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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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214 answers

Uterine & Endometrial Health

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Early Pregnancy & hCG Jun 22, 2023

Dropping progesterone levels

I had an FET. My two weeks blood test was positive with hcg of 3146 miu/ml and 218nmol/l progesterone. Two days after I repeaters this test and hcg had risen to 4845 miy/ml but progesterone dropped substantially to 48.8 nm/l.… — Barby S.

Dr. Geoffrey Sher answered

I think you probably are OK but, in my opinion, you should do an ultrasound to determine fetal viability and growth. Then do another hCG blood test and repeat the US in 1 week. Going through IVF is a major investment, emotionally, physically, and financially, for every patient…
Uterine & Endometrial Health Jun 18, 2023

Fibroid

Hi Dr. Sher. I just got my pgs report from my egg retrieval and I have 5 euploids all top grade. I should be happy especially since I turn 40 soon. The bad news is that my doctor found a… — Kristin C.

Dr. Geoffrey Sher answered

Very respectfully, I would advise against proceeding to FET with a submucous fibroid. My advice would be to see a reproductive surgeon and have it removed, wait at least months and then proceed to a 2nd look hysteroscopy to make sure the uterine cavity is back to normal…
Uterine & Endometrial Health Jun 14, 2023

Thin uterine lining

Hi Doctor, I have always had a heavy period flow to the point where I needed Tranexamic acid to help with the heavy and long flow. Fast forward to October I had a brief chemical pregnancy or so I thought.… — Tropa R.

Dr. Geoffrey Sher answered

I think we should talk. Please call my assistant, Patti Converse (702-533-2691) and set up ,man online consultation to discuss. Geoff Sher Vaginally Administered Viagra is Often a Highly Effective Treatment to Help Thicken a Thin Uterine Lining Geoffrey Sher About 25 years ago, after reporting on the…
Uterine & Endometrial Health Jun 14, 2023

Endometritis

Hello DR. my frozen transfer is next week. I do have two children ages 14 and 11. An endometrial biopsy was taken and the results say (proliferative endometrium associated with scattered plasma cells, Few plasma cells are seen on the… — Fatima S.

Dr. Geoffrey Sher answered

With a notable exception (Pelvic Tuberculosis---(which is VERY rare in the USA), I am NOT a believer in chronic endometritis as a cause of IVF failure. The reason is that menstruation purges the endometrium every moth , preventing a chronic inflammatory process from taking hold. Good luck !…
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…

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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