The question
Hi Dr. Sher , I listened to your great informational interview on the egg whisperer channel about endometriosis and I had a question about my own ivf journey with endo .
I have endometriomas on both ovaries between 1.5 and 3 cm and a large endometrioma 7.6 cm below them . I am 40 years old and in 2022 I have done 3 egg retrievals leaving the endometriomas alone. In those 3 retrievals a total of 17 mature eggs were collected. 10 of them fertilized and only 1 made it to a 5 day blast that tested abnormal/ aneuploid so I am back to zero . I know you said don’t ignore endometrioma on ovaries but I also don’t have much time with my age . Is it wise to try another cycle ? Or is it time to get the surgery ? I don’t want to give up yet !
Answer from Dr. Geoffrey Sher
Thank you!
Very respectfully, I do not believe it is in your interst to do another ER until the endometriomas have been completely removed. In my opinion, The ovay(ies) housing the endometrioma(s) are far less likely to propagate good quality eggs. After surgery you will need 6-8 weeks to allow them to reconstitute, before beginning another ER cycle.
Good luck!
Geoff Sher
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ADDITIONAL INFORMATION:
I am attaching online links to two E-books which I recently co-authored with my partner at SFS-NY (Drew Tortoriello MD)....... for your reading pleasure:
1.From In Vitro Fertilization to Family: A Journey with Sher Fertility Solutions (SFS) “
http://sherfertilitysolutions.com/sher-fertility-solutions-ebook.pdf
- “Recurrent Pregnancy Loss and Unexplained IVF Failure: The Immunologic Link
https://drive.google.com/file/d/1iYKz-EkAjMqwMa1ZcufIloRdxnAfDH8L/view
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General information only, not medical advice for your own situation. For that, book a consultation.