In this deeply personal episode, I sit down with Mary-Caitlin and Dan, a couple who navigated the challenges of PCOS and fertility treatment to welcome their son Jack. Alongside their incredible doctor, Dr. Joshua Hurwitz from Illume Fertility, we explore what it really means to face a PCOS diagnosis and how the right medical support combined with unwavering partnership can transform a difficult journey into a story of success.
Mary-Caitlin shares her experience from being diagnosed at age 20 to enduring multiple losses before finding hope through IVF, while Dan offers a loving partner’s perspective on being present through every step of the process.
Throughout our conversation, we dive into the medical realities of PCOS: from understanding it as an ovulation issue rather than an infertility diagnosis, to optimizing IVF protocols specifically for PCOS patients. Dr. Hurwitz breaks down the science behind modified natural transfer cycles, the importance of metabolic health, and exciting developments in PCOS treatment including GLP-1 medications.
Mary-Caitlin and Dan’s story reminds us that while fertility journeys rarely follow our planned timelines, the right baby comes at the right time, and maintaining life outside of treatment is essential for emotional wellbeing.
In this episode, we cover:
- How PCOS affects ovulation and fertility, and why it’s not a diagnosis of infertility
- The emotional impact of receiving a PCOS diagnosis as a young woman and how to communicate with partners
- Optimizing IVF protocols for PCOS patients, including medication dosing, trigger types, and birth control lead-ins
- Modified natural transfer cycles and why they may reduce pregnancy complications like preeclampsia
- The importance of metabolic optimization, nutrition support, and treating the whole person, not just the fertility issue
- How GLP-1 agonist medications can change PCOS management for long-term health
- Practical advice for couples: letting go of timelines, maintaining life outside of treatment, and supporting each other through the process
Resources:
- Illume Fertility (Dr. Joshua Hurwitz’s practice): https://illumefertility.com
- Illume on Instagram: https://www.instagram.com/illumefertility/
- Join The IVF Class
- Find Dr. Aimee’s Fertility Essentials & Supplements

