{"version":"1.0.0","segments":[{"startTime":1.0,"endTime":3.609,"body":"Today we talk about when to hit the panic"},{"startTime":3.657,"endTime":6.125,"body":"button on your path to parenthood,"},{"startTime":6.425,"endTime":9.405,"body":"how to know when it's time to get some help."},{"startTime":10.225,"endTime":13.218,"body":"I'm, Dr. Mark Amels and this"},{"startTime":13.402,"endTime":15.674,"body":"is Taco about Fertility"},{"startTime":15.77,"endTime":16.406,"body":"Tuesday."},{"startTime":28.546,"endTime":31.438,"body":"Today we're going to focus on when to hit the panel"},{"startTime":31.482,"endTime":34.466,"body":"panic button while you're trying to conceive."},{"startTime":35.326,"endTime":37.79,"body":"If you've been wondering if it's time to consult an OB"},{"startTime":37.838,"endTime":40.606,"body":"GYN or maybe a reproductive specialist,"},{"startTime":40.766,"endTime":43.238,"body":"or factors like your family history or past"},{"startTime":43.302,"endTime":46.134,"body":"experiences without getting pregnant should raise"},{"startTime":46.19,"endTime":49.038,"body":"concerns, this is going to be a great episode for"},{"startTime":49.062,"endTime":51.942,"body":"you. We'll dive into the signs that indicate it"},{"startTime":51.974,"endTime":54.518,"body":"might be time to seek professional help on your"},{"startTime":54.542,"endTime":57.318,"body":"fertility journey. I'm sure most of"},{"startTime":57.342,"endTime":60.07,"body":"you are pretty familiar with the basic"},{"startTime":60.118,"endTime":62.988,"body":"definition of infertility, meaning if"},{"startTime":63.012,"endTime":65.843,"body":"you are under 35 and you have no"},{"startTime":65.924,"endTime":68.856,"body":"other major issues after 12 months of trying,"},{"startTime":69.156,"endTime":71.708,"body":"if you are not pregnant, then we call it"},{"startTime":71.732,"endTime":74.656,"body":"infertility. If you're over 35,"},{"startTime":75.236,"endTime":77.452,"body":"then after six months, we call it"},{"startTime":77.484,"endTime":80.196,"body":"infertility. But what does it mean"},{"startTime":80.356,"endTime":83.052,"body":"to try to get pregnant? I mean, clearly,"},{"startTime":83.164,"endTime":85.708,"body":"if you are having intercourse every other"},{"startTime":85.772,"endTime":88.29,"body":"day for six months"},{"startTime":88.468,"endTime":90.398,"body":"different than someone who is having"},{"startTime":90.462,"endTime":92.886,"body":"intercourse once a week"},{"startTime":93.046,"endTime":95.806,"body":"or maybe once a month for one"},{"startTime":95.846,"endTime":98.726,"body":"year, and the answer is, yeah, it does"},{"startTime":98.766,"endTime":101.742,"body":"make a difference, but unfortunately that's"},{"startTime":101.774,"endTime":104.574,"body":"not teased out. So"},{"startTime":104.75,"endTime":107.734,"body":"does that mean if you're having intercourse like rabbits, that you"},{"startTime":107.75,"endTime":110.502,"body":"need to worry sooner? No. But what it"},{"startTime":110.534,"endTime":113.27,"body":"does mean is that if you are not having"},{"startTime":113.318,"endTime":116.04,"body":"intercourse at least twice a week, your"},{"startTime":116.088,"endTime":118.48,"body":"chances of success is going to go"},{"startTime":118.528,"endTime":121.368,"body":"down. Unless you're using some type of ovulation"},{"startTime":121.472,"endTime":124.344,"body":"kit to verify when you're ovulating and know that you're"},{"startTime":124.36,"endTime":127.04,"body":"having intercourse during that time on the same"},{"startTime":127.088,"endTime":129.72,"body":"notion. If you're one of those people who are"},{"startTime":129.888,"endTime":132.816,"body":"checking ovulation kits and making your partner"},{"startTime":132.896,"endTime":135.616,"body":"take eight different pills, then I would"},{"startTime":135.656,"endTime":138.592,"body":"suspect that your chances are going to be better than someone who's"},{"startTime":138.624,"endTime":141.048,"body":"just having intercourse every once in a while."},{"startTime":141.192,"endTime":144.064,"body":"Because in some ways you are actually giving a better chance"},{"startTime":144.12,"endTime":147.066,"body":"because you're making sure when your ovulation is occurring."},{"startTime":147.146,"endTime":150.05,"body":"Now, I think it's important to understand that you don't have to"},{"startTime":150.098,"endTime":152.786,"body":"try to get pregnant just having intercourse and not"},{"startTime":152.826,"endTime":155.61,"body":"using protection. You do have a chance of getting"},{"startTime":155.658,"endTime":158.338,"body":"pregnant. But there clearly is a difference between"},{"startTime":158.402,"endTime":161.202,"body":"someone who is checking ovulation kits"},{"startTime":161.394,"endTime":164.394,"body":"versus someone who is just having intercourse every once in a"},{"startTime":164.41,"endTime":167.13,"body":"while. And the same thing of frequency."},{"startTime":167.298,"endTime":169.794,"body":"If you're having an intercourse every other day"},{"startTime":169.93,"endTime":172.862,"body":"versus someone twice a month, you're going to have a"},{"startTime":172.894,"endTime":175.546,"body":"higher chance of hitting the nail on the head"},{"startTime":175.846,"endTime":178.318,"body":"more times. Even age has a part in"},{"startTime":178.342,"endTime":181.288,"body":"this. If you're under 30 years of age,"},{"startTime":181.354,"endTime":184.318,"body":"you have around somewhere between a 75 to 85%"},{"startTime":184.382,"endTime":186.386,"body":"chance of conceiving within a year."},{"startTime":187.126,"endTime":190.0,"body":"But if you're age 35, it drops"},{"startTime":190.102,"endTime":192.998,"body":"down to about 66%, which in a"},{"startTime":193.022,"endTime":195.887,"body":"year. And once you get to age 40"},{"startTime":195.975,"endTime":198.966,"body":"now, it drops down to 44% chance"},{"startTime":199.046,"endTime":201.749,"body":"of, conceiving within a year. And by the time you get to age"},{"startTime":201.805,"endTime":204.653,"body":"45, you're down to about"},{"startTime":204.769,"endTime":207.596,"body":"12% chance of, conceiving within one"},{"startTime":207.636,"endTime":210.164,"body":"year. So as you can imagine, you"},{"startTime":210.22,"endTime":213.012,"body":"can't look at someone and say it's the"},{"startTime":213.044,"endTime":215.82,"body":"same for everybody because everybody is"},{"startTime":215.868,"endTime":218.38,"body":"different. But although every"},{"startTime":218.428,"endTime":221.348,"body":"person's journey is different, there are"},{"startTime":221.452,"endTime":224.1,"body":"general guidelines that will help you know"},{"startTime":224.268,"endTime":227.074,"body":"when to hit that pack button. I would define"},{"startTime":227.25,"endTime":230.058,"body":"trying to conceive, essentially anyone"},{"startTime":230.122,"endTime":232.526,"body":"who is having intercourse unprotected"},{"startTime":233.186,"endTime":236.046,"body":"and having intercourse at least two to three times a week,"},{"startTime":236.746,"endTime":239.546,"body":"or people who are doing timed intercourse"},{"startTime":239.586,"endTime":242.33,"body":"by doing ovulation tracking or basal"},{"startTime":242.378,"endTime":244.77,"body":"body temperature. So using that"},{"startTime":244.818,"endTime":247.746,"body":"definition, let's start with the group under"},{"startTime":247.786,"endTime":250.666,"body":"age 35. If you are under age 35"},{"startTime":250.786,"endTime":253.242,"body":"and you have absolutely no family history of"},{"startTime":253.274,"endTime":256.22,"body":"infertility, you have regular menstrual"},{"startTime":256.268,"endTime":258.46,"body":"cycles, you have no disorders such as"},{"startTime":258.508,"endTime":261.308,"body":"endometriosis, polycystic ovarian syndrome,"},{"startTime":261.412,"endTime":264.332,"body":"history of pelvic surgeries, a"},{"startTime":264.364,"endTime":267.332,"body":"history of a sexually transmitted disease"},{"startTime":267.364,"endTime":269.892,"body":"like gonorrhea, chlamydia, or a prior history of"},{"startTime":269.924,"endTime":272.54,"body":"infertility with another partner, then it's not"},{"startTime":272.588,"endTime":275.292,"body":"unreasonable to wait one year before"},{"startTime":275.444,"endTime":278.212,"body":"seeking help. I wouldn't even hit the panic button"},{"startTime":278.284,"endTime":281.212,"body":"because at that point that's pretty traditional."},{"startTime":281.244,"endTime":283.916,"body":"If it hasn't worked by then, then you need to get things figured out."},{"startTime":283.996,"endTime":286.884,"body":"Whereas in that same situation, if you're"},{"startTime":286.98,"endTime":289.908,"body":"over 35, then by six months you need to"},{"startTime":289.932,"endTime":292.3,"body":"be seeing a OB GYN"},{"startTime":292.468,"endTime":295.372,"body":"or a reproductive doctor. So what are"},{"startTime":295.404,"endTime":298.18,"body":"some of the concerning things that you should be looking for?"},{"startTime":298.348,"endTime":301.3,"body":"Well, if you have irregular cycles, such as"},{"startTime":301.348,"endTime":304.324,"body":"polycystic ovarian syndrome, if you"},{"startTime":304.38,"endTime":307.166,"body":"have severely painful periods"},{"startTime":307.316,"endTime":310.042,"body":"or a family history of endometriosis, or you've been"},{"startTime":310.074,"endTime":312.77,"body":"diagnosed with endometriosis, if you've ever had a sexually"},{"startTime":312.818,"endTime":315.242,"body":"transmitted disease, especially pelvic inflammatory"},{"startTime":315.314,"endTime":318.17,"body":"disease, or maybe your partner has a problem getting"},{"startTime":318.218,"endTime":320.81,"body":"erections or ejaculating, all of"},{"startTime":320.858,"endTime":323.714,"body":"these specific conditions, you may want to"},{"startTime":323.73,"endTime":326.594,"body":"even skip the OGN and go straight to the reproductive"},{"startTime":326.65,"endTime":329.554,"body":"doctor. If you've already been trying for a year or"},{"startTime":329.61,"endTime":332.394,"body":"six months. If you're over 35, personally,"},{"startTime":332.49,"endTime":334.882,"body":"if you have conditions that would prevent"},{"startTime":335.034,"endTime":337.938,"body":"pregnancy such as the ones I said. I would even make"},{"startTime":337.962,"endTime":340.818,"body":"the argument that six months is enough to go see the"},{"startTime":340.842,"endTime":343.77,"body":"reproductive doctor. And for women over 35,"},{"startTime":343.898,"endTime":346.362,"body":"I'd say even after three to four months, it's not"},{"startTime":346.394,"endTime":349.106,"body":"unreasonable to start talking to a reproductive doctor."},{"startTime":349.226,"endTime":351.966,"body":"But I want to talk about things that might make you worry"},{"startTime":352.266,"endTime":355.162,"body":"even though you haven't been trying for a year. So let's"},{"startTime":355.194,"endTime":357.274,"body":"start first with the pull up method,"},{"startTime":357.45,"endTime":360.306,"body":"coitus interruptus. There are some people"},{"startTime":360.346,"endTime":362.938,"body":"on earth who think they're the best pull routers in the"},{"startTime":362.962,"endTime":365.874,"body":"world and how they prevented getting pregnant"},{"startTime":365.97,"endTime":368.906,"body":"in so many relationships. To be honest,"},{"startTime":369.066,"endTime":371.89,"body":"I believed that too until we found out"},{"startTime":372.018,"endTime":374.618,"body":"we had infertility. Cortis"},{"startTime":374.722,"endTime":377.246,"body":"interruptus, also called the pull up method,"},{"startTime":377.586,"endTime":380.45,"body":"has about 25% yearly failure"},{"startTime":380.498,"endTime":383.418,"body":"rate. So I would tell you that if you've been in a"},{"startTime":383.442,"endTime":386.394,"body":"relationship for at least two years and you've been"},{"startTime":386.41,"endTime":389.206,"body":"using the pull out method and you didn't get pregnant,"},{"startTime":389.656,"endTime":392.472,"body":"even if it's not the same relationship, you"},{"startTime":392.504,"endTime":395.12,"body":"might be concerned there might be something wrong. Either a sperm"},{"startTime":395.168,"endTime":398.128,"body":"problem or there's a female issue that"},{"startTime":398.152,"endTime":400.688,"body":"is causing some problems. So even though you weren't"},{"startTime":400.752,"endTime":403.656,"body":"trying, you should be maybe hitting that panic"},{"startTime":403.696,"endTime":406.448,"body":"button when you're about to try, because"},{"startTime":406.592,"endTime":409.432,"body":"that would be unusual after two years, even with the pull up"},{"startTime":409.464,"endTime":412.064,"body":"method of not having a single accident."},{"startTime":412.2,"endTime":414.76,"body":"Another area where I may hit the pack button a little"},{"startTime":414.808,"endTime":416.956,"body":"earlier is family history."},{"startTime":417.576,"endTime":420.304,"body":"If you have a family history of early"},{"startTime":420.36,"endTime":423.331,"body":"menopause, like premature ovarian failure or a, ah,"},{"startTime":423.448,"endTime":426.344,"body":"family history with multiple multiple miscarriages, not"},{"startTime":426.44,"endTime":429.16,"body":"miscarriages like someone has two, but I mean repetitive"},{"startTime":429.208,"endTime":432.152,"body":"miscarriages over and over again. Maybe all the women"},{"startTime":432.184,"endTime":435.016,"body":"in your family have endometriosis. These are"},{"startTime":435.056,"endTime":437.6,"body":"things that could repeat. And for that"},{"startTime":437.648,"endTime":440.608,"body":"reason, if you are under 35, I would say after"},{"startTime":440.672,"endTime":443.594,"body":"six months, if you are not pregnant, you need to see someone. And"},{"startTime":443.61,"endTime":446.474,"body":"if you're over 35, three to four months and you need"},{"startTime":446.49,"endTime":449.386,"body":"to start seeing somebody, these are absolute red"},{"startTime":449.426,"endTime":452.426,"body":"flags, especially early menopause. Essentially,"},{"startTime":452.466,"endTime":455.154,"body":"if someone in your family on the female side has early"},{"startTime":455.21,"endTime":457.794,"body":"menopause, I would say at least"},{"startTime":457.93,"endTime":460.506,"body":"10 years prior to when they had"},{"startTime":460.546,"endTime":463.306,"body":"menopause, you should be getting evaluated for your ovarian"},{"startTime":463.346,"endTime":466.21,"body":"reserve to find out if there's any issues. You may even"},{"startTime":466.258,"endTime":469.162,"body":"want to think about freezing your eggs. The next"},{"startTime":469.194,"endTime":471.91,"body":"area I would go to is unprotected"},{"startTime":471.998,"endTime":474.878,"body":"intercourse in prior relationships. And what I mean"},{"startTime":474.902,"endTime":477.654,"body":"by that is I've had patients who"},{"startTime":477.79,"endTime":480.598,"body":"will come in for infertility with a partner and they said, oh, we've"},{"startTime":480.622,"endTime":483.558,"body":"only been trying for about a year. But then I talk"},{"startTime":483.582,"endTime":486.518,"body":"about prior relationships and they say, oh, I was in it"},{"startTime":486.542,"endTime":489.094,"body":"for three years and we never got pregnant, but we weren't"},{"startTime":489.15,"endTime":491.814,"body":"trying. But they weren't even using protection, not even"},{"startTime":491.87,"endTime":494.306,"body":"using the ultimate pull out method."},{"startTime":494.886,"endTime":497.66,"body":"And a lot of times I would ask them, well, did that"},{"startTime":497.708,"endTime":500.636,"body":"person that you were in the relationship ever have a kid? And they say, oh yeah,"},{"startTime":500.676,"endTime":503.668,"body":"right away when they met someone else. It always surprises me that"},{"startTime":503.692,"endTime":506.34,"body":"a light bulb doesn't go off at that moment. My point"},{"startTime":506.388,"endTime":509.22,"body":"is if your partner or if you"},{"startTime":509.348,"endTime":512.172,"body":"have been in prior relationships for a period of"},{"startTime":512.204,"endTime":515.1,"body":"time where you didn't get pregnant, we're talking six months"},{"startTime":515.148,"endTime":517.932,"body":"to one year and you weren't using the pull up"},{"startTime":517.964,"endTime":520.576,"body":"method and you just didn't get pregnant,"},{"startTime":520.956,"endTime":523.892,"body":"that is a concerning sign because that is a prior"},{"startTime":524.004,"endTime":525.956,"body":"history of infertility."},{"startTime":526.736,"endTime":529.432,"body":"Now you don't think of it that way because you weren't even trying to get"},{"startTime":529.464,"endTime":532.264,"body":"pregnant. But technically, as long as you're"},{"startTime":532.28,"endTime":535.168,"body":"having intercourse twice a week for"},{"startTime":535.192,"endTime":537.888,"body":"that period of time, you really should have become"},{"startTime":537.952,"endTime":540.704,"body":"pregnant. And that is a sign that's concerning."},{"startTime":540.84,"endTime":543.608,"body":"And you should probably hit the panic button early on in your"},{"startTime":543.672,"endTime":546.664,"body":"current relationship if you're not getting pregnant."},{"startTime":546.84,"endTime":549.196,"body":"Age is also another factor."},{"startTime":549.576,"endTime":551.756,"body":"Everybody knows as you get more mature,"},{"startTime":552.286,"endTime":555.102,"body":"age becomes a bigger factor when it comes to fertility."},{"startTime":555.214,"endTime":558.174,"body":"But there is any factor to hit the pack button"},{"startTime":558.23,"endTime":561.222,"body":"on more than another, it's going to be age. And"},{"startTime":561.254,"endTime":564.005,"body":"that is because that, is the one thing you cannot"},{"startTime":564.061,"endTime":566.997,"body":"reverse. If your tubes are blocked, you can"},{"startTime":567.037,"endTime":569.989,"body":"bypass them. If sperm is low, you can do"},{"startTime":570.013,"endTime":572.797,"body":"things like IVF and inject the sperm in. But if your"},{"startTime":572.837,"endTime":575.829,"body":"egg quality is severely poor, there is not much you"},{"startTime":575.853,"endTime":578.747,"body":"can do. And so any"},{"startTime":578.787,"endTime":581.547,"body":"woman who is between 30 and 35"},{"startTime":581.627,"endTime":584.515,"body":"needs to start thinking about their fertility. And I"},{"startTime":584.531,"endTime":586.967,"body":"would say for everyone by age 35,"},{"startTime":587.467,"endTime":590.035,"body":"if you've been with your partner and maybe you weren't trying,"},{"startTime":590.131,"endTime":593.019,"body":"but you've been thinking about kids and you kind of feel"},{"startTime":593.043,"endTime":595.941,"body":"that, well, if it happens, it happens type of thing, which a lot of people"},{"startTime":595.989,"endTime":598.901,"body":"do at age 35, you need to start hitting that"},{"startTime":598.949,"endTime":601.845,"body":"panic button because if you're not pregnant by then, and"},{"startTime":601.861,"endTime":604.315,"body":"you've been kind of a, little sloppy with"},{"startTime":604.835,"endTime":607.491,"body":"preventing pregnancy, but you're also kind of like, if it happens, it"},{"startTime":607.523,"endTime":610.515,"body":"happens. That's concerning because at 35, that's"},{"startTime":610.555,"endTime":613.291,"body":"when your ovarian reserve can drop significantly."},{"startTime":613.443,"endTime":616.205,"body":"It's not like everyone does at 35, but there"},{"startTime":616.299,"endTime":619.259,"body":"is definitely at 35, that is the ridge where a"},{"startTime":619.267,"endTime":621.907,"body":"lot of people can drop off. And so that's why you need to"},{"startTime":621.931,"endTime":624.699,"body":"worry at that moment. If you're already"},{"startTime":624.787,"endTime":627.779,"body":"past that time, then the next number you have to"},{"startTime":627.827,"endTime":630.399,"body":"worry about is 38. There's another significant"},{"startTime":630.489,"endTime":633.078,"body":"drop after age 38. Personally, I"},{"startTime":633.167,"endTime":635.756,"body":"would tell any woman who is"},{"startTime":635.845,"endTime":638.759,"body":"age 40 or above, 3, 4 months"},{"startTime":638.807,"endTime":641.743,"body":"at the most, and if you are not pregnant, you need to see"},{"startTime":641.759,"endTime":644.759,"body":"a fertility doctor. Don't even waste your time with the OB gyn."},{"startTime":644.887,"endTime":647.615,"body":"It's not that they're not good, it's just any time wasted with"},{"startTime":647.655,"endTime":650.515,"body":"them is lowering your chance of having success."},{"startTime":650.975,"endTime":653.807,"body":"As I mentioned, by age 42, your"},{"startTime":653.871,"endTime":656.599,"body":"chances of getting pregnant on your own"},{"startTime":656.727,"endTime":659.491,"body":"per year drops down to about"},{"startTime":659.563,"endTime":662.421,"body":"25%. And by age 45, it's"},{"startTime":662.518,"endTime":665.027,"body":"down to 12% over a year."},{"startTime":665.211,"endTime":667.779,"body":"So every month wasted lowers your"},{"startTime":667.827,"endTime":670.803,"body":"chances. And you definitely want to hit that panic button if"},{"startTime":670.819,"endTime":673.427,"body":"you're not getting pregnant and you were after 40."},{"startTime":673.611,"endTime":676.523,"body":"Now, my goal here is not to worry people again."},{"startTime":676.579,"endTime":679.243,"body":"If you are young and you have any other"},{"startTime":679.299,"endTime":682.203,"body":"problems, even if, let's say, you do have issues, but"},{"startTime":682.219,"endTime":684.975,"body":"you're like, hey, if it happens, it happens, we're not that worried,"},{"startTime":685.415,"endTime":687.991,"body":"then you still have time because you're"},{"startTime":688.023,"endTime":690.887,"body":"young. But if you are more mature, as"},{"startTime":690.911,"endTime":693.903,"body":"we talked about age 40, and you're kind"},{"startTime":693.919,"endTime":696.745,"body":"of like, I want it to happen, but if it happens,"},{"startTime":696.785,"endTime":699.601,"body":"it happens, the problem is you don't have time to"},{"startTime":699.633,"endTime":702.193,"body":"waste at that point. You need to be"},{"startTime":702.249,"endTime":704.849,"body":"proactive. Even if you don't care"},{"startTime":705.017,"endTime":708.009,"body":"if it ever ends up working. Being proactive at least gives"},{"startTime":708.017,"endTime":710.965,"body":"you the chance of being able to get pregnant in the future."},{"startTime":711.335,"endTime":713.647,"body":"But when you're younger, you can be a little bit more"},{"startTime":713.711,"endTime":716.383,"body":"patient because of the fact that you have"},{"startTime":716.559,"endTime":719.543,"body":"more room, because your window of opportunity is"},{"startTime":719.599,"endTime":722.343,"body":"much bigger. But as you get past,"},{"startTime":722.439,"endTime":725.391,"body":"As I said, 38 and especially 40, that window of"},{"startTime":725.423,"endTime":728.183,"body":"opportunity is closing so fast that"},{"startTime":728.239,"endTime":731.087,"body":"eventually even a fertility doctor won't be able to"},{"startTime":731.111,"endTime":734.055,"body":"help you much overall. What I can tell you is"},{"startTime":734.215,"endTime":737.127,"body":"no one has ever said, wow, I wish I didn't go to that"},{"startTime":737.151,"endTime":740.047,"body":"fertility doctor so soon. I really wish I would"},{"startTime":740.071,"endTime":742.991,"body":"have waited longer. That isn't a thing. What"},{"startTime":743.023,"endTime":745.847,"body":"is a thing is that most people won't"},{"startTime":745.871,"endTime":748.855,"body":"worry about it, will just kind of say what happened when it"},{"startTime":748.895,"endTime":751.783,"body":"happens. And everyone tells them that they're just too stressed out, which"},{"startTime":751.799,"endTime":754.631,"body":"isn't true. And then when they're finally ready to get"},{"startTime":754.663,"endTime":757.199,"body":"pregnant, they come to the fertility doctor and they"},{"startTime":757.247,"endTime":759.955,"body":"say, I wish I would have came here sooner."},{"startTime":760.295,"endTime":763.287,"body":"I would liken going to a fertility doctor"},{"startTime":763.351,"endTime":766.277,"body":"early, similar to how my friend used to say, when it comes"},{"startTime":766.301,"endTime":769.261,"body":"to dressing for an event, no one ever gets"},{"startTime":769.293,"endTime":772.077,"body":"upset if you overdress to an event."},{"startTime":772.221,"endTime":774.925,"body":"You only look bad when you underdress."},{"startTime":775.085,"endTime":778.069,"body":"Well, in the same token, it's never going"},{"startTime":778.077,"endTime":780.973,"body":"to be bad to be proactive and see a fertility"},{"startTime":781.029,"endTime":783.973,"body":"doctor early, but the consequences of not seeing a"},{"startTime":783.989,"endTime":786.741,"body":"fertility doctor early is tremendous."},{"startTime":786.933,"endTime":789.767,"body":"I hope this podcast was helpful for you. Maybe"},{"startTime":789.791,"endTime":792.727,"body":"you're thinking about going to get pregnant and so this gave"},{"startTime":792.751,"endTime":795.695,"body":"you a little bit of a timeline or let you know when to hit that"},{"startTime":795.735,"endTime":798.487,"body":"pack button. Maybe you have a friend who's going through"},{"startTime":798.511,"endTime":801.447,"body":"this and this is a great podcast to send to them so that way"},{"startTime":801.471,"endTime":804.407,"body":"they kind of know when they need to start worrying. Even if they're"},{"startTime":804.431,"endTime":807.351,"body":"not trying to have kids. This may be very helpful because"},{"startTime":807.383,"endTime":810.335,"body":"at least we'll give them some type of guidelines. As"},{"startTime":810.375,"endTime":812.879,"body":"always, I greatly appreciate everyone listens to this"},{"startTime":812.927,"endTime":815.599,"body":"podcast. I appreciate all the great"},{"startTime":815.647,"endTime":818.615,"body":"reviews and if you love us, tell your friends about us. Give us a five"},{"startTime":818.655,"endTime":821.127,"body":"star review on your favorite medium. As I always"},{"startTime":821.191,"endTime":824.091,"body":"say, please keep coming back. I look forward"},{"startTime":824.123,"endTime":826.859,"body":"to talking to you again next week on Talk About"},{"startTime":826.987,"endTime":827.755,"body":"Fertility Tuesday."}]}