Episode 38

full
Published on:

25th Feb 2026

Testhim.. it's that simple! Understanding sperm tests with Ian Stones

In this episode of The Fertility Podcast, I’m joined by Ian Stones, co founder of Testhim, to talk about something that should be simple but still too often isn’t. Testing men.

We talk a lot in fertility about women’s bodies, women’s hormones, women’s investigations. But male fertility accounts for around a third of infertility cases, and yet men are still frequently an afterthought.

Ian and I explore when men should be tested, what those tests actually look like, why semen analysis is not always enough, and how men can advocate for themselves earlier in the process.

If you are dealing with male factor infertility, recurrent loss, unexplained infertility, or you simply want to understand more about sperm health, this episode is for you.

And if you are the partner trying to get a reluctant man to engage with this conversation, please share it.

What we discuss in this episode:

  1. Why male fertility testing is often delayed
  2. When to start investigating male fertility
  3. Why semen analysis is only the starting point
  4. The role of sperm DNA fragmentation in recurrent miscarriage
  5. What a varicocele is and how it affects sperm quality
  6. Why testicular scans matter
  7. How infections and oxidative stress impact sperm health
  8. The importance of seeing a male fertility specialist, not just a general urologist
  9. Why lifestyle changes should happen at least three months before trying to conceive
  10. The impact of heat, cycling, tight underwear and hot tubs
  11. Alcohol, diet and BMI in sperm health
  12. Why men need to know their anatomy and check for lumps and changes
  13. The emotional experience of male infertility and feeling like the spare part
  14. How proactive testing could reduce repeated failed IVF cycles

What Testhim actually does

Testhim offers:

  1. Advanced male fertility testing
  2. A detailed male fertility questionnaire to build a personalised risk profile
  3. Sperm DNA fragmentation testing
  4. Oxidative stress testing
  5. Testicular ultrasound scans
  6. Follow up calls to explain results clearly
  7. Access to male fertility urology specialists across the UK
  8. Monthly male fertility support groups
  9. A dedicated male fertility podcast

Their questionnaire covers:

  1. Fertility history
  2. General health
  3. Lifestyle and diet
  4. Work environment
  5. Red flag history such as undescended testicles or confirmed varicocele
  6. Exercise habits
  7. Clothing choices
  8. Miscarriage history

The system builds a risk profile and gives clear next step guidance.

Because knowledge is power.

Listen to the Testhim podcast

Ian co hosts the Testhim podcast with male fertility advocate Toby Trice. It is one of the only UK podcasts dedicated specifically to male fertility.

Here are some standout episodes to explore:

Fertility Talk with Jonathan Ramsay

Environmental toxins and fertility with Professor Richard Lea

Understanding varicocele with Steven Moser

The couple approach with Jas Kalsi and Fatima Husain

Dealing with friends and family

You can also explore all episodes at

https://www.testhim.com

A note on being proactive

One of the strongest messages from this episode is this:

Do not wait until after multiple failed IVF cycles to investigate male fertility properly.

If you can:

  1. Test early
  2. Optimise early
  3. See the right specialist early

You want to know that you have left no stone unturned.

Support from our sponsors

Access Fertility

If you are worried about the financial aspect of IVF treatment, Access Fertility partners with over 60 UK clinics to offer interest free finance, multi cycle packages and refund programmes.

Find out more at:

https://www.accessfertility.com/thefp

One Day Tests

Book a confidential online fertility consultation and discuss blood testing with a specialist.

Use code FERT10 for 10 percent off your blood test.

https://www.onedaytests.com

Let’s keep the conversation going

Follow me on Instagram: @fertilitypoddy

Learn more about Fertility Action:

https://fertilityaction.org

Find out more about workplace fertility support:

https://fertilitymattersatwork.com

Explore Testhim and their services:

https://www.testhim.com

If this episode has helped you, please share it with someone who needs it.

Male fertility is not an afterthought.

It is half the story.

Until next time.



Show artwork for The Fertility Podcast

About the Podcast

The Fertility Podcast
The Fertility Podcast|Expert interviews|Women and Men sharing #TTC stories|Wellbeing support
If you’ve found your route to parenthood hasn’t been straightforward, The Fertility Podcast is for you. From how to optimise your fertility to getting pregnant naturally, navigating IVF, understanding donor conception or surrogacy to how to prepare for a life without children. Whatever your situation, you are not alone. Created by Natalie Silverman, a former fertility patient in 2014 Natalie set about speaking to experts and sharing lived experience and expert interviews In 2019 Kate Davies, an independent fertility nurse consultant joined as co-host and from 2023-2024, Kate hosted the podcast solo sharing more of her expert insight and stories from her patients. Now over a deace old The Fertility Podcast is proud to partner with Fertility Action, a new UK charity dedicated to supporting anyone affected by infertility, secondary infertility, or sub-fertility. Together, we aim to amplify our mission of education, empowerment, and support. Fertility Action combines patient advocacy with expert knowledge to offer peer support, therapy, and reliable information. They are also committed to improving fertility care access, raising awareness, and driving research to advance understanding and treatment.

PLEASE NOTE: The Fertility Podcast has an archive of its 300 episodes on new podcast feeds called: Getting Pregnancy Ready, Infertility Support, Male Fertility, Alternative Routes to Parenthood, and Pregnancy Loss.
Just have a look in your podcast search and be sure to subscribe.

About your host

Profile picture for Natalie Silverman

Natalie Silverman