# Low T treatment is silently destroying sperm counts

Page: https://stenobird.com/podcast/the-podcast-by-kevinmd-449609/low-t-treatment-is-silently-destroying-sperm-counts
Text version: https://stenobird.com/podcast/the-podcast-by-kevinmd-449609/low-t-treatment-is-silently-destroying-sperm-counts.md
Podcast: [The Podcast by KevinMD](https://stenobird.com/podcast/the-podcast-by-kevinmd-449609)
Published: 2026-06-15T08:00:00+00:00
Episode link: https://kevinmd.libsyn.com/low-t-treatment-is-silently-destroying-sperm-counts
Audio file: https://traffic.libsyn.com/secure/kevinmd/Low-T-treatment-is-silently-destroying-sperm-counts.mp3?dest-id=2093345
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JSON: https://stenobird.com/v1/public/podcasts/the-podcast-by-kevinmd-449609/episodes/low-t-treatment-is-silently-destroying-sperm-counts
Duration seconds: 1315

## Resource

Up to 40 percent of infertility cases involve combined male and female factors, but the male partner is often skipped. Erica Bove, a reproductive endocrinology and infertility specialist, returns to discuss why that gap exists and what can be done about it. This episode is based on her article " What is often overlooked about male factor infertility ," published on KevinMD. You will hear how prescribed testosterone for low energy and low sex drive can wipe out sperm production, sometimes irreversibly, and why men taking it for low T frequently have no idea their fertility is at stake. You will learn what a basic semen analysis screens for and what a full male evaluation adds, including hormonal testing and a reproductive urologist exam. You will hear how varicocele surgery alone can resolve a couple's infertility, why marijuana and tobacco are unusually bad for sperm, and why every change shows up three months later. Press play to find out which male factor causes are most often missed, and which are most often reversible. True team-based care starts with you. At ChenMed, we believe the best way to care for patients is to change the way we practice medicine. When you join our team, you are empowered to lead. We've moved beyond the traditional volume-heavy model to focus on true value-based care. Our model gives you the time and resources to manage complex cases and make a lasting impact on your community. Whether you are applying for a primary care physician, nurse practitioner, or medical director position, you will feel supported by a physician-led culture that understands your challenges. Your dedication doesn't go unnoticed here. You'll be rewarded with a career that offers both professional fulfillment and a better quality of life. Visit ChenMed.com/physicians-Kev…

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