Unexplained Infertility
Discussed in 62 episodes. 24 women with this condition shared their success stories.
This page presents mindset coaching perspectives from Rosanne Austin, JD, PCC — not medical advice. For clinical information about Unexplained Infertility, consult your medical team or visit Mayo Clinic or WebMD.
Women Who Overcame Unexplained Infertility
2 years · natural conception
Baby girl
2+ years · natural conception
Baby boy
4 years · IVF conception
Baby boy
5 years · natural conception
Baby boy
Several years · IVF conception
Son Elijah and daughter Ruthie via surrogacy
9 years · natural conception
Baby
3 years · IVF conception
Baby girl
4+ years · IVF conception
Currently 20 weeks pregnant
5 years · natural conception
Baby girl
10 years · natural conception
Became a mama
5 years · natural conception
Currently 23 weeks pregnant
7 years · natural conception
Baby boy
2.5 years · natural conception
Baby girl
4 years · IUI conception
Baby boy
3 years · natural conception
Baby boy
6 years · natural conception
Baby and naturally conceived second baby
4+ years · natural conception
Baby on the way
2+ years · IVF conception
Became a mama
6 years · natural conception
Baby girl
1 year 4 months · natural conception
Currently 22 weeks pregnant
15 years · IVF conception
Baby girl Ruby
5 years · IVF conception
Baby boy
2.5 years · natural conception
Baby boy
6 years · natural conception
Currently 26 weeks pregnant
Teachings
Breakthroughs 12
Unexplained infertility is just laziness - it doesn't cut it. If they can't find an answer, I'll find one
Super Cat refused to accept unexplained infertility as a diagnosis, consulted dozens of fertility specialists, sent samples to Europe and the US, and ultimately conceived naturally at 38 after being told she needed donor eggs.
Medical tests will never find that mindset is the root cause - there's no test that could have diagnosed that
Kristen had every fertility test run and all came back perfectly healthy, yet she continued miscarrying until she addressed her mindset through the Fearlessly Fertile Method.
Your body may be telling you when current treatments aren't working—listen to that wisdom instead of just following protocol.
Mette had seven egg retrievals with heavy hormone protocols that failed, but when she listened to her body and requested a natural cycle with no hormones, she conceived and is now 23 weeks pregnant.
You can advocate for what feels right for your body, even when medical professionals doubt your choices.
Mette told her clinic she wanted a milder IVF protocol after seven failures, and despite their concerns about fewer eggs, she produced twelve eggs—double her usual number—and conceived naturally.
When treatment isn't working, stepping back to reassess your approach can reveal better options that align with your heart
Agata had never heard of IUI despite two failed IVF cycles. When she trusted her instinct for less invasive treatment and tried IUI, she conceived on the fourth attempt.
Feeling broken creates a subconscious block that prevents conception regardless of medical interventions
Connie had normal test results and multiple failed treatments because she believed deep down that she was broken and couldn't conceive naturally.
Taking the 30,000 foot view and telling yourself your true story reveals stress patterns you couldn't see while living them
Dr. Caroline realized she went 'zero to sixty on stress' - starting to try while living on different coasts, during residency, with constant travel - but didn't recognize the stress in the moment.
Treatment shame blocks your ability to receive help and conceive your baby
Anne spent years hiding from being seen at fertility clinics, feeling like she didn't belong there, which blocked her from being open to treatment. Only when she released this shame and became an engaged participant did she conceive and reach 21 weeks pregnant.
Fifteen years of fertility trauma creates automatic mental programming for failure that must be consciously reprogrammed through repetition
Robin had to reprogram automatic responses through daily affirmations and mindset work, eventually thinking in Rosanne's voice during challenging moments, which enabled her to trust her body and conceive Ruby naturally via fresh transfer.
Having too much medical knowledge can create analysis paralysis where you research obsessively but become unable to make decisions
Dr. Kate spent years researching fertility literature obsessively, consulted three different doctors with conflicting opinions, and became paralyzed until she learned to trust her internal guidance.
The fertility journey can strengthen relationships when partners learn they don't need to be on the exact same page as long as they communicate and support each other
Dr. Kate and her husband of almost 20 years developed an even deeper connection through their fertility struggles, with her husband learning to say 'anything can happen' about future pregnancies.
Medical professionals can honor their training while still choosing the least invasive path by trusting their body's wisdom and the mind-body connection
Kate, a registered nurse, chose minimal intervention despite pressure for IVF and conceived naturally after 2.5 years by believing in her body's ability and the mind-body connection.
Teachings 39
Many successful women feel like they're the only ones struggling with fertility, creating isolation that raises cortisol and decreases safety signals to the reproductive system
Despite one in five couples facing fertility challenges, shame and guilt create isolation among accomplished women who fear judgment about struggling in this area despite professional success.
Current infertility rates threaten species survival with one in five couples affected and some countries below population replacement levels
Dr. Bush cites US birth rates at 1.61 versus 2.1 needed for replacement, Saudi Arabia at 67% infertility rates, and projects Tokyo will have 35 million empty residences by 2035 due to aging populations without reproduction.
When you fight from vision rather than despair, you bring completely different energy to your fertility journey
Francois observed that Super Cat's entire mood and motivation changed when she shifted from fighting from despair to fighting from hope after doing the Fearlessly Fertile program, leading to their natural conception at 38 after six failed IVFs.
Fertility struggles and chronic childhood illness share the same root causes: toxicity, inflammation, and overburdened stress responses that create infertile environments
Dr. Palevsky explains that fertility rates have dropped from one in eight to one in five couples struggling, coinciding with increased exposure to food additives, pesticides, electromagnetic fields, and endocrine disruptors in society.
Many women get pregnant naturally just from having an educational consultation with a fertility doctor, without any treatment at all
Dr. Merhi reports that after consultation alone, many stressed patients who had been exposed to negative information suddenly conceive naturally because addressing their mental state removes a major barrier.
Low AMH with regular periods is not actually a fertility diagnosis - if you're releasing an egg every month, the quantity in reserve doesn't affect current fertility
Dr. Merhi challenged 10 fertility doctors to explain why low ovarian reserve causes infertility in women with regular cycles and none could answer, because AMH measures quantity not quality of eggs being released.
Infertility rates have doubled from 1 in 12 couples a decade ago to 1 in 6 couples now, with the CDC reporting 1 in 5, due to environmental toxins causing inflammation
Dr. Merhi cites specific statistics showing infertility has doubled in women in their thirties within a decade, which can only be explained by environmental factors since age groups are the same.
Unexplained infertility is not actually a diagnosis - it's doctors throwing their hands up instead of looking for root causes
Caryn Johnson experienced 'unexplained infertility' for years until she discovered she had some of the highest antibody levels her reproductive immunologist had ever seen, leading to successful pregnancies after immune protocol treatment.
Most women with unexplained infertility have underlying immune dysfunction and inflammation that prevents implantation and causes early pregnancy loss
Caryn Johnson discovered she had Hashimoto's-related antibody issues causing her body to reject pregnancies. After immune protocol including IVIG treatments, she successfully carried her son Elijah. She now has 17 documented pregnancies in women who addressed immune issues through BOND supplements.
OB-GYNs and reproductive endocrinologists only know reproductive organs - they don't practice full system health or understand immune, metabolic, or gut issues
Caryn Johnson explains that after years of failed treatments, she had to seek out reproductive immunologist Dr. Joanne Kwak Kim to address her immune issues. She had over 200 food intolerances indicating gut dysbiosis that no reproductive doctor identified.
Most women with unexplained infertility are deficient in vitamin B and D, but doctors focusing only on reproductive organs won't test for this
Caryn Johnson discovered through her research database of over 200 clinical studies that vitamin deficiencies are common in unexplained infertility cases. Her BOND supplements address these foundational nutritional gaps that reproductive doctors miss.
Fertility struggles inherently make you unusual and set you up to be misunderstood because it's a deeply personal journey wrapped in shame that most people won't talk about openly
Fertility struggles have increased from 1 in 8 to 1 in 5 couples, but it's still not widely discussed openly, making those who share their journey appear different or weird to others
Almost everything fertility-related is fixable with the right plan and approach, regardless of what your diagnosis says
Marc Sklar has seen couples overcome seemingly impossible diagnoses in his 21 years of practice by addressing root causes rather than accepting initial verdicts.
Unexplained infertility often has an explanation — it's frequently a mindset and energy issue, not a medical mystery
Chrissie was diagnosed with unexplained infertility after all tests came back normal, but after transforming her approach from fear-based to empowered, her third IVF transfer worked when she walked in declaring 'I'm here to pick up my baby.'
Advocating for yourself medically can uncover missing pieces in your fertility puzzle
Chrissie researched and requested a test her doctor hadn't run simply because insurance didn't cover it. The test provided answers and the medical journal about it was published on her birthday — what she calls a 'wink from Gus.'
39 studies show that women with high cortisol levels conceive significantly slower than those with lower stress levels
Over 32-39 studies since 2014 demonstrate the link between high cortisol levels and slower conception rates in couples trying to conceive, yet this critical information is rarely discussed in fertility treatment.
The fertility crisis is connected to women being stuck in masculine energy and suppressing their feminine nature during the most feminine pursuit of pregnancy
Rosanne notes that 'we went from one in eight couples struggling with fertility to one in five' and explains how 'trying to act like men' creates 'a masculine level of stress' that impacts fertility, asking 'how are you going to try to do the most feminine thing you can possibly do acting like a fucking man?'
Your fertility struggle may indicate your approach isn't working and it's time to consider alternatives
Nancy Mae realized she was trying to solve getting pregnant from the same energy that created the problem, which is why Western medicine couldn't help her chronic pain or fertility issues.
When doctors can't explain your fertility issues, it's often because they're not looking at root causes like autoimmune conditions that affect hormones and gut health.
Amanda had heavy periods and unexplained infertility for 2+ years until a functional medicine practitioner immediately identified her Hashimoto's autoimmune disease, which was attacking her thyroid and affecting her fertility through gut-hormone connection.
The one-year mark for trying to conceive is an arbitrary standard that doesn't account for individual differences, as no one is standard and we're all unique like snowflakes
Moy questions who decided that a year sets the standard for everyone, emphasizing that Chinese medicine focuses on personalized protocols rather than one-size-fits-all timelines.
Certain oral infections can increase your risk of fertility issues by three times, even when you feel no pain or symptoms
Dr. Katie Lee explains that Fusobacterium nucleatum bacteria specifically inhibits ovulation, prevents embryo implantation, and causes stillbirths. Megan, featured in a previous episode, had a 10-year fertility journey with failed IVF, surrogacy, and donor eggs until discovering and treating a raging oral infection.
Male fertility is equally affected by oral bacteria, with specific bacteria killing sperm and decreasing motility
Dr. Lee treated both partners in a young couple struggling with infertility. The husband had bacteria affecting sperm motility, and after treating both partners, they conceived within months. She notes that two specific bacteria directly impact sperm's ability to swim.
Fecundity (conception rate) in healthy 22-year-old college women is only 20-25% per cycle, meaning it's normal not to get pregnant immediately
Dr. Fischbein explains that even in the most fertile group, after 3 months of unprotected sex, over 50% won't be pregnant - nature designed humans differently than rabbits who have 99% fecundity.
Ninety percent of fertility issues stem from inflammation and oxidative stress, primarily originating from gut health and mental/emotional stress, not age
Monica Cox couldn't conceive with medical assistance between ages 27-34 but got pregnant naturally at 36 after addressing gut health and inflammation.
Fertility clinics are financially incentivized for growth and would have to lay people off if fertility issues were actually prevented or reversed
Calley Means spoke with a leading fertility specialist who admitted that while he would cure infertility instantly if possible, the institutional loans and hiring plans are all underwritten assuming continued growth in fertility procedures, creating a perverse incentive against prevention.
Fertility requires embracing feminine energy of receiving rather than masculine energy of achieving and controlling
Dr. D'Eramo conceived twice naturally, including at almost 45, after letting go of white-knuckling her way through fertility. Rosanne conceived naturally at 43 after 7 years of struggle when she stopped trying to out-medicate and out-diet her internal state.
Conceiving is all about receiving, but women are taught to fight and be perfect rather than lean back and receive
Rosanne conceived naturally at almost 44 after 7 years of struggle when she stopped white-knuckling her fertility journey. Dr. D'Eramo conceived at almost 45 when she moved from white-knuckling self-healing to asking what her body needed to rebalance.
Insulin resistance is the number one, two, three cause of infertility and affects 80% of Americans who are metabolically unwell
Dr. Ryan Cole, pathologist with 19 years experience, states that 80% of Americans are insulin resistant and this is among the top causes of infertility, often caused by processed foods and inflammatory oils.
Processed foods with inflammatory omega-6 oils create immune system overactivation that prevents conception by attacking and preventing implantation
Dr. Cole explains that canola, soybean, grapeseed, safflower, sunflower and peanut oils found in 80% of processed foods create inflammation that causes the immune system to attack and prevent conception.
Statistics don't know you - when doctors give you less than 10% odds, they're not factoring in your determination, your mindset work, or your willingness to cover all bases.
Karen was told she had less than 10% chance of natural conception with a blocked fallopian tube, but conceived naturally three months after completing mindset work and Clear Passage therapy.
Professional success mindset doesn't translate to fertility success - becoming a mom requires different skills
Tran, a medical professional, struggled despite her education and professional achievements until she learned to surrender control and trust her body rather than apply her analytical training.
Each baby requires you to become a different version of yourself - what got you the first baby won't necessarily work for the second
Robin successfully conceived her son Blake with IVF and immunosuppressants after 11 years, but needed to completely reprogram her mindset and level up to conceive daughter Ruby after additional failures.
Immune-related fertility issues can prevent pregnancy even with healthy embryos and normal sperm
Robin never achieved pregnancy in 5 years despite healthy embryos until a new doctor suspected immune issues and prescribed immunosuppressants, leading to her first positive pregnancy test after 11 years of trying.
Thoughts and beliefs create physiological changes in the body that can manifest as illness and infertility through cascading chemical and hormonal signals
Dr. Wei observed in her functional medicine practice that women who addressed diet and supplements but not toxic relationships or work stress would initially improve but then return to similar issues, demonstrating the mind-body connection's power.
Nature only needs 'good enough' - not perfection - to create life, and perfectionist tracking can actually work against fertility success
Chris Axelrad explains that women tracking cycles with 'precision of a lunar landing' create stress that counteracts fertility, while his patients with best results aren't always the healthiest but do fundamental things consistently
Infertility is a gift that teaches you to shift and change to find happiness exactly where you are
Dr. Kiltz, who has guided thousands through fertility journeys, teaches that the struggle is cleansing and forces growth that wouldn't happen otherwise.
Empowered surrender is the state of unshakable faith that what you desire is coming - you may not know when or how, but you know it's coming and will be better than you imagined
Kate practiced empowered surrender after 2.5 years of trying and conceived naturally within months of shifting her mindset, going from fear-based medical decisions to faith-based choices.
We inherit not just genes but also traumas and patterns from our family lineage that can manifest as fertility issues
Hemla Makindula explains that traumas like famines, wars, or family secrets from generations ago can show up as difficulty conceiving, just like we inherit physical genes from both mother and father's sides.
A nurse trying desperately to conceive became pregnant within two weeks after learning to visualize successful conception and eliminate anxiety during intercourse
Dr. Siegel personally counseled a nurse in his office who had been struggling to conceive. After teaching her to visualize pregnancy and expect success rather than approaching it as work, she conceived within two weeks.
Perspectives 7
There's always a reason for unexplained infertility - it's just unexplored, not truly unexplained
Jo was told she had 'unexplained' recurrent loss, but persistent investigation revealed both a genetic incompatibility with her husband and a uterine septum that was blocking blood flow to half her uterus.
▶ 13:22Accept that you're on this fertility journey without making it a death sentence - just because you're presently struggling doesn't mean you always will
Rosanne conceived naturally at 43 after years of fertility treatment failure, demonstrating that current fertility struggles don't determine permanent outcomes.
▶ 8:28Unexplained infertility means anything is possible, including the good outcomes
Kate had unexplained infertility for 4+ years, then conceived naturally at 34 the month after failed IVF with perfect grade AA embryos.
▶ 26:17Secondary fertility struggles are just as valid as primary fertility issues - the desire for another child deserves the same respect and commitment
Robin faced judgment for wanting a second child after 10 years of trying for her first, but conceived daughter Ruby after refusing to accept that 'one should be enough' and working through guilt about wanting more children.
▶ 3:00Moving from 'I already got lucky with one baby, why should I be greedy?' to 'I'm allowed to want more and it's not greedy' removes a major fertility block
Dr. Kate struggled with feeling she shouldn't ask for another baby after having her first son, but reframed this scarcity mindset to embrace abundance and her vision of a big family.
▶ 8:38Unexplained infertility doesn't mean hopeless - it means there's an opportunity to look beyond the physical
Jennifer was in the 10% with unexplained infertility for 6 years, told by doctors she was 'normal, young, healthy' but still not conceiving, until she addressed the mental component and conceived naturally.
▶ 3:34In the pursuit of your baby, expect more no's than yeses - this expectation actually affirms your power rather than diminishes it
Nine of Rosanne's clients announced pregnancies in seven weeks after facing repeated failures, advanced maternal age, and unexplained infertility diagnoses.
▶ 2:04
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