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Paul Turek

👤 Person
716 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.

But that sperm, if you put in it, will know exactly where to go and it'll move forward because it's like a shark sensing blood in the water. One part per billion of follicular fluid can be sensed by a sperm. That's incredible. It's literally an olfactory sense. It's a smell sense that sperm have for particular food.

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

But that sperm, if you put in it, will know exactly where to go and it'll move forward because it's like a shark sensing blood in the water. One part per billion of follicular fluid can be sensed by a sperm. That's incredible. It's literally an olfactory sense. It's a smell sense that sperm have for particular food.

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

It was published in Nature recently and stuff like that. So it's really interesting. It's an olfactory type receptor.

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

It was published in Nature recently and stuff like that. So it's really interesting. It's an olfactory type receptor.

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

Is there any smell, Peter?

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

Is there any smell, Peter?

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

And I'd also say that if you block a sensory bank of the five, others increase remarkably like braille. I'm a microsurgeon. This stuff matters a lot, but I can't do braille or hearing. I think you can crank it up if you lose a sense and you see that with people who are deaf. Your ability to see and I don't think seeing better is really the issue, but hearing and smell, I think it can crank up.

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

And I'd also say that if you block a sensory bank of the five, others increase remarkably like braille. I'm a microsurgeon. This stuff matters a lot, but I can't do braille or hearing. I think you can crank it up if you lose a sense and you see that with people who are deaf. Your ability to see and I don't think seeing better is really the issue, but hearing and smell, I think it can crank up.

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 a great extrapolation of the pot of soup idea. And so on that note, I would say... Typically, we recommend two days of abstinence, sex every other day.

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 a great extrapolation of the pot of soup idea. And so on that note, I would say... Typically, we recommend two days of abstinence, sex every other day.

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

But not for the semen analysis. That's for conception. Depends how old you are in your biology, but most men need a day or two to recharge completely, a day or two. That's why we recommend that. That's sort of a generalization. Some men are fine every day. I had a guy once who had to bank sperm for hepatitis treatment. And he was like Mickey Rourke, and he had a wooden leg, and he was about 50.

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

But not for the semen analysis. That's for conception. Depends how old you are in your biology, but most men need a day or two to recharge completely, a day or two. That's why we recommend that. That's sort of a generalization. Some men are fine every day. I had a guy once who had to bank sperm for hepatitis treatment. And he was like Mickey Rourke, and he had a wooden leg, and he was about 50.

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

And I said, you're going to need to abstain for a couple, three days to do this semen analysis so we get a good sample. I want it to be an optimized one. And he looked at his partner, and she looked at me, and she grabs him and says... he can't do that. He's every day. He can't do that. I'm always going to do. So he's like, he was panicking that he had to hold off for a day.

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

And I said, you're going to need to abstain for a couple, three days to do this semen analysis so we get a good sample. I want it to be an optimized one. And he looked at his partner, and she looked at me, and she grabs him and says... he can't do that. He's every day. He can't do that. I'm always going to do. So he's like, he was panicking that he had to hold off for a day.

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

I said, how often do you have sex? He said, twice a day, every day. I'm like, okay, that was great. Then I had one man, wonderful orthopedic surgeon at Stanford. And I asked him on my questionnaire, I said, how often do you have sex? And he wrote 0.00001356. I was like, He divided once a year. 0.00 weekly, 0.00155, Avogadro's number, right? Which meant he was so frustrated.

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

I said, how often do you have sex? He said, twice a day, every day. I'm like, okay, that was great. Then I had one man, wonderful orthopedic surgeon at Stanford. And I asked him on my questionnaire, I said, how often do you have sex? And he wrote 0.00001356. I was like, He divided once a year. 0.00 weekly, 0.00155, Avogadro's number, right? Which meant he was so frustrated.

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

A beautiful way to say that was the 0.001355. So anyway, for a semen analysis for diagnostics for infertility, when you abstain longer, your sperm count will rise.

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

A beautiful way to say that was the 0.001355. So anyway, for a semen analysis for diagnostics for infertility, when you abstain longer, your sperm count will rise.

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

When you're not going to gain that much, you're not going to lose that much motility after that. So there's biological variability, which we try to minimize when we do the semen analysis. So two to four days of abstinence. That's a different period than what we're recommending for sex, which is every other day.

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

When you're not going to gain that much, you're not going to lose that much motility after that. So there's biological variability, which we try to minimize when we do the semen analysis. So two to four days of abstinence. That's a different period than what we're recommending for sex, which is every other day.