What’s happened to sperm?

episode

Previously titled “The lonely reality of male infertility” — renamed by the publisher on Aug 2, 2026

Today in Focus 28 min 5 speakers 6 chapters transcribed 2 months ago
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What is the main topic discussed in this episode?

Unknown 0:00
This is The Guardian.
Helen Pidd 0:09
Today, the lonely reality of male infertility.

What was Toby Trice's first experience when fertility treatment began?

Toby Trice 0:20
I thought trying for a baby would be quite romantic and as a memory and whatnot. And here I am, you know, in effectively a toilet cupboard room, masturbating into a pot to create a sample. And it's honestly horrible.
Helen Pidd 0:33
Toby Trice and his wife Katie had been referred to an NHS fertility clinic after trying and failing to have a baby. They were in their 20s, in good health, ready to become parents, but it just wasn't happening. Which is how he found himself in a toilet, surveying a collection of well-thumbed porn mags and thinking...
Toby Trice 0:51
you know, what am I doing here? This is just, just awful. I remember being at a waiting room actually of a Pacific clinic where men were arriving to obviously create samples for obviously checks in the laboratory. And honestly, the awkwardness around the room of each guy that kind of stepped away into, into the facilities and then come back flushed, red faced and full of embarrassment.
Helen Pidd 1:13
When it was Toby's turn, he told himself that his wife had been through far more invasive tests on their fertility journey.
Toby Trice 1:19
So I just kind of dug deep and thought, right, I just got to get on with this. You know, it's the easy bit. We joke about that. But there is obviously the emotional value that is difficult.
Helen Pidd 1:28
When we talk about infertility, the focus tends to be on the woman. We've left it too late. We've prioritized our careers. We were too picky when it came to finding a partner. That's certainly how I felt when I was going through IVF. It felt like it was all my fault. But half of the time, infertility is actually caused by issues with the man's sperm. And sperm counts are on the decline worldwide. Plunging testosterone is also making headlines. But how much should men worry? And what can they do to have the best chance of becoming a dad? From The Guardian, I'm Helen Pidd. Today in Focus, the stigma of male infertility. Toby Trice, welcome to Today in Focus. Thanks very much for being here.
Toby Trice 2:15
Hello, hello. How are you?
Helen Pidd 2:17
Yeah, good. Thank you very much. Albeit melting. Can you just start by telling me, did you always want to be a dad?
Toby Trice 2:22
Absolutely. Yeah, absolutely. I think from a young age, I've got my partner and we were just 15 years old at school. And from a very young age, we always spoke about being parents and stuff. My oldest sister had children when I was kind of just a teenager and I loved being the fun, silly, mad uncle and realised at a very young age that ideally I'd love to have a child or two or more in the future. So yeah, becoming a dad was always a dream for me.
Helen Pidd 2:52
And how old were you when you decided that you were ready to be parents?
Toby Trice 2:56
We're into our late 20s, actually, before we got to that phase.

How long did Toby and his wife try before seeking medical help?

Toby Trice 3:00
So 25, 26 is when we kind of started thinking about it. And that's when we started actually trying. We both wanted to land good jobs, get a house, set the foundations up for a good start of a family. So we were quite some time into our relationship. And yeah, we just thought that from that point, we would quickly have a baby.
Helen Pidd 3:19
And did it ever occur to you before you started actively trying to have children that it might be tricky?
Toby Trice 3:25
Never at all. Fertility issues was never a thing spoken about, certainly through my childhood, teenage years into early adulthood. So, you know, when the time come that me and my wife decided to start a family, we just assumed that we'd fall pregnant really quickly and we'll have a baby in nine months time kind of thing. But of course, that wasn't the case.
Helen Pidd 3:44
Yeah and how long were you actively trying before you sought some help?
Toby Trice 3:50
So we were actually trying for the best part of 12 months. So under the NHS sort of GP guidelines, at the time it was very much that 12 months of trying for a family would be needed prior to any kind of consultation as to what might or might not be going on. So those 12 months are really weird. It was a really strange time for us because the first month we just expected it to happen. It obviously didn't. Okay, maybe two or three months time and

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