by Dr. Geoffrey Sher | Jun 20, 2024 | Controlled ovarian Stimulation (COS), DOR, Estrogen, Follicle, OHSS, Ovarian Stimulation, Ovarian Stimulation Protocols
The Importance of Tailored Ovarian Stimulation Protocols Selecting the right ovarian stimulation protocol is one of the most crucial steps in the IVF process. There’s no “one-size-fits-all” approach; each protocol must be tailored to the individual. The ovaries have...
by Dr. Geoffrey Sher | Jun 9, 2023 | Age and Fertility, Blastocysts, Chromosomes, Controlled ovarian Stimulation (COS), COS, Diminished Ovarian Reserve, Diminished Ovarian Reserve (DOR), DOR, egg competency, Egg Quality, Embryo, Embryo Incompetency, Failed IVF, interpreting Blood hCG, IVF, IVF and blood hCG, IVF Failure, IVF for older women, IVF Outcome, OHSS, ovarian reserve, Ovarian Stimulation, Stimulation
The journey of in vitro fertilization can be a rollercoaster of emotions for many patients. Often times they have to face the harsh reality that the number and quality of eggs retrieved has fallen short of their expectations. Then, should fertilization of these eggs...
by Dr. Geoffrey Sher | Feb 22, 2022 | COASTING, OHSS
I do not use antagonists in high responders (e.g., PCOS) because it interferes with the assay of E2 (often causing the value to be understated), a valuable index in assessing risk for the development of severe/critical OHSS. I also do not believe in the agonist...
by Dr. Geoffrey Sher | Feb 22, 2022 | Egg Quality, OHSS
An updated and more detailed version of this blog was recently posted. Read it here: (Navigating Polycystic Ovary Syndrome (PCOS): Understanding, Hope, and Treatment. Polycystic ovary syndrome (PCOS) is a common hormonal system disorder among women affecting between...
by Dr. Geoffrey Sher | Apr 3, 2016 | COASTING, OHSS
Disadvantages of Leuprolide Trigger Shot Traditionally, IVF egg retrievals are timed for about 36 hours after a 10,000U hCG “trigger”. The hCG hormone thereupon remains in the system for up to a week. When patients who overstimulate following ovarian stimulation...
