Mar 24, 2026
In this episode, I sit down with Dr. Ramy Ghayda, an
experienced urologist and the Chief Medical Officer at Legacy, to
dive deep into the world of male fertility. Dr. Ghayda brings his
expertise in urology and male infertility to discuss why it's
"always nice to have sperm on ice,"a phrase I say often because
preserving male fertility is just as important as egg freezing. We
explore Legacy's revolutionary approach to men's reproductive
health, a digital fertility clinic that provides everything from
at-home semen analysis and sperm freezing to DNA fragmentation
testing, telehealth consultations, and nutritional support: all
designed to fill the gap in fertility care that has traditionally
focused only on women.
Throughout our conversation, Dr. Ghayda and I discuss the
alarming decline in male fertility rates over the past few decades
and what's causing it; from environmental toxins and
endocrine-disrupting chemicals to lifestyle factors like diet,
stress, and sleep. We talk about why fertility should be considered
the sixth vital sign and how infertile men face higher risks of
chronic diseases later in life. Dr. Ghayda also shares his passion
for breaking the taboos around male infertility, rebalancing the
emotional workload in couples struggling to conceive, and helping
men understand that they are 50% of the fertility equation. This
episode is a must-listen for anyone interested in optimizing their
reproductive health or supporting their partner through the
fertility journey.
In this episode, we cover:
- Legacy's comprehensive approach to male fertility, including
at-home semen analysis, sperm freezing, DNA fragmentation testing,
and telehealth support
- The science behind declining sperm counts and quality over the
past 50 years and what environmental factors may be
contributing
- How lifestyle choices (smoking, alcohol, marijuana, heat
exposure, diet, exercise, and sleep) directly impact sperm
production
- Why DNA fragmentation testing matters and how it can reveal
correctable fertility problems
- The emotional toll of infertility on men and how to rebalance
the conversation and workload between partners
- Why fertility is now being considered the sixth vital sign and
its connection to overall health and longevity
- Practical steps men can take to be proactive about their
reproductive health and support their partners
Resources:
Dr. Aimee Eyvazzadeh is one of America’s most well known
fertility doctors. Her success rate at baby-making is what gives
future parents hope when all hope is lost. She pioneered the TUSHY
Method and BALLS Method to decrease your time to pregnancy. Learn
more about the TUSHY Method and find a wealth of fertility
resources at www.draimee.org.
Keywords: male infertility, sperm freezing, sperm
banking, Legacy fertility, Dr. Ramy Ghayda, semen analysis, DNA
fragmentation test, declining sperm count, male fertility decline,
environmental toxins, endocrine disrupting chemicals, lifestyle and
fertility, testicular health, sperm quality, at-home fertility
testing, digital fertility clinic, couples fertility journey, men's
reproductive health, sperm motility, sperm concentration,
andrology, urologist male fertility specialist, male factor
infertility