Progesterone is one of the most important hormones for fertility, healthy ovulation, and sustaining early pregnancy, yet so many women are never taught how it actually works.
In this episode, Dr. Leah and Dr. Morgan sit down with fertility nutritionist Sophia Pavia to break down the truth about low progesterone, luteal phase defects, ovulation quality, and why so many women today are struggling with hormone imbalances, infertility, and pregnancy loss.
We unpack how progesterone is made, why ovulation is essential for healthy hormone balance, what “unopposed estrogen” really means, and the signs your luteal phase may need support. Sophia also explains why conventional medicine can be hesitant about progesterone supplementation, when it may be appropriate, and how nutrition, stress, blood sugar balance, and cycle tracking can help support stronger ovulation and healthier progesterone production naturally.
If you’re trying to conceive, navigating recurrent loss, or simply want to better understand your hormones, this episode is packed with practical education and empowering insight.
00:00 Intro + Sophia Returns To The Podcast
01:24 Why Low Progesterone Matters for Fertility
02:34 Why So Many Women Struggle with Progesterone Today
13:17 How PCOS, Endometriosis & Hypothalamic Amenorrhea Affect Progesterone
15:49 How Progesterone Is Actually Made in the Body
19:59 Estrogen vs Progesterone: What Balance Really Means
25:49 Can You Have a Weak Ovulation?
33:40 Egg Quality vs Progesterone: Which Comes First?
35:24 Why Doctors Often Hesitate to Prescribe Progesterone
41:59 When Progesterone Supplementation May Help
46:16 Signs Your Luteal Phase Needs Support
47:56 How to Support Progesterone Naturally
50:42 Where to Find Sophia + Final Encouragement
Resources From This Episode:
Other Related Episodes:
Healthy As A Mother Podcast | YouTube
Healthy As A Mother Podcast | Instagram
Healthy As A Mother Podcast | TikTok
Healthy As A Mother Podcast | Merch Store
Find more from Dr. Leah:
Dr. Leah Gordon | Instagram
Dr. Leah Gordon | Website
Womanhood Wellness | Website
Find more from Dr. Morgan:
Dr. Morgan MacDermott | Instagram
Dr. Morgan MacDermott | Website
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