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...

In this episode of The Fertility Podcast, I’m joined by Dr Carole Gilling-Smith, Medical Director of The Agora Clinic and Trustee of Fertility Action, to talk about family building within the LGBTQ+ community.

If you are part of the LGBTQ+ community and thinking about becoming a parent, or you love someone who is, this episode is a practical starting point. We talk about treatment pathways, donor conception, fertility preservation, NHS inequality, and how to make sure you are supported properly by a clinic that understands your needs.

This is about education, empowerment and knowing your options.

What we cover in this episode

1. Why fertility equality on the NHS is still not where it should be
2. The postcode lottery affecting IVF funding
3. Why three full IVF cycles should be the national standard
4. The additional financial barriers faced by same sex couples
5. Why six self funded IUIs before NHS eligibility is deeply problematic
6. The risks of sourcing donor sperm online
7. Choosing between known donors and donor banks
8. How clinics should approach inclusive paperwork and language
9. Why pronouns and preferred names matter in clinical settings
10. Shared motherhood and reciprocal IVF
11. Fertility testing for both partners before deciding who carries
12. Supporting gay male couples through complex pathways involving egg donation and surrogacy
13. Working with the trans community around fertility preservation
14. Preserving sperm or eggs before starting hormone treatment
15. The emotional impact of genetic connection and non biological parenting
16. Why counselling is essential before treatment begins
17. Supporting patients who fear internal examinations or surgical environments
18. Creating clinic spaces that feel safe, calm and inclusive

About Dr Carole Gilling-Smith

Dr Carole Gilling-Smith is the Medical Director of The Agora Clinic, one of the UK’s leading fertility clinics for the LGBTQ+ community, based in Brighton and Hove.

She is also a founding Trustee of Fertility Action, the UK charity campaigning for fertility equality and better access to treatment.

Carole has been a long standing advocate for:

1. Equal NHS funding for fertility treatment
2. Inclusive fertility care for LGBTQ+ patients
3. Fertility education in schools and universities

In this deeply emotional episode of The Fertility Podcast, I’m joined by Catherine Cousins, author of Just One Child, to talk honestly about secondary infertility, failed IVF cycles, mental health, grief, and what it means to come to terms with building a family with one child when that was not the plan.

This conversation was not an easy one to prepare for or to record. Catherine shares her story with such openness, including her experience of a cancer diagnosis within her family, IVF after having a child naturally, a mental health breakdown following a failed cycle, and the long road towards acceptance.

If you are currently in treatment, living with secondary infertility, or facing decisions about stopping treatment, this episode may resonate deeply. We talk about grief that is often unseen, the isolation that comes with this experience, and why it is so rarely spoken about.

If this is not the right time for you to listen, please come back when you feel ready.

What we discuss in this episode:

1. What secondary infertility can look like when you already have a child
2. How a cancer diagnosis changed Catherine’s fertility journey overnight
3. IVF after having a child naturally and the emotional complexity that brings
4. The mental health impact of failed cycles and untreated grief
5. Why many people do not feel able to talk about secondary infertility
6. Shame, isolation, and feeling undeserving of support because you have a child
7. How grief can exist for the family you imagined but could not have
8. The strain fertility treatment can place on relationships
9. Deciding when to stop treatment and how hard that decision can be
10. Marking the end of treatment and finding closure in your own way
11. Parenting while grieving and the guilt that can come with it
12. Navigating comments, questions, and assumptions from others
13. Reframing the narrative around being a family with one child
14. Finding acceptance without pretending it does not still hurt

About Catherine and her book

Catherine Cousins is the author of Just One Child, a powerful and compassionate book about secondary infertility, loss, and redefining family when further treatment is not possible or no longer feels right.

Her book explores the emotional, social, and psychological impact of coming to terms with having one child when you hoped for more, and gives voice to an experience that is often overlooked.

You can find Catherine and her work here:

1. Just One Child on Amazon