– Geoffrey Sher, MD
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Egg Health & Ovarian Reserve
How can i increase my egg quality — Ade B.
Dr. Geoffrey Sher answered
We need to talk. Call Patti at 702-566-2691 and set up an online consultation with me. GS The Most Important Decision in IVF: Choosing the Right Ovarian Stimulation Protocol: Why Individualized Ovarian Stimulation May Be the Single Most Important Modifiable Factor Determining IVF Success by Geoffrey Sher MD/Drew…
Egg Health & Ovarian Reserve
Hello Dr. Sher ! My name is Christina and I’ve been watching many of your videos. I believe your expertise and view on DOR could help me in my journey of IVF cycles :) below is my history in brief… — Christina V.
Dr. Geoffrey Sher answered
Age is on your side but your ovarian reserve is a problem. You need a very strategic protocol. WE should talk! I suggest that you email my assistant, Patti converse (concierge@sherivf.com) and she will set you up with on online consultation so we can interact one-on-one. In the…
Egg Health & Ovarian Reserve
Hi Dr Sher, please guide me urgently. Im currently in a cycle im thinking of cancelling. Started a Synarel (lupron) prime three weeks then stopped and started stims next day 150 menopur, 75 gonalf and hgh. My follicles were 17… — Kylie M.
Dr. Geoffrey Sher answered
WE should talk! I suggest that you email my assistant, Patti converse (concierge@sherivf.com) and she will set you up with on online consultation so we can interact one-on-one. In the interim...see below! Geoff Sher The Most Important Decision in IVF: Choosing the Right Ovarian Stimulation Protocol: Why Individualized…
Egg Health & Ovarian Reserve
I am 35 years old and underwent laparoscopic removal of a benign ovarian fibroma. I have DOR with last AMH < 3 pmol/L. My cycles have gradually shortened from 28–30 to 23–27 days, although I appear to ovulate regularly. We… — A. S.
Dr. Geoffrey Sher answered
I would personally NOT recommend either a natural cycle or a mini-stim cycle. You have very severely diminished ovarian reserve and it might not be possible to elicit an adequate response. We need to talk! I suggest that you email my assistant, Patti converse (concierge@sherivf.com) and she will…
Egg Health & Ovarian Reserve
I'm 40 (born June 1986) and just finished my first IVF retrieval at a Boston clinic. Goal is two children, so I'm banking embryos. What would you change to improve egg quality and euploid yield before cycle 2? Reserve and… — Annmarie E.
Dr. Geoffrey Sher answered
We would need to talk! However, I would probably use an agonist/Antagonist conversion protocol . I suggest you set up an online cosultation with me to discuss! Email Patti at concierge@sherivf.com and she will set this up. GS The Most Important Decision in IVF: Choosing the Right Ovarian…
Clinic & Practice
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..…
Egg Health & Ovarian Reserve
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…
Egg Health & Ovarian Reserve
Hello Dr, I’m 37 years old and have Hashimotos and Diminished ovarian reserve what t protocol would you recommend for me — Emoata O.
Dr. Geoffrey Sher answered
Here is some informaion on the effect of Hashimoto's on embryo implantation. Unfortunately I would need a lot more information to recommend a protocol for you. I suggest you contact Patti at concierge@sherIVF.com and set up an online consultation to talk it through with me. Geoff Sher Thyroid…
Egg Health & Ovarian Reserve
Dear Dr. Sher, with great interest have I read your articles on the "empty" follicle syndrome: I was diagnosed with premature ovarian insufficiency incl. elevated LH levels. In my two egg retrieval attempts only 1 egg could be retrieved out… — Lena T.
Dr. Geoffrey Sher answered
I suggest you email Patti Converse (concierge@sherivf.com and set up an online consultation with me. Geoff Sher
Egg Health & Ovarian Reserve
I'm trying to write up the protocol outlined in one of your recent videos with the egg whisper to take to my Dr. whom is going to do my next cycle. We've started the HGH and we did the PRP… — Ariane B.
Dr. Geoffrey Sher answered
I would never presume tom tell your doctor what to do with regard to your stimulation. I can tell you that regardless of protocol, the chance of propagating euploid ("competent") eggs at 45y is very slim (!:2o eggs or so will end up being viable). Obviously if in…
Egg Health & Ovarian Reserve
Dear Dr. Sher, I just watched your video on egg maturation and learned more than I have in over a year of reading and asking questions on this. My question also relates to egg maturation but specifically on why eggs… — Laura C.
Dr. Geoffrey Sher answered
When confronted with such an exaggerated response, doctors often trigger egg maturation by cutting the cycle short through triggering early. While this protects against OHSS, the eggs are oft yet not ready for maturation. This leads mto "poor egg yield and quality . Second, in such cases doctors…
Egg Health & Ovarian Reserve
Hi, I'm on my first round of ivf due to same sex relationship. Im from the UK. I have just had my first egg retrieval and I'm bitterly disappointed with the amount of egg they collected. I'm 37, amh 14.1,… — Katie M.
Dr. Geoffrey Sher answered
Empty Follicle Syndrome" is a misleading term because follicles always contain eggs. However, some eggs may have difficulties detaching and being retrieved. This is more likely to happen when multiple attempts are needed to retrieve an egg from a follicle, indicating the egg may have chromosomal abnormalities. The…
Egg Health & Ovarian Reserve
Hi, I have low AMH. I have had 1 round of IVF and did not obtain any embyros. I had a second round of ICSI and obtained 3 embyros. From this round, I have had two Embyro transfers which did… — Tara B.
Dr. Geoffrey Sher answered
It is very likely that your issue is an embryo quality issue stemming from the egg. The egg rather than the sperm is the main determinant of embryo "competency". Women with diminished ovarian reserve are at at greater risk of poor egg quality if the protocol used for…
Egg Health & Ovarian Reserve
Hi Dr. Sher, a resolving functional hemorrhagic cyst was found during ultrasound for my modified natural (Letrazole assisted) FET. I had delayed ovulation and they performed an ultrasound and found the cyst. On Friday, ultrasound showed cyst was 36 mm,… — Peg T.
Dr. Geoffrey Sher answered
Very respectfully, I would not enter an FET until the cyst is gone and you have had at least one interim natural cycle. I would also strongly recommend a medicated FET. FROZEN EMBRYO TRANSFER : ONE PREFERRED APPROACH AT SFS. Two decades ago, when women went through IVF…
Egg Health & Ovarian Reserve
Hello Dr Sher, I am a physician G3P2 who has gone through 6 cycles of IVF for my 3rd child. (My elder two are 11 and 9 who were naturally conceived and delivered NSVD). I have done luteal phase stimulation… — Heena P.
Dr. Geoffrey Sher answered
Thank you for reaching out to me. We should talk. I recommend that you contact my assistant, Patti Converse at concierge@sherivf.com and set up an online consultation with me to discuss. In the meanwhile, please see below. Geoff Sher ADDRESSING ADVANCING AGE AND DIMINISHING OVARIAN RESERVE (DOR) IN…
