madman
Super Moderator
Thinking about testosterone therapy? Before you jump in, listen to this essential conversation on the real risks, fertility consequences, and what men need to know about hormone health.
Chapters & Key Moments
00:00 – Trailer: Why testosterone isn’t always the answer
00:45 – Welcome to The Dr. Brighten Show
02:08 – Meet Dr. Justin Houman: Urologist & men’s health expert
03:12 – Is low testosterone behind every cranky, low-energy guy?
04:05 – How to properly test testosterone (the biggest mistake most men make)
06:25 – Total testosterone vs. free testosterone: Which number matters most?
07:58 – What causes low free testosterone (and why obesity plays a role)
09:15 – The seasonal impact on men’s testosterone levels
10:40 – Why vitamin D matters for testosterone production
12:15 – The fertility risks of testosterone therapy (what most doctors don’t tell you)
15:02 – How TRT shuts down sperm production (and safer alternatives)
16:40 – The timeline for sperm recovery after stopping testosterone
18:00 – Lifestyle strategies to naturally boost testosterone and sperm health
19:55 – The role of HCG, clomiphene, and enclomiphene as fertility-friendly options
22:30 – Hair loss meds & hormone health: The truth about finasteride
25:50 – Why post-finasteride syndrome happens (and what to watch out for)
27:18 – Are hair loss treatments reversible? Safer options explained
30:05 – How sperm morphology, motility, and count actually affect fertility
32:22 – The egg’s surprising role in selecting sperm (and why it matters)
34:10 – Why sperm health predicts overall male health and longevity
35:55 – The misconception that male fertility isn’t impacted by age
38:20 – Erectile dysfunction in young men: Why it’s often hormone-related or psychogenic
41:40 – The impact of stress, sleep, and wearables on testosterone health
44:18 – Alcohol, testosterone, and “whiskey dick”: What’s really going on
46:02 – Vasectomy myths, reversibility, and long-term considerations
50:10 – Why sperm banking is smart (even if you’re not ready for kids now)
53:22 – Simple steps men can take TODAY for better hormone and fertility health
56:40 – Final thoughts: Why early testing and lifestyle choices matter most
