– Geoffrey Sher, MD
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Ovarian Stimulation & OHSS
Dear Dr. On day 24 of cycle, ultrasound before starting IVF was found a 22 mm ovarian cyst and decided to postpone stimulation. The plan is to take one bcp daily for 21 days, followed by a 7-day break, then… — Ola C.
Dr. Geoffrey Sher answered
No! If used correctly, the BCP should not suppress your response. Good luck! Geoff Sher
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…
Ovarian Stimulation & OHSS
Dear Dr Sher, I have read your paper on the AACEP protocol and as a 42 year old poor responder about to start my 10th IVF cycle (3 of which being dual stimulation cycles) I was very interested in trying… — Beatriz J.
Dr. Geoffrey Sher answered
USorry! I do not have anyone I could refer you to. Geoff Sher 702-533-2691
Embryos & Genetic Testing
I (33 years old) have a small piece of "benign" genetic material (#15) mosaically which may be contributing to recurrent natural pregnancy loss (4 losses, 2 were between 10-16 weeks with confirmed T18 and T21). Genetic Counselors could not confirm… — Sam L.
Dr. Geoffrey Sher answered
WE really need to talk. I invite you to contact my Office Manager, Patti Converse (702-533-2691 and set up an online consultation with me. UNDERSTANDING RECURRENT PREGNANCY LOSS ( RPL): CAUSES AND SOLUTIONS. When it comes to reproduction, humans face challenges compared to other mammals. A significant number…
Ovarian Stimulation & OHSS
Wanted to chate about my protocols.. — Sabrina K.
Dr. Geoffrey Sher answered
I suggest you email Patti at concierge@sherivf.com and set up an online consultation with me. Geoff Sher
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
Ovarian Stimulation & OHSS
I’m currently on a short antagonist with a fresh cycle, following my egg retrieval the doctor noted she could see triple layer endometrium but there was no triple layer detected in the most recent scan so mentioned as she didn’t… — Louise S.
Dr. Geoffrey Sher answered
Yes you can go ahead. However, please be aware that 30% of women with endometriosis (regardless of severity, havd an immunologic implantation dysfunction (see below) which needs treatment. Geoff Sher Contact my Office manager..for appointment: Concierge@sherivf.com ENDOMETRIOSIS AND IMMUNOLOGIC IMPLANTATION FAILURE. Patients with endometriosis have immunologic abnormalities. The…
Ovarian Stimulation & OHSS
Hello Dr. Sher. I have a question about the Agonist/Antagonist Conversion protocol I am to start this protocol, and I wonder if it matters if I use Menopur or Gonal-F/Follistim during the stimulation? The reason for this question is that… — Liz S.
Dr. Geoffrey Sher answered
Embarking on the journey of in vitro fertilization (IVF) can be a daunting experience especially for women with sub-normal AMH levels (diminished ovarian reserve -DOR). Here is a novel and highly effective protocol known as the Agonist/Antagonist Conversion Protocol (A/ACP), designed to optimize the chances of success for…
Ovarian Stimulation & OHSS
Hello, dear doctor. Listened to you podcast and been blown away by your expertise! I am a youthful 45 year old trying to get pregnant. Gotten pregnant 2 years ago naturally, but miscarried in week 9. Had done 3 IVF… — Maja S.
Dr. Geoffrey Sher answered
Understanding the impact of age and ovarian reserve on the success of in vitro fertilization (IVF) is crucial when it comes to reproductive health. This article aims to simplify and clarify these concepts, emphasizing their significance in the selection of ovarian stimulation protocols for IVF. By providing you…
Ovarian Stimulation & OHSS
Hello Dr. Sher, I am 42 yrs old with a low AMH (less than 1) trying to get pregnant for the 2nd time. My first pregnancy was natural when I was 38. I started my 2nd fertility journey with IUI… — Terri M.
Dr. Geoffrey Sher answered
At 42 years of age and especially if you are experiencing diminishing ovarian reserve, a flare protocol (in my opinion) is less than ideal. I suggest you call my assistant, Patti at 702-533-2691 and set up an online consultation with me. Geoff Sher EGG/ EMBRYO QUALITY IN IVF…
Hormones & Ovulation
Can you kindly tell me what is the appropriate level of estradiol in a modified natural cycle? I am in the middle of a MN cycle. They had me take letrozole for 5 days and roughly 10 days later I… — Carmela R.
Dr. Geoffrey Sher answered
Each follicle should contribute 150-200pg/ml to the E2 level. Your dropping E2 is concerning and suggests premature luteinization. I think when this cycle is over we should talk. The protocol used for ovarian stimulation and its implementation are both pivotal. Call my assistant, Patti at 702-533-2691 and set…
Ovarian Stimulation & OHSS
Hello! I’m interested in getting an IUD and freezing my eggs. I’d like to do the IUD insertion while under anesthetia for egg retrieval. Is that possible? Thanks! Isabella — Isabella G.
Dr. Geoffrey Sher answered
WE can help! Please call us and ask for Dr Ravikumar.
Immunology & Implantation
Listened to you on a podcast recently and appreciate you so much for sharing your knowledge on this topic. Wondering if you have any input for next steps after 2 implantation failures (of 5AA embryos without PGT-A testing, female age… — Ashley S.
Dr. Geoffrey Sher answered
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. IVF success…
Clinic & Practice
I need a second opinion. I am 35 years old on my first round of IVF after 2 failed IUIs. I have been trying for a year to get pregnant. I have AMH level of .112 and 7 follicles. This… — Gweneth V.
Dr. Geoffrey Sher answered
Thank you for reaching out. I will do my best to help: Given your diminished ovarian reserve; IUI is definitely not for you. The success rate is far too low and you do not have the time to spare. You do need IVF but unless an individualized protocol…
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…
