Recurrent “Unexplained” IVF Failure with Good Quality Embryos.
BACKGROUND: CJ, a 34-year-old, and her husband RJ, age 35) presented to me with a six-year history of infertility [/blog/the-causes-of-infertility/]. Based on semen analysis, RJ,…
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.
Why Did So Few of My Eggs Fertilize and Make it to Blastocyst?
One of the commonest questions asked by patients undergoing IVF [/blog/selecting-ivf-program-willingness-share-financial-risk-patients-builds-onfidence/] relates to the likelihood of their eggs fertilizing and the likely “quality of…
Early Pregnancy Loss: Causes and a Rational Approach to Management.
There is nothing more stressful to patients and to caring physicians than dealing with recurrent early pregnancy losses (RPL) [/blog/recurrent-pregnancy-loss-rpl/]. There is also no…
Optimizing Access to Sher-IVF, Las Vegas from Afar
“Over the years Sher-IVF has performed IVF on many patients that often journeyed from as far away as, France, South America, China, Europe, Africa,…
Selecting an IVF Program: Willingness to Share Financial Risk with Patients, Builds Confidence!
Unlike virtually every other form of medical treatment in America, IVF is largely not covered by insurance [/blog/ivf-journey-importance-planning-trip-taking-ride/]. To make matters worse, patients often…
Deciding between Egg and Embryo Banking for Fertility preservation (FP)
Women should not delay trying to have a baby [/blog/new-advancing-age-diminished-ovarian-reserve-dor-affect-eggembryo-competency-problem-addressed/], thinking that as long as they are ovulating regularly the biological clock can simply…
How can stress affect IVF?
There is little doubt that stress and emotional lability plays a role in the normal physiological/hormonal regulation of the menstrual cycle. After all, Eskimos…
IVF: Immature and Post-mature Egg Cells: What does this mean and how can it be prevented?
One commonly hears patients undergoing IVF report that they had too many "immature eggs", and inferring that had more time been allotted to ovarian…
How Old is Too Old to Do IVF Using Your Own Eggs?
There is little doubt that age is a very important determinant of IVF outcome. This is mainly because a woman’s eggs undergo deterioration in…
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…
IVF Should Supplant Tubal Fertility Surgery
A progressive increase in success rates with IVF [/blog/ivf-personalized-step-step-approach/] versus tubal fertility surgery [/blog/role-ivf-cases-tubal-damage/] has over the last 25 years brought about a shift…
IVF: A Personalized Step-by Step Approach
The ability to grow a healthy plant requires that a “good” seed be planted in a “fertile soil” and then be properly nurtured until it…
IVF: How many tries should be considered before stopping?
Because of the emotional, physical, and financial toll exacted by IVF [/blog/treating-state-country-patients-sher-ivf-las-vegas/], it is preferable that no one undertake a one shot attempt. If…
Premature Luteinization (“the premature LH surge): Why it Happens and how it can be Prevented
Premature luteinization ("premature LH surge") occurs when prior to the planned initiation of the hCG trigger, a progressive rise in LH, irreversibly compromises follicle…
Natural Killer Cell Activation (NKa) and Immunologic Implantation Dysfunction (IID) in IVF: The Controversy!
“Innovators are rarely received with joy, and established authorities launch into condemnation of newer truths; for at every crossroad to the future are a…
Induction of Ovulation With Clomiphene Citrate: Mode of Action, Indications, Benefits, Limitations and Contraindications for its use
Clomiphene (Clomid, Serophene) is by far the most widely prescribed agent for the induction of human ovulation for women who do not ovulate, those…
How Many Embryos Should be Transferred: A Critical Decision in IVF
The decision on how many embryos to transfer confronts most IVF physicians and their IVF patients. It is driven by a goal that both…
Frozen Embryo Transfer (FET): A Rational Approach to Hormonal Preparation and How new Methodology is Impacting IVF
Until about 15 years ago, we believed that the best and safest way to cryopreserve embryos was by using a slow freezing method. What…
Human Growth Hormone (Omnitrope) in IVF
The term “Biological Clock [/blog/the-biological-clock-and-how-it-should-influence-the-selection-and-design-of-ovarian-stimulation-protocols-for-ivf/]” is used to define the time line for a woman’s reproductive potential. It is affected primarily by two factors:…
IVF- A Moral And Ethical Dilemma: Disposing of Left-Over Human Embryos
Human life can be defined as any living entity that contains viable human DNA. There are two issues. The first is when does life…