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  • I Want To…
    • Get Pregnant
    • Optimize my pregnancy
    • Fix my hormone imbalance
  • Results
    • Fertility Results
    • Pregnancy Results
    • Hormone Healing Results
  • Blog
  • Resources
    • The Fertility Code
    • At-Home Hormone Testing
    • Supplements
    • Schedule a Consultation
    • My Kitchen & Pantry
    • Clean Beauty & Home Favorites
    • Heal Hormonal Chaos ebook
    • Daily Fertility Checklist
    • 5 Tips For Easier Periods
    • How Fertile Are You? quiz
    • Practioners I Recommend
  • About
  • Contact
  • Work With Me
  • I Want To…
    • Get Pregnant
    • Optimize My Pregnancy
    • Fix My Hormone Imbalance
  • Results
    • Fertility Results
    • Pregnancy Results
    • Hormone Healing Results
  • Blog
  • Resources
    • The Fertility Code
    • At-Home Comprehensive Hormone Testing
    • Supplements
    • Schedule a Consultation
    • My Kitchen & Pantry
    • Clean Beauty & Home Favorites
    • Heal Hormonal Chaos ebook
    • Daily Fertility Checklist
    • 5 Tips For Easier Periods
    • How Fertile Are You? quiz
    • Practitioners I Recommend
  • About
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Here’s How We Can Work Together.

Why Pregnancy Isn’t Happening — And What’s Actually Preventing It

A workshop + Q&A for women who have been trying to conceive for months or years — and want to understand what’s actually preventing pregnancy so they can move forward with clarity instead of guesswork. Offered online and in-person.

Whether you’ve been told everything looks “normal” or you’ve been given a diagnosis like PCOS, endometriosis, or low progesterone — this workshop will help you understand what may still be missing and how to move forward.

Sign up here to be notified when the next workshop will be happening

If you're trying to get pregnant...

If you’ve been told everything looks normal but you’re still not pregnant — or you have a diagnosis like PCOS, endometriosis, or poor egg quality and still aren’t getting results — you don’t need another supplement or another failed cycle.

The Fertility Code is my 12-week, high-touch fertility program. We examine your full history, run the right labs, and build a personalized protocol around what’s actually preventing pregnancy — so you can conceive naturally or move into IVF with confidence.

With 1:1 coaching, direct access between calls, lab reviews, and real accountability, you stop second-guessing and start moving forward with clarity.

See How The Fertility Code Works

If you're already pregnant...

Pregnancy nutrition made easy.

Learn exactly what to eat for a healthy pregnancy, what lifestyle factors are important for nourishing you and your baby, what supplements are important to include (and why quality matters!), what specifics to focus on during each trimester, and many other critical factors to ensure a healthy, happy pregnancy, and a well nourished baby and mama.

Schedule a 1:1

If you're trying to fix your hormone imbalance...

PMS, bloating, painful periods, mood swings, insomnia, weight that won’t budge — these are common. They’re not normal. Your body is designed to feel energized, clear-headed, and good in your body. When your hormones are off, you feel it everywhere.

My nutrition support helps you identify what’s actually driving the imbalance and address it through targeted diet and lifestyle changes — so the way you feel starts matching the life you want to live.

Schedule a 1:1
Postpartum nutrition support

If you're in the postpartum journey...

The fourth trimester is one of the most nutritionally demanding seasons of a woman’s life — and one of the most overlooked.

My postpartum nutrition support helps you understand what your body actually needs right now, replenish what’s been depleted, rebuild your energy from the inside out, and find your footing in a season that asks everything of you — so you can actually show up for your baby and yourself.

Schedule a 1:1

For current clients

If you’re a current client, you can schedule a follow up consultation here.

Schedule follow ups here

@Sarahjanesandy

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The labs that matter most before a retrieval are u The labs that matter most before a retrieval are usually the ones no one ordered.

AMH tells you how many eggs you have. It doesn’t tell you how well they’re developing.

Yet it’s often the most emphasized number women get before an egg retrieval.

I see this all the time: a new client comes to me weeks before her IVF cycle. She’s been told her labs look “normal.” Or she has a diagnosis like PCOS or endometriosis and a plan built around it.

But no one has checked her thyroid antibodies. Her fasting insulin. Her mid-luteal progesterone.

Those numbers tell us about the environment your eggs are maturing in. And that environment is something you can influence.

Eggs take roughly 90 days to develop before retrieval. The eggs collected in your next cycle are maturing right now. That’s your window to find the hidden drivers preventing pregnancy.

These are the 11 lab panels I recommend for all women when you’re trying to get pregnant or preparing for a retrieval:

→ FSH, LH + estradiol
→ AMH
→ Mid-luteal progesterone
→ Prolactin
→ DHEA-S
→ Total + free testosterone
→ TSH, free T3 + free T4
→ TPO + TgAb antibodies
→ Fasting insulin + glucose
→ HbA1c
→ Fasting triglycerides

Together they show how your hormones are communicating, how your thyroid is functioning, and how your blood sugar may be affecting egg quality.

The goal isn’t to run every test out there. It’s to run the right ones. And to read them through a fertility lens, not a standard reference range.

“Normal” doesn’t always mean ready for pregnancy.

If you’re trying to get pregnant or preparing for an egg retrieval, here’s your next steps:

Save this post for your next appointment.
Ask your doctor which of these labs have been run, and when.
Start 3 months before retrieval if you can.

I’ve helped more than 1,000 women navigate fertility through nutrition and personalized support.

Want to know exactly what to focus on every day of your 90-day window? 

Comment CHECKLIST and I’ll send you my Daily Fertility Checklist.
As crazy as it is to believe given modern medicine As crazy as it is to believe given modern medicine’s advancements, there is currently no blood test that directly measures egg quality.

AMH measures ovarian reserve, not egg quality. FSH provides a different indirect measure of ovarian reserve. Antral follicle count estimates the number of developing follicles seen on an ultrasound.

These tests are useful, but they answer different questions than the one many women think they are answering.

If you’ve had an egg retrieval, your results can provide additional information.

Look at the pattern:
→ How many eggs were retrieved compared with how many were mature?
→ How many mature eggs fertilized?
→ How many fertilized embryos reached the blastocyst stage?
→ How many were euploid, if you had PGT-A?

None of these numbers can isolate egg quality. Sperm, the laboratory, stimulation protocol, and other factors can influence the results.

However, they are real data that can be discussed with your fertility team and compared with your clinic’s outcomes for women your age.

We also need to consider the environment in which your eggs are developing.

Metabolic health, thyroid function, iron status, vitamin D, inflammation, nutrition, sleep, and other lifestyle factors are all relevant pieces of the fertility picture.

This is not about blaming yourself for fertility challenges. It is about asking better questions and looking at the information available to you.

If you’ve been told you have “poor egg quality,” save this post and bring it to your next appointment.

Follow me for evidence-based fertility nutrition education that helps you understand what you can actually do to improve your fertility health.

I have helped more than 1,000 women navigate fertility through nutrition and personalized support.
If we haven’t met yet or you’re new here, hi 👋🏼 I’ If we haven’t met yet or you’re new here, hi 👋🏼 I’m Sarah Jane, a certified master nutrition therapist based in Boulder, CO with 18 years in private practice, specializing in fertility, pregnancy, postpartum, and women’s hormone health. I’m a mama of two boys, and a lover of all things chocolate, the ocean, and being in nature. 

I work with women (and couples) on how to use food, lifestyle changes, environment modifications, and movement to optimize fertility outcomes, balance hormones, improve pregnancy health, and support the postpartum journey, all through a functional, integrative nutrition lens. 

I’m also the creator of The Fertility Code, an evidence-based fertility program designed to help couples get pregnant whether naturally or through IVF, prevent miscarriage, and support a healthy, full-term pregnancy.

Whether you’re trying to get pregnant now, in the depths of infertility, growing a baby, healing postpartum, or simply wanting to support your hormone health (with no desire for babies!), I’m here to provide the education and tools you need.

I’ve supported 1,000+ women over the last almost 20 years and I’d love to help you too. I offer 1:1 consultations virtually worldwide offering support for every season of womanhood. Send me a DM and let’s chat 💛.
“Everything looks normal” is not a diagnosis. It’ “Everything looks normal” is not a diagnosis.

It’s a starting point most women never get past.

And if you’ve been diagnosed with PCOS or endometriosis, a label is not the same as being investigated.

If you’re trying to get pregnant and it’s taking longer than expected, don’t ask, “What’s wrong with me?”

Ask these 5 questions instead:

1️⃣ Am I actually ovulating?
Ovulatory dysfunction is one of the most common causes of female infertility. A regular period does not prove ovulation is happening.

2️⃣ Is my luteal phase consistent?
The luteal phase is the time between ovulation and your next period. A consistently short luteal phase (<12 days) is worth discussing, but there is no single test that definitively diagnoses it.

3️⃣ What is my progesterone telling me?
Progesterone rises after ovulation and can help confirm that ovulation occurred. But one result cannot tell you whether your luteal phase is “good” or “bad.” Progesterone fluctuates throughout the day, so timing matters.

4️⃣ Have my thyroid and iron been fully evaluated?
Thyroid dysfunction can interfere with ovulation. A normal CBC does not necessarily mean your iron stores are optimal. Ferritin can provide information a CBC may miss.

5️⃣ Could PCOS, endometriosis, or something else be contributing?
PCOS can contribute to ovulatory dysfunction. Endometriosis can affect fertility through changes in pelvic anatomy and reproductive function. A diagnosis tells you what you have, not necessarily what to do about it.

Taking longer to conceive does not mean you did something wrong.

It may mean something hasn’t been fully evaluated yet.

And timing matters. The eggs you’ll ovulate roughly 90 days from now are developing right now. What you do in that window can influence upcoming cycles.

Fertility is influenced by many factors, including ovulation, reproductive anatomy, sperm health, age, and underlying health conditions. A complete evaluation looks at the whole picture.

Save this for your next fertility conversation.

Follow for more evidence-informed fertility and hormone education.

And send this to the friend who has been told, “Everything looks normal.”
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