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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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Dr. Geoffrey Sher

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IVF Failure & Pregnancy Loss Sep 17, 2024

Hysteroscopy result

Hi, I have had 3 natural miscarriages, but 3 failed implantations with PGT embryos. I got a hysteroscopy, and they found dyssynchronous proliferative endometrium and polypoid dyssynchronous proliferative endometrium consistent with endometrial polyp. Can this have any impact in my… — Laura C.

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…
Third-Party Reproduction Sep 17, 2024

Donar óvulos

Hola quiero ser donante de óvulos — Andreina V.

Dr. Geoffrey Sher answered

Please Re-post in English! Geoff Sher PLEASE SHARE THIS WITH OTHERS AND HELP SPREAD THE WORD!! 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 In Vitro Fertilization to Family: A Journey with Sher Fertility…
Egg Health & Ovarian Reserve Sep 17, 2024

IVF for Diminished Ovarian Reserve

I'm interested in speaking with only the best doctors as it relates my fertility. I look forward to speaking with you soon. I turned 49 recently. My odds of pregnancy with my own eggs are a long shot. I tell… — Teresa G.

Dr. Geoffrey Sher answered

At 49y, your only rql option is IVF with Egg donation....I am afraid, Geoff Sher IVF WITH EGG DONATION: A REVIEW Introduction: Egg donation is when a woman donates her eggs for assisted reproduction or research purposes. In assisted reproduction, it usually involves using IVF technology, where the…
Egg Health & Ovarian Reserve Sep 12, 2024

Low AMH, high AFC

I’ve been doing fertility treatments for five years. I have two kids. One with an IUI at age 35, one with IVF at 37. I’m now 40 and keep having trouble. My AMH is now .1, but my afc is… — Sara Q.

Dr. Geoffrey Sher answered

There is a high likelihood that aside from the age factor impacting egg quality, your severely diminished ovarian reserve sets you up fro what is known as "premature Luteinization". This is particularly more likely if the protocol used for ovarian stimulation is not optimally fashioned. ADDRESSING ADVANCING AGE…
Immunology & Implantation Sep 11, 2024

Autoimmune disorders

Good evening, I have multiple poly glandular autoimmune disorders. Hashimotos, Addison, and fsh receptors are blocked so I never get a period anymore. I had a successful egg retrieval but had to be on high dose prednisone for my body… — Mallory L.

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…
IVF Failure & Pregnancy Loss Sep 10, 2024

IVF

For egg retrival they got 7 eggs 4 eggs died why is this — Tammy S.

Dr. Geoffrey Sher answered

I would neede to know much morev to comment authoritatively! Geoff Sher PLEASE SHARE THIS WITH OTHERS AND HELP SPREAD THE WORD!! 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 In Vitro Fertilization to…
Cost & Insurance Sep 10, 2024

Ivf

Hello I want to get done ivf asap,i want to know the total cost of ivf — Nabila I.

Dr. Geoffrey Sher answered

Cost varies from clinic to clinic. I suggest you contact my assistant, Patti Converse (702-533-2691) and set up an online consultation with me to discuss. Geoff Sher PLEASE SHARE THIS WITH OTHERS AND HELP SPREAD THE WORD!! Herewith are online links to 2 E-books recently co-authored with my…
Embryos & Genetic Testing Sep 4, 2024

Treatment for immune issues and euploid RPL

Hello, I am a 32 y/o in Canada with history of 3 euploid miscarriages. First pregnancy embryo stopped growing 6.5 weeks, second pregnancy was a MMC of a blighted ovum, third pregnancy mono/mono twins resulted from a single embryo, both… — Anastasia S.

Dr. Geoffrey Sher answered

Respectfully, your immunologic implantation dysfunction is likely due to an alloimmune cause and if so would require different treatment (see below and read the E-books presented below ). I suggest you call my assistant, Patti Converse and set up an online consultation with me to discuss your case…
Embryos & Genetic Testing Sep 3, 2024

Failed FET

Hi Dr. Sher, You did my egg retrieval 3 years ago, and we welcomed our beautiful daughter 2 years ago. We just did another transfer of 1 pgt embryo for a baby boy, and it failed. We only have 1… — Megan L.

Dr. Geoffrey Sher answered

We should talk. Please call my assistant, Patti (702-533-2691) and set up an online consultation to discuss. Geoff Sher
Early Pregnancy & hCG Aug 26, 2024

Fertility

I had heavy bleeding during an abortion. Followed by a second pregnancy which was a blighted ovum. Ever since then I have had irregular periods and low libido. Is something wrong with me? — Mandy A.

Dr. Geoffrey Sher answered

WE really should talk. If you wish, you could call my assistant Patti Converse at 702-533-2691 and set up an online consultation with me to discuss Geoff Sher PLEASE SHARE THIS WITH OTHERS AND HELP SPREAD THE WORD!! Herewith are online links to 2 E-books recently co-authored with…
Embryos & Genetic Testing Aug 26, 2024

PGT-A results

Dear Dr Sher, I have listened with interest to your interviews on The Egg Whisperer and I hope you won’t mind my reaching out. I am a 46 year old woman from London, UK. I began IVF treatment with my… — Belle E.

Dr. Geoffrey Sher answered

There is no point in holding on to a "complex aneuploid embryo". You should discard it , in my opinion. There can be a very rapid decline in AFC at your age . This is because of inevitable decline in ovarian reserve and in egg quality. If you…
Egg Health & Ovarian Reserve Aug 26, 2024

Same Agonist/Antagonist Conversion Protocols with Very Different AFC 6 Months Apart

Dr. Sher, I convinced my IVF doctor to let me use your agonist/antagonist conversion protocol with Zomacton (using Ganirelix to replace Lupron and keep using it until trigger date). My March cycle resulted in 4 eggs retrieved, 3 fertilized, unfortunately… — Meredith S.

Dr. Geoffrey Sher answered

There can be a very rapid decline in AFC at your age . This is because of inevitable decline in ovarian reserve and in egg quality. If you wish, you coulkd call my assistant Patti Converse at 702-533-2691 and set up an online consultation with me to discuss…
Embryos & Genetic Testing Aug 26, 2024

My embryo segmental abnormal

I worked with you about 3 years ago. Thank you for helping us to our dream daughter. We are forever grateful. My question is about another embryo I would like to transfer . This is how it’s labeled, 46,XX,del(4)(q22). In… — Haley P.

Dr. Geoffrey Sher answered

Wonderful hearing from you...You made my day! I invite you to call 702-533-2691 and ask my assistant, Patti Converse, to set up an online consultation with me to discuss. Geoff Sher PLEASE SHARE THIS WITH OTHERS AND HELP SPREAD THE WORD!! Herewith are online links to 2 E-books…
Egg Health & Ovarian Reserve Aug 26, 2024

Protocol for second round after low maturity in the first

Hi Dr Sher, We recently embarked on IVF after 1x TFMR at 24 weeks for genetic disorder (22q syndrome) of which neither me or my partner are carriers followed by 3x chemical miscarriage around 4.5/5 weeks. Our first cycle was… — Victoria L.

Dr. Geoffrey Sher answered

We should talk. There is no doubt in my my mind that the protocol used for ovarian stimulation has to be individualized to optimize egg/embryo "competency. I invite you to call 702-533-2691 and ask my assistant, Patti Converse, to set up an online consultation with me to discuss.…
Clinic & Practice Aug 21, 2024

Semen Analysis

Hi Dr.Sher, This is Yiding, reffered by Gardenobgyn for semen analysis. May I make a appointment and let me know the email address which I can send my Info (ID, referral, insurance) to? thanks. — Yiding X.

Dr. Geoffrey Sher answered

Please email Dr Sitara Ravikumar in NY at sitara.ravikumar@gmail.com. She will provide you with this information. 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.

980 answers

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