Male fertility is declining—and most men have no idea it’s happening.

In this episode of The Forge Men’s Health Podcast, Dr. Ashley May and Mike Johnson sit down with fertility expert Dr. Aumatma Simmons to break down what’s really behind the global drop in sperm count, testosterone, and reproductive health—and what men can actually do about it.

We go beyond surface-level advice and dig into the emerging science shaping fertility in 2026. From endocrine-disrupting chemicals and microplastics to sleep, stress, and modern lifestyle habits, this episode exposes how today’s environment is directly impacting male hormones, sperm quality, and long-term health.

Dr. Simmons also challenges outdated fertility advice—including the long-standing abstinence guidelines—and explains why newer research suggests more frequent ejaculation may actually improve sperm DNA quality.

We also tackle one of the most misunderstood topics in men’s health: testosterone replacement therapy (TRT). While commonly prescribed, TRT can significantly impair fertility—earning it the nickname “the invisible vasectomy.” This episode outlines safer, restorative alternatives for men who want to optimize both testosterone and fertility.

Finally, we break down a practical, science-backed plan to rebuild sperm health—from targeted supplementation and nutrition to environmental detox strategies and sleep optimization.

• Why sperm counts have dropped by over 50% since the 1970s
• The difference between infertility and “subfertility”
• How microplastics and toxins damage the blood-testis barrier
• The truth about TRT and its impact on fertility
• Why the “2–7 day abstinence rule” may be outdated
• How oxidative stress affects sperm DNA quality
• The role of sleep, stress, and circadian rhythm in hormone health

• Simple environmental swaps to reduce toxin exposure
• Daily habits to support testosterone and sperm production
• A realistic fertility optimization timeline
• How to think about paternal age and long-term genetic health
• When to consider medical intervention vs. lifestyle optimization

Dr. Aumatma Simmons is a double board-certified naturopathic endocrinologist and a leading expert in holistic fertility. She is the founder of the Holistic Fertility Institute and creator of the Restorative Fertility™ method, with an 85% success rate helping couples conceive.

She is also the author of Fertility Secrets and (In)Fertility, host of the Egg Meets Sperm podcast, and co-founder of the Madre Fertility app—an AI-driven platform providing personalized fertility insights and guidance.

• Holistic Fertility Institute
• Egg Meets Sperm Podcast
• Fertility Secrets (Book)
• Madre Fertility App
• @holisticfertilitydoctor

The Forge is where high-performing men come to rebuild their health—physically, mentally, and hormonally. We focus on real science, practical strategies, and the discipline required to perform at your highest level.

In Part 2 of this two-part series, Dr. May and Michael Johnson, Lic. Ac., continue to break down the foundational principles of testosterone—what it is, why it matters, and how it impacts nearly every aspect of men’s health.

From energy levels and muscle mass to mood, libido, and long-term vitality, testosterone plays a critical role in how men feel and function day to day. Yet many men experience declining levels without fully understanding the root causes or what can be done about it.

In this episode, we explore:

• What testosterone actually does in the male body
• Signs and symptoms of low testosterone
• Common causes of decline (stress, sleep, diet, environment)
• Practical, natural strategies to support healthy testosterone levels

If you're looking to take control of your health, optimize performance, or simply understand your body better, this episode lays the groundwork.

In part two we dive deeper into clinical repercussions and what you can do about it!

Foundations of Testosterone (Part 1): Why It Matters & Natural Optimization

Description:
In Part 1 of this two-part series, Dr. May and Michael Johnson, Lic. Ac., break down the foundational principles of testosterone—what it is, why it matters, and how it impacts nearly every aspect of men’s health.

From energy levels and muscle mass to mood, libido, and long-term vitality, testosterone plays a critical role in how men feel and function day to day. Yet many men experience declining levels without fully understanding the root causes or what can be done about it.

In this episode, we explore:

• What testosterone actually does in the male body
• Signs and symptoms of low testosterone
• Common causes of decline (stress, sleep, diet, environment)
• Practical, natural strategies to support healthy testosterone levels

If you're looking to take control of your health, optimize performance, or simply understand your body better, this episode lays the groundwork.

Stay tuned for Part 2, where we dive deeper into advanced strategies and clinical considerations.

What's Killing Men — Dr. May and Acupuncturist Michael Johnson (30+ years working with men's health) take a clear, urgent look at the diseases and conditions driving premature male death — from heart disease and cancer to mental health and metabolic illness. They explain why men are at higher risk, unpack warning signs, and give practical, evidence-informed steps men and their families can take now: screenings, lifestyle changes, treatment options, and when to get help. Candid, actionable, and hopeful — whether you’re a man, a partner, or a clinician, this episode equips you to recognize risk and protect lives. Subscribe for more conversations on prevention, recovery, and lasting health.