Dr Divpreet Sacha

Dr Divpreet Sacha Dr Divpreet Sacha | UK GP | TTC Fertility & IVF Support | Fertility Foundations - The 18+ Hour On Demand Fertility Programme Created By A Doctor Who’s Lived It

08/06/2026

“Why does my GP tell me one thing and Google tell me another?”

It’s something Dr Divpreet Sacha hears a lot. She knows the NICE guidelines better than most. Dr Divpreet also knows exactly what they are designed for and why that gap exists between what your GP can offer you in a 10-minute appointment, and what the research is showing.

In this reel, she talks through NICE does and doesn’t cover when it comes to fertility nutrition, and why understanding that distinction can be so useful.

Her full piece is on our blog (link in bio)🩵.

The research connecting reproductive health to whole-body health has been building for years. 📊What it consistently show...
04/06/2026

The research connecting reproductive health to whole-body health has been building for years. 📊

What it consistently shows:
🔹 Fertility conditions carry independent cardiometabolic risk, beyond their effect on conception
🔹 For many, infertility is the presenting symptom of a systemic condition not yet named
🔹 Men at fertility evaluations are regularly found with undetected cardiovascular risk markers
🔹 The investigations exist. The clinical framing hasn't kept pace. 🔍

Reproductive health deserves the same diagnostic weight as any other system. 💙

Infertility Awareness Month. This is what that awareness looks like in practice.

🔬 Research: PMID 37738036 · 36847044 · 35512976 · 37856152 · 25331207 · 41285026 · 26674559 · 28498890

22/04/2026

If I could ‘prescribe’ a diet for fertility & hormonal health it would be the Mediterranean diet 🥗

🦠 Your gut microbiome helps clear oestrogen from your body. Fibre feeds it. Most of us aren’t eating enough.

🫒 Olive oil, nuts, seeds, these fats support how your body metabolises oestrogen, not just “heart health”

💊 If you have PCOS, omega-3s (oily fish, walnuts, flaxseed) have real evidence behind reducing androgen excess

⚡ Ultra-processed foods knock your insulin sensitivity, and that sits at the root of so many hormonal conditions

🔥 Low-grade inflammation quietly drives hormonal disruption. What you eat day to day either feeds it or calms it

The research can’t be packaged like a drug trial, which is why you won’t get a formal prescription for it. But the evidence pointing in the same direction, across multiple conditions, is hard to dismiss 💡

A nutritionist who specialises in women’s health can actually make this personal to you ✨Some brilliant nutritionists I know .dietitian.uk and there are so many others

I’ve sat in both sides of that appointment.As a GP I’ve delivered the answers. As a patient going through IVF, I’ve rece...
19/04/2026

I’ve sat in both sides of that appointment.
As a GP I’ve delivered the answers. As a patient going through IVF, I’ve received them.
What I understand now that I didn’t then — the appointment can only tell you what the framework allows. It was never designed to explain why.
🏥 Why “we don’t offer that” isn’t always a clinical verdict
💷 Why NICE also controls what gets funded — and what that does to the language
📅 Why some topics were excluded before the guideline was written
🌍 Why four international bodies read the same evidence and reach different conclusions
Has an appointment ever left you with more questions than answers?

National guidance on fertility has been updated for the first time in 13 years. And on the whole, I feel quite deflated....
13/04/2026

National guidance on fertility has been updated for the first time in 13 years. And on the whole, I feel quite deflated. 😔

Because the system still sees a pathway, not a person. 🔬 The age-42 cutoff is financial, not clinical — and that’s in NICE’s own document. Mental health isn’t mentioned once. 🧠 Nutrition, sleep, stress, environmental health — all excluded before the writing even began.

I’m a GP. I work in this space. And I think people going through fertility treatment deserve to know the difference between a clinical limit and a cost decision. 💛

31/03/2026

The hardest part isn’t just “not knowing what to do.”

It’s feeling like you should be doing something… all the time.

Tracking more 📱
Researching more 🔍
Trying more 💊

But in reality?

A lot of this “action” is just anxiety in disguise.

And it’s exactly what the fertility space feeds on.

Because the more overwhelmed you feel,
the more likely you are to buy, try, and constantly change things.

What actually helps is different:

Doing less—but doing it intentionally 🎯
Sticking to one plan long enough to assess it ⏳
And knowing when something is outside your control 🧠

You’re not falling behind by not doing everything.

You’re protecting your energy for the things that actually matter 🤍

52% of women in IVF report clinically significant stress or anxiety- There is no standard UK pathway to address it.It af...
18/03/2026

52% of women in IVF report clinically significant stress or anxiety- There is no standard UK pathway to address it.
It affects day to day functioning, treatment adherence, and whether people keep going with treatment— not just how it feels.
More support exists than most people realise, which we’ve mapped it out. Read the latest blog which covers what else we discussed in the masterclass - or look to access the masterclass replay link in bio.

17/03/2026

I went through IVF as a doctor. I knew every stage, every drug, every side effect.
It still broke me. 🌿
4 in 10 people going through fertility treatment experience suicidal thoughts during the process. Not because they can’t cope — because the support around them was never built for what they’re actually carrying.
Here’s something most people don’t realise they can do:
If your employer has an occupational health department, you can self-refer — proactively, before you hit crisis point. They can recommend adjustments and support your manager in understanding your needs, without you having to over-explain your treatment.
That option exists. Most people going through IVF never know to ask for it. 💙
I spoke about this on the with my lovely colleague Fey.

Mother’s Day is not one thing. 🤍For some it’s joy — breakfast in bed, chaos, noise, flowers. For others it’s quietly get...
15/03/2026

Mother’s Day is not one thing. 🤍
For some it’s joy — breakfast in bed, chaos, noise, flowers. For others it’s quietly getting through the day, a smile held a little too long.
For some it’s grief. The absence of someone who should be here. A relationship that was never what it should have been. A loss that doesn’t stop being a loss because the calendar moves on.
🌿 And for some it’s a longing that has no name yet — for a pregnancy lost, for a child not yet here, for a version of motherhood that looks different to what you imagined.
All of it is real. All of it deserves space.
As a GP, a fertility advocate, and someone who has sat in that longing myself — I know how invisible this day can feel when your experience doesn’t fit the greeting card. 🕊️
Wherever today finds you — you are seen here.

13/03/2026

94% of people going through fertility treatment say it affects their mental health.

Yet it’s still one of the least talked about parts of the journey.

💙

With Mother’s Day approaching, this time of year can feel even heavier for many people trying to conceive.

I really struggled with my mental health during infertility.

For me, the right support at that time was medication alongside counselling.
I know medication isn’t the right path for everyone, but support in some form can make a huge difference.

Infertility is not just a physical journey.

It can affect your identity.
Your relationships.
Your emotional wellbeing.

If this Sunday feels difficult, please know you are not alone.

And if infertility is affecting your mental health, you deserve support — whatever that looks like for you.

Please don’t suffer in silence. 🤍

📊 Source: Fertility Matters at Work / Ferring, 2025

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