When women sit down with me and we go through their labs together before their fertility laser treatments, one thing keeps coming up over and over:

They’re not just sad.
They’re not just confused.
They’re angry.

And honestly? They have every right to be.

Because here’s a story I hear again and again here in Austin:

·       Their mid‑luteal progesterone came back at 5 ng/mL (maybe even 10 ng/mL).

·       Their doctor told them, “That’s fine, you ovulated. Just keep trying.”

·       Month after month, they kept trying. They bought all the supplements, were watching their nutrition and light diet.

·       No one adjusted their hormones. No one questioned whether that 5 ng/mL was truly enough to support implantation (it’s not).

·       Eventually, they were labeled with “unexplained infertility” and told their best option was IVF.

By the time they find me, they’ve often:

·       Spent thousands or tens of thousands of dollars on consultations, medications, and procedures.

·       Put their bodies through invasive tests and treatments.

·       Ridden the emotional rollercoaster of hope, injections, procedures, and negative pregnancy tests…mental/emotional anguish - sometimes failed IVF cycles too.

And then we look back at that fine progesterone level.

I explain that in standard settings here in the USA:

·       Anything above about 3 ng/mL is just used to prove that ovulation happened.

·       A level like 5 ng/mL satisfies that checkbox, so it gets called “normal.”

But in Restorative Reproductive Medicine models like NeoFertility:

·       Mid‑luteal progesterone is ideally around 19 - 32 ng/mL (60 - 100 nmol/L) about 7 days after your ovulation (Peak+7).

·       That same 5 ng/mL would be flagged as sub‑optimal, and it would trigger a search for underlying issues and targeted treatment - not a shrug and the label “unexplained.”

Think of it like heating a house in winter.

3 ng/mL is like setting the thermostat just high enough to prove the heater turns on.
The system clicks, the furnace runs for a bit, and the technician says, “See? The heat works.” That’s how most clinics use 3 - 5 ng/mL: it proves ovulation happened, so the test is considered “fine.”

19 ng/mL in RRM is like asking: “Is the house actually warm and comfortable for a baby?”
Restorative Reproductive Medicine wants the room truly heated, not just technically “on,” so they aim for a much higher mid‑luteal range (about 19 - 32 ng/mL) to be sure the “house” (your reproductive system) is cozy and stable enough for implantation.

That’s the moment they get angry - and so do I.

Not because IVF isn’t a valid option for some women - and many women are deeply grateful for it - but because it has dawned on them that:

·       They were told their hormones were “fine” when they weren’t optimized.

·       They were pushed toward invasive, high‑cost treatment without anyone fully troubleshooting their basic cycle physiology.

·       Their suffering could have been avoided; it was, at least partly, the result of a for a system that asks, “Did you ovulate?” instead of “Is this cycle truly ready to carry a baby?”

After our consult and get get started with our first laser session, women are angry about “unexplained infertility” because they see it differently:

It’s not that their bodies are a mystery to modern science...

It’s that no one ever did the deeper work of explaining what was off with their cycle - and treating it - very easily and very affordably.

That anger is understandable - I’m angry for them.

If you’ve ever been told “everything is normal,” labeled “unexplained,” and then discovered your mid‑luteal progesterone was never truly optimized, you’re not overreacting.

You’re waking up.

You’re waking up to a system that doesn’t want to find out why you’re not getting pregnant so more women are led to believe IVF is the best answer.

Tracy

https://www.austinfertility.com/blood-test-check-luteal-progesterone-level-luteal-phase-assessment-considered-accurate-testing/

https://www.asrm.org/practice-guidance/practice-committee-documents/fertility-evaluation-of-infertile-women-a-committee-opinion-2021/

https://blog.inito.com/progesterone-levels-day-21/

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