Show #91: Men’s health with Dr Ralph Esposito Part 1: sex hormones, fertility, check ups and prostate


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And onto this week’s show!

Thrilled to have Dr Ralph Esposito, a doctor of naturopathic medicine, a master of acupuncture and Chinese medicine join me on the show this week for our first male-focused show. There are of course so many things we could tackle, so I’m calling this part 1 and please leave a comment below with a male health topic you’d like covered for our part 2. In today’s show we discuss fertility and the major factors concerning decline in sperm health and motility, major factors that upset the balance of testosterone and oestrogen in men, health check up markers men should annually request to check in on their health and a touch of prostate at the end – pun intended 😉 No subject on men’s health is taboo in this ep. We discuss everything from drinking, sleeping and morning glory so if you find talking about sexual organs sensitive for you, tune out this week. For the rest of you buckle up for this important discussion that I’m already looking forward to the sequel of and of course, if you’re a woman reading this, listen WITH your man instead of talking TO your man about everything he needs to do – always better when it comes from a doc rather than feeling like the nagging partner.

Here’s a little of Dr Ralph Esposito’s BIO from his website:

Doctor of naturopathic medicine, licensed acupuncturist and functional medicine practitioner

Dr. Esposito specialises in hormones, integrative urology and men’s health. His precise and personalised style embodies a progressive approach to medicine. He has been published and is a peer reviewer in well-respected medical journals. Furthermore, Dr. Esposito has authored several medical textbook chapters and has designed education modules for health professionals specifically on urological conditions, fertility, male and female hormone dysfunction, Low Testosterone, exercise, fitness, men’s health and sexual dysfunction. He has trained at NYU Integrative and Functional Urology Center. Dr. Esposito also holds a position as adjunct professor at New York University where he lectures on integrative medicine.


What questions do I ask Dr Esposito this week?

  1. How did you come to be doing what you do today?
  2. Many aspects of men’s health to discuss, but let’s talk about 3 things: Fertility, Testosterone and Prostate health, starting with fertility: We talk about fertility challenges so heavily weighted towards women having issues, but the reality is that Men account for a large percentage of fertility challenges: You wrote a fascinating piece with an oh so terrifying title “Are we on our way to extinction?” What’s going on with men in the face of today’s stats of 1 in 6 couples finding it hard to conceive and why the terrifying question? Are things truly that bad?
  3. What are the biggest lifestyle factors that affect male fertility? Biggest nutrient deficiencies / hormone dysfunctions that play a role?
  4. Best ways for men to prepare nutritionally / lifestyle change-wise to bring their A game to the horizontal tango?
  5. Speaking of lifestyle and moving on from fertility focus and over to hormone health for all men… Seems there is a lot of research to suggest that our sedentary, high stress lives are impacting men’s testosterone / estrogen balance? (I might bring in the fact that antibacterial soaps are playing a potential role in higher estrogen / low T in men. Crazy!)
  6. What happens when men are too high in testosterone and what does that look like? Too low and what are the signs?
  7. Too high in estrogen and what are the signs / can a guy be too low in estrogen?
  8. And onto prostate health… Women seem to be way more passionate about their own health challenges and their families’ with 50 tabs open on the internet, chat groups and forums getting to the bottom of little Tommy’s distended belly or their own SIBO, trialing cultured foods, binders, breaking down biofilms… Men, well, not so into it, and when it comes to the prostate, well… us ladies can be kind of like “well, I can’t help you there bud…” and often men seek health much later in the piece than women do. How do we get more men to pay attention to their prostate health earlier in life? What’s in it for them that we can entice our partners, dads, brothers and sons to care more?
  9. What are the key blood test markers men should get and how often / what age from?
  10. If you could think of all the biggest issues facing the men of today, what would you suggest are the 3 most powerful things men can do in their day to day, to live optimally?

We of course tangent a couple of times true to form and talk about making your own wine, morning erections, hypothyroidism, action movies, lifting heavy things, meditation… but you get the gist and I hope you love the chat as much as I loved having it!

Other helpful links?

Check out Dr Esposito’s website

Find Dr Esposito on instagram @dr.ralphesposito

Find Dr Esposito on Facebook


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Low Tox. Happy us. Happy planet

Comments 2

  1. My husband listened to this last night. He said to tell you that his takeaways were:
    1. more sleep
    2. more sex
    3. eat well.
    He’s really happy with that advice and keen to take it on board!! 😉

    On a serious note, I’d be keen in a second interview to hear some elaboration on the advice to lift weights 4 times a week for prostrate health.. my husband says he takes longer to recover now than he used to (he’s 50) so only goes to the gym 1 or 2 times per week. Should he be splitting the workout into shorter and more frequent? Not doing the whole body each time? Why/how does this assist?
    Thanks Alexx 🙂

  2. I have read your blog, it was very informative. I was looking for such a blog from a long time. It has given me appropriate knowledge about fertility and pregnancy. Just through your blog, I came to know about Ovulation calculator. Now it will be easy for me to determine my fertility days, as I am planning to get pregnant. Due my husband’s job, he is mostly out of station and it becomes difficult for us to coordinate during my fertility day. Now we will co-opt, so that I can get pregnant.

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