The Inner Frontier with Jonny Miller

The Five Pillars for Improving Male Fertility with Josh Paigen

11 snips
Sep 10, 2025
Josh Paigan, a men’s fertility expert dedicated to enhancing preconception health, dives into the critical decline in sperm counts and its far-reaching implications. He outlines his five pillars for improving male fertility: sustenance, purity, exercise, rest, and mindset. The conversation covers the impact of nutrition, environmental toxins, and lifestyle choices on reproductive health. Josh emphasizes that intentional lifestyle changes can significantly benefit future generations, addressing the roles of epigenetics and mindset in fertility.
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INSIGHT

Sperm As A Health Biomarker

  • Sperm quality reflects overall male health, affected by oxidative stress, inflammation, and hormones.
  • Improving sperm is thus a proxy for improving longevity and systemic vitality.
INSIGHT

Alarming Global Sperm Decline

  • Meta-analyses show steep global sperm declines, with recent rates ~2% per year since 2000.
  • If trends continue, median sperm counts could approach zero within decades, implying major reproductive crisis.
ADVICE

Follow The S.P.E.R.M. Framework

  • Use the S.P.E.R.M. pillars: Sustenance, Purity, Exercise, Rest, Mindset as an organizing framework.
  • Tackle one pillar at a time to make sustainable preconception improvements.
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