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In this video, Dr. David Perlmutter discusses the alarming rise in infertility rates among American couples and argues that this trend mirrors a broader decline in overall health metrics. He and a co‑speaker explain how metabolic function directly affects the quality of eggs, sperm, and embryos, as well as hormone balance and the likelihood of successful conception. The conversation highlights that metabolic health also influences IVF success rates and that a father's metabolic condition before pregnancy can predispose the mother to complications such as miscarriage, recurrent pregnancy loss, and preeclampsia. The overall message is that fertility should be viewed not as an isolated mystery but as a barometer of whole‑body metabolic health, suggesting that improving systemic health could improve reproductive outcomes.

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