The Causes of Infertility

Neither sex contributes more heavily than the other to infertility
problems. Roughly one‑third of all infertile couples can trace their
infertility to the woman, one‑third to the man, and one‑third to
both partners. In practice this means that in >50% of cases there is
both a male and a female factor involved. Understanding this reality
before embarking on a strategic plan of treatment is in my opinion
essential to optimizing outcome.

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Vegas Baby Documentary

I am very proud to be featured in a new documentary film, VEGAS BABY,
which follows several of my patients gambling on infertility treatment
and the emotional, physical and financial costs involved.  Amanda
Micheli, the director, has struggled with infertility herself, so
in addition to being an Oscar-nominated filmmaker, she brings an
empathetic eye and a passion for raising awareness. The film will be
available on iTunes on Mother’s Day, this Sunday May 14th at this
link: 

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Unexplained IVF Failure

IVF treatment always exacts a profound emotional and financial toll on
patients/couples. Needless to say, the financial burden is often
crippling; however, ask any woman who has undergone IVF, and she will
likely tell you that the emotional impact was by far the most
devastating….especially when the IVF treatment cycle failed
[/blog/why-did-ivf-fail/] to bring her a baby.

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Announcing my Retirement in the Year Ahead: A Letter of Thanks From Me to You!

_ Everything Has its Season_

GEOFFREY SHER MD
Dear Patients and Friends, After some 35 years in the field of
Assisted Reproduction (AR), having founded the First Private
(non-university based) IVF program in the United States in 1984, and
having been influential in the births of over 18,000 babies, the time
has finally arrived for me to prepare for my retirement. I, therefore,
wish to take the …

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Having Realistic Expectations Regarding IVF Outcome: When is it Time to Stop or Change Course?

It is important for patients/couples contemplating IVF with their own
eggs, to be aware that usually, in more than 50% of cases a single
attempt will not result in a live birth and furthermore that the
chance of success declines with advancing age of the egg provider.
 Thus, given the emotional, physical, and financial toll exacted by
IVF, it is preferable that no one undertake a one‑shot attempt. If a
couple can only afford one treatment cycle, IVF is probably not the
right course o…

Having Realistic Expectations Regarding IVF Outcome: When is it Time to Stop or Change Course? Read More »

Why Did so Few of my Eggs Fertilize into Embryos, and so Many More Fail to Reach Blastocyst?

One of the most common questions asked by patients undergoing IVF
relates to the likelihood of their eggs fertilizing and the likely
“quality” of their embryos. This is also one of the most difficult
questions to answer. On the one hand many factors that profoundly
influence egg quality
[/blog/egg-maturation-ivf-egg-immaturity-post-maturity-dysmaturity-influence-ivf-outcome/];
such as…

Why Did so Few of my Eggs Fertilize into Embryos, and so Many More Fail to Reach Blastocyst? Read More »

Egg Maturation in IVF: How Egg “Immaturity,” “Post-maturity,” and “Dysmaturity” Influence IVF Outcome.

There is a great deal of confusion when it comes to defining egg
“quality.” Most people interpret terms such as
“mature/immature/post-mature” eggs as implying that the timing of
egg retrieval was off. This is, at best, a gross over-simplification
and at worst, dangerously misleading.

Egg Maturation in IVF: How Egg “Immaturity,” “Post-maturity,” and “Dysmaturity” Influence IVF Outcome. Read More »

Embryo Transfer: The “Holy Grail” of IVF.

Embryo transfer (ET) is undoubtedly a rate limiting factor in IVF.
Unquestionably, the IVF doctor’s expertise in performing ET as one
of the most important factors that will determine IVF outcome. It
takes confidence, dexterity, skill, gentility and above all,
experience to do a good transfer. This having been said, 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 simpl…

Embryo Transfer: The “Holy Grail” of IVF. Read More »

Egg Banking: Preserving Fertility in Female Cancer Patients

It is only through propagation of our biological offspring that we as
humans can leave a lasting legacy of our existence. Perhaps this
explains why the desire to have children is a basic human instincts
and why an inability to achieve this goal (infertility) often leads to
considerable psychological and social difficulties. Infertility evokes
a strong sense of failure, loss and helplessness leading to one of
life’s most distressing crises. Seven out of ten children and young
adults wit…

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