Updates from Erica Hoke

One Miscarriage vs. Recurrent Loss: When Should Testing Start?

Tue, 06 Oct 2026 12:00:00 -0400

After a miscarriage, how do you know what should be checked before trying again? Learn what changes after one loss versus recurrent pregnancy loss, which tests current guidelines support, and what deserves a broader preconception-health review.

Still Not Pregnant After 35? How to Know What to Do Next

Tue, 29 Sep 2026 12:00:00 -0400

Still not pregnant after 35—and unsure whether to keep trying, test more, get another opinion or consider IVF? The right next step depends on a few things many women never put together. Here's how to know what deserves your attention next.

Low AMH Over 35: Can You Still Get Pregnant Naturally?

Tue, 22 Sep 2026 12:00:00 -0400

Low AMH can sound like a fertility verdict—especially after 35. But AMH primarily tells us about ovarian reserve and expected response to stimulation, not whether you can conceive naturally. Here’s how to put the number into context.

How Long Should You Keep Trying When Your Fertility Tests Are Normal After 35?

Tue, 08 Sep 2026 12:00:00 -0400

If your fertility tests are normal but you're still not pregnant after 35, how long should you keep trying? Learn what a complete fertility evaluation should include, when broader preconception health deserves a closer look, and how to decide whether continuing to try or changing course makes sense.

If You Want a Different Fertility Outcome Next Year, Start Looking Earlier Than You Think

Tue, 01 Sep 2026 12:00:00 -0400

Many women quietly hope next year will finally be different. But fertility over 35 often rewards earlier clarity, investigation, and support more than last-minute urgency.

Why Women Quit Fertility Support Too Soon (And How to Know If Something Is Actually Working)

Tue, 25 Aug 2026 12:00:00 -0400

One of the hardest parts of infertility is not knowing whether to keep going, pivot, or stop. Here’s why many women abandon fertility support too early — and how to think more clearly about whether something is actually working.

Can You Improve Fertility Naturally While Preparing for IVF?

Tue, 18 Aug 2026 12:00:00 -0400

Many women preparing for IVF wonder if there is anything they can realistically do to support their fertility naturally beforehand. Here’s what fertility optimization before IVF can actually look like — without perfectionism or false promises.

Failed Transfers, Good Embryos, No Answers: What Deserves a Closer Look?

Tue, 11 Aug 2026 12:00:00 -0400

One of the most emotionally confusing experiences in fertility is being told your embryos looked good… but implantation still did not happen. Here’s what women deserve to understand about failed transfers and what may deserve a closer look next.

Egg Quality Over 35: What Can Actually Change in 90 Days?

Tue, 04 Aug 2026 12:00:00 -0400

Can egg quality improve over 35? Learn what can realistically change in 90 days, what affects egg quality, and why fertility optimization before IVF may matter more than women realize.

What I Look At When Someone Tells Me “All My Testing Came Back Normal”

Tue, 28 Jul 2026 12:00:00 -0400

Many women are told their fertility testing is “normal” while still struggling to conceive. Here’s what I commonly look at when women feel stuck between normal labs and unanswered questions.