Navigating Male Fertility Testing Options and Recommendations

This conversation is with men’s fertility expert Josh Paigen — whose path took him from a childhood fascination with the natural world to helping men and couples prepare for healthy conception. We explore the alarming global decline in sperm count, why preconception health is about far more than simply being able to conceive, and Josh’s five pillars of male fertility: sustenance, purity, exercise, rest, and mindset.

Along the way, we dive into the roles of nutrition, environmental toxins, circadian rhythms, and even inherited trauma in shaping reproductive health — and how small, intentional lifestyle shifts can have a profound impact on future generations.

You can expect to learn

• Why sperm count is plummeting (and why this matters)
• Five pillars of male fertility you can start today
• How diet, toxins, and lifestyle shape reproductive health
• Sleep, stress, and mindsets’ hidden role in fertility
• Epigenetics: how trauma and health choices get passed on
• Simple changes that can boost fertility and overall vitality

[Timestamps]

05:43 Understanding Preconception Health
11:54 Sperm as a Biomarker for Health
17:27 Nutrition and Sperm Health
23:50 Understanding Everyday Toxins
29:22 Minimizing EMF Exposure
38:19 Circadian Rhythms and Hormonal Balance
47:56 Mindset and Holistic Health
55:35 The Interconnection of Health and Fertility
01:00:58 Understanding Epigenetics and Trauma
01:08:36 Challenging Myths in Fertility

Connect with Josh

🌱 If you'd like to work with Josh and improve your fertility head over to Mandrake.health

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This is my flagship 5-week bootcamp designed to equip you with evidence-backed protocols to cultivate calm and emotional regulation. Our 8th cohort will run in Fall 2025 ~ and applications are currently open. My sense is that if this conversation resonates with you, then you'd likely be a great fit for our upcoming cohort. This curriculum represents my attempt to distill everything I've learned in recent years about creating the conditions for our nervous system's flourishing.  It's run in an intensive cohort-based way since this is, in my experience, the most efficient way to embody and practice the protocols.

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