April 14, 2026 - Trends

Male Fertility Gets Measured

New balance.
Legacy testing kit
Legacy

Men’s fertility is coming into focus.

Status symbol. Impacted by weight, diet, environment, and genetics, sperm counts have declined 50%+ over the past 40 years, yet awareness of lifestyle-related risk factors remains low.

Catching on, 36% of men are concerned about reproductive health, and 55% say they’d change behaviors to improve sperm quality, fueling an influx of products and diagnostics.

New daily. Flipping the script on prenatals, SwimClub’s 90-day protocol and Bult’s upcoming stack target the other half.

Meanwhile, women’s health brands Perelel, Needed, Beli, and Bird&Be launched men’s lines — with the latter’s male supps outpacing female SKUs at Ulta Beauty.

Under the hood. With 91% of men interested in digital fertility tools, Posterity Health raised $13M for hormonal and reproductive care, while Fellow Health secured $48M to scale mail-in semen analysis.

With sperm quality declining after 40, Legacy launched Sperm Score for longitudinal tracking, and Upstream targets root causes with a 10-week preconception protocol.

Viral virility. Tied to masculinity, longevity, and virility, sperm health is being reframed as a metric to optimize. Leaning in, Sperm Racing raised $10M for motility competitions, Nads sells nontoxic underwear, Megelin offers intimate red light devices, and Bryan Johnson’s sauna-safe testicular icing protocol inspired a crop of products like ChillNuts.

Punchline: Half the equation, male fertility has become big business. But outcomes depend on both sides — meaning reproductive health is a shared, system-level opportunity.

Emily Burns
Emily Burns
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