Let’s not use the term “Egg Quality”

The term ‘poor egg quality’ is disempowering to our patients. Patients are often told the reason they cannot conceive is due to poor egg quality and they come into our offices desperate to address this, feeling helpless that there is nothing that can be done to support them. 

We submit that the term ‘egg quality’ is reductionist and dehumanizing.  Our philosophy to restorative fertility language is that it must be respectful, reflect the true physiology of human reproduction, and never lose sight of the humanity of a couple’s fertility journey. 

At Fertility Continuing Education we want to use the clearest language in all of our teachings. A woman is not just an oocyte or an egg; a man is not just a sperm. Human reproduction requires a multitude of factors.  A woman’s healthy ova is surrounded by a healthy follicle, is influenced by a healthy level of hormones and is bathed in follicular fluid, which we call White Flow. To just focus on the singular component of an oocyte excludes the many other nuances of reproduction.  

Using the term ‘egg quality’ and ‘ovarian failure’ can incite feelings of extreme stress and trauma in patients that have undergone lengthy fertility treatments. It’s important for clinicians to become more sensitive to this and instead, use the more intentional language of improving human follicular function and human oocyte maturation.  We have a responsibility to deliver care in the most humane way. 

What gets ignored in this conversation about egg and sperm quality, is that an embryo is conceived in a woman’s fallopian tube, which is also bathed in fluid, or White Flow.  The health of this fluid, (seminal fluid, cervical fluid and follicular fluid) which is rich in sugars, minerals and proteins, requires that we expand the way we think about fertility to include whole-body health. 

By charting White Flow days, the patient gets a real-time, immediate indication of her follicular health and can physically feel her egg health in action.  White Flow is so critical to human reproduction that we feel it’s important to stress the concept of White Flow Makes Babies™.

There are also many other factors that can contribute to follicular health such as hormone levels, inflammation, poor diet and stress, many of which are modifiable and thus very empowering for the patient.  Health is then brought back to her body.

If you type in ‘egg quality’ in PubMed, you will get over 10,000 entries which cover every mammal on the planet. What gets lost is the human dimension.  Much of the research on egg quality is done on animals and this data is then extrapolated to human reproduction. At FertilityCE, in order to deliver you the best evidence-based information, our research includes: maternal serum vitamin levels, human ovarian follicular function, human oocyte maturation and human ovulation. We feel these terms are more respectful, less reductionist, and less judgmental. 

In our next post, we will begin to discuss the role of nutrients such as Vitamin D in Follicular Health and human ovulation.

Meet Nora Pope

My dream: I want to Save Lives with Progesterone


By Nora Pope, FCP (Practiced Naturopathic Medicine from 2002-2019)


My dream is that every ER doctor and ER nurse knows about Progesterone and its life saving properties to prevent miscarriage. Progesterone is finally receiving the attention it deserves. Fertility clinics around the world are demonstrating innovative, new, off-label uses of different classes of medication to RESTORE fertility: amphetamines, opioid antagonists which help restore…..progesterone levels. Even HcG, the pregnancy hormone, can be used for men to restore health!

Fertility Practitioners can restore fertility in our patients. It is our highest calling to cure. With Cycle Charting, our patients’ menstrual charts become the road map to time blood tests, time ultrasounds, time medications and monitor the restoration of health, with the help of observing when White Flow starts and finishes. Naturopathic Doctors, with their patients, can collaborate and be a part of the solution.  I Dare to Dream…

Fertility Literacy Notes

By Dr. Nora Pope, ND and Dr. Jessica Liu, ND

The 28-day cycle ignores the individuality of each woman.

You’d think by 2020, the world would appreciate the diversity seen in women’s monthly cycles.

In our years of practice, we have seen only between 10-15 percent of female patients with a 28-day cycle.  Often, the Oral Contraceptive Pill and the IVF Cycle are meant to mimic a 28-day model.

Those 28-day cycles, driven by OCP use and IVF processes are a top-down construct, a pharmaceutically-driven schedule to supersede natural physiology.

Cycle Charting respects and honours the individual uniqueness of each woman’s cycle.

Hail Women’s Physiology!

You want to see about five days of Red Flow, five days of White Flow and a stable luteal or Post-Peak Phase.

Do you have those three healthy bio markers?

Fertility Literacy is Body Literacy

‘Body Literacy’ is a term coined by @laurawershler

Fertility literacy is body literacy is estrogen literacy is white flow literacy is progesterone literacy is red flow literacy is fertility literacy is body literacy.  

Cycle charting just lends itself beautifully to Beat Poetry.

It merges women’s health with the Art of Medicine.

Do you know when your estrogen and progesterone are working in your body?

Progesterone could prevent 8,450 miscarriages a year

And that’s only in the UK (pop. 66.7 million). Imagine if progesterone was given to women in Canada (pop.37.6 million) to prevent miscarriage? 

Could that mean nearly 5000 miscarriages a year are prevented? 

What about the USA (pop. 331 million)? Nearly 42,000 potential lives saved in 2021? 

@fertility.ce teaches health care practitioners about the Power of Progesterone. 

Source: Progesterone could prevent 8,450 miscarriages a year, finds new research

Men Are Fertile Everyday

Let’s ponder this for a moment. 

The burden of avoiding pregnancy is traditionally placed on the woman’s shoulders.  Is this fair? 

She is only fertile a few days each month, whereas men are fertile every single day. 

Women are expected to imbibe hormonal contraception in the form of the Pill, IUDs as well as injectables and patches. Why not learn about a non-toxic way to naturally space out your pregnancies? 

Cycle charting is one solution you can explore. 

Our next Continuing Education webinar is Friday Jan 22, 2021.  Care to join us?  Contact us at info@fertilityce.com