Michelle Obama recently opened up about using in vitro fertilization (IVF) to conceive her daughters during a recent episode of her “IMO Podcast.”

“I got pregnant once and miscarried, which was devastating,” Michelle explained. “We tried and tried and tried, and we had to do IVF for both girls, which is more of a thing than I knew then. More young women are talking about their conception journey, that it’s not always guaranteed.”

Michelle first revealed her use of IVF at the Democratic National Convention and in her 2018 memoir “Becoming.”

She said she felt “lost and alone” after suffering a miscarriage in her early 30s. “We were trying to get pregnant and it wasn’t going well,” she wrote in her book.

“We had one pregnancy test come back positive, which caused us both to forget every worry and swoon with joy, but a couple of weeks later I had a miscarriage, which left me physically uncomfortable and cratered any optimism we felt.”

Michelle said she felt like a failure when she couldn’t conceive on her own. She took hormone shots to better increase her chances of carrying the implanted fetus.

She described giving herself hormone shots while her “sweet, attentive husband” was at the Illinois state legislature, “leaving me largely on my own to manipulate my reproductive system into peak efficiency.”

Michelle and Barack Obama welcomed their first daughter, Malia Ann, now 27, on July 4, 1988. Sasha Obama, now 24, was born on June 10, 2001.

The former First Lady has never provided photos that show her pregnant with either daughter. That and other missing information led people to incorrectly assume she was born a man.

Michelle said using IVF made her confront the realities of opening up about her own reproductive health. Keeping that information to herself may have fueled the false rumors.

“I think it’s the worst thing that we do to each other as women, not share the truth about our bodies and how they work,” she said.