Endometriosis Beyond Pain: The Symptoms We Miss & the Impact on Fertility

Jillian shares her fertility journey from five miscarriages in three years and repeatedly being told her age was the problem to finding a more supportive medical team and giving birth to a healthy baby girl four days after her 44th birthday. After conceiving her first daughter naturally at 37 and giving birth at 38, Jillian never expected that growing her family would become so difficult. Her first miscarriage happened at 39, followed by four more early losses. An American living in Rome, she saw multiple doctors, tried prescribed treatments, and began to feel increasingly discouraged by the message that IVF or donor eggs were her only remaining options. But Jillian felt there was more to her story. At 42, she joined Aimee’s group coaching and fertility eCourse. Together, they looked more closely at her history of pregnancy loss, family history of autoimmune disease, physical symptoms, nutrition, and emotional well-being. Aimee connected her with Dr. Vidali, whose referral led Jillian to a doctor in Rome who pursued more extensive testing and identified additional immune-related findings. We discuss the fear of taking a break from trying, the emotional impact of being told you are too old, and the importance of finding practitioners who take your concerns seriously. Jillian also shares how nutrition changes, meditation, visualization, and boundaries around online fertility groups helped her feel more supported throughout the process. Jillian became pregnant at 43, approximately three months after starting the additional treatment prescribed by her specialist. With close medical monitoring and continued support, she welcomed her second daughter at 44. Her story is an honest conversation about pregnancy after loss, self-advocacy, and learning to trust yourself while finding the care you need. Key Topics * Jillian had her first daughter in 2016 after conceiving naturally at 37 and giving birth at 38. * Her first miscarriage happened at 39, beginning a period of five early pregnancy losses over approximately three years. * Although the losses happened around five or six weeks, Jillian describes them as devastating. * As an American living in Rome, she was navigating fertility care away from her home country, with the pandemic adding another layer of difficulty. * Jillian saw approximately five different OBs and repeatedly heard that her age was the main explanation for her losses. * Doctors introduced blood-thinning medication and progesterone, but Jillian experienced three further miscarriages while following that treatment approach. * A family history of autoimmune disease led Jillian to wonder whether something beyond age needed to be investigated. * Her own research introduced her to Dr. Braverman’s work, but she still felt stuck and unsure how to access the right support. * At 42, Jillian joined Aimee’s group coaching and fertility eCourse, which she describes as a turning point. * Aimee explains why Jillian’s history prompted her to seek a more detailed evaluation of possible immune-related contributors to her losses. * They paused trying to conceive while pursuing additional testing and making changes to Jillian’s nutrition and lifestyle. * Taking a break felt frightening because Jillian was already worried about time and getting older, but she also knew she needed a different approach. * Aimee connected Jillian with Dr. Vidali, whose referral helped her find a specialist in Rome. * Her new doctor ordered more extensive testing and took her concerns seriously after she had felt dismissed by other practitioners. * Jillian describes feeling discouraged by her AMH and FSH results, but says her specialist helped her stay focused on the broader treatment plan. * Aimee and Jillian review symptoms beyond fertility, including eczema, dry skin, fatigue, digestive concerns, and a history of heavy periods. * Jillian followed Aimee’s nutrition plan for approximately six months and continued it into early pregnancy. * She prepared her o

What’s Really Behind Low AMH, Part 2: Real Women, Real Labs, Real Results In part two of this series, Aimee Raupp takes the NLRP3 inflammation framework from part one and shows what it looks like in real women’s bodies, with real labs, real numbers, and real timelines. She shares the stories of women who were told donor eggs were their only option, then walks through one case in full detail to show exactly how she connects the pieces: thyroid, vitamin D, iron, leptin, metabolic famine, blood flow, and the emotional work that so often gets skipped. Key topics: * A quick recap of part one: AMH as a smoke detector, not a verdict * How the NLRP3 inflammasome damages the granulosa cells that make AMH * A woman with an AMH of 0.1, six failed IVFs, and five losses who got pregnant naturally at 42 * A medical professional who went from six failed IVFs with zero normal embryos to two euploid embryos at 44 * Why “your only option is donor eggs” is so often the wrong answer * Judy’s full case: five miscarriages, a falling AMH, and a doctor pushing donor eggs * The labs that told the real story: TSH, vitamin D, iron, and leptin * Metabolic famine: how undereating, near keto eating, and overexercising suppress fertility * Feeding your ovaries instead of your waistline * Blood flow support with acupuncture, castor oil packs, and abdominal massage * Why trauma and nervous system work are fundamental, not optional * How Judy’s AMH rose from 0.7 to 1.2, and why that wasn’t the headline * Looking back with 2026 clinical eyes: the hidden insulin resistance pattern * Why low carb isn’t right for most women in their reproductive years * An inside look at The AMH Protocol, Aimee’s new six week program Timestamps:00:00 - Welcome to The Fertility Authority01:48 - Recap of part one: AMH as a smoke detector02:16 - The NLRP3 alarm system and granulosa cells03:01 - Real women, real numbers, the same verdict03:11 - AMH of 0.1, six failed IVFs, pregnant naturally at 4204:14 - Five REs said donor eggs: two euploid embryos at 4405:45 - Different women, different numbers, same wrong answer06:26 - Judy’s story: five miscarriages and a falling AMH07:02 - The labs at the time of loss: TSH and vitamin D07:20 - Clotting factor disorder already identified and controlled07:57 - AMH dropping from 1.5 to 0.7 and the push for donor eggs08:09 - What the full picture showed: iron, blood deficiency, leptin08:54 - Near keto, skipped breakfasts, and daily intense exercise09:22 - Feeding her ovaries, not her waistline10:30 - Rebuilding her blood with food and Chinese herbs10:34 - Blood flow support: acupuncture, castor oil packs, abdominal massage10:39 - The emotional work and fertility trauma coaching11:06 - A word from Rejoova12:41 - Trauma as background noise for the nervous system13:12 - The toll on her marriage and honoring the desire13:48 - Ongoing coaching, hysteroscopy, and endometrial biopsy14:41 - Repeat labs and what improved15:15 - The email: letting go and a surprise pregnancy16:01 - AMH from 0.7 to 1.2, and why that’s not the headline16:48 - Numbers are data, not destiny17:16 - Looking back with 2026 clinical eyes: insulin resistance17:43 - Why low carb isn’t good for most women trying to conceive18:30 - The labs most women never get run18:52 - Introducing The AMH Protocol19:20 - The six weeks: diagnostics, nutrition, blood flow, mindset, supplements, integration20:04 - Daily lessons, weekly live Q&A, and private community20:23 - Enrollment details and October 12 start date21:19 - Find the fire, put it out22:00 - The DIY option: Yes, You Can Get Pregnant22:54 - Closing and how to work with Aimee Resources & Links: * The AMH Protocol (enrollment closes October 10 at 11:59 PM, program begins October 12) * Fertility Lab Testing Panel * Yes, You Can Get Pregnant: Revised Edition by Aimee Raupp * The Egg Quality Diet by Aimee Raupp * Part 1: What’s Really Behind Low AMH * NLRP3 Inflammasome research * Rejoova: use code AIMEE20 for 20% off any individual supplement (

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This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit aimeeraupp.substack.com/subscribe

Jen shares her fertility journey from frozen eggs, failed IVF, miscarriage, and being told she had about a 1% chance of success to ultimately conceiving naturally and giving birth to a healthy baby girl at 44. After freezing eggs years earlier as an “insurance policy,” Jen returned to fertility treatment at 43 believing IVF was her only option. Instead, all five of her previously frozen eggs were lost during the thaw, embryos from another retrieval stopped developing, and her clinic told her it was time to consider donor eggs. Jen decided she was not ready to accept that answer. She began working with a fertility-focused naturopath, discovered Aimee Raupp’s best selling fertility book: Yes, You Can Get Pregnant, and eventually joined Aimee’s fertility program. Together, they looked beyond fertility statistics and focused on nutrition, hormones, thyroid health, supplements, digestion, stress, emotional healing, and rebuilding trust in her body. We discuss how age-shaming affected Jen’s confidence, why self-forgiveness and surrender became such an important part of her fertility journey, and what changed when she stopped treating fertility as something she had to control perfectly and instead focused on becoming healthier, supported, and more compassionate toward herself. After another miscarriage and an incredibly difficult year that included losing her father, Jen conceived naturally again at 44. That pregnancy resulted in her healthy daughter, Ruby James. Key Topics * Jen came to Aimee at 43, approaching 44, after experiencing miscarriage and a difficult fertility treatment journey. * She had frozen five eggs in 2016 while single, believing egg freezing would serve as an “insurance policy” for having children later. * When she and her partner decided to start a family at 43, Jen returned to the same fertility clinic believing IVF was essentially her only option. * Jen describes experiencing significant age-shaming during fertility treatment and being made to feel that her chances of becoming a mother were extremely low. * Her clinic attempted to use her previously frozen eggs alongside eggs from another retrieval, but all five frozen eggs died during the thaw and three embryos from the new retrieval stopped developing after three days. * After the failed cycle, Jen was told she had approximately a 1% chance because of her age and was encouraged to consider donor eggs or possibly IUI instead of another IVF cycle. * Walking away from that clinic became a major turning point, and Jen decided she wanted to explore another approach rather than accept that her fertility journey was over. * Jen began working with a fertility-focused naturopath who evaluated hormones and bloodwork that she says had not previously been explored in depth. * Around six weeks after her retrieval, Jen tried naturally and became pregnant on the first attempt, but that pregnancy ended in miscarriage at eight weeks. * Discovering Aimee’s book Yes, You Can Get Pregnant dramatically changed Jen’s perspective because it was one of the first resources she found that gave her hope about pregnancy after 40. * Jen says the emotional component of Aimee’s work became just as important as nutrition and supplements because she carried years of regret about not becoming a mother sooner. * A major part of their work involved forgiving her younger self, processing grief, and questioning the belief that she had somehow “missed her chance.” * Jen eventually realized that motherhood was happening at the right time for her life, her relationship, and the person she had become. * Letting go of the age-shaming she experienced in fertility treatment became another important part of rebuilding confidence in her body. * Jen incorporated Aimee’s nutrition approach and made major lifestyle changes around sugar, soy, dairy, alcohol, coffee, and other foods. * Instead of seeing the diet only as something she had to do to become pregnant, Jen began viewing it as a way to improve her ov