You're in good hands.

Fellow is committed to advancing male reproductive health.

Fellow is more than a partner for clinical semen analysis. We're also at the forefront of large-scale research into best practices and factors impacting male reproductive health.

Prostate cancer detection in semen

Contact Fellow for more information

Patients want to test from home.

Scheduling semen analysis at a lab can be awkward and inconvenient, and delay fertility consultations. Our mail-in process streamlines the process and provides an elevated experience for patients.

Fertility specialists need sperm metrics prior to consultation

Easy mail-in testing helps ensure male partners are assessed up front so that both partners can be evaluated in parallel and a path to treatment can be discussed.

Better patient experience. 
Better compliance.

90% of fertility patients complete Fellow semen analysis within two months. 93% of Fellow users rate us an 8 out of 10 or above.

Interested in using Fellow at your clinic?

How it works.

Results sent to you & your patients

We notify you and the patient when results are ready. Friendly, easy-to-understand reports explain key metrics.

Once a kit is purchased and activated, Fellow takes the lead. No more phone calls to coordinate testing.

Patients purchase a kit and test from the comfort of home

Make Fellow kits available

Your clinic works with a Fellow representative to identify the best ordering workflow for your practice and patients.

© 2024 Fellow Health, Inc. All rights reserved.

Large-scale PVSA compliance study published in The Journal of Urology

Prospective data were collected on 16,000+ men who received a Fellow PVSA kit between April 2021 and August 2023. Overall compliance across all practice areas was 69% at 18 weeks post-vasectomy, and 82% at 40 weeks.


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Cell-free DNA from the prostate is abundant in seminal plasma, published in PLOS One

Our research shows that seminal plasma is a rich source of cell free DNA from the prostate, and provides new insights into its potential as a liquid biopsy for men's health conditions like prostate cancer, prostatitis, and more.

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Factors Impacting Reproductive Health 

Investigating Relationships Between Masturbation Frequency and Sexual Dysfunction in Men Undergoing Fertility Testing

Seyer et al.

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ASRM 2024 Abstract

High Anxiety Is Positively Correlated with Sexual Dysfunction about Men Undergoing Fertility Testing

Lybbert et al.

ASRM 2024 Abstract

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Is Poor Sleep Associated with Poor Sex? An Analysis of Sexual Dysfunction in Men with Sleep Disorders Undergoing Fertility Testing

Seyer et al.

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ASRM 2024 Abstract

Sexual Function After Vasectomy is Better Compared to Those Seeking Fertility Evaluation: A Review of 7,332 Men Under 50

Deibert et al.

ASRM 2024 Abstract

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Geographic Trends of Environmental Exposures for Men Pursuing Semen Analysis

Maloney et al.

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ASRM 2024 Abstract

Under Pressure: Stress Is Negatively Associated with Libido and Intercourse Frequency

Seyer et al.

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ASRM 2024 Abstract

Am I Normal? Ejaculate Volume Nomograms from >60,000 Individuals

Fernandez et al.

SMSNA 2024 Abstract

Exploring Men’s Health Through Fertility Assessment: Insights from a large population of men using a Fellow Semen Analysis

CUA 2024 Abstract

Belarmino et al.

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Environmental Exposures in Men Pursuing Semen Analysis Testing

Maloney et al.

Mid-Atlant. AUA 2024 Abstract

Advanced Paternal Age (40 Years) and Diabetes Are Associated with Low Semen Volume in a Nationwide Cohort of Men obtaining a Fellow Semen Analysis

CUA 2024 Abstract

Belarmino et al.

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Marijuana, Testosterone and Alcohol Use In Individuals Submitting Fellow Mail-In Semen Analyses: Utilizing User-Reported Survey Data to Describe Contemporary Behavior of Fertility Patients

ASRM 2023 Abstract

Morrison et al.

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Tissue of origin characterization of cell free DNA in seminal plasma: Implications for new liquid biopsies

Huang et al.

PLOS One Publication

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Thoreson et al.

AUA 2025 Abstract

Detection of clinically significant prostate cancer in seminal fluid using RNA biomarkers: Results from a large multi-center clinical study

Clinical Best Practices and Testing Accuracy

How Patients are Utilizing Mail-In Semen Analysis Testing for Fertility Evaluation; An Assessment of 3,159 Patients Seeking Care Online and Through Urology, REI, Obgyn, and Wellness Practices

Tolani et al.

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ASRM 2024 Abstract

Screening Semen Analysis Demonstrates Significant Need for Reproductive Care

Fernandez et al.

WSAUA 2024 Abstract

Contemporary Characteristics of Men Undergoing Vasectomy Reversal

Asanad et al.

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ASRM 2024 Abstract

Is a Fresh Semen Analysis Necessary for a Post Vasectomy Semen Analysis?

Rotker et al.

NE AUA 2024 Abstract

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Mail-In Semen Analysis vs Fresh Sample for Post-Vasectomy Semen Analysis (PVSA): Identifying an efficient approach to achieving post-vasectomy clearance

NE AUA 2024 Abstract

Rotker et al.

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Fellow Mail-In Testing Platform Permits Access to Post-Vasectomy Semen Analysis: A National Demographic Analysis

Warren et al.

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CUA 2024 Abstract

Mail-In Semen Analysis Breaks Down Racial, Educational, and Income Barriers to Test Completion

PCRS 2024 Abstract

Tolani et al.

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Mail-In Semen Analysis Improves Processes, Compliance, and Cost

Belarmino et al.

SGSU 2024 Abstract

Assessing Mail-In Cryopreservation for Fertility Preservation

ASCO 2023 Abstract

Belarmino et al.

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Development and Validation of a Novel Mail-In Semen Analysis System and the Correlation Between One Hour and Delayed Semen Analysis Testing

Fertility & Sterility 2020

Samplaski et al.

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Fellow Mail-in Testing Platform Permits Access to Post-vasectomy Semen Analysis: A National Demographic Analysis

CUA 2024 Abstract (Poster)

Belarmino et al.

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Our publications

Research by Category

Mail-in SA validation study published in Fertility & Sterility

Fellow's validation study demonstrated that our mail-in semen analysis testing system has a strong degree of correlation between 1-hour and delayed SA testing. 

This test may be used in clinical practice to evaluate semen quality for fertility evaluations.

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Mapping of Germ Cell Development and Pluripotency in Cryptorchidism

Suarez et al.

AUA 2025 Abstract

Compliance and Patient Experience

Mail-In Semen Analysis Performed Following Vasectomy Reversal Is Associated with Excellent Kit Completion Rates and Turnaround Times Independent of Socioeconomic Barriers

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Asanad et al.

ASRM 2024 Abstract

Mail-In Semen Analysis: A Convenient and Potentially Time Saving Method of Fertility Evaluation

Charles et al.

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ASRM 2024 Abstract

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Tolani et al.

Over 90% of Fertility Patients Complete Mail-In Semen Analysis Within 2 Months

ASRM 2024 Abstract

Mail-in Semen Analysis Test System Significantly Improves Patient and Physician Experiences

Bowman et al.

WS AUA Abstract

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Berk et al.

AUA 2024 Abstract

High Veterans Affairs (VA) Patient Satisfaction with Fellow Semen Analysis System

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Gu et al.

AUA 2024 Abstract

High Compliance with Fellow Semen Analysis Testing across the United States Irrespective of Clinical Practice Type

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Sid et al.

SE AUA 2024 Abstract

High Fertility Testing Compliance In Individuals Submitting Fellow Health Mail-In Semen Analyses Across Quality-Of-Life Domains

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Tolani et al.

ASRM 2023 Abstract

Provision of Mail-In At-home Semen Analysis Kits In Clinic Improves Test Completion Rates

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Gu et al.

Journal of Urology 2024

Post-Vasectomy Semen Analysis Compliance with Utilization of Mail-In Semen Analysis System

Nguyen et al.

AUA 2025 Abstract

Seminal Fluid DNA Methylation Approach Detects Clinically Significant Prostate Cancer in a Large Multi-center Clinical Study

Mail-In Semen Analysis vs Fresh Sample for Post-Vasectomy Semen Analysis (PVSA): Identifying an efficient approach to achieving post-vasectomy clearance

Rotker et al.

AUA 2025 Abstract

Is a Fresh Semen Analysis necessary for a Post Vasectomy Semen Analysis?: Assessment of Stability of Sperm Concentration over a 10-day time frame as a Model for Post Vasectomy Semen Analysis Using the Fellow System

Rotker et al.

AUA 2025 Abstract

Mail-in Semen Analysis Testing Suggests Need for Earlier and Expanded Access to Fertility Care

Tolani et al.

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ASRM 2025 Abstract

Mail-in Semen Cryopreservation Toolkit Mitigates Systemic Barriers for Adolescent and Young Adult Patients

Li et al.

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ASRM 2025 Abstract

The Impact of “Open” vs. “Closed” Vasectomy Technique on Rates of Azoospermia at First Post-Vasectomy Semen Analysis

NEAUA 2025 Abstract

Matson et al.

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The Relationship between Age, Ejaculatory Frequency, Waiting Time to Post-Vasectomy Semen Analysis, and Clearance Rate

NEAUA 2025 Abstract

Matson et al.

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Breaking Barriers in Fertility Testing: Compliance Trends in Mail-In Semen Analysis Testing Across Florida

Varela et al.

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ASRM 2025 Abstract

Challenges Affecting Compliance With Mail-In Post-Vasectomy Semen Analysis in Texas

de Jesus et al.

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ASRM 2025 Abstract

Mail-in Semen Analysis Requires Algorithmic Adjustment to Minimize Clinical Misclassification

Campbell et al.

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ASRM 2025 Abstract

At Home and Mail-In Semen Analysis: A Critical Review of Scientific Validation, Regulatory Oversight, and Marketing Claims

Varela et al.

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ASRM 2025 Abstract

A Survey of Dietary Patterns and Fast-Food Consumption Among Men Completing Mail-In Semen Analysis at Different Stages of Their Fertility Journey

Panken et al.

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ASRM 2025 Abstract

Wildfire Smoke Exposure at In Vitro Fertilization Clinics in the Contiguous United States

Lillian et al.

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ASRM 2025 Abstract

Fellow research at ASRM 2025

Mail-in Semen Analysis Testing Suggests Need for Earlier and Expanded Access to Fertility Care

Tolani et al.

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ASRM 2025 Poster

Mail-in Semen Cryopreservation Toolkit Mitigates Systemic Barriers for Adolescent and Young Adult Patients

Li et al.

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ASRM 2025 Oral Presentation

Mail-in Semen Analysis Requires Algorithmic Adjustment to Minimize Clinical Misclassification

Campbell et al.

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ASRM 2025 Poster

At Home and Mail-In Semen Analysis: A Critical Review of Scientific Validation, Regulatory Oversight, and Marketing Claims

Varela et al.

Find on the schedule

ASRM 2025 Oral Presentation

Breaking Barriers in Fertility Testing: Compliance Trends in Mail-In Semen Analysis Testing Across Florida

Varela et al.

Find on the schedule

ASRM 2025 Poster

Challenges Affecting Compliance With Mail-In Post-Vasectomy Semen Analysis in Texas

de Jesus et al.

Find on the schedule

ASRM 2025 Oral Presentation

A Survey of Dietary Patterns and Fast-Food Consumption Among Men Completing Mail-In Semen Analysis at Different Stages of Their Fertility Journey

Panken et al.

Find on the schedule

ASRM 2025 Poster

Wildfire Smoke Exposure at In Vitro Fertilization Clinics in the Contiguous United States

Lillian et al.

Find on the schedule

ASRM 2025 Poster