Podcast Summary
The Controversy Surrounding Sperm Quality Decline: There is ongoing debate among experts about whether there is a decline in sperm quality over time, with conflicting results from different studies fueling the controversy.
The topic of sperm quality decline is still highly controversial and debated among experts. Sperm quality is important for reproduction and is assessed through various parameters like semen volume, sperm count, motility, and morphology. The World Health Organization sets guidelines to determine what is considered normal or subfertile. While a landmark study in the early 1990s suggested a temporal decline in sperm quality over the past 50 years, subsequent research has generated conflicting results. The controversy arises from differences in study methodologies and the weight given to earlier studies. More recent studies continue to fuel the debate, with experts split on whether there is an actual decline in sperm quality over time.
The decline in semen quality: causes, variations, and implications: Semen quality is declining globally due to various factors like chemical exposure, lifestyle changes, and genetic variations. Long-term monitoring and assessing its impact on fertility are crucial.
There is evidence suggesting a decline in semen quality among men. Studies from various regions, including western countries, Africa, and Asian countries, support this decline. Possible reasons for this decline include environmental exposures to chemicals like phthalates and BPA, changes in lifestyle and diet leading to an obesity epidemic, and potential genetic variations among different populations. Interestingly, there is geographic variation in semen quality, indicating that factors like environmental exposures and lifestyle may play a role. Longitudinal data tracking semen quality over time, similar to how obesity is monitored, would provide valuable insights into this issue. Additionally, it is important to assess the impact of deficient sperm quality on successful pregnancy rates, especially for couples trying to conceive.
Addressing the Neglected Issue of Male Infertility: Male infertility is a significant factor in reproductive health and needs more attention and research in order to improve fertility treatments and overall wellbeing.
Male infertility is often overlooked and underestimated, despite the fact that men contribute to infertility almost as much as women. The focus on female fertility has historical reasons, but it is crucial to understand and evaluate male fertility as well. The advancements in assisted reproductive technologies, like IVF, have lowered the bar for fertility treatments by requiring fewer sperm for successful conception. Testosterone levels in men are declining, potentially impacting fertility, vitality, energy, mood, and sexual health. Possible explanations for this decline include chemical exposure, obesity, and heat effects. While there is not compelling evidence that carrying cell phones in pockets harms testosterone levels, it may affect sperm quality. Overall, there is a need for greater attention and research on male fertility and reproductive health.
Understanding Variation in Testosterone Levels Among Men: Testosterone levels can vary greatly among men, and even individuals with high levels can still experience issues related to sexual function or low energy levels. Other factors may also influence these issues.
There is a lot of natural variation in testosterone levels among men of all ages. While testosterone levels generally tend to decline with age, there are individuals who maintain high normal levels well into their later years. This means that what may be considered "average" or "normal" testosterone levels can vary greatly among men. In clinical practice, it is not uncommon to see older men with testosterone levels similar to those seen in men in their twenties. However, it's important to note that even men with high testosterone levels can still experience issues related to sexual function or low energy levels. This suggests that there may be other factors at play beyond testosterone levels alone.
Exploring the Myths and Realities of Obesity, Testosterone, and Semen Quality: Objective screening is essential to accurately assess health parameters, regardless of outward appearance. Avoiding external heat sources to the scrotum can preserve semen quality, and optimizing health involves finding balance within the normal range.
There is no direct correlation between obesity and testosterone levels or semen quality. The appearance of being healthy or not obese does not necessarily indicate normal testosterone levels. It is important to get objective data through screening to assess these health parameters accurately. Additionally, factors such as heat, including hot tubs and saunas, can negatively affect semen quality. It is advised to avoid external heat sources to the scrotum, as the testicles need to be kept cooler. However, bringing a cold pack to the sauna may help counteract the heat's negative effects. Overall, optimizing health parameters requires individualized approaches and may not always be about achieving the highest levels, but rather finding a balance within the normal range.
Mitigating the Effects of Heat on Sperm Production and Endocrine Function: Cooling the scrotal area with a cold pack and taking care of overall health can help maintain sperm production while using a sauna, while being cautious of potential negative effects of exogenous testosterone use.
Excessive heat, such as spending extended periods in a hot sauna, can negatively affect sperm production and endocrine function in males. However, there are ways to mitigate this risk. Cooling the scrotal area with a cold pack or using specially designed cold packs that have insulation can help maintain adequate sperm production while enjoying the benefits of a sauna. It's important to be cautious and avoid frostbite to the scrotum by not allowing the cold pack to directly contact the skin. Taking ownership of one's health is also crucial, as maintaining overall health and addressing comorbid conditions like obesity, hypertension, and hyperlipidemia can help preserve testosterone levels and sperm quality. Additionally, it's essential to understand the potential effects of exogenous testosterone use, as it can significantly reduce sperm count and may lead to DNA fragmentation in remaining viable sperm.
The impact of testosterone therapy on male fertility and the importance of open discussions about potential risks and implications.: It is crucial for men undergoing testosterone therapy to have open discussions about the potential risks and implications on fertility, and to consider alternatives such as hCG to stimulate sperm production. Taking care of lifestyle factors such as avoiding smoking and excessive alcohol consumption is also advised for overall health and reproductive well-being.
Testosterone therapy can negatively impact fertility in men. While some individuals may require testosterone replacement for medical reasons, others pursue it for augmentation. However, it is crucial to have open discussions about the potential risks and implications, especially for reproductive-age men. Studies show that a significant number of infertile patients are on testosterone therapy without being informed about its effects on sperm production. One approach to mitigate this is using human chorionic gonadotropin (hCG) to stimulate endogenous sperm production. Additionally, lifestyle factors such as smoking and excessive alcohol consumption can also impact fertility. While there may be some uncertainty regarding the effects of nicotine on sperm, it is generally advised to avoid smoking for overall health and reproductive well-being.
Genetic variations in alcohol metabolism and their impact on different populations: Different populations may have genetic variations that affect their ability to metabolize alcohol, leading to flushing and potential harmful effects. It is important to drink in moderation and be cautious of other drug use to protect reproductive health.
Certain populations, particularly East Asian cultures, may have a genetic mutation that affects their ability to metabolize alcohol. This can lead to flushing and potentially harmful effects from alcohol. However, other populations, such as those of African ancestry, Hispanic ancestry, and Ashkenazi Jewish ancestry, may also have slight variances in the gene that produces alcohol dehydrogenase, resulting in less efficient alcohol metabolism. The presence of these mutations suggests that there may have been evolutionary advantages associated with them in the past. While it is still unclear if zero alcohol is better for sperm and endocrine health than moderation, it is generally advised to drink in moderation and be cautious of other drug use, as these substances can negatively impact reproductive health.
The Effects of Cannabis Use and Other Factors on Sperm Quality and Testosterone Production in Men: Regular cannabis use may have negative effects on sperm quality and testosterone production, but the relationship is not yet fully understood. Other factors such as medication use and traumatic head injuries may also play a role in reproductive health.
Regular cannabis use may have negative effects on sperm quality and testosterone production in men. While there are some studies showing a link between cannabis use and lower sperm concentration, motility, and morphology, other studies have shown no significant effects. The composition, frequency, and method of cannabis use may play a role in its impact on reproductive health. Additionally, common over-the-counter medications like non-steroidal anti-inflammatory drugs such as ibuprofen and acetaminophen are generally considered safe for sperm quality and testosterone levels. Traumatic head injuries, particularly in contact sports, do not appear to have a direct impact on reproductive health, although further research is needed. Non-endocrine and non-chemical factors, such as bicycle seat pressure, may have some effects on sperm quality and testosterone levels, but more research is required to understand the extent of these impacts.
The impact of cycling on male reproductive and sexual health: Standing up and using anatomically supportive saddles can help reduce the negative effects of cycling on male reproductive health, while increasing physical activity levels can improve overall male sexual health.
Cycling, particularly for long periods of time, may have negative effects on male reproductive and sexual health. The heat exposure and pressure on the genitals can lead to a decrease in sperm production and blood flow to the penis. However, not all cyclists are affected, with approximately 20-30% experiencing discomfort or dysfunction. It is recommended to stand up in the saddle to dissipate heat and pressure, and consider using saddles designed for better anatomical support. On the other hand, being more physically active, such as walking more steps, is associated with higher testosterone levels and improved testicular function. This suggests that increasing activity levels can benefit overall male sexual health, irrespective of obesity.
Testosterone therapy and the risk of prostate cancer: Research has shown that testosterone therapy does not increase the risk of developing prostate cancer, debunking the popular belief that there is a connection between the two.
Testosterone therapy does not increase the risk of prostate cancer. There is a popular belief that testosterone is linked to prostate cancer, but research has shown that this is not the case. Longitudinal studies spanning decades have convincingly demonstrated that giving testosterone to men does not change their risk of developing prostate cancer. This seemingly contradictory finding can be explained by the saturation model, which suggests that once there is enough testosterone in the body (even at a fairly low level), the prostate's testosterone receptors are "filled" and giving more testosterone does not impact prostate cancer risk. Therefore, when considering prostate health and the use of testosterone therapy, there is no increased risk of developing prostate cancer.
The Importance of Sleep for Male Reproductive Health: Getting enough quality sleep is essential for maintaining good sperm quality, testosterone levels, and overall reproductive health in men. Adequate sleep also indicates better overall health and longevity.
Maintaining a healthy sleep pattern is crucial for overall male reproductive health. It is normal for men to wake up once during the night to urinate, assuming they have tapered liquid intake before bedtime. However, consistently getting less than seven to nine hours of quality sleep per night can negatively impact sperm quality and testosterone levels. Adequate sleep is directly correlated with better semen quality and testicular function. Semen quality, in turn, serves as a reliable indicator of a man's overall health and vitality. Studies show that men with higher semen quality tend to live longer, have lower rates of disease, and require fewer doctor visits. Prioritizing sufficient sleep can have far-reaching benefits for male reproductive health and overall well-being.
The Importance of Reproductive Health for Overall Well-being: Maintaining reproductive health is crucial, as disruptions in reproductive function can have long-term effects on cardiovascular and neurological health. Monitoring fertility could help detect potential health issues early on.
There is a strong connection between reproductive health and overall well-being. Research suggests that disruptions in reproductive function can have long-term consequences on cardiovascular and neurological health. Additionally, there may be a link between gestational effects and both reproductive function and adult disease. These findings highlight the importance of monitoring and maintaining reproductive health as it could serve as an early indicator for potential health issues down the line. It may even be beneficial for men in their twenties and thirties to undergo a sperm analysis to establish a baseline and track any changes over time. Overall, understanding the relationship between fertility and health could provide valuable insights for both individuals and healthcare professionals.
A Convenient and Comfortable Process for Sperm Collection: Sperm analysis has become more convenient and comfortable with dedicated rooms, eliminating discomfort. Simple process provides valuable data, while increased paternal age may impact certain conditions in children.
The process of collecting sperm for analysis has become much more convenient and comfortable compared to earlier methods. In the past, individuals had to schedule appointments at labs and sometimes even use common bathrooms, which could be awkward and uncomfortable. However, now there are dedicated rooms with red lights that provide privacy and eliminate any discomfort. The process itself is relatively simple and involves providing a sample in a cup, which is then returned through a window. Despite the simplicity, the data obtained from these samples can be informative, providing valuable information such as volume, motility, and even DNA fragmentation data. Additionally, it's worth noting that the increase in paternal age over the years may have implications for the occurrence of certain conditions like autism in children.
The impact of paternal age on offspring's risk of certain conditions: Older fathers may have a higher likelihood of passing on genetic mutations, increasing the risk of neuropsychiatric conditions in their children. Men should assess their reproductive health and consider freezing sperm at a younger age.
There is evidence suggesting that the age of the father can impact the risk of certain conditions, such as autism, in their children. While it is commonly known that a woman's fertility declines with age, the potential for men to father children can persist well into their later years. However, studies have shown that older fathers may have a higher likelihood of passing on certain genetic mutations, which could increase the risk of neuropsychiatric conditions in their offspring. This highlights the importance for men to consider assessing their reproductive health, particularly sperm quality, before attempting to conceive. Freezing sperm at a younger age may also be a wise choice for men who plan on conceiving later in life.
The impact of paternal age on offspring health and development: Paternal age can increase the risk of genetic mutations in sperm, leading to potential health risks and developmental issues in children. Mitigation strategies may be necessary to minimize these risks.
Paternal age can have significant effects on offspring. Mutations in sperm can occur more frequently than expected, leading to conditions such as cholas or other health risks. Older fathers may have a higher chance of passing on these mutations, which can impact neurocognitive development, increase cancer risk, and potentially result in smaller brain size in newborns. While some benefits were once associated with older fathers, such as greater resources, evidence suggests that these advantages may not outweigh the potential risks. Mitigation strategies, such as earlier conception or freezing sperm, may be worth considering. However, technology to select or improve DNA in sperm is not yet available. Ultimately, understanding and monitoring sperm quality, including DNA fragmentation, can provide valuable insights for individuals and couples planning to have children.
Understanding the Prostate and Managing Symptoms: Being aware of triggers and seeking medical advice can help men navigate the challenges of prostate health and find effective ways to manage and alleviate symptoms.
The prostate is a gland involved in reproduction, but after reproduction, it doesn't serve any useful function and can become problematic as we age. It sits behind the bladder and as it gets bigger, it creates more resistance in the urethra, causing symptoms like weak stream, frequent urination, and incomplete emptying of the bladder. Keeping the prostate healthy can be challenging, but knowing triggers such as spicy and acidic foods, caffeine, and alcohol can help manage symptoms. Additionally, low doses of Tadalafil, originally developed for prostate health, have been found to alleviate urinary symptoms and improve erectile function. Ultimately, it's important for men to consult with a healthcare professional to determine the best course of action for their prostate health.
Addressing Gaps in Sexual Health Education and Misconceptions Among Young Males: Testosterone therapy should not be the go-to solution for sexual health issues. Lifestyle factors such as sleep, exercise, and alcohol intake should be considered first. Men should also be aware of their susceptibility to UTIs and explore various causes of erectile dysfunction.
Sexual health discussions in high schools have historically been limited, leaving individuals with gaps in their knowledge. Nowadays, there is more awareness and conversation surrounding these topics. However, there is a growing trend among young males to seek testosterone therapy without considering other lifestyle factors that could impact their health. Testosterone therapy should not be the primary solution without first addressing basics like sleep, exercise, and alcohol intake. Additionally, while urinary tract infections (UTIs) are more common in women, men can still experience them and should be evaluated if they occur frequently. When it comes to erectile dysfunction, it is a prevalent issue with various causes, including hormonal imbalances, blood flow problems, and neural connections. It is essential to consider these factors when determining a course of treatment.
Understanding Erectile Dysfunction and Treatment Options: Lifestyle modification and oral therapy with phosphodiesterase inhibitors like Viagra, Cialis, Stendra, or Levitra can effectively manage Erectile Dysfunction for the majority of men, with Tadalafil providing a longer-lasting option.
Erectile Dysfunction is often linked to vascular health and lifestyle factors. Less than 10% of cases are due to hormonal issues. Risk factors such as obesity, pelvic cancer treatment, and certain surgeries can impact erectile function. When addressing blood flow issues, the first line of treatment is usually oral therapy with phosphodiesterase inhibitors like Sildenafil (Viagra), Tadalafil (Cialis), Avanafil (Stendra), or Vardenafil (Levitra). The dosage and frequency depend on individual needs and sexual activity. These medications can be effective for 60 to 70% of men and have similar mechanisms of action. Tadalafil, in particular, lasts longer and is often referred to as the "weekend pill." Overall, optimizing lifestyle and seeking appropriate medical treatment can help manage Erectile Dysfunction effectively.
Addressing Vascular Health for Treating Erectile Dysfunction: Maintaining overall vascular health is crucial for individuals experiencing Erectile Dysfunction, as medications like Cialis and Viagra may only resolve penile tissue issues. Screening for early markers of other vascular conditions is important, while optimizing overall health can improve these conditions.
The effectiveness of drugs like Cialis and Viagra for treating Erectile Dysfunction suggests that there may be underlying vascular issues in males experiencing this condition. While these medications can resolve the issue for penile tissue, it is important for individuals to have discussions about their overall vascular health. Screening for blood pressure, lipid levels, and fasting blood glucose can help identify early markers of other vascular conditions. It is rare to find a patient without any other health concerns, so optimizing overall health can often improve these conditions. However, it is important to note that these medications do have some common side effects, such as headaches and nasal congestion. Additionally, there are other treatment options, such as urethral suppositories and penile injections, which may be more effective in certain cases. Overall, increasing blood flow and lowering blood pressure can have positive effects on various aspects of health.
Treatment Options for Erectile Dysfunction: There are multiple treatment options for erectile dysfunction, including injections and penile implants, which can help achieve erections. Psychological arousal is still important, and emerging peptide treatments may also be beneficial.
There are various treatment options available for erectile dysfunction, ranging from on-demand medications to surgical interventions. One option is the use of injections directly into the erectile bodies of the penis, which can help achieve erections lasting 20 to 30 minutes. Although the idea of injecting the penis may sound uncomfortable, many patients find it manageable, and the procedure is typically done with a small gauge needle. Another option is penile implants, which can be either non-inflatable or inflatable. These implants are surgically implanted and offer a simple solution for achieving an erection when desired. It's important to note that psychological arousal still plays a role in these treatments, as they facilitate the necessary blood flow for natural erections to occur. Additionally, there are emerging peptide treatments that show promise in increasing sexual desire and improving erectile function.
Exploring Treatment Options for Delayed Orgasm & Pelvic Floor Health: Seek professional guidance from a urologist or pelvic floor specialist for safe and effective treatments for delayed orgasm, while considering the importance of pelvic floor health in maintaining various bodily functions.
There is a need for treatment for men who experience delayed orgasm or delayed ejaculation, as there is currently no FDA-approved therapy for this condition. Providers are trying various experimental methods, such as peptides, nasal inhalants, and subcutaneous injections, to address this issue. Additionally, pelvic floor health is an important aspect to consider in both men and women. While Kegel exercises can be beneficial for certain individuals, they may not be suitable for everyone. Pelvic floor physical therapy can help relax tense muscles and improve overall pelvic floor health. It is vital to consult with a urologist or pelvic floor specialist to ensure the right treatments are pursued, as these exercises can be dangerous if not used correctly. The pelvic floor muscles play a crucial role in supporting and maintaining the bladder, prostate, urethra, and penis, as well as the rectum.
Understanding Pelvic Floor Health and Potential Issues: Pelvic floor therapy can help alleviate symptoms related to pelvic floor dysfunction, such as urinary issues. Split urine streams and turbulent urine flow may indicate underlying problems. Contrary to expectations, penile length has remained stable despite environmental factors.
The health of the pelvic floor is crucial for various bodily functions, including ejaculation and orgasmic response. Pelvic floor therapy can be helpful in treating symptoms related to pelvic floor dysfunction, such as urinary issues. However, it is important to avoid making the pelvic floor too tense, as this can be harmful. Another key insight is that a consistently split urine stream may indicate an underlying issue, such as a urethral or prostatic problem. Turbulent urine flow can be a signal of an issue that should be evaluated by a physician. Additionally, a study on penile length revealed surprising results, contrary to the hypothesis that chemical environmental exposure would lead to a decline. The study found that average penile length has remained stable despite potential factors that could impact it, such as the increase in suprapubic fat pad.
Recent Study Shows Increase in Penile Length Among Men Worldwide: A study reveals that the average erect penile length has increased globally, raising questions about the underlying factors responsible for this phenomenon.
Penile length has been increasing over time, according to a study conducted by Michael Eisenberg. The study measured both flaccid and erect lengths of the penis, with 50,000 men participating in the measurements. The average erect length was found to be between five to six inches. Interestingly, the study also found that penile length varied around the world, with average lengths differing among different regions. What was particularly surprising was the fact that penile length had increased over a relatively short period of time, suggesting something significant at play. This phenomenon is unlikely to be attributed to genetic changes and raises questions about potential contributing factors.
The Role of DHT in Penile Length and Potential Factors Affecting it.: Increased DHT levels may contribute to longer penises, potentially influenced by factors like early exposure to chemicals or earlier puberty. However, attempting to increase penile length through DHT supplementation is not recommended, and DHT-suppressing drugs may have side effects.
The hormone Dihydrotestosterone (DHT) plays a crucial role in genital growth and penile length. During puberty, DHT exerts activating effects on the genitals, resulting in increased penis length. Recent studies suggest that over the last 30 years, there has been a possible increase in DHT levels in males, leading to longer penises. This increase in DHT levels could be due to factors such as early exposure to endocrine disrupting chemicals or earlier puberty. However, it's important to note that attempting to increase penile length through DHT supplementation or other methods is not recommended and may not be physiologically effective. Additionally, drugs like Finasteride and Dutasteride, which suppress DHT for hair maintenance or growth, can lead to sexual dysfunction in some individuals. It is essential to consider individual sensitivity and potential side effects when using such medications.
Potential Side Effects of Hair Growth Medications on Sexual Function: Taking medications for hair growth like Finasteride or Dutasteride may lead to sexual dysfunction, including permanent issues. It is important for individuals, especially young males, to be cautious and seek guidance from healthcare professionals regarding alternative treatments or management options.
Taking medications like Finasteride or Dutasteride to maintain hair growth may have potential side effects on sexual function and libido. While most men may experience a recovery of sperm counts within a few months after stopping these medications, some individuals may suffer from post Finasteride Syndrome, which can include permanent sexual dysfunction issues. The exact mechanisms behind these effects are still not fully understood, and there is currently no way to predict who may experience post Finasteride Syndrome. It is important for individuals, especially young males considering these medications for cosmetic reasons, to be aware of the potential serious consequences. It is crucial to approach these drugs with caution and consult with healthcare professionals for guidance on alternative treatments or management options. Additionally, the use of Clomophine, a medication used to increase testosterone, should be thoroughly understood as it may impact the Estrogen pathway as well.
Clomiphene for boosting testosterone and improving sperm production in men with low testosterone levels and symptomatic issues.: Clomiphene can effectively increase testosterone levels and improve sperm production in men with low energy levels, sex drive, mood, and sleep problems, but it may limit the benefits of testosterone and is not suitable for addressing all sexual health issues.
The off-label use of clomiphene to increase androgens can be effective in boosting testosterone levels and improving sperm production in men with low testosterone and symptomatic low energy levels, sex drive, mood, and sleep problems. Clomiphene works by blocking estrogen receptors at the Pituitary or the hypothalamus, allowing for increased production of FSH and LH, which stimulates the testicles to produce more testosterone and sperm. However, it's important to note that clomiphene may limit the benefits of testosterone by partially blocking estrogen signaling, which is essential for bone health, sexual health, and libido. Additionally, the use of FSH as a treatment to increase sperm count is logical, but cost is a limiting factor. Hyperprolactinemia, elevated levels of prolactin, can also contribute to sexual dysfunction in men. The use of SSRIs and other drugs to treat depression and mental health issues may also cause endocrine and sexual health issues.
The Impact of Hormonal Factors on Male Sexual Health and Fertility: It is crucial for men to seek medical evaluation if they experience symptoms like low testosterone, fertility issues, discomfort, or genital deformities as treatments are available for these conditions.
There are various hormonal factors that can affect sexual health and fertility in men. One such hormone is Prolactin, which can be elevated in cases of hyperprolactinemia. Although it is a rare diagnosis, it can lead to low testosterone levels and low sperm production. Another hormone to be mindful of is Estrogen, which can cause issues when there is too much aromatization, leading to conditions like gynecomastia. Additionally, conditions like varicoceles, Peyronie's disease, and scarring of the penis can also impact sexual health and fertility. It is important for men to seek medical evaluation if they are experiencing symptoms such as low testosterone, fertility problems, discomfort, or deformities in the genital area, as there are treatments available for these conditions.
Taking control of men's sexual and reproductive health: Men should actively monitor their sexual and reproductive health, including testicular size and abnormalities, and report any concerns to a healthcare provider for further evaluation and potential treatment.
Men should be proactive in monitoring their sexual and reproductive health. While there are various options available, such as mechanical devices and surgical procedures for straightening the penis, it is also essential to be aware of other potential issues. Testicular size and volume can be important indicators, and any changes or abnormalities should be brought to attention. Although regular testicular self-exams may not be recommended by national guidelines due to potential anxiety, it is crucial for men to be familiar with their own bodies and report any concerns to a healthcare provider. Additionally, individuals with insurance may be able to seek coverage for infertility testing and treatment, as awareness and recognition of male reproductive health continue to grow.
Understanding Sperm Quality and Hormone Levels for Overall Health: Both men and women should prioritize assessing sperm quality and hormone levels to ensure overall well-being and reproductive health. Ejaculation does not guarantee healthy sperm, so formal testing is necessary.
Both men and women need to be aware of the importance of assessing sperm quality and hormone levels for overall health. For men, it's crucial to understand that ejaculating doesn't necessarily mean having healthy sperm. About 15% of men have low semen quality, and 1% have no sperm at all. Therefore, it's necessary to undergo formal testing to know for sure. These parameters are not only relevant to sexual and urinary health but also reflect prostate health and overall well-being. Additionally, it's essential for both genders to have a basic understanding of reproductive health to improve communication and foster the growth of our species.
