Male Infertility
Male factor problems as a contributing cause of infertility are very common. Male infertility is reported as a factor in 30-50% of infertility cases.…
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.
The IVF Journey: The importance of “Planning the Trip” Before “Taking the Ride”
The objective with In Vitro Fertilization is to consistently transfer competent embryos into a receptive uterine environment. This requires a very individualized and meticulous…
Are Injectable Fertility Drugs Safe?
I have all too often heard it said that medical providers knowingly place unsuspecting infertile women at risk of developing cancer through the fertility…
IVF Failure and Implantation Dysfunction
Implantation dysfunction [/blog/endometriosis-and-ivf/] is unfortunately often overlooked as an important cause of IVF failure. In the pursuit of optimizing outcome with IVF, the clinician…
Cervical Incompetence: A Common Cause of Late Miscarriage, Premature Birth and 2nd Trimester Recurrent Pregnancy Loss (RPL)
With cervical Incompetence (CI) the cervix starts to shorten (efface) and dilate too early in the pregnancy giving rise to late (2nd trimester) miscarriage…
The Pro’s and Con’s of Preimplantation Genetic Testing (PGT) : It Should be Used Selectively
About a decade ago, I, along with my associate, Levent Keskintepe PhD were the first to introduce full chromosome Preimplantation Genetic Testing (PGT) [/blog/preimplantation-genetic-sampling-pgs-using-next-generation-gene-sequencing-ngs-method-of-choice/]…
Case Report: Treating Hydrosalpinx by Surgical Removal (Salpingectomy) as a Prelude to IVF
CASE REPORT: **For the purposes of anonymity, I will be referring to the patient as RL throughout this blog.** RL, a 31-year-old woman, presented…
CASE REPORT: A woman in her Early 40’s who has Diminished Ovarian Reserve Requiring IVF with Embryo Banking and PGS.
Hi Dr Sher, I’m 42 years of age. Until very recently, I knew nothing about IVF, and I now find myself in a scramble…
Defining and Addressing an Abnormal Luteal Phase
Following ovulation, what remains of the ruptured follicle transforms itself into a structure called the Corpus Luteum (CL) which produces progesterone. The purpose of…
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…
Endometriosis and Immunologic Implantation Dysfunction (IID) and IVF
More than half of women who have endometriosis harbor antiphospholipid antibodies (APA) that can compromise development of the embryo's root system (trophoblast). In addition…
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…
IVF: The first Choice for Infertile Women 40 to 43 Years of Age
Consider the fact that between 40 and 43 of age, the success rate per cycle of treatment with injectible fertility drugs [/blog/fertility-drugs-for-ivf-how-safe-are-they-and-do-they-cause-cancer/] alone, with…
“Unexplained” Infertility : Often a matter of the Diagnosis Being Overlooked!
For about 10% of all infertile couples, the cause of the infertility cannot be readily determined using conventional diagnostic methods. Such cases are often…
The Role of IVF in Cases of Tubal Damage
Tubal damage is one of the commonest causes of infertility. It is most often due to pelvic inflammatory disease (PID) [/blog/pelvic-inflammatory-disease-pid-tubal-damage-hydrosalpinx-preparing-ivf/] caused by sexually…
Ovarian Stimulation in Women Who have Diminished Ovarian Reserve (DOR): Introducing the Agonist/Antagonist Conversion protocol
The use of GnRH antagonists, as currently prescribed in ovarian stimulation cycles [/blog/optimizing-response-ovarian-stimulation-women-compromised-ovarian-reserve-personal-approach/], i.e. the administration of 250mcg daily from the 6or 7th day…
The Link Between Fertility Drugs and Ovarian Cancer
Ever since January 1993 when a study was reported by researchers at Stanford University suggesting that the use of fertility agents increased the risk…
Intralipid (IL) Administration in IVF Explained
Intralipid (IL) [/blog/intralipid-ivig-therapy-treatment-immunologic-implantation-dysfunction/]is a solution of small lipid droplets suspended in water. When administered intravenously, IL provides essential fatty acids, linoleic acid (LA), an…
Prevention, Recognition, and Treatment of Hydatidiform Molar Pregnancies
A hydatidiform molar pregnancy [/blog/molar-pregnancy-treated/] happens when tissue that normally forms the placenta instead becomes a growth, that triggers symptoms of pregnancy. A hydatidiform…