Leven Rambin on IVF at 36: Why She Stopped Waiting

One doctor called her old and barren. Another said she was the youngest patient they’d ever treated for IVF. Welcome to the beautifully contradictory world of fertility, where age is less a number and more a moving target depending on who’s holding the stethoscope.

Fire Country’s Leven Rambin, 36, opened up on TikTok about her decision to pursue in vitro fertilization, and in doing so, she cut through the noise that surrounds fertility conversations—the judgment, the timelines, the competing narratives about when a woman’s body is“ready.”In a June 5 upload, Rambin was refreshingly candid about the whole thing: she’s tired of waiting. She wants to act, travel for work, keep her career momentum going. IVF, for her, isn’t about desperation or last-ditch hope. It’s about agency.

What’s particularly striking about her approach is the honesty baked into it. Rambin admitted she wishes she’d frozen her eggs when she was younger and single, back when she“didn’t feel like I was under the gun.”But she’s also clear-eyed about where she is now: she married Dawson Smith in 2025, she’s in a strong position medically (her doctor reassured her that her body is normal and within the average range for getting pregnant), and she’s choosing to move forward on her own timeline, not biology’s. That’s a radical thing to say out loud in a culture that still treats fertility as something that happens to women rather than something they can shape.

Days before her longer explainer, Rambin shared footage from her gynecologist’s office where she detailed a plan: endometriosis diagnostic surgery followed by IVF. The timing felt strategic, and her doctor confirmed it—the best window for pregnancy comes right after that procedure. It’s the opposite of panicked; it’s planned.

There’s also the insurance piece, which Rambin mentioned matter-of-factly. She needs the endometriosis diagnosis to get coverage for IVF. That’s not her story alone; it’s a reality for countless people navigating a system that treats reproductive health as optional rather than essential. By naming it, she’s pointing to a larger gap.

The comment section filled with other women sharing their own IVF journeys, offering support and solidarity. Rambin thanked them, calling the topic“a fascinating journey”she wants to share with her audience. That openness—treating fertility not as a private shame but as a conversation worth having publicly—might be the real moment here. At 36, on her own terms, with her eyes wide open, Leven Rambin is choosing her next chapter.