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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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Embryos & Genetic Testing Jun 29, 2023

PGT-A

Dear Dr. Sher, I recently underwent IVF, resulting in 2 complex aneuploid embryos - one with Trisomy 11 and 21 and the other with Monosomoy 15, 18, 19 and 22. No mitoscore values were reported. Is it worth considering transfer… — Vess V.

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…
Embryos & Genetic Testing Jun 29, 2023

When Should I Stop Lovenox?

Hi Dr. Sher, I am 41 years old and I am currently 8 weeks and 5 days pregnant through IVF and I need a second opinion when to stop Lovenox. Just to provide some background, I had two failed embryo… — Lena M.

Dr. Geoffrey Sher answered

I would continue all the way through pregnancy and the 1st 6 weeks thereafter. Thrombophilia (Hereditary Clotting Defect) is defined as the genetic predisposition to developing intravascular thrombosis. It is due to hypercoagulability of blood leading to impairment of initial vascularization that takes place during implantation. Thrombophilia affects…
Egg Health & Ovarian Reserve Jun 29, 2023

Please Help!

Dear Dr. Sehr, I’m almost 37 years old AMH 1,08 (measured under the pill, last measurement 09/21 was 3,5) Husband has OAT3, used zymot last Icsi. Had 4 ICSIs, 7 transfers, one MMC 9weeks, one MC six weeks. Last four… — Jana S.

Dr. Geoffrey Sher answered

I very respectfully disagree with your RE who informed you that only the best morphologic embryos should be biopsied. I also disagree with the use of "flare" (short)-DR protocols for women with diminished ovarian reserve (DOR). The journey of in vitro fertilization can be a rollercoaster of emotions…
Egg Health & Ovarian Reserve Jun 27, 2023

Improving Maturity Rates and Blastocyst Development Rate

Hi Dr. Sher, I've been through 8 IVF cycles with two separate clinics. Overall, despite changes to protocols, I've encountered the same issues. The first issue is that, though my ovaries produce a good number of oocytes, not enough of… — J C.

Dr. Geoffrey Sher answered

I think we should talk. Please call my assistant, Patti Converse at 702-533-2691 and set up an online consultation with me. In the interim, please read the articles that I have written...below. A: EGG/ EMBRYO QUALITY IN IVF & HOW SELECTION OF THE IDEAL PROTOCOL FOR OVARIAN STIMULATION…
Embryos & Genetic Testing Jun 26, 2023

Embryo storage status

Hello my name is Nep S. I had worked with your clinic on my IVF birth successfully with you (over 3 years ago) and was coming back to inquire about doing this a second time. I wanted to ask on… — Nep S.

Dr. Geoffrey Sher answered

Great hearing from you! I hope all is well! Any embryo stored by us will be in safe keeping. Geoff Sher
Egg Health & Ovarian Reserve Jun 22, 2023

GV eggs

Hello I’m Asala from Saudi Arabia I’m 28 years old with stage 3 endometriosis my husband has normal semen analysis My fsh 9.9 amh 1.3ng/ml I have done 5 eggs retrievals with no success My first cycle one year ago… — Asala S.

Dr. Geoffrey Sher answered

The journey of in vitro fertilization can be a rollercoaster of emotions for many patients. Often times they have to face the harsh reality that the number and quality of eggs retrieved has fallen short of their expectations. Then, should fertilization of these eggs not propagate chromosomally normal…
Embryos & Genetic Testing Jun 14, 2023

IVF

Hi, I'm 33, ttc for 2.5 years and no joy. Progressive sperm — Maggie C.

Dr. Geoffrey Sher answered

think we should talk. Please call my assistant, Patti Converse (702-533-2691) and set up ,an online consultation to discuss. Geoff Sher ADDITIONAL INFORMATION: I am attaching online links to two E-books which I recently co-authored with my partner at SFS-NY (Drew Tortoriello MD)....... for your reading pleasure: 1.From…
Embryos & Genetic Testing Jun 13, 2023

effect trigger on euploidy rate?

Dear dr Sher, I have a question about the IVF trigger and aneuploidy/euploidy. I'm asking you because I found a lot of profound information about different triggers on your website, thanks for that!! I'm a woman of 34 years old.… — Eline L.

Dr. Geoffrey Sher answered

Understanding the article below which I recently wrote will answer all your questions. It emphasizes that the choice of ovarian stimulation protocol As well as the type, timing and dosage of the “trigger” can greatly impact egg development and thereby embryo “competency”. The trigger's purpose is to initiate…
Embryos & Genetic Testing Jun 6, 2023

Timing of implantation

We just transferred a day 5 4AA euploid embryo into our surrogate. We were shocked to get a positive at home test at 4 days post transfer. Does earlier implantation mean anything about quality of embryo? Does an earlier implant… — Mary P.

Dr. Geoffrey Sher answered

Unless you received an hCG "trigger" for the FET, this potentially good news! GS 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…
Embryos & Genetic Testing Jun 5, 2023

Ivf

Unexplained infertility I underwent failed frozen transfer 5 times with 7 blastocyst. However conceived in the 1st fet with day 3 embryo. Did hysteroscopic.No issues found in uterus. Husband sperm also good However,i did test my auto immune(ANA) out of… — Jes J.

Dr. Geoffrey Sher answered

_ In the world of assisted reproduction, when IVF fails repeatedly or without explanation, it's often assumed that poor embryo quality is the main culprit. However, this view oversimplifies the situation. The process of embryo implantation, which begins about six or seven days after fertilization, involves a complex…
Embryos & Genetic Testing Jun 2, 2023

Embryo transfer

I have a family that has their embryos stored at your clinic and will be donating them to us. I do live in Florida but, would love more information/ pricing on transferring in your clinic . Thank you — Tiffany B.

Dr. Geoffrey Sher answered

Please contact Patti Converse at my office (702-533-2691) and she will put you in contact with Jessica Ortiz (administrator) at the SFS-NY office in Manhattan for information and costs. Geoff Sher ADDITIONAL INFORMATION: I am attaching online links to two E-books which I recently co-authored with my partner…
Egg Health & Ovarian Reserve May 31, 2023

Diminished ovarian reserve

I have been diagnosed with diminished ovarian reserve and my husband has some morphology issues on semen analysis. We have completed 6 egg retrievals, 1 fresh transfer of 2 day 3 embryos, 1 FET of 2 day 3 embryos, 1… — Sahar T.

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…
Embryos & Genetic Testing May 30, 2023

Day 5 Early Blasts

Hi Dr. Sher, I just received my day 5 call and the nurse said I have 14 early blasts (and one more developing). Is this good news or should they all have reached blastocyst stage by now? Is it likely… — Alysha G.

Dr. Geoffrey Sher answered

As long as they reach expanded blastocyst stage by day 6, you should still be OK Good luck! ADDITIONAL INFORMATION: I am attaching online links to two E-books which I recently co-authored with my partner at SFS-NY (Drew Tortoriello MD)....... for your reading pleasure: 1.From In Vitro Fertilization…
Embryos & Genetic Testing May 30, 2023

ZP1 mutation

Dr Sher My doctor says I have to undergo genetic testing to confirm if I have ZP1 mutation. My blood works and hormone level are within normal range. She says the eggs are killed before retrieval as there is abnormal/no… — Rana A.

Dr. Geoffrey Sher answered

Perhaps we should talk before you proceed along those lines . ADDITIONAL INFORMATION: I am attaching online links to two E-books which I recently co-authored with my partner at SFS-NY (Drew Tortoriello MD)....... for your reading pleasure: 1.From In Vitro Fertilization to Family: A Journey with Sher Fertility…
Embryos & Genetic Testing May 30, 2023

Agnes Buczek/Brogowska Follow up to visit

Good morning Dr. Tortoriello, I am just following up to our last visit. I am wondering if the blood results came back in and also I received a Horizon Advanced Screening kit and I was wondering if that was an… — Agnes B.

Dr. Geoffrey Sher answered

Please call Patti at 702-533-2691 to discuss and get clarification. 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.

223 answers

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