Dr. Lora Shahine

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United States
Seattle, WA
Dr. Lora Shahine

Reproductive Endocrinologist, Director of the Recurrent Pregnancy Loss Program at PNWF in Seattle, author Not Broken: An Approachable Guide to Miscarriage

03/30/2026

❤️

Pacific NW Fertility
Founded 2005
Locations in Seattle and Bellevue Washington

I joined PNWF in 2009 and incredibly proud of the care we provide patients

03/27/2026

If influencer mean educator - I’m here for it

I started a professional Instagram account in 2017 to share my self published book on miscarriage and recurrent pregnancy loss, Not Broken. A guide to help people advocate for their care on confusing and heartbreaking pregnancy loss.

I posted my first tiktok in October 2019 and danced my way through educating on fertility, IVF, and reproductive health.

I find short form content can be creative and fun but I wanted to teach more and explain in depth so I started my YouTube channel in 2020.

Started my podcast now Brave and Curious in January 2022 (which just reached 1 million downloads last weekend) to engage in meaningful conversations with experts in the field and people with powerful stories that don’t have their own platforms to share the incredible work they are doing.

Every step of the way I’ve received criticism
“It’s not professional for a doctor to be on social media’
‘You shouldn’t spend you time making silly videos’
‘Aren’t you embarrassed putting yourself out there like that’

I am glad I didn’t listen

Personally I enjoy the creativity and take pride in educating - I remember how lost I felt as an infertile fertility doctor in the early 2000s and realized if I felt this confused and alone - other people must feel that way too.

More people get their medical information from social media than any other resources. Unfortunately many people take advantage of that and post fear oriented content in order to sell people a solution.

Frankly if medical professionals are not on social media - the influencers selling ‘solutions’ fill the gap.

This doesn’t mean every doctor or medical professional needs a social media presence but support the ones that are taking time to educate (and have a little fun)

Tag your favorite ‘doctor or medical professional influencer’ here👇

03/26/2026

More women are having babies in their 40s than ever before — and this conversation is long overdue.

The reasons women wait are complex, deeply personal, and completely valid.

But one thing I have learned in my years as a reproductive endocrinologist is this: the earlier you have the conversation about your fertility, the more options you have.

Knowledge is not pressure — it is power.

The path to parenthood in your 40s is rarely simple. But with the right information and the right team, it is possible for many women. And you deserve to know what those options look like before you feel the urgency.

Swipe through for the full picture, then the USA Today article by Madeline Mitchell ‘She had a baby at 40…’
I was honored to contribute to.

If this helped you, share it with someone who needs it. ❤️

03/24/2026

Just trying to focus here…

03/22/2026

at PCRS
Thank you to the team that took amazing care of patients while we attended the PCRS conference
Promise we’ll bring back all the learning (and hopefully the ☀️ weather)

03/18/2026

Will this move save YOU costs?

A new partnership between Costco, Sesame, and IVI RMA just launched a pathway that gives Costco members access to discounted fertility meds, faster access to a specialist (no more 3-6 month waits), and reduced rates on IVF, IUI, and egg freezing.

For patients paying out of pocket with no insurance coverage, this is genuinely significant.

The medication discount alone could save thousands of dollars per cycle.

But there is important fine print.
To access the full savings, you have to enter through Sesame, a cash-pay telehealth platform.
The discounts cannot be billed to insurance.
Donor eggs, donor s***m, and surrogacy are excluded.
And the treatment packages are standardized, not customized.

Swipe to get the full breakdown: what it costs, who it helps, who it doesn’t, and what I really think about where this leaves us.

Progress? Yes. The finish line? Not even close. Fertility care should be accessible to every family, not just Costco members.

Save this and share it with someone who needs to know their options.

03/14/2026

Thanks Great Advice 😒

Share in comments your favorite worst fertility advice!

Curious about fertility?
Comment here or DM me with ‘Fertility101’ (no spaces) for my free ebook with answers to 101 of the most common questions on fertility, ovulation, miscarriage, IUI, IVF, endometriosis, and PCOS. Be sure to follow for me to DM link to you.

03/10/2026

Is Inflammation the Answer to Unexplained Infertility?

What if inflammation is quietly affecting your fertility? What if the key to improving egg quality and hormonal balance isn’t just medical treatment, but the everyday choices you make? And what if understanding your body earlier could change your entire fertility journey?

In episode 166 of Brave & Curious, Dr. Lora Shahine welcomes fertility specialist Dr. Natalie Crawford to explore how inflammation influences reproductive health and what women can do to support fertility from the inside out.

Dr. Natalie Crawford is the author of The Fertility Formula, and she is here to share how her own experience with infertility and pregnancy loss shaped her passion for empowering patients with science-based fertility education.

Together, she and Dr. Shahine discuss the growing role of chronic inflammation, insulin resistance, environmental exposures, and lifestyle factors in fertility challenges. Dr. Crawford explains why fertility medicine often reacts too late in the process and why understanding hormones, ovarian reserve, and reproductive health earlier can help people advocate for themselves and make informed decisions.

In this episode you’ll hear:
[2:32] Dr. Natalie Crawford’s fertility journey
[7:00] Chronic inflammation and fertility
[20:59] Insulin resistance impacts hormones, ovulation, & egg quality
[26:34] The connection between stress, cortisol, and fertility outcomes
[28:09] Sleep is an important fertility-supporting habit
[32:41] Strength training to improve hormone health
[41:23] Nutrition basics that work
[48:25] Dr. Crawford’s framework: Educate, Advocate, Optimize

03/08/2026

Up bright and early this Sunday teaching for the MRSi Board Review Course

Teaching the next generation of reproductive endocrinologists all about recurrent pregnancy loss

I truly love teaching and honored to be asked to do this course. I remember how tough it was to balance fellowship, family, and the rest of life to study for this huge board exam. I truly hope I’ve helped make one part of the test a little easy to manage.

This is a great reminder of what it takes to become a double board certified OBGYN and reproductive endocrinologist like me:

🔴Bachelor’s degree (4 year college - I went to Georgetown)
🔵MCAT test to get into medical school

🔴Medical school (4 years - I went to Wake Forest)

USMLE standardized testing to obtain MD
There are 3 written tests
🔵Step 1 Taken after the first two years. Covers basic sciences: anatomy, physiology, biochemistry, pharmacology, pathology, microbiology, etc.
🔵Step 2 Taken during the third or fourth year. Focuses on clinical sciences and patient care across specialties.

🔴OBGYN residency 4 years - I went to UCSF

🔵Step 3 Taken during residency. Tests the ability to apply medical knowledge to patient management. Passing this is required to obtain a full, unrestricted medical license.

To be a board certified OBGYN
Finish residency and pass
🔵 Written exam or ‘Qualifying exam’ taken towards the end of residency
🔵 Oral exam taking 2-3 years into practice You submit a log of cases you’ve managed. Examiners question you on clinical decision-making based on your actual cases. This is rigorous and conversational — no multiple choice

To be a board certified reproductive endocrinologist- REI:

You have to be a board certified OBGYN before you can apply for REI board certification

🔴ACGME accredited REI fellowship 3 years - I went to Stanford

Finish fellowship and pass
🔵 Written exam or ‘Qualifying exam’ taken towards the end of residency - this is what I was teaching today
🔵 Oral exam taking 2-3 years into practice You submit a log of cases you’ve managed. Examiners question you on clinical decision-making based on your actual cases. This is rigorous and conversational — no multiple choice

03/06/2026

Guilty as Charged❤️

Address

1101 Madison Street, Suite 1050
Seattle, WA
98104

Telephone

+12065150000

Website

http://www.lorashahine.com/

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