Natalie Crawford, MD

Natalie Crawford, MD Fertility Physician
Host: As a Woman Podcast
YouTube: Natalie Crawford, MD

Instagram: nataliecrawfordmd
Blog: www.nataliecrawfordmd.com

Dr. Natalie Crawford is a board certified ONGYN and REI (reproductive endocrinologist and infertility) and circle-founder of Fora Fertility, a boutique fertility practice in Austin, Texas. She hosts the As a Woman podcast and promotes fertility awareness and education. Training and Education:

Reproductive Endocrinology and Infertility
University of North Carolina - Chapel Hill, NC

Masters of Science in Clinical Research
University of North Carolina - Chapel Hill, NC

Obstetrics and Gynecology
University of Texas Southwestern - Dallas, TX

M.D. University of Texas Medical Branch - Galveston, TX

B.S. Nutrition Science
Auburn University - Auburn, AL

11/07/2025

Why do we use Letrozole?

Letrozole is a medication used for ovulation infuction.

Letrozole is an aromatase inhibitor which works by lowering estrogen levels temporarily, telling your brain to release more FSH (follicle-stimulating hormone). This increase in FSH will hopefully be enough to stimulate a follicle to grow and an egg to mature.

We commonly use letrozole for patients with PCOS, since irregular or absent ovulation is a major reason they struggle to get pregnant and a large study confirmed it was the drug of choice for PCOS patients (who tend to have a higher baseline estrogen level due to their high follicle count). It can also be used in other cases of anovulation or in unexplained infertility.

It’s taken for 5 days, starting anywhere between cycle day 3-7. We monitor with an ultrasound to see the response, but some clinics recommend OPK testing or mid-luteal progesterones.

The highest risk with letrozole is the risk of twin pregnancy, but ultimately it cna be a safe and effective option for ovulation.

11/07/2025

and I'm a fertility doctor.

11/07/2025

We should be highly concerned by the idea that political leaders who do not understand science are making health decisions that will impact your ability to have a family.

Clip from

11/07/2025

In office ending the year and wanting you to start off 2024 right if you want to conceive. Ultimately, a healthy you is the best choice, but lifestyle factors that lower inflammation can help you optimize your chances. 1. Sleep 7 hours a night. 2. Diet high in fruits and veggies, limit processed meat, refined carbs/sugar. 3. Avoid unnecessary toxins (smoke, alcohol, fragrance, plastics). 4. Take a prenatal vitamin. Consider omega 3 fatty acids, Vit D, melatonin, coq10. 5. Move your body daily. 6. If something is off see a doctor. Periods should be regular. Track your cycles. If trying a year if 35), time to see a doctor.

11/06/2025

What is a normal period? Note: don't listen to the laser & aesthetics guy.

11/06/2025

I know what it is like to be in the infertility trenches:
The guilt.
The sadness.
The confusion.
The anger.
The heartbreak.

When I received methotrexate for that ectopic pregnancy, I was at the lowest of low. But the forced "break" from trying (you can't get pregnant for 3 months after methotrexate due to the risk of birth defects since methotrexate blocks folic acid uptake and cell division) gave me space and motivation to prioritize my health, for me and not just for a pregnancy. I started researching natural fertility and the impact the lifestyle can have on our reproductive health.

I started talking about fertility on social media 9 years ago because I realized that most patients who came to see me lacked basic information about how their reproductive system worked, and I hoped that if I could reach them earlier, perhaps I could change the trajectory of their course. In a world where misinformation is rampant and the political climate is uncertain, it is more imperative now than ever that women take ownership for understanding their bodies.

And my mission here - to help put you in a position of power so that you understand the basics of your body, you know how to advocate for your health, and you understand that infertility is a disease.

Sharing your story is power. You will inspire more people than you know. To all of you sharing your own story: you are brave and vulnerable and inspiring. Thank you.

11/06/2025

What are signs you are running out of eggs? Clip from podcast episode!

11/06/2025

Watch this if you're on your own fertility journey. Clip from Of A CEO 🎬

11/05/2025

Join the Fertility Formula book club! Love seeing all your faces and answering your questions each month as we are getting closer to pub date!

If you preorder (and fill out the form on my website), you’ll get
-the hormone guide (immediate PDF)
-IVF course
-Book club access! Monthly modules (right from the book) and recorded Q&A calls to answer your questions directly!

**these are only available if you preorder!

To everyone who preordered, thank you thank you thank you. I see every name when you fill out the preorder form and it brings me such joy to see people from all over the world supporting me and this book.

You will love The Fertility Formula - it represents years of research, hard work, and my passion for helping you learn more about your health, hormones, and fertility.
XO, NC

11/05/2025

Spotting around ovulation? It can be totally normal. 
When you ovulate, the follicle ruptures to release the egg. That tiny rupture disrupts the granulosa cells surrounding the follicle resulting in a brief dip in estrogen and can cause light spotting.
This kind of spotting is usually:
* Light pink or brown
* Short-lived (a few hours to 1–2 days)
* Around ovulation
As long as it’s mild and not accompanied by pain, odor, or unusual discharge, it’s just your body doing exactly what it’s supposed to. Your cycle doesn’t have to be perfectly neat to be perfectly normal.

11/05/2025

So many patients try to take control of their fertility and seek out help from providers who aren't appropriately trained.
I've seen:

Men on testosterone (stops s***m production).

Women on daily progesterone (prevents implantation).

Hormones interpreted completely wrong (cycle day and time is important for many).

Supplements given which change lab values making it harder to get to a diagnosis (biotin).

Incomplete testing (no semen analysis, no ovarian reserve measurement, no anatomic evaluation).

And - shaming fertility treatments.

The truth is people who can't offer full services try to make money where they can - and some (not all) are taking advantage of you. That's why learning about your body is important so you can recognize the red flags. 🚩

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Austin, TX

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