The Preprint | Neel Shah, MD | Substack

fertility

When sex isn’t simple

Fertility support that starts where most of us do: in the bedroom.

Sep 25, 2025 • Neel Shah, MD

How fast can your swimmers go?

At-home semen testing could be the key to unlocking men’s health.

Jun 17, 2025 • Neel Shah, MD

The hidden determinant of IVF success

Constructing an embryo is delicate and artisanal. Can A.I. help make it standardized and accessible?

Jul 25, 2024 • Neel Shah, MD

The year of the embryo

Can we finally address America’s questions about IVF?

Jun 20, 2024 • Neel Shah, MD

What makes a family?

When LGBTQ+ people come out, they’re often told “but now you can’t have kids.” How can we change that legacy?

Jun 6, 2024 • Neel Shah, MD

maternity

The great unbundling

What happens when health care outgrows the system to pay for it?

Apr 8 • Neel Shah, MD

Meeting the Medicaid moment

This year, a decade of maternal health innovation and federal payment reform are set to collide.

Sep 12, 2024 • Neel Shah, MD

Three questions with an ob-gyn who left Idaho

Since 2022, the number of ob-gyns practicing in Idaho has plummeted. On the day of the Supreme Court ruling on Idaho v. United States, I spoke to one.

Jul 2, 2024 • Neel Shah, MD

What makes a family?

When LGBTQ+ people come out, they’re often told “but now you can’t have kids.” How can we change that legacy?

Jun 6, 2024 • Neel Shah, MD

Christy Turlington on how to be an ally

Christy has one of the best-known faces in the world. But for over a decade, she’s skillfully championed global maternal health, while never becoming…

May 9, 2024 • Neel Shah, MD

menopause

If longevity is the future, why aren’t women leading it?

The menopause market is perceived to be much smaller than the longevity market. Perhaps the solutions need a bigger vision.

Apr 10, 2025 • Neel Shah, MD and Leslie Schrock

“Millenopause” is reframing middle age

Millennials invented wellness culture. But as they approach menopause, why is the system failing them?

Sep 26, 2024 • Neel Shah, MD

The testosterone trap

Why are so many men seeking hormonal supplements they don’t need?

Mar 14, 2024 • Neel Shah, MD