Your Trusted Fertility Clinic In New York, NY

Your Journey. Your Family.

At Sher Fertility Solutions, we understand that each patient is unique. Everything we do is customized to you and your specific needs.

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Your Trusted Fertility Clinic In New York, NY

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Your Trusted Fertility Clinic in New York, NY

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The Best of Dr. Sher on The Egg Whisperer Show

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Our Services

Infertility diagnosis/treatment

The causes of infertility are multiple and are often difficult to define but may include anatomical conditions involving tubal patency and/or function as well as diseases of the testicles and/or or sperm ducts, dysfunctional levels of certain hormones in both men and women, and ovulation difficulties in women.

Recurrent miscarriage diagnosis/treatment

The time has come to embrace the reality that the term “unexplained” is rarely applicable to 1) infertility of unknown cause, 2) repeated IVF failure, and 3) recurrent pregnancy loss (RPL). More often than not, rather than being “unexplained,” the condition is simply ignored and as such remains “undiagnosed.” All that is needed is to investigate and treat the issue appropriately in order to solve the problem.

Egg freezing for future fertility

There are many reasons why patients may need to preserve their fertility. For some, it may be a focus on education and career delays and for others it may be due to an illness. Although the decline in reproductive potential that occurs with age cannot be reversed, freezing your eggs at a younger age may allow the eggs to be preserved until you are ready to conceive. While there are no guarantees, using cryopreserved eggs may improve your chances for pregnancy in the future.

Testimonials

Ask Our Doctors

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

Name: Carolina G

Hi Dr Geoffrey,
I’ve been dealing with fertility issues for years (endometriosis, fibroids) and last year, after two unsuccessful embryo transfers (of genetically normal embryos), I decided to have a laparoscopy surgery to treat the endometriosis and remove the intramural 8cm fibroid. After the surgery I was prescribed Lupron for 4 months coupled with Norethindrone. Approximately 5 months after the surgery I had a hysteroscopy to get prepared for a new transfer cycle and the doctor found adhesions and a septum. They cleaned everything and scheduled a follow up hysteroscopy in which they also found some minor adhesions that were removed. I started preparing for transfer and my endometrium didn’t respond to estrogen and produced fluid (I had had fluid before but my lining had been able to grow). During estrogen stimulation I progressively used 1 patch, 2 patches, 4 patches, 8mg of oral estrogen (all of this for about 6-7 weeks) with no improvement to the growth or fluid. I stopped the estrogen for two weeks and had another hysteroscopy in which they removed scar tissue (from the same places as before) and I’m now in 4mg estrogen therapy for a month. Do you have any ideas of what else could I do if my lining remains irresponsive after this? Could I be doing something else now while on the estrogen therapy to help with the endometrium growth?
Really appreciate your thoughts.
Thanks,
Carolina.

Answer:

  • Asherman Syndrome is a medical condition characterized by severe intrauterine adhesions, also known as synechiae. These adhesions can cause significant damage to the basal layer of the endometrium, the part of the uterus responsible for developing the uterine lining (endometrium) under the influence of hormones like estrogen and progesterone. When the basal endometrium is severely affected, it can lead to  a reduction in menstrual flow (hypomenorrhea) or complete cessation of menstruation (amenorrhea), and infertility.

    Causes of Asherman Syndrome

    The most common cause of Asherman Syndrome is inflammation of the uterine lining, a condition called endometritis. This inflammation often occurs after childbirth (post-partum) , after an incomplete miscarriage or post-abortal. However, it can also result from uterine surgeries, such as the removal of fibroid tumors (myomectomy) that encroach upon or penetrate the uterine cavity.

    Treatment for Asherman Syndrome

    The primary treatment for Asherman Syndrome involves a procedure called hysteroscopic resection. During this procedure, a telescope-like instrument is introduced through the vagina and cervix into the uterine cavity. This allows surgeons to directly remove as much scar tissue as possible and free any adhesions that have fused the walls of the uterine cavity together. The goal is to uncover viable basal endometrium and promote its growth to cover the surface of the uterine cavity. In some cases, a small balloon may be placed in the uterine cavity for a short period to prevent adhesion recurrence. Women undergoing this treatment typically receive supplemental estrogen to encourage endometrial growth.

    Fertility Complications

    Asherman Syndrome can lead to scarring and blockage of the uterine entrance to the fallopian tubes. This blockage often affects the ability of the uterus to support embryo implantation. In rare cases, pregnancy can occur in the fallopian tubes, leading to an ectopic pregnancy. Ectopic pregnancies are dangerous and require early diagnosis and treatment to prevent severe intra-abdominal bleeding.

    A Glimmer of Hope: Viagra Suppositories

    Recent research has explored the use of Viagra vaginal suppositories to improve blood flow and enhance the delivery of estrogen to the endometrium. This innovative approach has shown promise in improving endometrial development, especially in cases where traditional treatments have failed. Approximately 75% of women who struggled with poor endometrial development, often after multiple failed IVF attempts, experienced positive results with this treatment. Some of these women successfully conceived and went on to deliver healthy babies, providing renewed hope for those facing infertility challenges.

    Challenges and Considerations

    However, for women with extensive damage to the basal endometrium due to Asherman Syndrome, improving blood flow with Viagra may not be sufficient in achieving the necessary endometrial development. In such cases, it’s essential for women to consider alternative options, including adoption or gestational surrogacy, to fulfill their dreams of parenthood.

    In conclusion, Asherman Syndrome is a complex condition that can have a profound impact on a woman’s reproductive health. While treatments like hysteroscopic resection and innovative approaches with Viagra offer some hope, the severity of the condition may necessitate exploring alternative paths to parenthood. It’s crucial for individuals facing this challenge to consult with their healthcare providers to determine the best course of action for their unique circumstances.

  • Geoff Sher
  • ———————————————————————————————————-

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Herewith are  online links to 2  E-books 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

 

  1. Recurrent Pregnancy Loss and Unexplained IVF Failure: The Immunologic Link ;https://drive.google.com/file/d/1iYKz-EkAjMqwMa1ZcufIloRdxnAfDH8L/view

 

If you are interested in having an online consultation with me, please contact my assistant, Patti Converse at 702-533-2691 or email her at concierge@sherivf.com\

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Our Team

The emphasis we put on innovative, state-of-the-art technology began with our founder, Dr. Geoffrey Sher, one of the pioneers in the field of IVF, who has been influential in the births of more than 17,000 IVF babies. Dr. Sher plays an active role alongside our medical director, Dr. Drew Tortoriello. Together they have over 55 years of clinical and academic experience in the field of Reproductive Medicine.

Together, they were the first to introduce Preimplantation Genetic Testing which vastly increases the chances of IVF success and is now performed worldwide. They also pioneered the testing and treatment of Immunologic Implantation Dysfunction (IID) that frequently leads to “unexplained” infertility, repeated IVF failure, and recurrent miscarriage. We’re able to conduct a variety of other treatments and tests right on site. For example, we offer on-site sperm testing to ensure proper sperm selection techniques are used to create the healthiest possible embryos.

For those women seeking to preserve their fertility, we offer vitrification, a state-of-the-art technology that ensures their eggs will ultimately be thawed successfully.

From the moment you walk into our state-of-the-art New York fertility clinic, you’ll feel the warmth and compassion that will define your experience with us. Drew Tortoriello, MD serves as our Medical Director. He’s an outstanding fertility specialist that you’ll find to be caring, compassionate and personable.

When you receive fertility treatment with us, your doctor will participate with hands-on management of your case throughout your treatment. We’ve gained a reputation of being the place to turn to when all other treatment options have failed, and patients are searching for hope and fresh alternatives.

TL;DR:

  • Our doctors are among the best in the world, with over 55 years of combined experience
  • Together, they pioneered several tests and treatments that can help where other treatments have failed
  • We do many tests right here at the clinic, which means faster results and ensures proper techniques are used
  • Your doctor will be with you at every step of your treatment
  • Everyone here will get to know you during your treatment so you won’t just feel like a number
  • We’re known for being the clinic to go to when all other treatments have failed