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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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Early Pregnancy & hCG Jun 9, 2023

Hello

Hello Dr, I had medical abortion from 12 days (7-weeks pregnancy)and i did b-hcg quantitative blood test its 900 and ultrasound showed clear uterus what that means and is medical abortion successful? When will it go back to zero? — Lyl L.

Dr. Geoffrey Sher answered

The level should keep dropping to zero within another 7-10 days. However, the blood hCG level needs to be tracked every 2 days (for another 2 or 3 readings), because sometimes (albeit rare), both an intrauterine pregnancy and a tubal pregnancy can coexist (i.e., a heterotopic pregnancy). Geoff…
Egg Health & Ovarian Reserve Jun 8, 2023

IUD

Is there any chance that having a Mirena IUD while going through egg freezing, specifically at an older age, can have a negative impact on the maturity process of the eggs? My uterine lining is very thin at around 0.3mm.… — J C.

Dr. Geoffrey Sher answered

In my opinion having an IUD in place during an ER cycle will not affect egg quality. Your thin lining is more than likely a direct consequence of the IUD but should not be a problem after removal......prior to, and during an FET cycle, Geoff Sher ADDITIONAL INFORMATION:…
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…
IVF Failure & Pregnancy Loss Jun 2, 2023

Recurrent Implantation Failure

Hello I’m located in Hong Kong doing IVF. I had a miscarriage at 6 weeks (natural pregnancy) and then diagnosed with low AMH (33 years old and AMH of 0,69) did IVF and had no implantation. We tested the embryos.… — Daniela R.

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 interaction…
Hormones & Ovulation May 30, 2023

Implantation issues h

Hi I’m 27 years old with lean pcos. I have had 2 good quality blastocyst transfers, both giving me faint BFP on 5 days past transfer which slowly goes to negative by 12-13 days past transfer. I don’t have endometritis,… — Saira I.

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 interaction…
Hormones & Ovulation May 30, 2023

Implantation issues h

Hi I’m 27 years old with lean pcos. I have had 2 good quality blastocyst transfers, both giving me faint BFP on 5 days past transfer which slowly goes to negative by 12-13 days past transfer. I don’t have endometritis,… — Saira I.

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 interaction…
Uterine & Endometrial Health May 30, 2023

Endometrial Lining, Chronic Endometritis and Light Periods

Hi Dr Sher, I am preparing to do a FET this cycle with a modified natural protocol. At my previous appointment my lining was only 5.1 but after 2 days of estrogen it increased to a 7.9 and I used… — Lauren R.

Dr. Geoffrey Sher answered

In my opinion, chronic endometritis as a cause of implantation dysfunction is unlikely. THE IMPACT OF A THIN UTERINE LINING ON EMBRYO IMPLANTATION: THE BENEFITS OF VIAGRA THERAPY Geoffrey Sher MD Back in 1989, I conducted a study that examined how the thickness of a woman's uterine lining,…
Immunology & Implantation May 30, 2023

3rd miscarriage – subchorionic hematoma

Hi Dr Sher, Thanks for all the wonderful work that you do! I've just had my third miscarriage, I have no living children. This was my first IVF pregnancy. Our embryo was genetically tested and I was on an immune… — Beth Y.

Dr. Geoffrey Sher answered

Please be aware that in my opinion for IL/steroids to be of benifit , timing and dosage administration is crucial. The IL must be administered starting 10-14 days prior to embryo transfer. Administration starting just prior to transfer is not helpful. UNDERSTANDING RECURRENT PREGNANCY LOSS ( RPL): CAUSES…
Uterine & Endometrial Health May 24, 2023

Post uterine lining check bleed

Hi Dr. Sher, I finished a uterine lining check mid April for admittance to a refund insurance plan and we got to 9 mm thickness on oral, patch and shot forms of estrogen. This was after a previous mock cycle… — Jessica S.

Dr. Geoffrey Sher answered

I am not sure I fully comprehend what you are telling me. It seems that you are on a natural cycle FET, that t after 6 about days of bleeding you started to experience a clear discharge (probably a sign of an estrogen effect) which is appropriate) which…
Uterine & Endometrial Health May 22, 2023

Sclerotherapy for ovarian endometrioma

Hi there, I'm super interested in ethanol sclerotherapy for my ovarian endometriomas as an alternative to laparoscopic surgery. I'd like to book a consultation if possible please? Thanks! — Wencke S.

Dr. Geoffrey Sher answered

We don"t use ethanol, we use tetracycline hydrochloride and unfortunately this is no longer available . Feel free to call my assistant, Patti to set up an online consultation with me to discuss (PH: 702-533-2691) Geoff Sher ADDITIONAL INFORMATION: I am attaching online links to two E-books which…
Uterine & Endometrial Health May 22, 2023

Lining Thickness

We will be transferring an embryo to a GC soon. It is possible for the lining to be TOO thick that the transfer may need to be canceled? I know too think is an issue, but am wondering if too… — Mary P.

Dr. Geoffrey Sher answered

In the absence of endometrial pathology, the lining cannot be too thick to be a problem. 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 In Vitro Fertilization…
Age & Fertility May 16, 2023

Surgery vs induced menopause prior to implantation

Hi Dr. Sher, I am in the process of freezing embryos. I have both endometriosis and severe fibroids. I’ve had one abdominal myomectomy and several laparoscopies to remove endo and fibroids over the years and as we are planning for… — Rebecca M.

Dr. Geoffrey Sher answered

I would really need much more information to provide an authoritative opinion. Feel free to call 702-533-2691 to set up an online consultation to discuss in depth. Geoff Sher ADDITIONAL INFORMATION: I am attaching online links to two E-books which I recently co-authored with my partner at SFS-NY…
Uterine & Endometrial Health May 15, 2023

2nd Infertility

I would want to know if there's any antibiotics to treat hydroselpinx. — Daphney D.

Dr. Geoffrey Sher answered

Damage to the Fallopian tubes as a result of prior pelvic inflammation is one of the most common female causes of infertility. Commonly (as was the case with RL), this results blockage of the tubes at their ends, while leaving them open and connected to the uterine cavity.…
Uterine & Endometrial Health May 10, 2023

PRP

I understand you offer PRP therapy? I am 44 with DOR and several failed IVF cycles. Would you recommend? If so, what is involved? — Patty M.

Dr. Geoffrey Sher answered

WE do offer PRP for those who wish to indulge...,And, there are differences of opinion, but I am not a proponent of PRP. 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…
Uterine & Endometrial Health May 8, 2023

Compromised Lining

I lost my Ivf twins at 19 weeks due to incompetent cervix. My OB refused to give me a d&c until 3 months postpartum because she didn’t believe I had retained products even though I told her my body was… — Michelle K.

Dr. Geoffrey Sher answered

Clearly the retained products of conception (for such a long time period), caused endometritis that compromised the basal endometrium, rendering it unable to respond optimally to estrogen. In my opinion, the D&C was probably delayed for too long. This may or may not be reversible (see below). It…

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.

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