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“Unexplained infertility” can sound like a verdict. Gabriella Rosa joins me to argue it’s often a sign we haven’t looked closely enough, or we’re asking the wrong questions. Gabriela is a Harvard-trained fertility specialist and founder of the Rosa Institute, and she brings a grounded, evidence-based approach to integrative fertility care that still respects the power of IVF when it’s truly needed.

We dig into why fertility rates in the news don’t always mean what people think, then get honest about the real-world incentives inside reproductive healthcare. Gabriela explains how repeated IVF cycles can become the default when clinics treat infertility as unfixable, even though better testing and better interpretation can uncover actionable causes for both women and men. We also talk about diminishing returns after multiple IVF cycles, and why “investigation before intervention” can save time, money, and heartbreak.

The conversation goes deeper than conception. Gabriela connects infertility and recurrent miscarriage to broader health risks, including insulin resistance and later-life chronic disease, and she makes the case for treating the menstrual cycle as a vital sign. We cover PCOS symptoms, cycle tracking, basic male-factor screening like semen analysis, and her FERTILE method, built to systematize fact-finding, education, and treatment. She also shares her preconception mantra: act pregnant now to get pregnant later by reducing exposures and supporting egg and sperm health.

If you found this helpful, share it with someone trying to conceive, subscribe for more health-forward conversations, and leave a quick review with your biggest takeaway.

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