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.

  • 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.

Name
Disclaimer

How long to taper off progesterone support

Name: Vicky A

Dear Dr Sher,

I am currently 8+2 pregnant following our final FET with our last euploid embryo. It was a natural FET. My 8 week scan showed everything to be on track with no obvious concerns.

My IVF clinic say to stop all progesterone at 10 weeks (I’m on 3 x lubion and 3 x 400mg cyclogest per day). I am also under the care under a reproductive immunologist who will keep me on 2 x 400mg cyclogest per day until 16 weeks. Is it ok to drop straight down to just 2 cyclogest at 10 weeks or should I taper off more gradually? Or should I ask to keep on full progesterone support for longer?

I would value your opinion.

Many thanks

Vicky

Author

Answer:

I agree eith your RE!

 

Geoff Sher

IVIG

Name: Sheena S

Hi Dr Sher,
How many days before FET should IVIG be administered? Is it ok to do it 3 days before?

Is it ok to take antibiotics/Nitrofurantoin when doing IVIG?

Many thanks,
Sheena

Author

Answer:

3 days before is much too late in my opinion. Ideally t needs to be 10-14 days before.

 

Geoff Sher

Chromosomal Abnormalities

Name: Tina M

High doses of drugs used to stimulate the ovaries of older women undergoing fertility treatment may be causing chromosomal abnormalities in their eggs?

Author

Answer:

I strongly doubt it!

 

Geoff Sher

Second opinion for pregnancy

Name: Michelle a

Hello,

On 9/15, I tested positive on an at home test. On 9/21, I went to see an ob for an transvaginal us where a sack could not be detected. The same day, I got my blood drawn for hcg and progesterone levels. Hcg is at 426 and progesterone is at 8.4. Two days later (today), took another hcg blood test and the level came back to 460. A very slight increase. What could this mean?

Author

Answer:

That is not encouraging as the hCG should have at least doubled in 2 days!

 

Sounds like this could be a “chemical pregnancy”

 

Sorry!!

 

Geoff Sher

Hcg levels

Name: Larissa B

Is it normal for you hcg levels to go from 780 to 5,900 in 5 days? I go to my first ob appointment the 4th… im just curious about it because this will be my first kid…

Author

Answer:

It is actually quite encouraging!

 

Good Luck!

 

Geoff Sher

Pregnant and need help

Name: Obioma O

Good morning. We just found out we are pregnant this morning. As previous clients, we are reaching out to see what we need to do. We had the implantation issues and were on blood thinners during treatment. Do we need to book an appointment or consultation? Being how difficult it has been to get pregnant and stay pregnant, we want to see what the next steps are.

Author

Answer:

If you are already pregnant, there is not much that can be done to impact improved implantation. Treatment needs to be implemented before pregnancy occurs to have real benefit!

I suggest you wait and see what transpires and reach out to me in the event things do not go the way they should!

Good luck and G-d bless!

Geoff Sher

Scroll to Top