Dr. Jake Fantas, a urologist specializing in men's health and testosterone replacement therapy, joins the discussion. He provides insights on the implications of telemedicine in TRT, particularly regarding fertility. The conversation covers the complexities of varicoceles and venous leaks tied to erectile dysfunction. Fantas also explores how lifestyle choices impact reproductive health through epigenetics and the effects of SSRIs. Additionally, he highlights the emerging landscape of male birth control and the rising societal acceptance of testosterone therapy.