Hello, Im 41 . I had to have a myomectomy in 2021 which made me wait 6 months from consult to surgery then 7 months recovery. Long story short Dr did not tell me I had low ovarian reserve till later when I went in for recheck after surgery. I did 2 IUI then went to IVF. I had 3 IVF cycles cancelled one to not having enough antra follicles second cyst. The last time checked if cyst was gone it was so took me off bc and put me Omnitrop when I went in for baseline cyst was back in 1 week and I was ready to ovulate so IVF cancelled again and said i could try another IUI so I did. unsuccessful. I just feel they keep doing the same thing an expecting a different result and nothing. I feel hopeless. I have been going since 2022 June .They do batch cycles I’m always waiting and waiting. I have contacted other facilities but they all are hrs ways from me and still have not gotten anywhere so far. I don’t think I should be put on birth control having low amh but they say it will stop the cyst but it has not. Also I have been doing the proove test and I do ovulate and have low progesterone. This last cycyle I did the complete which should I have low FSH as well. I have another cycle planned for April 7th. Can you advise and speak to the my clinic. If I get advise how can I get them to hear me. Any clinic near me you recommend. I am in Moweaqua il going to clinic in Springfield Il. Dr. Loret De Mola. Egg whispers advises Therilogix Co-q10 but it only has like 100mg so you take 5 a day to get 500mg? I am taking Jarrows formula QH-PQQ absorb (ubiquinol, pyrroloquinoline quinone Disodium from the book starts with an egg. and many other supplements.
Kind regards, Iris
Ask Our Doctors
Supporting Your Journey
Our Medical Directors are outstanding physicians that you will find to be very personable and compassionate, who take care to ensure that you have the most cutting-edge fertility treatments at your disposal. This is your outlet to ask your questions to the doctors.
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Dear Patients,
I created this forum to welcome any questions you have on the topic of infertility, IVF, conception, testing, evaluation, or any related topics. I do my best to answer all questions in less than 24 hours. I know your question is important and, in many cases, I will answer within just a few hours. Thank you for taking the time to trust me with your concern.– Geoffrey Sher, MD
Fill in the following information and we’ll get back to you.
IVF
Name: Iris J D G
Perhaps we should talk. I suggest you contact my assistant, Patti at 702-533-2691 and set up an online consultation with me to discuss.
Geoff Sher
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ADDITIONAL INFORMATION:
I am attaching online links to two E-books which I recently co-authored with my partner at SFS-NY (Drew Tortoriello MD)……. for your reading pleasure:
1.From In Vitro Fertilization to Family: A Journey with Sher Fertility Solutions (SFS) “
https://sherfertilitysolutions.com/sher-fertility-solutions-ebook.pdf
- “Recurrent Pregnancy Loss and Unexplained IVF Failure: The Immunologic Link
https://drive.google.com/file/d/1iYKz-EkAjMqwMa1ZcufIloRdxnAfDH8L/view
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Thick uterine lining
Name: Rennae F
I usually have a thick lining and went in for US and it’s already at 11 after 6 days of estrogen (one 0.10mg patch March 15 and changed the patch on Saturday to a new 0.10mg patch).. When I went in on CD2 my lining was still thick (9mm~) and my doc wanted me to bleed some more so I came back on CD4 and started one patch of estrogen 0.10mg. My doc has me coming back Friday for US but doubling my patches tomorrow. Worried my lining will get too thick. Anyone had a thick lining (13+) and had a success FET? My first FET failed. This FET we are doing medicated to see if we can control the thickness. I just read a study that showed between 7-15mm is good. But I’d like to see what you guys think. Anyone had a success medicated FET With a thick lining?
https://www.fertstert.org/article/S0015-0282(21)01432-1/fulltext this is the study btw
As long as there is no endometrial pathology there is no such thing as a “too thick” endometrium.
Geoff Sher
________________________________________________________________________
ADDITIONAL INFORMATION:
I am attaching online links to two E-books which I recently co-authored with my partner at SFS-NY (Drew Tortoriello MD)……. for your reading pleasure:
1.From In Vitro Fertilization to Family: A Journey with Sher Fertility Solutions (SFS) “
https://sherfertilitysolutions.com/sher-fertility-solutions-ebook.pdf
- “Recurrent Pregnancy Loss and Unexplained IVF Failure: The Immunologic Link
https://drive.google.com/file/d/1iYKz-EkAjMqwMa1ZcufIloRdxnAfDH8L/view
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Should I continue to do egg retrievals or transfer?
Name: Danielle B
Hi Dr Sher,
I listened to you on The Egg Whisperer podcast. I found your way of explaining and just the overall wealth of knowledge you proved in just a couple of podcasts so incredibly helpful. Thank you for everting that you have done in this field. I recently visited your website as I was curious if I was able to book an appt with you. I saw this option to ask a question, so here we are and here is my question. I will try my best to keep it short.
I am 41 years old. I have a 21 year old daughter. I concisely decided to wait until later in life to have more children. I regularly got my levels checked until the last time which was 2019 (I was 37). Right before COVID. At that time I was considering freezing my eggs. No-one seemed to think I was in a “dangerous” spot and did not overly encourage me but of course COVID came and so it kind of died off.
We decided in July of last year (2022) we wanted to start trying. We started trying on our own by just planned intercourse but we were not able to get the timing right. We wanted to have 2 children so in an effort to not waste time thought it best to contact a clinic as we were aware what we were dealing with regarding my age. So, in September we had a meeting with a doctor at a local Fertility clinic that a colleague had highly recommended. Prior to that meeting I had my blood drawn and an ultrasound. Chris had a sperm check which came back very good. We also did the genetic testing which came back good. And based on all of this combined info the doctor recommended IUI. Although it was brought to my attention after this that I had low ovarian reserve but it wasn’t quite explained to me what this meant and there did not seem to be any urgency. So, the next cycle (October) we did our first IUI and I got pregnant. Sadly, in December at about 8 w 6d our baby stopped growing and there was no heartbeat when I went in for the ultrasound. Obviously we were completely devastated. We did the D&C so we could get testing but they were unable to get any conclusive answers so we will never have a definite confirmation but my Ob said she could say with a very high certainly it was a genetic defect. I decided I did not want to do take any more chances so we went straight to IVF.
On 2/6 I started my first round of IVF with the intention to do a duo stim cycle. I was a slow responder and we ended up getting only 2 eggs. We did discuss canceling but thankfully our insurance covers lifetime cycles so we were able to proceed. I was so shocked as I thought I would get so many more eggs. This was my protocol:
Letrozole 5 mg PO
Gonal 150 iu SQ
Menopur 75 iu SQ
Omnitrope 8 units
The 1 egg made it to blast and was Pgs testing and came back normal!! I was told it was a “good grade”.
On 2/27 I started the duo stim cycle. I ended up getting 5 eggs, 4 normal, 2 made it to blast and 1 is normal and currently being pgs tested.
This was my protocol:
Follistim 225 iu SQ
Menopur 75 iu SQ
Omnitrope 8 units
My question is, should I do another cycle or move ahead with transfer or our normal embryo. I am praying for this 2nd embryo and if I find out it is normal I will likely move ahead with transfer but if I have to make the decision before we find out what do we do?
If I could choose I would transfer as this road has been incredibly difficult and I also do not want to keep getting older and older. I want to have a baby! But I don’t want to not be able to give that baby a sibling as if we transfer in April I will be 42 when the baby is born. Of course that is if all goes well. And I could potentially start IVF again if needed and almost feel like I would feel better about it after having my healthy baby. But I don’t want to not be successful if I wait a year to start again. Please if you can give me your opinion I would so appreciate it.
Thank you so much for your time. And thank you for everything you have done in this field. I had no idea what I was in for with IVF. I think that there definitely needs to be more information out there for women who wait on it thinking it is a cure all. I definitely wish I froze a bunch of eggs in my late 30s and tell anyone who will listen to do just that.
Thank you for your communication. First , let me say that IUI in a woman over 40Y bis usually not a good idea. The baby rate is about 2-3% per cycle . And with diminished ovarian reserve (DOR), you do not have the time to waste on an ineffectual treatment. So, going to IVF was a good idea. ve
As for IVF in an “older” woman a;the success rate is reduced. At age 41y, only about 1:8 eggs harvested are chromosomally normal and capable of propagating euploid blastocysts. To make matters worse, the fact that you have DOR, means that you will propagate fewer eggs and ntrhus the chance of coming up with even 1 euploid embryo is significantly reduced. This reduction in egg yield at a time that egg quality is declining due to age, means that you should try to “make hay while the sun still shines”. Therefore I would recommend doing one or more additional ER cycles to try and propagate more euploid blastocysts for banking before your egg production dries up altogether.
Finally, While I am NOT a fan of duo cycles, the protocol used the last time round was better than the 1st attempt. In my opinion, Letrozole should best be avoided in the mix. At your age, the protocol used for ovarian stimulation is pivotal.
Good luck!
Geoff Sher
P.S: If you wish to consult with me online, please call my assistant, Patti Converse at 702-533-2691 and set up aconsultation with me.
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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 competency”. A “competent” egg is therefore one that has a normal karyotype and has the best potential to propagate a “competent” embryo. In turn, a “competent embryo is one that possesses the highest potential to implant and develop into a normal, healthy, baby.
When it comes to reproductive performance, humans are the least efficient of all mammals. Even in young women under 35y, at best only 2 out of 3 eggs are chromosomally numerically normal (euploid). The remainder will have an irregular number of chromosomes (aneuploid) and are thus “incompetent”. The incidence of egg aneuploidy increases with age such by age 39 years, 3 in 4 are “competent”, and by the mid-forties, at best one in 10 are likely to be aneuploid. The fertilization of an aneuploid egg will inevitably lead to embryo aneuploidy (“incompetence”). As previously stated, an aneuploid embryo cannot propagate a normal pregnancy
Within 38-42 hours of the initiation of the spontaneous pre-ovulatory luteinizing hormone (LH) surge (and also following administration of the human chorionic gonadotropin (hCG) “trigger” shot, given to induce egg maturation after ovarian stimulation with fertility drugs), the egg embarks on a rapid maturational process that involves halving of its 46 chromosomes to 23. During this process, (known as meiosis) 23 chromosomes are retained within the nucleus of the egg while the remaining 23 chromosomes are expelled in a membrane envelopment, from the egg nucleus. This small structure known as the polar body, comes to lie immediately below the “shell” of the egg (the zona pellucida) and is known as the 1st polar body or PB-1. The sperm, in the process of its maturation also undergoes meiosis divides into two separate functional gametes, each containing 23 chromosomes (half its original number of 46 chromosomes). With subsequent fertilization, the 23 chromosomes of the egg now fuse with the 23 chromosomes of the mature sperm resulting in the development of an embryo with 46 chromosomes (the normal human genome) comprising a combination of the genetic material from both partners. For the embryo to have exactly 46 chromosomes (the euploid number), both the mature egg and mature spermatozoon must contain exactly 23 chromosomes. Only such euploid embryos are “competent” (capable of developing into healthy babies). Those with an irregular number of chromosomes (aneuploid embryos) are “incompetent” and are incapable of propagating healthy babies. While embryo “incompetence” can result from either egg or sperm aneuploidy, it usually stems from egg aneuploidy. However, in cases of moderate or severe male factor infertility, the sperm’s contribution to aneuploidy of the embryo can be significantly greater.
While embryo ploidy (numerical chromosomal integrity) is not the only determinant of its “competency, it is by far the most important and in fact is a rate-limiting factor in human reproduction. It is causal in the vast majority of cases of “failed nidation which in turn is responsible for most cases of a failed pregnancy (natural or assisted) and causes most sporadic early pregnancy losses (both chemical gestations and miscarriages) as well as many chromosomal birth defects such as Turner syndrome (X-monosomy ) Down syndrome (trisomy 21) and Edward syndrome (trisomy 18) .
In most cases, embryos that develop too slowly as well as those that grow too fast (i.e. ones that by day 3 post-fertilization comprise fewer than 6 cells or more than 9 cells) and/or embryos that contain cell debris or “fragments” are usually aneuploid and are thus unable to propagate a healthy pregnancy (“incompetent”). Additionally, embryos that fail to survive in culture to the blastocyst stage are also almost always aneuploid/”incompetent”.
At a certain point in the later stage of a woman’s reproductive career, the number of remaining eggs in her ovaries falls below a certain threshold, upon which she is unable to respond optimally to fertility drugs. Often times this is signaled by a rising day 3 basal blood follicle stimulating hormone (FSH) level (>9.0MIU/ml) and a falling blood anti-Mullerian hormone (AMH) level (<2.0ng/ml or <15nmol/L). Such women who have diminished ovarian reserve (DOR) produce fewer eggs in response to ovarian stimulation. While DOR is most commonly encountered in women over 40 years of age it can and indeed also can occur in much younger women.
A few important (but often overlooked concepts should be considered in this regard:
- Age: It is advancing chronologic age and NOT declining ovarian reserve (as evidenced by abnormal blood AMH or FSH that results in an increased incidence of egg/embryo “incompetence” due to aneuploidy
- The ovaries and developing eggs of women with DOR (regardless of age) are highly susceptible to the adverse effect of excessive Luteinizing Hormone (LH)-induced, ovarian overproduction of male hormones (e,g. testosterone and androstenedione). While a little testosterone produced by the ovary promotes normal follicle growth and orderly egg development excessive testosterone has a converse effect. That is why in older women and those who regardless of their age have DOR (and thus excessive LH bioavailability and increased ovarian testosterone production), the use of ovarian stimulation protocols that fail to down-regulate LH activity prior to initiating ovarian stimulation with gonadotropins, often prejudices egg/embryo quality and IVF outcome.
- Simply stated, while age is certainly the most important factor in determining the incidence of egg/embryo aneuploidy, women with DOR (regardless of their age), are less likely to propagate euploid (competent) eggs/embryos. While virtually nothing can be done to lower the incidence of age related aneuploidy, it is indeed possible to avoid a further decrease in egg/embryo “competency” by individualizing the protocols of ovarian stimulation used.
- My preferred protocols for women who have relatively normal ovarian reserve:
- The conventional long pituitary down regulation protocol: BCP are commenced early in the cycle and continued for at least 10 days. Starting 3 days before the BCP is to be discontinued, it is overlapped with an agonist such as Lupron 10U daily for three (3) days and continued until menstruation begins (which should ensue within 5-7 days of stopping the BCP). At that point an US examination is done along with a baseline measurement of blood estradiol to exclude a functional ovarian cyst. Daily Lupron (10U) is continued and an FSH-dominant gonadotropin such as Follistim, Puregon or Gonal-f daily is administered daily falong with 37.5U of Menopur (an FSH/LH combination) for 2 days. On the 3rd day the gonadotropin dosage is reduced by about one half and the dosage of Menopur is increased to 75U daily. Daily ultrasound and blood estradiol measurements are conducted starting on the 7th or 8th day of gonadotropin administration and continued until daily ultrasound follicle assessments indicate that most follicles have fully developed. At this point egg maturation is “triggered” using an intramuscular injection of a recombinant hCGr (Ovidrel) 500mcg or urinary derived hCGu (Pregnyl/Profasi/Novarel) 10,000U. And an egg retrieval is scheduled for 36h later.
- The agonist/antagonist conversion protocol (A/ACP): This is essentially the same as the conventional long down regulation protocol (see “a”-as above), except that with the onset of post-BCP menstruation, the agonist is supplanted by daily administration of a GnRH antagonist (e.g. Ganirelix, Cetrotide or Orgalutron) at a dosage of 125-250mcg daily until the day of the “trigger”. When it comes to women who have DOR I favor the use of the A/ACP, adding supplementary human growth hormone (HGH). In cases where the DOR is regarded as severe (AMH=<0.2), I often augment the AACP protocol by using estrogen priming for 7-9 days prior to or with the commencement of gonadotropin therapy; For this I prescribe E2 skin patches or intramuscular estradiol valerate (Delestrogen), prior to or sometimes concurrent with, the commencement of the GnRH antagonist administration.
- The following Ovarian stimulation protocols are in my opinion best avoided in stimulating olderf women and /or thosed who regardless of age , have DOR :
- Microdose agonist (e.g. Lupron) “flare” protocols which result in an out-pouring of pituitary-LH at the critical time that ovarian follicles and eggs start developing/growing.
- High dosages of LH -containing fertility drugs (e.g. Menopur).
- Supplementation with preparations that are testosterone-based
- Supplementation with DHEA (which is converted to testosterone in the ovaries.
- Clomiphene citrate or Letrozole which cause increased release of LH and thus increase ovarian male hormone (testosterone and androstenedione output.
- “Triggering” egg maturation using too low a dosage of hCG (e.g. 5,000U rather than 10,000U) or Ovidrel (e.g. 250mcg of Ovidrel rather than 500mcg)
- “Triggering” women who have DOR, with an agonist (alone)such as Lupron Superfact/ Buserelin/Aminopeptidyl/Decapeptyl.
- Preimplantation Genetic Screening (PGS):
The introduction of preimplantation genetic testing/screening (PGT/PGS) for e permits identification of all the chromosomes in the egg and embryo (full karyotyping) allowing for the identification of the most “competent” (euploid) embryos for selective transfer to the uterus. This vastly improves the efficiency and success of the IVF process and renders us fare better equipped us to manage older women and those who regardless of their age, have DOR.
Please visit my new Blog on this very site, www. SherIVF.com, find the “search bar” and type in the titles of any/all of the articles listed below, one by one. “Click” and you will immediately be taken to those you select. Please also take the time to post any questions or comments with the full expectation that I will (as always) respond promptly
- Controlled Ovarian Stimulation (COS) for IVF: Selecting the ideal protocol
- IVF: Factors Affecting Egg/Embryo “competency” during Controlled Ovarian Stimulation(COS)
- The Fundamental Requirements For Achieving Optimal IVF Success
- Ovarian Stimulation for IVF using GnRH Antagonists: Comparing the Agonist/Antagonist Conversion Protocol.(A/ACP) With the “Conventional” Antagonist Approach
- Anti Mullerian Hormone (AMH) Measurement to Assess Ovarian Reserve and Design the Optimal Protocol for Controlled Ovarian Stimulation (COS) in IVF.
- The “Biological Clock” and how it should Influence the Selection and Design of Ovarian Stimulation Protocols for IVF.
- A Rational Basis for selecting Controlled Ovarian Stimulation (COS) protocols in women with Diminished Ovarian Reserve (DOR)
- Diagnosing and Treating Infertility due to Diminished Ovarian Reserve (DOR)
- Controlled Ovarian Stimulation (COS) in Older women and Women who have Diminished Ovarian Reserve (DOR): A Rational Basis for Selecting a Stimulation Protocol
- Human Growth Hormone Administration in IVF: Does it Enhances Egg/Embryo Quality and Outcome?
- The BCP: Does Launching a Cycle of Controlled Ovarian Stimulation (COS). Coming off the BCP Compromise Response?
- Blastocyst Embryo Transfers Should be the Standard of Care in IVF
- Frozen Embryo Transfer (FET) versus “Fresh” ET: How to Make the Decision
- Frozen Embryo Transfer (FET): A Rational Approach to Hormonal Preparation and How new Methodology is Impacting IVF.
- Staggered IVF: An Excellent Option When. Advancing Age and Diminished Ovarian Reserve (DOR) Reduces IVF Success Rate
- Embryo Banking/Stockpiling: Slows the “Biological Clock” and offers a Selective Alternative to IVF-Egg Donation.
- Preimplantation Genetic Testing (PGS) in IVF: It Should be Used Selectively and NOT be Routine.
- Preimplantation Genetic Sampling (PGS) Using: Next Generation Gene Sequencing (NGS): Method of Choice.
- PGS in IVF: Are Some Chromosomally Abnormal Embryos Capable of Resulting in Normal Babies and Being Wrongly Discarded?
- PGS and Assessment of Egg/Embryo “competency”: How Method, Timing and Methodology Could Affect Reliability
- Treating Out-of-State and Out-of-Country Patients at Sher-IVF in Las Vegas:
- Traveling for IVF from Out of State/Country–
- A personalized, stepwise approach to IVF
- How Many Embryos should be transferred: A Critical Decision in IVF.
- The Role of Nutritional Supplements in Preparing for IVF
- Premature Luteinization (“the premature LH surge): Why it happens and how it can be prevented.
- IVF Egg Donation: A Comprehensive Overview
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ADDENDUM: PLEASE READ!!
INTRODUCING SHER FERTILITY SOLUTIONS (SFS)
Founded in April 2019, Sher Fertility Solutions (SFS) offers online (Skype/FaceTime) consultations to patients from > 40 different countries. All consultations are followed by a detailed written report presenting my personal recommendations for treatment of what often constitute complex Reproductive Issues.
If you wish to schedule an online consultation with me, please contact my assistant (Patti Converse) by phone (800-780-7437/702-533-2691), email (concierge@SherIVF.com) or, enroll online on then home-page of my website (www.SherIVF.com).
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ADDITIONAL INFORMATION:
I am attaching online links to two E-books which I recently co-authored with my partner at SFS-NY (Drew Tortoriello MD)……. for your reading pleasure:
1.From In Vitro Fertilization to Family: A Journey with Sher Fertility Solutions (SFS) “
https://sherfertilitysolutions.com/sher-fertility-solutions-ebook.pdf
- “Recurrent Pregnancy Loss and Unexplained IVF Failure: The Immunologic Link
https://drive.google.com/file/d/1iYKz-EkAjMqwMa1ZcufIloRdxnAfDH8L/view
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Egg Freezing Costs
Name: PAULINE C
Hi could you please provide me approximate cost for 1 cycle of egg freezing, in house monitoring, medication, and 1 -3 year storage fees?
Please call Sher Fertility Solutions in Manhattan. They will be happy to address this question.
Geoff Sher
Hi
Name: Elizabeth O
Hello I’m pregnant and they said I was only 5 weeks and 6 days Wednesday and my hgc levels where 7,772 and they need me to repeat the blood work they said I was to early and they couldn’t hear the cmheart beat and said if I was losing the baby my numbers would drop but they didn’t they went to 13,001 in 2 days and I’m 6 weeks and 3 days now idk how to read hcg levels
At this stage, an ultrasound should be able to diagnose a viable pregnancy,
Good luck!
Geoff Sher
_______________________________________________
ADDITIONAL INFORMATION:
I am attaching online links to two E-books which I recently co-authored with my partner at SFS-NY (Drew Tortoriello MD)……. for your reading pleasure:
1.From In Vitro Fertilization to Family: A Journey with Sher Fertility Solutions (SFS) “
https://sherfertilitysolutions.com/sher-fertility-solutions-ebook.pdf
- “Recurrent Pregnancy Loss and Unexplained IVF Failure: The Immunologic Link
https://drive.google.com/file/d/1iYKz-EkAjMqwMa1ZcufIloRdxnAfDH8L/view
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Cancer and Fertility Testing
Name: Oksana S
(I just had my friend write the below email to the info@sherinstitute.com and was then told to use this feature to connect with you. I am fluent in English but my writing skills are not up to par which is why my friend is ghost writing for me).
Dear Dr. Sher and Dr. Tortoriello –
I was referred to you by Dr. Burdette, Associate Oncology & Hematology Director at Maimonides. I have stage IIB estrogen receptive breast cancer and would very much like to determine whether I can preserve my ability to have children once I complete my cancer treatment. Dr. Burdette would like for me to start chemo treatment on March 31st and highly recommended that I need to resolve this question ASAP.
I am 51 years old, had a menstrual cycle in September 2022, realized that I probably have breast cancer then due to an inverted nipple and pain and the period basically ceased at this time.
I am in good physical shape, never had any abortions, was never on the pill or any hormonal treatments or medication for that matter, was a dancer and dance instructor for many years before emigrating to the US from Kyiv/Kiev. I am in excellent physical condition, save for the cancer (life is funny that way). I had my one and only child at the age of 43 after waiting and waiting for a “prince” that never arrived on the white horse. Old fable but widely disseminated and accepted by little girls everywhere. Spoke to several doctors after the age of 40 who all told me pregnancy was unlikely and that having a healthy child even less so. In any event, I got pregnant after the first attempt (one act of sexual intercourse), had an uneventful pregnancy and gave birth to an “extremely and remarkably healthy child” in about 20 minutes at the age of 43. I would like to have another child and realize that my set of circumstances, both age and cancer diagnosis wise don’t exactly set me up for success and yet there would never be an opportunity for a “miracle” to occur. but for cases like mine.
Dr. Burdette knows my medical history and physical indicators and felt that I should reach out to you to present my set of circumstances. Dr. Burdette would also like for me to start treatment asap which at this time is scheduled for March 31st.
Would be possible to have a consultation this week to determine what my chances, if any, are to have a child are in the future. Personally saw 2 different women have healthy children at the age of 53 and 57 so am hoping that I too can be an exception.
Finally, I am not well off or even middle class for that matter. Coupled with the fact that I was told that the Sher Clinic only works with women up until the age of 50, I recognized the need to write this email to you directly in order to determine whether you would consider speaking with me either by phone or in person this coming week.
Thank you for your consideration and have a lovely rest of your Sunday.
Best regards,
Oksana Shevchenko (written by my friend Irina Yevseenko)
718-600-2549
Dear Oksana,
Thank you for reaching out. I fully understand your situation as it relates to breast cancer and I empathize with you. However, in my opinion your age being 51y, virtually precludes successful IVF with your own eggs. In fact the chance of successful IVF, would be less than 1% . Therefore any discussion as it relates to your breast cancer, is moot…
I wish I had better news to impart, but alas this is the reality.
By the way, whenever you hear of a woman in her 50’s, having had an IVF baby using own eggs, the overwhelming likelihood is that she used donated eggs or embryos.
So sorry!
G-d bless!
Geoff Sher
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ADDITIONAL INFORMATION:
I am attaching online links to two E-books which I recently co-authored with my partner at SFS-NY (Drew Tortoriello MD)……. for your reading pleasure:
1.From In Vitro Fertilization to Family: A Journey with Sher Fertility Solutions (SFS) “
https://sherfertilitysolutions.com/sher-fertility-solutions-ebook.pdf
- “Recurrent Pregnancy Loss and Unexplained IVF Failure: The Immunologic Link
https://drive.google.com/file/d/1iYKz-EkAjMqwMa1ZcufIloRdxnAfDH8L/view
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