Dr. Nisha, a physician with two doctoral degrees, shares how she conceived naturally at 44 despite being told she was premenopausal with undetectable AMH levels. She reveals how shifting her mindset from statistics to believing in miracles transformed not only her fertility journey but also how she practices medicine.
Dr. NishaAge 44· natural· Baby girlBefore
Timid, people-pleasing physician who followed what others told her despite her medical training
Key Shift
Found her voice, became her own advocate, and chose to believe in miracles over statistics
After
Confident warrior who advocates for patients and colleagues, no longer afraid to take risks or speak up
Dr. Nisha shares her background as a physician with two doctoral degrees who was told at 44 she was premenopausal with undetectable AMH. Despite her medical training, she had to learn to advocate for herself and choose miracles over statistics.
Dr. Nisha explains how she faced a clear decision point between accepting her poor prognosis or choosing to believe in miracles. She emphasizes how this single decision transformed not only her fertility journey but her entire approach to life and medicine.
The transformation process involved Dr. Nisha discovering her authentic voice and learning to advocate for herself. She had to stop being a people-pleaser and start speaking up for what mattered most to her - her relationship and her baby.
After experiencing miscarriage, Dr. Nisha made a conscious choice to believe in her pregnancy from conception rather than waiting for medical milestones. She refused to live on eggshells and chose joy over fear throughout her pregnancy.
Dr. Nisha's fierce advice to other women is to 'throw that bullshit in the trash' when it comes to limiting statistics. She emphasizes that physicians are not magicians and that the power of choice belongs to each individual woman.
“I was told that you really don't have a chance of getting pregnant. Your lab values are really low. Your AMH is, like, nonexistent. You're premenopausal. I would just try to get a surrogate or go for adoption.”
— Dr. Nisha▶ 5:53
Yes, natural conception is possible at 44 even with very low AMH. Dr. Nisha conceived naturally at 44 despite being told her AMH was undetectable and she was premenopausal.
“I think people think that these changes have to take forever. But when you've made a decision to be successful, they don't have to take that long.”
— Rosanne Austin▶ 25:14
Mindset changes can create rapid fertility results. Dr. Nisha conceived naturally in just one cycle after completing an 8-week mindset program, despite being 44 with terrible lab values.
“Physicians are not magicians. You know? There is, that's I I always tell my patients that that's my favorite rhyme, and I'm very proud of it.”
— Dr. Nisha▶ 19:12
Medical statistics are probabilities, not guarantees. As Dr. Nisha says, 'Physicians are not magicians' - you have the power to choose miracles over statistics and advocate for yourself.
“I refused to wait for markers. I refuse to wait for the end of the first trimester... I made that choice that this person is inside of me for a reason, and I am going my job is to believe in her.”
— Dr. Nisha▶ 30:01
Choose to believe in your baby from conception rather than waiting for milestones. Dr. Nisha refused to wait for trimester markers or test results, choosing instead to believe her daughter was there for a reason.
“I had to learn to be my own advocate. And I'm like and and learn that I really do matter, and the people that love me and the people that care for me are gonna stand up for me.”
— Dr. Nisha▶ 16:26
Yes, even doctors need to shift from relying solely on medical facts to trusting their intuition and advocating for themselves. Dr. Nisha had to learn to find her voice despite her medical training.
“I have two options. I can either choose the miracle or I can stay in the situation I am and not choose a miracle. And for me, the answer was just so obvious.”
— Dr. Nisha▶ 12:18
It means making a conscious decision to believe in possibilities beyond what medical numbers suggest. Dr. Nisha faced a choice between accepting her poor prognosis or choosing to believe miracles were possible.
Dr. Nisha's approach to overcoming poor prognosis and medical predictions
Make the Choice
Decide between accepting your current situation or choosing to believe in miracles - make this choice consciously and deliberately
Find Your Voice
Become your own advocate, fire doctors who don't support you, and seek practitioners who see possibilities rather than just limitations
Trust Your Heart
Remember that the desire to be a mother exists for a reason - trust what's in your heart over external statistics
Refuse to Wait
Don't wait for external markers or milestones to believe in your journey - choose to believe from the beginning
Throw Statistics in the Trash
Stop letting lab values and medical predictions determine your reality - physicians are not magicians
Physicians are not magicians - medical predictions are not absolute verdicts on what's possible for your fertility
Dr. Nisha, a physician with two doctoral degrees, was told at 44 she had undetectable AMH and was premenopausal with no chance of conception, yet conceived naturally in one cycle after changing her mindset approach.
The thought to be a mother is there because it was meant to be there - desires don't appear randomly in your heart
Dr. Nisha explains that just like she didn't randomly think about becoming a chef or going on shows, the deep desire for motherhood exists for a purpose and shouldn't be dismissed by statistics or outside opinions.
You can either choose the miracle or stay in your current situation and not choose a miracle - the choice is always yours
Dr. Nisha faced a clear decision point at 44 with terrible lab values and chose to believe in miracles over statistics, resulting in natural conception. She also shares how her sister applied the same principle of decisive choice to find a new job and house within 5 weeks.
When you make a decision to be successful, transformation doesn't have to take forever - it can happen quickly
Dr. Nisha conceived naturally in just one cycle after completing the 8-week program. She also references how all her major life decisions - finishing pharmacy school, going to medical school, and doing fellowship - happened quickly once she truly decided.
You must refuse to wait for external markers and choose to believe in your baby from conception, not after reaching 'safe' milestones
Dr. Nisha deliberately refused to wait for first trimester markers, blood tests, or anatomy scans to believe in her pregnancy after experiencing a previous miscarriage. She chose to believe her daughter was there for a reason from the beginning.
Finding your voice and becoming your own advocate is essential - you are a key player in your fertility journey, not a passive recipient
Dr. Nisha discovered through the program that despite her medical training, she had been following what others told her rather than advocating for herself. She fired one specialist and found doctors who called her '44 years young' instead of dismissing her age.
You must tap into your feminine energy and warrior side - there's unused mental power and energy available to everyone that most people never harness
Dr. Nisha realized she had a huge portion of her mind that wasn't being used and energy that wasn't being harnessed. She describes becoming 'the warrior that I was meant to be' and credits this transformation as essential to conceiving her daughter.
Miracles happen in medicine when patients believe in themselves and their doctors - belief is a determining factor in outcomes that defy medical predictions
Dr. Nisha shares that as a cardiothoracic anesthesiologist, she has witnessed patients with heart functions less than 5% survive when they weren't supposed to, often because they believed in themselves or their medical team.
Physicians are not magicians - medical predictions are not absolute verdicts on what's possible for your fertility
▶ 19:12The thought to be a mother is there because it was meant to be there - desires don't appear randomly in your heart
▶ 19:34You can either choose the miracle or stay in your current situation and not choose a miracle - the choice is always yours
▶ 12:18When you make a decision to be successful, transformation doesn't have to take forever - it can happen quickly
▶ 25:14You must refuse to wait for external markers and choose to believe in your baby from conception, not after reaching 'safe' milestones
▶ 30:01Finding your voice and becoming your own advocate is essential - you are a key player in your fertility journey, not a passive recipient
▶ 14:23You must tap into your feminine energy and warrior side - there's unused mental power and energy available to everyone that most people never harness
▶ 10:12Miracles happen in medicine when patients believe in themselves and their doctors - belief is a determining factor in outcomes that defy medical predictions
▶ 9:52“Medical statistics and lab values determine your fertility outcomes and you should accept what doctors tell you”
CONSIDER: Physicians are not magicians - you have the power to choose miracles over statistics and be your own advocate
“You should wait for medical milestones and test results before believing in your pregnancy after loss”
CONSIDER: You must choose to believe in your baby from conception and refuse to live on eggshells waiting for external validation
“Physicians are not magicians.”
“I have two options. I can either choose the miracle or I can stay in the situation I am and not choose a miracle.”
“I'm not leaving. I'm not leaving this world without my baby.”
“When you make a decision to be successful, they don't have to take that long.”
“I want them to throw all that bullshit in the trash.”
“Nobody knows you better than you, and nobody knows what's in your heart.”
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Frameworks & Methods
A fertility doctor can sense whether an embryo will implant with nearly 100% certainty before leaving the operating room
Dr. Erica Bove states she can tell 'with almost a hundred percent certainty' if an embryo will take before leaving the OR, even though embryos shouldn't implant for 24-48 hours minimum.
If a woman is not in a receptive state to receive an embryo, the transfer should be stopped for prayer and meditation
Dr. Bove explains 'if I sense that a woman is really not in a receptive state to receive an embryo, I'm not gonna put that embryo in. I stop the show. We're praying. We're meditating.'
Mindset directly impacts fertility outcomes — fear-based thinking can sabotage pregnancy while faith-based thinking supports conception
Chia Mosley miscarried at 45 while operating in fear and doubt, then conceived naturally at 46 after shifting to speaking life into her pregnancy and sharing her story boldly instead of hiding
You attract partners at the level of your own self-awareness and willingness to receive love
Chia spent years choosing the wrong men until age 44 when she learned to take full responsibility for her relationship patterns and became willing to receive proper treatment from the right man
