sure
• 21:48
  there
• 21:48
  are
• 21:48
  many
• 21:49
  that
• 21:50
  do
• 21:50
  not.
• 21:51
  But
• 21:51
  I
• 21:51
  like
• 21:51
  to
• 21:52
  respect
• 21:52
  people's
• 21:52
  opinions
• 21:53
  on
• 21:54
  and
• 21:54
  their
• 21:54
  comfort
• 21:54
  level
• 21:55
  about
• 21:55
  what
• 21:55
  they
• 21:55
  want
• 21:55
  to
• 21:56
  disclose
• 21:56
  and
• 21:56
  not
• 21:56
  about
• 21:57
  their
• 21:57
  lives.
• 21:58
  Yeah,
• 21:58
  that's
• 21:59
  a
• 21:59
  good
• 21:59
  point.
• 21:59
  I
• 21:59
  mean,
• 21:59
  we
• 21:59
  have
• 22:00
  to
• 22:00
  give
• 22:00
  people
• 22:00
  privacy
• 22:01
  100%.
• 22:02
  Right.
• 22:03
  Would
• 22:03
  you
• 22:04
  say
• 22:04
  that
• 22:04
  there's
• 22:04
  like
• 22:05
  an
• 22:05
  upper
• 22:05
  limit
• 22:06
  to
• 22:06
  egg
• 22:07
  freezing,
• 22:07
  age
• 22:08
  wise?
• 22:10
  That's
• 22:10
  a
• 22:10
  really
• 22:11
  wonderful
• 22:12
  question.
• 22:15
  I
• 22:15
  have
• 22:15
  patients
• 22:16
  of
• 22:16
  mine
• 22:16
  that
• 22:17
  have
• 22:17
  come
• 22:17
  in
• 22:18
  and
• 22:19
  told
• 22:19
  me
• 22:20
  I
• 22:20
  need
• 22:21
  to
• 22:21
  freeze
• 22:21
  my
• 22:21
  egg
• 22:21
  or
• 22:22
  else
• 22:22
  I'll
• 22:22
  never
• 22:22
  be
• 22:22
  able
• 22:22
  to
• 22:22
  live
• 22:23
  with
• 22:23
  myself.
• 22:24
  I
• 22:24
  don't
• 22:24
  care
• 22:24
  if
• 22:24
  I
• 22:25
  just
• 22:25
  get
• 22:25
  one
• 22:25
  egg.
• 22:26
  I
• 22:26
  just
• 22:26
  need
• 22:27
  to
• 22:27
  know
• 22:27
  that
• 22:27
  I
• 22:27
  did
• 22:28
  what
• 22:28
  I
• 22:28
  could
• 22:28
  do.
• 22:29
  So
• 22:29
  for
• 22:30
  the
• 22:30
  rest
• 22:30
  of
• 22:30
  my
• 22:30
  life
• 22:30
  I
• 22:31
  could
• 22:31
  live
• 22:31
  with
• 22:31
  myself
• 22:32
  and
• 22:32
  know
• 22:32
  that
• 22:32
  I
• 22:32
  did
• 22:32
  what
• 22:32
  I
• 22:32
  could.
• 22:33
  So
• 22:34
  I
• 22:34
  respect
• 22:34
  that.
• 22:35
  I
• 22:35
  think
• 22:36
  everyone
• 22:36
  is
• 22:36
  very
• 22:36
  different.
• 22:37
  I
• 22:38
  think
• 22:38
  that,
• 22:38
  you
• 22:39
  know,
• 22:39
  there
• 22:40
  are
• 22:40
  people.
• 22:40
  I've
• 22:41
  had
• 22:41
  patients
• 22:41
  that
• 22:41
  were
• 22:42
  44,
• 22:42
  45
• 22:43
  and
• 22:43
  froze
• 22:44
  eggs
• 22:44
  and
• 22:44
  it
• 22:44
  worked.
• 22:45
  But
• 22:46
  then
• 22:46
  I've
• 22:46
  had
• 22:46
  patients
• 22:47
  that
• 22:47
  was
• 22:47
  like
• 22:47
  46
• 22:48
  and
• 22:48
  froze
• 22:48
  and
• 22:48
  then
• 22:49
  it
• 22:49
  never
• 22:49
  worked.
• 22:49
  And
• 22:49
  then
• 22:50
  again,
• 22:50
  it
• 22:50
  gets
• 22:51
  difficult
• 22:51
  to
• 22:51
  even
• 22:51
  make
• 22:51
  eggs
• 22:52
  at
• 22:52
  that
• 22:52
  point
• 22:52
  and
• 22:53
  retrieve
• 22:53
  the
• 22:53
  eggs.
• 22:54
  So
• 22:54
  it's
• 22:55
  hard
• 22:55
  to
• 22:55
  give
• 22:56
  an
• 22:56
  age.
• 22:57
  I
• 22:57
  can
• 22:57
  tell
• 22:58
  you
• 22:58
  that
• 22:58
  there
• 22:58
  are
• 22:58
  some
• 22:59
  clinics
• 22:59
  that
• 22:59
  won't
• 22:59
  even
• 22:59
  say
• 23:00
  hello
• 23:00
  to
• 23:00
  you
• 23:01
  after
• 23:01
  a
• 23:01
  certain
• 23:01
  age,
• 23:02
  and
• 23:02
  usually
• 23:02
  that's
• 23:02
  42.
• 23:03
  Some
• 23:04
  clinics
• 23:04
  even
• 23:04
  40.
• 23:05
  But
• 23:05
  I
• 23:06
  don't
• 23:06
  do
• 23:06
  that.
• 23:06
  If,
• 23:07
  if
• 23:07
  someone
• 23:08
  I
• 23:08
  have
• 23:08
  told
• 23:09
  patients
• 23:09
  I
• 23:09
  have
• 23:10
  a
• 23:10
  48
• 23:10
  year
• 23:10
  old
• 23:10
  who
• 23:11
  makes
• 23:11
  10,
• 23:12
  15
• 23:12
  eggs
• 23:13
  every
• 23:13
  time
• 23:13
  we
• 23:13
  do
• 23:13
  an
• 23:13
  Egg
• 23:14
  retrieval.
• 23:15
  And
• 23:16
  I
• 23:16
  told
• 23:16
  her,
• 23:16
  as
• 23:17
  long
• 23:17
  as
• 23:17
  you
• 23:17
  know
• 23:18
  that
• 23:18
  your
• 23:18
  chance
• 23:18
  of
• 23:19
  success
• 23:19
  is
• 23:19
  extremely
• 23:20
  low,
• 23:21
  I
• 23:21
  am
• 23:22
  here
• 23:22
  to
• 23:23
  hold
• 23:23
  your
• 23:23
  hands
• 23:23
  through
• 23:24
  this.
• 23:24
  And
• 23:24
  she
• 23:24
  knows,
• 23:25
  she
• 23:25
  tells
• 23:26
  me,
• 23:26
  I
• 23:26
  know
• 23:26
  my
• 23:27
  chance
• 23:27
  of
• 23:27
  success
• 23:27
  is
• 23:28
  less
• 23:28
  than
• 23:28
  1%,
• 23:29
  but
• 23:29
  I'm
• 23:29
  willing
• 23:30
  to
• 23:30
  try.
• 23:31
  And
• 23:32
  not
• 23:32
  everyone
• 23:33
  has
• 23:33
  that
• 23:33
  financial
• 23:34
  ability,
• 23:34
  that
• 23:35
  physical
• 23:36
  ability,
• 23:36
  that
• 23:37
  mental
• 23:37
  and
• 23:37
  emotional
• 23:38
  capability.
• 23:39
  So
• 23:39
  I
• 23:39
  think
• 23:39
  it's
• 23:40
  very
• 23:40
  individualized.
• 23:41
  And
• 23:41
  that's
• 23:41
  one
• 23:42
  way
• 23:42
  that
• 23:42
  I
• 23:42
  really
• 23:43
  try
• 23:43
  to
• 23:43
  practice
• 23:44
  medicine,
• 23:45
  is
• 23:45
  that
• 23:45
  it's
• 23:45
  not
• 23:46
  cookie
• 23:46
  cutter.
• 23:46
  We
• 23:47
  don't
• 23:47
  close
• 23:47
  our
• 23:47
  doors
• 23:48
  on
• 23:48
  the
• 23:48
  statistics.
• 23:49
  Patients,
• 23:50
  every
• 23:50
  single
• 23:51
  patient
• 23:51
  is
• 23:51
  their
• 23:51
  own
• 23:52
  story
• 23:53
  and
• 23:53
  own
• 23:54
  timeline
• 23:54
  and
• 23:54
  own
• 23:55
  protocol
• 23:55
  and.
• 23:56
  And
• 23:56
  everything
• 23:56
  has
• 23:56
  to
• 23:56
  be
• 23:56
  done
• 23:57
  for
• 23:57
  that
• 23:57
  person.
• 23:58
  What
• 23:58
  would
• 23:59
  you
• 23:59
  say
• 23:59
  to
• 23:59
  a
• 23:59
  woman
• 24:00
  talking
• 24:00
  about
• 24:00
  the
• 24:00
  financial
• 24:01
  sort
• 24:01
  of
• 24:01
  aspect?
• 24:02
  Because
• 24:02
  it
• 24:02
  can
• 24:02
  get
• 24:03
  pricey,
• 24:03
  you
• 24:04
  know,
• 24:04
  the
• 24:04
  farther
• 24:04
  you
• 24:05
  go
• 24:05
  into
• 24:05
  it.
• 24:06
  What
• 24:06
  would
• 24:06
  you
• 24:06
  say
• 24:06
  to
• 24:07
  somebody
• 24:07
  that
• 24:07
  was
• 24:07
  maybe
• 24:08
  not
• 24:08
  as,
• 24:09
  you
• 24:09
  know,
• 24:10
  financially,
• 24:11
  you
• 24:11
  know,
• 24:12
  solid
• 24:12
  as
• 24:12
  someone
• 24:13
  else,
• 24:13
  but
• 24:13
  is
• 24:13
  really,
• 24:14
  you
• 24:14
  know,
• 24:14
  wanting
• 24:14
  to
• 24:15
  have
• 24:15
  a
• 24:15
  child
• 24:15
  and
• 24:16
  is
• 24:16
  struggling
• 24:16
  with
• 24:17
  fertility?
• 24:18
  As
• 24:19
  a
• 24:19
  parent
• 24:19
  of
• 24:19
  four
• 24:20
  who's
• 24:20
  been
• 24:20
  through
• 24:20
  a
• 24:21
  lot,
• 24:21
  myself,
• 24:22
  and
• 24:23
  doing
• 24:23
  this
• 24:23
  for
• 24:23
  over
• 24:24
  20
• 24:24
  years,
• 24:25
  I
• 24:25
  think
• 24:26
  the
• 24:26
  chapter
• 24:26
  of
• 24:27
  your
• 24:27
  life
• 24:27
  that
• 24:28
  introduces
• 24:29
  children
• 24:29
  and
• 24:29
  changes
• 24:30
  your
• 24:30
  own
• 24:31
  entire
• 24:31
  world
• 24:31
  for
• 24:32
  the
• 24:32
  rest
• 24:32
  of
• 24:32
  your
• 24:32
  life
• 24:33
  is
• 24:33
  a
• 24:33
  very
• 24:34
  important
• 24:34
  one.
• 24:35
  I
• 24:36
  am
• 24:36
  100%
• 24:37
  aware
• 24:37
  that
• 24:37
  it
• 24:38
  is
• 24:38
  the
• 24:38
  biggest
• 24:38
  challenge
• 24:39
  financially
• 24:40
  for
• 24:40
  those
• 24:40
  that
• 24:40
  don't
• 24:40
  have
• 24:41
  coverage
• 24:41
  for
• 24:41
  this.
• 24:43
  But
• 24:43
  at
• 24:43
  the
• 24:44
  same
• 24:44
  time,
• 24:44
  I
• 24:44
  think
• 24:44
  it's
• 24:44
  one
• 24:45
  of
• 24:45
  the
• 24:45
  inmost,
• 24:45
  the
• 24:46
  biggest
• 24:46
  investments
• 24:47
  of
• 24:47
  your
• 24:47
  life
• 24:47
  into
• 24:48
  the.
• 24:48
  One
• 24:48
  of
• 24:48
  the
• 24:49
  most
• 24:49
  important
• 24:50
  chapters
• 24:51
  of
• 24:51
  your
• 24:51
  life,
• 24:51
  if
• 24:51
  that's
• 24:52
  important
• 24:52
  to
• 24:52
  you.
• 24:54
  So
• 24:55
  I'm
• 24:55
  a
• 24:55
  little
• 24:55
  biased
• 24:56
  because
• 24:56
  I've
• 24:56
  seen
• 24:57
  how
• 24:57
  it's
• 24:57
  changed
• 24:58
  people's
• 24:58
  lives.
• 24:59
  But
• 25:00
  then
• 25:00
  again,
• 25:00
  it
• 25:00
  has
• 25:00
  to
• 25:01
  do
• 25:01
  with
• 25:01
  the
• 25:01
  person.
• 25:01
  I
• 25:02
  have
• 25:02
  patients
• 25:02
  that
• 25:02
  are
• 25:02
  like,
• 25:03
  yeah,
• 25:04
  I'll
• 25:04
  have
• 25:04
  a
• 25:04
  kid,
• 25:04
  but
• 25:05
  I'm
• 25:05
  not
• 25:05
  willing
• 25:05
  to
• 25:05
  spend
• 25:06
  that
• 25:06
  much
• 25:06
  money.
• 25:06
  So
• 25:06
  maybe
• 25:07
  just
• 25:07
  try
• 25:07
  and
• 25:07
  see
• 25:08
  what
• 25:08
  happens.
• 25:08
  If
• 25:08
  I
• 25:08
  don't
• 25:08
  get
• 25:09
  pregnant,
• 25:09
  I'm
• 25:09
  fine.
• 25:09
  And
• 25:10
  then
• 25:10
  there
• 25:10
  are
• 25:10
  people
• 25:10
  that.
• 25:11
  That
• 25:11
  is
• 25:11
  their
• 25:11
  entire
• 25:12
  livelihood
• 25:13
  and
• 25:13
  future
• 25:13
  depending
• 25:14
  on
• 25:14
  it.
• 25:15
  And
• 25:15
  then
• 25:15
  I'd
• 25:15
  say,
• 25:15
  then
• 25:15
  do
• 25:16
  what
• 25:16
  you
• 25:16
  need
• 25:16
  to
• 25:16
  do.
• 25:17
  There
• 25:17
  are
• 25:17
  loans,
• 25:18
  there
• 25:18
  are
• 25:18
  scholarships,
• 25:19
  there
• 25:19
  are
• 25:19
  grants,
• 25:20
  there
• 25:20
  are
• 25:20
  programs.
• 25:22
  There's
• 25:22
  lots
• 25:23
  of
• 25:23
  different
• 25:23
  options
• 25:23
  in
• 25:23
  this
• 25:24
  day
• 25:24
  and
• 25:24
  age
• 25:24
  to
• 25:24
  do.
• 25:26
  But
• 25:26
  sadly,
• 25:27
  the
• 25:27
  financial
• 25:28
  aspect
• 25:28
  of
• 25:28
  this
• 25:28
  whole
• 25:29
  process
• 25:29
  is
• 25:29
  probably
• 25:30
  one
• 25:30
  of
• 25:30
  the
• 25:30
  most
• 25:30
  challenging
• 25:31
  aspects
• 25:32
  of
• 25:32
  it.
• 25:34
  And
• 25:34
  for
• 25:34
  something
• 25:34
  that's
• 25:35
  so,
• 25:36
  you
• 25:36
  know,
• 25:36
  like,
• 25:36
  if
• 25:36
  that
• 25:36
  is
• 25:37
  your
• 25:37
  goal
• 25:37
  in
• 25:37
  life
• 25:37
  to
• 25:37
  be
• 25:38
  a
• 25:38
  parent,
• 25:38
  it
• 25:38
  can
• 25:39
  become
• 25:39
  all
• 25:40
  consuming.
• 25:40
  You
• 25:40
  know,
• 25:41
  you
• 25:41
  want
• 25:42
  this
• 25:42
  baby
• 25:42
  so
• 25:43
  bad,
• 25:43
  and
• 25:43
  you're
• 25:44
  on
• 25:44
  this
• 25:44
  IVF
• 25:45
  journey
• 25:45
  of
• 25:46
  maybe
• 25:46
  it's
• 25:46
  not
• 25:46
  successful
• 25:47
  the
• 25:47
  first
• 25:47
  time,
• 25:48
  and
• 25:48
  you're
• 25:48
  trying
• 25:48
  and
• 25:49
  Trying
• 25:49
  and
• 25:49
  trying.
• 25:50
  It
• 25:50
  can
• 25:50
  kind
• 25:50
  of,
• 25:50
  you
• 25:51
  know,
• 25:51
  there
• 25:51
  can
• 25:51
  be
• 25:51
  like
• 25:51
  a
• 25:52
  mental,
• 25:52
  sort
• 25:53
  of
• 25:53
  an
• 25:54
  emotional
• 25:54
  toll
• 25:55
  that
• 25:55
  it
• 25:55
  takes.
• 25:56
  What
• 25:56
  would
• 25:56
  you
• 25:56
  say
• 25:56
  to
• 25:57
  a
• 25:57
  woman
• 25:57
  like
• 25:57
  that
• 25:58
  who's
• 25:58
  maybe
• 25:58
  been
• 25:59
  trying
• 25:59
  for,
• 25:59
  you
• 26:00
  know,
• 26:00
  a
• 26:00
  bit
• 26:00
  IVF
• 26:01
  and,
• 26:02
  you
• 26:02
  know,
• 26:02
  it's
• 26:02
  really
• 26:02
  emotionally
• 26:03
  taxing
• 26:04
  at
• 26:04
  some
• 26:04
  point,
• 26:04
  how
• 26:04
  does
• 26:05
  she
• 26:05
  protect
• 26:05
  her
• 26:05
  mental
• 26:06
  and
• 26:06
  emotional
• 26:07
  health?
• 26:08
  So
• 26:08
  I
• 26:08
  think
• 26:08
  your
• 26:08
  support
• 26:09
  system
• 26:09
  and
• 26:10
  for
• 26:10
  an
• 26:10
  infertility
• 26:11
  patient
• 26:11
  is
• 26:11
  one
• 26:12
  of
• 26:12
  the
• 26:12
  most
• 26:12
  important
• 26:12
  things
• 26:13
  to
• 26:13
  address.
• 26:15
  You
• 26:15
  need
• 26:15
  to
• 26:15
  have
• 26:16
  a
• 26:16
  support
• 26:16
  system,
• 26:17
  whether
• 26:17
  it's
• 26:18
  a
• 26:18
  spouse,
• 26:19
  whether
• 26:19
  it's
• 26:20
  a
• 26:20
  friend,
• 26:20
  whether
• 26:21
  it's
• 26:21
  a
• 26:21
  relative,
• 26:22
  or
• 26:22
  whether
• 26:22
  you
• 26:23
  talk
• 26:23
  about
• 26:23
  it
• 26:23
  to
• 26:24
  no
• 26:24
  one
• 26:24
  and
• 26:25
  it's
• 26:25
  your
• 26:25
  therapist.
• 26:26
  But
• 26:26
  you
• 26:26
  need
• 26:27
  to
• 26:27
  have
• 26:27
  some
• 26:27
  kind
• 26:28
  of
• 26:28
  support
• 26:28
  system
• 26:28
  during
• 26:29
  this
• 26:29
  process.
• 26:32
  Everyone's
• 26:33
  different
• 26:33
  than
• 26:33
  what
• 26:34
  they
• 26:34
  look
• 26:34
  for,
• 26:34
  for
• 26:34
  support.
• 26:36
  Some
• 26:36
  people
• 26:36
  can
• 26:37
  bring
• 26:37
  all
• 26:38
  that
• 26:38
  support
• 26:38
  internally
• 26:39
  and
• 26:39
  give
• 26:39
  it
• 26:39
  to
• 26:39
  themselves.
• 26:41
  I
• 26:41
  can't.
• 26:41
  I'm
• 26:42
  not
• 26:42
  that
• 26:42
  kind
• 26:42
  of
• 26:42
  person.
• 26:43
  And
• 26:43
  I
• 26:44
  thrive
• 26:44
  from
• 26:45
  communication
• 26:45
  and
• 26:46
  discussion
• 26:46
  and
• 26:47
  feedback
• 26:47
  from
• 26:47
  important
• 26:48
  people
• 26:48
  that
• 26:48
  I
• 26:49
  look
• 26:49
  up
• 26:49
  to
• 26:49
  in
• 26:49
  my
• 26:50
  life.
• 26:51
  But
• 26:51
  I
• 26:51
  do
• 26:51
  think
• 26:52
  that
• 26:53
  it
• 26:53
  is.
• 26:54
  It
• 26:54
  can
• 26:54
  become
• 26:54
  a
• 26:55
  struggle.
• 26:56
  The
• 26:56
  other
• 26:56
  thing
• 26:56
  is
• 26:56
  that
• 26:57
  I
• 26:57
  really,
• 26:58
  really
• 26:59
  think
• 26:59
  that
• 26:59
  the
• 27:00
  clinic
• 27:00
  you're
• 27:00
  going
• 27:00
  to
• 27:01
  and
• 27:01
  the
• 27:01
  doctor
• 27:02
  who's
• 27:02
  treating
• 27:02
  you
• 27:03
  is
• 27:03
  key.
• 27:04
  If
• 27:04
  you
• 27:05
  have
• 27:05
  no
• 27:06
  emotional
• 27:07
  support
• 27:07
  from
• 27:08
  your
• 27:08
  doctor
• 27:09
  or
• 27:09
  his
• 27:10
  team,
• 27:11
  then
• 27:11
  you
• 27:11
  are
• 27:11
  in
• 27:12
  the
• 27:12
  wrong
• 27:12
  place.
• 27:14
  My
• 27:14
  team
• 27:15
  gives
• 27:15
  so
• 27:16
  much
• 27:16
  love
• 27:17
  and
• 27:17
  are
• 27:18
  so
• 27:18
  compassionate
• 27:19
  and
• 27:19
  caring
• 27:20
  to
• 27:20
  my
• 27:20
  patients.
• 27:21
  Sometimes
• 27:22
  I
• 27:22
  get
• 27:22
  jealous
• 27:22
  because
• 27:23
  they're
• 27:23
  giving
• 27:23
  them.
• 27:25
  I'm
• 27:26
  just
• 27:26
  kidding.
• 27:26
  I
• 27:27
  am
• 27:27
  so
• 27:27
  proud
• 27:28
  of
• 27:28
  the
• 27:28
  fact
• 27:29
  that
• 27:29
  when
• 27:30
  people
• 27:30
  graduate
• 27:31
  or
• 27:31
  are
• 27:31
  leaving
• 27:31
  my
• 27:32
  office,
• 27:32
  they
• 27:32
  tell
• 27:32
  me,
• 27:33
  your
• 27:33
  team
• 27:34
  just
• 27:34
  was
• 27:34
  incredible
• 27:35
  and
• 27:36
  there
• 27:36
  for
• 27:36
  me.
• 27:36
  And
• 27:37
  that
• 27:37
  is
• 27:37
  really
• 27:37
  important.
• 27:38
  I
• 27:38
  think
• 27:38
  it's
• 27:39
  incredibly,
• 27:40
  incredibly
• 27:41
  important
• 27:42
  to
• 27:42
  have
• 27:42
  a
• 27:42
  team
• 27:43
  that
• 27:43
  is,
• 27:44
  you
• 27:44
  are
• 27:44
  a
• 27:44
  part
• 27:45
  of.
• 27:45
  You
• 27:45
  feel
• 27:46
  listened
• 27:46
  to,
• 27:47
  you
• 27:47
  feel
• 27:47
  heard,
• 27:48
  and
• 27:48
  that
• 27:49
  cares
• 27:49
  about
• 27:49
  you.
• 27:50
  And
• 27:51
  if
• 27:51
  you're
• 27:51
  not
• 27:51
  in
• 27:51
  a
• 27:52
  place
• 27:52
  like
• 27:52
  that,
• 27:52
  you
• 27:52
  need
• 27:53
  to
• 27:53
  find
• 27:53
  a
• 27:53
  new
• 27:53
  place.
• 27:54
  Yeah.
• 27:55
  And
• 27:55
  how
• 27:55
  does.
• 27:56
  Let's
• 27:56
  say
• 27:56
  a
• 27:56
  woman's
• 27:57
  in
• 27:57
  a
• 27:57
  place
• 27:57
  that
• 27:57
  isn't
• 27:57
  great
• 27:58
  for
• 27:58
  her?
• 27:58
  Like,
• 27:59
  what
• 27:59
  is
• 27:59
  the
• 27:59
  best
• 27:59
  way,
• 27:59
  particularly
• 28:00
  a
• 28:00
  midlife
• 28:01
  woman,
• 28:01
  you
• 28:01
  know,
• 28:01
  how.
• 28:03
  What
• 28:03
  is
• 28:03
  the
• 28:03
  best
• 28:03
  way
• 28:03
  for
• 28:04
  her
• 28:04
  to
• 28:04
  find
• 28:04
  that?
• 28:05
  Right?
• 28:05
  Dr.
• 28:06
  Listen,
• 28:07
  I
• 28:07
  say,
• 28:08
  like,
• 28:08
  reading
• 28:08
  reviews
• 28:09
  is
• 28:09
  important,
• 28:09
  but
• 28:10
  every
• 28:10
  single
• 28:10
  healthcare
• 28:11
  provider
• 28:11
  or
• 28:12
  professional
• 28:12
  out
• 28:12
  there
• 28:13
  who
• 28:13
  has
• 28:13
  reviews
• 28:14
  about
• 28:14
  them,
• 28:14
  people
• 28:15
  here
• 28:15
  and
• 28:15
  there
• 28:15
  are
• 28:16
  writing
• 28:16
  crazy
• 28:16
  things.
• 28:16
  You
• 28:17
  have
• 28:17
  no
• 28:17
  idea
• 28:17
  who
• 28:17
  they
• 28:17
  are
• 28:17
  and
• 28:17
  what
• 28:18
  they're
• 28:18
  talking
• 28:18
  about,
• 28:19
  but
• 28:19
  you
• 28:19
  can
• 28:19
  get
• 28:19
  an
• 28:20
  overall
• 28:20
  gist
• 28:21
  of
• 28:21
  reviews.
• 28:22
  I
• 28:22
  think
• 28:22
  you
• 28:23
  also
• 28:24
  talk
• 28:24
  to
• 28:24
  people.
• 28:24
  You
• 28:25
  ask
• 28:25
  your
• 28:25
  doctors
• 28:26
  for
• 28:26
  referrals,
• 28:28
  but
• 28:28
  you're
• 28:29
  the
• 28:29
  ultimate
• 28:29
  decision
• 28:29
  maker.
• 28:30
  I
• 28:30
  have
• 28:31
  patients
• 28:31
  these
• 28:31
  days
• 28:31
  that
• 28:32
  tell
• 28:32
  me
• 28:32
  you're
• 28:32
  my
• 28:33
  fourth
• 28:33
  fertility
• 28:33
  doctor.
• 28:34
  I'm
• 28:34
  Interviewing.
• 28:35
  They
• 28:36
  want
• 28:36
  to
• 28:36
  understand.
• 28:37
  They
• 28:37
  want
• 28:38
  to
• 28:38
  have
• 28:38
  a
• 28:38
  choice.
• 28:38
  And
• 28:38
  I
• 28:39
  think
• 28:39
  that
• 28:39
  is
• 28:39
  so
• 28:39
  smart.
• 28:40
  Not
• 28:40
  every.
• 28:41
  I
• 28:41
  am
• 28:41
  not
• 28:41
  the
• 28:42
  right
• 28:42
  doctor
• 28:42
  for
• 28:42
  every
• 28:42
  single
• 28:43
  patient.
• 28:43
  And
• 28:44
  people
• 28:44
  are
• 28:44
  understanding
• 28:45
  that
• 28:45
  they
• 28:45
  need
• 28:45
  to
• 28:46
  find
• 28:46
  the
• 28:46
  doctor
• 28:46
  that
• 28:47
  they
• 28:47
  believe
• 28:47
  in,
• 28:48
  the
• 28:48
  doctor
• 28:48
  that
• 28:48
  meshes
• 28:49
  with
• 28:49
  them.
• 28:50
  And
• 28:50
  I
• 28:50
  think
• 28:50
  that's
• 28:51
  an
• 28:51
  important
• 28:51
  process
• 28:52
  in
• 28:52
  this,
• 28:53
  the
• 28:53
  whole
• 28:53
  thing.
• 28:54
  I
• 28:54
  do
• 28:54
  think,
• 28:55
  though,
• 28:55
  doing
• 28:56
  your
• 28:56
  search
• 28:57
  online,
• 28:58
  looking
• 28:58
  at
• 28:58
  their
• 28:59
  social
• 28:59
  media,
• 28:59
  looking
• 29:00
  at
• 29:00
  their
• 29:00
  website,
• 29:01
  looking
• 29:01
  at
• 29:02
  their,
• 29:02
  you
• 29:03
  know,
• 29:04
  Instagram
• 29:04
  videos,
• 29:05
  and
• 29:05
  when
• 29:05
  they're
• 29:06
  talking,
• 29:06
  do
• 29:06
  you
• 29:07
  like
• 29:07
  their
• 29:07
  messaging?
• 29:08
  Do
• 29:08
  you
• 29:08
  like
• 29:08
  how
• 29:08
  they
• 29:09
  talk?
• 29:09
  Do
• 29:09
  you
• 29:09
  like
• 29:09
  the
• 29:10
  things
• 29:10
  they're
• 29:10
  talking
• 29:10
  about?
• 29:11
  I
• 29:11
  think
• 29:11
  you
• 29:11
  start
• 29:12
  to
• 29:12
  get
• 29:12
  a
• 29:12
  feel
• 29:12
  for
• 29:12
  some
• 29:13
  people.
• 29:13
  You
• 29:14
  know,
• 29:14
  I
• 29:15
  think
• 29:15
  it's
• 29:15
  a
• 29:15
  nice
• 29:16
  way
• 29:16
  to
• 29:16
  understand.
• 29:17
  And
• 29:17
  if
• 29:17
  the
• 29:17
  person
• 29:18
  is,
• 29:18
  like,
• 29:18
  missing
• 29:19
  from
• 29:19
  the
• 29:19
  world,
• 29:19
  when
• 29:19
  you
• 29:20
  Google
• 29:20
  and
• 29:20
  can't
• 29:21
  find
• 29:21
  anything
• 29:21
  or
• 29:22
  anything
• 29:22
  that's
• 29:22
  of
• 29:22
  any,
• 29:23
  maybe
• 29:23
  that's
• 29:24
  not
• 29:24
  the
• 29:24
  right
• 29:24
  doctor
• 29:24
  for
• 29:24
  you,
• 29:25
  again,
• 29:25
  because
• 29:26
  there's
• 29:26
  nothing
• 29:26
  about
• 29:26
  them
• 29:27
  there.
• 29:27
  Yeah,
• 29:27
  there's
• 29:28
  no,
• 29:28
  like,
• 29:28
  social
• 29:29
  media
• 29:29
  whatsoever
• 29:30
  or,
• 29:30
  like,
• 29:30
  no
• 29:31
  online
• 29:31
  presence.
• 29:32
  I
• 29:32
  think
• 29:32
  in
• 29:33
  this
• 29:33
  day
• 29:33
  and
• 29:33
  age,
• 29:34
  you
• 29:34
  know,
• 29:34
  I'm
• 29:35
  not
• 29:35
  really
• 29:35
  good
• 29:35
  at
• 29:36
  taking
• 29:36
  my
• 29:36
  phone
• 29:36
  and
• 29:36
  taking
• 29:37
  a
• 29:37
  selfie
• 29:37
  every
• 29:37
  time
• 29:37
  I
• 29:37
  walk
• 29:38
  into
• 29:38
  a
• 29:38
  restaurant
• 29:39
  or
• 29:39
  market,
• 29:40
  but
• 29:41
  I
• 29:41
  put
• 29:41
  enough
• 29:41
  out
• 29:42
  there
• 29:42
  that
• 29:42
  is
• 29:42
  meaningful,
• 29:43
  and
• 29:43
  I
• 29:43
  believe
• 29:44
  that
• 29:44
  is
• 29:44
  important
• 29:45
  to
• 29:45
  give
• 29:45
  a
• 29:46
  message
• 29:46
  to
• 29:46
  everyone
• 29:46
  every
• 29:47
  day.
• 29:48
  A
• 29:48
  little
• 29:48
  post,
• 29:48
  a
• 29:49
  little
• 29:49
  this,
• 29:49
  a
• 29:49
  little
• 29:49
  that.
• 29:51
  And
• 29:51
  I've
• 29:51
  gotten.
• 29:52
  I
• 29:53
  suddenly
• 29:53
  walked
• 29:53
  onto
• 29:54
  an
• 29:54
  airplane,
• 29:54
  and
• 29:54
  someone's
• 29:55
  like,
• 29:55
  you're
• 29:55
  the
• 29:56
  guy
• 29:56
  I
• 29:56
  listen
• 29:56
  to
• 29:56
  every
• 29:57
  morning.
• 29:57
  Or
• 29:58
  my
• 29:58
  waitress
• 29:58
  at
• 29:58
  a
• 29:59
  restaurant
• 29:59
  was
• 29:59
  like,
• 30:00
  I
• 30:00
  listened
• 30:01
  to
• 30:01
  you.
• 30:01
  And
• 30:02
  these
• 30:02
  are
• 30:02
  things
• 30:02
  that,
• 30:03
  like,
• 30:03
  make
• 30:03
  that
• 30:03
  moment
• 30:04
  for
• 30:04
  me.
• 30:04
  You
• 30:05
  know,
• 30:05
  I
• 30:05
  went
• 30:06
  to
• 30:06
  a
• 30:06
  restaurant
• 30:07
  recently,
• 30:07
  and
• 30:07
  this
• 30:08
  guy
• 30:08
  came
• 30:08
  and
• 30:08
  said,
• 30:09
  you're
• 30:09
  not
• 30:09
  my
• 30:09
  doctor,
• 30:10
  but
• 30:10
  you
• 30:10
  helped
• 30:10
  my
• 30:11
  wife
• 30:11
  and
• 30:11
  I
• 30:11
  get
• 30:11
  pregnant.
• 30:12
  We
• 30:12
  followed
• 30:13
  every
• 30:13
  single
• 30:14
  thing
• 30:14
  you
• 30:14
  said,
• 30:14
  but
• 30:15
  we
• 30:15
  don't
• 30:15
  live
• 30:15
  that
• 30:15
  close
• 30:15
  to
• 30:16
  your
• 30:16
  clinic.
• 30:17
  And
• 30:17
  it
• 30:18
  was
• 30:18
  the
• 30:18
  hope
• 30:18
  you
• 30:19
  gave
• 30:19
  people.
• 30:19
  And
• 30:20
  so
• 30:20
  I
• 30:20
  think
• 30:20
  you
• 30:21
  have
• 30:21
  to
• 30:21
  have
• 30:21
  some
• 30:21
  kind
• 30:21
  of
• 30:22
  bond.
• 30:22
  The
• 30:23
  bottom
• 30:23
  line,
• 30:23
  I'm
• 30:23
  trying
• 30:23
  to
• 30:23
  say,
• 30:23
  is
• 30:24
  that
• 30:24
  you
• 30:24
  need
• 30:24
  to
• 30:24
  have
• 30:24
  some
• 30:24
  kind
• 30:25
  of
• 30:25
  bond
• 30:25
  with
• 30:26
  your
• 30:26
  doctor
• 30:26
  and
• 30:26
  their
• 30:27
  team.
• 30:27
  Yes.
• 30:28
  And
• 30:28
  it's
• 30:28
  good
• 30:28
  to
• 30:28
  put
• 30:28
  those
• 30:28
  touch
• 30:29
  points
• 30:29
  out
• 30:29
  there,
• 30:29
  like
• 30:30
  you're
• 30:30
  saying,
• 30:30
  so
• 30:30
  people
• 30:31
  can
• 30:31
  connect.
• 30:32
  Absolutely.
• 30:33
  Absolutely.
• 30:34
  You
• 30:35
  know,
• 30:35
  I
• 30:36
  have
• 30:36
  to
• 30:36
  tell
• 30:36
  you,
• 30:37
  I
• 30:37
  am
• 30:37
  invited
• 30:38
  on
• 30:39
  many
• 30:39
  lovely
• 30:39
  podcasts
• 30:40
  just
• 30:40
  like
• 30:40
  this,
• 30:41
  and
• 30:42
  people
• 30:43
  really
• 30:44
  trust
• 30:44
  the
• 30:44
  podcast
• 30:45
  that
• 30:45
  they
• 30:45
  listen
• 30:46
  to.
• 30:46
  Hosts
• 30:47
  and
• 30:47
  hostesses
• 30:48
  that
• 30:48
  bring
• 30:48
  people
• 30:48
  on
• 30:49
  with
• 30:50
  that
• 30:50
  are
• 30:50
  trusted
• 30:51
  and
• 30:51
  are
• 30:52
  good
• 30:52
  at
• 30:52
  what
• 30:52
  they
• 30:52
  do.
• 30:53
  So
• 30:53
  that's,
• 30:54
  you
• 30:54
  know,
• 30:54
  that's
• 30:54
  a
• 30:55
  way
• 30:55
  to
• 30:55
  look
• 30:55
  at
• 30:55
  this
• 30:55
  as
• 30:56
  well.
• 30:56
  If
• 30:57
  you
• 30:57
  don't
• 30:57
  know
• 30:57
  how
• 30:57
  to
• 30:57
  find.
• 30:57
  Maybe
• 30:58
  there
• 30:58
  are
• 30:58
  people
• 30:58
  that
• 30:58
  know
• 30:59
  how
• 30:59
  to
• 30:59
  find.
• 31:00
  Good
• 31:01
  point.
• 31:01
  Yeah,
• 31:02
  that's
• 31:02
  true.
• 31:02
  I
• 31:02
  mean,
• 31:02
  it
• 31:03
  is.
• 31:03
  And
• 31:03
  you
• 31:03
  are
• 31:03
  building
• 31:04
  a
• 31:04
  community
• 31:04
  and
• 31:05
  an
• 31:05
  audience
• 31:05
  that,
• 31:06
  like,
• 31:06
  you're
• 31:06
  saying
• 31:06
  it
• 31:07
  really
• 31:07
  trusts
• 31:07
  you.
• 31:08
  So
• 31:08
  it's
• 31:08
  so
• 31:08
  important,
• 31:10
  you
• 31:10
  know
• 31:10
  what
• 31:11
  you
• 31:11
  put
• 31:11
  out
• 31:11
  there.
• 31:12
  And
• 31:13
  also,
• 31:13
  I
• 31:13
  was
• 31:13
  just
• 31:14
  thinking,
• 31:14
  you
• 31:14
  know,
• 31:14
  with
• 31:15
  women
• 31:15
  over
• 31:15
  40,
• 31:16
  they.
• 31:16
  The
• 31:17
  egg
• 31:17
  quality
• 31:17
  discussion
• 31:18
  comes
• 31:18
  up
• 31:19
  quite
• 31:19
  a
• 31:19
  bit.
• 31:20
  So
• 31:20
  for
• 31:20
  a
• 31:20
  woman
• 31:21
  in
• 31:21
  midlife,
• 31:21
  after
• 31:22
  40,
• 31:22
  is
• 31:22
  it
• 31:22
  more
• 31:23
  important
• 31:24
  to
• 31:24
  have
• 31:24
  egg
• 31:25
  quality
• 31:25
  or
• 31:26
  egg
• 31:26
  quantity
• 31:27
  quality?
• 31:29
  So
• 31:30
  women
• 31:30
  after
• 31:30
  the
• 31:30
  age
• 31:31
  of
• 31:31
  40,
• 31:31
  no
• 31:32
  matter
• 31:32
  what
• 31:32
  quantity,
• 31:33
  is
• 31:33
  going
• 31:33
  to
• 31:34
  go
• 31:34
  down.
• 31:34
  Once
• 31:35
  in
• 31:35
  a
• 31:35
  blue
• 31:35
  moon.
• 31:36
  You
• 31:36
  have
• 31:36
  a
• 31:36
  woman
• 31:37
  over
• 31:37
  40
• 31:37
  who
• 31:37
  still
• 31:38
  makes
• 31:38
  lots
• 31:38
  and
• 31:39
  lots
• 31:39
  of
• 31:39
  eggs
• 31:39
  and.
• 31:39
  But
• 31:40
  no
• 31:40
  one
• 31:40
  cares
• 31:40
  about
• 31:40
  lots
• 31:41
  of
• 31:41
  lots
• 31:41
  of
• 31:41
  eggs.
• 31:42
  We
• 31:42
  care
• 31:42
  about
• 31:43
  healthy
• 31:44
  eggs
• 31:44
  that
• 31:44
  are
• 31:45
  going
• 31:45
  to
• 31:45
  make
• 31:45
  healthy
• 31:45
  embryos.
• 31:46
  So
• 31:46
  I
• 31:47
  rather
• 31:47
  get
• 31:48
  three
• 31:48
  eggs.
• 31:48
  And
• 31:49
  I
• 31:49
  recently
• 31:49
  had
• 31:49
  a
• 31:50
  patient
• 31:50
  who
• 31:50
  was
• 31:50
  around
• 31:51
  40,
• 31:51
  and
• 31:52
  she
• 31:52
  had
• 31:52
  only
• 31:53
  made
• 31:53
  three
• 31:53
  eggs,
• 31:54
  but
• 31:54
  guess
• 31:55
  what?
• 31:55
  She
• 31:56
  made
• 31:57
  one
• 31:57
  of
• 31:57
  those
• 31:57
  eggs.
• 31:58
  Two
• 31:58
  of
• 31:58
  them
• 31:59
  fertilized.
• 31:59
  One
• 32:00
  of
• 32:00
  them
• 32:00
  grow
• 32:01
  beautifully
• 32:01
  the
• 32:02
  whole
• 32:02
  week.
• 32:02
  The
• 32:02
  other
• 32:02
  one
• 32:03
  did
• 32:03
  it.
• 32:03
  The
• 32:04
  one
• 32:04
  that
• 32:04
  grew
• 32:04
  was
• 32:05
  eligible
• 32:05
  to
• 32:05
  get
• 32:05
  a
• 32:06
  biopsy.
• 32:06
  And
• 32:06
  we
• 32:06
  froze
• 32:07
  it.
• 32:07
  And
• 32:07
  a
• 32:07
  week
• 32:08
  later,
• 32:08
  I
• 32:08
  called
• 32:08
  her
• 32:08
  and
• 32:09
  said,
• 32:09
  you
• 32:10
  made
• 32:10
  a
• 32:10
  genetically
• 32:11
  healthy
• 32:11
  normal
• 32:11
  embryo.
• 32:12
  And
• 32:13
  I
• 32:13
  put
• 32:13
  it
• 32:13
  back
• 32:13
  in
• 32:13
  her
• 32:14
  a
• 32:14
  month
• 32:14
  later,
• 32:15
  and
• 32:16
  she
• 32:16
  is
• 32:16
  like
• 32:16
  15
• 32:17
  weeks
• 32:17
  pregnant
• 32:18
  now,
• 32:18
  so.
• 32:19
  And
• 32:19
  she
• 32:19
  only
• 32:19
  started
• 32:19
  with
• 32:20
  three
• 32:20
  eggs.
• 32:21
  Wow.
• 32:22
  Wow.
• 32:23
  Yeah,
• 32:23
  that
• 32:23
  was.
• 32:24
  That
• 32:24
  was
• 32:24
  meant
• 32:24
  to
• 32:24
  be,
• 32:25
  that
• 32:25
  one.
• 32:26
  It
• 32:26
  was
• 32:26
  meant
• 32:26
  to
• 32:27
  be.
• 32:27
  It's
• 32:27
  meant
• 32:27
  to
• 32:28
  be.
• 32:28
  Yes.
• 32:28
  Coming
• 32:29
  in
• 32:29
  hot,
• 32:29
  you
• 32:30
  know,
• 32:30
  very
• 32:31
  hot.
• 32:31
  Right.
• 32:32
  And
• 32:33
  that's
• 32:33
  great.
• 32:33
  She's
• 32:33
  almost
• 32:33
  through
• 32:34
  her
• 32:34
  first
• 32:34
  trimester.
• 32:35
  Oh,
• 32:35
  she.
• 32:36
  No,
• 32:36
  she's
• 32:36
  halfway
• 32:37
  through
• 32:37
  her
• 32:37
  second.
• 32:38
  Yeah.
• 32:38
  Okay.
• 32:39
  For
• 32:39
  the
• 32:40
  women
• 32:40
  at
• 32:40
  home,
• 32:41
  let's
• 32:41
  say
• 32:41
  they're
• 32:41
  like,
• 32:42
  kind.
• 32:42
  They're
• 32:42
  maybe
• 32:42
  they're
• 32:43
  in
• 32:43
  their
• 32:43
  30s
• 32:43
  or
• 32:43
  leading
• 32:44
  up
• 32:44
  to
• 32:44
  40.
• 32:45
  Are
• 32:45
  there
• 32:45
  things
• 32:46
  that
• 32:46
  they
• 32:46
  can
• 32:46
  do
• 32:47
  to
• 32:47
  increase
• 32:48
  their
• 32:48
  chances
• 32:49
  of
• 32:49
  fertility?
• 32:50
  I
• 32:50
  think
• 32:51
  always
• 32:51
  having
• 32:51
  a
• 32:52
  healthier
• 32:52
  lifestyle
• 32:53
  is
• 32:53
  going
• 32:53
  to
• 32:53
  be
• 32:53
  good
• 32:53
  for
• 32:53
  you
• 32:54
  in
• 32:54
  every
• 32:54
  aspect
• 32:55
  of
• 32:55
  your
• 32:55
  health,
• 32:55
  including
• 32:55
  your
• 32:56
  fertility.
• 32:57
  So
• 32:57
  if
• 32:57
  you're
• 32:58
  overweight,
• 32:59
  that
• 32:59
  can
• 32:59
  make
• 32:59
  a
• 32:59
  challenge
• 33:00
  for
• 33:00
  fertility.
• 33:02
  With
• 33:02
  that
• 33:02
  being
• 33:03
  said,
• 33:03
  I
• 33:03
  know
• 33:03
  many
• 33:04
  people
• 33:04
  that
• 33:04
  are
• 33:04
  very
• 33:04
  overweight
• 33:05
  and
• 33:05
  got
• 33:05
  pregnant
• 33:06
  like
• 33:06
  that.
• 33:07
  But
• 33:07
  generally
• 33:08
  speaking,
• 33:08
  weight
• 33:09
  is
• 33:09
  very
• 33:09
  important.
• 33:10
  You
• 33:11
  want
• 33:11
  to
• 33:11
  make
• 33:11
  sure
• 33:11
  that
• 33:12
  your
• 33:12
  ovulation
• 33:13
  pattern
• 33:13
  is
• 33:13
  very
• 33:14
  regular.
• 33:15
  You
• 33:15
  want
• 33:15
  to
• 33:15
  make
• 33:15
  sure
• 33:16
  that
• 33:16
  you're
• 33:16
  taking
• 33:16
  your
• 33:16
  prenatal,
• 33:17
  you're
• 33:18
  taking
• 33:18
  your
• 33:18
  omega
• 33:19
  3s,
• 33:19
  the
• 33:20
  DHA,
• 33:20
  you're
• 33:21
  taking
• 33:21
  your
• 33:21
  methylated
• 33:22
  folates,
• 33:23
  you're
• 33:23
  taking
• 33:24
  your
• 33:24
  CoQ10,
• 33:25
  which
• 33:25
  is
• 33:25
  an
• 33:25
  antioxidant
• 33:26
  that
• 33:26
  slows
• 33:27
  down
• 33:27
  the
• 33:27
  aging
• 33:28
  of
• 33:28
  your
• 33:28
  eggs.
• 33:29
  Because
• 33:29
  women
• 33:29
  that
• 33:30
  have
• 33:30
  taken
• 33:30
  600
• 33:31
  milligrams
• 33:32
  of
• 33:32
  CoQ10,
• 33:33
  the
• 33:33
  strongest
• 33:34
  antioxidants
• 33:34
  available
• 33:35
  actually
• 33:36
  show
• 33:36
  that
• 33:36
  they're
• 33:36
  slowing
• 33:37
  down
• 33:37
  the
• 33:37
  aging
• 33:38
  of
• 33:38
  their
• 33:38
  eggs.
• 33:38
  So
• 33:38
  instead
• 33:39
  of
• 33:39
  the
• 33:39
  eggs
• 33:39
  going
• 33:39
  down
• 33:39
  like
• 33:40
  this,
• 33:40
  it'll
• 33:40
  go
• 33:41
  down.
• 33:41
  It'll
• 33:41
  still
• 33:42
  go
• 33:42
  down.
• 33:42
  It
• 33:42
  will
• 33:42
  not
• 33:43
  stop
• 33:43
  it,
• 33:43
  but
• 33:43
  maybe
• 33:44
  a
• 33:44
  little
• 33:44
  slower.
• 33:45
  So
• 33:45
  those
• 33:46
  are
• 33:46
  important
• 33:46
  things.
• 33:46
  I
• 33:47
  think
• 33:47
  eating
• 33:47
  a
• 33:47
  healthy
• 33:48
  diet
• 33:48
  that
• 33:49
  is
• 33:49
  not
• 33:49
  full
• 33:49
  of
• 33:50
  preservatives
• 33:50
  and
• 33:50
  chemicals,
• 33:51
  which
• 33:52
  is
• 33:52
  basically,
• 33:52
  in
• 33:53
  my
• 33:53
  eyes,
• 33:53
  like
• 33:53
  a
• 33:53
  Mediterranean
• 33:54
  diet
• 33:55
  that
• 33:55
  has
• 33:56
  fresh
• 33:56
  foods
• 33:57
  and
• 33:57
  fresh
• 33:57
  vegetables
• 33:58
  and
• 33:58
  fresh
• 33:59
  fruits
• 33:59
  and
• 34:00
  things
• 34:00
  that
• 34:00
  are
• 34:00
  full
• 34:01
  of
• 34:01
  vitamins
• 34:01
  and
• 34:01
  are
• 34:02
  natural,
• 34:02
  is
• 34:03
  very,
• 34:03
  very
• 34:03
  important.
• 34:04
  Keeping
• 34:05
  yourself
• 34:05
  well
• 34:05
  hydrated,
• 34:06
  exercising,
• 34:07
  and
• 34:08
  at
• 34:08
  the
• 34:08
  same
• 34:08
  time,
• 34:09
  just
• 34:09
  having
• 34:09
  a
• 34:10
  good
• 34:10
  life
• 34:11
  balance
• 34:11
  on
• 34:12
  rest
• 34:13
  and
• 34:14
  everything
• 34:14
  else
• 34:14
  that
• 34:15
  you're
• 34:15
  doing
• 34:15
  is
• 34:15
  very,
• 34:16
  very
• 34:16
  important.
• 34:16
  It's
• 34:17
  so
• 34:17
  easily
• 34:17
  said,
• 34:18
  very
• 34:19
  difficult.
• 34:19
  But
• 34:20
  you
• 34:20
  gotta
• 34:20
  do
• 34:20
  the
• 34:20
  best
• 34:21
  you
• 34:21
  can
• 34:21
  do.
• 34:22
  Absolutely.
• 34:23
  And
• 34:24
  because
• 34:24
  we're
• 34:24
  in
• 34:24
  midlife
• 34:25
  and
• 34:25
  the
• 34:25
  hormones
• 34:25
  are
• 34:26
  going,
• 34:26
  you
• 34:26
  know,
• 34:26
  up
• 34:27
  and
• 34:27
  down
• 34:27
  and
• 34:27
  all
• 34:27
  around
• 34:28
  and
• 34:28
  crazy,
• 34:30
  is
• 34:30
  it
• 34:30
  possible
• 34:30
  for
• 34:31
  the
• 34:31
  women
• 34:31
  that
• 34:31
  are
• 34:31
  on
• 34:32
  hrt,
• 34:32
  can
• 34:33
  they
• 34:33
  also
• 34:34
  try
• 34:34
  to,
• 34:35
  you
• 34:35
  know,
• 34:35
  try
• 34:36
  for
• 34:36
  pregnancy
• 34:37
  at
• 34:37
  that
• 34:38
  point?
• 34:38
  Not
• 34:39
  once
• 34:39
  you're
• 34:39
  on
• 34:39
  hrt.
• 34:40
  So
• 34:40
  HRT
• 34:41
  is
• 34:41
  going
• 34:41
  to
• 34:41
  stabilize
• 34:42
  your
• 34:42
  hormones,
• 34:43
  and
• 34:43
  you're
• 34:43
  not
• 34:43
  going
• 34:44
  to
• 34:44
  be
• 34:44
  then
• 34:44
  ovulating
• 34:45
  like
• 34:45
  you
• 34:45
  normally
• 34:45
  and
• 34:46
  naturally
• 34:46
  do.
• 34:47
  But
• 34:47
  once
• 34:47
  you've
• 34:47
  made
• 34:47
  it
• 34:48
  to
• 34:48
  hrt,
• 34:49
  then
• 34:49
  that's
• 34:49
  not
• 34:50
  going
• 34:50
  to
• 34:50
  be
• 34:50
  the
• 34:51
  time
• 34:51
  when
• 34:51
  you
• 34:51
  want
• 34:51
  to
• 34:51
  be
• 34:51
  trying.
• 34:52
  It's
• 34:52
  before
• 34:53
  that.
• 34:53
  Okay,
• 34:54
  it's
• 34:54
  before
• 34:54
  that.
• 34:54
  Could
• 34:55
  they
• 34:55
  do
• 34:55
  like
• 34:56
  an
• 34:56
  egg
• 34:57
  donor
• 34:57
  at
• 34:57
  that
• 34:57
  point?
• 34:58
  Yes,
• 34:59
  you
• 34:59
  could.
• 35:00
  So
• 35:00
  that's
• 35:01
  a
• 35:01
  very
• 35:01
  good
• 35:02
  question.
• 35:02
  Thank
• 35:02
  you
• 35:02
  for
• 35:03
  asking
• 35:03
  that,
• 35:03
  Roxy.
• 35:04
  You
• 35:04
  can
• 35:04
  be
• 35:05
  menopausal
• 35:06
  and
• 35:07
  completely
• 35:07
  done
• 35:07
  with
• 35:08
  your
• 35:08
  period,
• 35:09
  or
• 35:09
  some
• 35:10
  people
• 35:10
  have
• 35:10
  premature
• 35:10
  ovarian
• 35:11
  failure
• 35:11
  where
• 35:12
  their
• 35:12
  periods
• 35:12
  stop
• 35:13
  really
• 35:13
  young.
• 35:14
  Anything
• 35:14
  under
• 35:14
  the
• 35:15
  age
• 35:15
  of
• 35:15
  41
• 35:16
  is
• 35:16
  premature.
• 35:18
  So
• 35:19
  you
• 35:19
  can
• 35:19
  have
• 35:19
  no
• 35:20
  periods,
• 35:20
  and
• 35:20
  we
• 35:21
  can
• 35:21
  still
• 35:21
  get
• 35:21
  you
• 35:21
  pregnant
• 35:22
  with
• 35:22
  the
• 35:22
  use
• 35:22
  of
• 35:22
  an
• 35:23
  egg
• 35:23
  donor,
• 35:23
  where
• 35:23
  we
• 35:24
  use
• 35:24
  the
• 35:24
  egg
• 35:24
  of
• 35:24
  the
• 35:24
  young
• 35:24
  woman,
• 35:25
  the
• 35:25
  sperm
• 35:26
  of
• 35:26
  your
• 35:26
  choice,
• 35:26
  make
• 35:27
  an
• 35:27
  embryo,
• 35:27
  and
• 35:28
  we
• 35:28
  can
• 35:28
  prepare
• 35:29
  the
• 35:29
  lining
• 35:29
  of
• 35:29
  your
• 35:29
  uterus,
• 35:30
  even
• 35:30
  if
• 35:30
  you
• 35:30
  haven't
• 35:31
  had
• 35:31
  a
• 35:31
  period
• 35:31
  in
• 35:32
  10
• 35:32
  years,
• 35:32
  20
• 35:33
  years.
• 35:33
  But
• 35:34
  we're
• 35:34
  not
• 35:35
  going
• 35:35
  to
• 35:35
  be
• 35:35
  doing
• 35:35
  that
• 35:35
  in
• 35:36
  a
• 35:36
  woman
• 35:36
  over
• 35:36
  the
• 35:37
  age
• 35:37
  of
• 35:37
  55.
• 35:38
  Okay.
• 35:38
  So
• 35:39
  the
• 35:39
  American
• 35:39
  Society
• 35:40
  of
• 35:40
  Reproductive
• 35:41
  Medicine
• 35:41
  does
• 35:42
  not
• 35:42
  Recommend
• 35:42
  for
• 35:43
  anyone
• 35:43
  55
• 35:44
  and
• 35:44
  older
• 35:44
  to
• 35:45
  carry
• 35:45
  a
• 35:45
  pregnancy.
• 35:46
  I
• 35:46
  want
• 35:47
  to
• 35:47
  be
• 35:47
  very
• 35:47
  honest
• 35:48
  here.
• 35:48
  I
• 35:49
  get
• 35:49
  very,
• 35:50
  very
• 35:50
  concerned
• 35:51
  when
• 35:52
  my
• 35:52
  patient
• 35:53
  is
• 35:53
  in
• 35:53
  their
• 35:53
  late
• 35:54
  40s
• 35:54
  or
• 35:55
  early
• 35:55
  50s
• 35:56
  and
• 35:56
  still
• 35:56
  wants
• 35:56
  to
• 35:57
  carry.
• 35:58
  I
• 35:58
  have
• 35:58
  had
• 35:58
  patients
• 35:59
  that
• 35:59
  I
• 36:00
  make
• 36:00
  sure
• 36:01
  they
• 36:01
  have
• 36:01
  to
• 36:01
  go
• 36:02
  through
• 36:02
  a
• 36:02
  list
• 36:02
  this
• 36:03
  big
• 36:03
  of
• 36:03
  clearances,
• 36:04
  double
• 36:05
  checks,
• 36:06
  knowledge,
• 36:08
  just
• 36:08
  every
• 36:09
  counseling
• 36:10
  that
• 36:10
  I
• 36:10
  can
• 36:10
  get
• 36:11
  them
• 36:11
  to
• 36:11
  understand
• 36:12
  everything
• 36:12
  involved.
• 36:13
  And
• 36:13
  if
• 36:13
  they
• 36:13
  still
• 36:14
  pass
• 36:14
  all
• 36:14
  their
• 36:14
  clearances,
• 36:15
  and
• 36:15
  are
• 36:15
  in
• 36:16
  excellent
• 36:16
  health
• 36:16
  and
• 36:17
  aware
• 36:17
  of
• 36:17
  all
• 36:17
  the
• 36:17
  risks.
• 36:18
  That's
• 36:19
  a
• 36:19
  different
• 36:19
  story.
• 36:19
  Then
• 36:20
  we
• 36:20
  can
• 36:20
  talk.
• 36:21
  But
• 36:21
  after
• 36:21
  the
• 36:22
  age
• 36:22
  of
• 36:22
  55.
• 36:22
  No.
• 36:23
  So
• 36:25
  it's
• 36:25
  a.
• 36:25
  And
• 36:25
  it's
• 36:26
  not
• 36:26
  right
• 36:26
  for
• 36:26
  everyone.
• 36:27
  Not
• 36:27
  everyone
• 36:27
  who
• 36:27
  is
• 36:27
  52
• 36:28
  wants
• 36:29
  to
• 36:29
  carry
• 36:29
  a
• 36:29
  pregnancy.
• 36:30
  That's
• 36:31
  true.
• 36:31
  So
• 36:32
  is
• 36:32
  it
• 36:32
  because
• 36:33
  once
• 36:33
  you're
• 36:34
  that
• 36:34
  age,
• 36:34
  just
• 36:35
  what's
• 36:35
  happening
• 36:35
  in
• 36:35
  the
• 36:36
  body?
• 36:36
  I
• 36:36
  mean,
• 36:36
  just
• 36:37
  muscular
• 36:38
  bones
• 36:39
  like
• 36:39
  all
• 36:39
  of
• 36:40
  those
• 36:40
  things,
• 36:40
  or
• 36:40
  is
• 36:40
  it
• 36:41
  just
• 36:41
  not
• 36:42
  safe
• 36:42
  because
• 36:42
  it
• 36:42
  actually
• 36:43
  could
• 36:43
  threaten
• 36:44
  the
• 36:44
  mother's
• 36:44
  life?
• 36:45
  All
• 36:45
  of
• 36:46
  the
• 36:46
  above.
• 36:47
  So
• 36:48
  not
• 36:49
  every
• 36:49
  single
• 36:50
  52
• 36:50
  year
• 36:50
  old
• 36:50
  woman
• 36:51
  is
• 36:51
  in
• 36:51
  the
• 36:51
  best
• 36:52
  of
• 36:52
  health.
• 36:54
  So
• 36:54
  that's.
• 36:55
  It
• 36:55
  could
• 36:55
  be
• 36:55
  your.
• 36:56
  It
• 36:56
  could
• 36:57
  be
• 36:57
  a
• 36:57
  lot
• 36:57
  of
• 36:57
  things.
• 36:57
  But
• 36:58
  what
• 36:58
  has
• 36:58
  been
• 36:58
  proven
• 36:59
  after
• 36:59
  the
• 36:59
  age
• 36:59
  of
• 37:00
  35
• 37:01
  is
• 37:01
  higher
• 37:01
  rates
• 37:02
  of
• 37:02
  gestational
• 37:02
  diabetes,
• 37:04
  higher
• 37:04
  rates
• 37:04
  of
• 37:05
  high
• 37:05
  blood
• 37:05
  pressure
• 37:05
  in
• 37:05
  pregnancy,
• 37:06
  which
• 37:06
  is
• 37:06
  called
• 37:06
  preeclampsia,
• 37:08
  and
• 37:08
  higher
• 37:08
  rates
• 37:09
  to
• 37:09
  an
• 37:09
  extent
• 37:09
  on
• 37:10
  preterm
• 37:10
  delivery
• 37:11
  and
• 37:11
  labor.
• 37:12
  So
• 37:12
  those
• 37:12
  are
• 37:13
  kind
• 37:13
  of
• 37:13
  proven
• 37:13
  things.
• 37:14
  With
• 37:14
  all
• 37:15
  of
• 37:15
  that
• 37:15
  being
• 37:15
  said,
• 37:16
  I
• 37:16
  have
• 37:16
  had
• 37:16
  patients
• 37:17
  in
• 37:17
  their
• 37:17
  late
• 37:17
  40s
• 37:18
  and
• 37:18
  early
• 37:18
  50s
• 37:19
  still
• 37:20
  do
• 37:20
  incredibly
• 37:21
  well.
• 37:22
  Wow,
• 37:23
  that's
• 37:23
  so
• 37:23
  interesting.
• 37:24
  Okay,
• 37:24
  so
• 37:25
  you
• 37:25
  don't
• 37:25
  need
• 37:25
  the
• 37:26
  period
• 37:26
  you
• 37:26
  could
• 37:27
  still
• 37:27
  carry?
• 37:28
  Yes,
• 37:28
  yes.
• 37:29
  Okay.
• 37:29
  But
• 37:29
  it's
• 37:30
  not
• 37:30
  recommended
• 37:31
  in
• 37:31
  your
• 37:31
  mid,
• 37:32
  late.
• 37:32
  Let's
• 37:33
  put
• 37:33
  it
• 37:33
  this
• 37:33
  way.
• 37:33
  It
• 37:34
  concerns
• 37:34
  me,
• 37:35
  okay.
• 37:36
  My
• 37:36
  patient's
• 37:37
  health
• 37:37
  is
• 37:37
  my
• 37:38
  number
• 37:38
  one
• 37:38
  priority.
• 37:39
  It
• 37:39
  concerns
• 37:40
  me.
• 37:40
  What
• 37:40
  if
• 37:41
  something
• 37:41
  goes
• 37:41
  wrong?
• 37:42
  Yeah,
• 37:43
  no,
• 37:43
  it's
• 37:43
  a
• 37:43
  viable
• 37:44
  concern,
• 37:44
  of
• 37:44
  course,
• 37:45
  like,
• 37:45
  absolutely.
• 37:46
  But
• 37:47
  I've
• 37:47
  had
• 37:47
  some
• 37:47
  patients
• 37:48
  that
• 37:48
  are.
• 37:48
  Have
• 37:48
  been
• 37:48
  in
• 37:49
  incredible
• 37:49
  health,
• 37:50
  I
• 37:50
  mean,
• 37:51
  incredible
• 37:52
  healthier
• 37:52
  than
• 37:52
  my
• 37:53
  younger
• 37:53
  patients
• 37:53
  and
• 37:54
  have
• 37:54
  done
• 37:54
  incredibly
• 37:55
  well
• 37:55
  carrying
• 37:55
  pregnancies.
• 37:56
  So
• 37:57
  again,
• 37:57
  everyone
• 37:57
  is
• 37:58
  individual,
• 37:58
  everyone's
• 37:59
  their
• 37:59
  own
• 37:59
  story.
• 38:00
  Everyone
• 38:00
  is
• 38:00
  treated
• 38:01
  individually
• 38:02
  with
• 38:02
  what's
• 38:02
  best
• 38:02
  for
• 38:02
  them.
• 38:03
  You
• 38:03
  know,
• 38:04
  for
• 38:04
  my
• 38:04
  story
• 38:05
  personally,
• 38:05
  I
• 38:06
  got
• 38:06
  pregnant
• 38:06
  at
• 38:07
  38
• 38:07
  naturally,
• 38:08
  and
• 38:08
  then
• 38:08
  I
• 38:08
  had
• 38:08
  my
• 38:09
  child
• 38:09
  at
• 38:09
  39.
• 38:11
  And
• 38:11
  I
• 38:11
  keep
• 38:12
  hearing
• 38:12
  these
• 38:12
  statistics
• 38:13
  where
• 38:13
  they're
• 38:13
  saying
• 38:13
  the
• 38:14
  later
• 38:14
  you've
• 38:14
  gotten
• 38:15
  pregnant
• 38:16
  and
• 38:16
  delivered
• 38:17
  a
• 38:17
  child,
• 38:18
  maybe
• 38:18
  the
• 38:18
  less
• 38:19
  risk
• 38:19
  of
• 38:20
  health
• 38:21
  issues
• 38:21
  down
• 38:21
  the
• 38:22
  line
• 38:22
  you
• 38:22
  might
• 38:22
  have
• 38:22
  as
• 38:23
  far
• 38:23
  as
• 38:23
  like
• 38:23
  cancer
• 38:24
  and
• 38:24
  things
• 38:24
  like
• 38:25
  that.
• 38:25
  Is
• 38:25
  that
• 38:25
  true?
• 38:27
  No.
• 38:27
  Is
• 38:28
  there
• 38:28
  in
• 38:28
  sort
• 38:28
  of
• 38:28
  any
• 38:29
  correlation
• 38:29
  with
• 38:30
  that?
• 38:30
  Okay,
• 38:31
  well,
• 38:31
  the
• 38:31
  only
• 38:32
  correlation
• 38:32
  that
• 38:33
  I
• 38:33
  can
• 38:33
  think
• 38:33
  of
• 38:34
  is
• 38:34
  that
• 38:34
  your
• 38:35
  reproductive
• 38:35
  health
• 38:36
  is
• 38:37
  potentially
• 38:37
  better
• 38:38
  than
• 38:38
  a
• 38:38
  woman
• 38:38
  who
• 38:39
  no
• 38:39
  longer
• 38:39
  could
• 38:39
  get
• 38:39
  pregnant
• 38:40
  and
• 38:40
  34
• 38:41
  and
• 38:41
  pass.
• 38:42
  So
• 38:43
  your
• 38:43
  reproductive
• 38:43
  health,
• 38:44
  the
• 38:44
  fact
• 38:44
  that
• 38:44
  you
• 38:44
  got
• 38:45
  pregnant
• 38:45
  later
• 38:46
  and
• 38:46
  delivered
• 38:47
  is
• 38:47
  great,
• 38:48
  but
• 38:48
  it
• 38:49
  doesn't
• 38:49
  tell
• 38:49
  you
• 38:49
  anything.
• 38:50
  I
• 38:50
  think
• 38:50
  about
• 38:50
  other
• 38:50
  things.
• 38:51
  Never
• 38:51
  seen
• 38:51
  any
• 38:52
  data
• 38:52
  at
• 38:52
  all
• 38:52
  that
• 38:53
  correlates
• 38:53
  with
• 38:53
  that.
• 38:54
  Okay,
• 38:54
  so
• 38:54
  there's
• 38:55
  no.
• 38:55
  The
• 38:55
  reproductive
• 38:56
  is
• 38:56
  just
• 38:56
  totally
• 38:56
  separate.
• 38:57
  It
• 38:57
  doesn't
• 38:57
  really
• 38:57
  have
• 38:58
  a
• 38:58
  bearing
• 38:58
  on
• 38:59
  the,
• 38:59
  the
• 38:59
  holistic
• 39:00
  health
• 39:00
  picture.
• 39:01
  Not
• 39:01
  really.
• 39:02
  Okay.
• 39:03
  Okay,
• 39:03
  that's
• 39:04
  good
• 39:04
  to
• 39:04
  know.
• 39:04
  And
• 39:05
  you
• 39:05
  know,
• 39:05
  we
• 39:06
  all
• 39:06
  took
• 39:06
  prenatal
• 39:07
  vitamins,
• 39:07
  you
• 39:08
  know,
• 39:08
  when
• 39:08
  we
• 39:08
  were
• 39:08
  pregnant.
• 39:10
  Doctor
• 39:10
  always
• 39:10
  says
• 39:11
  to
• 39:11
  take
• 39:11
  them,
• 39:11
  so
• 39:11
  we
• 39:11
  did.
• 39:12
  Is
• 39:13
  that
• 39:13
  like
• 39:13
  a
• 39:14
  vitamin
• 39:14
  or
• 39:14
  a
• 39:14
  supplement
• 39:15
  that
• 39:15
  you
• 39:15
  could
• 39:15
  continue
• 39:16
  to
• 39:16
  take
• 39:16
  after
• 39:17
  you've
• 39:17
  had
• 39:17
  your
• 39:17
  baby?
• 39:19
  So
• 39:19
  half
• 39:20
  the
• 39:20
  patients
• 39:20
  that
• 39:20
  come
• 39:20
  into
• 39:21
  my
• 39:21
  clinic,
• 39:21
  Roxy,
• 39:22
  are
• 39:22
  coming
• 39:22
  for
• 39:22
  egg
• 39:22
  freezing.
• 39:23
  I
• 39:24
  tell.
• 39:25
  I
• 39:25
  just.
• 39:25
  If
• 39:26
  you
• 39:26
  are
• 39:26
  a
• 39:26
  reproductive
• 39:27
  aged
• 39:27
  woman,
• 39:28
  you
• 39:28
  are
• 39:29
  welcome
• 39:29
  to
• 39:29
  take
• 39:30
  prenatals
• 39:30
  because
• 39:30
  I
• 39:31
  personally
• 39:32
  think
• 39:32
  that
• 39:32
  it
• 39:32
  is
• 39:33
  the
• 39:33
  best
• 39:33
  multivitamin
• 39:34
  available
• 39:35
  for
• 39:35
  a
• 39:36
  female
• 39:36
  body
• 39:36
  in
• 39:37
  the
• 39:37
  reproductive
• 39:37
  years.
• 39:38
  Now,
• 39:39
  once
• 39:39
  you
• 39:39
  hit
• 39:39
  like
• 39:40
  menopausal
• 39:40
  age,
• 39:41
  there
• 39:41
  are
• 39:41
  different
• 39:42
  supplements
• 39:43
  that
• 39:43
  needed
• 39:44
  that
• 39:44
  a
• 39:44
  prenatal
• 39:45
  may
• 39:45
  not
• 39:45
  be
• 39:45
  the
• 39:46
  best
• 39:46
  for.
• 39:47
  But
• 39:47
  a
• 39:47
  woman
• 39:47
  between
• 39:48
  20
• 39:49
  and
• 39:49
  45,
• 39:50
  I
• 39:51
  can't
• 39:51
  think
• 39:51
  of
• 39:51
  a
• 39:51
  better
• 39:51
  vitamin
• 39:52
  for
• 39:52
  them
• 39:52
  than
• 39:53
  a
• 39:53
  prenatal
• 39:53
  vitamin
• 39:53
  instead
• 39:54
  of
• 39:54
  a
• 39:54
  multivitamin.
• 39:55
  Okay.
• 39:55
  Oh,
• 39:56
  that's
• 39:56
  good
• 39:56
  to
• 39:56
  know.
• 39:56
  So
• 39:56
  it
• 39:56
  doesn't.
• 39:57
  The
• 39:57
  iron,
• 39:57
  the
• 39:57
  higher
• 39:58
  iron
• 39:58
  and
• 39:58
  the
• 39:59
  folates
• 39:59
  and
• 39:59
  stuff
• 39:59
  like
• 39:59
  that.
• 40:00
  That
• 40:00
  can
• 40:00
  only
• 40:00
  mean
• 40:00
  good
• 40:01
  things,
• 40:01
  right?
• 40:01
  Okay.
• 40:01
  Only
• 40:02
  good
• 40:02
  things.
• 40:02
  Only
• 40:03
  good
• 40:03
  things.
• 40:03
  Okay,
• 40:04
  that's
• 40:04
  good
• 40:04
  to
• 40:04
  know.
• 40:05
  So
• 40:05
  what
• 40:06
  would
• 40:06
  you
• 40:06
  say
• 40:06
  to
• 40:07
  a
• 40:07
  woman
• 40:07
  who's
• 40:08
  coming
• 40:08
  into
• 40:08
  your
• 40:08
  clinic
• 40:09
  panicking,
• 40:10
  like,
• 40:10
  she's
• 40:10
  like,
• 40:10
  I'm
• 40:11
  40
• 40:11
  years
• 40:11
  old
• 40:12
  or
• 40:12
  42
• 40:12
  and
• 40:13
  I
• 40:13
  don't
• 40:13
  have
• 40:13
  a
• 40:13
  partner
• 40:14
  and
• 40:14
  I
• 40:15
  really
• 40:15
  want
• 40:15
  to
• 40:15
  have
• 40:15
  a
• 40:15
  baby.
• 40:16
  What
• 40:16
  do.
• 40:16
  Like
• 40:17
  what
• 40:17
  are
• 40:18
  you
• 40:18
  telling
• 40:18
  her?
• 40:18
  What
• 40:18
  is,
• 40:19
  what
• 40:19
  does
• 40:19
  this
• 40:19
  appointment
• 40:20
  look
• 40:20
  like?
• 40:21
  So
• 40:22
  the
• 40:22
  first
• 40:22
  thing
• 40:22
  we
• 40:22
  do
• 40:23
  is
• 40:23
  calm
• 40:24
  down
• 40:24
  and
• 40:24
  go
• 40:25
  over
• 40:25
  all
• 40:25
  of
• 40:26
  the
• 40:26
  options
• 40:26
  that
• 40:26
  we
• 40:26
  have
• 40:27
  available.
• 40:27
  Get
• 40:28
  an
• 40:28
  excellent
• 40:29
  history
• 40:29
  on
• 40:29
  the
• 40:29
  patient
• 40:30
  to
• 40:30
  know
• 40:30
  where
• 40:30
  they're
• 40:31
  coming
• 40:31
  from,
• 40:32
  health
• 40:32
  wise.
• 40:33
  And
• 40:33
  if
• 40:33
  everything
• 40:34
  is
• 40:34
  looking
• 40:34
  good,
• 40:35
  then
• 40:35
  we
• 40:35
  evaluate.
• 40:36
  Then
• 40:37
  I
• 40:37
  call
• 40:37
  back
• 40:37
  and
• 40:37
  go
• 40:38
  over
• 40:38
  all
• 40:38
  the
• 40:38
  results
• 40:38
  and
• 40:39
  explain,
• 40:40
  your
• 40:40
  fertility
• 40:40
  is
• 40:41
  good,
• 40:41
  your
• 40:41
  levels
• 40:42
  are
• 40:42
  low,
• 40:42
  your
• 40:43
  levels
• 40:43
  are
• 40:43
  high,
• 40:44
  and
• 40:44
  then
• 40:44
  what
• 40:44
  the
• 40:44
  options
• 40:45
  are.
• 40:45
  So
• 40:45
  if
• 40:45
  a
• 40:46
  42
• 40:46
  year
• 40:46
  old
• 40:46
  comes
• 40:47
  in
• 40:47
  like
• 40:47
  that,
• 40:48
  I
• 40:48
  would
• 40:49
  say
• 40:49
  you
• 40:49
  have
• 40:50
  two
• 40:50
  choices.
• 40:51
  One
• 40:51
  is
• 40:51
  you
• 40:51
  freeze
• 40:52
  your
• 40:52
  eggs
• 40:53
  until
• 40:53
  you
• 40:53
  meet
• 40:53
  Mr.
• 40:54
  Right.
• 40:54
  The
• 40:55
  other
• 40:55
  is
• 40:55
  like,
• 40:56
  many
• 40:56
  women
• 40:56
  have
• 40:57
  done
• 40:57
  that.
• 40:57
  Go
• 40:57
  for
• 40:58
  having
• 40:58
  the
• 40:58
  baby
• 40:58
  alone
• 40:59
  and
• 40:59
  be
• 40:59
  a
• 41:00
  use
• 41:00
  sperm
• 41:01
  donation
• 41:02
  and
• 41:03
  do
• 41:03
  it.
• 41:03
  Many,
• 41:04
  many,
• 41:05
  many
• 41:05
  women
• 41:06
  have
• 41:06
  done
• 41:06
  that
• 41:06
  in
• 41:06
  my
• 41:06
  office.
• 41:07
  And
• 41:08
  many
• 41:08
  have
• 41:08
  told
• 41:09
  me,
• 41:09
  I
• 41:10
  looked
• 41:10
  for
• 41:10
  Mr.
• 41:10
  Right.
• 41:11
  I
• 41:11
  didn't
• 41:11
  find
• 41:11
  him.
• 41:11
  I
• 41:11
  can
• 41:12
  do
• 41:12
  this
• 41:12
  myself
• 41:12
  and
• 41:12
  I
• 41:12
  want
• 41:13
  this
• 41:13
  bad
• 41:13
  enough
• 41:13
  that
• 41:13
  I
• 41:13
  don't
• 41:14
  want
• 41:14
  to
• 41:14
  wait
• 41:14
  any
• 41:14
  longer.
• 41:15
  I
• 41:15
  forgot
• 41:15
  to
• 41:15
  ask
• 41:15
  you
• 41:16
  for
• 41:16
  the
• 41:16
  menopausal
• 41:17
  woman
• 41:18
  that
• 41:18
  still
• 41:18
  wants
• 41:19
  to
• 41:19
  carry,
• 41:19
  let's
• 41:19
  say
• 41:20
  she's
• 41:20
  late
• 41:20
  40s,
• 41:21
  if
• 41:21
  she
• 41:21
  had
• 41:21
  previously
• 41:22
  frozen
• 41:22
  her
• 41:23
  own
• 41:23
  egg,
• 41:24
  is
• 41:24
  that
• 41:24
  something
• 41:25
  you
• 41:25
  could
• 41:25
  try
• 41:25
  to
• 41:25
  implant?
• 41:26
  If
• 41:26
  it's
• 41:27
  if
• 41:27
  she's
• 41:27
  in
• 41:28
  menopause.
• 41:28
  Yes,
• 41:29
  absolutely.
• 41:30
  So
• 41:31
  the
• 41:31
  whole
• 41:31
  purpose
• 41:32
  of
• 41:32
  freezing
• 41:33
  your
• 41:33
  egg
• 41:33
  is
• 41:34
  that
• 41:34
  later
• 41:34
  on
• 41:35
  in
• 41:35
  life,
• 41:35
  you
• 41:35
  don't
• 41:36
  have
• 41:36
  to
• 41:36
  use
• 41:36
  the
• 41:36
  egg
• 41:36
  of
• 41:36
  someone
• 41:37
  else.
• 41:38
  So
• 41:39
  instead
• 41:39
  of
• 41:39
  going
• 41:39
  to
• 41:39
  the
• 41:40
  egg
• 41:40
  donor,
• 41:40
  guess
• 41:41
  what?
• 41:41
  We
• 41:41
  go
• 41:41
  and
• 41:41
  get
• 41:41
  your
• 41:42
  own
• 41:42
  eggs
• 41:42
  out
• 41:42
  of
• 41:42
  the
• 41:42
  freezer.
• 41:43
  Okay.
• 41:43
  So
• 41:43
  it's
• 41:44
  viable
• 41:44
  as
• 41:44
  long
• 41:44
  as
• 41:44
  it
• 41:45
  was,
• 41:45
  like
• 41:45
  a
• 41:45
  healthy
• 41:45
  egg
• 41:46
  that
• 41:46
  you
• 41:46
  harvested.
• 41:46
  And.
• 41:47
  Yeah.
• 41:47
  I
• 41:48
  have
• 41:48
  a
• 41:48
  friend
• 41:48
  that
• 41:49
  I
• 41:49
  grew
• 41:49
  up
• 41:49
  with.
• 41:50
  I've
• 41:51
  known
• 41:51
  her
• 41:51
  since
• 41:52
  I
• 41:52
  was
• 41:52
  8
• 41:52
  years
• 41:53
  old.
• 41:53
  And
• 41:54
  when
• 41:55
  she
• 41:57
  wasn't
• 41:57
  married,
• 41:58
  we
• 41:58
  talked.
• 41:59
  I
• 41:59
  told
• 41:59
  you,
• 41:59
  you
• 41:59
  got
• 42:00
  to
• 42:00
  freeze
• 42:00
  your
• 42:00
  eggs.
• 42:01
  She
• 42:01
  did
• 42:03
  three
• 42:03
  cycles
• 42:03
  of
• 42:04
  egg
• 42:04
  freezing,
• 42:05
  and
• 42:06
  at
• 42:06
  51,
• 42:08
  she
• 42:08
  had
• 42:08
  her
• 42:08
  baby
• 42:09
  with
• 42:09
  her
• 42:10
  husband
• 42:10
  that
• 42:10
  she
• 42:10
  finally
• 42:11
  met
• 42:11
  and
• 42:11
  loved.
• 42:12
  And
• 42:12
  a
• 42:12
  surrogate
• 42:13
  carried
• 42:13
  it
• 42:13
  for
• 42:13
  them,
• 42:14
  and
• 42:14
  they
• 42:14
  have
• 42:15
  a
• 42:15
  beautiful,
• 42:15
  beautiful,
• 42:16
  beautiful
• 42:16
  baby
• 42:17
  because
• 42:17
  she
• 42:17
  thought
• 42:17
  well
• 42:18
  ahead
• 42:18
  and
• 42:19
  did
• 42:19
  every
• 42:19
  single
• 42:19
  thing
• 42:20
  that
• 42:20
  she
• 42:20
  needed
• 42:20
  to
• 42:20
  do
• 42:20
  to
• 42:21
  have
• 42:21
  her
• 42:21
  baby.
• 42:22
  Oh,
• 42:22
  my
• 42:22
  gosh,
• 42:22
  that's
• 42:23
  amazing.
• 42:23
  And
• 42:23
  did
• 42:23
  they
• 42:23
  use
• 42:23
  his
• 42:24
  sperm?
• 42:25
  Yes,
• 42:25
  of
• 42:25
  course.
• 42:26
  They
• 42:26
  used
• 42:26
  her
• 42:27
  husband's
• 42:27
  sperm.
• 42:28
  Wow.
• 42:29
  So
• 42:29
  biologically,
• 42:30
  the
• 42:30
  child
• 42:30
  is
• 42:30
  their
• 42:31
  child.
• 42:31
  And
• 42:31
  the
• 42:32
  only
• 42:32
  thing
• 42:32
  is
• 42:32
  that
• 42:32
  she
• 42:33
  just
• 42:33
  didn't
• 42:33
  feel
• 42:33
  comfortable
• 42:34
  carrying
• 42:35
  and
• 42:35
  she
• 42:35
  had
• 42:35
  it
• 42:36
  carried
• 42:36
  by
• 42:36
  a
• 42:36
  surrogate.
• 42:37
  Oh,
• 42:37
  wow.
• 42:37
  That's
• 42:38
  a
• 42:38
  great.
• 42:38
  That's
• 42:38
  a
• 42:38
  great
• 42:38
  story.
• 42:39
  You
• 42:39
  love
• 42:39
  when
• 42:39
  you
• 42:39
  hear
• 42:39
  things
• 42:40
  like.
• 42:40
  That'S
• 42:40
  a
• 42:40
  good
• 42:40
  one.
• 42:40
  And
• 42:41
  I
• 42:41
  adore
• 42:41
  this
• 42:41
  person.
• 42:42
  I've
• 42:42
  known
• 42:42
  her
• 42:42
  since
• 42:43
  I
• 42:43
  was
• 42:43
  in
• 42:43
  the
• 42:43
  third
• 42:43
  grade.
• 42:44
  So
• 42:45
  it's
• 42:45
  been
• 42:45
  a
• 42:45
  bit.
• 42:46
  Yeah,
• 42:47
  exactly.
• 42:47
  You're
• 42:47
  like,
• 42:47
  I
• 42:47
  know
• 42:48
  this
• 42:48
  girl.
• 42:50
  It's
• 42:50
  very
• 42:50
  few
• 42:50
  people
• 42:51
  that
• 42:51
  you
• 42:51
  could
• 42:51
  say
• 42:51
  you've
• 42:51
  known
• 42:52
  for,
• 42:52
  you
• 42:52
  know,
• 42:53
  over
• 42:53
  45
• 42:54
  years.
• 42:55
  Totally.
• 42:56
  On
• 42:56
  the
• 42:56
  flip
• 42:57
  side
• 42:57
  of
• 42:57
  that,
• 42:57
  let's
• 42:58
  say
• 42:58
  a
• 42:58
  woman
• 42:58
  tries
• 42:58
  IVF
• 42:59
  and
• 42:59
  all
• 42:59
  the
• 42:59
  things,
• 43:00
  and
• 43:00
  it
• 43:00
  doesn't
• 43:00
  work.
• 43:01
  Do
• 43:02
  you.
• 43:02
  What
• 43:02
  kind
• 43:02
  of
• 43:02
  advice
• 43:03
  do
• 43:03
  you
• 43:03
  give
• 43:03
  her
• 43:03
  at
• 43:03
  that
• 43:04
  point
• 43:04
  if
• 43:04
  she's,
• 43:05
  you.
• 43:05
  Know,
• 43:05
  so
• 43:05
  if
• 43:05
  it
• 43:05
  doesn't
• 43:06
  work,
• 43:06
  I
• 43:06
  mean,
• 43:06
  we
• 43:07
  have
• 43:07
  to
• 43:07
  see
• 43:07
  why.
• 43:08
  Like,
• 43:08
  if
• 43:08
  she
• 43:08
  has
• 43:09
  very
• 43:09
  few
• 43:09
  eggs
• 43:09
  and
• 43:10
  it's
• 43:10
  not
• 43:10
  working,
• 43:11
  you
• 43:11
  may
• 43:11
  say
• 43:12
  to
• 43:12
  someone,
• 43:12
  I
• 43:12
  don't
• 43:12
  know
• 43:13
  if
• 43:13
  it's
• 43:13
  worthwhile
• 43:13
  to
• 43:13
  do
• 43:14
  this
• 43:14
  again.
• 43:15
  There's
• 43:16
  many
• 43:16
  different
• 43:16
  ways
• 43:17
  of
• 43:17
  looking
• 43:17
  at
• 43:17
  that.
• 43:18
  And
• 43:19
  at
• 43:19
  that
• 43:19
  point,
• 43:20
  I
• 43:20
  think
• 43:20
  it's
• 43:20
  important
• 43:21
  to
• 43:21
  say,
• 43:21
  listen,
• 43:21
  do
• 43:22
  you
• 43:22
  try
• 43:23
  again,
• 43:24
  or
• 43:24
  do
• 43:25
  you
• 43:25
  now
• 43:25
  try
• 43:25
  to
• 43:25
  do
• 43:25
  this
• 43:26
  with
• 43:26
  someone
• 43:26
  else?
• 43:26
  Egg
• 43:27
  and
• 43:27
  egg
• 43:27
  donor?
• 43:28
  Or
• 43:28
  do
• 43:28
  you
• 43:28
  adopt?
• 43:29
  Or
• 43:30
  maybe
• 43:30
  you
• 43:30
  didn't
• 43:31
  want
• 43:31
  to.
• 43:31
  You
• 43:31
  know,
• 43:31
  this
• 43:32
  is.
• 43:32
  You're
• 43:32
  fine
• 43:32
  without
• 43:32
  a
• 43:33
  kid.
• 43:33
  I
• 43:33
  think
• 43:33
  there's.
• 43:33
  That's
• 43:34
  when
• 43:34
  you
• 43:34
  have
• 43:34
  some
• 43:34
  deep
• 43:34
  discussions.
• 43:35
  And
• 43:36
  is
• 43:36
  that
• 43:36
  something
• 43:36
  that
• 43:36
  you
• 43:37
  handle
• 43:37
  at
• 43:37
  your
• 43:37
  clinic?
• 43:38
  Like
• 43:38
  all
• 43:38
  those
• 43:38
  different.
• 43:39
  Not
• 43:39
  the
• 43:40
  adoption.
• 43:41
  I
• 43:41
  have
• 43:41
  resources
• 43:42
  to
• 43:42
  send
• 43:42
  them
• 43:43
  to
• 43:43
  for
• 43:43
  Adoption,
• 43:44
  but
• 43:44
  we
• 43:45
  don't
• 43:45
  handle
• 43:45
  that
• 43:45
  in
• 43:46
  our
• 43:46
  clinic.
• 43:46
  But
• 43:47
  the
• 43:47
  egg
• 43:47
  donation
• 43:48
  process,
• 43:48
  we
• 43:48
  can
• 43:48
  guide
• 43:49
  them
• 43:49
  and
• 43:49
  help
• 43:49
  them
• 43:49
  through
• 43:50
  that
• 43:50
  entire
• 43:50
  process.
• 43:51
  And
• 43:51
  what
• 43:52
  if
• 43:52
  this.
• 43:52
  Okay.
• 43:52
  What
• 43:53
  if
• 43:53
  there's
• 43:53
  another
• 43:53
  woman,
• 43:53
  another
• 43:54
  potential
• 43:54
  patient,
• 43:55
  she's
• 43:55
  45,
• 43:56
  she
• 43:56
  hasn't
• 43:57
  frozen
• 43:57
  her
• 43:57
  eggs
• 43:58
  yet.
• 43:58
  What
• 43:59
  would
• 43:59
  you
• 43:59
  tell
• 43:59
  her
• 43:59
  at
• 44:00
  that
• 44:00
  point?
• 44:02
  For
• 44:02
  a
• 44:02
  45
• 44:03
  year
• 44:03
  old,
• 44:03
  I'd
• 44:03
  say
• 44:06
  it's
• 44:07
  gonna
• 44:07
  be
• 44:08
  very
• 44:08
  difficult
• 44:09
  to
• 44:09
  do
• 44:09
  this
• 44:09
  with
• 44:10
  your
• 44:10
  own
• 44:10
  egg.
• 44:11
  Freezing
• 44:11
  an
• 44:11
  egg
• 44:12
  at
• 44:12
  the
• 44:12
  age
• 44:12
  of
• 44:12
  45
• 44:13
  and
• 44:13
  having
• 44:13
  success
• 44:14
  from
• 44:14
  it
• 44:14
  is
• 44:15
  very,
• 44:15
  very
• 44:16
  unlikely.
• 44:17
  But
• 44:18
  has
• 44:19
  happened.
• 44:20
  But
• 44:21
  I
• 44:21
  think
• 44:21
  that's
• 44:21
  it
• 44:22
  at
• 44:22
  45.
• 44:23
  But
• 44:23
  you
• 44:23
  have
• 44:23
  to
• 44:24
  understand,
• 44:24
  it's
• 44:25
  not
• 44:25
  like
• 44:25
  an
• 44:25
  80%
• 44:26
  chance
• 44:26
  of
• 44:26
  success
• 44:26
  doing
• 44:27
  that.
• 44:27
  There's
• 44:27
  a
• 44:28
  very,
• 44:28
  very
• 44:28
  low
• 44:28
  chance
• 44:29
  that
• 44:29
  it
• 44:29
  works.
• 44:30
  I
• 44:30
  think
• 44:30
  it's
• 44:31
  a
• 44:31
  very
• 44:31
  individual,
• 44:32
  deep
• 44:32
  discussion
• 44:33
  at
• 44:33
  that
• 44:33
  point
• 44:33
  to
• 44:34
  see
• 44:34
  if
• 44:34
  this
• 44:34
  is
• 44:34
  right
• 44:34
  for
• 44:34
  you
• 44:35
  or
• 44:35
  not.
• 44:35
  Okay.
• 44:36
  And
• 44:36
  then
• 44:36
  the
• 44:37
  50
• 44:37
  year
• 44:37
  old
• 44:37
  woman
• 44:37
  that's
• 44:38
  coming
• 44:38
  in,
• 44:39
  she
• 44:39
  needs
• 44:39
  to
• 44:39
  go.
• 44:39
  To
• 44:39
  an
• 44:39
  egg
• 44:40
  donor.
• 44:40
  Okay.
• 44:41
  So
• 44:41
  just
• 44:41
  go
• 44:41
  get
• 44:42
  the
• 44:42
  egg
• 44:42
  donor,
• 44:42
  get
• 44:43
  the
• 44:43
  sperm
• 44:43
  if
• 44:44
  it's.
• 44:44
  And
• 44:45
  then
• 44:45
  probably
• 44:46
  discuss
• 44:46
  even
• 44:46
  surrogacy
• 44:47
  at
• 44:47
  that
• 44:47
  time.
• 44:48
  Okay.
• 44:48
  Yeah.
• 44:48
  Because
• 44:49
  it
• 44:49
  might
• 44:49
  not
• 44:49
  be
• 44:49
  safe
• 44:49
  to
• 44:50
  do
• 44:50
  the
• 44:50
  pregnancy
• 44:50
  on
• 44:51
  her
• 44:51
  own.
• 44:51
  It
• 44:51
  may
• 44:52
  not.
• 44:52
  Okay.
• 44:53
  Okay.
• 44:53
  So
• 44:54
  there's
• 44:54
  a
• 44:54
  lot
• 44:54
  of
• 44:54
  factors,
• 44:55
  but.
• 44:55
  If
• 44:55
  you
• 44:55
  notice,
• 44:55
  Roxy,
• 44:56
  this
• 44:57
  thing
• 44:57
  changes
• 44:58
  really
• 44:58
  quickly
• 44:59
  in
• 45:00
  about
• 45:00
  a
• 45:01
  15
• 45:01
  to
• 45:01
  20
• 45:01
  year,
• 45:02
  which
• 45:02
  like
• 45:03
  goes
• 45:03
  like
• 45:03
  that.
• 45:04
  From
• 45:04
  the
• 45:04
  time
• 45:04
  you're
• 45:05
  30,
• 45:05
  when
• 45:05
  you've
• 45:05
  got,
• 45:05
  you
• 45:06
  know,
• 45:06
  you
• 45:06
  should
• 45:06
  be
• 45:06
  freezing
• 45:07
  your
• 45:07
  eggs
• 45:07
  to
• 45:07
  35,
• 45:08
  advanced
• 45:08
  maternal
• 45:09
  age
• 45:09
  to
• 45:09
  40,
• 45:10
  declines
• 45:10
  in
• 45:10
  this
• 45:10
  45
• 45:11
  may
• 45:11
  not
• 45:12
  even
• 45:12
  happen.
• 45:12
  50,
• 45:12
  forget
• 45:13
  like
• 45:13
  that
• 45:13
  is
• 45:13
  a
• 45:14
  huge,
• 45:15
  very,
• 45:15
  very.
• 45:16
  If
• 45:16
  two
• 45:17
  decades
• 45:17
  that
• 45:17
  go
• 45:17
  like
• 45:18
  that
• 45:18
  with
• 45:18
  major
• 45:19
  changes
• 45:19
  in
• 45:20
  what's
• 45:20
  available
• 45:20
  and
• 45:20
  what's
• 45:21
  not.
• 45:21
  Yeah,
• 45:22
  no,
• 45:22
  you're
• 45:22
  absolutely
• 45:23
  right.
• 45:23
  I
• 45:23
  mean,
• 45:24
  what
• 45:24
  would
• 45:24
  you
• 45:24
  say
• 45:24
  to
• 45:24
  those
• 45:24
  gals
• 45:25
  who
• 45:25
  are
• 45:25
  like
• 45:26
  30?
• 45:26
  Even
• 45:27
  I
• 45:27
  have
• 45:27
  this.
• 45:27
  I
• 45:28
  say
• 45:28
  it
• 45:28
  again
• 45:28
  and
• 45:28
  again
• 45:29
  and
• 45:29
  again.
• 45:29
  Anyone
• 45:29
  who
• 45:30
  follows
• 45:30
  me
• 45:30
  on
• 45:30
  social
• 45:30
  media,
• 45:31
  if
• 45:32
  you
• 45:33
  have
• 45:33
  not
• 45:34
  had
• 45:34
  kids
• 45:35
  or
• 45:35
  not
• 45:36
  frozen
• 45:36
  your
• 45:36
  eggs
• 45:36
  and
• 45:37
  you've
• 45:37
  turned
• 45:37
  30,
• 45:37
  you
• 45:38
  need
• 45:38
  to
• 45:38
  freeze
• 45:38
  your
• 45:38
  eggs
• 45:40
  if
• 45:40
  you
• 45:40
  have
• 45:41
  30.
• 45:41
  30
• 45:41
  is
• 45:42
  a
• 45:42
  good
• 45:42
  age.
• 45:42
  Now
• 45:42
  I
• 45:43
  have
• 45:43
  people
• 45:43
  that
• 45:43
  come
• 45:43
  into
• 45:43
  32.
• 45:44
  I'm
• 45:44
  still
• 45:44
  proud
• 45:45
  of
• 45:45
  them.
• 45:45
  But
• 45:45
  the
• 45:46
  earlier,
• 45:47
  the
• 45:47
  better
• 45:47
  quality
• 45:48
  eggs
• 45:48
  and
• 45:48
  the
• 45:48
  more
• 45:48
  eggs
• 45:49
  you're
• 45:49
  going
• 45:49
  to
• 45:49
  get.
• 45:50
  Okay,
• 45:50
  and
• 45:50
  is
• 45:51
  there
• 45:51
  a
• 45:51
  peak
• 45:51
  age
• 45:51
  when
• 45:52
  the
• 45:52
  eggs
• 45:52
  are
• 45:52
  just
• 45:52
  like
• 45:53
  the
• 45:53
  best
• 45:53
  they
• 45:53
  could
• 45:54
  ever
• 45:54
  be
• 45:55
  in
• 45:55
  your.
• 45:55
  20S
• 45:56
  is
• 45:56
  when
• 45:56
  the
• 45:57
  eggs
• 45:57
  are
• 45:57
  the
• 45:57
  best
• 45:57
  they
• 45:58
  could
• 45:58
  be.
• 45:58
  Okay,
• 45:59
  so
• 45:59
  that's
• 45:59
  even
• 46:00
  like
• 46:00
  the
• 46:00
  ideal
• 46:01
  time,
• 46:01
  right,
• 46:01
  to
• 46:02
  do
• 46:02
  the
• 46:02
  egg
• 46:02
  freezing?
• 46:03
  It
• 46:03
  is
• 46:03
  a
• 46:03
  perfect
• 46:04
  time.
• 46:05
  However,
• 46:06
  every
• 46:06
  year
• 46:07
  I
• 46:07
  probably
• 46:07
  have
• 46:08
  1
• 46:08
  handful
• 46:09
  to
• 46:09
  2
• 46:09
  handfuls
• 46:10
  maximum
• 46:11
  of
• 46:11
  people
• 46:12
  that
• 46:12
  are
• 46:12
  like
• 46:12
  hey,
• 46:12
  I'm
• 46:13
  in
• 46:13
  my
• 46:13
  20s,
• 46:13
  let
• 46:13
  me
• 46:13
  do
• 46:13
  this.
• 46:14
  It's
• 46:15
  getting
• 46:15
  a
• 46:15
  little
• 46:15
  better.
• 46:15
  It's
• 46:16
  getting
• 46:16
  a
• 46:16
  little
• 46:16
  bit
• 46:16
  better.
• 46:16
  I
• 46:17
  think
• 46:17
  decades
• 46:18
  from
• 46:18
  now,
• 46:19
  people
• 46:19
  under
• 46:19
  20,
• 46:20
  that's
• 46:20
  going
• 46:20
  to
• 46:20
  be
• 46:20
  a
• 46:20
  part
• 46:20
  of
• 46:21
  a
• 46:21
  normal
• 46:21
  part
• 46:22
  of
• 46:22
  being
• 46:22
  a
• 46:22
  female.
• 46:23
  Finish
• 46:23
  college,
• 46:23
  freeze
• 46:24
  your
• 46:24
  eggs,
• 46:25
  move
• 46:25
  on.
• 46:25
  Yeah,
• 46:26
  yeah,
• 46:26
  I
• 46:26
  know.
• 46:26
  It's
• 46:27
  a
• 46:27
  good
• 46:27
  thing.
• 46:27
  It's
• 46:27
  a
• 46:27
  good
• 46:27
  college
• 46:28
  graduation
• 46:28
  gift
• 46:29
  to
• 46:29
  give
• 46:29
  yourself,
• 46:29
  huh?
• 46:30
  Very.
• 46:30
  So
• 46:31
  if
• 46:31
  any
• 46:31
  grandmas
• 46:32
  are
• 46:32
  listening
• 46:33
  right
• 46:33
  now
• 46:33
  and
• 46:33
  their
• 46:34
  grandkid
• 46:34
  is
• 46:34
  about
• 46:35
  to
• 46:35
  graduate,
• 46:35
  it's
• 46:35
  the
• 46:35
  best
• 46:36
  gift
• 46:36
  you
• 46:36
  can
• 46:36
  ever
• 46:37
  give
• 46:37
  them.
• 46:37
  Yeah.
• 46:38
  And
• 46:38
  then
• 46:38
  there's
• 46:38
  not
• 46:38
  that
• 46:38
  rush
• 46:39
  and
• 46:39
  the
• 46:39
  freaking
• 46:40
  out.
• 46:40
  There's
• 46:40
  not
• 46:40
  the
• 46:41
  pressure.
• 46:41
  There's
• 46:41
  just
• 46:41
  not
• 46:42
  that
• 46:42
  pressure
• 46:42
  that's
• 46:42
  put
• 46:43
  onto
• 46:43
  women.
• 46:44
  You
• 46:44
  can
• 46:44
  work
• 46:44
  on
• 46:44
  your
• 46:45
  career,
• 46:46
  work
• 46:46
  on
• 46:46
  finding
• 46:46
  Mr.
• 46:47
  Right.
• 46:48
  All
• 46:48
  the
• 46:48
  things
• 46:48
  you
• 46:48
  need
• 46:49
  to
• 46:49
  do.
• 46:49
  Well,
• 46:50
  I
• 46:50
  would
• 46:50
  even
• 46:50
  think
• 46:50
  in
• 46:50
  your
• 46:51
  20
• 46:51
  year
• 46:51
  career.
• 46:52
  So
• 46:52
  seeing
• 46:53
  the
• 46:53
  change,
• 46:53
  you
• 46:54
  know,
• 46:54
  like
• 46:54
  the,
• 46:55
  about
• 46:55
  women
• 46:55
  wanting
• 46:56
  to
• 46:56
  have
• 46:57
  babies
• 46:57
  later
• 46:57
  because
• 46:58
  we
• 46:58
  are
• 46:58
  working
• 46:59
  on
• 46:59
  our
• 46:59
  careers
• 46:59
  and
• 47:00
  everything
• 47:00
  else,
• 47:01
  that's
• 47:01
  the
• 47:01
  number.
• 47:01
  One
• 47:02
  reason
• 47:02
  why
• 47:02
  women
• 47:02
  aren't
• 47:03
  getting
• 47:03
  pregnant
• 47:03
  as
• 47:03
  easily
• 47:04
  is
• 47:04
  because
• 47:04
  of
• 47:04
  their
• 47:04
  careers
• 47:05
  and
• 47:05
  waiting
• 47:06
  longer.
• 47:07
  And
• 47:07
  they
• 47:07
  should
• 47:08
  have
• 47:08
  the
• 47:08
  right
• 47:08
  to
• 47:08
  do
• 47:09
  that.
• 47:09
  They
• 47:09
  should
• 47:10
  have
• 47:10
  to.
• 47:10
  They
• 47:10
  should
• 47:11
  be
• 47:11
  able
• 47:11
  to
• 47:11
  have
• 47:11
  a
• 47:11
  child
• 47:12
  on
• 47:12
  their
• 47:12
  own
• 47:12
  timeline.
• 47:13
  And
• 47:13
  that's
• 47:13
  what
• 47:13
  freezing
• 47:14
  your
• 47:14
  eggs
• 47:14
  allows
• 47:15
  you
• 47:15
  to
• 47:15
  do.
• 47:15
  And
• 47:16
  has
• 47:16
  being
• 47:17
  a
• 47:17
  father
• 47:17
  yourself,
• 47:18
  has
• 47:19
  that
• 47:20
  shaped
• 47:20
  you
• 47:20
  as
• 47:21
  a
• 47:21
  fertility
• 47:21
  doctor?
• 47:22
  Has
• 47:22
  it,
• 47:23
  you
• 47:23
  know,
• 47:23
  changed
• 47:24
  you?
• 47:24
  How
• 47:24
  do
• 47:24
  you
• 47:25
  think
• 47:25
  that
• 47:25
  that
• 47:25
  sort
• 47:25
  of
• 47:26
  plays
• 47:26
  into
• 47:26
  everything.
• 47:27
  So
• 47:27
  I
• 47:27
  think
• 47:29
  understanding
• 47:30
  the
• 47:30
  meaning
• 47:31
  of
• 47:31
  having
• 47:31
  your
• 47:31
  own
• 47:32
  children
• 47:32
  is
• 47:33
  something
• 47:33
  is
• 47:33
  very
• 47:34
  impossible
• 47:34
  to
• 47:34
  explain
• 47:35
  to
• 47:35
  someone
• 47:35
  who
• 47:36
  doesn't.
• 47:37
  It's
• 47:37
  been
• 47:38
  one
• 47:38
  of
• 47:38
  the
• 47:38
  most
• 47:38
  beautiful
• 47:39
  gifts
• 47:39
  that
• 47:39
  I've
• 47:39
  ever
• 47:39
  been
• 47:40
  given
• 47:40
  in
• 47:40
  life.
• 47:41
  One
• 47:42
  of
• 47:42
  the
• 47:42
  hardest
• 47:42
  jobs
• 47:42
  I've
• 47:43
  ever
• 47:43
  been
• 47:43
  given
• 47:43
  in
• 47:43
  life
• 47:44
  too,
• 47:44
  because
• 47:44
  it's
• 47:44
  really
• 47:45
  not
• 47:45
  easy,
• 47:46
  but
• 47:47
  one
• 47:47
  of
• 47:47
  the
• 47:47
  biggest
• 47:47
  joys
• 47:48
  in
• 47:48
  life
• 47:48
  too.
• 47:49
  And
• 47:49
  I
• 47:49
  feel
• 47:50
  so
• 47:50
  incredibly
• 47:51
  grateful
• 47:52
  for
• 47:52
  having
• 47:52
  the
• 47:53
  opportunity
• 47:53
  to
• 47:53
  have
• 47:54
  one
• 47:54
  of
• 47:54
  the
• 47:54
  best
• 47:55
  professions
• 47:55
  that
• 47:56
  I
• 47:56
  ever
• 47:56
  could
• 47:57
  have
• 47:57
  dreamt
• 47:57
  of
• 47:57
  in
• 47:57
  my
• 47:58
  life.
• 47:58
  Yeah,
• 47:59
  I
• 47:59
  know
• 47:59
  it
• 47:59
  is.
• 47:59
  I
• 47:59
  mean,
• 48:00
  you
• 48:00
  probably
• 48:00
  see
• 48:00
  the
• 48:01
  happiest
• 48:01
  of
• 48:01
  the
• 48:01
  happiest,
• 48:02
  you
• 48:02
  know,
• 48:02
  it's,
• 48:03
  it's.
• 48:03
  I
• 48:03
  do.
• 48:04
  When
• 48:04
  you
• 48:04
  get
• 48:04
  to
• 48:04
  tell
• 48:05
  people
• 48:05
  the.
• 48:05
  Great
• 48:05
  news,
• 48:06
  you
• 48:06
  know,
• 48:07
  oh
• 48:07
  my
• 48:07
  God,
• 48:08
  it's
• 48:08
  such.
• 48:09
  I
• 48:09
  get.
• 48:09
  The
• 48:10
  other
• 48:10
  day
• 48:10
  I
• 48:10
  got
• 48:10
  a
• 48:11
  picture
• 48:11
  sent
• 48:11
  to
• 48:12
  me
• 48:12
  on
• 48:12
  my
• 48:12
  phone
• 48:12
  phone
• 48:13
  of
• 48:13
  this
• 48:13
  chubby
• 48:14
  little
• 48:14
  baby,
• 48:15
  brand
• 48:15
  new,
• 48:16
  just
• 48:16
  held
• 48:16
  up
• 48:17
  at
• 48:17
  the
• 48:17
  hospital
• 48:17
  and
• 48:18
  the
• 48:18
  operating
• 48:18
  room.
• 48:19
  And
• 48:19
  I
• 48:19
  was
• 48:19
  like,
• 48:20
  I
• 48:20
  love
• 48:20
  this.
• 48:20
  I
• 48:21
  just
• 48:21
  never
• 48:21
  get.
• 48:21
  It
• 48:22
  never
• 48:22
  gets
• 48:22
  old.
• 48:23
  Never
• 48:23
  gets
• 48:24
  old.
• 48:25
  It
• 48:25
  never
• 48:25
  gets
• 48:26
  old.
• 48:27
  If
• 48:27
  you
• 48:27
  do
• 48:27
  have
• 48:27
  to
• 48:28
  tell
• 48:28
  people,
• 48:28
  like
• 48:29
  not
• 48:29
  so
• 48:29
  great
• 48:29
  news,
• 48:30
  do
• 48:30
  you,
• 48:30
  do
• 48:30
  you
• 48:30
  personalize
• 48:31
  that
• 48:31
  or
• 48:32
  does
• 48:32
  it
• 48:32
  stay
• 48:32
  at
• 48:32
  the
• 48:33
  office?
• 48:35
  It
• 48:35
  does
• 48:35
  affect
• 48:36
  me.
• 48:37
  So
• 48:38
  one
• 48:38
  of
• 48:38
  the
• 48:38
  reasons
• 48:39
  I
• 48:39
  went
• 48:39
  into
• 48:39
  this
• 48:40
  area
• 48:40
  of
• 48:40
  medicine
• 48:41
  is
• 48:41
  because
• 48:41
  I
• 48:41
  didn't
• 48:42
  do
• 48:42
  well.
• 48:43
  I
• 48:43
  saw
• 48:44
  my
• 48:44
  personality
• 48:45
  like
• 48:45
  I
• 48:45
  was.
• 48:45
  When
• 48:45
  I
• 48:45
  was
• 48:46
  going
• 48:46
  through,
• 48:46
  like,
• 48:46
  the
• 48:46
  areas
• 48:47
  of
• 48:47
  cancer
• 48:48
  and
• 48:48
  people
• 48:48
  that
• 48:48
  were
• 48:49
  really
• 48:49
  sick
• 48:49
  and
• 48:50
  dying,
• 48:50
  it
• 48:51
  really
• 48:51
  affected
• 48:52
  me
• 48:52
  in
• 48:52
  a
• 48:52
  very
• 48:52
  negative
• 48:53
  way.
• 48:53
  That's
• 48:54
  why
• 48:54
  I
• 48:54
  decided
• 48:54
  to
• 48:55
  go
• 48:55
  into
• 48:55
  obstetrics
• 48:56
  and
• 48:56
  gynecology.
• 48:57
  You
• 48:58
  know,
• 48:58
  I
• 48:58
  thought
• 48:58
  it's
• 48:58
  like
• 48:58
  just
• 48:58
  a
• 48:59
  more
• 48:59
  pleasant
• 48:59
  area
• 49:00
  of
• 49:00
  medicine.
• 49:00
  And
• 49:01
  once
• 49:01
  I
• 49:01
  was
• 49:01
  doing
• 49:02
  my
• 49:02
  residency
• 49:02
  delivering
• 49:03
  babies,
• 49:03
  I
• 49:03
  realized,
• 49:04
  I
• 49:04
  love
• 49:04
  this,
• 49:04
  but
• 49:05
  that's
• 49:05
  a
• 49:05
  very
• 49:05
  demanding
• 49:06
  lifestyle
• 49:07
  from
• 49:07
  the
• 49:07
  delivery.
• 49:08
  And
• 49:08
  then
• 49:08
  I
• 49:09
  saw
• 49:09
  fertility
• 49:10
  was.
• 49:10
  You
• 49:10
  get
• 49:11
  to
• 49:11
  bond
• 49:11
  with
• 49:11
  people,
• 49:12
  and
• 49:12
  I'm
• 49:12
  a
• 49:12
  people
• 49:13
  person,
• 49:13
  and
• 49:13
  it
• 49:14
  meant
• 49:14
  a
• 49:14
  lot
• 49:14
  to
• 49:15
  me.
• 49:15
  So
• 49:15
  I'm
• 49:15
  able
• 49:16
  to
• 49:16
  bond
• 49:16
  with
• 49:16
  people.
• 49:17
  I
• 49:17
  get
• 49:17
  to
• 49:17
  treat
• 49:17
  them
• 49:18
  for
• 49:18
  long
• 49:18
  periods
• 49:19
  of
• 49:19
  time.
• 49:19
  It's
• 49:20
  not
• 49:20
  like
• 49:20
  you
• 49:20
  just
• 49:20
  go
• 49:20
  in
• 49:20
  once
• 49:21
  in
• 49:21
  a
• 49:21
  year
• 49:21
  for
• 49:21
  your
• 49:21
  annual
• 49:21
  checkup
• 49:22
  or
• 49:22
  a
• 49:22
  cough
• 49:22
  or
• 49:22
  a
• 49:23
  cold,
• 49:23
  and
• 49:23
  you
• 49:23
  leave.
• 49:24
  So
• 49:24
  I
• 49:24
  kind
• 49:24
  of
• 49:24
  found
• 49:25
  my
• 49:25
  calling
• 49:25
  in
• 49:25
  an
• 49:26
  area
• 49:27
  that
• 49:27
  I
• 49:27
  felt
• 49:27
  very,
• 49:28
  very
• 49:28
  comfortable.
• 49:29
  But
• 49:30
  the
• 49:31
  bad
• 49:31
  news
• 49:31
  part
• 49:32
  of
• 49:32
  it
• 49:32
  is
• 49:32
  difficult,
• 49:33
  very.
• 49:34
  And
• 49:35
  it
• 49:36
  kind
• 49:36
  of
• 49:36
  affects
• 49:37
  me.
• 49:37
  You
• 49:38
  know,
• 49:38
  I'm
• 49:38
  one
• 49:38
  of
• 49:38
  those
• 49:38
  people
• 49:39
  that
• 49:39
  it's
• 49:39
  like,
• 49:39
  just
• 49:39
  not.
• 49:40
  I've
• 49:40
  had
• 49:41
  partners
• 49:41
  that
• 49:41
  I
• 49:41
  worked
• 49:41
  with.
• 49:41
  I
• 49:42
  don't
• 49:42
  think
• 49:42
  it
• 49:42
  fazed
• 49:42
  them
• 49:42
  for
• 49:43
  one
• 49:43
  second
• 49:43
  telling
• 49:44
  someone
• 49:44
  bad
• 49:44
  news.
• 49:45
  But
• 49:46
  it
• 49:46
  does
• 49:47
  get
• 49:47
  to
• 49:47
  me
• 49:47
  a
• 49:47
  lot,
• 49:48
  especially
• 49:49
  since
• 49:49
  I
• 49:49
  get
• 49:49
  to
• 49:50
  know
• 49:50
  people
• 49:50
  and
• 49:50
  I
• 49:51
  get
• 49:51
  to
• 49:51
  learn
• 49:51
  a
• 49:51
  little
• 49:51
  bit
• 49:51
  about
• 49:52
  their
• 49:52
  life,
• 49:52
  and
• 49:52
  their
• 49:52
  story
• 49:54
  becomes
• 49:54
  very
• 49:55
  human.
• 49:55
  It
• 49:55
  becomes
• 49:56
  a
• 49:56
  very
• 49:56
  real
• 49:57
  human
• 49:58
  chapter.
• 49:59
  Right.
• 49:59
  And
• 50:00
  it's
• 50:00
  like
• 50:00
  that
• 50:00
  deep,
• 50:01
  like,
• 50:01
  almost
• 50:01
  primal
• 50:02
  goal
• 50:03
  in
• 50:03
  life,
• 50:04
  to
• 50:04
  have
• 50:04
  a
• 50:04
  child.
• 50:05
  I
• 50:05
  mean,
• 50:05
  there
• 50:05
  are
• 50:05
  some
• 50:05
  people
• 50:06
  that
• 50:06
  don't.
• 50:06
  Some
• 50:06
  people
• 50:06
  don't.
• 50:08
  So
• 50:08
  I
• 50:08
  love
• 50:09
  that
• 50:09
  you
• 50:09
  said
• 50:09
  that,
• 50:10
  because
• 50:10
  in
• 50:10
  the
• 50:10
  beginning
• 50:11
  of
• 50:11
  my
• 50:11
  career,
• 50:12
  I
• 50:12
  used
• 50:13
  to
• 50:13
  think,
• 50:13
  wow,
• 50:13
  they're
• 50:13
  so
• 50:14
  weird
• 50:14
  that
• 50:14
  I
• 50:14
  want
• 50:14
  to
• 50:14
  have
• 50:15
  kids.
• 50:15
  And
• 50:16
  then
• 50:16
  I
• 50:16
  realize
• 50:17
  that
• 50:17
  is
• 50:17
  one
• 50:18
  of
• 50:18
  the
• 50:18
  smartest
• 50:18
  people
• 50:19
  I
• 50:19
  know.
• 50:20
  Someone
• 50:20
  who
• 50:20
  understands
• 50:22
  that
• 50:23
  being
• 50:23
  a
• 50:23
  parent
• 50:24
  is
• 50:24
  not
• 50:24
  for
• 50:25
  them.
• 50:26
  It
• 50:26
  is
• 50:27
  the
• 50:27
  smartest
• 50:28
  decision
• 50:28
  ever.
• 50:30
  It
• 50:30
  is
• 50:30
  the
• 50:30
  biggest
• 50:31
  job
• 50:31
  ever.
• 50:31
  And
• 50:31
  if
• 50:32
  you're
• 50:32
  not
• 50:32
  100%
• 50:33
  ready
• 50:34
  for
• 50:34
  it,
• 50:34
  it
• 50:34
  can
• 50:35
  be,
• 50:35
  in
• 50:35
  my
• 50:35
  opinion,
• 50:36
  the
• 50:36
  biggest
• 50:36
  mistake
• 50:37
  ever.
• 50:38
  So
• 50:38
  I
• 50:39
  look
• 50:39
  up
• 50:39
  to
• 50:39
  people
• 50:39
  that
• 50:39
  can
• 50:40
  say,
• 50:40
  I
• 50:40
  just
• 50:40
  realized
• 50:41
  parenting
• 50:41
  and
• 50:41
  having
• 50:42
  kids
• 50:42
  is
• 50:42
  not
• 50:42
  for
• 50:42
  me.
• 50:43
  And
• 50:44
  I
• 50:44
  don't
• 50:44
  think
• 50:44
  they're
• 50:44
  weird
• 50:45
  at
• 50:45
  all.
• 50:45
  I
• 50:45
  think
• 50:45
  they're
• 50:45
  very
• 50:46
  smart
• 50:46
  now.
• 50:46
  Yeah,
• 50:47
  very
• 50:47
  smart.
• 50:47
  They
• 50:48
  know
• 50:48
  their
• 50:49
  strengths
• 50:49
  and
• 50:49
  their
• 50:50
  limits.
• 50:51
  And
• 50:51
  they
• 50:51
  know
• 50:51
  what
• 50:51
  they
• 50:51
  want
• 50:52
  and
• 50:52
  they
• 50:52
  know
• 50:52
  what
• 50:52
  they
• 50:52
  don't.
• 50:53
  And
• 50:53
  sometimes
• 50:53
  they
• 50:54
  want
• 50:54
  it
• 50:54
  to
• 50:54
  be
• 50:54
  all
• 50:54
  about
• 50:55
  them.
• 50:55
  Sometimes
• 50:55
  they
• 50:55
  want
• 50:56
  it
• 50:56
  to
• 50:56
  be
• 50:56
  all
• 50:56
  about
• 50:57
  Giving
• 50:57
  to
• 50:57
  others.
• 50:57
  And
• 50:58
  sometimes
• 50:58
  it
• 50:58
  just,
• 50:59
  it's
• 50:59
  very
• 51:00
  important
• 51:00
  to
• 51:01
  be
• 51:01
  able
• 51:01
  to
• 51:01
  understand
• 51:01
  that.
• 51:02
  Yes.
• 51:03
  And
• 51:03
  to
• 51:03
  not
• 51:03
  cave
• 51:03
  into
• 51:04
  societal
• 51:05
  pressures
• 51:05
  and
• 51:06
  expectations.
• 51:07
  Right,
• 51:08
  exactly.
• 51:08
  You
• 51:08
  have
• 51:08
  to.
• 51:09
  Do
• 51:09
  you,
• 51:09
  you
• 51:09
  know,
• 51:10
  so
• 51:11
  what
• 51:11
  advice
• 51:12
  would
• 51:12
  you
• 51:12
  give
• 51:12
  your
• 51:13
  25
• 51:13
  year
• 51:13
  old
• 51:14
  self?
• 51:15
  My
• 51:15
  25
• 51:16
  year
• 51:16
  old
• 51:16
  self
• 51:19
  and
• 51:19
  to
• 51:19
  a
• 51:19
  female
• 51:20
  25
• 51:20
  year
• 51:20
  old
• 51:20
  of
• 51:21
  myself
• 51:22
  would
• 51:22
  be,
• 51:22
  be
• 51:23
  very,
• 51:23
  very
• 51:24
  proactive.
• 51:25
  Learn
• 51:25
  exactly
• 51:26
  what
• 51:26
  your
• 51:26
  options
• 51:27
  are.
• 51:28
  Keep
• 51:28
  track
• 51:29
  of
• 51:29
  your
• 51:29
  options
• 51:30
  and
• 51:30
  don't
• 51:31
  let
• 51:31
  them
• 51:31
  pass
• 51:31
  by
• 51:32
  and
• 51:32
  be
• 51:32
  like,
• 51:32
  oh,
• 51:33
  I
• 51:33
  should
• 51:33
  have
• 51:33
  and
• 51:33
  I
• 51:33
  didn't.
• 51:34
  You
• 51:35
  can't.
• 51:35
  You're
• 51:35
  only
• 51:35
  given
• 51:36
  one
• 51:36
  life.
• 51:36
  You
• 51:36
  got
• 51:36
  to
• 51:36
  make
• 51:37
  the
• 51:37
  best
• 51:37
  of
• 51:37
  it.
• 51:37
  Make
• 51:37
  the
• 51:38
  smartest
• 51:38
  decisions,
• 51:39
  discuss,
• 51:41
  consult,
• 51:41
  and
• 51:42
  make
• 51:42
  the
• 51:42
  best
• 51:42
  decision
• 51:43
  so
• 51:43
  you
• 51:43
  never
• 51:44
  have
• 51:44
  to
• 51:44
  regret
• 51:44
  your
• 51:44
  future.
• 51:45
  Yeah,
• 51:46
  that's
• 51:46
  a
• 51:46
  good
• 51:46
  point.
• 51:46
  I'm
• 51:46
  sure
• 51:47
  you
• 51:47
  see
• 51:47
  a
• 51:47
  lot
• 51:47
  of
• 51:47
  regret
• 51:48
  too,
• 51:48
  in
• 51:48
  your
• 51:48
  practice.
• 51:49
  Oh,
• 51:50
  all
• 51:50
  the
• 51:51
  time.
• 51:51
  People
• 51:51
  like,
• 51:51
  I
• 51:51
  don't
• 51:52
  know
• 51:52
  why
• 51:52
  I
• 51:52
  didn't
• 51:52
  freeze
• 51:53
  my
• 51:53
  eggs
• 51:53
  or
• 51:53
  I
• 51:54
  don't
• 51:54
  know
• 51:54
  why
• 51:55
  I
• 51:55
  hear
• 51:55
  that
• 51:55
  all
• 51:56
  the
• 51:56
  time.
• 51:57
  Yeah.
• 51:57
  And
• 51:57
  you
• 51:57
  got
• 51:58
  to
• 51:58
  just
• 51:58
  move
• 51:58
  forward
• 51:58
  at
• 51:59
  that
• 51:59
  point,
• 51:59
  you
• 51:59
  know?
• 52:00
  Yeah.
• 52:01
  And
• 52:01
  how
• 52:01
  are
• 52:02
  you
• 52:02
  living
• 52:02
  iconically
• 52:03
  right
• 52:03
  now?
• 52:05
  Oh,
• 52:06
  gosh,
• 52:06
  that's
• 52:06
  a
• 52:06
  hard
• 52:06
  one.
• 52:11
  I
• 52:11
  try
• 52:11
  to
• 52:11
  live
• 52:12
  for
• 52:12
  myself
• 52:13
  and
• 52:14
  this
• 52:14
  is
• 52:14
  one
• 52:15
  thing
• 52:15
  that
• 52:15
  I
• 52:15
  think
• 52:15
  is
• 52:15
  really
• 52:15
  important.
• 52:16
  I
• 52:16
  just
• 52:16
  like,
• 52:17
  I
• 52:17
  don't
• 52:17
  love
• 52:17
  societal
• 52:18
  norms.
• 52:18
  I
• 52:19
  love
• 52:19
  to
• 52:19
  do
• 52:19
  what
• 52:20
  makes
• 52:20
  me
• 52:20
  happy,
• 52:20
  what
• 52:21
  makes
• 52:21
  my
• 52:21
  family
• 52:21
  happy,
• 52:22
  and
• 52:22
  kind
• 52:22
  of
• 52:23
  be
• 52:23
  the
• 52:23
  truest
• 52:24
  authentic
• 52:25
  human
• 52:25
  being.
• 52:26
  That
• 52:26
  makes
• 52:26
  me
• 52:26
  happy.
• 52:28
  That's
• 52:28
  true.
• 52:28
  I
• 52:28
  think
• 52:29
  authenticity
• 52:29
  plays
• 52:30
  such
• 52:30
  a
• 52:30
  big
• 52:30
  part
• 52:30
  in
• 52:31
  that.
• 52:31
  You
• 52:31
  know,
• 52:31
  it's,
• 52:32
  it's,
• 52:33
  it's
• 52:33
  how
• 52:33
  we
• 52:33
  should
• 52:34
  live.
• 52:34
  You
• 52:34
  know,
• 52:34
  we
• 52:35
  should
• 52:35
  be
• 52:35
  true
• 52:35
  to
• 52:35
  ourselves.
• 52:36
  You
• 52:36
  know,
• 52:37
  it's
• 52:37
  true.
• 52:38
  Very.
• 52:39
  Oh,
• 52:40
  my
• 52:40
  gosh.
• 52:40
  Well,
• 52:40
  thank
• 52:41
  you
• 52:41
  so
• 52:41
  much
• 52:41
  for
• 52:42
  coming
• 52:42
  on.
• 52:42
  You
• 52:42
  gave
• 52:43
  so
• 52:43
  much
• 52:43
  great
• 52:43
  information.
• 52:44
  Thank
• 52:45
  you,
• 52:45
  thank
• 52:45
  you.
• 52:46
  And
• 52:46
  please
• 52:46
  let
• 52:46
  everybody
• 52:47
  know
• 52:47
  where
• 52:47
  they
• 52:47
  can
• 52:48
  find
• 52:48
  you.
• 52:49
  So
• 52:49
  my
• 52:49
  website
• 52:50
  is
• 52:51
  Dr.
• 52:51
  Gadir
• 52:52
  D
• 52:52
  R
• 52:52
  G
• 52:53
  H-A--I-R
• 52:54
  dot
• 52:54
  com.
• 52:54
  So
• 52:55
  it's
• 52:55
  DrGedir
• 52:55
  dot
• 52:56
  com.
• 52:56
  My
• 52:57
  social
• 52:57
  media
• 52:57
  handle
• 52:58
  is
• 52:58
  Dr.
• 52:59
  Shaheen
• 52:59
  Gadir.
• 53:00
  One
• 53:00
  word.
• 53:00
  Dr.
• 53:01
  Shaheen
• 53:01
  Gadir.
• 53:02
  We're
• 53:02
  on
• 53:03
  Instagram,
• 53:03
  Facebook,
• 53:04
  Tik
• 53:04
  Tok.
• 53:05
  I
• 53:05
  have
• 53:05
  a
• 53:05
  podcast
• 53:06
  as
• 53:06
  well
• 53:06
  called
• 53:07
  the
• 53:07
  Fertile
• 53:07
  Life.
• 53:08
  It's
• 53:08
  on
• 53:08
  Spotify
• 53:10
  and
• 53:10
  you
• 53:10
  can
• 53:11
  find
• 53:11
  it
• 53:11
  very
• 53:11
  easily.
• 53:13
  And
• 53:13
  I'm
• 53:13
  at
• 53:14
  HRC
• 53:14
  Fertility
• 53:15
  in
• 53:15
  Beverly
• 53:15
  Hills.
• 53:15
  And
• 53:16
  next
• 53:16
  week
• 53:16
  we
• 53:16
  are
• 53:16
  moving
• 53:17
  into
• 53:17
  our
• 53:17
  brand
• 53:17
  new
• 53:17
  office
• 53:18
  in
• 53:18
  the
• 53:18
  heart
• 53:18
  of
• 53:18
  Beverly
• 53:19
  Hills.
• 53:19
  And
• 53:20
  it's
• 53:20
  again.
• 53:20
  And
• 53:20
  the
• 53:21
  website
• 53:21
  for
• 53:21
  HRC
• 53:22
  Fertility
• 53:23
  is
• 53:23
  having
• 53:23
  babies
• 53:23
  dot
• 53:24
  com.
• 53:24
  Oh,
• 53:25
  that's
• 53:25
  so
• 53:25
  great.
• 53:26
  Oh,
• 53:26
  well,
• 53:26
  that'll
• 53:27
  be
• 53:27
  exciting.
• 53:27
  New
• 53:27
  office.
• 53:29
  Very,
• 53:29
  very
• 53:29
  exciting.
• 53:31
  State
• 53:31
  of
• 53:31
  the
• 53:31
  art
• 53:32
  IVF
• 53:32
  lab
• 53:32
  It's
• 53:33
  amazing.
• 53:33
  Wow.
• 53:34
  That's
• 53:34
  amazing.
• 53:35
  Well,
• 53:35
  best
• 53:36
  of
• 53:36
  luck
• 53:36
  with
• 53:36
  all
• 53:37
  of
• 53:37
  that.
• 53:37
  That
• 53:37
  sounds
• 53:38
  so
• 53:38
  good
• 53:39
  and
• 53:39
  thank
• 53:40
  you
• 53:40
  so
• 53:40
  much.
• 53:41
  My
• 53:42
  pleasure.
• 53:42
  Thank
• 53:42
  you
• 53:42
  very
• 53:43
  much.
• 53:44
  Whether
• 53:44
  you're
• 53:45
  on
• 53:45
  a
• 53:45
  fertility
• 53:46
  journey,
• 53:46
  thinking
• 53:47
  about
• 53:47
  starting
• 53:47
  one,
• 53:48
  or
• 53:48
  just
• 53:48
  needed
• 53:49
  to
• 53:49
  hear
• 53:49
  the
• 53:49
  real
• 53:50
  deal
• 53:50
  behind
• 53:50
  all
• 53:51
  the
• 53:51
  headlines,
• 53:52
  this
• 53:52
  episode
• 53:52
  was
• 53:53
  about
• 53:53
  one
• 53:53
  thing.
• 53:54
  Informed
• 53:54
  choice.
• 53:55
  Dr.
• 53:56
  Dr.
• 53:56
  Ghadir,
• 53:56
  thank
• 53:57
  you
• 53:57
  for
• 53:57
  giving
• 53:57
  us
• 53:58
  clarity,
• 53:58
  compassion,
• 53:59
  and
• 53:59
  the
• 53:59
  facts
• 54:00
  that
• 54:00
  too
• 54:00
  many
• 54:00
  women
• 54:01
  don't
• 54:01
  get
• 54:02
  until
• 54:02
  it's
• 54:02
  late
• 54:03
  in
• 54:03
  the
• 54:03
  game.
• 54:03
  If
• 54:04
  this
• 54:04
  conversation
• 54:05
  opened
• 54:05
  your
• 54:05
  eyes
• 54:06
  or
• 54:06
  made
• 54:06
  you
• 54:06
  feel
• 54:06
  less
• 54:07
  alone,
• 54:07
  share
• 54:08
  it
• 54:08
  with
• 54:08
  a
• 54:08
  friend.
• 54:08
  Tap,
• 54:09
  follow,
• 54:10
  leave
• 54:10
  a
• 54:10
  review
• 54:11
  and
• 54:11
  let
• 54:11
  us
• 54:11
  know
• 54:11
  your
• 54:12
  biggest
• 54:12
  takeaway.
• 54:13
  All
• 54:13
  of
• 54:13
  Dr.
• 54:14
  Goodear's
• 54:14
  info
• 54:15
  is
• 54:15
  linked
• 54:15
  in
• 54:15
  the
• 54:15
  show
• 54:16
  notes
• 54:16
  if
• 54:16
  you're
• 54:16
  ready
• 54:17
  to
• 54:17
  explore
• 54:17
  your
• 54:18
  options.
• 54:19
  Because
• 54:19
  midlife
• 54:20
  doesn't
• 54:20
  mean
• 54:20
  you're
• 54:20
  out
• 54:20
  of
• 54:21
  time.
• 54:21
  It
• 54:22
  means
• 54:22
  you
• 54:22
  get
• 54:22
  to
• 54:22
  decide
• 54:23
  what's
• 54:23
  next.
• 54:24
  See
• 54:24
  you
• 54:24
  next
• 54:25
  time.
• 54:25
  And
• 54:25
  stay
• 54:26
  iconic.