Skip to main content
Gabriella Rosa

Gabriella Rosa

Harvard-trained fertility specialist, founder and CEO of the Rosa Institute, and author of The Fertility Book.

Sep 18, 2026

12:01
What do you mean when you look at someone's health? Okay, yes and no.
12:08
There's a lot to unpack here, but I'm going to try and make this as really easy to understand as possible.
12:15
Right now within your body, you and your partner are carrying 50% of the little baby you want to create, which means that the principle I approach this with at this point is act pregnant now to get pregnant later.
12:31
So all of the things that you would absolutely do or stop doing if you were pregnant right now are all of the things that you will start or stop doing if you are wanting to prepare your body to be in the best possible place for a healthy pregnancy.
12:51
So literally, you've got to act as if you're pregnant right now.
12:54
And we both know, you know, if you've been pregnant before, you will, the second, and I see this so clearly, like I've had, I've treated thousands and thousands of patients over 25 years.
13:06
I've been doing this work since 2001.

18 MINS LATER

31:17
But equally, our body's still going to age biologically.
WoodHOST
15:12
One last thing is just like the, there's something profound for me that is the awareness that I'm willing to do that in the idea of conception and But why don't I bring my awareness to how I show up for myself in the ways that I'm consuming and my patterns and all of this to take care of me?
15:31
100%.
15:33
And you know what's interesting about that? And I think that this is such a great point that you bring up.
15:40
We've all heard of people who have never smoked a day in their life and died of lung cancer.
15:46
And we've all heard of people who are chain smokers and never developed lung cancer at all.
15:51
And so to that, you have to ask, but why, right? Because we all know smoking causes cancer and predominantly lung cancer.
16:00
But here's the thing.

28 MINS LATER

WoodHOST
44:25
I got to get it together right now and get on my regimen.
KirstenHOST
4:55
And I'm curious, you know, today to just a little bit of a different slice of this fertility piece, and you're kind of already mentioning it, but when a man is, is struggling with fertility, what does that start to do with how he shows up sexually and emotionally with his partner?
5:12
Hmm.
5:12
It's a great question, and I think that, you know, to, to talk about that, we need to kind of take a step back and talk about what happens when a couple is experiencing infertility because often, even in society, the conversation really revolves around the fact that fertility is a woman's issue, right? And so for the longest time, it's, there is this avoidance to really look at the male factor in a very effective way, in a very objective and clear way.
5:43
So if you think about what happens when a woman goes to a-- Like, you know, when a couple is trying to conceive, and months start to go by, and nothing's happening, and then they finally, you know, she may make an appointment to see a doctor, and the doctor finally says, "Okay, look, let's go and do some tests, and we'll figure out what's wrong or what's happening," right? And usually, the basic tests will be done.
6:07
Do some blood tests, some ultrasounds, figure out what's happening with her.
6:12
Some doctors will then basically say, "Look, your partner also needs t- needs to have a semen analysis," and sometimes nothing is said at all.
6:20
When something is said, then usually, because that consultation hasn't happened from the perspective of two people who are trying together going to see a doctor, it becomes a- Kind of in passing recommendation from the doctor saying, "Oh, look, you know, your partner should go and, and do this thing." When she gets home and she mentions that to her partner, what is the reaction or response that that woman gets? And that will be very dependent on the man, right? So some men will be comfortable enough to hear that request or that suggestion and say, "Okay, yeah, that's, that's something that I could do in the context of us trying to conceive together." But most of the time, that, that comment gets rebuffed and it's like, "Oh, no, there's nothing wrong with me.

20 MINS LATER

KirstenHOST
27:13
And I was so excited knowing I was gonna get to talk to you tonight about, about what are some of the things that might be affecting a man's fertility and also h- might be affecting his hormones and just his sexual health overall that we might not always consider or look out for.
SapphireHOST
12:23
Hmm.
12:23
Now, that does not mean that they've arrived at the end of their reproductive life, their fertile life, or their ability to carry pregnancies to term.
12:33
But that has made it into what gets cited in today's reproductive medicine world.
12:41
Also because it's convenient.
12:43
It's convenient data for the purposes of reproductive medicine, which is to sell IVF cycles.
12:52
If you think about the standard therapy route for infertility and infertile couples or couples who struggle to have a baby, you are trying for six months.
13:03
You go to your doctor.

8 MINS LATER

SapphireHOST
21:25
Yeah.
23:09
Ah, okay.
23:10
So you see, the agreements that we make is that we work, like, the, the clinic hours are 7:00 to 7:00 AM Sydney Standard Time.
23:19
So that means that when you're employed in my clinic, I don't care where you are and I don't care where you go to work from.
23:25
Like, literally you can be in Vietnam today and tomorrow in China or whatever, I don't care.
23:31
As long as, one, you deliver the outcome that you are employed to deliver, and the second thing is that you understand very clearly that you work within Australian business standard hours, which is 9:00 to 5:00.
23:46
There is flexibility, 100%.
23:48
Like, there are people who basically say to me, "I don't want to start at 6:00 AM my local time.
25:12
Asynchronous-

We value your privacy

We use cookies to understand how you use our platform and to improve your experience. Click “Accept All” to consent, or “Decline non-essential” to opt out of non-essential cookies. Read our Privacy Policy.