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Trying to conceive after a vasectomy reversal—and wondering why it’s taking so long? You’re tracking ovulation, eating clean, taking supplements… and still staring down another negative test. It’s frustrating, emotional, and honestly—you wanted a baby like yesterday. Welcome to Conceiving After Vasectomy Reversal, the faith-based fertility podcast for couples who are doing everything right and still waiting for their miracle. I’m Susan Gladstein, a holistic fertility practitioner, functional nutrition specialist, and mom of seven—including two miracle babies born in my 40s after my husband’s vasectomy reversal. Each week, you’ll get faith-based encouragement, natural fertility tips, and honest conversations about hormone health, sperm quality, cycle tracking, and what doctors don’t always explain. Whether you’re months into trying or years post-reversal, this podcast will help you cut through the noise, support your body, and walk in faith—one hopeful step at a time. Even in the waiting, God is working.
Episodes

Monday Apr 21, 2025
41. Navigating Semen Analysis After Vasectomy Reversal with Dr. James Smith
Monday Apr 21, 2025
Monday Apr 21, 2025
Are you stressing over semen analysis results after your vasectomy reversal? Wondering if the reversal actually worked or feeling stuck without clear answers?
If you’re feeling overwhelmed by confusing lab results, frustrated by lack of post-reversal guidance, or questioning whether you're doing everything right to boost sperm health, this episode is for you.
In this episode, I sit down with Dr. James Smith, Professor of Urology at UCSF and Chief Medical Officer at Fellow Health, who has dedicated his career to helping men improve fertility outcomes and navigate the complex world of post-reversal care. Dr. Smith breaks down why semen analysis is crucial after a vasectomy reversal, what makes a high-quality analysis (and how many labs get it wrong), and what couples can do to naturally improve sperm health.
We talk about why so many couples are pushed towards IVF or IUI too soon, the simple lifestyle changes that can make a big impact on sperm quality, and how inaccurate semen analyses can give you false hope—or worse, leave you feeling hopeless. Plus, Dr. Smith shares why at-home semen analysis through Fellow Health is changing the game for post-reversal couples, offering accurate, lab-grade results without the awkward clinic visits.
If you’ve ever wondered:
❓ “Is the reversal actually working?”
❓ “Can we avoid costly fertility treatments?”
❓ “Are we missing something simple that could improve our chances?”
This episode is packed with answers, expert advice, and hope for the next steps in your fertility journey.
📌 Connect with Dr. James Smith:
- 💼 Dr. James Smith on LinkedIn
- 📧 Email: james@meetfellow.com
- 🌐 Learn More About Fellow Health
Next Steps for Your Fertility Journey:
- 🎉 Join our free Facebook group: Conceiving After Vasectomy Reversal Community
- 📬 Get holistic fertility support straight to your inbox: Join My Newsletter
- 📅 Book your free fertility consultation: Schedule Now
- 💖 Let’s connect on Instagram: @conceivingaftervr
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