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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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214 answers

Uterine & Endometrial Health

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Uterine & Endometrial Health Sep 21, 2026

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…
Uterine & Endometrial Health Sep 21, 2026

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…
Uterine & Endometrial Health Sep 21, 2026

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).
Cost & Insurance Sep 21, 2026

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…
Egg Health & Ovarian Reserve Sep 21, 2026

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…
Uterine & Endometrial Health Sep 21, 2026

Sclerotherapy for endometromas

Hello, I have had multiple endometriosis excision surgeries with my stage 4 endo. I’ve remove my appendix and both fallopian tubes as a result . I am 33 years and and have been trying with IUI and IVF since 2022… — Anna P.

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…
Uterine & Endometrial Health Jun 8, 2026

Failed two transfers

Hello, my question is is there anything that the IVF clinic can do differently? I am a surrogate. I’ve had two healthy pregnancies of my own no issues no fibroids polyps or scar tissue had all the HST, saline sonogram… — Duneeta G.

Dr. Geoffrey Sher answered

I understand your confusion, but if you intend to do surrogacy again, it is important that you be evaluated for an implantation disorder. If you would like to consult with me on this , I suggest you email my assistant, Patti Converse (concierge@sherIVF.com) and set up an online…
Uterine & Endometrial Health Apr 20, 2026

Case of Adenomyosis and Deep Pelvic Endometriosis

I am a 42 year old woman and never been pregnant. I had a failed frozen embryo transfer in December 2025. Two embryos (low quality) were transferred, and the egg retrieval and ICSI were done in May 2024. I froze… — Keji O.

Dr. Geoffrey Sher answered

If you are interested in talking with me, please reach out tp Patti (702-533-2691 and she will set you up with an online consultation with me.....Here is a recent article I wrote...FYI. Endometriosis and infertility : A Practical, Real-World Guide to Smart, Evidence-Based Treatment Decisions Geoffrey Sher, MD…
Uterine & Endometrial Health Jan 21, 2026

Endometriosis

Dr. Sher, I successfully cycled with you in April 2004 in the NYC office. I also gave birth to another child naturally (miraculously after an ectopic 6 months after I had my child through IVF). My second child is now… — Sara N.

Dr. Geoffrey Sher answered

Please have her reach out to my Office Manager, Patti Converse (conciege@sherivf.com and set up a consultation online, with me. Geoff Sher ENDOMETRIOSIS: A RATIONAL BASIS FOR IVF Endometriosis is a condition where the uterine lining (endometrium) grows on pelvic structures outside the uterine cavity. In early stage-…
Uterine & Endometrial Health Jan 21, 2026

ERA testing

Dr. Geoffrey Sher answered

i PERSONALLY AM NOT A BIG BELIEVER IN THE VALUE OF ERA TESTING. GEOFF SHER
Ovarian Stimulation & OHSS Jan 21, 2026

Fresh or frozen transfer

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…
Age & Fertility Nov 12, 2025

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…
Hormones & Ovulation Oct 14, 2025

estradiol

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…
Embryos & Genetic Testing Aug 28, 2025

Recurrent Failed implantation

H! Dr. Sher , I am honored to have a chance to ask you some questions about IVF . My husband and I just had a failed embryo transfer which was our 4th transfer with a euploid embryo and all… — Maria P.

Dr. Geoffrey Sher answered

Thank you for your communication. Below please find information that I feel confident will help explain the possible reasons for implantation dysfunction. Thereupon, if you would like to have a consultation with me to discuss your circumstances and potential remedies, please call or text my assistant, Patti Converse…
Immunology & Implantation Aug 15, 2025

implantation dysfunction

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…

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.

214 answers

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