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Optimizing Response to Ovarian Stimulation in Women Who Have Compromised Ovarian Reserve: A Personal Approach.

Older women, and those who have diminished ovarian reserve (DOR)
[/blog/diagnosing-and-treating-infertility-due-to-diminished-ovarian-reserve-dor/]
with resistance to ovarian stimulation
[/blog/controlled-ovarian-stimulation-cos-for-ivf-selecting-the-ideal-protocol/]
(…

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IVF Pregnancies and Why They Bear a Greater Risk

While most IVF pregnancies will progress normally and without any
increased risk to mother or baby, there is little doubt that women who
conceive in this manner as well as their babies are potentially at
increased risk. In fact, women who give birth after IVF treatment are
several times as likely to suffer from significant complications such
as miscarriage [/blog/first-trimester-bleeding-serious/], pregn…

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Treating Out-of-State and Out-of-Country IVF Patients in Las Vegas

For more than three decades, about 70% of the patients that I have
performed IVF on, have journeyed to see me from out state or out of
country. Over the years, I have been repeatedly asked how, given the
distance separates us from our patients, we are able to provide
optimal, efficient, and congenial services. This blog represents an
attempt to describe how we accomplish this. It will outline the
processes involved, and explain how the system we have put in place
allows us to fully prepa…

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Controlled Ovarian Stimulation (COS) protocols for women with Diminished Ovarian Reserve (DOR) who are Poor Responders to Ovarian Stimulation

Two main factors determine the quality of a woman’s eggs
[/blog/ivf-factors-affecting-egg-embryo-competency-during-controlled-ovarian-stimulation-cos/]
at ovulation or egg retrieval. First is her age…

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Cytomegalovirus (CMV) Infection: What are the Implications Regarding Pregnancy?

Cytomegalovirus (CMV) belongs to the Herpes group and, like Herpes,
can remain dormant in the body for long periods of time (even for
life). CMV infection is very common, such that by age 40Y >50% of
adults will bear evidence of previous infection (i.e. test IgG +…see
below). Acute infection most commonly is seen in developing babies, in
those who care for or work with children and in people who are HIV
positive. CMV infection rarely causes a significant illness or
symptoms. People wh…

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Testicular Sperm Extraction (TESE) and Testicular Sperm Aspiration (TESA): Surgical Approaches for Accessing Sperm from Men Who Have No Sperm in their Ejaculates (Azoospermia)

Men with no sperm in their ejaculates (azoospermia), whether due to
non-obstructive or obstructive (usually post-vasectomy) causes, can
have their sperm accessed surgically and still propagate pregnancies.
There are 2 methods by which this can be achieved. : 1) TESE
(testicular sperm extraction), where a biopsy of the testis is done
or, 2) TESA (testicular sperm aspiration), which involves introducing
a needle into the testis and aspirating fluid and tissu…

Testicular Sperm Extraction (TESE) and Testicular Sperm Aspiration (TESA): Surgical Approaches for Accessing Sperm from Men Who Have No Sperm in their Ejaculates (Azoospermia) Read More »

Why the Standard Practices for Embryo Transfers are Rapidly Shifting

Embryo transfer (ET)
[https://blog.drgeoffreysherivf.com/frozen-embryo-transfer-fet-involve/]
is undoubtedly a rate limiting factor when it comes to IVF outcome
[/blog/fundamental-requirements-achieving-optimal-ivf-success/]. In
fact, in my opinion, it is the single most important procedural step
in IVF. Optimal performance of ET takes practice, confidence,
dexterity, timing, gentility and skill. Out o…

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