Dr. Geoffrey Sher

Thyroid autoantibodies and Immunologic Implantation Dysfunction (IID)

 
Between 2% and 5% of women of the childbearing age have reduced
thyroid hormone activity (hypothyroidism). Women with hypothyroidism
often manifest with reproductive failure i.e. infertility, unexplained
(often repeated) IVF failure, or recurrent pregnancy loss (RPL). The
condition is 5-10 times more common in women than in men. In most
cases hypothyroidism is caused by damage to the thyroid gland
resulting from of thyroid autoimmunity (Hashimoto’s disease) caused
by damage do…

Thyroid autoantibodies and Immunologic Implantation Dysfunction (IID) Read More »

IVF Failure and Recurrent Pregnancy Loss with guest Dr. Geoffrey Sher

 

IVF FAILURE AND RECURRENT PREGNANCY LOSS WITH GUEST DR. GEOFFREY SHER
Dr. Geoffrey Sher is an internationally renowned expert in the field
of ART. He trained under the fathers of IVF, Dr. Patrick Steptoe and
Robert Edwards in the UK. He came to the United States in 1982 to
establish the first private non-university-based IVF program, the
fourth IVF clinic in the nation. He then expanded his presence to
include 10 IVF cente…

IVF Failure and Recurrent Pregnancy Loss with guest Dr. Geoffrey Sher Read More »

CASE REPORT

EGG FREEZING VERSUS BANKING OF PGS-TESTED BLASTOCYSTS, IN A YOUNG
WOMAN WITH PREMATURELY  DIMINISHING OVARIAN RESERVE (DOR)?

Questions posed:

Hi Dr Sher, thank you for all that you do in sharing your fertility
knowledge. I have learned a lot from your articles and
questions/comments. I was also hoping to get your advice: 
I am 32 almost 33 and my fiancé is 27. We just got engaged and are
ready to start building our family. I was thinking about freezi…

CASE REPORT Read More »

Raised Blood Prolactin

Prolactin (PRL) is a protein hormone (closely related to human growth
hormone
[https://drgeoffreysherivf.com/human-growth-hormone-administration-in-ivf-does-it-enhance-eggembryo-quality-and-outcome/])
that is secreted by specialized cells in the anterior part of the
pituitary gland. In addition, the hormone is also produced and
secreted by a broad range of other cells in the body, most prominently
various immune cells, the brain, and the endometrium (lining of the
uterus). …

Raised Blood Prolactin Read More »

Diminished Ovarian Reserve: The Sher Philosophy

 

It appears from my vantage point that the proportion of patients
suffering from diminished ovarian reserve is on the increase.

This increase is likely due to several reasons:

* Social/lifestyle: Many women are deliberately delaying their
childbearing to focus on other aspects of their life, including the
furtherance of their education and their career objectives.

* Environmental issues: As technology advances, we are constantly
being exposed to new food addi…

Diminished Ovarian Reserve: The Sher Philosophy Read More »

Acupuncture and IVF: Does it Improve Success?

 

Acupuncture involves the insertion of thin needles into the skin along
so called meridians (energy channels). It has been used in China for
centuries to regulate and treat many health disorders including
ailments involving the female reproductive system.
When I visited China back in 1987, I actually witnessed a Cesarean
birth being performed without sedation, pain killers or anesthesia…
using only acupuncture. The mother lay there relaxed, conversing with
the surgeon and…

Acupuncture and IVF: Does it Improve Success? Read More »

Endometriosis and IVF

 
When women with infertility due to endometriosis seek treatment, they
are often advised to first try ovarian stimulation (ovulation
Induction) with intrauterine insemination (IUI). As with essentially
all reasons for infertility, IVF offers a much higher chance of
success than proceeding with multiple IUI cycles in endometriosis
patients. This is not to suggest that all women with
infertility-related endometriosis should automatically resort to IVF.
Quite to the contrary; in spi…

Endometriosis and IVF Read More »

Why did IVF fail?

 

Whenever a patient fails to achieve a viable pregnancy following
embryo transfer (ET), the first question asked is “Why?”

Was it simply due to bad luck? How likely is the failure to recur in
future attempts and what can be done differently to avoid it happening
next time?.
It is an indisputable fact that any IVF procedure is at least as
likely to fail as it is to succeed. Thus when it comes to outcome,
luck is an undeniable factor. Notwithstanding, it is incumben…

Why did IVF fail? Read More »

Embryo Transfer: Simply Crucial in IVF

 
Embryo transfer (ET) is undoubtedly a rate limiting factor in IVF. The
IVF doctor’s expertise in performing ET is one of the most important
factors determining IVF outcome. It requires the dexterity, skill, and
gentle touch that can only truly come through experience. Of all the
procedures in IVF, this is the most difficult to teach. It is a true
“art” and there is little doubt that many women will fail to
conceive following IVF from a suboptima…

Embryo Transfer: Simply Crucial in IVF Read More »

A Thin Uterine Lining: Vaginal Viagra may help

 
In 1989, Dr. Sher first published a study that examined the
correlation between the thickness of a woman’s uterine lining (the
endometrium), and the odds of embryo implantation in IVF patients.
This study revealed that when the uterine lining measured at least 9mm
in thickness by the day of the “hCG trigger” (in fresh IVF
cycles), or at the time of initiating progesterone therapy (in embryo
recipient cycles, e.g. frozen embryo transfers-FET, egg donation-IVF
etc.) , pregna…

A Thin Uterine Lining: Vaginal Viagra may help Read More »