IVF Pregnancy with a “Vanishing Twin”
Today, in first world environments where there is ready access to advanced medical technology, many women undergo ultrasound diagnosis of pregnancy as early as…
Sher Fertility Solutions
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Ten years of writing on IVF, fertility and reproductive medicine from Sher Fertility Solutions. Ten years of writing on IVF and fertility.
Optimizing Response to Ovarian Stimulation in Women Who Have Compromised Ovarian Reserve: A Personal Approach.
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/] (...
IVF Pregnancies and Why They Bear a Greater Risk
While most IVF pregnancies will progress normally and without any increased risk to mother or baby, there is little doubt that women who conceive…
Treating Out-of-State and Out-of-Country IVF Patients in Las Vegas
For more than three decades, about 70% of the patients that I have performed IVF on, have journeyed to see me from out state…
Controlled Ovarian Stimulation (COS) protocols for women with Diminished Ovarian Reserve (DOR) who are Poor Responders to Ovarian Stimulation
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) Infection: What are the Implications Regarding Pregnancy?
Cytomegalovirus (CMV) belongs to the Herpes group and, like Herpes, can remain dormant in the body for long periods of time (even for life).…
Clomiphene Induction of Ovulation: Use and Misuse
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...
First Trimester Bleeding: How serious is it?
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/].…
The Basic Infertility Work-Up
After 1 year of unsuccessfully trying to have a baby, it is time to have a basic infertility evaluation. And the urgency increases the…
Testicular Sperm Extraction (TESE) and Testicular Sperm Aspiration (TESA): Surgical Approaches for Accessing Sperm from Men Who Have No Sperm in their Ejaculates (Azoospermia)
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…
Why the Standard Practices for Embryo Transfers are Rapidly Shifting
Embryo transfer (ET) [https://blog.drgeoffreysherivf.com/frozen-embryo-transfer-fet-involve/] is undoubtedly a rate limiting factor when it comes to IVF outcome [/blog/fundamental-requirements-achieving-optimal-ivf-success/]. In fact, in my opinion, it is…
Routine Fertilization by Intracytoplasmic Sperm Injection (ICSI): An Argument in Favor.
Intracytoplasmic Sperm Injection ICSI, which began in 1992 as a treatment for severe male factor infertility [/blog/male-infertility/], involves the direct injection of a single…
Frozen Embryo Transfer (FET) versus “Fresh” ET: How to Make the Decision
Until less than a decade ago, most women undergoing IVF would have their embryos transferred to the uterus in the same cycle that the…
PGS and Assessment of Egg/Embryo “competency”: How Timing, Process, and Methodology Can Affect Reliability
About a decade ago, we, (Sher, and Keskintepe, L; et al) introduced full chromosomal karyotyping for preimplantation genetic sampling – (PGS) to assess egg/embryo…
Pelvic Inflammatory Disease (PID), Tubal Damage and Hydrosalpinx: Preparing for IVF
Pelvic inflammatory disease (PID) is a condition where inflammation of pelvic structures occurs, as a result of one of the following: sexual transmission via the…
Sclerotherapy of Ovarian Endometriomas
The precise mechanism by which ovarian endometrioma causes infertility is unknown. In women with ovarian endometriomas, infertility is potentially associated with a decreased oocyte…
The Sampson Theory
The Sampson Theory for the pathogenesis of endometriosis [/blog/endometriosis-and-ivf/] is the oldest, but remains the most widely popular and accepted hypothesis. It is based…
Hormonal Treatment of Male Infertility 2
In 1 to 2 percent of cases, male infertility [/blog/male-infertility/] is the result of problems in an area of the brain (the hypothalamus) and…
A Rational Basis for Selecting a Stimulation Protocol
Older women [/blog/old-old-ivf/], as well as those who (regardless of age) have diminished ovarian reserve (DOR) [/blog/diagnosing-and-treating-infertility-due-to-diminished-ovarian-reserve-dor/], tend to produce fewer and
Potential Downsides of DHEA Supplementation: Why take the Risk?
Dehydroepiandrosterone (DHEA), is steroid hormone produced by the adrenal glands and ovary. It is involved in producing the male hormones, androstenedione testosterone and also…