Ask Our Doctors
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
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Hello Dr. Sher,
My husband’s semen analysis came back as 250 million motile sperm but only 4% morphology. Is such low morphology an issue in your professional experience? Does this mean that its basically 10 million sperm that are ok – that seems very low. Can this change/be improved?
Hi, we have been facing recurring losses, dq alpha complete match, nk cells causing allergic reactions at the time of implantation. Is there anything you can suggest for us to be pregnant. I’m 40 and my husband 39, we don’t have family and in this situation looks like our chances are fading.
What test would you consider if someone had 4 miscarriages before 6 weeks
I have done all the basic test
My husband sperm
Everything is normal
I do have fibroids not in the endo cavity
Biggest is size of a lemon.
No sure what else to test for
Do you have a recurrent pregnancy testing panel
No the usual test but deeper ones .
Hello doctor Sher,
Thanks for taking the time to answer our questions!!
Is it true that vaginal estrogen route result in higher serum estradiol unlike transdermal and intramuscular? Does the estradiol level a day to pio matter ? Can it be too high? What is your cut off?
Thank you doctor!
My partner and I have had a friend that was successful at your clinic (Michelle and Steve Christie) and we are exploring a child together but do not have the funds to have it not be successful going back and forth with Canadian clinics like the Christies did.
My partner has two previous children from a marriage that are 10 and 13 (girls) and has had a vasectomy. We would like to have a child together but he is very concerned about the pain and healing of a vasectomy reversal as well as the success of it.
He has a sex preference of a boy (which my friends had selected at your clinic) I dont, but he does. I have a little concern about my fertility ( I am 37 and he is 39) and I am not on birth control and have not used oral contraceptives for years as there was not need. I was told I may have a but of andrometreosis (as I sometimes have pain after intense orgasms) but other than that I am of normal health.
What are our best options, costs etc. ?
Hi, I came across your page because I have been dealing with a 5 cm endometrioma and have been looking at different options. I found your article about ovarian sclerotherapy and was wondering if you know where this procedure can be done? I have been trying to look for a place but I’m having trouble!
Wondering what your thoughts are on lower testosterone but very high sperm count? My husband has 150 million motile sperm count but his testosterone is only 8.77 (and the lab values like to see at least 9.9). His morphology is slightly lower too at 5. Would the low testosterone impact his fertility if everything else looks ok?
Dr. Drew – we have been working with another clinic and are pretty upset with them – we have 6 embryos and just found out the lab – Igenmonix – destroyed all samples. Our friend is a patient of yours. Please can you call me 973-652-2237 or email me at firstname.lastname@example.org?
My boyfriend and I have been trying to get pregnant for about 9 months, unprotected intercourse, I have been tracking my ovulation and “highest days to get pregnant” and it’s been very difficult for us. We are both 27years old- we are just a bit concerned and wondering what we should do to help us start our family?
My husband just received his semen analysis results. His count is 331 million with 82% motility. Which is still very good, leaving us in the mid 200 million range.
I am confused and very concerned about his morphology and am looking for some clarification. The report said 4% morphology. Which from what I read is still within normal range according to their WHO guidelines. However, it said the head abnormality is 80%, tail is 10% and neck is 5%.
Are these numbers reflected in that 4% morphology calculation? Or is it 4% morphology PLUS these numbers above which makes the total number of normal sperm lower?
What are you thoughts on his fertility potential?
Hello! I was wondering what requirements you have for the surrogates that your patients might work with if they choose the gestational surrogacy route. Is there an age limit or BMI limit? Would a surrogate who had diet-controlled gestational diabetes be someone that can be reviewed and approved? Is there a limit on the number of deliveries or c-sections they’ve had? Any sort of guidelines that your patients need to keep in mind for potential surrogates would be super helpful. Thank you so much!
Just wondering if you see any pitfalls in doing a simple oestrogen/progesterone protocol. I asked about adding in prednisolone, as a precaution. But the clinic is not keen using steroid medications- such as prednisolone, in patients who do not necessarily need it can cause more harm than good and also due to the nature of steroid medications there is a lot of side effects of these medications so would not be a light decision to start them. Its strikes me that approach can vary so much from clinic to clinic… my approach would be to throw everything at it now, minimise the number of collections/transfers needed and cost, i.e take the steroids in case you body see the embryo as an alien object it needs to reject. Would you mind confirming that the oestrogen/progesterone approach stands a good chance of working… I ovulate, produced some euploids and no known issues.
Many thanks & best wishes to you!!!
Good afternoon dear doctor! I am 42 years old, after 8 hormonal stimulations, I have a single mosaic embryo. Blastocyst 7 days. I need to decide an important question whether to transfer it or not. Embryo seq(3)x1~2,(6)x1~2. Mosaic monosomy of chromosome 3 (mosaic level 40%) and chromosome 6 (mosaic level 30%). Female. Doctor, please help. Thank you!