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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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Dr. Geoffrey Sher

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Embryos & Genetic Testing Aug 21, 2024

PGT-A

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

If the embryo is aneuploid, there is no merit in keeping it. Frankly, trying with own eggs at 45y with such severely diminished ovarian reserve is ill-advised. You need an egg donor. ADDRESSING ADVANCING AGE AND DIMINISHING OVARIAN RESERVE (DOR) IN IVF Understanding the impact of age and…
Uterine & Endometrial Health Aug 19, 2024

Uterine Microbiome

Hi Dr Sher Uterine testing (via menstrual blood collection) has continuously shown very high presence of Gardnerella Vaginalis. Despite antibiotic treatment, it continues to reappear as Lactobacillus levels have only been ‘not detectable’ or ‘very low’. Use of oral lactobacillus… — Samantha L.

Dr. Geoffrey Sher answered

Very respectfully, I do not believe that this is the likely cause of your problem. Might I suggest that you contact my assistant and set up an online consultation with me to discuss...see below! PLEASE SHARE THIS WITH OTHERS AND HELP SPREAD THE WORD!! Herewith are online links…
Immunology & Implantation Aug 19, 2024

Pregnancy Loss, IVF & Immunologic Testing

Hi Dr. Sher, I live in Toronto and have had 2 chemicals and one miscarriage within the span of 5 months. I used Letrozole to ovulate with the first 2 pregnancies, but I ovulated naturally with the third pregnancy. For… — Catherine B.

Dr. Geoffrey Sher answered

Based upon your representation, this sounds very suggestive of an embryo implantation dysfunction.However, to provide an authoritative opinion we should talk. If I turn out to be correct and you are not treated appropriately to counter the implantation dysfunction, you will very likely experience the same over and…
Early Pregnancy & hCG Aug 16, 2024

IVF Treatment / B.HCG

Dear Dr. Sher, Good day. I want to refer to my situation regarding my IVF treatment here in Dubai UAE. I did my frozen ET last July 23, 2024. after 12 days I did my B.HCG the result was 52.9… — Mariam C.

Dr. Geoffrey Sher answered

This is a chemical pregnancy. Going through IVF is a major investment, emotionally, physically, and financially, for every patient or couple. One of the most crucial moments is receiving the result of the blood test for human chorionic gonadotropin (hCG) pregnancy. It's a big deal! The days after…
Egg Health & Ovarian Reserve Aug 16, 2024

CoQ10

I am 43 years old with AMH of 3. My egg retrieval was yesterday. My HCG trigger did not absorb after 7 days of Stims and no priming starting on day 5 of my period. I was given 150 meno… — Kristin H.

Dr. Geoffrey Sher answered

The COQ10 likely had nothing to do with your follicle development. However, the protocol used for ovarian stimulation and/or its implementation, probably underlies your issue.We should talk: Please call my assistant, Patti Converse (702-533-2691 and set up an online consultation with me. EGG/ EMBRYO QUALITY IN IVF &…
Immunology & Implantation Aug 15, 2024

Immune Testing

I am 37 yo with dx of DOR. Have banked 7 PGTa normal embryos via 3 retrievals. 4 medicated FET (on dexamethasone, ASA 81mg, intralipids 1 week prior to transfer) resulted in chemical pregnancies. Question now on possible immune/ alloimmune… — Is S.

Dr. Geoffrey Sher answered

Thanks for the communication. You really need a comprehensive autoimmune/alloimmune, immunologic implantation dysfunction (IID) evaluation done. WE really should interact online. I recommend that you call my assistant, Patti Converse (702-533-2691) and set up a consultation with me discuss. In the interim, please see below: >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Implantation dysfunction…
Egg Health & Ovarian Reserve Aug 12, 2024

Transfer at age 45

Hello, Im am 45 . We have male factor infertility and in 2012 we got pregnant on our first try with a non medicated IUI using donor sperm. I had a healthy baby boy via C section. He is 11.5… — Emily B.

Dr. Geoffrey Sher answered

You clearly have diminished ovarian reserve. This in conjunction with your age (45y) makes the chance of successful pregnancy using your own eggs, very improbable. You actually need IVF with egg donation. Also, IUI has less than a 1:80 chance of success for you. If in spite of…
Egg Health & Ovarian Reserve Aug 12, 2024

Protocol

Hi, I am 44 with an Amh between 2.3 and 3 ng/ml, we had failed Icsis but always blastocysts. Would you also recommend the protocol you normally describe here or at the egg whisperer podcast in my case? Last year… — M M.

Dr. Geoffrey Sher answered

Your normal AMH at 44y comes as a surprise but that is decidedly in your favor. However, independently, age impacts egg "competency" and it is the egg (rather than the sperm that is most important in propagating normal "competent" embryos. Age should never be a barrier to hope…
Early Pregnancy & hCG Aug 12, 2024

Abnormal placentation and immune pr

Hi Dr. Sher, I've gone through 2 egg retrievals and 5 fets, gotten pregnant twice and had 2 miscarriages in the last year and a half. The miscarriage last year at 6 weeks happened at home and I had a… — Bethany D.

Dr. Geoffrey Sher answered

It is very likely that your issues center around implantation dysfunction. I need more information to provide an authoritative opinion. I suggest you contact my assistant, Patti Converse at 702-533-2691 and set up an online consultation with me to discuss your case in detail. In the interim, please…
Clinic & Practice Aug 8, 2024

Past Procedures

Hello, I was a patient in 2011. Unfortunately, I lost the baby. I have been having many issues regarding my reproductive organs and I am trying to tie it back to my military service. In 1996, a few weeks after… — Marie H.

Dr. Geoffrey Sher answered

Please call our clinic (SFS) in New York at 646-388-7476 and ask for Jessica Ortiz. She should be able to help. If this is unsuccessful, call my assistant Patti Converse at 702-533-2691 and she will assist you. Geoff Sher
Immunology & Implantation Aug 7, 2024

Failed ivf with donor eggs

Dear Dr Sher I’m 50 year old , I have healthy 9 year old boy from my first marriage, with my second marriage my husband is 55 yrs old , tried one cycle ivf with 2 healthy embryos-my won eggs-… — Fofo A.

Dr. Geoffrey Sher answered

This sounds like a possible implantation dysfunction. I suggest we talk. Please contact my assistant, Patti Converse (702-533-2691) and set up an online consultation with me to discuss in depth. IVF FAILURE WITH “NORMAL” EMBRYOS: EXAMINING AND ADDRESSING ANATOMICAL AND IMMUNOLOGIC CAUSES. Implantation dysfunction is often overlooked as…
Immunology & Implantation Aug 5, 2024

IVF and Immunity

Dear Dr. Sher and Dr. Tortoriello, I am 38 years old and my husband and I are in the 5th year of our fertility journey. I conceived naturally in 2019 and 2021, both missed ab, we tried several rounds of… — Susanne S.

Dr. Geoffrey Sher answered

I aplaud your looking in to immunologic implantation dysfunction (IID) as a possible reason for your losses. If you indeed do have an autoimmune/alloimmune IID link It might not have been comprehensively assessed. There are only a hand-full of laboratories in the world that can do the required…
Uterine & Endometrial Health Aug 5, 2024

Viagra

Can viagra help thicken uterus lining for FET preparation? Does it impact WOI ? — Catherine H.

Dr. Geoffrey Sher answered

Back in 1989, I conducted a study that examined how the thickness of a woman's uterine lining, known as the endometrium, affected the successful implantation of embryos in IVF patients. The study revealed that when the uterine lining measured less than 8mm in thickness by the day of…
Hormones & Ovulation Aug 5, 2024

Repeated Miscarriages

Hi, My husband and I have been trying to conceive for 2 years now and have had 6 miscarriages within that time, all being early miscarriages except for our little girl who stopped growing at 13 weeks due to triploidy.… — Breann W.

Dr. Geoffrey Sher answered

_ 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 within the first 10 weeks (first trimester). Recurrent…
Third-Party Reproduction Aug 5, 2024

Donar

Quiero donar mis ovulos — Adriana T.

Dr. Geoffrey Sher answered

Please post your question 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…

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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