Dr. Lucky Sekhon

And in that case, it feels like everything in the arena of getting pregnant, trying to get pregnant, and trying to stay pregnant is to do with the woman's health and the woman's body.

And thankfully, this narrative is starting to go away, and I think men are much more likely to get tested concurrently with their partners, and they understand the importance of

really optimizing their health as well.

But that has been a thing for far too long.

I think women really internalize it and think it's their fault, no matter what.

I mean, I insist upon it.

If anyone ever gives me pushback, I re-educate them.

And I talk to both partners about the fact that it's really 50-50.

Isn't it crazy, though, that it's like shocking to people that it's 50-50 when it's the sperm and the egg?

But you know what part of it is?

the fact that men always make new sperm for the rest of their life.

So I think that that gives them an air of invincibility, but we know that male health habits, uncontrolled chronic medical conditions, all of that can play a role, not just in infertility, but also pregnancy complications that can arise in their partner.

Absolutely.

So let's start simple, right?

Someone who isn't even coming to see me yet.

Maybe they're not even actively trying to get pregnant, but their cycles are starting to become different.

The natural evolution of how your cycle changes as you go through reproductive aging is

If you're someone who from the get-go had a regular cycle, which not everyone is, let's just use the example of 28 days.

We know that there are many different length cycles, but let's start with 28 days.

If you always had this clockwork-like cycle or interval between periods that was 28 days, as you start to fall low on your egg count, your brain detects that and says, oh, I've got to push the ovaries to work harder.