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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 1,017 questions patients have already asked, or narrow them by topic.

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  1. Embryos & Genetic Testing

    Inflammation

    Riddle me this: 2 missed miscarriages, 2 chemical pregnancies: asthma returned during pregnancy, allergies, wheezing with alcohol, RH - blood type, hx endometritis, often lower WBC (but within a "normal range"), sister has MTHFR gene mutation (ive not been tested).… — Rebecca A.

    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 Understanding Recurrent Pregnancy Loss (RPL): Looking Beyond “Bad Luck” Recurrent Pregnancy Loss (RPL), often…

  2. Egg Health & Ovarian Reserve

    Age 40, 0 euploid of 3 on first retrieval. What would you change for cycle 2?

    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…

  3. 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..…

  4. 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

  5. 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..…

  6. 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…

  7. 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…

  8. Clinic & Practice

    Moving embryo

    Hi! We are moving to NYC in a couple months and we have an embryo stored at UTSW in Dallas. What is the procedure to move the embryo to your clinic? Thanks! P.S. This Form Doesn't allow spaces. — Aliya P.

    Dr. Geoffrey Sher answered

    Absolutely you can! Please call my assistant, Patti at 702-533-2691 and she will set you on the right course. Good luck with the move! Geoff Sher

  9. Embryos & Genetic Testing

    Risky transfer for embryos

    Hello, Is there a possibility to transfer embryos with the following profile? A1 05/29/2022 Complex Abnormal - Triploid XXY Abnormal A2 05/29/2022 45,XY,-8 Abnormal A3 05/29/2022 Complex Abnormal - Triploid XXY Abnormal We are willing to try, thank you — Simmona A.

    Dr. Geoffrey Sher answered

    I am afraid it is not a good idea. But perhaps I can help determine if anything can be done to access better embryos for you. Herewith are online links to 2 E-books recently co-authored with my partner at SFS-NY (Drew Tortoriello MD)....... for your reading pleasure: From…

  10. Embryos & Genetic Testing

    Recurrent Natural Pregnancy Loss followed by Recurrent Implantation Failure

    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…

  11. Embryos & Genetic Testing

    Potential transfer of aneuploid embryos with your clinic?

    Hello, I had two failed transfers with my euploid and mosaic embryos. I have two aneuploid embryos left and we're considering transferring to your clinic for transfer if they would be considered. My clinic won't transfer aneuploids and I've read… — Sarah P.

    Dr. Geoffrey Sher answered

    HONESTLY, i DO NOT RECOMMEND TRANSFECTING ANEUPLOID EMBRYOS. SORRY! GEOFF SHER

  12. Embryos & Genetic Testing

    Recurrent Pregnancy Loss

    I have a history of autoimmune and clotting issues possibly contributing to recurrent pregnancy loss (4 losses, 2 from IVF) and currently have 6 frozen PGT-A tested embryos at Shady Grove Fertility (4 euploid, 2 mosaic). I no longer have… — Katie B.

    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…

  13. Embryos & Genetic Testing

    EMBRYO

    Hello Dr. Sher, I have 2 embryos frozen in 2021. I am now looking to implant. Embryo 1: - Gardner Score: BG3CB - KIDScore: 4.6 - NGS: Euploid Embryo 2: - Gardner Score: BG4AA - KIDScore: 9.3 - NGS: Low… — Anu A.

    Dr. Geoffrey Sher answered

    The euploid embryo!

  14. Age & Fertility

    Reoccurring GeneticRisk

    I am turning 41 in a couple weeks and unfortunately just had to make the heart wrenching choice to medically terminate our Trisomy 21 pregnancy at 13 weeks. Two years ago, I had a miscarriage/ D&C due to Trisomy 10.… — Kim S.

    Dr. Geoffrey Sher answered

    The cause of your trisomy pregnancy was likely age-related egg aneuploidy. The chance of an embryo having the right chromosomal configuration declines with with advancing age. Since you already have several children, you might want to stop. However, since you et pregnant quite easily on your own, and…

  15. Embryos & Genetic Testing

    Embryo

    Hello- I’m looking to discuss possible embryo creation. does your practice take insurance? — Tatiane T.

    Dr. Drew Tortoriello answered

    Yes we do take insurance. Please call my assistant, Patti at 702-533-2691

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