Sperm health encompasses more than just count and motility; it is also influenced by DNA integrity, oxidative stress, and mitochondrial function, which are often not evaluated in standard semen analyses. Nutritionist Rashi Chowdhary emphasizes that male fertility reflects overall health, including metabolic health, stress levels, sleep quality, nutrition, and lifestyle choices made in the months leading up to conception. Chowdhary points out that standard tests typically do not assess critical factors like DNA fragmentation, oxidative stress, and mitochondrial function, which can significantly impact conception. She notes that poor lifestyle habits such as inadequate sleep, chronic stress, and unhealthy diets can adversely affect sperm quality. Furthermore, insulin resistance, low testosterone, and chronic inflammation are identified as factors that drain sperm energy, leading to lower motility and increased DNA damage. Ultimately, Chowdhary concludes that metabolic health is integral to fertility health, urging men to consider these often-overlooked aspects in their journey towards conception.