Diagnosing and Treating Infertility due to Diminished Ovarian Reserve (DOR)
_Ovarian reserve_ is the term used to describe the extent of a woman’s ovarian egg supply. Diminished ovarian reserve (DOR) refers to a reduction…
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.
Centers for disease control (CDC)IVF: The Economic Realities
Patrick Steptoe and Robert Edwards were responsible for the birth of the world’s 1st IVF baby, Louise Brown, in 1978. Since then about >5…
Staggered IVF: An Excellent Option When Advancing Age and Diminished Ovarian Reserve (DOR) Reduces IVF Success Rate
Many physicians treating infertile women over 40 years old who have patent fallopian tubes still opt to start with the least invasive strategy…
Frozen Embryo Transfer (FET): What Does it Involve?
Frozen Embryo Transfer (FET) A frozen embryo transfer cycle is initiated by administering an oral contraceptive (OC) to the recipient. This is later…
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…
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…
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…
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…
Cyclical Estrogen Therapy Prior to Embryo Transfer, in Post-Menopausal Women and those with Prolonged Hypothalamic Amenorrhea, Can Reduce the Chance of Failed IVF and Miscarriage
An absence of menstruation (amenorrhea) in reproductive age women is usually due to an absence of ovulation (anovulation). If this becomes prolonged, then…
Hormonal Supplementation in IVF
Ovulation occurs within 38-42 hours of initiation of the spontaneous luteinizing hormone (LH) surge (which can be detected in the blood or urine prior…
The Number of Embryos/Blastocysts Transferred & PGT: Effect on IVF Outcome:
A “competent” embryo is one that is chromosomally, genetically and metabolically capable of propagating a viable conceptus in-utero. Such an embryo will have the…
Are SART- Reported Clinic-specific, Annual IVF Outcome Statistics Reliable?
_IVF practitioners, and consumers have little reason to feel confident about the validity and reliability of SART published ART outcome statistics and here is…
IVF SUCCESS RATE EXPRESSED AS VIABLE PREGNANCY RATE PER EMBRYO TRANSFERRED (PRPE): A PROPOSED NEW PRADIGM FOR IMPROVED AND VERIFIABLE REPORTING OF IVF STATISTICS
Given rapidly changing practices in the IVF arena, it is becoming increasingly implausible to reliably interpret current national reports expressing IVF outcome statistics as…
Genetically Testing IVF Embryos
Preimplantation genetic testing (PGT) involves testing pre-implantation embryos for chromosomal numerical abnormalities (aneuploidy). Preimplantation genetic diagnosis (PGD) involves genetic testing of embryos for specific…
Does Frozen Embryo Transfer (FET) Improve IVF Success?
_“I AM IN FULL AGREEMENT WITH RESEARCHERS AT__ CAMBRIDGE UNIVERSITY IN THE UNITED KINGDOM WHO FOLLOWING A RECENT PUBLISHED A REPORT ON THEIR OBSERVATION…
Performing Embryo Transfer: The “Process”
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…
IVF: Selecting the Best Quality Embryos to Transfer
The numerical chromosomal configuration of a cell is referred to as its karyotype or ploidy. A cell with an irregular chromosome number is referred…
A Case for Transferring Blastocysts on Day 5-6 Post-Fertilization Rather Than on Day 2-3 as Cleaved Embryos.
_EMBRYO TRANSFER (ET) IS UNDOUBTEDLY THE SINGLE MOST IMPORTANT STEP IN IVF. IT TAKES CONFIDENCE, DEXTERITY, SKILL AND TIMING TO OPTIMALLY PERFORM ET. OF…
IVF And Diminished Ovarian Reserve (DOR): A Rational Basis for Selecting the Optimal Protocol for Ovarian Stimulation
When it comes to the selection of ovarian stimulation protocols for older women [/blog/ovarian-stimulation-for-women-with-diminished-ovarian-reserve-dor-and-in-older-women-undergoing-ivf/] and those who have DOR there is in my opinion,…
Agonist (Lupron) Therapy in IVF
All gonadotropin releasing hormone (GnRH) agonists [/blog/gnrh-antagonists-ganirelixcetrotideorgalutron-ivf-ovarian-stimulation-protocols/] act by rapidly expunging reservoirs of follicle stimulating hormone (FSH) and luteinizing hormone (LH) from the pituitary…