I am joined by Rachel Sherriff, from The Fertility Suite to discuss the complex and sensitive topic of recurrent pregnancy loss.

Rachel shares her personal journey and professional insights, offering valuable information on the causes, testing, and support available for those experiencing recurrent loss.

We discuss:

• Definition of Recurrent Miscarriage: Understanding the classification and when to seek further investigation.

• Common Causes: Chromosomal abnormalities, immune dysfunction, and sperm DNA fragmentation.
• Testing and Advocacy: The limitations of NHS testing and the importance of being your own advocate in seeking comprehensive care.
• Private Sector Solutions: How private clinics are filling the gap with advanced testing and personalized care.
• Emotional and Medical Challenges: Navigating the journey of recurrent loss and finding the right support.

For further support we will be running the event below in our Don't Tell Me To RELAX community:

❤️ What Now? A Practical Guide After Pregnancy Loss with me Hannah Pearn July 22nd at 7pm follow ⁠⁠⁠⁠⁠⁠this link to join our community.⁠⁠⁠⁠⁠⁠

For further miscarriage support see:

⁠⁠⁠⁠⁠Worst Girl Gang Ever⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠Tommys⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠Miscarriage Association⁠⁠⁠⁠⁠

⁠⁠⁠⁠⁠Held in Our Hearts⁠⁠⁠⁠⁠

Don't Tell Me To RELAX is sponsored by ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Acupips,⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ quote RELAX for 20% discount.

❤️ Join our Don't Tell Me to RELAX fertility support community ⁠⁠⁠⁠⁠⁠⁠⁠⁠here.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

💛 See ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Hannah Pearn⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for more information on where we work.

🤩 Follow us on ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

***Trigger warning- this episode discusses miscarriage, Termination For Medical Reason and fertility trauma.***

I am joined by the lovely fertility coach Yulia Osoyanu. Yulia shares her deeply personal journey through the challenges of infertility, IVF treatments, and the emotional toll of pregnancy loss.

We discuss:

• How Yulia's journey into fertility coaching was inspired by her personal struggles with IVF.

• How IVF is a challenging emotional journey that can lead to feelings of being broken.

• How making decisions during pregnancy can be incredibly difficult, especially in the face of medical complications.

• Why we need better support and counseling for women after experiencing pregnancy loss.

• Why finding the right therapist is essential for healing after loss.

• Why taking time to grieve is important before trying to conceive again.

• How Julia's coaching focuses on practical steps and emotional support for women navigating infertility.

For further support we will be running the event below in our Don't Tell Me To RELAX community:

❤️ What Now? A Practical Guide After Pregnancy Loss with me Hannah Pearn July 15th at 7pm follow ⁠⁠⁠⁠⁠this link to join our community.⁠⁠⁠⁠⁠

For further miscarriage support see:

⁠⁠⁠⁠Worst Girl Gang Ever⁠⁠⁠⁠

⁠⁠⁠⁠Tommys⁠⁠⁠⁠

⁠⁠⁠⁠Miscarriage Association⁠⁠⁠⁠

⁠⁠⁠⁠Held in Our Hearts⁠⁠⁠⁠

Don't Tell Me To RELAX is sponsored by ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Acupips,⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ quote RELAX for 20% discount.

❤️ Join our Don't Tell Me to RELAX fertility support community ⁠⁠⁠⁠⁠⁠⁠⁠here.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

💛 See ⁠⁠⁠⁠⁠⁠⁠⁠⁠Hannah Pearn⁠⁠⁠⁠⁠⁠⁠⁠⁠ for more information on where we work.

🤩 Follow us on ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

I am joined by Dr. Ed Coates to discuss the EMMA and ALICE tests, which analyze the uterine microbiome to assess fertility health.

Dr Coates explains the importance of understanding the microbiome's role in implantation and how bacterial imbalances can affect fertility.

We discuss:

• How the EMMA and ALICE tests analyze the uterine microbiome.

• How bacterial imbalances can affect embryo implantation.

• Why the timing of tests is crucial in fertility treatments.

• Why patients with recurrent miscarriage may benefit from microbiome testing.

• How understanding the microbiome can help improve fertility outcomes.

• Why communication with patients about testing options is essential.

• How the endometrial receptivity array (ERA) can help determine the best timing for embryo transfer.

For further support we will be running the event below in our Don't Tell Me To RELAX community:

❤️ What Now? A Practical Guide After Pregnancy Loss with me Hannah Pearn July 15th at 7pm follow ⁠⁠⁠⁠this link to join our community.⁠⁠⁠⁠

For further miscarriage support see:

⁠⁠⁠Worst Girl Gang Ever⁠⁠⁠

⁠⁠⁠Tommys⁠⁠⁠

⁠⁠⁠Miscarriage Association⁠⁠⁠

⁠⁠⁠Held in Our Hearts⁠⁠⁠

Don't Tell Me To RELAX is sponsored by ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Acupips,⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ quote RELAX for 20% discount.

❤️ Join our Don't Tell Me to RELAX fertility support community ⁠⁠⁠⁠⁠⁠⁠here.⁠⁠⁠⁠⁠⁠⁠⁠⁠

💛 See ⁠⁠⁠⁠⁠⁠⁠⁠Hannah Pearn⁠⁠⁠⁠⁠⁠⁠⁠ for more information on where we work.

🤩 Follow us on ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

I joined by, Dr. Panagiotis Venieratos from Fertilysis to discuss the complexities of unexplained infertility and the significant role of the microbiome in fertility.

We discuss

• how unexplained infertility is often a result of incomplete investigations.

• how the uterine microbiome plays a critical role in fertility.

• why dysbiosis can lead to chronic inflammation and affect embryo implantation.

• how microbiome testing can be done from home without a doctor.

• why understanding the clinical significance of microbiome results is crucial.

• how chronic endometritis is common among women with fertility issues.

• how proactive testing can help identify underlying problems early.

• the ways both uterine and vaginal microbiomes are interconnected.

• how treatment options can be tailored based on specific microbiome results.

For further support we will be running the event below in our Don't Tell Me To RELAX community:

❤️ What Now? A Practical Guide After Pregnancy Loss with me Hannah Pearn July 15th at 7pm follow ⁠⁠⁠this link to join our community.⁠⁠⁠

For further miscarriage support see:

⁠⁠Worst Girl Gang Ever⁠⁠

⁠⁠Tommys⁠⁠

⁠⁠Miscarriage Association⁠⁠

⁠⁠Held in Our Hearts⁠⁠

Don't Tell Me To RELAX is sponsored by ⁠⁠⁠⁠⁠⁠⁠⁠⁠Acupips,⁠⁠⁠⁠⁠⁠⁠⁠⁠ quote RELAX for 20% discount.

❤️ Join our Don't Tell Me to RELAX fertility support community ⁠⁠⁠⁠⁠⁠here.⁠⁠⁠⁠⁠⁠⁠⁠

💛 See ⁠⁠⁠⁠⁠⁠⁠Hannah Pearn⁠⁠⁠⁠⁠⁠⁠ for more information on where we work.

🤩 Follow us on ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

For further support Carly will be running the event below in our community as part of this series. To access it follow ⁠⁠this link to join our community.⁠⁠

💛 Miscarriage Support & Care in Tea & Chat with Carly Garret our Fertility Coach on June 18th at 8 pm

I am joined by Fertility Coach, Reflexologist and Miscarriage Doula Carly Garrett to discuss the emotional impact of miscarriage, n conversations about loss.

We discuss:

• ​How grief is a valid response to miscarriage, regardless of the stage.
• ​Why guilt often accompanies loss, and it's important to process these feelings.
• ​How community support can be crucial for healing after a miscarriage.
• ​Why it's essential to talk about pregnancy loss openly to reduce stigma.
• ​How friends and family should offer support without trying to fix the situation.
• ​How returning to work after a loss can be challenging and requires self-care.
• ​Why honoring a lost pregnancy can aid in the healing process.
• ​How secrecy around early pregnancy can exacerbate feelings of isolation.
• ​Why seeking professional help can be beneficial for those struggling with grief.

For further miscarriage support see:

⁠⁠Worst Girl Gang Ever⁠⁠

⁠⁠Tommys⁠⁠

⁠⁠Miscarriage Association⁠⁠

⁠⁠Held in Our Hearts⁠⁠

Don't Tell Me To RELAX is sponsored by ⁠⁠⁠⁠⁠⁠⁠⁠⁠Acupips,⁠⁠⁠⁠⁠⁠⁠⁠⁠ quote RELAX for 20% discount.

❤️ Join our Don't Tell Me to RELAX fertility support community ⁠⁠⁠⁠⁠⁠here.⁠⁠⁠⁠⁠⁠⁠⁠

💛 See ⁠⁠⁠⁠⁠⁠⁠Hannah Pearn⁠⁠⁠⁠⁠⁠⁠ for more information on where we work.

🤩 Follow us on ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

I am joined by Professor Hasan Shahata from the Centre for Reproductive Immunology and Pregnancy.

We discuss the complexities of reproductive immunology, particularly focusing on recurrent miscarriages and IVF failures.

We discuss:

• How Reproductive Immunology focuses on the immune system's role in pregnancy.

• Why recurrent miscarriage is not typically caused by chromosomal abnormalities.

• How investigation should begin after two miscarriages, or one if late.

• How Male factors are often overlooked in miscarriage investigations.

• How testing protocols vary between NHS and private sectors.

• Why Natural killer cells play a significant role in recurrent miscarriage.

• How IVF does not improve outcomes for recurrent miscarriage patients.

• Why medications like prednisolone may have immune modulation effects.

• How microbiome testing is an emerging area but lacks conclusive evidence.

For further support we will be running two events in our community as part of this series. To access them follow ⁠this link to join our community.⁠

💛 Miscarriage Support & Care in Tea & Chat with Carly Garret our Fertility Coach on June 18th at 8 pm

❤️ What Now? A Practical Guide After Pregnancy Loss with me Hannah Pearn July 15th at 7pm

For further miscarriage support see:

⁠Worst Girl Gang Ever⁠

⁠Tommys⁠

⁠Miscarriage Association⁠

⁠Held in Our Hearts⁠

Don't Tell Me To RELAX is sponsored by ⁠⁠⁠⁠⁠⁠⁠⁠Acupips,⁠⁠⁠⁠⁠⁠⁠⁠ quote RELAX for 20% discount.

❤️ Join our Don't Tell Me to RELAX fertility support community ⁠⁠⁠⁠⁠here.⁠⁠⁠⁠⁠⁠⁠

💛 See ⁠⁠⁠⁠⁠⁠Hannah Pearn⁠⁠⁠⁠⁠⁠ for more information on where we work.

🤩 Follow us on ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

I am joined by Dr. Sami from Plan Your Baby to discuss the complexities surrounding miscarriage, including the various tests and investigations available for those who have experienced recurrent miscarriages.

We discuss

• How miscarriage is a common experience, affecting many women.

• How recurrent miscarriage is often defined as having three consecutive miscarriages, but investigations can start after two.

• What are the basic tests for miscarriage include hormone levels, ultrasound scans, and screening for autoimmune conditions.

• How lifestyle factors, such as smoking and alcohol consumption, can impact miscarriage rates.

• The vaginal microbiome role in pregnancy outcomes.

• How immune factors can contribute to recurrent miscarriage, and treatments are available.

• Understanding that not all miscarriages are due to chromosomal abnormalities can empower women.

For further support we will be running two events in our community as part of this series. To access them follow ⁠this link to join our community.⁠

💛 Miscarriage Support & Care in Tea & Chat with Carly Garret our Fertility Coach on June 18th at 8 pm

❤️ What Now? A Practical Guide After Pregnancy Loss with me Hannah Pearn June 15th at 7pm

For further miscarriage support see:

⁠Worst Girl Gang Ever⁠

⁠Tommys⁠

⁠Miscarriage Association⁠

⁠Held in Our Hearts⁠

Don't Tell Me To RELAX is sponsored by ⁠⁠⁠⁠⁠⁠⁠⁠Acupips,⁠⁠⁠⁠⁠⁠⁠⁠ quote RELAX for 20% discount.

❤️ Join our Don't Tell Me to RELAX fertility support community ⁠⁠⁠⁠⁠here.⁠⁠⁠⁠⁠⁠⁠

💛 See ⁠⁠⁠⁠⁠⁠Hannah Pearn⁠⁠⁠⁠⁠⁠ for more information on where we work.

🤩 Follow us on ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Over the next 3 months we will be looking at the complex and emotional topic of miscarriage.

In this episode I am joined by Morven, an Independent Fertility Nurse and resident Fertility Nurse in our Don't Tell Me to RELAX community.

We discuss the various types of miscarriage, symptoms, and management options.

Plus:

• How miscarriage is a common yet heartbreaking experience.

• What are different types of miscarriages with varying symptoms.

• How statistics on miscarriage are often based on estimations.

• How symptoms of miscarriage can vary widely.

• How expectant management allows the body to pass naturally.

• How medical management involves medication to assist in the process.

• How the emotional recovery from miscarriage can take longer than physical recovery.

For further support we will be running two events in our community as part of this series. To access them follow this link to join our community.

💛 Miscarriage Support & Care in Tea & Chat with Carly Garret our Fertility Coach on June 18th at 8 pm

❤️ What Now? A Practical Guide After Pregnancy Loss with me Hannah Pearn July 15th at 7pm

For further miscarriage support see:

Worst Girl Gang Ever

Tommys

Miscarriage Association

Held in Our Hearts

Don't Tell Me To RELAX is sponsored by ⁠⁠⁠⁠⁠⁠⁠Acupips,⁠⁠⁠⁠⁠⁠⁠ quote RELAX for 20% discount.

❤️ Join our Don't Tell Me to RELAX fertility support community ⁠⁠⁠⁠here.⁠⁠⁠⁠⁠⁠

💛 See ⁠⁠⁠⁠⁠Hannah Pearn⁠⁠⁠⁠⁠ for more information on where we work.

🤩 Follow us on ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠