Male Fertility and Sperm Health: What Your Sex Drive and Testosterone Really Mean | Dr. Michael Eisenberg

Male fertility is declining, and most men have no idea why. In this episode of The Dr. Gabrielle Lyon Show, Dr. Gabrielle Lyon sits down with Dr. Michael Eisenberg, Director of Male Reproductive Health at Stanford University and Chief Medical Advisor of SwimClub, to break down what truly determines sperm health and reproductive success. They discuss: How metformin, GLP-1 medications, testosterone therapy, and anabolic steroids affect male fertility Why sperm count is a powerful biomarker for long-term health and longevity The role of sleep, muscle mass, exercise, diet, marijuana, and environmental toxins like microplastics Whether platelet-rich plasma, or PRP, can help severe male infertility Daily habits that quietly reduce a couple’s chances of conceiving If you care about fertility, hormones, metabolic health, or the future of men’s health, this conversation is essential. Want ad-free episodes? Subscribe to Forever Strong Insider: https://foreverstrong.supercast.com Thank you to our sponsors: BodyHealth - Get 20% off your first order with code LYON20 https://www.bodyhealthaffiliates.com/73L4QL3/7XDN2/ Carol Bike - Visit https://carolbike.com/ and use code LYON for $100 off your CAROL Bike OneSkin - Get 15% off at https://www.oneskin.co/ with code DRLYON Find Dr. Michael Eisenberg at: Eisenberg Lab: https://med.stanford.edu/eisenberglab.html LinkedIn: https://www.linkedin.com/in/michael-eisenberg-9230a429 X: https://x.com/DrMEisenberg Find Dr. Gabrielle Lyon at: Instagram:@drgabriellelyon TikTok: @drgabriellelyon Facebook: facebook.com/doctorgabriellelyon YouTube: youtube.com/@DrGabrielleLyon X (Twitter): x.com/drgabriellelyon Apply to become a patient – https://drgabriellelyon.com/new-patient-inquiry/ Join my weekly newsletter – https://institute-for-muscle-centric-medicine.ck.page Order my new book - https://www.amazon.com/exec/obidos/ASIN/1668085623 Chapters: 00:00 Sex habits, libido, GLP-1s, and what counts as male infertility 01:46 Metformin and male fertility, what the Denmark study found 07:27 How long sperm take to regenerate after meds, illness, or chemo 09:24 GLP-1 medications, weight loss, and semen quality in men 10:52 Testosterone therapy, anabolic steroids, and why sperm shuts down 16:41 Sperm as a vital sign, fertility as a window into long term health 19:14 Microplastics and environmental toxins found in semen 22:21 Paternal age and sperm quality, DNA fragmentation and pregnancy risk 26:03 Supplements and nutrients for sperm quality, what matters and why 30:00 Sex frequency, masturbation, libido, and fertility myths 35:38 Male infertility guidelines and medications that quietly lower fertility 48:41 Semen quality and future disease risk, diabetes, cancer, mortality 54:45 Anabolic agents, sperm banking, and how long frozen sperm lasts 1:04:14 PRP for severe male infertility, azospermia and real outcomes 1:16:41 New frontiers in male fertility, immune profiles, genomics, omics Disclaimers: This episode includes paid sponsorships. The Dr. Gabrielle Lyon Podcast and YouTube are for general information purposes only and do not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast, YouTube, or materials linked from this podcast or YouTube is at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professional for any such conditions.