A functional medicine approach to fertility includes a comprehensive health history and testing to reveal potential root causes.  Potential triggers can include adrenals, thyroid, environmental toxins, chronic inflammation, hormonal imbalances (like polycystic ovarian syndrome, progesterone deficiency), abnormal growths like fibroids, decreased ovarian reserve, sperm quality, unstable blood sugar (insulin resistance), genetics, autoimmune disease (celiac), lifestyle (over exercise or under eating), micronutrient deficiencies, vaginal microbiome, genetics or food sensitivities.