The Protocol

Optimizing male fertility, on purpose.

Fertility isn't just a "women's problem." Sperm counts have fallen by more than 50% in fifty years, yet most of the pressure (and most of the testing, treatment, and emotional labor) still lands on the women. This site is my attempt to take the other half seriously: to measure, change, and measure again.

What this is: a protocol, not a diary. Every section is structured the same way: Why it matters, What I actually do, What I use, and What I'm tracking. If you want the 15-minute version, read the Start Here page.

My results so far

My total motile sperm concentration went from 26.4 M/mL to 179.1 M/mL over about ten weeks on the protocol, roughly a 6.8× increase.

That isn't a perfectly apples-to-apples comparison. The "before" result came from a YO at-home test, while the "after" came from a full clinical semen analysis. Either way, the improvement is substantial.

I didn't run a full clinical baseline at the start, which I regret. I assumed my sperm health was fine because I'm healthy, I work out, and I eat well. Clearly, that assumption was wrong.

Before · 02/07/2026YO at-home
After · 04/13/2026Clinical semen analysis

The protocol, at a glance

What I'm measuring

The only way I know whether any of this is working is to keep testing. My minimum tracked set is:

MetricHow oftenWhy
Semen analysis (count, motility, morphology, DNA fragmentation)Every 90 daysSperm take roughly 74 days to produce, so I treat shorter-term changes as directional rather than definitive.
Blood panel (testosterone, SHBG, estradiol, vitamin D, ferritin, thyroid)Every 6 monthsHormonal context for the sperm numbers.
Resting HR & HRV (wearable)DailyProxy for recovery and stress load.
Sleep duration and consistencyDailySingle biggest confounder in my data so far.

A warning before you start

None of this is medical advice. I am a guy on the internet with a spreadsheet and a semen analysis. If you are trying to conceive, see a reproductive urologist early, not after a year of guessing. This protocol is a complement to medical care, not a substitute for it. More on that in the disclosures.

Numbers and dosages on this site are what I personally use. They are not recommendations. Your biology is yours.