Brave & Curious with Dr Lora Shahine

Latest Episodes:

Ep 163 C-Section Scar and Fertility: Should Isthmocele Be Treated? Feb 17, 2026

Show notes

Did you have a C-section and now notice spotting that won't quit? Are you dealing with pelvic pain, confusing symptoms, or trouble getting pregnant, and wondering if they're connected? Has anyone ever mentioned the word isthmocele to you… or is this the first time you're hearing it?

In this episode of Brave & Curious, Dr. Lora Shahine explains a condition many patients are never warned about after a C-section: an isthmocele. She tells us what an isthmocele is, how it can form in a prior C-section scar, and why it can sometimes lead to unexpected bleeding, pain, or fertility challenges.

You'll learn the five key symptoms that may signal an isthmocele, how this condition can affect fertility and future pregnancy plans, and the pros and cons of monitoring versus treating. Dr. Shahine also talks us through when surgical repair may be helpful, and the exact questions to ask your doctor so you can advocate for informed, personalized care.

If you've had a C-section and feel like something isn't quite right, this episode offers knowledge, reassurance, and a clear path forward.

In this episode you'll hear:

[0:46] Understanding C-section scars: Isthnocele
[2:21] What is an isthmocele?
[3:24] How common?
[4:18] Getting diagnosed
[6:06] Symptoms
[7:36] Treatment options
[9:21] Observation vs. surgical management
[14:01] Important questions to ask your doctor
[14:57] Conclusion & final thoughts

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Join the Learn at Pinnacle app to earn FREE CE Credit for listening to this episode

Ep 162 Optimizing Embryo Transfer Success: Your Questions Answered Feb 10, 2026

Show notes

How do you make an embryo stick? Is there anything you can do to improve embryo transfer success? And how do you know which advice is science-backed versus fertility folklore?

In this special solo Q&A episode of Brave & Curious, Dr. Lora Shahine answers the questions patients ask most often when preparing for an embryo transfer.

What really matters during an IVF embryo transfer? Using real questions from Instagram, YouTube, and her own practice, she walks listeners through fresh vs. frozen embryo transfer, what happens on transfer day, whether you need a full bladder, lying down afterward, Valium use, pineapple cores, French fries, genetic testing, ERA testing, and how uterine lining preparation actually works.

Listeners will come away with a clearer understanding of embryo transfer success rates, frozen embryo transfer protocols, and implantation timing, and get their real questions answered.

In this episode you'll hear:

[1:27] What should I expect on transfer day?
[8:00] What happens post-transfer?
[9:35] Funny myths: pineapple cores & McDonalds french fries
[13:46] Fresh vs. frozen transfer myths
[20:18] Pre-transfer testing and ERA
[24:37] Natural vs. medicated transfer protocols
[28:30] Conclusion & final thoughts

Links and Resources:

Embryo Transfer: What to Expect on YouTube

Does the Embryo Fall Out: Embryo Transfer Tips on YouTube

Fresh vs. Frozen Transfers: Pros and Cons on YouTue

Studies Mentioned:

Randomized Controlled Trial for FET Protocols: PMID: 38944045

Retrospective analysis Perinatal Outcomes with FET protocols PMID:33926401

Randomized Controlled Trial for ERA before FET PMID: 36472596

Randomized Controlled Trial Bedrest after embryo transfer: PMID:31520259

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Join the Learn at Pinnacle app ⁠to earn FREE CE Credit for listening to this episode!

Ep 161 Understanding Fertility Testing: A Step-by-Step Guide for Couples Feb 03, 2026

Show notes

Are you starting to think about fertility testing? Have you been trying to conceive and wondering which tests actually matter? Or are you overwhelmed by conflicting advice and unsure where to begin?

In this episode of Brave & Curious, Dr. Lora Shahine breaks down fertility testing with clarity, compassion, and evidence. Now you can move forward feeling informed instead of intimidated.

Dr. Shahine covers the basics of fertility testing including the essentials of a thorough health history. She also explains how menstrual cycles, ovulation patterns, pain, PCOS, endometriosis, lifestyle factors, and mental health all shape a fertility workup.

This episode empowers couples with realistic expectations, evidence-based guidance, and the confidence to advocate for personalized fertility care, because understanding your options is the first step to feeling as ready as you can for what comes next.

In this episode you'll hear:

[1:36] Key fertility tests for women: AMH, FSH, estradiol, ultrasound, and HSG
[3:42]] The full work up: lifestyle, medical history, menstrual cycles, and past pregnancies
[7:54] Ovarian reserve and AMH explained
[13:19] Fertility tests for men: semen analysis and hormone evaluation
[16:13] Preconception testing including genetic carrier screening
[21:48] When to see a fertility specialist and what to ask your doctor after testing

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Ep 160 Age, Fertility, and Pregnancy: What's Possible and What's Safe Jan 27, 2026

Show notes

Can you really get pregnant after menopause? Why do celebrities seem to defy biology when it comes to age and fertility? And just because pregnancy is possible at later ages, is it actually safe?

In this episode of Brave & Curious, Dr. Lora Shahine explores the questions so many people are quietly asking as they navigate fertility, aging, and family-building decisions.

Dr. Shahine breaks down what the science actually says about age and fertility, including why it becomes harder to conceive with age, how eggs and sperm age differently, and what role options like IVF, egg freezing, and donor eggs play.

She also reviews headline-making cases of pregnancy at advanced reproductive age and explains why these headlines, while eye-catching, don't always tell the full medical story. She explains how clinicians think about risk, safety, and counseling for pregnancy later in life.

This episode offers evidence-based clarity, compassionate context, and practical guidance to help you make informed decisions. At any age.

In this episode you'll hear:

[1:22] What record-breaking pregnancies really tell us
[3:00] Understanding age & fertility
[7:19] Health risks of pregnancy at 40s, 50s, and beyond
[9:28] Men's reproductive age & health of pregnancy
[10:21] Ethical considerations for older parents
[11:27] Updated ASRM recommendations
[13:35] Final thoughts

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Ep 159 How Your Genetics Can Guide Your Nutrition with Dr. Steven Zeisel Jan 20, 2026

Show notes

Could your DNA explain why one-size-fits-all nutrition advice doesn't always work? Why do some people thrive on certain diets while others struggle, even when they're "doing everything right"? What if your genetics could help guide smarter nutrition choices before pregnancy, during pregnancy, and across your entire lifespan?

In this episode of Brave & Curious, Dr. Lora Shahine explores how genetics, nutrition, and reproductive health are deeply intertwined. She is joined by Dr. Steven Zeisel, a physician-scientist whose groundbreaking research helped redefine choline as an essential nutrient.

Their discussion traces how decades of work in biochemistry, genetics, and medicine led to the concept of precision nutrition. Dr. Zeisel explains how nutrients like choline, folate, methylfolate, betaine, and vitamin B12 interact with our genes. And he explains why common genetic variants can change how much of these nutrients our bodies actually need.

They also touch on why pregnancy, estrogen, fertility, and even sperm health are profoundly influenced by these metabolic pathways, and why traditional nutrition guidelines may miss the mark for many people.

Listeners will learn how emerging genetic tests can help identify individual "roadblocks" in metabolism. This episode is a powerful reminder that when it comes to nutrition, personalized science matters.

In this episode you'll hear:

[0:48]Why one-size-fits-all nutrition advice doesn't work
[2:19] Choline goes from non-essential to critical
[8:16] The surprising role of estrogen
[10:11] What can genetics influence?
[15:33] Precision nutrition testing and what it can reveal
[28:06] Challenges and acceptance in nutritional science
[33:29] Genetic testing for personalized nutrition
[45:56] What does all this research mean?

Resources mentioned:

genate.com

@TheGenateTest on Facebook

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Disclaimer: This episode is sponsored by SNP Therapeutics. All opinions and thoughts expressed are our own and were not influenced by the sponsor.

Ep 158 How a C-section May Impact Your Future Fertility: What the Evidence Shows Jan 13, 2026

Show notes

Have you had a C-section and now you're wondering if it could affect future conception? Are you planning one and feeling unsure how it may influence your reproductive health?

In this episode of Brave & Curious, Dr. Lora Shahine goes beyond headlines and reviews a landmark study to better understand how C-sections may impact future fertility, miscarriage rates, and pregnancy complications.

This episode will arm you with three essential questions to ask your provider and help you make informed decisions and have empowered conversations, all grounded in clarity, not fear.

In this episode you'll hear:

[0:50] Overview of C-section impact study
[1:08] Fertility after C-section
[7:59] Pregnancy risks after C-section
[18:36] Benefits of a C-Section
[19:45] FAQ
[21:14] Advocating for your care
[22:51] Final thoughts

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Ep 157 Why Sleep Is the Most Powerful Health Habit You Can't Ignore with Dr. Meredith Broderick Jan 06, 2026

Show notes

Are you exhausted but still can't sleep through the night? Do you wake up feeling unrefreshed, foggy, or wired-tired no matter how early you go to bed? Could your sleep habits—or an undiagnosed sleep disorder—be quietly impacting your hormones, mental health, fertility, and long-term wellbeing?

In this episode of Brave & Curious, Dr. Lora Shahine and her guest, Dr. Meredith Broderick, invite you to rethink everything you've been told about sleep and why "pushing through" exhaustion is not a badge of honor.

Dr. Broderick shares how her own experience with sleep deprivation led her into sleep medicine, why sleep disorders are vastly underdiagnosed in women, and how poor sleep is linked to conditions like depression, migraines, cardiovascular disease, metabolic dysfunction, and infertility.

Together, they explain the difference between true sleep and sedation, why sleeping pills and alcohol disrupt restorative sleep, and how sleep apnea and chronic insomnia show up differently in women.

You'll learn when to ask for a sleep study, common red flags you shouldn't ignore (like morning headaches and daytime fatigue), and practical, evidence-based steps to start improving your sleep—without shame, perfection, or fear.

In this episode you'll hear:

[1:23] Sleep is a non-negotiable pillar of health
[5:10] Recognizing sleep disorders
[12:59] The science behind sleep
[14:19] Sleep & reproductive health
[19:04] Practical sleep solutions
[27:52] Understanding mid-night awakenings
[29:21] Cultural variations in sleep patterns
[31:23] Sleep trackers
[33:20] Key reasons to consider a sleep study
[36:50] Conclusion & final thoughts

Resources mentioned:

soundsleepguru.com

@sleepdoctormer on Instagram

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Ep 156 The Fertility Reset: How You Can Eat, Exercise, and Maximize Your Reproductive Health for the New Year Dec 30, 2025

Show notes

How can you give yourself the best chance of conceiving in the year ahead? Which habits truly influence fertility? And when is it appropriate to seek additional support or consult a specialist?

In this New Year episode of Brave & Curious, Dr. Lora Shahine shares a practical and compassionate Fertility Reset—a clear roadmap for anyone preparing to conceive or looking for guidance after months of trying.

She reviews the foundations of cycle tracking and timed intercourse, strategies for reducing harmful exposures, and lifestyle and nutrition changes that can support reproductive health. Dr. Shahine also explains how stopping birth control varies by method, why understanding ovulation is essential, and how to decide whether at-home testing or a medical evaluation is the next right step.

This episode offers an evidence-based guide to enhancing fertility, improving overall wellness, and approaching the year ahead with clarity and confidence.

In this episode you'll hear:

[0:32] Kicking off a fertility reset
[1:27] Get your health in check
[2:59] Stopping birth control
[5:08] Cycle tracking
[7:19] Timing intercourse
[9:25] Lifestyle changes: what to stop and what to start
[20:31] Prenatal vitamins
[21:55] When to see a fertility specialist

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Ep 155 Miscarriage and Recurrent Pregnancy Loss: Is IVF the right step for you? Dec 23, 2025

Show notes

Is IVF the answer for recurrent pregnancy loss? Why would IVF with genetic testing of embryo be helpful for people that are 'getting' pregnant but can 'stay' pregnant?

In this educational episode, Dr. Lora Shahine explains the complex relationship between IVF, genetics, and recurrent pregnancy loss. She reviews the science behind why chromosomal imbalances are one of the most common causes of first-trimester miscarriage and discusses how preimplantation genetic testing for aneuploidy (PGT-A) may help select embryos with the highest chance of success for some patients.

Through real patient examples and evidence-based guidance, this episode explores the nuances of testing, timing, emotional well-being, and the ethical and financial considerations that shape decision-making. Listeners will walk away informed, empowered, and reminded that no matter their fertility path, they are not alone.

In this episode you'll hear:

[2:03] Why consider IVF for recurrent pregnancy loss?
[4:10] IVF process & genetic testing
[11:02] Real world counseling & patient scenarios
[16:12] Pros & cons of IVF for recurrent pregnancy loss
[24:58] Key considerations for IVF
[28:15] Patient examples and recommendations
[31:12] Final thoughts

Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations

Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

Ep 154 Folic Acid vs. Folate: Why the Controversy? with Dr. Prati Sharma Dec 16, 2025

Show notes

Are you confused about prenatal vitamins? Wondering whether folic acid or folate is best? And what about those MTHFR conversations on the internet? Should you be worried?

In this episode of Brave & Curious, Dr. Lora Shahine is asking the questions so many people have but rarely get clear answers to. Her guest is fertility expert Dr. Prati Sharma who is here to address the fear, the science, and the nuance behind one of the most debated supplements in pregnancy health.

Folate and folic acid may sound interchangeable, but as Dr. Shahine and Dr. Sharma explain, the topic gets complicated fast — especially once genetics, supplements, and internet opinions enter the chat.

Together they explain the definitions, evidence-based guidelines, genetic polymorphisms like MTHFR, and how the supplement market (and sometimes fear-based messaging) can mislead patients.

Listeners will hear balanced, thoughtful insight rooted in reproductive endocrinology, science-backed recommendations, and compassionate care, not panic or overwhelm. And most importantly, you'll leave feeling calmer, more empowered, and equipped with the right questions instead of fear.

In this episode you'll hear: