Making sense of Unexplained infertility with James Nicopoullos

The Fertility Podcast

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2M ago 23:37

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Welcome to this episode of The Fertility Podcast, the official podcast of Fertility Action. In this conversation, Natalie is joined by long-time friend of the show and Fertility Action trustee Dr. James Nicopoullos, consultant gynaecologist and medical director at The Lister. They dive into the often frustrating diagnosis of unexplained infertility - what it actually means, how it impacts your treatment options, and what you can do when you feel like you're hitting a wall.

This episode also covers highlights from Fertility Action’s recent campaign in Parliament, new shifts in male fertility awareness, and why conversations around fertility at work still have a long way to go.

What we discuss:

Parliament updates and raising awareness about cuts to NHS fertility funding
The Fertility Show and how to handle the overwhelm as a new patient
James' role as a Fertility Action trustee and why he believes in Katie’s mission
What unexplained infertility really means (and why it's so common)
The emotional toll of having no clear answers, especially for people used to being in control
Questions to ask your doctor when faced with unexplained or subfertility
What to rule out: hormones, anatomy, sperm DNA, and more
The reality of add-ons and how to weigh evidence-based versus emerging options
When it makes sense to seek a second opinion and how clinics typically respond
The evolving conversation around male infertility and the importance of male involvement
Fertility in the workplace, what patients are still dealing with, and how employers can do better
Why infertility still isn’t fully recognized as a legitimate health condition in some policies
How education, advocacy, and testing are slowly shifting public perception

Quote to remember:

“You should be using your annual leave for a holiday, not to do fertility treatment.”

Listen if you’re:

Dealing with a diagnosis of unexplained infertility, feeling stuck after multiple cycles, or needing a reminder that there are still questions worth asking and answers worth pursuing.

Links & Resources

Follow Fertility Action: @fertility.action
DM Natalie: @fertilitypoddy
Email: [email protected]
Subscribe to the podcast on your app of choice
Learn more about Dr. James Nicopoullos: Lister Fertility Clinic
Explore Fertility Action’s support groups and advocacy work: fertilityaction.org

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