If you're over 40 and have been told your ovarian reserve is low, you've likely heard things like your only option is IVF with donor eggs or your time has run out. But those statements rarely tell the full story.

In today's episode, Improve Ovarian Reserve to Get Pregnant After 40, we explore what ovarian reserve actually measures, why it does not define your fertility potential, and how a functional fertility approach can support egg quality, hormone communication, and your chances of pregnancy, whether naturally or with IVF.

Even after 40, your body can respond when you understand the underlying imbalances that influence ovarian function.

You'll learn

• What AMH, FSH, and AFC truly indicate and why they don't measure egg quality • How mitochondrial energy, nutrient levels, and antioxidants influence egg development after 40 • The role of thyroid health and why optimal TSH should be below 2.0 when trying to conceive • How gut infections, immune dysregulation, and vaginal microbiome imbalances affect ovarian reserve • Which functional tests help uncover hidden imbalances that impact egg potential, including GI MAP, DUTCH, GrowBaby, and HTMA

This episode is especially for you if:

• You are 40 or older and have been told your AMH is low or your FSH is high

• You have experienced failed IVF cycles, early loss, or poor egg quality and want to know what else you can do

• You want a functional fertility framework that looks at hormone communication, egg energy, and whole body imbalances rather than just chasing lab numbers

Next Steps in Your Fertility Journey

Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey.

Not sure where to start? Download our most popular guide: Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action

For personalized support to improve pregnancy success, book a call here.

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Timestamps

00:00 What low ovarian reserve really means after 40

Why AMH and FSH do not predict your ability to conceive and why your fertility is not defined by these numbers.

01:00 AMH, FSH and AFC explained for women over 40

How ovarian reserve tests measure quantity, not quality and why functional fertility looks deeper.

02:00 Case study: Diminished ovarian reserve at 41 with autoimmune clues

A real example of low AMH and Hashimoto's with gut infections that resulted in a natural pregnancy.

04:00 Mitochondria and egg energy after 40

How mitochondrial function influences egg maturation and which nutrients support better ovarian energy.

05:00 Thyroid health and why TSH must be optimal to conceive

The full thyroid picture and why ferritin, antibodies and gluten sensitivity matter for ovarian reserve.

07:00 Mineral balance and heavy metals that affect ovarian reserve

How magnesium, copper imbalance and toxic metals influence egg quality and hormone stability.

08:30 Adrenal stress and cortisol patterns that lower ovarian signaling

How chronic stress suppresses FSH and LH and what adrenal patterns look like on testing.

10:00 Gut health, estrogen metabolism and inflammation

How dysbiosis, leaky gut and yeast overgrowth interfere with follicle growth and hormone balance.

11:00 Vaginal microbiome and hidden infections linked to failed implantation

Why Ureaplasma, Mycoplasma and high pH environments reduce embryo success and implantation.

13:00 Case study: Natural pregnancy at 43 with DOR

A woman with low AMH and high FSH who addressed gut, adrenal and thyroid imbalances and conceived naturally.

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Resources

📩 Get your free 10-day elimination diet plan! Email [email protected] with the subject line 10 DAY to receive your guide and take the first step toward reconnecting with your fertility.

5 Tips to Get Pregnant Even with Poor Egg Quality: https://fabfertile.com/blogs/podcasts/5-tips-to-get-pregnant-even-with-poor-egg-quality

Why A Mineral Deficiency Matters When You Are Trying To Conceive: https://fabfertile.com/blogs/podcasts/why-a-mineral-deficiency-matters-when-you-are-trying-to-conceive-with-terra-vitiello?_pos=1&_sid=ae769fc7d&_ss=r

DUTCH Test 101: Why It's Important For Fertility: https://fabfertile.com/blogs/podcasts/dutch-test-101-why-its-important-for-fertility?_pos=2&_sid=a6f8a8c87&_ss=r

Why Genomic Testing Can Help With Recurrent Pregnancy Loss, Birth Outcomes and Preconception Health: https://fabfertile.com/blogs/podcasts/why-genomic-testing-can-help-with-recurrent-pregnancy-loss-birth-outcomes-and-preconception-health?_pos=8&_sid=f28fd1802&_ss=r

Our favorite fertility tracker (use code FABFERTILE15 to save 15) - https://www.inito.com/en-us/?srsltid=AfmBOoo85sXu_esmFN5Kz6iysaTkBKgYl35Jubv-BaLkkxXVggdk6nes

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💛 Join my free Facebook group: Get Pregnant Naturally With Low AMH and/or High FSH: https://www.facebook.com/groups/451444518397946

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Please note we only promote products that Sarah Clark or her Fab Fertile team has tried and believes are beneficial for someone who is TTC. We may receive a small commission.