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Oct. 20, 2026

Fertility Doctor: US Birth Rates are Declining! If You Still Want Kids, DO THIS | Ep 13

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Medical Science

Key Takeaways

  • US birth rates are rapidly declining while infertility and struggles with conception are on the rise for seemingly healthy women.
  • Fertility doctor Dr. Samantha Ess emphasizes that infertility is often a symptom of deeper underlying health issues, such as hormone imbalances, chronic stress, and gut health.
  • Epigenetics reveals that the health choices and environments of your parents and grandparents can directly influence your own reproductive biology.
  • Relying solely on IVF without investigating and fixing root-cause health problems misses a critical piece of the puzzle.
  • Managing stress, reducing exposure to environmental toxins, and prioritizing joy are just as crucial for fertility as taking supplements and eating healthy.
  • Show Notes

US birth rates are declining, infertility is rising, and more women are struggling to get pregnant. Fertility doctor Dr. Samantha Ess joins me to explain what’s affecting women’s fertility, why seemingly healthy women can struggle to conceive, and what you should know before trying to have a baby. From hormone imbalances and chronic stress to gut health, environmental toxins, and the effects of birth control, Dr. Ess breaks down the overlooked factors that could be affecting your chances of pregnancy and why infertility may be a symptom of something deeper.


We also get into why more Americans are delaying or choosing not to have children, how your parents’ and grandparents’ health may influence your own through epigenetics, and why preparing your body for pregnancy involves more than eating healthy and taking supplements. Dr. Ess shares her concerns about relying on IVF without investigating underlying health issues, explains how nicotine can affect sperm quality, and reveals why managing stress and finding more joy may be just as important as eliminating toxins.


Chapters:

(00:00) Introduction

(01:21) Why Women Were Put on Testosterone

(07:56) Quitting Nicotine to Start a Family

(18:35) Why Society Is Struggling With Fertility

(24:40) Epigenetics: Your Grandparents’ DNA

(37:28) Why Fewer People Are Having Kids

(43:45) What Makes Her Approach Different

(57:00) The Missing Variable: Joy

(01:05:17) Alcohol, Wine, and the Gray Area

(01:17:28) What Conventional Medicine Misses

(01:26:50) The Birth Control Conversation

(01:40:25) AMH and the Fear of Running Out of Time

(01:51:42) Small Tweaks, Big Results


The best conversations start with the best guests. Drop a comment below and tell me who you want to see on Forged!


Subscribe now and get ready to be the most interesting person in the room.


If you want to work with the team behind my show, book a call: https://calendly.com/brady-edwards/discovery


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Get 15% off Nice Brand hats: https://nicebrand.co/discount/BRADYNICE15


Connect with Dr. Samantha Ess:

Website: https://www.walkthenaturalpath.com

LinkedIn: https://www.linkedin.com/in/samantha-ess-58824397/

Instagram: https://www.instagram.com/walkthenaturalpath

YouTube: https://www.youtube.com/@walkthenaturalpath

Substack: https://walkthenaturalpath.substack.com


Frequently Asked Questions

Why are US birth rates declining?

Declining US birth rates are driven by a combination of societal shifts toward delaying children, rising infertility rates, and overlooked biological factors like chronic stress, environmental toxins, and hormone imbalances.

How does epigenetics affect your ability to have a baby?

Epigenetics means that the lifestyle, health, and environmental factors experienced by your parents and grandparents can alter gene expression, potentially impacting your own reproductive health and fertility.

Why is IVF alone not always enough for fertility struggles?

While IVF can help achieve pregnancy, fertility experts like Dr. Samantha Ess warn that it often fails to address the underlying root causes of infertility, such as poor gut health, toxins, or chronic hormonal issues.

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