Dr. Geoffrey Sher

Today, in first world environments where there is ready access to
advanced medical technology, many women undergo ultrasound diagnosis
of pregnancy as early as 5-6 weeks after their last menstrual period.
As a result, multiple pregnancies
[/blog/how-many-embryos-should-be-transferred-a-critical-decision-in-ivf/]
are often recognized very early on. Serial ultrasound follow-up
examinations performed in su…

Older women, and those who have diminished ovarian reserve (DOR)
[/blog/diagnosing-and-treating-infertility-due-to-diminished-ovarian-reserve-dor/]
with resistance to ovarian stimulation
[/blog/controlled-ovarian-stimulation-cos-for-ivf-selecting-the-ideal-protocol/]
(…

While most IVF pregnancies will progress normally and without any
increased risk to mother or baby, there is little doubt that women who
conceive in this manner as well as their babies are potentially at
increased risk. In fact, women who give birth after IVF treatment are
several times as likely to suffer from significant complications such
as miscarriage [/blog/first-trimester-bleeding-serious/], pregn…

For more than three decades, about 70% of the patients that I have
performed IVF on, have journeyed to see me from out state or out of
country. Over the years, I have been repeatedly asked how, given the
distance separates us from our patients, we are able to provide
optimal, efficient, and congenial services. This blog represents an
attempt to describe how we accomplish this. It will outline the
processes involved, and explain how the system we have put in place
allows us to fully prepa…

Two main factors determine the quality of a woman’s eggs
[/blog/ivf-factors-affecting-egg-embryo-competency-during-controlled-ovarian-stimulation-cos/]
at ovulation or egg retrieval. First is her age…

Cytomegalovirus (CMV) belongs to the Herpes group and, like Herpes,
can remain dormant in the body for long periods of time (even for
life). CMV infection is very common, such that by age 40Y >50% of
adults will bear evidence of previous infection (i.e. test IgG +…see
below). Acute infection most commonly is seen in developing babies, in
those who care for or work with children and in people who are HIV
positive. CMV infection rarely causes a significant illness or
symptoms. People wh…

Clomiphene citrate (Clomid)
[/blog/case-study-prolonged-clomiphene-citrate-therapy-can-cases-reverse-male-factor-infertility-avoid-need-ivficsi/]is
by far the most commonly used fertility drug
[/blog/fertility-drugs-for-ivf-how-safe-are-they-and-do-they-cause-cancer/]
in the…

  Vaginal bleeding occurs in about 25% of all pregnancies. When it
happens, it almost invariably raises the concern of pregnancy loss
(miscarriage) [/blog/recurrent-pregnancy-loss-rpl/]. Bleeding can also
be a sign of a tubal ( [/blog/ectopic-tubal-pregnancy-ivf/]ectopic)
pregnancy…

After 1 year of unsuccessfully trying to have a baby, it is time to
have a basic infertility evaluation. And the urgency increases the
older the woman is.

Men with no sperm in their ejaculates (azoospermia), whether due to
non-obstructive or obstructive (usually post-vasectomy) causes, can
have their sperm accessed surgically and still propagate pregnancies.
There are 2 methods by which this can be achieved. : 1) TESE
(testicular sperm extraction), where a biopsy of the testis is done
or, 2) TESA (testicular sperm aspiration), which involves introducing
a needle into the testis and aspirating fluid and tissu…