Male Fertility Uncovered: Myths, Men’s Health, and the Science Behind Declining Sperm Counts

madman · Jul 7, 2026

Who knew LOL!

* Rena Malik, MD brings together leading experts Dr. Helen Bernie, Dr. James Smith, and Chief Medical Advisor of Swim Club Dr. Michael Eisenberg to discuss male infertility, declining sperm counts, and how lifestyle factors impact reproductive health.

In this episode, Rena Malik, MD brings together leading experts Dr. Helen Bernie, Dr. James Smith, and Chief Medical Advisor of Swim Club Dr. Michael Eisenberg to discuss male infertility, declining sperm counts, and how lifestyle factors impact reproductive health. The panel debunks popular fertility myths, examines the dangers of testosterone therapy, and explores the effects of environmental exposures like plastics and heat. Listeners gain practical, evidence-based advice for preserving fertility, improving overall health, and navigating common concerns about male reproductive wellness.

madman · Jul 7, 2026

Thread 'Why Is Male Fertility Crashing Globally?'

Jul 26, 2025

Dr Michael Eisenberg is a professor of Urology at Stanford, a urologic surgeon, and a leading expert in male fertility and reproductive medicine.

It's no secret that global population decline is accelerating, but what's driving it? Male fertility might be a major piece of the puzzle. So why are so many men struggling with infertility and low testosterone, and what can be done to reverse it?

Expect to learn why global sperm counts have declined by over 50% in the last 40 years, what the...

madman · Jul 7, 2026

Thread 'Helen L. Bernie, DO, MPH, outlines clinical management of hypogonadism in fertility-desiring men'

Dec 26, 2025

* Finally, Bernie noted unresolved controversies in the field, including the optimal duration of fertility-preserving therapies, long-term outcomes of hybrid regimens combining testosterone with hCG, and best practices for sperm recovery after prolonged testosterone exposure. She emphasized the urgent need for larger, prospective, fertility-focused studies to guide future care.

Exogenous testosterone therapy and fertility are fundamentally incompatible.

In a talk at the 2025 Sexual Medicine Society of North America meeting in Grapevine...

madman · Jul 7, 2026

Thread 'Advancements in semen analysis and male fertility testing'

May 14, 2024

In this episode of Backtable Urology, Dr. James Smith, Director of Male Reproductive Health at UC San Francisco and CMO of Fellow, discusses advancements in semen analysis and fertility testing with Dr. Jose Silva.

First, Dr. Smith introduces the significance of a comprehensive approach to examining male fertility, including total motile sperm counts and treatable conditions like prostatitis. He also highlights the role of the Fellow kit, a mail-in semen analysis test that improves the access and availability of sperm analysis. He explains the...