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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 May 15, 2023

Missed miscarriage

Hi Dr. Sher I wanted to ask you about missed miscarriages. I fell pregnant and had a early scam at 6 week 4 days. The embryo was there with a heartbeat. A week later, it hadn't grown at all and… — Lisa-Marie E.

Dr. Geoffrey Sher answered

In my opinion, it is possible, but highly unlikely that adenomyosis caused the missed abortion I suggest that you contact my assistant, Patti Converse at 702-533-2691 and set up an online consultation with me to discuss.. Geoff Sher ADENOMYOSIS: Adenomyosis is a condition where endometrial glands develop outside…
Egg Health & Ovarian Reserve May 11, 2023

CMP

Hi there, I've had 1 MMC and 2 Complete Molar Pregnancies in 2022. I recently had an egg retrieval where they got 22 eggs, 20 eggs were mature and only 7 fertilized via ICSI. I am now waiting to see… — Suman B.

Dr. Geoffrey Sher answered

No! It is not indicative that you cannot conceive with own eggs. A hydatidiform molar pregnancy happens when tissue that normally forms the placenta instead becomes a growth, that triggers symptoms of pregnancy. A hydatidiform mole is a benign tumor of the root system (trophoblast) of the embryo…
Embryos & Genetic Testing May 10, 2023

3 PGT Normal Implantation Failure.

Hello Dr. Sher, I just heard your interview about recurrent implantation failure on Dr. Aimee’s podcast. I am 33 years old, no known fertility issues, my husband and I are doing IVF with PGT-A/M for genetic purposes. I have had… — Alayna D.

Dr. Geoffrey Sher answered

Implantation dysfunction is unfortunately often overlooked as an important cause of IVF failure. This is especially relevant in cases of unexplained IVF failure, recurrent pregnancy loss (RPL), and in women with underlying endo-uterine surface lesions, thickness of the uterine lining (endometrium) and /or immunologic factors. IVF success rates…
Embryos & Genetic Testing May 9, 2023

Repeated implantation failure

I would like to find out ways in which I can maximize my ability to have a successful FET. I have had four (4) transfers with untested embryos and none of them implanted. I recently did a retrieval and I… — Tracey-Ann H.

Dr. Geoffrey Sher answered

Implantation dysfunction is unfortunately often overlooked as an important cause of IVF failure. This is especially relevant in cases of unexplained IVF failure, recurrent pregnancy loss (RPL), and in women with underlying endo-uterine surface lesions, thickness of the uterine lining (endometrium) and /or immunologic factors. IVF success rates…
Embryos & Genetic Testing May 8, 2023

Implantation failure

Hi doctor , I have pgt a tested embryos which failed in 3 FET. My frozen embryos are over now and I’m diagnosed with ssa ro positive and all other tests negative. I was given intralipids last two times and… — Rakshitha R.

Dr. Geoffrey Sher answered

Implantation dysfunction is unfortunately often overlooked as an important cause of IVF failure. This is especially relevant in cases of unexplained IVF failure, recurrent pregnancy loss (RPL), and in women with underlying endo-uterine surface lesions, thickness of the uterine lining (endometrium) and /or immunologic factors. IVF success rates…
Embryos & Genetic Testing May 5, 2023

Recurrent Pregnancy Loss and Recurrent Implantation Failure

We have been dealing with fertility issues for 18 months. Last year, I had three early miscarriages (all at less than 8 weeks). These miscarriages occurred back-to-back-to-back within a 7 month period. We were referred to an REI. Since then,… — Morgan H.

Dr. Geoffrey Sher answered

Implantation dysfunction is unfortunately often overlooked as an important cause of IVF failure. This is especially relevant in cases of unexplained IVF failure, recurrent pregnancy loss (RPL), and in women with underlying endo-uterine surface lesions, thickness of the uterine lining (endometrium) and /or immunologic factors. IVF success rates…
Embryos & Genetic Testing May 2, 2023

transfer

Hi, I am preparing for a transfer next week. My doctor says lining is good. I am wondering what you think of bed rest after a transfer? Also, I am stressed about this working and have a busy work and… — Fay K.

Dr. Geoffrey Sher answered

Good luck! In my opinion there is no need for extended bed-rest post-transfer. Unquestionably, the IVF doctor’s expertise in performing embryo transfer ranks as one of the most important factors that will determine IVF outcome. It takes confidence, dexterity, skill, gentility and above all, experience to do a…
Embryos & Genetic Testing May 1, 2023

Implantation Failure

Hi! I have had two FETs with embryos made with my wifes egg and sperm donor, PGT tested and good quality. Both times did not work. I am 28 years old, have had many tests, Hysteroscopy, Uterine Imaging, etc and… — Ann S.

Dr. Geoffrey Sher answered

Whenever a patient fails to achieve a viable pregnancy following embryo transfer (ET), the first question asked is why! Was it simply due to, bad luck?, How likely is the failure to recur in future attempts and what can be done differently, to avoid it happening next time?.…
Egg Health & Ovarian Reserve Apr 25, 2023

Anemia and egg quality

Hi Dr. She’s, Due to countless fibroids and endometriosis, I spent two and half years bleeding heavily with no respite. As a result I was severely anemic and had to undergo many iron and blood infusions/transfusions to stabilize my iron.… — Rebecca M.

Dr. Geoffrey Sher answered

As long as the anemia has been cured, there should not be any significant adverse effect on egg/embryo quality. Good luck! 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…
Embryos & Genetic Testing Apr 21, 2023

Hormones and Genetics

Hello Dr, Sher! I am actually a result of your work back in 2002 with a couple, Vitaly and Svetlana Korchevsky. For years they had simply gotten the unexplained answer from doctors but with your help, I was born. Now… — Anna P.

Dr. Geoffrey Sher answered

Hi Anna, Wow! Thank you for sharing! Anna, I suggest you contact my assistant, Patti Converse (PH: 702-533-2691; email: concierge@sherivf.com) and set up an online consultation with me. G-d bless! Geoff Sher ADDITIONAL INFORMATION: I am attaching online links to two E-books which I recently co-authored with my…
Clinic & Practice Apr 19, 2023

Need consultation online

Dear Dr. Geoffrey, i have heard one of your interview in podcast about the right protocol for ivf and i think what you have meanstioned it is exactly whats happened to me after 2.failed ivf round, i am 36 years… — Shafagh K.

Dr. Geoffrey Sher answered

Might I suggest that you contact my assistant, Patti converse (702-533-2691) and set up man online consultation with me to discuss you case in depth. It is primarily the egg (rather than the sperm) that determines the chromosomal integrity (karyotype) of the embryo, the most important determinant of…
Egg Health & Ovarian Reserve Apr 17, 2023

31y, normal AMH, no blasts after 3 rounds

Hi Dr. Sher, I started IVF when I was 30y/o and did 1 round with the standard antagonist protocol in March 2022 at CCRM Houston (BCP priming, 225u follistim, 2 vials menopur, ganirelix, combo trigger, dexamethasone qd). Stimmed for 8… — Macy S.

Dr. Geoffrey Sher answered

I believe that your problem can be resolved! We should talk........ I suggest that you call my assistant, Patti Converse (702-533-2691) and set up an online consultation with me to discuss your case in depth. While age and ovarian reserve can and do affect egg quality, these are…
Egg Health & Ovarian Reserve Apr 11, 2023

Poor egg quality

Hello Dr Sher. I am a 34 yo F with spouse 43 yo M. G0P0, dx with unexplained infertility. BMI 22, no PMH and no male factors based on SA. Placed on levothyroxine during initial work up to bring TSH… — Aradhna S.

Dr. Geoffrey Sher answered

I think we should talk! Please consider calling my assistant, Patti Converse at 702-533-2691 and setting up an online consultation with me to discuss your case in detail.: One of the commonest questions asked by patients undergoing IVF relates to the likelihood of their eggs fertilizing and the…
Embryos & Genetic Testing Apr 7, 2023

immunological incompatibility

Dear Dr. Sher, Thank you very much for your prompt response. Maybe I should have told you a bit of my story. I am 37 years old and last year I had 3 abortions (week 7+5, week 5 and week… — Lis A.

Dr. Geoffrey Sher answered

Please contact my assistant Patti (702-533-2691) after the Easter weekend and set up an online consultation with me to discuss in detail. Geoff Sher
Embryos & Genetic Testing Apr 4, 2023

PGT-A

Hi Dr Sher Thank you for your answer to my previous question. I wanted to ask your opinion on PGT-A testing. A new study has cast doubts on the effectiveness of this testing: https://www.nytimes.com/2022/04/20/health/pgta-ivf-pregnancy-test.html And some doctors seems against it,… — Lisa-Marie E.

Dr. Geoffrey Sher answered

Human embryo development occurs through a process that encompasses reprogramming, sequential cleavage divisions and mitotic chromosome segregation and embryonic genome activation. Chromosomal abnormalities may arise during germ cell and/or preimplantation embryo development and represents a major cause of early pregnancy loss. About a decade ago, I and my…

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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