If you've been told your labs are "normal" but you're still not pregnant, you're not alone — and you're not out of options. This FAQ page is written for women with unexplained infertility (especially over 35) who want clear, practical answers about fertility coaching, testing gaps, IVF support, timelines, and next steps. Everything here is educational and designed to help you advocate for yourself and make informed decisions alongside your healthcare team.
Yes. "Unexplained infertility" usually means standard testing did not identify a clear cause — not that nothing is affecting conception. Fertility coaching supports you by organizing your history, identifying overlooked patterns, and helping you focus on the most relevant next steps. This often includes reviewing which labs have already been run, what timing matters (especially for progesterone and cycle-specific markers), and which areas are commonly under-assessed (nutrient status, inflammation, thyroid conversion, metabolic markers, and lifestyle factors that influence hormonal signaling). Coaching does not promise outcomes, but it can reduce confusion, improve your ability to advocate for yourself, and help you implement a structured plan that supports fertility biology over time.
Yes. Fertility over 35 often requires a more targeted approach because egg quality, hormonal signaling, and implantation conditions can be more sensitive to inflammation, nutrient depletion, metabolic patterns, and cumulative stress physiology. Coaching helps you prioritize the highest-impact levers based on your history rather than trying to do everything at once. A structured plan can support ovulation quality, luteal phase function, and overall resilience — whether you're trying naturally, preparing for IVF, or deciding what route to pursue. Coaching also supports decision-making, so you're not trapped in month-to-month urgency. The goal is clarity, consistency, and a plan aligned to the biology that changes over time.
"Normal" lab ranges are designed to identify disease, not necessarily to confirm optimal fertility conditions. It's also common for key markers to be missing entirely or drawn at the wrong time in the cycle. For example, progesterone interpretation depends heavily on timing, and thyroid function can look "normal" on a limited panel while conversion markers remain suboptimal for fertility. Nutrient deficiencies and inflammation patterns may not be evaluated unless specifically requested. Fertility coaching helps you understand what your results may suggest in a fertility context and what questions to ask your provider next. This is educational support — not diagnosis — and it can help you avoid repeating cycles without new information.
Standard fertility workups often miss markers like full thyroid panels (including Free T3, Reverse T3, and antibodies), comprehensive vitamin D and B vitamin status, inflammatory markers (like C-reactive protein), insulin and fasting glucose for metabolic screening, homocysteine levels, and MTHFR gene variants. Progesterone timing is also critical — it needs to be drawn 7 days post-ovulation, not just "any time during the luteal phase." Many providers also skip testing for subclinical infections, heavy metal exposure, or histamine imbalances that can affect implantation. Fertility coaching helps you understand which tests are relevant to your situation and how to request them from your provider.
Absolutely. Many women who work with fertility coaches are preparing for or currently undergoing IVF. Coaching can help you optimize your body before egg retrieval (focusing on egg quality, reducing inflammation, and supporting hormone balance), understand what may have contributed to previous IVF failures, and maintain emotional and physical resilience throughout the process. Coaching complements your medical treatment — it doesn't replace it. The goal is to address factors that standard IVF protocols don't typically cover, such as nutrient optimization, toxin reduction, stress regulation, and metabolic support.
Fertility optimization is a process, not a quick fix. Most women start noticing changes in their cycle quality, energy levels, and overall health within 4-6 weeks of implementing targeted changes. However, meaningful improvements in egg quality, hormone balance, and implantation conditions typically take 90-120 days because that's roughly how long it takes for eggs to mature before ovulation. The NurturePath™ 90-Day Fertility Incubator is designed around this biological timeline. The focus is on sustainable changes that support your body long-term, whether you're trying to conceive naturally or preparing for IVF.
Yes — and that's encouraged. Fertility coaching is designed to work alongside your medical care, not replace it. Your doctor handles medical diagnosis, prescriptions, and procedures. A fertility coach helps you understand your test results in a fertility-specific context, advocates for additional testing when appropriate, and supports the lifestyle, nutrition, and stress management factors that standard medical care doesn't typically address. Many women find that coaching helps them ask better questions during appointments and feel more confident about their treatment plan. Always consult your healthcare provider before making changes to medications or treatment protocols.
The NurturePath™ 90-Day Fertility Incubator is Erica's signature program designed for women with unexplained infertility, especially those over 35. It's a comprehensive, step-by-step coaching program that addresses the root causes often missed by standard fertility testing. The program includes one-on-one coaching sessions, personalized lab review and recommendations, toxin reduction strategies, nutrition and supplement guidance, stress and nervous system support, and access to a private community of women on similar journeys. The 90-day timeline is based on the biological cycle of egg maturation, giving your body time to implement meaningful changes that support fertility.
Yes. While fertility naturally declines after 40, there are still significant opportunities to optimize egg quality, hormone balance, and overall reproductive health. Many women over 40 face additional challenges like decreased ovarian reserve, hormone fluctuations, and increased sensitivity to inflammation and stress. Fertility coaching helps you identify and address these specific factors through targeted testing, nutrition, supplements, and lifestyle modifications. Whether you're trying naturally, considering donor eggs, or preparing for IVF, coaching provides clarity and support for making informed decisions. Some women over 40 do conceive naturally with the right support — and others find coaching helps them maximize their IVF success rates.
A general nutritionist focuses on overall health and nutrition, while a fertility coach specializes in the specific factors that affect conception, implantation, and pregnancy. Fertility coaching goes beyond basic nutrition to address hormone balance, cycle optimization, toxin exposure, metabolic health, stress physiology, and how all these factors interact with your reproductive system. A fertility coach also helps you interpret lab results in a fertility-specific context, advocates for additional testing, and creates a comprehensive plan that addresses your unique challenges — not just what you eat. Nutrition is important, but it's only one piece of the fertility puzzle.
The free 15-minute clarity call is a no-pressure conversation where Erica learns about your fertility journey, current challenges, and what you've already tried. She'll help you identify potential overlooked factors and explain how her approach could help you specifically. This is not a sales call — it's an opportunity to get clarity on your best path forward. If coaching seems like a good fit, Erica will outline next steps. If not, she'll point you in the right direction. Many women find that just having this conversation helps them see their situation more clearly, whether they enroll in the program or not.
Yes. Recurrent miscarriage often indicates underlying factors that weren't addressed before conception. Fertility coaching helps you investigate potential causes like immune system dysfunction, blood clotting disorders (like MTHFR mutations), thyroid imbalances, progesterone deficiency, inflammation, nutrient deficiencies, and environmental toxin exposure. Many of these factors are overlooked in standard testing but can significantly impact implantation and early pregnancy. Coaching provides a structured approach to identifying and addressing these issues before trying to conceive again. While coaching can't guarantee pregnancy outcomes, it can help you feel more informed and proactive about your next steps.
No. In fact, many women who work with fertility coaches have been told they have "unexplained infertility" — meaning no diagnosis at all. Fertility coaching is especially helpful for women who feel stuck because they don't have clear answers from their doctors. Whether you have a diagnosis like PCOS, endometriosis, or low AMH, or you've been told everything looks "normal," coaching can help you identify overlooked factors and create a targeted plan. The focus is on understanding what's happening in your unique body and addressing the root causes — not just managing symptoms of a specific diagnosis.
If you're ready to explore what's possible for your fertility journey, book a free 20-minute clarity call. There's no obligation — just clarity on your best next steps.
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