Testosterone in Your 20s Could Hurt Fertility | Jen Pfleghaar | DSH #1847

This is kind of in perimenopause when women hit their late 30s, they go into their doctor and

they're like, well, I'm gaining weight. I'm more anxious, usually during that, you know,

KMS week that we called the week before their cycle. And what does the doctor do? They slap them

on hormonal birth control, which is conjugated at a coin estrogen. It's not bioidentical,

it's toxic, it the liver has to process it, and they give them an antidepressants. It's literally

every patient that comes to see me, that is not feeling better. That is what they're getting with

conventional medicine for their symptoms. All right, guys, we're here at A4M with one of the

speakers. She is speaking tomorrow. We got Jen here today. What are you talking about tomorrow?

Cycle syncing in perimenopause. How to optimize that, yeah? Cycle syncing. Is that when friends

sync their cycles with each other or is that something else? That happens too, and you can

psych your syncho with your daughter if they live with you or something, but yeah, we see that

on sports teams a lot. Yeah. But a lot of people are on synthetic birth control now, so that messes

that up. But cycle syncing is working with the hormone fluctuation that women have during their

menstrual cycle to their benefit, instead of fighting against the biology, because that leads to

weight gain and anxiety and not good. Interesting. Yeah, it's really helpful when women understand

their cycle, and men, boyfriends, husbands, when they understand the cycle, because maybe you'll

get in less fights, have more intercourse. So it's important for men, too, to know what it is.

I'm actually learning about it now. She has an app. There's certain days she's more fertile,

right? Yeah. At the month, so I'm learning. I'm trying my best to learn it, you know? Yeah,

are you avoiding fertility or trying to? We just got married, so we want to have kids soon,

so we're just planning it, and yeah, 28 day cycle, right? It's crazy. Being a guy is so easy.

Oh, yeah. You're the same every day. Yeah. So with women, we're different every day of our cycle,

but we can really hone in on that and make it better for the woman and for the man. Yeah, what are

some things to keep an eye on when it comes to the woman's cycle? Yeah, so the first half of the

cycle is the follicular phase, so that starts with bleeding, okay? So men kind of know, you know,

the women's like, oh, I'm on my cycle. So if they keep track of that, they can know a little better.

But this, this is when estrogen is more dominant. So this is when you can do the hit workouts.

You can push your body, go for the PRs, do the sprints, do the heavy weights, and you're less

likely to get hurt. Really? Because the second half of the cycle, the luteal phase, they did

studies on soccer players in Europe, and this team, they got injured more, soft tissue injury,

joints, ligaments in that second half of that cycle, that luteal phase. Seriously.

Yeah, and when we're seeing with women, if they're entering in their 30s, late 30s,

they're still doing the sprints, the hit workouts, all throughout their cycle to lose weight,

because they're starting to creep up and weight, and they're actually gaining weight,

because they're invoking a cortisol response. So their body's freaking out, and they're packing

on the belly weight, and, you know, they're training for a marathon, even. I had a patient

trained for a marathon, gained 20 pounds, like, finish line, with 20 pounds heavier. Yeah,

the, my worst fear is when a patient's like, I'm going to train for a marathon in their

imperial menopause, their late 30s, early 40s. I'm like, please don't. Yeah, it tanks their

progesterone, tanks their testosterone, they gain weight, their cortisol is jacked.

Yeah, I know. So don't run a marathon if you're experiencing

parimenopause? Right. Or you can sync it with your cycle. So you could do the harder training days,

that first half of the cycle, the follicular phase, and maybe concentrate on more mobility,

and strength training that second half. So I think there's a way to do it. But all the training

programs are usually designed by men, for men, and women just are jumping on to the running

group. No, we have to do things differently because our hormones demand it. Wow, I never even

thought about that. Yeah, it's, it's pretty cool when you look at the science. And it's how

responsive our cells are to insulin plays a role too. Yeah. And cortisol influences insulin,

because if we're stressed out all the time, we're pumping out that cortisol, makes this more

insulin resistant. So if you're pushing hard during that second half of that cycle, that

luteal phase, you're, you're going to have consequences. And we see that with irritability,

blood glucose issues, because you think about it. So you guys are getting ready to have kids.

Yeah. That second half of that cycle is after ovulation. So what's happening? That egg is getting

ready to fertilize and that egg wants to implant and make a nice home. So if we're stressed and

trying to run from a bear or literally running, training for a marathon, our body is not going to

react well. Yeah. And it's not good. That makes sense. You mentioned birth control earlier.

What are the stats on that these days? I know a lot of women are taking it. Well, this is kind of

in perimenopause when women hit their late 30s, they go into their doctor and they're like, well,

I'm gaining weight. I'm more anxious. Usually during that, you know, PMS week that we call it the

week before their cycle. Yep. And what does the doctor do? They slap them on hormonal birth control,

which is conjugated equine estrogen. It's not bioidentical. It's toxic. The liver has to process it

and they give them an antidepressants. It's literally every patient that comes to see me that is not

feeling better. That is what they're getting with conventional medicine for their symptoms.

Geez. Yeah. There's so many women starting at a young age too.

Yeah. And that's another problem because that's going to affect fertility and put them at risk.

And really when you're taking oral conjugated equine estrogen, it's gunking up that liver.

Yeah. So you're not detoxifying as well. And we live in a very toxic world. So it's just building

up and that can cause weight gain, energy loss, mitochondrial issues. What's going on with

fertility days? There seems to be a lot of issues. What do you think the main driving factors are?

Well, metabolic health. So we are seeing a lot of polycystic ovarian syndrome. We're seeing a lot

of insulin resistance. And then that is stressing out the body that is hurting fertility, ovulation,

the cycle. So we're seeing a lot of shortened cycles. So women will start to say, oh,

I have a 25 day cycle. I have a 24 day cycle. Well, that progesterone is either declining because

of cortisol stress on the body, erratic blood sugar, or we're having an estrogen dominance where

we're not detoxifying the estrogen as well. So that's a shortened cycle. And that is not good for

fertility. So a lot of women we work on fixing those root causes first, but more and more women

need progesterone to support a pregnancy. A lot of women come to me with recurrent miscarriages

and we test their progesterone and it's deficient. And yeah, we can try things like chase treeberry

to support that and have the body make its own. But at a certain point, we do give progesterone

to support that pregnancy. But if you think about it, I mean, we're drinking out of plastic cups,

everything's wrapped in plastic. So we have endocrine disruptors. Plastic oil for this brother.

Yeah, well, and then if it if it's hot, you know, it goes up to the lid and touches the plastic.

I love coffee. Well, just just bring your own cup. Yeah, bring my own glass bottle. See,

there you go. You're good to go there. Yeah. Do you think fertility issues are mainly a female

issue right now? Or do you think it's something men are dealing with too? Oh, definitely both.

Yeah, we know sperm counts are declining also. So men are at risk, but once again,

testosterone metabolic flexibility. So if men aren't going to the gym and lifting weights.

Then that's going to affect their testosterone infertility. Cortisol is a big driver too of

infertility. If we're stressed in fight or flight all the time, you know, I know you have a lot

of passionate guests that get all worked up about stuff like the one before me like his cortisol,

you know, you could feel it in the room. He's dealing with some. Yeah, he is some major stress

right now. So he that is going to affect his hormones. So he has to figure out how to balance that

with supplements, with fegal nerve techniques. So it's all fixable. I think it's recognizing it,

recognizing that we're running around in a sympathetic stressed out state all the time.

You think that's why people aren't having as much sex anymore. People are just stressed all the time.

Uh, yeah. So everyone thinks that it's testosterone, right? Especially I hate to say male doctors

think this, but I talked to them and they're like, oh, they need testosterone. Like women need

testosterone. You are a tea, baby. Well, they don't need it. Yeah. So I know guys in their 20s,

taking it. Well, do they, are they taking it with other things? Like, well,

men to preserve their fertility? I don't think so. They know. They don't know. I don't think so.

Okay. They're just taking it. Oh, okay. Well, that's scary. So you need to give them a heads up

that it can affect their fertility if they're just taking testosterone. And then what if they

meet the women of their dreams, they think they don't want kids, but then what if they meet her

and she's like, I want kids and they can't. So it affects your fertility like abilities when

you're TR2. It affects the feedback loop. So if you're getting it, your body isn't going to make

its own. Right. And that messes up that feedback loop. So for men that can be dangerous. Now women

giving excess testosterone isn't going to affect the back loop as much, but they're going to

get more manly. They can have, well, if they have unimposed testosterone to it can affect the heart.

Yeah. So we also have to balance that out. But I'll check women's labs and I'm like, you don't

need testosterone. So can you guess what their problem is? What is a cortisol? Stress?

It's stress. Yes. Sometimes, but stress can look, it could be, you know, poor metabolic

profiles. So they're not metabolically flexible. So their blood sugars bouncing up and down,

they could not be sleeping. It could be a stress from like a stealth infection like mold or

Candida. So it can be other things other than just, you know, emotional stress are working too

much. It's, it's a lot of different layers, but we need to correct that. So once we correct that,

then their sex drive comes back. Really? No testosterone needed.

Stressing, huh? Yeah. Yeah. Stress is a big one. But also, keep in mind the cycle syncing.

So if you're approaching your wife, your girlfriend, and it's late luteal phase right before they get

their cycle, they're not going to be as into it. Really? Yes. Because so right before their period,

they're not into it. Yeah. That late luteal phase, they're like, don't touch me. I'm just,

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yourself, quantumupgrade.io. Chillin, they might be, I mean, maybe if you incorporate a little more

for play, it's going to take longer versus that ovulatory phase. Their body, because we're

primed to make babies, we're primed to reproduce. That's what God said. Take dominion over the land

and reproduce. So when we're in that ovulatory phase, that is when you just say, oh, hey,

and we're going to be ready, we're going to be excited. So it's also plain into that,

because that that late luteal phase, if you go there, you might look, look at your wife wrong,

and she's just going to be like, no, no, but, but also if your hormones are more balanced,

you're not going to have as much mood fluctuation. Yeah. But there's also fun things. Have you heard

of PT-141? Is that a peptide? Mm-hmm. What does that do? It's a nasal spray. It helps with a

rousal. Yeah. So keep it in your fridge. Sometimes I'll bring it in my purse for date night with my

husband. So I pair it with a little bit of oxytocin. So you can get PT-141 with oxytocin. Both

nose, my husband and I can both use it. Male and female can use it. And 30 minutes prior to

perceived intercourse and it helps. So the oxytocin helps with more the intimacy. So that's why I

like it with my female patients. And then the PT-141 more for like the actual arousal. So it's

oh yeah, it's great. Can you just buy that online or you need a prescription?

Hmm, prescription. Okay. But compounding pharmacies make it it's pretty standard. So that's

like a nice little one before diving into hormones. You can optimize the peptides. They have an

injectable PT-141. That's a prescription. But the side effects nausea. So you're not going to want

to like, it doesn't really make sense. It doesn't make sense in the bedroom. Yeah. So the

internasal is more well tolerated. Wow. What are some other things you're taking for the bedroom?

For the bedroom. I mean, there's topical solutions that you can get like called scream cream.

That sometimes I'll put patients on. Scream cream? Yeah. So basically what it's doing is it's

increasing blood flow to the colatoris. So that is going to help women also when they're

impairing menopause or even before that. And then also you want to look if they have any trauma,

emotional trauma. I've had a lot of patients where they've needed pelvic floor therapy after

having kids. And then that helped their sex life. So if they're, you know, I know your audience is

mostly men. Take some notes and work with your wife about this because there's a, we're a little

more complicated than men. I hate to say that, but there's a lot more. It's more an emotional

thing. So if you don't work on those other layers, then I have heard this though when you have

a kid and then you don't have as much sex afterwards. Yes. Yeah. So it can be a traumatic

situation. A lot of women have birth trauma. Right. Especially these days. I don't even blame

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Yeah. Yeah. It's pretty rough. So that pelvic floor can also get tight in certain places. They're

they're going to be internal trigger points. So you know how you get like sore muscle trigger points

in the arm. So that can happen internally. Oh my gosh. Yeah. So I'll have women with chronic hip

pain. And they have never gotten an internal vaginal exam by a physical therapist to address

those trigger points. And then you release those trigger points and better and everything's better

for them. Wow. You know, back pain hip pain. So pelvic floor health in general is ignored a lot

by most physicians, even OB dines. So that's another another thing you need to check off for

for sexual health or just good physical health. Yeah. Because think about if you carried

grocery really heavy grocery bags for nine months straight in your arm. But think about what

women are doing, carrying these heavy babies. I mean, all the women come to me and they'll complain

of like some low back pain or hip pain. I'm like, have you ever had pelvic floor therapy? I've

never been heard of the pelvic floor therapy. Oh, it's great. It's so helpful for women. Yeah,

usually the good ones are cash pay. Sometimes there are some good insurance ones, but a lot of women

actually have like high tone in the vaginal area. Yeah. So it causes it's just they're always like

clenched. So it affects your teeth clenched. Almost. Yeah. Yeah. And then that's causing stress on

the body, the cranial sacral access. And it's really interesting once someone gets pelvic floor

therapy, even going pee or poop the right way. You know, maybe they weren't doing that correctly.

They're squatting and not sitting down and relaxing. They're not breathing properly. I even

refer men to pelvic floor therapy too. A lot of people poop the wrong way, actually. Yes. How do

you poop? I have the squatty potty. Yes. That's the right way, right? You're supposed to extend

a little bit your legs. Yeah. Yeah. It was it's funny at the hotel. You know, you can flip over

the garbage can and use that as a if you run into if you're traveling and running. Yeah. But yes,

I squatty potty's I feel like they should just come on the toilets automatically. They should

be there. Yeah. I actually this might be TMI, but like I it's sometimes I play chess on the

toilets, so I sit there for like an hour. And then that's like really bad for you, right? Yeah. I

ended up getting a fuck. I forgot the name. Hemorrhoids. Hemorrhoids. Still taking your pre-workout

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at n101.com. Yes, yes, yes. Yeah, it was terrible. Yeah, that is too much. You kind of want to go in

and go out. Were you just sitting there for enjoyment or was it taking that long? So I played chess,

but I don't stop playing until I end on a win. So like I would go on these losing streaks and

then it'd be an hour on the toilet like every day and then got a hemorrhoids. So I was like,

yeah, I'm never doing that again. Yeah, you got to get in and get out. If you're spending too long

on the toilet, then you need to start working on your gut health. That hasn't got health issues too.

Oh, yeah. So that would make sense. Yeah. But the good thing is is that stuff's reversible

hemorrhoids and everything. So where do you play your chess at now? Not on the toilet. Yeah.

In bed or standing. Now I'm walking actually a lot while I play. Oh, yeah, that's great.

I have to double my step count. We're into my latest blood work. So yeah, that's what we want.

We want to have that. The actual fissioning is good for us that non workout and moving in between

and sitting there. Because I sit all day. So in between episodes, I try to get some steps in.

Yeah, because that's going to get that gut moving also. Yeah, that's great.

Well, this was exciting. I can't wait to watch your talk tomorrow.

Thank you. Thank you so much for having me. Yeah, anything else you're working on or planned

or where can people find you? Yeah, I have a book, the Perry Manipa's Reset.

And you can find me on Instagram, Integrative Doctor Mom, Integrative DR Mom.

And I'm excited for you to start having kids. Yeah, I'll contact you for advice.

So thank you. Of course, thank you. Check her out, guys. Peace.

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