– Geoffrey Sher, MD
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Egg Health & Ovarian Reserve
Hi Dr Sher, You've written that for women launching COS coming off a BCP something needs to be done to cause a rise in FSH for 5-7 days to facilitate PAF to AF conversion. You suggest that this be done… — Gautam J.
Dr. Geoffrey Sher answered
Theoretically this might be achievable through administration of gonadotropins for several days longer while still on BCP but in my pinion would hold no advantage.
Egg Health & Ovarian Reserve
Hi Dr. Sher, I’m 34 with history of 2 early losses last year and DOR (last AMH 1.49). I have around 16 antral follicles based on ultrasound. Just finished my first round of stims and only yielded 6 eggs. Only… — Lauren M.
Dr. Geoffrey Sher answered
You are only 34y of age and with your high AFC, I expect that you ave ample ovarian reserve. My hunch is that you poor response could have to do with the protocol used for ovarian stimulation and its implementation.I really think we should talk!!. The importance of…
Egg Health & Ovarian Reserve
I am 32, have PCO. I have experienced EFS in all egg collections, medicated and unmedicated. Recently, I found out I have ZP1 homozygous mutation (autosomal recessive) which means maturation oocyte defect. Is there a way to find eggs or… — Andria E.
Dr. Geoffrey Sher answered
There is certainly room for differing opinions her, But I would not go straight to egg donation. There are so many factors that impact egg quality in women with PCOS, but most of them are amenable to treatment using an individualized protocol for ovarian stimulation. Polycystic ovary syndrome…
Egg Health & Ovarian Reserve
Hi Doctor, I am a 30 year old woman with a recent POI diagnosis. I no longer have a natural cycle and at diagnosis in January my FSH was as high as 105. Currently I have been on HRT for… — Brittany F.
Dr. Geoffrey Sher answered
Yes! I do offer the opportunity to try and ovulate on ovarian stimulation. However, you need to be realistic about the fact that in the final analysis, egg donor-IVF might ultimately be your only option. Feel free to call my assistant, Patti at 702-533-2691 and set up an…
Egg Health & Ovarian Reserve
I am 41.5 with DOR. I'm desperately looking for advice on what would be the right protocol. I don't believe BC helps me. I had 2 months cancelled when on it for cysts. 1 estrogen producing and the other was… — Kodi F.
Dr. Geoffrey Sher answered
I cannot provide you with a specific protocol via this venue. I can only do so for an active patient of mine. You would need to contact my assistant, Patti Converse at 702-533-26912 and set up an online consultation with me for this. However, below please find the…
Egg Health & Ovarian Reserve
Hi Dr. I am 39 and have PCOS. I went for my day 3 AFC and I was informed by the nurse that I have 20 follicles on my left ovary and another 20 on my right. The strange thing… — Kristin C.
Dr. Geoffrey Sher answered
Quite frankly, at 39y ,with PCOS, I would favor IVF over ovarian stimulation with or without IUI. Polycystic ovary syndrome (PCOS) is a common hormonal system disorder among women affecting between 5% and 10% of women of reproductive age worldwide. Women with PCOS may have enlarged ovaries that…
Egg Health & Ovarian Reserve
Hi Dr. Sher, I am asking this question after first egg retrieval. I am 40 years old, first time doing this IVF. I saw about 23 follicles during ultrasound and was on 21 days lupron protocol ended with 20 eggs,… — Esther L.
Dr. Geoffrey Sher answered
The importance of the IVF stimulation protocol on egg/embryo quality cannot be overstated. This factor seems often to be overlooked or discounted by t IVF practitioners who use a “one-size-fits-all” approach to ovarian stimulation. My experience is that the use of individualized/customized COS protocols can greatly improve IVF…
Egg Health & Ovarian Reserve
Dear Dr. Sher, I would like to ask you about DUO stim protocol for women with DOR. Is it OK to have double stim within the same menstruation cycle? I have DOR, endometriosis stage 1, MTHFR, 35 yrs old and… — Ola
Dr. Geoffrey Sher answered
Respectfully, I am not a protagonist of Duo-stimulations. In my opinion it can compromise follicle development as well a jeopardize egg/embryo “competency”. Geoff Sher
Egg Health & Ovarian Reserve
Dear Doctor, I saw your video on internet and I noticed that you master very well my case. I have very low ovarian reserve Amh=0.4 So I live in France and I want to came and have an ivf protocol… — Elies E.
Dr. Geoffrey Sher answered
Thank you! If you wish to consult with me online, please contact my assistant, Patti Converse at 702-533-2691. When it comes to reproductive performance, humans are the least efficient of all mammals. Even in young women under 35y, at best only 1 out of 2 eggs are chromosomally…
