Having seen so many patients for testosterone replacement therapy over the years, there is an interesting trend that I’m starting to notice. The issue of “biological clock ticking” now applies to both sexes.
Where previously this was seen to be a purely female problem, you now have a scenario where men in their late 30s and early 40s need to quickly make their minds up about finding the right girl and getting pregnant. A situation previously plaguing women in their 30s mostly. The reasons for this are a decrease in quality (poor swimmers, abnormal shapes) and quantity of men’s sperm. The causes of this decrease is multifold:
the rise in stress levels (despite your wonderful ability to manage your stress)
environmental toxins including that from frequent flying
depleted nutrients due to lifestyle and depleting resources
Cycling- yes that pressure on the testis for prolonged periods can be an issue
Anything that increases the temperature of things down there eg tight underpants/jeans
Radiation emission from laptops- this is low levels, continuous and prolonged. And becoming a huge issue of late for those who actually place it habitually on their laps
Radiation from mobile phones- the jury’s out on this. We don’t know the answer yet. Read this blog for a neutral take on phones and you can make your own mind up
age-related depleted hormonal profile
Commencing testosterone replacement therapy
From my point of view, as a practitioner looking after them; I’m able to optimise them and make them feel great. But at the same time, I have to find a balance and be able to minimise any chances of reduced fertility with combining HCG or Clomid to their regimes, amongst other interventions. For some patients, they even consider freezing their sperm in the same way a woman would freeze her eggs.
Its a rather odd discussion to have in a culture where its not uncommon for a man of 70 to father a child (although we have no idea of the quality of that successful sperm). The point of this blog is to raise awareness that this is an increasingly common issue. Hidden as no one really talks about it. Not to be taken lightly. And not to be relegated to being only a “woman’s” problem.
Roustaei Z, Räisänen S, Gissler M, et al Fertility rates and the postponement of first births: a descriptive study with Finnish population data BMJ Open 2019;9:e026336. doi: 10.1136/bmjopen-2018-026336
Sharma, Rakesh et al. “Effects of increased paternal age on sperm quality, reproductive outcome and associated epigenetic risks to offspring.” Reproductive biology and endocrinology : RB&E vol. 13 35. 19 Apr. 2015, doi:10.1186/s12958-015-0028-x