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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

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Search 1,010 questions patients have already asked, or narrow them by topic.

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Page 1 of 68

  1. Embryos & Genetic Testing

    FET with Viagra help

    Dr. Sher, I have been following you for quite some time and have found your research with IVF extremely helpful. I have completed 2 IVF cycles which have resulted in two precious embryos. I have attempted two FET attempts but… — Amanda K.

    Dr. Geoffrey Sher answered

    It would be my pleasure to interact with you. However, you should please contact my office Manager, Patti Converse and have her send you a brief questionnaire to complete, upon which she will set you up with an online consultation and we can discuss your issues in detail..…

  2. Embryos & Genetic Testing

    I’m 41. I did one IVF retrieval cycle, which produced two PGT-A–tested euploid 5AA blastocysts, one female and one male. I previously had a left laparoscopic salpingectomy, and my hysteroscopy was normal. My first medicated frozen embryo transfer was on July 22, 2026. The (XX) embryo survived thawing completely, re-expanded, and was hatching at transfer. I used estradiol, daily progesterone in oil, low-dose aspirin, NP Thyroid, and prenatal vitamins. My first beta-hCG was 9.5 mIU/mL at 9 days post-transfer, but it decreased to 1.5 mIU/mL four days later, confirming a biochemical pregnancy. My second (XY) medicated transfer was performed on September 16, 2026, after Lupron suppression and apparently adequate endometrial preparation. The protocol included estradiol, progesterone in oil, heparin twice daily, low-dose aspirin, NP Thyroid, prenatal vitamins, and azithromycin. Despite transferring the remaining euploid 5AA embryo, the beta-hCG test was negative, indicating implantation failure. In summary, I have experienced one biochemical pregnancy and one failed implantation following the transfer of two euploid 5AA embryos both Lining 12, with no embryos remaining.

    Is there any treatment that could help me become pregnant and carry a baby myself, rather than using a surrogate? — Mariana R.

    Dr. Geoffrey Sher answered

    Possibly ,...BUT..It depends on your situation and clinical circumstances! Geoff Sher

  3. Clinic & Practice

    New patients: importing frozen oocytes from Spain, ICSI with frozen sperm, and double embryo transfer

    Hello Sher Team, We live in New York City and are considering importing our frozen oocytes and embryos from Instituto Bernabeu (Alicante, Spain) to your clinic, to fertilize them with Julian's frozen sperm. Before booking a consultation, we would be… — Julian W.

    Dr. Drew Tortoriello answered

    It would be my pleasure to interact with you. However, you should please contact my office Manager, Patti Converse and have her send you a brief questionnaire to complete, upon which she will set you up with an online consultation and we can discuss your issues in detail..…

  4. Clinic & Practice

    Consultation Request – DOR and Difficult Response to IVF Stimulation

    Dear Dr. Sher, I would like to arrange a consultation regarding my IVF history and response to stimulation. I have diminished ovarian reserve (DOR) with a very low AFC and have had several disappointing cycles with inconsistent responses. My current… — Daniela K.

    Dr. Geoffrey Sher answered

    It would be my pleasure to interact with you. However, you should please contact my office Manager, Patti Converse and have her send you a brief questionnaire to complete, upon which she will set you up with an online consultation and we can discuss your issues in detail..…

  5. Third-Party Reproduction

    Hmmmm

    Am 55 I would like to start my journey to become a mother — Doris A.

    Dr. Geoffrey Sher answered

    You need IVF with egg donation. WE would need to talk. Call Patti at 702-533-2691 or email her at conscierge@sherivf.com and set up an online consultation with me.

  6. Uterine & Endometrial Health

    Thin uterine lining

    Here’s a polished version with that additional context incorporated: • Seeking a second opinion regarding persistent thin endometrial lining and whether there are any additional diagnostic or treatment options that may be worth considering. • I experienced a miscarriage last… — Lauren M.

    Dr. Geoffrey Sher answered

    WE would need to talk. Call Patti at 702-533-2691 or email her at conscierge@sherivf.com and set up an online consultation with me. ANATOMICAL UTERINE CAUSES OF EMBRYO IMPLANTATION DYSFUNCTION Why Good Embryos Sometimes Fail to Implant—and How Identifying Hidden Uterine Factors Can Transform IVF Failure into Success SHER…

  7. Clinic & Practice

    Transfer embryo

    I am 47 years old, Do you think transfer embryo is possible for me — NadiaJnBaptiste M.

    Dr. Geoffrey Sher answered

    You need IVF with donor egg! Geoff Sher (call us at 702-533-2691) THE GIFT OF POSSIBILITY: FRESH DONOR EGGS, EGG BANKING, AND THE NEW ERA OF FAMILY BUILDING A Revolution in Reproductive Medicine Few developments in reproductive medicine have changed the lives of infertile women and couples as…

  8. Uterine & Endometrial Health

    Sclerotherapy

    is this still available for endomteriomas? — Teresa Z.

    Dr. Geoffrey Sher answered

    Here is an article I wrote on sclerotherapy, a procedure I pioneered >15 years ago. We should tak. Please email Patti , my assistant at concierge@sherivf.com and she can arrange for us to have an online consultation to discuss. Addressing Ovarian Endometriotic Cysts, and Fertility A Simpler, Safer…

  9. Uterine & Endometrial Health

    Tubal reversal surgery

    I had tubal reversal surgery on July 14 and I had sexual intercourse on Monday Aug 10 and yesterday August 14 is that ok because I had my post op appointment and they said to wait until September — Carmella H.

    Dr. Geoffrey Sher answered

    It should be OK...but tubal reversal surgery often does not work. You might need IVF (call us at 702-281-7437).

  10. Clinic & Practice

    Egg freezing initial consultation

    Schedule — Cristina M.

    Dr. Geoffrey Sher answered

    . Please email Patti , my assistant at concierge@sherivf.com and she can arrange for us to have an online consultation to discuss or call her at 702-533-2691.

  11. Cost & Insurance

    Endo cyst treatment

    Hi how much do you charge for Sclerotherapy I’m dealing with an endo cyst I had an MRI and can send results and had ultrasounds OBGYN. I was suggested not to do the surgery at this time by OBGYN cause… — Jen L.

    Dr. Geoffrey Sher answered

    Here is an article I wrote on sclerotherapy, a procedure I pioneered >15 years ago. We should tak. Please email Patti , my assistant at concierge@sherivf.com and she can arrange for us to have an online consultation to discuss. Addressing Ovarian Endometriotic Cysts, and Fertility A Simpler, Safer…

  12. Immunology & Implantation

    IVIG and Reproductive Immunology

    Hello Dr. Sher, My wife and I have experienced 3 miscarriages of euploid embryos. Our Dr. did a variety of tests that came back normal, so we are moving forward with immunological testing. We ordered the Pregmune test and are… — Matthew J.

    Dr. Geoffrey Sher answered

    If you do indeed have activated NK cells (NKa) , you wont need IVIG. It has been supplanted by Intralipid which is much less expensive. We should talk online. Call my assistant, Patti at 702-281-7437 and set up an online consultation with me. Geoff Sher Understanding Recurrent Pregnancy…

  13. IVF Failure & Pregnancy Loss

    chemical pregnancy

    I had endometriosis excision surgery two months ago and was diagnosed with endometriosis stage 4, I got pregnant on the second full cycle after it, but it ended in a chemical pregnancy which is my second chemical pregnancy overall. I… — Caroline J.

    Dr. Geoffrey Sher answered

    Here is an article I wrote on endometriosis and infertility. We should talk. Please email Patti , my assistant at concierge@sherivf.com and she can arrange for us to have an online consultation to discuss. Geoff Sher Endometriosis and Infertility The Hidden Disease: What Every Woman Trying to Conceive…

  14. Egg Health & Ovarian Reserve

    Cyst

    Do you have recommended someone with an chocolate cyst to get sclerotherapy treatment ? Planning on freezing eggs and have no symptoms of endometriosis and OBGYN said they didn’t think I should do Surgery yet as it lowers egg quality… — Jen L.

    Dr. Geoffrey Sher answered

    Here is an article I wrote on sclerotherapy, a procedure I pioneered >15 years ago. We should tal. Please email Patti , my asistant at cocierge@sherivf.com and she can arrange for us to have an online consultation to discuss. Addressing Ovarian Endometriotic Cysts, and Fertility A Simpler, Safer…

  15. Embryos & Genetic Testing

    Secondary infertility

    I had a child naturally in 2019 when I was 29 and have now been trying for three years at age 36 through IVF. I have had four IVF transfers with euploid embryos two of which did not take at… — Melanie S.

    Dr. Geoffrey Sher answered

    It is highly likely that you have an implantation dysfunction. I think we can help you...email my office manager, Patti at concierge@sherivf.com and she can set up an online consultation with me.' IMPLANTATION DYSFUNCTION Implantation dysfunction is often overlooked as a significant reason for IVF failure. This is…

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