"men need to understand the average age of the father has gone up about three and a half years and with that the chance of problems with the child also can increase then that pregnancy becomes a lot ri..."

"Dr Michael Eisenberg why do you do what you do and what you do it's a pleasure to be here certainly an honor um I kind of see myself as a researcher and advocate for Men's Health men's reproductive He..."

"reproductive Health really I mean I guess as it sort of name implies would be you know trying to have a baby um but I think it's so much more than that because I think what we're really learning is th..."

"Longevity so um like having a partner actually increases survival so if you like compare sort of if you have like a you know a man with a partner and a child if you then take away the partner the chan..."

"maybe 20 30,000 and how many years have you been working on this subject of sort of male Health fertility uh reproductive Health all these kind of about probably 10 to 15 years it feels like the world..."

"assessment there accurate and can that be supported with what you're seeing I mean I think so I you know obviously I guess I would say I'm biased and that I think this is um you know very interesting ..."

"um that's leading to this and I think it's you know it's something that we're doing to ourselves potentially there's some environmental exposure I think all these things are you know really interestin..."

"lot riskier what is the rate of decline in men and women um in terms of fertility so I think you know if your guest you're looking from an evolutionary standpoint you know Peak fertility probably be l..."

"increasing problem for society yeah I mean I think very much so right it's existential I mean you know as a disclaimer obviously I'm in the fertility business so um you know I do certainly care about ..."

"which I thought was a really interesting idea but it's a sign of things to come yeah yeah I mean it's fascinating right I mean I think that these you know the economic ministers Prime Ministers are re..."

"was really you know kind of surprising um very interesting and so you know other investigators have used studies like that kind of pulled them all together using kind of advanced statistical technique..."

"right New York would be kind of hustle bustle Metropolis maybe they would have some poor risk factors but turns out they had the best sperm and so why that is is you know wasn't certain but it just sh..."

"obesity I think we're certainly different now than we used to be you in terms of walking around you know um sedentary Behavior people have you know hypothesized different chemicals in the environment ..."

"chemicals and where do we find them CU I I I spoke to someone who was a urologist recently um I think from NYU and they were telling me that things like the microplastics and I'm not particularly awar..."

"of that action or block some of that action and so if that happens um it can affect you know normal development of you know boys or girls you know maybe you know again affect sort of semen quality if ..."

"there is data that that's um you know a very you know large exposure that kids get and I think it's you know fairly easy now to remove that what does the data say about plastic bottles you know if you..."

"impact sperm production there there have been studies to show that men that you know use you know saunas on a regular basis they have lower sperm counts and then when you withdraw that exposure um spe..."

"well with that belt that you mentioned that it holds the sort of test testicles closer to the body I'm guessing it's doing that to heat them up basically which reduces the sperm count MH obviously the..."

"genitals that's you know another common question that I get um and that is certainly something that's changed right now versus you know 20 30 years ago uh so there were some studies that you know init..."

"yeah and I always refuted it and thought now there's no way there's no way because they would have tested it and the test seems so easy you get sperm you put it in a little thing you put the phone on ..."

"see a sort of big difference between hot countries and cold countries or sort of warm countries and sperm counts then so if I in sort of subsaharan Africa I'm assuming my sperm count will be pretty lo..."

"vary based on uh time of year so during the hotter months it does go down a little bit you know not meaningfully um and then during the cooler months it it goes up a little bit but the other thing is ..."

"environmental yeah Factor yeah some people have postulated during World War II they were very isolated and so potentially there were some chemical exposures that have just you know kind of persisted u..."

"combination but that is something I I do think about when I see you know my patients and we do talk about sort of heat exposures as well and see if there's you different sort of strategies they can us..."

"can affect SE quality if I if I came into your clinic and I said Dr Michael I I'm trying to have a kid with my partner and I want to make sure that everything I'm doing is giving me the best chance of..."

"you're kind of thinking about four I I would agree that you should get started fertility issues we tend to think of it I think there's a stereotype that it's typically the woman who has the fertility ..."

"reverse you mentioned testosterone would be one of the things that you would measure if you were trying to make sure that my fertility was good male testosterone decline this is another Hot Topic you ..."

"lower what about movement and exercise does that have an impact on our testosterone levels in a significant way yeah I mean I think that you know the more walking you do the more active you are we've ..."

"want to keep our levels in a normal range um because I think it yeah kind of helps us with our function and our life uh and happiness how how does the impact our sort of muscles and Bones I don't real..."

"things are um are important they usually don't get into those problems unless men are very very low I would say that you know I don't know you but you know the average testosterone levels are probably..."

"you know some of the symptoms of lower energy level sex drive problems things like that so low testosterone typically means lower sex drive uh it can it's one of the it's one of the common symptoms th..."

"some people their testosterone treatment does it actually have an adverse effect if you take it basically when you don't need to I mean even when you do need to I think it could C sometimes cause issu..."

"count negatively um I I I saw a quote from you that said if we take a hundred of my infertile patients that I see in the clinic at least five of those men will be infertile because they're on testoste..."

"know one thing I always tell men is that we're not trying to get them to superum right we're just trying to get you to normal so I think if we monitor it closely most men you know will do okay again t..."

"well do you have many men coming to you to talk to you about hair loss and Bolding uh some men do I think one of the ways that men talk to me about it is one of the common medication for that is finas..."

"susceptible and so one of the interesting thing about trials is there's you know kind of inclusion and exclusion criteria right not not everybody can be in it and so if men had sperm counts that were ..."

"ever stop I don't know if you've ever had any experience in it because I know you focus predominantly on male Health but um I've had a long conversation about contraceptive pills with my partner becau..."

"what is the typical way of getting a testosterone replacement therapy is it a pill is it an injection that I have to take um I know that it's quadrupled according to the data in the US since two since..."

"like to your partner to anybody that kind of touches your skin so if you have young kids just to sort of be aware of but as long as you know you put it on let it dry put clothes on over it it's not a ..."

"Airline anything that's good for your heart should be good for your hairline so I would exercise I think that's good but what if I'm doing like Iron Mans and Thousand Mile runs and all that kind of th..."

"what about penis size I heard you did some pretty Landmark research which suggests that the length of a man's penis is increasing decade over a decade in terms of um men that are being born and boys t..."

"I think one hypothesis we had kind of looking at sort of different endocrine you know abnormalities um and changes in puberty is that if men go through puberty or boys go through puberty earlier that ..."

"know kind of enough to make a big big difference um you know people as this study came out we talked about you know very enterprising patients kind of reaching out sending emails some people hypothesi..."

"blood flow issue because I used to think it was more of like a like a hormonal thing or a psych psychology thing like you know sexual anxiety or some kind of you know change to our testosterone levels..."

"erection is that increasing in popularity I think you know there it's made by a few manufacturers in in the US or in the world um and I so I think the data is not as freely available I mean in my prac..."

"to to know that men have that installed now is amazing yeah yeah the I mean it's uh yeah it's very common um the youngest patient I put it in is about 20 the oldest is in his 80s what was the is it se..."

"life I mean I think that unless we're treating a problem I would be very hesitant you know one of my favorite saying is the enemy of good is better so if things are good you know to try and get better..."

"right by a lot of the structures are important for erections and for reproduction so when people have prostate treatment because they've got a prostate cancer are they getting their prostate removed s..."

"how often do you think we should get our prostate checked and what are the symptoms that we should be looking for from a sort of a urinary standpoint I think that if urination bothers you you should t..."

"turns 70 you know some of the guidance or some of the screening patterns will vary based on family history which is a very strong predictor of cancer risk is there anything I can do or is there any re..."

"so that you're more likely to get you know a full night's sleep you know waking up once at night is not that unusual um but if it becomes a little bit more frequent you know that's one strategy that s..."

"ore uh the defoliant that was used during Vietnam war that was found to be a risk factor for prostate cancer so um I don't know why you would but try and try and avoid Ancient Orange um but otherwise ..."

"who use it for fast file downloads and accessing local networks especially when we're shooting the podcast in different parts of the world like New York where I am now and La nordvpn is incredibly sim..."

"the penis that trap blood inside and sometimes Scar Tissue can form on those layers um for different reasons it's thought maybe microt trauma some men do remember sort of a traumatic sexual episode th..."

"just as sort of a public service announcement um if men are suffering from this again talk to your doctor because there are treatments that we can we can offer okay so let's conclude then if I want to..."

"maintain the benefits of their sperm count versus men that were you know kind of fell off the exercise routine they ended up gaining back you know their weight and then their sperm counts declined aga..."

"know you do seem to see Improvement you know in contrast um you know some men also ask about like bariatric surgery which you know again may be declining a little now with these you know very effectiv..."

"at semen quality as an outcome what about supplementation is there any supplements one might recommend I guess it's difficult for you to recommend supplements but are there any sort of vitamins or min..."

"that that can help protein does that play a role in fertility or testosterone I think you know again sort of part of a balanced meal part of a balanced sort of diet I think it's important what's your ..."

"really help these men is there of all the subjects we've discussed today is there a particular part of it that concerns you the most well I think you know when we're talking about sperm counts declini..."

"improve it what would you say to a man that's listening to this that's struggling with any of the things we've discussed what is what is your your closing message for them well I think I would just tr..."

"for the next not knowing who they're leaving it for the question that's been left for you is a tricky one it is what's one thing you would do to change the world I guess one thing that I would do to c..."

"benefit to that Dr Michael Eisenberg thank you so much for your time and thank you for the work that you're doing because you know you're uh you're helping to ultimately to create families and to also..."