159: What Men Need to Know about Sperm Health, IVF & Miscarriage with Mr. Jonathan Ramsay

In this episode, Dr. Lorne Brown speaks with consultant urologist Jonathan Ramsay about the overlooked role of sperm health in fertility, miscarriage, IVF outcomes, and men’s long-term health. They explore why a standard semen analysis often misses key issues, how sperm DNA quality can affect conception, and why lifestyle, environmental exposures, oxidative stress, varicocele, age, and metabolic health all matter before trying to conceive. Jonathan also explains how male fertility can act as an early warning sign for broader health concerns, including cardiovascular and metabolic issues.Together, they unpack the growing research on sperm DNA fragmentation, environmental toxins, and practical strategies couples can use to improve fertility outcomes naturally and alongside IVF treatment.Key Takeaways:Male fertility is often a marker of overall men’s health.A “normal” semen analysis does not always mean sperm quality is optimal.Sperm DNA fragmentation may contribute to unexplained infertility and miscarriage.Lifestyle changes may take 5–8 months to show full improvement in sperm health.Environmental toxins, plastics, smoking, heat, alcohol, and weight can affect sperm quality.Where to find Mr. Jonathan Ramsay:Website: https://jonathanramsay.co.uk/Youtube: https://www.youtube.com/channel/UCZ5n0L0732L1MPMGJtVEliQMr. Jonathan Ramsay’s Bio:Jonathan Ramsay is a Consultant Urologist who has specialized in male fertility for more than 30 years. Since 1988, he has worked at Hammersmith, Charing Cross, and Chelsea & Westminster Hospitals in the UK, collaborating closely with leading fertility clinics across London and surrounding regions. He also holds an honorary contract at Imperial College and was named Visiting Professor at Ulster University in 2025.His research focuses on male infertility, including sperm DNA quality, inflammation in the reproductive tract, the microbiome, azoospermia, varicocele repair, vasectomy reversal, and advanced sperm testing. Jonathan is particularly interested in helping couples with unexplained infertility improve their chances of conception naturally or achieve better IVF and ICSI outcomes.📧 For guest opportunities, collaborations or sponsorship inquiries, please email us at: [email protected] to connect to Lorne Brown online and in person (Vancouver, BC)Acubalance.ca book virtual or in person conscious work sessions with Dr. Lorne BrownLornebrown.comConscious hacks and tools to optimize your fertility by Dr. Lorne Brown:https://acubalance.ca/conscious-work/Connect with Lorne and the podcast on Instagram:@coherence_code_podcast @acubalancewellnesscentre@lorne_brown_officialDISCLAIMER: By listening to this podcast, you agree not to use it as medical advice to treat any medical condition in either yourself or others. This podcast offers information to help the listener cooperate with physicians, mental health professionals or other healthcare providers in a mutual quest for optimal well-being. We advise listeners to carefully review and understand the ideas presented, and to consult your own physician for any medical issues that you may be having. Under no circumstances shall Acubalance, any guests or contributors to the Coherence Code Podcast, or any employees, associates, or affiliates of Acubalance be responsible for damages arising from the use of the podcast.