Dr. Geoffrey Sher

Embryo Banking for Fertility Preservation (FP): Defy the Biological Clock

More and more American women are exploring IVF treatments in their late 30s and in their 40s. This trend often stems from the choice to pursue their career dreams before starting a family. While this delay is completely understandable, it presents challenges, as success rates decline rapidly and progressively as women reach their late 30s

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Staggered IVF with PGS/PGT

Staggered IVF With PGS/PGT: A Major Breakthrough in the Treatment of Older Women and Those with Diminished Ovarian Reserve “Staggered (ST) IVF refers to the process whereby embryos are intentionally frozen and cryobanked for elective transfer to the uterus in a subsequent cycle”. Doctors often start with less invasive treatments for women over 40 who have patent fallopian

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Managing Unexplained Infertility: A Rational Approach

Infertility affects 10%-15% of couples who are unable to conceive. In some cases, the cause of infertility cannot be determined using conventional diagnostic methods, leading to a diagnosis of “unexplained infertility.” However, it is important to note that in most cases labeled as “unexplained infertility,” a more thorough evaluation could have revealed an underlying cause.

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Effects of Using Birth Control Pill as a Prelude to Ovarian Stimulation with Gonadotropins

Does Birth Control Pill (BCP) Suppress Ovarian Follicular Response Or Compromise Egg/Embryo Quality? Many people believe that using the birth control pill (BCP) can suppress the response to ovarian stimulation. However, this is not true if certain precautions are taken. By overlapping the BCP with a specific medication called an agonist, the response to ovarian

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Empty Follicle Syndrome

“Empty Follicle Syndrome” is a misleading term because follicles always contain eggs. However, some eggs may have difficulties detaching and being retrieved. This is more likely to happen when multiple attempts are needed to retrieve an egg from a follicle, indicating the egg may have chromosomal abnormalities. Factors Contributing to “Empty” Follicles The hormonal environment

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The Impact of a Thin Uterine Lining on Embryo Implantation and the Benefits of Viagra Therapy

Back in 1989, I conducted a study that examined how the thickness of a woman’s uterine lining, known as the endometrium, affected the successful implantation of embryos in IVF patients. The study revealed that when the uterine lining measured less than 8mm in thickness by the day of the “hCG trigger” in fresh IVF cycles,

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