Healthy As A Mother

Vasectomy & Vasectomy Reversal: Risks, Pain, Testosterone & Success Rates with Dr. Philip Werthman | #187

Healthy As A Mother

Show Notes

Vasectomy is one of the most requested topics we've ever had, and in this episode we finally get answers from someone who has done thousands of them. Dr. Philip Werthman is a Los Angeles microsurgeon whose practice focuses exclusively on vasectomy reversal and male infertility. He explains how the male reproductive tract works, what actually happens during a no-scalpel vasectomy, and why ejaculation looks and feels the same afterward.

We go through the concerns you sent in on Instagram: failure rates, post-vasectomy pain syndrome, autoimmune reactions to sperm, prostate and testicular cancer, Alzheimer's, testosterone, libido, and erectile function. Dr. Werthman gives his honest clinical perspective on how often these issues really show up in practice. He also covers the treatment options when chronic pain does happen.

In the second half, we dive into vasectomy reversal. We cover how surgeons reconnect a tube about the size of spaghetti under a microscope, realistic timelines for sperm returning and conception, and why success rates range from about 60% to 98%. He also explains why some reversals "fail" because the right operation wasn't done. We finish with sperm agglutination, cost, choosing a surgeon, his favorite sperm-supporting supplements, and a thoughtful conversation about qi, regret, older fathers, and making this deeply personal decision as a family.

00:00 Trailer & Intro 02:27 Why We’re Talking Vasectomy 04:22 Meet Dr. Philip Werthman 06:00 What Is a Vasectomy? 08:29 How the Vas Is Cut & Sealed 10:07 No-Scalpel Vasectomy Explained 12:40 Does Ejaculation Change? 13:27 Risks & Failure Rates 14:46 Why Men Skip the Follow-Up Sperm Check 16:28 Post-Vasectomy Pain Syndrome 20:59 Treating Chronic Pain After Vasectomy 25:29 Autoimmune Concerns 28:59 Prostate & Testicular Cancer Risk 30:01 Is There an Alzheimer’s Link? 30:53 Vasectomy & Testosterone 33:15 Libido & Erectile Function 39:28 Regret & Being Sure You’re Done 42:15 When a Doctor Says No 44:27 Common Misconceptions 45:48 How Vasectomy Reversal Works 50:08 Reversal Recovery 51:16 Timeline for Sperm Return & Pregnancy 55:32 Reversal Success Rates 58:16 Reversal Risks 58:24 Sperm Agglutination & Thick Semen 61:36 Choosing a Surgeon & Cost 63:09 Supplements for Sperm Quality 65:52 Qi, Meridians & Spiritual Views 67:30 Making the Decision as a Family 69:46 Older Dads & Having Kids Later

Resources From This Episode: About Dr. Philip Wetherman - https://www.malereproduction.com/about-cmrm/dr-philip-werthman/ Vasectomy Reversal Expert - https://www.vasectomyreversalexpert.com/the-cmrm-advantage/ Megaspermin Proxseed Profertile

Healthy As A Mother Podcast | YouTube Healthy As A Mother Podcast | Instagram Healthy As A Mother Podcast | TikTok Healthy As A Mother Podcast | Merch Store

Find more from Dr. Leah: Dr. Leah Gordon | Instagram Dr. Leah Gordon | Website Womanhood Wellness | Website

Find more from Dr. Morgan: Dr. Morgan MacDermott | Instagram Dr. Morgan MacDermott | Website

Use code HEALTHYMOTHER and save 10% at Earthley Use code HEALTHYMOTHER and save 15% at Redmond For 20% off your first order at Needed, use code HEALTHYMOTHER Save $260 at Lumebox, use code HEALTHYASAMOTHER Use code HAAM and save 10% at Fond

More from Healthy As A Mother

Oct 14, 2026

Going through a miscarriage is heartbreaking, and then you're asked to make a big medical decision while you're still processing the news. In this episode, Dr. Leah Gordon and Dr. Morgan MacDermott walk through the three options for managing a miscarriage: expectant management (letting your body pass the pregnancy on its own), medication (mifepristone and misoprostol), and a D&C (dilation and curettage). They cover the pros, cons, success rates, and risks of each, so you can make an informed choice that feels right for you.

Oct 7, 2026

How do you talk to your kids about body safety without scaring them? And how do you actually keep them safe? In this episode, we're joined by Mandi Pagliarini (@MandiTalksPredators), a writer, speaker, educator, and mother of two. Mandi is a survivor of sexual assault and child trafficking, and her advocacy focuses on prevention and harm reduction. She gives parents survivor-informed education about grooming and how predators operate.

Sep 30, 2026

What labs should women actually be asking for, and what do those numbers really tell you about your health? In this episode of Healthy As A Mother, Dr. Leah Gordon breaks down the key labs she believes women should understand, from blood sugar and fasting insulin to thyroid, iron, inflammation, reproductive hormones, vitamin D and more. She explains what these markers can reveal about metabolic health, fertility, energy, hormones, symptoms and overall health, and why looking at a single lab without the right context can sometimes miss the bigger picture.

Sep 23, 2026

Eczema is incredibly common in babies and children, but what if the skin is only showing us part of the story? In this episode, Dr. Morgan MacDermott sits down with holistic nurse, clinical herbalist, and pediatric eczema practitioner Abbie Bradford to unpack the many factors that can contribute to eczema and why there isn't one universal cause or solution. They discuss the connection between eczema, gut health, food allergies and sensitivities, the microbiome, antibiotics, C-sections, breastfeeding, environmental exposures, and mold. Abbie also explains why the last thing that happened before a flare isn't necessarily the root cause, when food-based topicals may be problematic for babies, how to think about probiotics and stool testing, and which practical changes parents can start with at home. They also cover mold testing, breastfeeding and elimination diets, allergy testing, topical care, red light, bathing, and why some children may eventually "grow out" of eczema without actually addressing what was happening underneath. Most importantly, this conversation gives parents a framework for thinking about eczema without getting overwhelmed by the endless list of possible triggers. Rather than chasing one cause, Abbie explains how to look at the whole picture and identify the factors that may be contributing to a child's individual presentation.

Sep 16, 2026

What happens when we stop viewing the menstrual cycle as an essential part of female biology and start treating it as something to suppress? In this episode, Dr. Leah Gordon and Dr. Morgan MacDermott take a deeper look at the history and culture surrounding hormonal birth control, how women came to view their cycles as inconvenient or problematic, and what can happen when symptoms like painful periods, PMS, acne, irregular cycles, or heavy bleeding are suppressed instead of investigated.

See all episodes →