It Starts with the Egg: How the Science of Egg Quality Can Help You Get Pregnant Naturally, Prevent Miscarriage, and Improve Your Odds in IVF

In the introduction, Fett reframes fertility advice by challenging the long-standing belief that egg quality is fixed and wholly dependent on age. Drawing on her background in molecular biology and biochemistry, she argues that the three to four months before ovulation represent a window in which environmental exposures, nutrition, and targeted supplementation can either damage or protect eggs. This idea, backed by peer-reviewed clinical studies rather than speculative animal research, forms the book’s central promise: that readers can improve egg quality and pregnancy outcomes by making deliberate, evidence-based choices. Fett’s personal story of diminished ovarian reserve and eventual IVF success lends urgency and credibility to her argument, showing readers that the science has practical consequences.

The introduction is also a critique of conventional fertility care. Fett highlights how standard clinical guidance often lags behind emerging research, citing overlooked factors like BPA exposure, optimal vitamin D levels, and CoQ10 supplementation. This tension between medical inertia and scientific progress situates the book in a cultural moment where patients increasingly turn to online resources, sometimes encountering misinformation, to bridge gaps in medical advice. Her work responds to that reality by promising a carefully curated, research-driven guide. The structure of the book, outlined in the introduction, offers tailored supplement plans for scenarios ranging from early conception efforts to IVF and recurrent pregnancy loss.