EPISODE 30 | MALE INFERTILITY w/ Dr. Paul Turek

Could IVF Be Good For Men's Health?

Maybe, If That’s the Only Thing That Gets Them to the Doctor to Check Their Overall Health Status!

 

World-renowned reproductive urologist Dr. Turek joins us today. He has been at the forefront of IVF and ICSI since the early 90’s. He shares the latest happenings in both his research and his clinics in San Francisco and Beverly Hills, along with the ways Eastern Medicine compliments Western treatment, his thoughts on prenatals, single gene vs. chromosomal gene mutations, the sobering reality of advanced paternal age and some groundbreaking discoveries that are both provocative and backed by science. He is a soulful and lighthearted clinician and is committed to making things as easy and relatable as possible for his clients.

Takeaway:

[:01] Dr. Turerk advises the ABORM board that I am a fellow of, and is a graduate of both Yale and Stanford University. He teaches at Yo San University and has countless studies he has both authored and advised. The first time I heard him speak at the International Infertility Symposium in Vancouver in 2015, I was blown away. He was so intelligent and generous with his ideas and research and really was the first person that made male fertility issues relatable to me.

[3:01] Dr. Turek explains his comparison of a semen analysis to a game of cards. When the motility is not normal, that is an indicator to him that something isn’t right.

[9:18] The whole story is not all about the semen analysis, but it’s a good way to begin the conversation of man’s habits when it comes to diet, recreational drug use, lifestyle, weight, etc. Dr. Turek is captivated by the thought of going into a deeper dive of the cause behind the semen’s quality and performance.

[11:17] As a TCM practitioner, I feel like I was taught about epigenetics with different languaging, referring to our Jing or essence being affected by our lifestyle dictating what we will pass down. Dr. Turek confirms that science has proven it correct in epigenetic studies that lifestyle really does matter.

[14:02] Dr. Turek explains what epigenetics is, and how he helped to develop Episona, a test for epigenetics and sperm quality through sperm analysis.

[17:15] We discuss how epigenetics may be related to oxidative stress. Oxidative stress is about 30-80% of the cause of male infertility.

[18:05] The data for men taking a prenatal is very strong, and is something Dr. Turek recommends and actually developed a supplement for men. The data is still getting more compiled on this, and the research in the field is still new and emerging. Men are not the easiest subjects to keep engaged in study, however, and he is committed to making it easy and sensible for them to share information and data in his studies.

[25:34] The richest man in America lives 5-7 years less than the poorest women. Dr. Turker has an attitude of wanting to engage men and building their trust so they are part of the solution in making their own health better. One of his main goals out of his career is to have men live longer.

[27:25] Dr. Turek shares the current state of advanced paternal age. Himself and co-author Alex Yatsenko published a review entitled, “Reproductive Genetics in the Aging Male” This is a recent problem, as we haven’t lived this long, people are waiting longer to reproduce and we are exposed to more toxicity than ever, affected our epigenetic expression.

[32:56] Dr. Turek talks about the chromosomal issues that occur in women, vs. the single gene mutations in men. He also addresses birth defect rates differing in other countries, and if low sperm counts are being passed on through generations.

[43:33] Dr. Turek has created what I think to be the first Natural Selection Obstacle Course for sperm .

[54:14] A lot of unexplained infertility can be cleared with a simple visit to a trusted source. Dr. Turek makes it as easy as possible and does virtual consultations. He likes to first see if it’s a good fit, and speak with both partners at the start to select the appropriate care for their situation.

[56:57] Work with what you have. IVF could be good for men's health if that's the only time you get them to the doctor and you work with a responsible physician that views an abnormal semen analysis as a marker for health and goes looking for the cause of that poor semen analysis. 

[60:40] Clinic by the Bay, Dr. Turek’s free clinic, just had a big fundraiser to help people from all walks of life receive medical care.

 

References & Links to Take You Further:

American Board of Oriental Reproductive Medicine

Reproductive genetics and the aging male https://www.ncbi.nlm.nih.gov/pubmed/29524155

Turek on Men’s Health Blog

Turek Clinics

Episona

Clinic By the Bay

Yo San University

@ladypotions4u on Twitter

@ladypotions4u on Instagram

 

Disclaimer * 

You must not rely on the information in this podcast as an alternative to medical advice from your doctor or other professional healthcare provider. If you have any specific questions about any medical matter you should consult your doctor or other professional healthcare provider. If you think you may be suffering from any medical condition you should seek immediate medical attention. You should never delay seeking medical advice, disregard medical advice, or discontinue medical treatment because of information on this website or in this podcast.

EPISODE 18 | Fertility Lab Tests Explained in Plain English

Description: Today we will be diving into lab values, and specifically what it means to have a complete fertility workup. I cover what it means when we say a fertility workup, what they test for and why, what is “normal” to empower yourself in a non-judgmental way so you and your support system can figure out a plan of corrective action. We also discuss a semen analysis and the total, whole picture of the markers you would be looking at there. This episode is a great way to dive in with understanding what tests should be done based on your age and how long you have been trying, along with who in your healthcare network would be able to help you run the tests.

Takeaways

[1:17] When we say a complete fertility workup, we also mean having a male workup — your partner — as well.

[7:14] The first step is a comprehensive wellness panel or CBC with add-ons. Second is the semen analysis and third is the complete fertility workup for a woman.

[11:06] Most often the tests will be blood tests, however, some will be urine, diagnostic, and imaging.

[11:39] I break down what a CBC, lipid and metabolic panels are, what they test for, and how to read the different markers.

[14:41] Hypoglycemia is a somewhat common culprit when looking at disruptions in reproduction. Thyroid health is extremely important as well. The TSH and T4 and T3 Uptake are the most looked-at markers in the panel.

[19:57] Vitamin D has a variety of effects on the body, including GI health, skin health, mood, and immunity.

[25:02] The semen analysis; you want to look at the whole picture of total motile sperm, and calculate it using volume, concentration, and motility.

[33:18] High levels of prolactin may affect the ability to ovulate and the regularity of a woman’s menstrual cycle. 

[44:51] I explain the PCOS diet and why this way of eating may be beneficial.

EPISODE 3 | Can Herbs Treat Infertility & How to Use Them Safely

HERBS FOR FERTILITY- PART 1

This episode is meant to give you a glimpse at how herbs can be safely used in treating infertility. I could do an entire show just on herbs alone, but today I'll be giving you the basics so you have a better understanding of how herbs might help and why exactly we are prescribing what we are. Herbs can seem scary for a gal that’s used to prescriptions and my hope is that this episode can shed a little light on not only how helpful they can be, but to help you feel more secure about how and why to use them. And if you are one of those that wants to do it all yourself, I’ll point you to some resources to find more information on your journey of self-discovery. For those of you that want to know why, but prefer to let a board-certified practitioner diagnose and prescribe, I’m going to tell you how to find one of those too. So let’s dive in.

 

 

Takeaways:

[4:20] Herbs are amazing tools to treat infertility and have been used by most cultures on the planet to enhance fertility for thousands of years. There is historical evidence that the Egyptians, Greeks, Chinese, and Indian cultures all used them in this fashion.

[5:57] The 8 Pillars and the philosophy behind enhancing fertility when using TCM is this. Balance the body out and it will get pregnant on its own. Truly it’s that simple.

If there is heat, cool it.

If there is cold, warm it up.

If there is dryness somewhere in the body, find it, find the herb that moistens that part of the body and use it. 

If there is dampness, dry it.

If there is deficiency, supplement it.

If there are signs of excess, drain it.

[6:59] Western Herbalists like an “eye for an eye” treatment; where they match the biochemical makeup of the herb to the condition, looking at it's proportions of flavonoids, glycosides, and terpenoids. Eclectic medicine was a branch of American medicine which made use of botanical remedies along with other substances and physical therapy practices, popular in the latter half of the 19th and the first half of the 20th centuries.

[9:22] TCM, or Traditional Chinese Medicine can treat the unexplained and confusing occurrences in the body that sometimes Western medicine can’t.

[11:41] Aryuvedic medicine uses the doshas as a diagnostic paradigm and relies heavily on herb and food as medicine.

The three doshas — Vata, Pitta, and Kapha — are derived from the five elements. Also known as mind-body types, the doshas express unique blends of physical, emotional, and mental characteristics. In Ayurveda, health is defined as the dynamic state of balance between mind, body, and environment. You can achieve and maintain a vibrant and joyful state of health by identifying your mind-body type and creating a lifestyle that supports your unique nature.

Continue Your Journey: 

Deepak Chopra

Dosha Quiz

Adrenal Thyroid Revolution

Find an Acupuncturist

American Herbalists Guild

National Certification Commission for Acupuncture and Oriental Medicine

American Board of Oriental Reproductive Medicine