After 4 years of trying to conceive without any success, Rosa (35y)
and her husband Jim (42y), achieved a spontaneous pregnancy in 2014.
Sadly, the pregnancy miscarried at 5 weeks. Jim had perfectly normal
sperm parameters. Rosa underwent a hysterosalpingogram as well as a
saline ultrasound hysterosonogram), in 2016. Both were normal. Then in
2016, Rosa underwent a laparoscopy where she was diagnosed as having
moderately severe endometriosis. All visible endometriotic lesions
were ablate…

Linda (43y) and her husband Graham (49y) had been trying to conceive
for 6 years. She had been pregnant once before in 1993. This
pregnancy, which was initiated in a previous relationship was aborted,
without subsequent complications. Linda had been having regular
ovulatory menstrual cycles. Her general health was excellent but her
family history was positive for amyotrophic lateral sclerosis (AML).
In 2016 Linda underwent a hysteroscopic myomectomy for the removal of
a small fibroid pol…

Mary, a 37y female had never conceived in spite of >6 years of trying.
. She had undergone multiple (failed) cycles of IVF-with
intracytoplasmic sperm injection (ICSI). Her husband, Brian, was
originally diagnosed with oligospermia with a sperm count of 18-20
million/mL and 40% motility. Repeat semen analyses at different labs
showed similar findings. However, several years later when the couple
decided to try much to their surprise, a repeat semen analysis showed
absence of sperm in the…

Beryl, 39y and her husband Jack is 36y presented with a history of 5
years of infertility. They had failed 2 attempts at IVF (both in
2918). Beryl had normal regular, ovulatory menstrual cycles. She had
hypothyroidism caused by an autoimmune process, secondary to the
presence of antithyroid antibodies (Hashimoto’s disease). She had a
laparoscopy done about 18 months prior and was found to have a normal
uterus and patent Fallopian tubes. A concomitantly performed
hysteroscopy (to examin…

CASE REPORT #1: ADVANCING AGE, DIMINISHED OVARIAN RESERVE (DOR) + MALE
INFERTILITY Geoffrey Sher MD CASE HISTORY: Mary D. (42y) and her
husband, Chris (43y) recently had a SKYPE consultation with me. The
couple had been trying to have a baby for 1.5 years. Maria had been
pregnant when she was 19 years of age and had an abortion without any
subsequent complications. Aside from having had her gallbladder
removed laparoscopically in 2015, she other…