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    Ep. 81 All The Fertility Questions You’ve Been Scared To Ask with Dr Helen O’Neill

    enApril 01, 2024

    Podcast Summary

    • Emphasizing the importance of open discussions on women's health and fertilityLeading reproductive scientist Dr. Helen O'Neil encourages open conversations about women's health and fertility, emphasizing the significance of education and research, and acknowledging the unique experiences of all individuals.

      Doctor Helen O'Neil, a leading expert in reproductive science and founder of Fertility Health, emphasizes the importance of open discussions about women's health and fertility, despite its sensitive nature. She highlights the dire state of women's health research and encourages public conversations on the topic. O'Neil's background in genetics and reproduction, including a master's in prenatal genetics and fetal medicine, fueled her fascination with the human reproductive process. She encourages listeners to appreciate the significance of women's health education and research, and to remember that everyone's experiences are unique. Despite the potential fear or anxiety surrounding fertility statistics, it's crucial to acknowledge the data gap and engage in informed conversations.

    • A PhD in reproductive science couldn't answer the speaker's questions about her own body and fertilityThe speaker started Utility to create a comprehensive solution for women's health, addressing the lack of tools for understanding personal health and the underrepresentation of women in health research.

      Despite having a deep understanding of reproductive science and women's health through her PhD and teaching career, the speaker found herself lacking answers about her own body and fertility. Frustrated by the lack of analytical tools to understand her own health, she started Utility with a mission to create a comprehensive solution for women's health. She was surprised that despite the obvious need for such a service, it hadn't been created before. The speaker also highlighted the dire state of women's health research, with many conditions like endometriosis still poorly understood and women being underrepresented in clinical trials. She emphasized the importance of addressing these issues and creating tools to help women better understand their bodies and health.

    • Women's health research underfunded and overlookedHalf the world's population experiences health issues disproportionately, yet women's health research is often neglected, leading to inadequate diagnoses and solutions.

      The lack of prioritization and investment in women's health research contributes significantly to the perpetuation of poor science and inadequate solutions for women's health issues. This is despite women making up over half of the global population and the prevalence of women's health conditions. The lack of thorough financial investment and prioritization results in a lack of accurate diagnoses and answers for women, particularly in areas like fertility, pregnancy, and menopause. This marginalization of women's health continues across all life stages. The industry's failure to prioritize women's health and gather data from patients themselves perpetuates outdated perceptions and assumptions about women's health and experiences. The use of language that stigmatizes women and their health concerns further hinders progress. To address these issues, it's essential to build a longitudinal dataset informed by women's experiences and perspectives, challenge outdated language and assumptions, and prioritize investment in women's health research.

    • Bias in Medical Language and Society Towards Women's HealthMedical language and societal attitudes can dismiss women's health concerns. We need to challenge this bias, support each other, and demand inclusive research and healthcare.

      The language and narrative surrounding women's health and reproductive systems in medical textbooks and society at large can be biased and dismissive, perpetuating a lack of understanding and answers for women's health concerns. A medical anthropologist's research revealed the bias in medical terminology, which can justify dismissing women's experiences and concerns. To combat this, it's crucial for us to rally together as women, support each other, and demand answers and solutions. We need to rebrand health data collection as a means to learn more about women's health and symptoms, and work towards creating a more inclusive and comprehensive approach to research and healthcare. The onus should also be on governments to ensure equal investment and coverage for both sexes in scientific research. By working together and sharing information, we can make strides in understanding and addressing the prevalent health conditions that affect women's reproductive health.

    • Personalized approach to women's reproductive healthA thorough health assessment considering symptoms, menstrual cycle patterns, medical history, and background is crucial for accurately diagnosing reproductive health conditions like PCOS. Personalized testing and accessible, convenient services provide comprehensive solutions.

      Understanding and addressing women's reproductive health requires a personalized approach that considers various factors beyond typical statistics. The discussion emphasizes the importance of a thorough health assessment, which includes taking into account symptoms, menstrual cycle patterns, medical history, and background, to accurately diagnose conditions like PCOS. This approach also considers the complexity of hormonal imbalances and the need for a detailed, tailored panel of tests. From the user's perspective, the process is designed to be accessible and convenient, with an online health assessment, at-home blood tests, and clear, actionable insights. The ultimate goal is to provide a comprehensive, supportive journey for individuals seeking answers and solutions to their reproductive health concerns.

    • Revolutionizing Women's Health: At-Home Fertility TestsAt-home fertility tests empower women to take control of their health, gain clarity on reproductive capabilities, and plan families accordingly.

      The at-home blood testing for women's health issues, particularly related to fertility, is a groundbreaking development that provides clarity and answers for those who have spent years seeking diagnoses. These tests not only offer potential diagnoses but also provide peace of mind for those who have been ignored or dismissed by healthcare professionals due to their young age or appearance. The ability to test at home empowers women to take control of their health and plan their families accordingly. The impact of these tests has been profound, with many women expressing gratitude for the clear answers and the opportunity to start families they thought were impossible. It's important to remember that while some may choose not to know, the information and access to testing should be available to all. The fear of the unknown should not prevent others from gaining valuable insights into their health and reproductive capabilities.

    • Understanding Women's Reproductive HealthIgnoring menstrual cycles can lead to feelings of uncertainty and fear. Normalize conversations and provide accessible resources to help women make informed decisions about their reproductive health.

      Women's reproductive health and the fear of not knowing about it is a universal concern, especially given the suppression and taboo surrounding the topic. Despite societal messaging from a young age to avoid pregnancy, women's menstrual cycles are a vital indicator of overall health. Ignoring or suppressing these signals can lead to feelings of uncertainty and fear. The lack of access to information and the stigma surrounding fertility discussions prevent women from making informed decisions about their health. It's essential to normalize conversations around reproductive health and provide accessible resources to help women understand their bodies and make choices that align with their desires and goals.

    • Understanding menstrual cycles and fertilityAwareness of menstrual cycles, individual risks, lifestyle changes, mental health, and proactive approach to health can boost fertility and overall well-being.

      Investing in our health, including fertility, is just as important as investing in contraception and conception. Starting from a young age, it's essential to be aware of our menstrual cycles and understand our individual risks. There's no single most important metric for fertility, and mental health plays a significant role in menstrual health. Lifestyle changes, such as quitting smoking, reducing alcohol consumption, and improving nutrition, can increase the chances of getting pregnant. Men's sperm production also has a three-month life cycle, and they can improve sperm health during this time. Overall, taking a proactive approach to our health and understanding the intricate links between physical and mental well-being can lead to better health outcomes and a smoother journey towards pregnancy.

    • Impact of Alcohol on Fertility During Menstrual CycleAlcohol consumption during the follicular phase of menstrual cycle can negatively affect fertility by impairing follicle maturation and reducing chances of conceiving in following months.

      The timing of alcohol consumption in a woman's menstrual cycle can significantly impact her ability to conceive. During the follicular phase, which lasts from the start of a period until around day 14, the body is preparing for ovulation and is particularly sensitive to estrogen. Alcohol consumption during this phase can negatively affect the maturation of follicles and reduce the chances of conceiving in the following months. It's important to note that alcohol affects the entire body, not just the liver or kidneys, and can impact various systems, including reproductive health. Understanding the different phases of the menstrual cycle and how they affect the body can help women make informed decisions about their health and reproductive goals.

    • Understanding Women's Hormonal CyclesWomen's hormones impact their bodies extensively during pregnancy and beyond, requiring preparation and care. Adolescent omega fat storage is crucial for pregnancy and lactation.

      Women's reproductive hormones are powerful and deserve more investigation and appreciation. The speaker draws a comparison between the effects of a bee's hormones on its hive and the impact of women's hormonal cycles, highlighting the importance of understanding the various ways hormones affect women's bodies during pregnancy and beyond. The speaker advocates for viewing pregnancy as a marathon, requiring significant preparation and care due to the body's extensive changes. Additionally, the speaker emphasizes the importance of storing omega fats in adolescence for use during pregnancy and lactation. Overall, the discussion underscores the significance of women's hormonal cycles and the need for greater awareness and support for women's health.

    • Understanding personal health risks for a healthy pregnancyFocus on personal health risks and egg quality for a healthy pregnancy. Age and chronic conditions like PCOS impact egg health. Each person is unique, and optimal age for a child depends on individual goals and circumstances. Men also have a biological clock, but their fertility does not decline as rapidly as women's.

      Preparing for a healthy pregnancy involves more than just focusing on dieting or achieving an ideal weight. It's important to understand your personal health risks and egg quality, which can be impacted by factors such as age and chronic conditions like PCOS. The health of your eggs is determined by the correct number of chromosomes, and the ability for an egg to properly divide and allocate chromosomes gets worse as we age. While there is a U-shaped curve when it comes to fertility, with higher risks of chromosomally abnormal eggs at younger and older ages, it's essential to remember that each person is unique, and there are fertile individuals at all ages. The optimal age to have a child is not definitive, but rather depends on individual goals and circumstances. Men also have a biological clock, but they are generally more fertile than women, and their fertility does not decline as rapidly with age. Overall, it's crucial to invest in understanding your personal health risks and taking steps to optimize your health before trying to conceive.

    • Male fertility matters tooBoth male and female fertility can decline with age and be negatively impacted by environmental factors like endocrine disrupting chemicals. Be aware and minimize exposure to these chemicals to improve chances of conceiving.

      Fertility is a shared responsibility between both partners, not just a female issue. Men's fertility is also important and can decline with age, leading to an increase in mutations in their sperm. Moreover, environmental factors, particularly endocrine disrupting chemicals, can negatively impact both male and female fertility. These chemicals, which disrupt the hormonal system, are found in various everyday products and can have significant effects on overall health. It's crucial to be aware of these issues and take steps to minimize exposure to endocrine disrupting chemicals. Remember, creating a family requires the contributions of both partners, and planning accordingly based on individual fertility potential is essential.

    • Endocrine disruptors in everyday productsCheck ingredients of personal care products, avoid heating plastic, and reduce exposure to menstrual and plastic toys to limit endocrine disruptors' impact on health.

      Endocrine disrupting chemicals, found in various products such as cosmetics, menstrual products, and some foods, can disrupt the balance of hormones in the body. These chemicals can mimic estrogen and prevent the body's natural estrogen from binding to its receptors, leading to major health issues. To avoid these chemicals, it's recommended to check the ingredients of the products we use, especially those we put on our skin. If you can't pronounce an ingredient, it's best to avoid it. Additionally, avoid heating plastic, as it releases these chemicals. Women are often exposed to higher levels of these chemicals due to the use of menstrual products and babies through plastic toys. It's important to be aware of this issue and make small changes to reduce exposure. The tides are turning, and we have the power to invest in ourselves and each other to go further in understanding and improving women's health.

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