Marrow
Genomics · Genetic Reports · Precision Wellness

Fertility

Personalized Genetic Report
FertilityReproductive HormonesFertility Genes
Sample ClientReport date: 29 July 2026
Genomics · Genetic Reports · Precision Wellness
Marrow Health Laboratories
Marrow
Accession #: MRW-26-F87F18
Report type: Summary Report
Report status: FINAL

Specimen and client information

Client
Sample Client
Specimen type
Buccal (cheek) swab
Date reported
29 July 2026
Accession
MRW-26-F87F18
Panel
Fertility
Results scored
14
Need attention
1
Report
Summary Report

What this report covers

Fertility · Reproductive Hormones · Fertility Genes

About this report

This report reads your DNA and sorts every result into one of five plain-language groups, so you can see at a glance what deserves attention and what does not. Nothing here is a diagnosis. A flagged result means your genetics place you above or below the average person for that trait — a reason to ask a question, not a reason to worry.

What each result group means

Worth a conversation with your doctor
These came back with a higher genetic predisposition than most people. That is not a diagnosis — it means these are the ones worth raising at your next appointment.
Running above the typical range
Your genetics point to these sitting higher than average. Often useful to know, sometimes worth monitoring.
Running below the typical range
Your genetics point to these sitting lower than average. Same idea — context, not alarm.
Working in your favour
Good news. Your genetics look protective or better than average here.
In line with most people
Nothing unusual. These were tested and came back typical — worth having on record.

Your results at a glance

How to read this. A result being flagged does not mean you have a condition — it means your genetics put you above or below the average person for that trait. Of the 14 results here, 1 came back worth discussing with a clinician and 1 came back in your favour. Bring this document to your appointment.

What this package looks at

Fertility — Male reproductive health is influenced by a combination of genetic, hormonal, and environmental factors. Genetics plays a significant role in determining fertility and the balance of reproductive hormones, both of which are crucial for reproductive function.

What you can actually do

These are ordered by how closely they relate to your flagged results — not generic health advice. Marrow does not prescribe, dose, or tell you to take anything. Diet and lifestyle changes are listed first because they are yours to make. Anything you would swallow is listed separately, by name only, as something to raise with a clinician who knows your history and your medications.

Changes you can make yourself

1
Avoid Pesticide Exposure

Limit the use of non-organic lawn and garden chemicals.

Relates to: Male Infertility
relevance
2
Avoid Organic Solvents

Refrain from using products containing organic solvents such as paints, varnishes, paint strippers, cleaning supplies, glues, and adhesives.

Relates to: Male Infertility
relevance
3
Avoid PAHs Exposure

Use exhaust fans in kitchens and ensure proper ventilation when cooking at high temperatures to reduce indoor levels of PAHs.

Relates to: Male Infertility
relevance
4
Sleep for 7+ Hours

Ensure you allocate enough time in your schedule to achieve a minimum of 7 hours of sleep each night.

Relates to: Male Infertility
relevance
5
Mediterranean Diet

Limit red meat to a few times a month and include a moderate amount of dairy products.

Relates to: Male Infertility
relevance
6
Tomato

Aim for at least one serving (approximately 1 medium-sized tomato or 1/2 cup of chopped or cooked tomatoes) per day.

Relates to: Male Infertility
relevance
7
Avoid Opioid Drugs

Do not use opioid medications unless prescribed by a healthcare provider for specific medical conditions where pain management is necessary, and even then, use them only as directed for the shortest possible duration.

Relates to: Male Infertility
relevance
8
Walnuts

Do this consistently as part of your daily dietary intake.

Relates to: Male Infertility
relevance

Worth asking your clinician about

These came up in the research behind your flagged results. They are listed by name so you can ask about them. Marrow is not recommending them, and gives no dose. Supplements interact with prescription medication and with each other — that conversation belongs with your clinician.

1
Zinc
Relates to: Male Infertility
relevance
2
Zinc and Folate
Relates to: Male Infertility
relevance
3
Inositol
Relates to: Male Infertility
relevance
4
Ashwagandha
Relates to: Male Infertility, Luteinizing Hormone (LH)
relevance
5
Tongkat Ali
Relates to: Male Infertility
relevance
6
Mucuna Pruriens
Relates to: Male Infertility
relevance

Your headline findings

Of the 14 results in this package, these 1 came back furthest from the population average. Each one below explains what it is, where you sit, and which report it came from. Start here.

Male InfertilityMore likely
More likely to have male infertility based on 14,927 genetic variants we looked at
Your risk is greater than 86% of the population and lower than 14% of the population.

What this actually is

Key Takeaways: Genes affecting male fertility may be involved with sperm production and protecting DNA from damage.

Risk factors include: certain health or anatomical issues, stress, medical treatments, chemical/heat exposure, drug and alcohol use, smoking, obesity.

If you have a high genetic risk, you may reduce overall risk by taking action on risk factors that you can change.

What you can do

  • Avoid Pesticide Exposure
    Limit the use of non-organic lawn and garden chemicals.
  • Avoid Organic Solvents
    Refrain from using products containing organic solvents such as paints, varnishes, paint strippers, cleaning supplies, glues, and adhesives.

Ask your clinician about

  • Zinc

Named only. Marrow gives no dose and does not recommend these.

From your Fertility report

Where your genetics are working for you

Not everything in a genetic report is a warning. These came back protective or better than average.

Testicular CancerLess likely
Less likely to have testicular cancer based on 981,211 genetic variants we looked at

What this actually is

Several factors can increase the risk of developing testicular cancer: Undescended testicle at birth Family history Personal history Age: Most common in men between 15 and 35.

Ethnicity: More common in Caucasian men compared to African-American men.

Treatment options depend on the cancer’s stage and type and may include: Surgery: The primary treatment is often a radical inguinal orchiectomy, where the affected testicle is removed through an incision in the groin.

From your Fertility report

Everything else that came back

The remaining results, grouped by what they mean. Every one of these is explained in full — with the genes and variants behind it — in the technical version of this report.

Running above the typical range  (4)
  • FSH — Higher levels
  • Estradiol (M) — Higher levels
  • SHBG — Higher levels
  • Testosterone — Higher levels
Running below the typical range  (2)
  • Luteinizing Hormone (LH) — Lower levels
  • Prolactin — Lower levels
In line with most people  (6)
  • Low Sperm Count — Typical likelihood, 38th percentile
  • Sperm Motility — Typical
  • Bioavailable Testosterone — Typical levels
  • DHT — Typical levels
  • Progesterone — Typical levels
  • ESR1 (Estrogen) — Typical activity

What to do with this

Genetics is a predisposition, not a verdict. The single most useful thing you can do with this document is take it to a clinician and talk through the flagged findings — especially any that line up with symptoms you already have or conditions that run in your family. Nothing here changes: your DNA is the same at 60 as it is today, so this report does not expire.

Methodology

Genotyping was performed on DNA extracted from a buccal (cheek) swab using a genome-wide array. Results are derived from peer-reviewed genome-wide association data and, where applicable, published clinical guidelines. Each report was scored independently against its own reference set. Percentile figures describe where your result sits relative to a reference population.

Limitations

This is a laboratory-developed test. It has not been cleared or approved by the U.S. Food and Drug Administration. Genotyping does not detect all variants in the genes assessed; the absence of a flagged result does not exclude risk. Predisposition is probabilistic and is modified by environment, lifestyle, ancestry and family history. Results must be interpreted by a qualified healthcare professional and must not be used alone to diagnose, treat, or alter any medication regimen. Marrow does not recommend, prescribe, or dose any supplement or medication.

Performing laboratory & attestation
Performing laboratoryGene by Gene, Ltd.
Laboratory address1445 North Loop West, Suite 760, Houston, TX 77008
CLIA certificationCLIA #45D1102202
CAP accreditationCAP #7212851 · accredited through 7 October 2027
Laboratory DirectorFeng Zhou, PhD, MB(ASCP)
Specimen typeBuccal (cheek) swab — genomic DNA
AccessionMRW-26-F87F18
Date reported29 July 2026

This specimen was tested at Gene by Gene, Ltd., 1445 North Loop West, Suite 760, Houston, TX 77008, under CLIA #45D1102202 and CAP #7212851. Laboratory Director: Feng Zhou, PhD, MB(ASCP). Marrow Health is not a clinical laboratory and does not perform testing; Marrow prepares and delivers this report from data produced by the performing laboratory named above. Report generated 29 July 2026 · Accession MRW-26-F87F18 · © 2026 Marrow Health.