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Are you exhausted by the monthly rollercoaster of hope and heartbreak, wondering if God’s plan includes the baby you’re praying for after a vasectomy reversal? You’re doing everything you can—clean eating, supplements, tracking ovulation, maybe even testing sperm quality—but each negative test leaves you crushed. The isolation, the financial strain, and watching others get pregnant easily can make you feel like you’re failing or being left behind. You wonder, “What’s wrong with me? Why isn’t this working?” You are not alone. Welcome to Conceiving After Vasectomy Reversal, a faith-based podcast where your struggles are understood, your feelings are validated, and your hope is renewed. This is your safe space to find holistic fertility support, spiritual encouragement, and practical steps to improve your chances of conceiving naturally after a vasectomy reversal. I’m Susan Gladstein, a Board Certified Health Coach, Functional Nutrition & Fertility Practitioner, and a mom who’s been in your shoes. My husband and I faced the endless waiting, the crushing disappointment, and the constant “Why not us?” after his vasectomy reversal. It took prayer, surrender, and a holistic approach to health to finally hold our miracle baby. Now, I’m here to help you meet yours. In this podcast, we’ll cover: - Real-life stories from couples who know exactly how you feel. - Fertility strategies to support both you and your partner—nutrition, supplements, and sperm health. - What doctors don’t always tell you, like why “normal” lab results might not be “optimal” for conception. - Faith-based encouragement and prayers to help you stay hopeful, even when it feels impossible. You’re not crazy. You’re not broken. You’re not alone. You’re walking a hard path, but there is hope. Together, let’s nurture your body, renew your faith, and take confident steps toward the family you’re dreaming of. As Jeremiah 29:11 says, “For I know the plans I have for you,” declares the Lord, “plans to prosper you and not to harm you, plans to give you hope and a future.” Even in the waiting, God is working. I’m here to walk alongside you, offering support, guidance, and the belief that He’s preparing you for the family you’ve been praying for.
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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