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…
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.
All Articles
262 articles · 2015–2024Recurrent “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…
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…
(NEW) IVF: Approach to Selecting the Best Embryos for Transfer to the Uterus.?
The numerical chromosomal configuration of a cell is referred to as its karyotype or ploidy. A cell with an irregular chromosome number is referred…
Gestational Surrogacy for a Case of Rokitansky Syndrome: 2 Frozen Embryo Transfers Yields 3 Babies.
[CASE REPORT]_THIS IS A RE-POST FOR PURPOSES OF FOLLOW-UP (SEE POST-SCRIPT AT THE END)._BACKGROUND: Mary, 30 years of age and married to a fertile…
IVF: After How Many Tries Should I Give Up?
Because of the emotional, physical, and financial toll [/blog/cost-of-ivf-treatment/] exacted by IVF, it is preferable that no one undertake a one‑shot attempt. If a…
IVF & Polycystic Ovarian Syndrome (PCOS): Reducing the Risk of Severe Ovarian Hyperstimulation Syndrome (OHSS), Improving Egg Quality and Optimizing Outcome
Polycystic ovary syndrome (PCOS) [/blog/new-ivf-outcome-patients-polycystic-ovarian-syndrome-pcos/] is a common hormonal system disorder among women affecting between 5% and 10% of women of reproductive age worldwide.…
Deciding Between Intrauterine Insemination (IUI) and In Vitro Fertilization (IVF)
Many infertile patients, are erroneously advised by their physicians to first try IUI [/blog/reflecting-upon-use-misuse-intrauterine-insemination-iui-time-serious-reality-check/] several times before resorting to IVF. Additionally many misguided insurance…
How Does Advancing Age and Diminished Ovarian Reserve (DOR) Affect Egg/Embryo “Competency” and How Should the Problem be Addressed.
It is primarily the egg (rather than the sperm) that determines the chromosomal integrity (karyotype) of the embryo, the most important determinant of egg/embryo…
IVF Outcome in Patients with Polycystic Ovarian Syndrome (PCOS)
Polycystic ovary syndrome (PCOS) [/blog/understanding-polycystic-ovarian-syndrome-pcos-and-the-need-to-customize-ovarian-stimulation-protocols-sfs/] is a common hormonal system disorder among women affecting between 5% and 10% of women of reproductive age worldwide.…
Mini-IVF: A Blessing or a Curse?
Mini-IVF is a procedure that involves ovarian stimulation using low dosage medications (often oral drugs like clomiphene [/blog/clomiphene-induction-ovulation-use-misuse/] and letrozole) under the premise that…
Advanced Endometriosis with Endometriotic Cysts
Advanced endometriosis is often associated with ovarian endometriotic cysts, known as endometriomas. The cysts contain decomposed menstrual blood that looks like melted chocolate – hence…