Brave & Curious with Dr Lora Shahine

Could your sleepless nights, mood swings, joint pain, or "I just don't feel like myself" feelings be connected to perimenopause? Do you really need hormone testing to know what is happening? And is menopause hormone therapy actually as scary as we were once told? Dr. Rebecca Dunsmoor-Su and Dr. Amy Voedisch, hosts of OvaryActive and co-authors of Estrogen, Interrupted, join Dr. Lora Shahine for this episode of Brave & Curious. Their conversation opens up a thoughtful, funny, and myth-busting conversation about menopause, perimenopause, hormone health, and why women deserve to understand their bodies. They also explain the difference between menopause and perimenopause, why symptoms can start years before periods stop, why hormone labs often do not tell the full story, and how symptoms like hot flashes, night sweats, insomnia, anxiety, vaginal dryness, weight changes, itchy ears (yes, we said "itchy ears"), burning mouth, and joint pain can all fit into the bigger picture. Perimenopause is often a "story-based" diagnosis rather than a single lab result, and treatment options are available. This conversation will walk listeners through all of that and more. Listeners will feel informed, validated, and ready to ask better questions. In this episode you'll hear: [0:24] Meet The Doctors of Ovaryactive Podcast [10:45] Defining menopause and perimenopause [14:55] Common Symptoms (More than Hot Flashes) [18:37] Why labs fall short [23:07] Unusual menopause symptoms [28:05] Diagnosing perimenopause and menopause [32:17] Non-hormonal treatment options [42:18] The WHI study [50:45] Breast cancer risk and Hormone Therapy [59:51] Talking to your doctor Resources mentioned: perimenopausedrs.com/ovaryactive Follow the show @OvaryActive Instagram | YouTube Estrogen, Interrupted by Dr. Rebecca Dunsmoor-Su & Dr. Amy Voedisch More information about Dr. Rebecca Dunsmoor-Su: Gennev: www.gennev.com/clinician/dr-rebecca-dunsmoor-su LinkedIn @rebecca-dunsmoor-su More information about Dr. Amy Voedisch: Stanford Medical Clinic: stanfordhealthcare.org/doctors/v/amy-voedisch.html Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books Join the Learn at Pinnacle app to earn FREE CE Credit for listening to this episode! This episode was produced by Audiotocracy Podcast Production.

Have you been told your fertility tests are normal, but pregnancy still isn't happening? What does unexplained infertility actually mean when it clearly feels like something is going on? And how do age, egg quality, sperm function, endometriosis, inflammation, and implantation issues factor into a diagnosis that can feel more frustrating than reassuring? In this episode of Brave & Curious, Dr. Lora Shahine takes a compassionate deep dive into unexplained infertility to explain how it's diagnosed, why it affects so many patients, and what may be happening behind the scenes when standard fertility testing does not reveal a clear answer. Listeners will learn the most common hidden contributors to unexplained infertility, treatment options, and when moving to IVF may be the most effective path forward. In this episode you'll hear: [0:49] Dr. Lora Shahine's personal fertility story [3:06] How Diagnosis Works [4:31] How Common is Unexplained Infertility? [8:07] Possible Cause #1: Age & Fertility [11:51] Possible Cause #2: Hidden Sperm Factors [13:48] Possible Cause #3: Egg Quality Unknowns [14:13] Possible Cause #4: Implantation Mysteries [15:19] Possible Cause #5: Tubal Function Problems [16:49] Possible Cause #6: Endometriosis Link [19:233 Possible Cause #7: Inflammation and Lifestyle [20:39] What to Do Next [23:38] Treatment Plans: IUI vs IVF [31:31] Wrap up and next steps Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books Join the Learn at Pinnacle app to earn FREE CE Credit for listening to this episode! This episode was produced by Audiotocracy Podcast Production.

Can you really get pregnant after menopause? Why do celebrities seem to defy biology when it comes to age and fertility? And just because pregnancy is possible at later ages, is it actually safe? In this episode of Brave & Curious, Dr. Lora Shahine explores the questions so many people are quietly asking as they navigate fertility, aging, and family-building decisions. Dr. Shahine breaks down what the science actually says about age and fertility, including why it becomes harder to conceive with age, how eggs and sperm age differently, and what role options like IVF, egg freezing, and donor eggs play. She also reviews headline-making cases of pregnancy at advanced reproductive age and explains why these headlines, while eye-catching, don't always tell the full medical story. She explains how clinicians think about risk, safety, and counseling for pregnancy later in life. This episode offers evidence-based clarity, compassionate context, and practical guidance to help you make informed decisions. At any age. In this episode you'll hear: [1:22] What record-breaking pregnancies really tell us [3:00] Understanding age & fertility [7:19] Health risks of pregnancy at 40s, 50s, and beyond [9:28] Men's reproductive age & health of pregnancy [10:21] Ethical considerations for older parents [11:27] Updated ASRM recommendations [13:35] Final thoughts Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Have you had a C-section and now you're wondering if it could affect future conception? Are you planning one and feeling unsure how it may influence your reproductive health? In this episode of Brave & Curious, Dr. Lora Shahine goes beyond headlines and reviews a landmark study to better understand how C-sections may impact future fertility, miscarriage rates, and pregnancy complications. This episode will arm you with three essential questions to ask your provider and help you make informed decisions and have empowered conversations, all grounded in clarity, not fear. In this episode you'll hear: [0:50] Overview of C-section impact study [1:08] Fertility after C-section [7:59] Pregnancy risks after C-section [18:36] Benefits of a C-Section [19:45] FAQ [21:14] Advocating for your care [22:51] Final thoughts Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

How can you give yourself the best chance of conceiving in the year ahead? Which habits truly influence fertility? And when is it appropriate to seek additional support or consult a specialist? In this New Year episode of Brave & Curious, Dr. Lora Shahine shares a practical and compassionate Fertility Reset—a clear roadmap for anyone preparing to conceive or looking for guidance after months of trying. She reviews the foundations of cycle tracking and timed intercourse, strategies for reducing harmful exposures, and lifestyle and nutrition changes that can support reproductive health. Dr. Shahine also explains how stopping birth control varies by method, why understanding ovulation is essential, and how to decide whether at-home testing or a medical evaluation is the next right step. This episode offers an evidence-based guide to enhancing fertility, improving overall wellness, and approaching the year ahead with clarity and confidence. In this episode you'll hear: [0:32] Kicking off a fertility reset [1:27] Get your health in check [2:59] Stopping birth control [5:08] Cycle tracking [7:19] Timing intercourse [9:25] Lifestyle changes: what to stop and what to start [20:31] Prenatal vitamins [21:55] When to see a fertility specialist Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Are you confused about prenatal vitamins? Wondering whether folic acid or folate is best? And what about those MTHFR conversations on the internet? Should you be worried? In this episode of Brave & Curious, Dr. Lora Shahine is asking the questions so many people have but rarely get clear answers to. Her guest is fertility expert Dr. Prati Sharma who is here to address the fear, the science, and the nuance behind one of the most debated supplements in pregnancy health. Folate and folic acid may sound interchangeable, but as Dr. Shahine and Dr. Sharma explain, the topic gets complicated fast — especially once genetics, supplements, and internet opinions enter the chat. Together they explain the definitions, evidence-based guidelines, genetic polymorphisms like MTHFR, and how the supplement market (and sometimes fear-based messaging) can mislead patients. Listeners will hear balanced, thoughtful insight rooted in reproductive endocrinology, science-backed recommendations, and compassionate care, not panic or overwhelm. And most importantly, you'll leave feeling calmer, more empowered, and equipped with the right questions instead of fear. In this episode you'll hear: [1:25] Why is folate vs. folic acid such a heated topic? [3:37] What is folate? [4:067 What is folic acid? [5:35] MTHFR gene variant explained [6:40] The history & science behind the recommendations [9:58] How much folic acid do you actually need? [12:56] What newer studies show [20:23] How to choose a prenatal [28:06] Final takeaways and connecting with Dr. Sharma Resources mentioned: @drpratiaharma on IG createivf.com/about/prati-sharma-fertility-doctor birdandbe.com ABOG Folic Acid Recommendations Review from Integrative Medicine Journal Review by Jen Gunter, MD Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

What happens when chronic endometriosis meets fierce advocacy and a wicked sense of humor? What if your most painful experiences become the catalyst for empowering others? And how does a uterus-shaped wine decanter become a national conversation piece for women's reproductive health? In this episode of Brave & Curious, Dr. Lora Shahine chats with Erica Loring, the self-declared "brains and uterus behind Shecanter," to talk about turning pain into purpose and stigma into laughter. Erica shares her deeply personal health journey, from fainting spells through high-school to finally being heard, diagnosed, and validated after years of dismissal. Her story shines a light on endometriosis, PCOS, women's healthcare funding inequality, reproductive rights advocacy, and the power of representation through design. Her viral product line, including uterus decanters, mugs, and more, has become both a feminist cultural symbol and a fundraising tool fueling research and resources for women with reproductive health conditions. Listeners will learn how Erica transformed a frustrating medical experience into a thriving brand, using humor as activism and novelty products as conversation starters. In this episode you'll hear: [2:37] Erica's endometriosis journey [4:14] Medical dismissal [4:58] Diagnosis barriers [7:18] Women's health funding [11:40] Novelty feminist products [15:26] Patient self-advocacy [17:22] Reproductive health organizations [19:07] Product design process [23:21] Empowering healthcare advocacy [28:08] Finding and purchasing the products Resources mentioned: shecanter.com @the_shecanter on IG endometriosisassn.org pcoschallenge.org plannedparenthood.org Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

What does it really take for men to build a family through IVF and surrogacy? How do you navigate the maze of sperm testing, egg donors, legal contracts, and international laws? And where do transparency, trust, and heart fit into this complex process? In this honest and empowering episode of Brave & Curious, Dr. Lora Shahine is talking to Richard Westoby, author, advocate, and host of IVF Daddies. Their conversation pulls back the curtain on the real journey of gay men pursuing parenthood. Richard shares his deeply personal experience of becoming a father to twins through surrogacy and his decade-long mission to help others do the same. Together, he and Dr. Shahine break down every step of the process. They talk about everything from fertility testing and choosing an egg donor to finding the right clinic, lawyer, and surrogate. With humor and compassion, they discuss the emotional highs and lows, the legal and ethical complexities, and the hard truths about cost, timelines, and international options. This conversation offers clarity, courage, and connection for anyone dreaming of becoming a parent through IVF and surrogacy. In this episode you'll hear: [0:51] Meet Richard Westoby: author, advocate, and podcast host [4:29] Richard's personal story [6:05] Choosing the right egg donor [15:57] Fresh vs. frozen donor eggs [22:14] Finding the right clinic [30:48] International surrogacy insights [35:59] Legal must-knows [40:28] Realistic timeline & budgets [41:54] Red flags & green flags [43:19] Making it manageable [57:03] Trusted resources Resources mentioned: ivfdaddies.com menhavingbabies gayswithkids.com familiesoutloud.org pnwfertility.com Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books