Perimenopause and Still Want Kids? Your HRT Plan May Need to Look Completely Different

Perimenopause and Still Want Kids? Your HRT Plan May Need to Look Completely Different

August 12, 2026 · 28 min

About this episode

Dr. Rena Malik and Natalie Crawford discuss hormone replacement therapy and fertility challenges during perimenopause.

In this episode, Dr. Rena malik and Natalie Crawford explores the complexities of hormone replacement therapy, fertility, and reproductive aging. She discusses the impact of testosterone use on fertility, the nuances of egg quality and mitochondrial health, as well as the evolving success rates and strategies in IVF and egg freezing. They offered practical guidance for women navigating perimenopause, fertility planning, and optimizing reproductive outcomes at different ages. Become a Member to Receive Exclusive Content: renamalik.supercast.com Schedule an appointment with me: https://www.renamalikmd.com/appointments ▶️Chapters: 00:00 Testosterone use for libido 00:43 Testosterone and pregnancy risks 01:10 Testosterone priming for IVF 02:07 Hormone replacement therapy nuances 02:44 Testosterone side effects in women 03:06 Risks of testosterone pellets 04:19 What to do if on testosterone 07:15 Egg quality, mitochondria, and fertility 09:52 Fertility decline with age 15:53 IVF success rates and considerations Stay connected with Dr. Natalie Crawford on social media for daily insights and updates. Don’t miss out—follow her now and check out these links! INSTAGRAM…

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