Many men will notice a lump or change “down there” at some point in their lives, and it can be difficult to talk about! In this episode of Talk With Turek, Dr. Paul Turek and co-host Rob Clyde take a clear, evidence-based look at lumps and bumps on the testicles, scrotum, and penis—and explain why guessing, waiting, or Googling is rarely the right move.

Dr. Turek explains how urologists evaluate scrotal and penile lumps, what features raise red flags for cancer or infection, and when a situation is truly urgent. They discuss benign conditions, symptoms, and the importance of self-examination for early detection of serious conditions like testicular and penile cancer.

You’ll hear:

• What’s normal vs concerning when it comes to lumps “down there”

• How testicular cancer typically presents and why early detection matters

• Common benign causes of scrotal lumps and when they need treatment

• Which symptoms require urgent medical attention

• How doctors actually figure out what’s going on

• How some conditions can affect fertility and sperm health

Lumps and bumps happen. This episode offers clear guidance to help men move from fear or denial to informed action—before a small issue becomes a big one.

Fertility care is not just clinical, it is deeply personal. In Episode 13 of Talk With Turek, Dr. Paul Turek and co-host Rob Clyde sit down with Lauren Berson, Founder and CEO of Conceive, to explore how fertility support is evolving and why the current ecosystem often fails both women and men.

Lauren has built a digital community designed to meet patients exactly where they are, providing personalized answers, emotional support, and clear next steps in minutes. One of the biggest challenges she is addressing is the fact that the modern fertility system was designed almost entirely around women. Historically, apps and devices track only the female partner, leaving men overlooked even though male factor contributes to 50 percent of infertility challenges.

In this conversation, Lauren shares why fertility journeys require both clinical guidance and emotional care and how technology and AI can help patients feel more informed, supported, and empowered. She also dives into the importance of including men early in the process, redesigning care so it works for both partners, and creating tools that help people navigate one of the most stressful experiences of their lives.

You’ll hear:

1. Why fertility care must evolve to support both men and women
2. How AI and personalized medicine can improve patient outcomes
3. Why male fertility is often ignored and how to change that
4. The importance of emotional care alongside clinical care
5. How Conceive delivers guidance in minutes through a digital community
6. Why having the right answers at the right time can transform the entire journey

Every fertility journey is unique. This episode offers a fresh, modern perspective on how technology, community, and personalized care can make the process more humane and more effective for everyone involved.

Stress is not just in your head. It is in your erections, your libido, your sleep, your longevity, and even your fertility.

In this episode of Talk with Turek, Dr. Paul Turek and co host Rob Clyde sit down with award winning neuroscientist and bestselling author Daniel Levitin, PhD (This Is Your Brain on Music, The Organized Mind, Successful Aging) to unpack how chronic stress reshapes the male brain and the male body.

Dr. Levitin explains what really happens in your brain when you are stressed, why that can shut down libido, erections and rational thinking, and how our modern “always on” lives with email, the internet, social media and AI keep men stuck in a constant fight or flight state.

YOU WILL LEARN:

• How the brain’s stress cascade turns off immunity, digestion and libido

•. Why long term stress wrecks sleep, erections and fertility, even if you do not feel stressed

• How much brain real estate is devoted to the penis, clitoris, lips and anus

•. Why men often miss their own stress signals, and how morning erections and “vacation erections” can act as biomarkers for health

•. Practical ways to lower stress: yoga, exercise, meditation, music, acupuncture, sex and building real relationships with doctors

•. How AI and tools like ChatGPT can both help and harm attention, focus and mental health

•. Why literature, art and learning an instrument are “neuroprotective” for the aging brain

•. The role of conscientiousness, self care and lifestyle in living longer and feeling better

Whether you are trying to conceive, dealing with erectile issues, low libido or simply feeling overloaded by work, family and tech, this conversation gives you science backed tools to understand your stress and start doing something about it.

ABOUT OUR GUEST – DR. DANIEL LEVITIN

Dr. Daniel Levitin is a neuroscientist, musician, and bestselling author whose work spans music, the brain, health, productivity, aging, and creativity. He’s written multiple New York Times and international bestsellers, including This Is Your Brain on Music, The Organized Mind, Successful Aging, A Field Guide to Lies, and more. He has taught at McGill University, Stanford, and UC Berkeley, and has advised companies like Microsoft, Google, and Amazon.

🔗 Learn more about Dr. Levitin:

Website: daniellevitin.com

Instagram: @daniellevitinofficial

Patreon: Daniel Levitin

👉 Watch to learn how stress shows up in your brain, your body and your bedroom, and what you can change today.

To schedule an appointment or find out more click https://www.theturekclinic.com/#conta...

About Talk with Turek

Talk with Turek is a men’s reproductive health podcast from The Turek Clinic, hosted by world renowned reproductive urologist Paul Turek, MD and co host Rob Clyde. We explore male fertility, sexual health, hormones and the science of building a family in a modern world.

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In this episode of Talk With Turek, Dr. Paul Turek and co-host Rob Clyde welcome special guest Dr. John K. Amory, MD, MPH, Professor at the University of Washington, to discuss a breakthrough that is proving to be a true game changer in the field of reproductive health.

What you’ll learn in this episode:

• How isotretinoin (best known as Accutane®) has been shown to stimulate sperm production in severely infertile men.

• Why retinoic acid is critical for spermatogenesis and healthy sperm production

• Results from a brand-new peer-reviewed study: in a group of 30 men with azoospermia or cryptozoospermia, 37% produced motile ejaculated sperm after 3–6 months of isotretinoin therapy Real-world outcomes: embryos created, pregnancies achieved, and babies born

• Why this treatment, although off-label, offers real hope to men once told “there’s no chance.” This medication must be artfully monitored and requires specialized oversight and management by an experienced reproductive urology practice.

• How collaboration between specialists is breaking down stigma and driving innovation in male fertility

At The Turek Clinic, our mission is to put patients first. That means understanding every unique situation, exploring every option, and guiding patients toward the best path forward — whether that involves surgery, advanced diagnostics, or groundbreaking new therapies.

Tune in to Episode 10 of Talk With Turek on your favorite podcast platform, or watch here, to learn how this discovery could transform the future of infertility treatments.

*Isotretinoin is not FDA-approved for male infertility; this is off-label use.

**Accutane® is a registered trademark of Hoffmann-La Roche Inc.; use herein is for identification only.

Infertility too often defaults to a “woman’s issue,” yet up to 50% of cases stem from male factors. A basic semen analysis should be the very first step for any couple trying to conceive, but going beyond with advanced sperm-quality technology like Sperm QT and epigenetic analysis transforms outcomes. These deeper dives—performed under the care of a reproductive urologist—expedite diagnosis, support more affordable treatment paths, and spare couples from unnecessary procedures or invasive female testing and lead to increased success rates and potentially healthier children, at a reduced cost.

Why This Episode Matters

In Episode 9 of Talk With Turek, Dr. Paul Turek and co-host Rob Clyde welcome Kristin Brogaard, CSO of Path Fertility, for an unfiltered exploration of:

Why Epigenetics Matter in Sperm Analysis

Epigenetic “tags” on sperm DNA don’t alter your genetic code—but they determine which genes are switched on or off. Understanding these marks is crucial because:

• Guiding Embryo Development: Proper epigenetic programming in sperm steers early embryonic gene expression—errors here can contribute to implantation failures or developmental issues.

• Predicting Fertility Outcomes: Abnormal sperm epigenetic patterns are linked to lower fertilization rates and higher miscarriage risks, making them invaluable biomarkers beyond simple counts or motility measures.

• Safeguarding Future Generations: Environmental exposures, age, and lifestyle can reshape sperm epigenetics—and those changes may influence children’s long-term health.

Path Forward: Actions to Optimize Sperm Epigenetics

Armed with epigenetic insights, couples and clinicians can take targeted steps to enhance reproductive success:

• Routine Epigenetic Screening: Incorporate DNA methylation profiling along with standard semen analyses to uncover hidden obstacles to conception.

• Collaborative Care: Partner with a reproductive urologist to interpret advanced assay results, integrate them into your fertility plan, and monitor improvements over time.

• Preventive Counseling: Educate on the impact of diet, toxins, stress, and exercise—empowering lifestyle changes that benefit both sperm health and future children’s well-being.

• Personalized Interventions: Tailor nutrition, supplement, or medical therapies based on each patient’s specific epigenetic profile.

Thank you for being part of our community. Together, we’re redefining reproductive care—one scientific breakthrough and one hopeful story at a time.

Subscribe to never miss an episode, LIKE if you find value, and SHARE to help break the silence around male infertility!

In this powerful episode of Talk with Turek, Dr. Paul Turek, a leading reproductive urologist, and co-host Rob Clyde sit down with Turek Clinic patients Mike and Katie, who share their deeply personal journey navigating the challenges of male infertility. They open up about the emotional and medical hurdles they faced, including the societal pressures on masculinity and the emotional toll of discovering fertility issues. Their story underscores the critical importance of understanding male fertility, self-advocacy, and the life-changing hope that comes from working with the right reproductive specialists—specialists who will listen, not put their own agenda ahead of yours, and will walk alongside you every step of the way.

When others told them there was no hope, Dr. Turek not only provided hope but also found a solution. Their journey through IVF highlights the emotional and economic impact of fertility treatments, with a focus on innovations in sperm selection technology and the importance of high-quality labs in improving IVF outcomes. Their story also emphasizes the need for testing both partners—especially since male factor infertility, which accounts for 50% of infertility cases, is often overlooked.

Mike and Katie’s journey is a testament to the power of perseverance, showing that in the face of adversity, trusting your instincts and seeking new solutions can lead to hope and success. Now, with two beautiful daughters, they continue to inspire others by advocating for a shift in the infertility conversation—one that recognizes the essential role of male fertility.

This episode is a must-watch, offering insights into the IVF process while highlighting the importance of awareness, education, and breaking the silence surrounding male infertility. It calls on both patients and medical professionals to prioritize male fertility in reproductive health.

❤️ If Mike and Katie’s story moves you, please LIKE, COMMENT, and SHARE—help us break the silence on male fertility and bring hope to others. Don’t forget to SUBSCRIBE and hit the 🔔 icon so you never miss an episode!

In Episode 7 of Talk with Turek, Dr. Paul Turek opens the conversation not with science, but with soul. He shares the stories of two patients whose heartbreaking journeys—unrelated to testosterone—underscore the fragility, resilience, and raw humanity at the heart of family-building. These deeply emotional narratives reveal the unseen weight men carry in the face of loss, infertility, and uncertainty. It’s a poignant reminder: behind every chart and test result is a person seeking hope.

From this place of vulnerability and empathy, Dr. Turek and co-host Rob Clyde transition into a powerful and myth-busting exploration of testosterone—often misunderstood, often misused, and increasingly commercialized as a cure-all for aging and low energy. They take on “Vitamin T” with clarity, nuance, and compassion.

A central theme? Stress. Dr. Turek unpacks how chronic stress—a silent epidemic among men—can wreak havoc on testosterone levels, sexual health, and overall wellbeing. The episode explores how stress-related hormonal dysregulation in younger men is on the rise, and how this is often misdiagnosed or mismanaged with quick-fix testosterone therapy, which can do more harm than good.

Also in this episode:

1. The truth behind testosterone replacement therapy (TRT) and why it can lead to 95% infertility rates in men using it.
2. How normal testosterone levels are essential for sperm production—and how low levels aren't always the root of the problem.
3. Why sex drive is not solely hormonal—it's also deeply tied to mental state, lifestyle, and emotional connection.
4. A breakdown of anabolic steroids vs. natural testosterone and what the data says about longevity.
5. How sleep, exercise, and stress management are some of the most powerful tools for hormonal balance—no prescription needed.
6. The artistry and misconception of bodybuilding: what the outside world sees vs. what’s happening internally.
7. Advances in sperm retrieval techniques, including how sperm mapping can protect long-term testosterone production, unlike blind microdissection techniques that risk harming testicular function.

From bedroom performance to boardroom burnout, this conversation is about more than hormones—it’s about reclaiming agency over one’s health, identity, and future.

If this episode moved you or taught you something new, please like, comment, and subscribe. Share it with someone navigating testosterone therapy, infertility, or just trying to make sense of their body in a noisy world. Let’s continue to normalize these conversations—with honesty, empathy, and science.