Geo Espinosa, ND
Millennial Men in Trouble: Infertility, Low T, and Earlier Prostate Risk - A Roadmap to How We Help
Day 2 | 17 Oct | 2:40 PM - 3:40 PM
Presentation + Q&A
About the topic:
Millennial and Gen Z men are facing a measurable decline in hormonal, reproductive, and prostate health. Testosterone levels are dropping, sperm quality is under pressure, and prostate cancer is appearing earlier and, in some cases, more aggressively.
This presentation moves beyond alarm and offers a practical clinical roadmap for helping younger men restore health, protect fertility, optimize testosterone, and reduce long-term prostate risk.
We will examine the major drivers behind this trend, including endocrine-disrupting chemicals, microplastics, poor sleep, digital and thermal exposures, visceral fat, metabolic dysfunction, stress, and sedentary living. The focus will be on actionable interventions clinicians can use now: environmental exposure reduction, resistance training, sleep optimization, metabolic repair, targeted nutraceuticals, and careful hormone therapy when appropriate.
Testosterone replacement therapy (TRT) will be framed as a powerful tool, but not the first tool. The goal is to help clinicians understand when testosterone therapy makes sense, how to protect fertility, and how to monitor prostate health in men who may live with these decisions for decades.
Learning objectives:
- Clarify what clinicians are truly trying to achieve with male hormone optimization: functional testosterone, symptom improvement, and better long-term health
- Understand the interconnected role of androgens in reproductive, metabolic, and prostate health
- Recognize when, if, and how to use TRT safely and effectively in millennials and Gen Z men
- Integrate lifestyle and nutraceutical therapy to keep younger men healthy, fertile, and optimal
About the speaker:
Dr. Geo Espinosa is a pioneering board-certified naturopathic medicine doctor, certified in functional medicine through the Institute for Functional Medicine, and holds a master’s degree in acupuncture and traditional medicine. He is widely recognized as a leading authority on benign and malignant prostate disease, male hormones, and sexual health. Dr. Geo, as he is affectionately called, holds a faculty position at New York University Langone Health in the Department of Urology, where he focuses on evidence-based, holistic, and integrative methods of patient care.
Dr. Geo is distinguished as the first naturopathic physician to complete postgraduate training in urology at a conventional medical institution, having trained at Columbia University in New York from 2005 to 2009 under the mentorship of Dr. Aaron Katz. This groundbreaking achievement underscores his commitment to bridging conventional and natural medicine.
As an avid researcher and author, Dr. Geo has contributed extensively to the field through numerous scientific papers and books. He co-edited the acclaimed Integrative Sexual Health and authored the bestselling prostate cancer guide, Thrive, Don’t Only Survive, which has become an essential resource for patients and practitioners alike.
In his role as Chief Medical Officer and formulator at XY Wellness, LLC, Dr. Geo is dedicated to developing science-based, holistic solutions that empower men to take control of their health. His expertise is sought globally, and he frequently lectures on holistic and integrative treatments for urological conditions.
Beyond his professional achievements, Dr. Geo shares his knowledge through his popular website, DrGeo.com, and his podcast, the Dr. Geo Prostate Podcast.
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