Menu
Sign In Search Podcasts Charts People & Topics Add Podcast API Pricing

Dr. Peter Attia

👤 Person
11178 total appearances

Appearances Over Time

Podcast Appearances

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

If you look at the embryo, it's kind of hard to tell.

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

If you look at the embryo, it's kind of hard to tell.

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

So this is a man who's XXY instead of XY. So 47 chromosomes, not 46. Yep. And phenotypically, he kind of has a distinctive look, right? 10% of the time. Oh, really? 90% of the time, a man with Klinefelter's, you'd never know. Yeah.

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

So this is a man who's XXY instead of XY. So 47 chromosomes, not 46. Yep. And phenotypically, he kind of has a distinctive look, right? 10% of the time. Oh, really? 90% of the time, a man with Klinefelter's, you'd never know. Yeah.

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

So that's the board question. That's the board question, right?

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

So that's the board question. That's the board question, right?

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

Meaning they will produce an X or a Y sperm. Just like everyone else. The only difference is they have a two-thirds chance of producing an X and a one-third chance of producing a Y, I'm assuming, instead of 50-50. Don't think we know that.

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

Meaning they will produce an X or a Y sperm. Just like everyone else. The only difference is they have a two-thirds chance of producing an X and a one-third chance of producing a Y, I'm assuming, instead of 50-50. Don't think we know that.

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

I interrupted you. You were in the process of explaining how we actually make the sperm, where the tail comes from and the whole process. Yeah, it's all done in the testicle. Yep. It's an amazing machine. Weird question we should maybe get to is why is it out in the breeze like that? I assumed it was temperature related. Why? Why does it need to be a little cooler?

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

I interrupted you. You were in the process of explaining how we actually make the sperm, where the tail comes from and the whole process. Yeah, it's all done in the testicle. Yep. It's an amazing machine. Weird question we should maybe get to is why is it out in the breeze like that? I assumed it was temperature related. Why? Why does it need to be a little cooler?

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

I would guess, because I like to make things up, that it's so energetically demanding that it's giving off more heat in the process of creating something that is going to be so efficient to be able to swim 20 miles effectively. And that's very glycolytic, I'm assuming. The amount of ATP that must be generated. 75 mitochondria for sperm. That's like an electric motor on each wheel. Yeah.

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

I would guess, because I like to make things up, that it's so energetically demanding that it's giving off more heat in the process of creating something that is going to be so efficient to be able to swim 20 miles effectively. And that's very glycolytic, I'm assuming. The amount of ATP that must be generated. 75 mitochondria for sperm. That's like an electric motor on each wheel. Yeah.

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

So that would be my guess is it's an overheating problem if you tried to keep those guys inside. And I think overheating could be translated to oxidative stress, which is a cause of a lot of infertility.

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

So that would be my guess is it's an overheating problem if you tried to keep those guys inside. And I think overheating could be translated to oxidative stress, which is a cause of a lot of infertility.

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

Women can get in hot baths and they're okay. It's funny. I had a buddy over who shall remain nameless. He does not have kids, but he would like to have kids. And we sauna'd the other day. He went up to my freezer beforehand. I didn't really know what he was doing in there. I thought he was getting a drink or something. And he came down with ice packs.

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

Women can get in hot baths and they're okay. It's funny. I had a buddy over who shall remain nameless. He does not have kids, but he would like to have kids. And we sauna'd the other day. He went up to my freezer beforehand. I didn't really know what he was doing in there. I thought he was getting a drink or something. And he came down with ice packs.

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

We were sitting in the sauna and he was in the sauna, but he's got ice packs all over his groin. Immediately understood why he was doing that. But yeah, we'll come back to whether or not that's an important strategy for men in saunas who want to have kids. So the complete sperm, spermatogenesis is the whole process.

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

We were sitting in the sauna and he was in the sauna, but he's got ice packs all over his groin. Immediately understood why he was doing that. But yeah, we'll come back to whether or not that's an important strategy for men in saunas who want to have kids. So the complete sperm, spermatogenesis is the whole process.

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

Give us some size comparison. Before the tail is on, what is the size of that cell? Probably similar to half the size of a lymphocyte or half the size of a red blood cell, a couple microns.

The Peter Attia Drive
#351 ‒ Male fertility: optimizing reproductive health, diagnosing and treating infertility, and navigating testosterone replacement therapy | Paul Turek, M.D.

Give us some size comparison. Before the tail is on, what is the size of that cell? Probably similar to half the size of a lymphocyte or half the size of a red blood cell, a couple microns.