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…
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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.
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…
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…
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…
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…
IVF: Should Treatment Cycles be Uninterrupted or be Conducted in Pre-scheduled Batches?
The conventional way of conducting IVF treatment is to provide patients with opportunity to undergo treatment any time they are ready to do so.…
Reflecting upon the Use and Misuse of Intrauterine Insemination (IUI): Time for a Serious Reality Check
It is hard for me to believe that more than three decades have flown by since I first introduced intrauterine insemination into the clinical…
GnRH Antagonists (Ganirelix/Cetrotide/Orgalutron) in IVF Ovarian Stimulation Protocols
CONVENTIONAL GNRH ANTAGONIST (GNRHA) PROTOCOLS: GnRH antagonists (e.g. Ganirelix, Cetrotide, and Orgalutron) are currently used with many controlled ovarian stimulation (COS) [/blog/controlled-ovarian-stimulation-cos-for-ivf-selecting-the-ideal-protocol/] protocols. The…
Testing for Immunologic Implantation Dysfunction (IID): Who Should be Tested, Where Should Testing be Done and How should results be interpreted?
Unless tests for immunologic implantation dysfunction (IID) i [https://blog.drgeoffreysherivf.com/endometriosis-immunologic-implantation-dysfunction-iid-ivf/]mmunologic implantation dysfunction [/blog/endometriosis-and-infertility-sfs/]are performed correctly and conducted by a one of the few reliable reproductive…
Ureaplasma and Infertility: How Can It Affect IUI/IVF Outcome?
Ureaplasma urealyticum is a bacterium that belongs to the mycoplasma family. It can be detected in the reproductive tract of as many as 40%…
Multiple Pregnancies Carry Serious Risks: How Many Embryos Should we Transfer at One Time?
All multiple pregnancies pose a risk to both mother and offspring. Pregnancy induced maternal complications such as miscarriage, pre-eclampsia, antepartum and post-partum hemorrhage become…