Episode 10 | Fertility and Other F Words

In this episode of Fertility and Other F Words, Dr. Amy Pearlman and Dr. Larry Lipshultz sit down with Mohit Kherafor a candid, practical discussion on testosterone and erectile function.

Dr. Khera is a board-certified urologist at Baylor College of Medicine, where he holds the F. Brantley Scott Chair in Urology and directs the Laboratory for Andrology Research. His training includes Vanderbilt University, Boston University (MBA/MPH), the University of Texas Health Science Center at San Antonio (MD), residency at Baylor, and fellowship training in Male Reproductive Medicine and Surgery.

A national leader in men’s health and sexual medicine, Dr. Khera has served on American Urological Association guideline panels, led multiple FDA-approved clinical trials, and most recently was President of the Sexual Medicine Society of North America.

In this episode, we cover
• Why testosterone is a powerful marker of a man’s current and future health
• What the science really says about testosterone, aging, and prostate cancer
• How lifestyle changes can improve testosterone, sexual function, and overall wellbeing

Key takeaways
• Testosterone has benefits far beyond simply restoring levels to the normal range
• Testosterone is a strong indicator of a man’s overall health now and in the future
• Low testosterone increases risk for heart disease and osteoporosis and is associated with mood changes and metabolic syndrome
• Emerging evidence suggests intermittent high-dose testosterone may benefit select men with prostate cancer
• Declining testosterone is more closely linked to increasing comorbidities than to aging alone
• Testosterone does not cause prostate cancer
• Diet, exercise, sleep, and stress reduction can meaningfully improve testosterone levels and sexual function
• Improving sexual health through lifestyle changes often serves as a gateway to improving overall health

Notice: 

The Fertility and Other F Words webcast and YouTube channel are intended for general informational purposes only. They do not constitute the practice of medicine nor do they provide medical advice or create a doctor–patient relationship. Use of the information provided through this webcast, YouTube channel, or any linked materials is at the listener’s/viewer’s own risk. The content is not a substitute for professional medical advice, diagnosis, or treatment. Listeners/viewers should never disregard or delay seeking medical advice for any health condition and are strongly encouraged to consult their own qualified health care professional with any questions or concerns.

All content from the Fertility and Other F Words webcast is the property of PODCAST WITH DRS. AMY AND LARRY LLC.

Listeners and viewers may not use, distribute, re-distribute, reproduce, alter, or edit any portion of this content without the express written permission of the webcast owners.

The views and opinions expressed in this webcast are those of Drs. Amy Pearlman and Larry Lipshultz and do not reflect the official positions or responsibilities of Prime Institute, Baylor College of Medicine, or any affiliated institutions.

Episode 9 | Fertility and Other F Words

In this episode of Fertility and Other F Words, Dr. Amy Pearlman and Dr. Larry Lipshultz are joined by the incredible Dr. Lenaine Westney for an honest, practical conversation about urinary leakage (incontinence) and the treatment options that can truly change patients’ lives.

Dr. Westney is a Professor of Urology at MD Anderson Cancer Center in Houston and the Director of the Fellowship in Urinary Tract & Pelvic Reconstruction. She specializes in caring for patients with urinary symptoms after complex pelvic surgeries and cancer treatments. She’s also a true trailblazer—one of only a few African-American female full professors of urology in the U.S.—and a nationally recognized voice in both surgical innovation and diversity in academic medicine.

In this episode, we cover:

• Common causes of urinary leakage in men and women
• How cancer treatments and pelvic surgeries can affect bladder control
• Surgical and non-surgical treatment options for incontinence

Key takeaways:

• There are multiple effective solutions for bothersome urinary symptoms, including leakage.
• For men with stress urinary incontinence—most commonly after prostate cancer surgery and sometimes radiation—options include a male sling or an artificial urinary sphincter.
• Managing expectations is critical: these procedures may not make every patient completely dry, but they often lead to major reductions in pad or diaper use.
• For the right patients, treatment can be life-changing—restoring confidence, independence, and the ability to enjoy daily activities again.

To learn more about incontinence treatment options, visit:
👉 https://www.fixincontinence.com/us/en/home.html

To find a pelvic physical therapist near you, check out this provider locator:

https://pelvicrehab.com/

Notice: 

The Fertility and Other F Words webcast and YouTube channel are intended for general informational purposes only. They do not constitute the practice of medicine nor do they provide medical advice or create a doctor–patient relationship. Use of the information provided through this webcast, YouTube channel, or any linked materials is at the listener’s/viewer’s own risk. The content is not a substitute for professional medical advice, diagnosis, or treatment. Listeners/viewers should never disregard or delay seeking medical advice for any health condition and are strongly encouraged to consult their own qualified health care professional with any questions or concerns.

All content from the Fertility and Other F Words webcast is the property of PODCAST WITH DRS. AMY AND LARRY LLC.

Listeners and viewers may not use, distribute, re-distribute, reproduce, alter, or edit any portion of this content without the express written permission of the webcast owners.

The views and opinions expressed in this webcast are those of Drs. Amy Pearlman and Larry Lipshultz and do not reflect the official positions or responsibilities of Prime Institute, Baylor College of Medicine, or any affiliated institutions.

In this exciting episode of Fertility and Other F Words, Dr. Amy Pearlman and Dr. Larry Lipshultz are joined by two leaders in male reproductive medicine: Dr. Blair T. Stocks and Dr. Taylor Kohn.

Dr. Stocks and Kohn are Assistant Professors of Urology in the Division of Male Reproductive Medicine and Surgery at Baylor College of Medicine. Both specialize in the evaluation and treatment of men presenting with infertility.

Together, we walk through what a thorough male fertility evaluation actually looks like—from history and physical exam to lab work and imaging—and discuss cutting-edge research and innovative techniques being used to better understand why some men present with infertility and how sperm may still be found in men who’ve been told they have none.

This episode dives deep into:

• How male fertility is evaluated in real clinical practice
• Why lab work and semen analysis interpretation require true infertility expertise
• What azoospermia really means—and why it doesn’t always mean “no options”
• Emerging technologies helping specialists find sperm with greater precision

Key Takeaways

• Semen analysis is an important metric of a man’s health
• At-home semen analysis testing can be used as a screening tool
• In-office semen analysis and hormonal blood work are core parts of the evaluation and blood work may include:
  • Total testosterone
  • Free testosterone
  • FSH
  • LH
  • Inhibin B
  • Anti-Müllerian Hormone (AMH)
  • 17-hydroxyprogesterone (17-OH progesterone)
  • Prolactin
  • Estradiol
• Interpretation of semen analysis and lab results should be done by an expert in male infertility
• Men told they have azoospermia (no sperm in the ejaculate) may still have additional options
• There are currently no FDA-approved medications for male infertility
• A healthy lifestyle—nutrition, movement, and overall wellness—matters for sperm health

Innovative Research Highlighted

• Dr. Taylor Kohn is using high-frequency ultrasound to identify areas of the testicle more likely to contain sperm by visualizing dilated seminiferous tubules—helping guide sperm extraction procedures with greater precision and potentially less invasiveness.
• Dr. Blair Stocks is using flow cytometry to determine whether men told they have “no sperm” truly have none, allowing rapid identification of rare sperm cells that may otherwise be missed.

If you care about male fertility, reproductive health, or understanding what options truly exist—this is an episode you don’t want to miss.

Notice: 

The Fertility and Other F Words webcast and YouTube channel are intended for general informational purposes only. They do not constitute the practice of medicine nor do they provide medical advice or create a doctor–patient relationship. Use of the information provided through this webcast, YouTube channel, or any linked materials is at the listener’s/viewer’s own risk. The content is not a substitute for professional medical advice, diagnosis, or treatment. Listeners/viewers should never disregard or delay seeking medical advice for any health condition and are strongly encouraged to consult their own qualified health care professional with any questions or concerns.

All content from the Fertility and Other F Words webcast is the property of PODCAST WITH DRS. AMY AND LARRY LLC.

Listeners and viewers may not use, distribute, re-distribute, reproduce, alter, or edit any portion of this content without the express written permission of the webcast owners.

The views and opinions expressed in this webcast are those of Drs. Amy Pearlman and Larry Lipshultz and do not reflect the official positions or responsibilities of Prime Institute, Baylor College of Medicine, or any affiliated institutions.

In this powerful and candid episode, Dr. Amy Pearlman and Dr. Larry Lipshultz are joined by John, one of Dr. Lipshultz’s patients, for an unfiltered conversation about life before and after inflatable penile implant surgery.

John walks listeners through his journey with erectile dysfunction, from medical therapies to the emotional toll ED took on his confidence and relationships. He shares what ultimately led him to choose penile implant surgery, what recovery and adaptation were really like, and how dating (and talking with potential partners) has evolved since his implant. The discussion is honest, vulnerable, and deeply human, offering insight rarely heard outside the exam room.

This episode sheds light on what it truly means to live and thrive with a penile implant, emphasizing autonomy, communication, and sexual confidence.

Key Takeaways:

• Erectile dysfunction can be treated through a wide range of options, including lifestyle optimization (nutrition, exercise, sleep, stress reduction), oral medications, vacuum erection devices, erection rings, penile injections, and penile implant surgery.
• Penile implant surgery is associated with high patient and partner satisfaction rates.
• Open, transparent communication with partners can be empowering and often leads to positive, curious, and fulfilling sexual experiences, especially when partners understand the benefits of an implant.

Curious to learn more about penile implants? Visit EDCure at https://www.edcure.com

Notice: 

The Fertility and Other F Words webcast and YouTube channel are intended for general informational purposes only. They do not constitute the practice of medicine nor do they provide medical advice or create a doctor–patient relationship. Use of the information provided through this webcast, YouTube channel, or any linked materials is at the listener’s/viewer’s own risk. The content is not a substitute for professional medical advice, diagnosis, or treatment. Listeners/viewers should never disregard or delay seeking medical advice for any health condition and are strongly encouraged to consult their own qualified health care professional with any questions or concerns.

All content from the Fertility and Other F Words webcast is the property of PODCAST WITH DRS. AMY AND LARRY LLC.

Listeners and viewers may not use, distribute, re-distribute, reproduce, alter, or edit any portion of this content without the express written permission of the webcast owners.

The views and opinions expressed in this webcast are those of Drs. Amy Pearlman and Larry Lipshultz and do not reflect the official positions or responsibilities of Prime Institute, Baylor College of Medicine, or any affiliated institutions.

Episode 6 | Fertility and Other F Words

In this episode, Dr. Amy Pearlman and Dr. Larry Lipshultz sit down with one of the busiest penile implant surgeons in the US, Dr. Jonathan Clavell. Dr. Clavell is a board-certified urologist and men’s sexual health specialist based in Houston, Texas, and founder of the Vitality Urology Institute. He completed his medical degree at the University of Puerto Rico Medical Sciences Campus and went on to complete his urology residency and a fellowship in sexual medicine and prosthetic urology at University of Texas McGovern Medical School and MD Anderson Cancer Center.

Key Takeaways:

• Daily tadalafil can promote erectile recovery and improve blood flow throughout the body.
• Understanding how erectile function medications work—onset time, dosing ranges, formulation options, and safe combination strategies—is essential to optimizing treatment.
• Penile tissue changes with age, but there are ways to minimize these changes, by promoting daily erections.
• Safe and effective options to improve erectile function include lifestyle modifications, penis pumps, traction therapy, shockwave therapy, medications, and surgery.

Interested in learning more about Dr. Jonathan Clavell? Check him out on YouTube @clavelluro  or his practice website https://houstonmenshealth.com/

Notice: 

The Fertility and Other F Words webcast and YouTube channel are intended for general informational purposes only. They do not constitute the practice of medicine nor do they provide medical advice or create a doctor–patient relationship. Use of the information provided through this webcast, YouTube channel, or any linked materials is at the listener’s/viewer’s own risk. The content is not a substitute for professional medical advice, diagnosis, or treatment. Listeners/viewers should never disregard or delay seeking medical advice for any health condition and are strongly encouraged to consult their own qualified health care professional with any questions or concerns.

All content from the Fertility and Other F Words webcast is the property of PODCAST WITH DRS. AMY AND LARRY LLC.

Listeners and viewers may not use, distribute, re-distribute, reproduce, alter, or edit any portion of this content without the express written permission of the webcast owners.

The views and opinions expressed in this webcast are those of Drs. Amy Pearlman and Larry Lipshultz and do not reflect the official positions or responsibilities of Prime Institute, Baylor College of Medicine, or any affiliated institutions.

Episode 5 | Fertility and Other F Words

In this episode, Dr. Amy Pearlman and Dr. Larry Lipshultz sit down with one of the most recognizable and entertaining figures in modern urology: Dr. Aaron Spitz. A nationally known urologist, Dr. Spitz is the author of The Penis Book, a featured expert in the Netflix documentary The Game Changers, a former regular on The Doctors, and the creator of the new men’s health–focused musical, Conversations with My Penis.

Dr. Spitz shares his passion for educating people around the world about men’s health in ways that are entertaining, evidence-based, and accessible. He talks about his path to writing The Penis Book, the role of nutrition in erectile function and prostate health, and the research he’s leading to better understand how plant-based and animal protein diets may impact erectile health. He also reflects on his involvement in some of the most memorable scenes from The Game Changers and discusses his newest project—a musical designed to bring common men’s health and relationship topics into mainstream conversation. Check out the very end for exclusive clips from the musical.

Key Takeaways:

• Men are eager to understand their bodies and health but often need support in finding reliable, accessible resources.
• A whole-food, plant-forward diet can support better erectile function and reduce the risk of prostate cancer.

Interested in learning more about the musical, Conversations with My Penis, or supporting this incredible initiative? Check out Sideshowentertainment.io or email [email protected]

Notice: 

The Fertility and Other F Words webcast and YouTube channel are intended for general informational purposes only. They do not constitute the practice of medicine nor do they provide medical advice or create a doctor–patient relationship. Use of the information provided through this webcast, YouTube channel, or any linked materials is at the listener’s/viewer’s own risk. The content is not a substitute for professional medical advice, diagnosis, or treatment. Listeners/viewers should never disregard or delay seeking medical advice for any health condition and are strongly encouraged to consult their own qualified health care professional with any questions or concerns.

All content from the Fertility and Other F Words webcast is the property of PODCAST WITH DRS. AMY AND LARRY LLC.

Listeners and viewers may not use, distribute, re-distribute, reproduce, alter, or edit any portion of this content without the express written permission of the webcast owners.

The views and opinions expressed in this webcast are those of Drs. Amy Pearlman and Larry Lipshultz and do not reflect the official positions or responsibilities of Prime Institute, Baylor College of Medicine, or any affiliated institutions.

Episode 4 | Fertility and Other F Words

In this episode, Dr. Amy Pearlman and Dr. Larry Lipshultz sit down with one of the most entertaining voices in the sexual wellness space — Jeff Abraham, CEO of Absorption Pharmaceuticals, makers of Promescent.

Promescent, a topical delay spray developed by urologist Dr. Ron Gilbert before his tragic death in 2013, continues his legacy of helping people have ridiculously good sex.

Jeff shares the science behind his company’s innovative product, how it compares to other options on the market, and his perspective on sexual wellness for both men and women. He also opens up about the heartbreaking loss of his friend and business partner, Dr. Gilbert.

Key Takeaways:

• Millions of men worldwide want to last longer in bed
• While no FDA-approved therapies currently exist, there are many evidence-based treatments that are both safe and effective
• This episode explores all the options — including behavioral strategies, pelvic floor muscle training, sex therapy, trainers, delay sprays, transcutaneous electrical nerve stimulation, and oral medications

Learn more or purchase Promescent: https://www.promescent.com

Notice: 

The Fertility and Other F Words webcast and YouTube channel are intended for general informational purposes only. They do not constitute the practice of medicine nor do they provide medical advice or create a doctor–patient relationship. Use of the information provided through this webcast, YouTube channel, or any linked materials is at the listener’s/viewer’s own risk. The content is not a substitute for professional medical advice, diagnosis, or treatment. Listeners/viewers should never disregard or delay seeking medical advice for any health condition and are strongly encouraged to consult their own qualified health care professional with any questions or concerns.

All content from the Fertility and Other F Words webcast is the property of PODCAST WITH DRS. AMY AND LARRY LLC.

Listeners and viewers may not use, distribute, re-distribute, reproduce, alter, or edit any portion of this content without the express written permission of the webcast owners.

The views and opinions expressed in this webcast are those of Drs. Amy Pearlman and Larry Lipshultz and do not reflect the official positions or responsibilities of Prime Institute, Baylor College of Medicine, or any affiliated institutions.

Episode 3 | Fertility and Other F Words

In this episode of Fertility and Other F Words, Dr. Amy Pearlman and Dr. Larry Lipshultz sit down with one of the most brilliant and forward-thinking minds in men’s health—Dr. Alex Pastuszak.

Dr. Pastuszak is a board-certified urologist, MD/PhD, and Co-Founder and CEO of Paterna Biosciences—where his team is redefining what’s possible in male fertility.

He breaks down the global fertility crisis, why the environment is working against healthy sperm, and how his company is using cutting-edge science to help men create healthier sperm—and healthier children.

Key Takeaways:
Millions of men worldwide are unable to father children with current fertility treatments.
IVF helps many—but it’s not the full answer and can take a major mental, physical, and financial toll.
Infertility isn’t just a “female” issue—both partners should be evaluated before jumping to IVF.
Groundbreaking tech like that from Paterna Biosciences could revolutionize fertility care by improving both sperm and egg health.

This episode dives into the future of fertility—and why hope for tomorrow starts with innovation today.

Dr. Alex Pastuszak https://paternabio.com/team/

Paterna Biosciences https://paternabio.com/ 

Notice: 

The Fertility and Other F Words webcast and YouTube channel are intended for general informational purposes only. They do not constitute the practice of medicine nor do they provide medical advice or create a doctor–patient relationship. Use of the information provided through this webcast, YouTube channel, or any linked materials is at the listener’s/viewer’s own risk. The content is not a substitute for professional medical advice, diagnosis, or treatment. Listeners/viewers should never disregard or delay seeking medical advice for any health condition and are strongly encouraged to consult their own qualified health care professional with any questions or concerns.

All content from the Fertility and Other F Words webcast is the property of PODCAST WITH DRS. AMY AND LARRY LLC.

Listeners and viewers may not use, distribute, re-distribute, reproduce, alter, or edit any portion of this content without the express written permission of the webcast owners.

The views and opinions expressed in this webcast are those of Drs. Amy Pearlman and Larry Lipshultz and do not reflect the official positions or responsibilities of Prime Institute, Baylor College of Medicine, or any affiliated institutions.

Episode 2 | Fertility and Other F Words

In this episode of Fertility and Other F Words, Dr. Amy Pearlman and Dr. Larry Lipshultz sit down with legendary bodybuilder and entrepreneur, Lee Labrada.

Lee is a professional bodybuilder, published author, and CEO of Labrada Nutrition. He earned the title Mr. Universe in 1985 and placed Top 4 for seven consecutive years in Mr. Olympia. At 65 years old, he continues to prove that strength—in both mindset and physique—has no limits.

In this conversation, Lee shares practical, easy-to-implement strategies for improving lean mass, his go-to foods and foundational exercise habits, and even takes us inside Lee’s lunch box.

Key Takeaways:

• Supplements are exactly that — supplements, not meal replacements. Whole foods should make up most of what we eat.
• Protein malnutrition is a common issue; eating enough protein is essential for building and maintaining muscle.
• You don’t have to choose between being in peak physical shape and having children — but testosterone and fertility must be managed thoughtfully.
• Testosterone alone isn’t enough to achieve your best physique.
• Nutrition, resistance training, and hormone optimization are the pillars of lean mass development.

This episode is about more than muscle — it’s about using food, fitness, and hormonal health as medicine.

Lee Labrada

https://www.youtube.com/@theleelabradashow

Notice: 

The Fertility and Other F Words webcast and YouTube channel are intended for general informational purposes only. They do not constitute the practice of medicine nor do they provide medical advice or create a doctor–patient relationship. Use of the information provided through this webcast, YouTube channel, or any linked materials is at the listener’s/viewer’s own risk. The content is not a substitute for professional medical advice, diagnosis, or treatment. Listeners/viewers should never disregard or delay seeking medical advice for any health condition and are strongly encouraged to consult their own qualified health care professional with any questions or concerns.

All content from the Fertility and Other F Words webcast is the property of PODCAST WITH DRS. AMY AND LARRY LLC.

Listeners and viewers may not use, distribute, re-distribute, reproduce, alter, or edit any portion of this content without the express written permission of the webcast owners.

The views and opinions expressed in this webcast are those of Drs. Amy Pearlman and Larry Lipshultz and do not reflect the official positions or responsibilities of Prime Institute, Baylor College of Medicine, or any affiliated institutions.

Episode 1 | Fertility and Other F Words

In the very first episode of Fertility and Other F Words, Dr. Amy Pearlman and Dr. Larry Lipshultz sit down with Christian and Heidi, a dynamic vlogging and entrepreneurial couple who are courageously sharing their ongoing infertility journey. Known for building a life together on and off camera, they open up about the challenges they’ve faced in trying to grow their family while balancing their business and personal lives.

Drs. Amy and Larry ask Christian and Heidi about the highs and lows of their path to parenthood, how infertility has affected their relationship, and what they’ve learned along the way. They also discuss what it’s like to bring such a personal journey into the public eye and how they’ve found strength in community and vulnerability.

Key Takeaways:

Know your numbers. While semen analyses and testosterone levels don’t tell the full story, they are powerful tools to assess fertility and overall health. Men considering testosterone therapy should understand that it can completely wipe out sperm production in some cases. Before starting therapy, it’s essential to:

Get baseline labs, including semen analysis and hormone panel.

Explore sperm cryopreservation options.

Learn about medications like HCG that can support testicular and sperm function while on therapy.

For women, fertility preservation options like egg freezing should be discussed early with a specialist, especially if waiting to have children. And for couples navigating infertility, both partners—not just the woman—should undergo a full evaluation.

This episode is about more than fertility—it’s about awareness, advocacy, and making informed decisions for your future.

Christian Guzman

https://www.youtube.com/@guzmanchristian

Heidi Somers

https://www.youtube.com/@heidisomers

Notice: 

The Fertility and Other F Words webcast and YouTube channel are intended for general informational purposes only. They do not constitute the practice of medicine nor do they provide medical advice or create a doctor–patient relationship. Use of the information provided through this webcast, YouTube channel, or any linked materials is at the listener’s/viewer’s own risk. The content is not a substitute for professional medical advice, diagnosis, or treatment. Listeners/viewers should never disregard or delay seeking medical advice for any health condition and are strongly encouraged to consult their own qualified health care professional with any questions or concerns.

All content from the Fertility and Other F Words webcast is the property of PODCAST WITH DRS. AMY AND LARRY LLC.

Listeners and viewers may not use, distribute, re-distribute, reproduce, alter, or edit any portion of this content without the express written permission of the webcast owners.

The views and opinions expressed in this webcast are those of Drs. Amy Pearlman and Larry Lipshultz and do not reflect the official positions or responsibilities of Prime Institute, Baylor College of Medicine, or any affiliated institutions.