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I’m an IVF Doctor. Business Is Booming Because Ob-Gyns Aren’t Doing Their Jobs.
Just last Monday, a woman sat across from me in my office and asked a question I have come to dread. Why had no one told her? She is 33, a therapist, married three years, and she has been to her gynecologist every year since high school. She was also on the brink of perimenopause. She had assumed that when she was ready, her body would be too. No one in two decades of annual visits had ever explained that the most consequential decisions about her capacity to bear children were being made by her ovaries on a calendar she could not see, while her doctor took her blood pressure and refilled her birth control. She is the patient I see several times a month. She is the most preventable tragedy in American medicine. I am board certified in both obstetrics and gynecology, and reproductive endocrinology. There’s a fertility crisis happening right now in America—and a furious debate about who is to blame. The alleged culprits include housing, smartphones, and capitalism. One group is getting off lightly: ob-gyns. Read [ How Perimenopause Became America’s New Health Scare ](https://www.thefp.com/p/how-perimenopause-became-americas) In July, the Centers for Disease Control and Prevention (CDC) reported that the U.S. fertility rate had fallen to fewer than 1.6 children per woman—the lowest figure in our history—despite a 2025 survey of American Gen-Z women that found that nearly three-quarters intended to become mothers. American women are not opting out of building a family. They are running out of time.
How AI Is Reshaping Entrepreneurship for Gen Z and Small Business Owners
Artificial Intelligence (AI) is transforming entrepreneurship by lowering barriers like cost, connections, and expertise. As a result, 77% of founders say it’s now accessible to start and grow a business regardless of background. Gen Z is driving this shift, with 73% managing multiple income streams and using AI to start and grow businesses. The result is a rise in flexible “portfolio careers,” where networks, personal branding, and digital tools are key to success. Key findings from LinkedIn’s research: 77% of founders say entrepreneurship is accessible regardless of background 73% of Gen Z entrepreneurs have multiple income streams 69% of founders say entrepreneurship is more achievable than ever 75% of entrepreneurs say networks are critical to success 68% of Gen Z entrepreneurs say AI is important to their business How are Gen Z entrepreneurs reshaping business? New research from LinkedIn shows how the use of AI, shifting career priorities, and evolving definitions of success are reshaping how businesses are started and grown. Gen Z is leading a shift toward more flexible ways of working, with nearly three-quarters (73%) of Gen Z entrepreneurs reporting multiple income streams, compared to 56% of Gen X. This highlights growth in “portfolio careers” designed to build resilience and create greater control over work and income. How is AI making entrepreneurship more accessible? AI and digital tools are making entrepreneurship more accessible, lowering traditional barriers such as cost, connections, and expertise. More than three-quarters (77%) of founders say entrepreneurship is accessible regardless of background, while 69% say it is more achievable today than ever before. Younger entrepreneurs are driving this change, with more than two-thirds (68%) of Gen Z entrepreneurs reporting that AI and digital tools are important to their business, more than twice the rate of Baby Boomers (27%). Nearly one in five (18%) Gen Z entrepreneurs say AI made starting their business feel possible. AI is also helping small business owners compete for talent: 57% of US entrepreneurs say that AI can help them compete with larger companies to find and attract better candidates. Related: The AI Edge for Entrepreneurs