The Fertility Test Most Men Are Never Offered | Dr Michael Eisenberg and Dr Natalie Crawford

The Fertility Test Most Men Are Never Offered | Dr Michael Eisenberg and Dr Natalie Crawford

August 10, 2026 · 2h 4m · Season 1

About this episode

The episode discusses the importance of male fertility evaluation and its broader health implications with experts Dr Michael Eisenberg and Dr Natalie Crawford.

About one in seven couples are unable to conceive after a year of trying, and roughly half of those cases involve a male contribution. Yet in a quarter to a third of them, the man is never properly evaluated. In this episode I sit down with Dr Michael Eisenberg, a urologist, Director of Male Reproductive Health at Stanford University and Chief Medical Advisor of SwimClub, and Dr Natalie Crawford, a reproductive endocrinologist and co-founder of Fora Fertility in Austin, Texas. This is the comprehensive male fertility resource I went looking for and couldn't find, and I have a personal stake in it. What surprised me most is that sperm health appears to be about much more than conception. It tracks with metabolic health, immune health, pregnancy outcomes, and in one Danish cohort, with age of death decades later. What We Cover What a semen analysis measures, and why ejaculating normally tells you nothing Semen quality as a sixth vital sign, and the Danish study linking it to lifespan Testosterone therapy, why it functions as a contraceptive, and how long recovery takes Whether sperm counts are really declining, and the likely drivers Cannabis, alcohol, heat, cycling, sleep, and…

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