When the System Breaks the Doctor - Rebuilding Medicine

For as long as we've talked about fertility, it's been treated as a woman's problem. Her labs. Her hormones. Her clock. Meanwhile half the equation is standing quietly in the background, and nobody is asking about him. Dr. Georgine Nanos sits down with Dr. Kian Asanad, a fellowship-trained reproductive urologist and microsurgeon who directs the USC Fertility and Men's Sexual Health Center and teaches urology at Keck Medicine of USC. He has published more than 40 peer-reviewed papers, including in JAMA, and he spends his days doing the part of fertility medicine most people never hear about. If you or your partner have been told her labs are fine and you're still not pregnant, the missing piece may not be in her chart at all. This is The Kind Revolution — where we bridge science, compassion, and courage. ⏱️ TIMESTAMPS 0:00 — Why fertility has always been framed as her problem 2:23 — Welcome, and who Dr. Asanad is 2:41 — The path in: a heart transplant, a mentor, and a specialty he'd never heard of 3:49 — Building something beyond the exam room 6:22 — The assumption that something is wrong with her 6:32 — How much of infertility is male factor 7:29 — How easy the male workup has become 8:53 — What a male fertility workup actually involves 9:28 — The 10% who have zero sperm 10:36 — MicroTESE, and the 50/50 of it 11:42 — Telling a couple the odds 13:12 — Grief, and the stepping stone 14:10 — Fertility preservation before cancer treatment 16:05 — Why it's now standard of care 16:47 — Oxidative stress, DNA integrity, and the gut-testes axis 23:23 — Life outside medicine 24:35 — Stem cells, and why nothing has changed since 1999 25:53 — Testosterone goes mainstream 26:25 — On pop-up clinics and "my guy" 27:15 — The testosterone trap 28:11 — The secret-shopper study 29:47 — Rapid fire 29:53 — The myth he'd erase forever 30:51 — What he tells every nervous man 32:02 — Closing 🔗 CONNECT 🌐 kindhealthgroup.com 📱 Instagram: @kindhealthgroup 👤 Dr. Kian Asanad — USC Fertility and Men's Sexual Health Center, Keck Medicine of USC asanadmd.com ⚕️ This conversation is for education and is not medical advice. Talk to your own physician about your situation.

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