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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

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110 answers

Early Pregnancy & hCG

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Early Pregnancy & hCG Nov 6, 2025

Heavy bleeding after possible implantations

Hi, I've had two egg collections resulting in 5 embryos (3 of which didn't survive thawing) and 3 on the second round. In my first fresh embryo transfer I passed a couple of large blood clots the day after transfer,… — Megan M.

Dr. Geoffrey Sher answered

IMPLANTATION DYSFUNCTION Implantation dysfunction is often overlooked as a significant reason for IVF failure. This is especially true when IVF failure is unexplained, or when there are recurring pregnancy losses or underlying issues with the uterus, such as endo-uterine surface lesions, thin uterine lining (endometrium), or immunological factors.…
Early Pregnancy & hCG Jun 11, 2025

First pregnancy scan after IVF with PGT

Hi, I've recently discovered I'm pregnant through IVF with an euploid embryo. I had my first beta HCG blood test at 12 days past transfer and this came back at 540 IU/L. I'm now waiting for my first scan in… — Mary D.

Dr. Geoffrey Sher answered

Congratulations!! I wish I could predict. Unfortunately you will need to wait for the US result! Good luck! Geoff Sher
Early Pregnancy & hCG May 8, 2025

LIT in pregnancy

Hi Dr, My partner and I are a partial DQ Alpha match so had 2x LIT treatment, one before transfer and one at 6 weeks and ongoing intralipids bi-weekly. I am currently 15 weeks pregnant with scans looking good. I… — Victoria L.

Dr. Geoffrey Sher answered

UNDERSTANDING RECURRENT PREGNANCY LOSS ( RPL): CAUSES AND SOLUTIONS. When it comes to reproduction, humans face challenges compared to other mammals. A significant number of fertilized eggs in humans do not result in live births, with up to 75% failing to develop, and around 30% of pregnancies ending…
Early Pregnancy & hCG Apr 27, 2025

betaHCG

Dear Dr.Sher, I have a missed miscarriage last year and I am pregnant again 6 weeks. My betas were doubling nice until they crossed the 10000 and drop from 53 h DT to 108 DT. At this point I am… — Alice D.

Dr. Geoffrey Sher answered

I am not overly concerned. The le3vels often tail off somewhat around this time. Do an US confirmation ASAP. Good luck! Geoff Sher
Early Pregnancy & hCG Apr 27, 2025

Mold/mycotoxin antibodies

Hi! I have a history of recurrent miscarriage but also have 2 living children. I’ve been exposed to mold in the past so had recent testing done. Many of my IgE antibodies to mold/mycotoxins were high, suggesting a current mold… — Sarah R.

Dr. Geoffrey Sher answered

I honestly doubt that this is what has caused your miscarriages,. But discuss it with your primarybcare OB/GYN. Geoff Sher
Early Pregnancy & hCG Apr 27, 2025

To know much about my IVF journey

Thank you for receive me, what if my LH level is higher (15,45 mIU/ml on Day 3 of menstrual cycle — Paola U.

Dr. Geoffrey Sher answered

I would need much more information. If you would like to discuss your case with me , email my assistant (702-533-2691 and set up an online consultation with me,
Early Pregnancy & hCG Apr 1, 2025

FET

Hi Dr Sher I’m 38 y/o and and going through fertility treatment using donor sperm. I have just had an unsuccessful fresh ICSI embryo transfer (6 eggs retrieved, 6 fertilised, grade A embryo transferred, 3 embryos frozen grades B B… — Liz D.

Dr. Geoffrey Sher answered

I Thank you for sharing your IVF treatment details. From what you’ve described, you are 38 years old and have recently undergone your second IVF cycle, during which three cleaved embryos of reasonable quality were transferred, but unfortunately, conception did not occur. In your first cycle, a single…
Early Pregnancy & hCG Aug 26, 2024

Fertility

I had heavy bleeding during an abortion. Followed by a second pregnancy which was a blighted ovum. Ever since then I have had irregular periods and low libido. Is something wrong with me? — Mandy A.

Dr. Geoffrey Sher answered

WE really should talk. If you wish, you could call my assistant Patti Converse at 702-533-2691 and set up an online consultation with me to discuss Geoff Sher PLEASE SHARE THIS WITH OTHERS AND HELP SPREAD THE WORD!! Herewith are online links to 2 E-books recently co-authored with…
Early Pregnancy & hCG Aug 16, 2024

IVF Treatment / B.HCG

Dear Dr. Sher, Good day. I want to refer to my situation regarding my IVF treatment here in Dubai UAE. I did my frozen ET last July 23, 2024. after 12 days I did my B.HCG the result was 52.9… — Mariam C.

Dr. Geoffrey Sher answered

This is a chemical pregnancy. Going through IVF is a major investment, emotionally, physically, and financially, for every patient or couple. One of the most crucial moments is receiving the result of the blood test for human chorionic gonadotropin (hCG) pregnancy. It's a big deal! The days after…
Early Pregnancy & hCG Aug 12, 2024

Abnormal placentation and immune pr

Hi Dr. Sher, I've gone through 2 egg retrievals and 5 fets, gotten pregnant twice and had 2 miscarriages in the last year and a half. The miscarriage last year at 6 weeks happened at home and I had a… — Bethany D.

Dr. Geoffrey Sher answered

It is very likely that your issues center around implantation dysfunction. I need more information to provide an authoritative opinion. I suggest you contact my assistant, Patti Converse at 702-533-2691 and set up an online consultation with me to discuss your case in detail. In the interim, please…
Early Pregnancy & hCG Jul 18, 2024

Miscarriages

Hello doctor, I had a chemical pregnancy due to low hcg 4yr back …it took a lot of time after that to get pregnant again I had all the basic test that my fertility specialist did and I got pregnant… — Ammy K.

Dr. Geoffrey Sher answered

When it comes to reproduction, humans face challenges compared to other mammals. A significant number of fertilized eggs in humans do not result in live births, with up to 75% failing to develop, and around 30% of pregnancies ending within the first 10 weeks (first trimester). Recurrent pregnancy…
Early Pregnancy & hCG Jun 24, 2024

Test Interpretation

Hi there, I am just wondering that, if the value of beta HCG is 2029.35 mIU/mL, then what should be the interpretation, means how many weeks pregnancy is this? — Ali R.

Dr. Geoffrey Sher answered

Not possible to date..but on the face of it this seems like a healthy hCG level. Good luck! Geoff Sher
Early Pregnancy & hCG Jun 17, 2024

Feeling confused

I happened to take a test and it was positive i started having pains and irregular spotting i consulted with the health providers and so far i recieved to opinion the first Dr suspected an ealry pregnancy as he could… — Philisiwe P.

Dr. Geoffrey Sher answered

There is no specific hCG level that differentiated between and IUP and an ectopic. However, the level should double every 2 days with normal intrauterine pregnancy ...in the early stage of pregnancy. If it rises more slowly, that suggests a possible failing pregnancy or an ectopic. An US…
Early Pregnancy & hCG Jun 6, 2024

IVF treatment plan question with immunological problem

Dear Dr Sher, I am a 35 years old woman and I have fallopian tube blockage. I have had 4 IVF cycles, 3 were unsuccessful, the second was successful (at the beginning hcg:5000, progesterone: 34), but unfortunately I had to… — Flora K.

Dr. Geoffrey Sher answered

It seems highly likely that you do have an immunologic implantation dysfunction. Your endometrial cytoikine and NK cell elevation are suggestive. However, the cause must firsdt be identified before treatment can be defined for FET. This will require a detailed assessment (see below). A RATIONAL BASIS FOR MANAGEMENT…
Early Pregnancy & hCG May 21, 2024

Pregnancy question

My hcg level went from 960 to 2764 is that normal? Just found out I’m pregnant — Christina G.

Dr. Geoffrey Sher answered

Likely suggests a viable pregnancy. Congratulations and good luck! Geoff Sher.

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.

110 answers

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