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…
Sher Fertility Solutions
Blog
Ten years of writing on IVF, fertility and reproductive medicine from Sher Fertility Solutions. Ten years of writing on IVF and fertility.
SHER FERTILITY-SOLUTIONS (SFS): AN EXCITING NEW CHAPTER IN MY PROFESSIONAL CAREER
SHER-FERTILITY SOLUTIONS (SFS) Through SFS, I provide online fertility consultations (via SKYPE and FaceTime) to an ever-growing number of patients (from >40 countries) with…
SFS Fertility Seminar in Las Vegas
This February 13th is the day you get closer to having the family of your dreams. Join SFS Fertility Las Vegas for a patient-focused…
Ovarian Hyperstimulation Syndrome (OHS): Its Evolution & Reducing its Incumbent Risks.
Ovarian hyperstimulation syndrome (OHS) is a condition where a woman receiving fertility drugs (usually gonadotropins) over-responds by developing a large number of ovarian follicles…
Sher-IVF Success Rate
Given rapidly changing practices in the IVF arena, it is becoming increasingly implausible to reliably interpret current national reports expressing IVF outcome statistics as…
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…
Immunologic Implantation Dysfunction (IID): Causes & Care
In the United States, effective treatment of NK/CTL activation associated with either alloimmune or autoimmune implantation dysfunction requires the administration of primarily Intralipid (IL).…
Management of Immunologic Implantation Dysfunction (IID) 2
In the United States, effective treatment of natural killer cell /cytotoxic lymphocyte (NK/CTL)-activation associated with either alloimmune or autoimmune implantation dysfunction requires the administration…
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…
A Fresh Look at The Indications for IVF
Today, due to a myriad of factors, IVF is regarded as one of the main thoroughfares for helping couples achieve the goal of creating…
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,…
Endometriosis Presenting as “Unexplained Infertility”
Background: “Jamie” consulted with me when she was 34 years of age, after 3 years of failed treatment and a diagnosis of “unexplained infertility…
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…