Mamapalooza:: What your man can do to help his fertility! (& how men's health affects your pregnancy!)

Speaker: 00:00:00

It is time we start to focus

on the men for this women's

2

: 00:00:03

health focused podcast festival.

3

: 00:00:04

And I know what you're thinking.

4

: 00:00:05

You're thinking, Kelsey, they

sneak their way into everything.

5

: 00:00:09

But trust me, you are definitely

gonna wanna hear this because today

6

: 00:00:12

we're gonna be talking about how a

man's fertility affects your pregnancy

7

: 00:00:17

journey, your pregnancy symptoms,

and the health of your child.

8

: 00:00:20

Welcome back to Wellness Fix of the Pod.

9

: 00:00:22

I'm your host, Dr.

10

: 00:00:23

Kelsey Vic, a board certified orthopedic

doctor of physical therapy and a

11

: 00:00:27

pelvic floor physical therapist.

12

: 00:00:28

And throughout this month of May,

this month of mothers, we've been

13

: 00:00:31

hosting a women's health focused

podcast festival through the

14

: 00:00:35

lens of pregnancy and postpartum.

15

: 00:00:38

We've been learning all about

the cool things that our

16

: 00:00:40

bodies can do as women, but.

17

: 00:00:43

Almost one of the most important phases

of our life of pregnancy and postpartum.

18

: 00:00:47

So we've chatted about exercise

during each trimesters.

19

: 00:00:50

We've chatted about sex.

20

: 00:00:51

We've chatted about creatine

during pregnancy and postpartum.

21

: 00:00:54

We've chatted about breastfeeding and

all of the cool things that our body goes

22

: 00:00:57

through, but there's a whole other side to

that equation that we're not necessarily

23

: 00:01:02

covering, and I really wanted to cover it.

24

: 00:01:04

In this podcast festival because It

is gonna be one of those topics that

25

: 00:01:07

we start to hear more and more about.

26

: 00:01:09

I'm already starting to hear more and

more about it, which is why I wanted to

27

: 00:01:12

dive into the research today and actually

cover male fertility and more importantly,

28

: 00:01:17

how it really takes two to tango.

29

: 00:01:20

We've been focusing on women during

this pregnancy and postpartum journey,

30

: 00:01:23

In our bodies as women do such amazing

things, but our pregnancy journey, the

31

: 00:01:28

health of our child, the health of our

family does come down to another person,

32

: 00:01:33

and that is the male contributor to that.

33

: 00:01:37

fertilization.

34

: 00:01:37

So I wanted to talk about male

fertility today and really cover it

35

: 00:01:42

from this perspective of what can

we encourage the men in our lives to

36

: 00:01:47

do, to help their fertility because

I also feel like they're a little bit

37

: 00:01:51

forgotten about in the fertility space.

38

: 00:01:53

But again, it takes two to tango and

we need to make sure that we're looking

39

: 00:01:56

at both sides of the equation in order

to really understand the full picture.

40

: 00:02:00

So research has shown that the man

actually does contribute, obviously,

41

: 00:02:05

to the child, but specifically fetal

development, pregnancy symptoms, a

42

: 00:02:09

child's long-term health, possibly

how a mom feels during pregnancy

43

: 00:02:13

and some of the health conditions

she might get during pregnancy.

44

: 00:02:16

previously research has focused more

on those maternal factors, but I

45

: 00:02:19

really do want to focus on the paternal

factors today so that we can get a

46

: 00:02:24

better idea of how to help ourselves,

but then also help the men in our

47

: 00:02:28

lives if fertility is a concern for

them, or a concern for us as family.

48

: 00:02:33

So today we're gonna dive

into the research together.

49

: 00:02:35

a little bit of a disclaimer

before we start, this will be

50

: 00:02:38

talking about some scary things.

51

: 00:02:41

A lot of the time we're focusing on things

that might lead to complications, right?

52

: 00:02:44

And so that is where the start of this.

53

: 00:02:48

Chat is gonna go just so we can understand

the link between what is happening with

54

: 00:02:54

the paternal health that is going to

affect the child and the maternal health.

55

: 00:02:58

So I don't want it to be super scary.

56

: 00:03:01

I actually debated on sharing

some of these facts based on

57

: 00:03:05

research, but I realized that.

58

: 00:03:08

Being informed and educated is more

important than sheltering the scary facts.

59

: 00:03:13

So please bear with me, I promise

I'm gonna try and explain why this

60

: 00:03:18

might happen and why some of these

factors are the way that they are.

61

: 00:03:22

But it is a little bit scary.

62

: 00:03:24

So if you're not in the

right head space, if you are.

63

: 00:03:26

Someone undergoing fertility

challenges or struggles or just,

64

: 00:03:30

yeah, not in the right head space

to hear about this kind of thing.

65

: 00:03:32

Then I recommend probably

skipping this episode.

66

: 00:03:34

I'll leave chapters below.

67

: 00:03:35

That way if there are chapters that you do

feel like you're in the right head space

68

: 00:03:39

for, you can fast forward through those.

69

: 00:03:42

But I just wanted to give that warning

because even as I was researching, I was

70

: 00:03:45

like, gosh, this episode could definitely

turn into something that is very scary and

71

: 00:03:50

not this sort of positive podcast health

festival that I wanna bring to you guys.

72

: 00:03:55

But it's the importance stuff.

73

: 00:03:57

And I realized

74

: 00:03:58

This education might not be as

widespread as, say, a woman's health

75

: 00:04:02

or maternal health education when it

comes to pregnancy and postpartum.

76

: 00:04:06

So a few stats for you before

we dive into the research.

77

: 00:04:09

. We are gonna be looking a

lot at the paternal weight.

78

: 00:04:12

So overweight and obese are two

separate categories, and the research

79

: 00:04:17

pretty much ranks them based on BMI.

80

: 00:04:19

And I don't think, I don't know

if we've talked about BMI on this

81

: 00:04:22

podcast before, but it's not the.

82

: 00:04:23

Best indicator, but it's a

great standard indicator.

83

: 00:04:27

So that's what we're gonna use today.

84

: 00:04:29

So the cutoff for overweight men

or overweight in general, and again

85

: 00:04:33

they do vary male to female, but

overweight in men is 25 to 29.9

86

: 00:04:39

BMI.

87

: 00:04:40

And I'll leave A BMI calculator

below, but it is basically take.

88

: 00:04:44

The weight divided by

height in meter squared

89

: 00:04:48

obese men have A BMI of 30

or more, so that'll be those

90

: 00:04:52

cutoffs that we talk about.

91

: 00:04:53

And so I'll leave that

BMI calculator below.

92

: 00:04:55

If you're like, oh, hang on.

93

: 00:04:57

does someone I love

possibly fall in that range?

94

: 00:05:00

Overweight men again,

that BMI of 25 to 29.9

95

: 00:05:03

are 11% more likely than their

normal weight counterparts to produce

96

: 00:05:08

low numbers of sperm and 39% more

likely to produce no sperm at all.

97

: 00:05:13

Obese men, again, that BMI of

30 or more are 42% more likely

98

: 00:05:18

to have a low sperm count, 81%

more likely to produce no sperm.

99

: 00:05:22

Paternal obesity actually leads to

decreased pregnancy rates, an increase

100

: 00:05:27

in pregnancy loss in couples undergoing

things like IVF or assisted reproduction

101

: 00:05:33

in some way, and there's an increased

oxidative stress on the sperm, which

102

: 00:05:37

can lead to morphological changes.

103

: 00:05:40

This next one is hard to tease out.

104

: 00:05:42

They've done it in animal

models, but I figured I'd give

105

: 00:05:44

you guys the stat anyways.

106

: 00:05:46

Obese men are more likely

to parent obese children.

107

: 00:05:49

Again, humans, it's hard to separate

because there might be multiple external

108

: 00:05:53

environmental factors that are leading

to that, but in animal models it's a

109

: 00:05:57

lot easier to tease out, and it has

been shown that there are changes

110

: 00:06:01

in metabolic function, in offspring.

111

: 00:06:03

Biased more towards a negative

impact on female offspring.

112

: 00:06:06

Actually.

113

: 00:06:07

When controlling for environmental

factors with paternal obesity, so in

114

: 00:06:13

the offspring, they have been able

to tease out all of the other factors

115

: 00:06:17

that might go into play and show that

paternal obesity can lead to negative

116

: 00:06:23

health outcomes and negative metabolic

function in the offspring with a more

117

: 00:06:27

negative bias towards female offspring.

118

: 00:06:30

With obese and overweight men and

controlled for a healthy BMI in a female,

119

: 00:06:36

there is a longer time to conception.

120

: 00:06:38

There's been a lot of research done

on how paternal factors can influence

121

: 00:06:43

preeclampsia, and preeclampsia is high

blood pressure during pregnancy in the

122

: 00:06:48

female, and it relates back to hypoxia

or decreased oxygen within the placenta.

123

: 00:06:54

So there's a lot of factors from

the paternal side that can feed

124

: 00:06:59

into the maternal diagnosis and

the maternal signs of preeclampsia.

125

: 00:07:04

The chance of preeclampsia in the

female was significantly higher with

126

: 00:07:08

paternal obesity compared to normal BMI.

127

: 00:07:11

As paternal BMI increases the

rate of preeclampsia increases.

128

: 00:07:16

13 to 19% of the development

of preeclampsia can be

129

: 00:07:20

attributed to the male.

130

: 00:07:21

So a lot of the time there are male and

female maternal and paternal factors

131

: 00:07:26

that go into this, but they have been

starting to try and tease out, okay, if we

132

: 00:07:30

control for these factors in the mom, what

133

: 00:07:33

Is coming from the paternal factors.

134

: 00:07:36

This one was interesting to me, but men

and women, both who were born from mothers

135

: 00:07:41

with preeclampsia, have an increased

risk for the female partner developing

136

: 00:07:46

preeclampsia and maternal and paternal

obesity as a risk factor for preeclampsia.

137

: 00:07:50

So we're focusing on the paternal health

factors, but a lot of these that we'll

138

: 00:07:54

talk about today are also mirrored for

the maternal health profile as well.

139

: 00:07:59

So maternal obesity and

paternal obesity are also.

140

: 00:08:04

Risk factors for preeclampsia.

141

: 00:08:07

We will focus a lot on that obesity part

today and that overweight part today.

142

: 00:08:11

But I did want to give a few more stats

and these, it's hard to understand

143

: 00:08:15

why, but I figured there are good stats

to have and just understand what all

144

: 00:08:20

besides even body composition feeds

into how healthy a pregnancy is, how

145

: 00:08:27

likely you are to conceive, and then

how healthy your child is later on.

146

: 00:08:31

So older fathers, and this was a

meta-analysis, I believe, which.

147

: 00:08:35

Combines a whole bunch of studies, and so

they said older fathers was over 35 ish,

148

: 00:08:41

so it's hard to standardize that across

multiple studies in this grouped analysis.

149

: 00:08:47

But over 35 ish babies are at an

increased risk for low birth weight

150

: 00:08:52

seizures and a need for ventilation

immediately after delivery.

151

: 00:08:56

Although there was a disclaimer

on this study too, where.

152

: 00:08:59

It was relatively low percentages

of increase for those.

153

: 00:09:03

So. It was when you started

getting to that 40, 45 range.

154

: 00:09:06

But 35 did seem to be where that cutoff

was, and so that's where they marked it.

155

: 00:09:12

All types of parental smoking

were associated with the risk

156

: 00:09:16

of congenital heart defects.

157

: 00:09:18

So there was an increase in 74%

for men smoking an increase in 124%

158

: 00:09:24

for women experiencing secondhand

smoke, most likely from their

159

: 00:09:29

partner throughout their pregnancy.

160

: 00:09:31

And there was an increase in 25%

for women smoking during pregnancy.

161

: 00:09:35

So what was interesting here

is that there was a higher

162

: 00:09:37

percentage for congenital heart.

163

: 00:09:40

Defects in women who experienced

secondhand smoke from, again,

164

: 00:09:44

they estimated that most of it

was coming from their partner or

165

: 00:09:47

whoever they were living with,

166

: 00:09:49

and there was even less of a chance

of congenital heart defects with women

167

: 00:09:54

who were smoking during pregnancy.

168

: 00:09:56

And that risk decreased

significantly if the woman stopped

169

: 00:10:00

smoking before pregnancy, which

I thought was very interesting.

170

: 00:10:03

when they controlled for maternal factors,

less paternal education increased the

171

: 00:10:08

chance for Preterm birth, low birth

weight, and small for gestational age.

172

: 00:10:12

However, maternal education

offset the difference for

173

: 00:10:16

small gestational age slightly.

174

: 00:10:17

So there was this interplay and these

effects between both, where if maternal

175

: 00:10:22

education was higher, it could offset

some of the paternal education.

176

: 00:10:26

paternal race and ethnicity was associated

with increased chance for preterm

177

: 00:10:30

birth, low birth weight, small for

gestational age and high birth weight.

178

: 00:10:35

And paternal race and ethnicity were

primarily minorities, so Hispanic,

179

: 00:10:40

non-Hispanic, black and non-Hispanic.

180

: 00:10:42

Others, which I feel like this

is important to share because.

181

: 00:10:46

This is one of those things that the more

education we have on this subject, there's

182

: 00:10:52

so many variables that go into play, and I

have a few friends that I'd like to bring

183

: 00:10:55

on to chat about this topic specifically,

and maternal health discrepancies

184

: 00:10:59

and paternal health discrepancies

185

: 00:11:00

primarily for minorities, but.

186

: 00:11:03

I think the more that we are able to

understand this, the more we're able

187

: 00:11:06

to advocate for ourselves and advocacy

is just one part of the puzzle, right?

188

: 00:11:10

But the more that we can increase that

and understand that race and ethnicity

189

: 00:11:14

does play a role in some of these

factors, the more that we can advocate

190

: 00:11:19

for ourselves when we are undergoing

this like pregnancy, postpartum journey

191

: 00:11:25

with our partner in trying to get the

best healthcare for ourselves and advocate

192

: 00:11:29

for ourselves in the best way possible

in order to better help the baby too.

193

: 00:11:34

So let's talk about the basics of male

fertility, and we're not gonna go over

194

: 00:11:37

male reproductive anatomy or anything

like that, although if you want to learn

195

: 00:11:41

more about that, definitely let me know

because we cover that a good amount.

196

: 00:11:45

When we talk about pelvic floor

health and just like physical therapy

197

: 00:11:48

in general, but we'll talk about it

today from a high level perspective,

198

: 00:11:52

there's basically a few check marks

that we wanna check off to say, okay,

199

: 00:11:56

These are some good qualities to have

in order to maximize our chances for

200

: 00:12:00

a healthy fertilization, and A lot

of it comes down to sperm production,

201

: 00:12:04

sperm quality and sperm motility,

or the ability of the sperm to swim.

202

: 00:12:08

So with sperm production, we can have too

little or none at all with sperm quality.

203

: 00:12:13

A lot of the time it's an abnormal

shape or an abnormal DNA structure.

204

: 00:12:18

They called it a lot fragmented

DNA within the research.

205

: 00:12:20

So just think about something

glitching within the sperm and

206

: 00:12:25

then sperm motility, which.

207

: 00:12:26

Is difficulty swimming.

208

: 00:12:28

And there's a lot of things that

can affect these variables, and a

209

: 00:12:32

lot of the variables affect a lot

of the different things in our life.

210

: 00:12:34

So things like genetics, hormones,

and then also lifestyle factors.

211

: 00:12:38

So we'll zoom in a lot today on

lifestyle factors and hormonal factors

212

: 00:12:42

a little bit too, because those.

213

: 00:12:44

Feed into each other a little bit, but

genetic factors we've touched on today,

214

: 00:12:48

those are a little harder to change.

215

: 00:12:50

And so there's a lot of fertility

issues and fertility complications

216

: 00:12:53

that do come from genetics, and those

are a completely separate category.

217

: 00:12:58

Same thing with genetics for

the maternal health, right?

218

: 00:13:02

There's certain things that

we can't necessarily alter.

219

: 00:13:04

So today we'll zoom in on the

things that we can actually adapt

220

: 00:13:07

and change and help out with.

221

: 00:13:09

So How does obesity and being overweight

lead to poor outcomes in poor sperm

222

: 00:13:14

production, quality and motility?

223

: 00:13:16

So we'll start from a hormonal

perspective, but as body fat increases

224

: 00:13:21

leptin production rises and leptin

is the hormone associated with CT D.

225

: 00:13:27

So it tells us when we're full, leptin

reduces testosterone production.

226

: 00:13:32

Fat cells can also reduce

levels of testosterone directly

227

: 00:13:36

by turning it into estrogen.

228

: 00:13:38

So from both standpoints, fat

cells can themselves directly.

229

: 00:13:43

Affect testosterone, but then

it can also indirectly affect

230

: 00:13:46

testosterone due to the increased

levels of leptin within our systems.

231

: 00:13:50

Testosterone is needed for

spermatogenesis, which is

232

: 00:13:54

that production of sperm.

233

: 00:13:56

So if we put it all together, obese

men with higher levels of leptin

234

: 00:13:59

have lower testosterone levels, which

impairs sperm production, and the fat

235

: 00:14:03

cells themselves act as little bitty.

236

: 00:14:06

Transformers of testosterone into

estrogen, which again helps to lower

237

: 00:14:11

testosterone and impairs sperm production.

238

: 00:14:14

The next mechanism.

239

: 00:14:15

This can happen by, I'm calling this S

scroll sauna, but body fat is like adding

240

: 00:14:20

more steam to the sauna, and every inch of

belly fat increases scrotal temps by 1.5

241

: 00:14:26

degrees Celsius.

242

: 00:14:27

So an increased temperature in the male

reproductive organs so that squirrel's

243

: 00:14:31

sauna can impair sperm production.

244

: 00:14:34

That's why a lot of the time

we hear no hot tubs if you

245

: 00:14:37

are trying to get pregnant.

246

: 00:14:38

So this plays into that too.

247

: 00:14:41

fat accumulation, also increases

oxidative stress due to the

248

: 00:14:45

inflammation within the body.

249

: 00:14:47

So it can affect sperm morphology, like

mutations within the sperm fragmented

250

: 00:14:51

DNA, and it can also affect the ability

of the sperm to get to where it needs,

251

: 00:14:55

so it's motility or ability to swim.

252

: 00:14:58

And lastly, we have the

master manipulators.

253

: 00:15:00

So I was trying to think of a metaphor

to link this to, but have you ever

254

: 00:15:06

wanted to not show up to a party, but

you have that one friend who is come

255

: 00:15:10

on, just go come to the party with

me, and you're like, fine, I'll go.

256

: 00:15:14

So that's what happens to men's hormones

with increased body fat, with more fat.

257

: 00:15:18

There's an increase in the enzyme or

the manipulative friend that tries

258

: 00:15:22

to get You to go to that party that

transitions testosterone into estrogen.

259

: 00:15:26

It's called aromatase.

260

: 00:15:27

It's aromatase activity, but . It

tries to get you to go to that party.

261

: 00:15:30

It tries to switch testosterone

to estrogen, Which is going

262

: 00:15:34

to impair sperm production.

263

: 00:15:35

So with obesity, there is a 50

to a hundred percent increase in

264

: 00:15:39

this enzyme aromatase activity.

265

: 00:15:41

In other words, the friend becomes

more and more manipulative, the

266

: 00:15:45

more people it can get on board.

267

: 00:15:47

Obviously there needs to be a lot

more research in this field and what

268

: 00:15:51

can actually be correlated to what,

because there are two factors or two

269

: 00:15:55

people that go into fertilization,

and so looking at both and better

270

: 00:16:00

understanding what can contribute to.

271

: 00:16:02

Both can really help the successful

outcomes of fertilization,

272

: 00:16:06

pregnancy, but then also the health

of mom and baby and dad, right?

273

: 00:16:09

So there needs to be a lot more research

in this area, but I think it will be so

274

: 00:16:16

interesting to learn more and more, and

I think there will be a bigger emphasis

275

: 00:16:19

on how can the man affect his health and

positively affect his health in order to

276

: 00:16:25

help the outcomes of the mom and the baby.

277

: 00:16:28

So now it's time for a sperm glow up.

278

: 00:16:30

There is research and there has been

research done on how men can actually

279

: 00:16:35

improve their sperm quality and improve

their sperm production, improve their

280

: 00:16:38

sperm motility in order to help with

fertilization and healthy pregnancy.

281

: 00:16:42

So that's the fun part because

it's actually the actionable

282

: 00:16:45

part that we can help with.

283

: 00:16:46

So the reversibility of paternal obesity,

so talking about that weight aspect, the

284

: 00:16:52

reversal of that can positively affect

fertility, and there are studies that

285

: 00:16:56

show exercise diet changes and GLP one

agonists or combo of those are effective

286

: 00:17:02

at helping to reduce obesity, reduce

that amount of body fat percentage in

287

: 00:17:07

order to positively affect fertility.

288

: 00:17:09

There was a study done that showed

significant caloric restriction

289

: 00:17:14

and significant weight loss really

290

: 00:17:16

improved sperm counts by 40%.

291

: 00:17:19

However, this was an 800 calorie

diet, which is not healthy.

292

: 00:17:22

So again, there just needs to be more and

more research in the field, but it has

293

: 00:17:25

been shown that it can reverse the effects

that increase fat percentage and obesity.

294

: 00:17:32

Plays on a pregnancy and

the chances of conception.

295

: 00:17:35

Regular exercise can also

improve sperm count and motility

296

: 00:17:38

in overweight and obese men.

297

: 00:17:40

So they recommend 30 to 60

minutes, three to five times a

298

: 00:17:43

week of a moderate intensity.

299

: 00:17:46

They typically bias that out to moderate

intensity, and I'm not quite sure if

300

: 00:17:50

exercise intensity has a role to play

in that squirrel sauna or heating up

301

: 00:17:55

the body to where the chances decrease.

302

: 00:17:57

But they did specify moderate intensity.

303

: 00:18:00

So what are some things that kill

sperm or things that we should

304

: 00:18:04

completely cut out of the system?

305

: 00:18:06

If our goal is pregnancy, vaping

and smoking, that one's definitely

306

: 00:18:11

evident, if not only for the paternal

health, but also for the secondhand

307

: 00:18:16

smoke that the mom might experience.

308

: 00:18:17

Heat and hot tubs.

309

: 00:18:19

Unhealthy amounts of body fat, again, in

those overweight and obese categories.

310

: 00:18:23

Pesticides and microplastics,

alcohol, processed foods, and stress.

311

: 00:18:27

Lower stress because that kills sperm.

312

: 00:18:29

Always easier said than done.

313

: 00:18:31

So what can we add in order to really

show some love to the sperm They love

314

: 00:18:38

creatine, and we talked about this in Dr.

315

: 00:18:40

Stacy's episode.

316

: 00:18:41

They actually have a specialized

creatine Transporter only on

317

: 00:18:44

sperm, so I'll link that episode

below if you're curious about it.

318

: 00:18:47

We talked about it briefly, but

it was super interesting to learn.

319

: 00:18:51

They love healthy body

fat percentage for food.

320

: 00:18:54

In order to improve sperm concentration

and motility, they recommend leafy greens,

321

: 00:18:58

berries, nuts, and beans, and in order to

improve sperm morphology in the forward

322

: 00:19:03

motility of sperm, oily fish, and then.

323

: 00:19:07

In order to improve just sperm,

motility tomatoes, so all of those

324

: 00:19:11

foods, probably a combination

of all of them can really help.

325

: 00:19:14

There was a study also done on

acupuncture, helping sperm, and

326

: 00:19:18

then consistent moderate exercise.

327

: 00:19:19

Again, I think that comes down to more of

328

: 00:19:23

the heat that we don't necessarily

want in the male reproductive

329

: 00:19:26

organs above baseline in order to

improve the chances of conception.

330

: 00:19:31

So I'll leave all of the links,

all of the research articles,

331

: 00:19:34

all of the information below.

332

: 00:19:36

I'll leave the BMI calculator just

because we mention overweight and obesity

333

: 00:19:40

a lot today, and sometimes it helps

to have that objective measure, but.

334

: 00:19:44

I loved researching this episode.

335

: 00:19:46

It's been something I've been very

curious about just because I've

336

: 00:19:48

been hearing more and more about it.

337

: 00:19:50

It's been getting sprinkled into some of

the conversations that I've been having,

338

: 00:19:54

some of the things that I've been reading.

339

: 00:19:55

So I figured it was time to

do a deep dive today and.

340

: 00:19:59

Figure out what does the

research actually say?

341

: 00:20:02

Are they human models?

342

: 00:20:03

Are they animal models?

343

: 00:20:04

Where are we getting some

of this information from?

344

: 00:20:06

And what is the truth and

science of how paternal health

345

: 00:20:10

can affect maternal health?

346

: 00:20:12

And then also the health of the baby.

347

: 00:20:14

I hope you enjoyed this episode.

348

: 00:20:16

I hope you learned a lot.

349

: 00:20:17

Send it to whoever you think might

benefit from it, especially if you

350

: 00:20:21

guys are looking to get pregnant and

you are wondering I'm doing all that I

351

: 00:20:26

can, but what can my partner also do?

352

: 00:20:28

So I hope this episode helped.

353

: 00:20:30

I hope you enjoyed it.

354

: 00:20:30

I hope you learned a lot, and I'll

see you guys again on the next

355

: 00:20:33

episode of Wellness Exists, the pod.