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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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Search 1,006 questions patients have already asked, or narrow them by topic.

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  1. Embryos & Genetic Testing

    FET for women over 45

    Hello! I wanted to see if your fertility office has a maternal age limit to transfer frozen embryos? I am 49 and have two frozen embryos that were frozen when I was 36. My current fertility clinic will not continue… — Barb J.

    Dr. Geoffrey Sher answered

    Absolutely no such age limit! Two decades ago, when women went through IVF (in vitro fertilization), they usually had their embryos put in the uterus right after the eggs were collected in the same cycle (known as "Fresh" Embryo Transfer). Freezing embryos at that time was risky, with…

  2. IVF Failure & Pregnancy Loss

    Recurrent pregnancy loss

    Hi, I'm 38 yo and I live in Norway, and here the doctors are quite conservative. I have had 5 miscarriages after natural conception. 1 at 5w, then had my son in 2021, then 4 the last 12m, one at… — Helene N.

    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 pregnancy…

  3. Egg Health & Ovarian Reserve

    Trying to get pregnant

    How can I get pregnant with 470 DHEA-S levels and irregular periods? I am 28 years old and we are trying to concieve since november 2023 — Rotila S.

    Dr. Geoffrey Sher answered

    An elevated DHEAS points to either over-ingestion of DHEA supplements or a possible adrenal factor. This needs to be looked into before proceeding any further. Might I suggest that you contact my assistant, Patti C9onverse at 702-281-7437 mand set up an online consultation with me. Geoff Sher,

  4. Third-Party Reproduction

    Donador de óvulo

    Quiero más información — Sthefanny R.

    Dr. Geoffrey Sher answered

    Please re-post in English! Geoff Sher

  5. Ovarian Stimulation & OHSS

    Trigger shot

    Why is a 10,000 HCG trigger better than a 5,000 my clinic recent triggered me with only 5,000 and they say I have DOR. We also did a mini stim with letrozole and menopure. Which I am reading you don’t… — Vern T.

    Dr. Geoffrey Sher answered

    To optimize response, all available hCG receptors in the cells of the follicle should be occupied to insure an optimal response. In many cases, 5,000U hCG wont do the trick. Since there is no down-side or risk in giving 10,000U there is n in my opinion safer to…

  6. Ovarian Stimulation & OHSS

    Agonist/antagonist conversion protocol

    Hello, I am a patient with DOR at ACFS in Scottsdale, AZ. Would you be willing to send me the written agonist/antagonist conversion protocol in detail so my doctor can follow it? I am 34 with an AMH of 0.8… — Kathleen T.

    Dr. Geoffrey Sher answered

    I cannot post a detailed protocol here. Your Re is free to call us to discuss this at will (702-533-2691). ADDRESSING DIMINISHING OVARIAN RESERVE (DOR) IN IVF Understanding the impact of ovarian reserve on the success of in vitro fertilization (IVF) is crucial when it comes to reproductive…

  7. Egg Health & Ovarian Reserve

    Ivf low responder

    Dear Dr. Sher, I am in my late 30s and have an amh of 0,3. My period is very regular with regular ovulation (day 11 to 13) and I do not have any problems in the luteal phase like spotting.… — Sandra W.

    Dr. Geoffrey Sher answered

    I think I can help here! Please see my repose to your 2nd post...Same recommendation applies...We should talk. Geoff Sher

  8. Egg Health & Ovarian Reserve

    Ivf low responder

    Aldingen some additional information I forgot in my initial question: - no problems with uterine thickness and according to my doctor no signs of any scarves as due to thickness of approx 9-10 mm few days before ovulation - during… — Sandra W.

    Dr. Geoffrey Sher answered

    In my opinion, we should talk. I cannot provide authoritative advice on this information alone. I suggest you call my assistant, Patti Converse (702-533-2691) and set up an online consultation with me to discuss in detail. Geoff Sher ADDRESSING DIMINISHING OVARIAN RESERVE (DOR) IN IVF Understanding the impact…

  9. Infertility Basics

    Femenina

    Si estoy ligada me podrían ayudar para tener un hijo — Kelly A.

    Dr. Geoffrey Sher answered

    Please repost in English! Geoff Sher

  10. Early Pregnancy & hCG

    Miscarriages

    Hello doctor, I had a chemical pregnancy due to low hcg 4yr back …it took a lot of time after that to get pregnant again I had all the basic test that my fertility specialist did and I got pregnant… — Ammy K.

    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 pregnancy…

  11. Embryos & Genetic Testing

    AMA and RPL (Secondary Infertility) – Chemical after First FET

    I just found out my first FET with a PGT-A tested 6AA embryo is ending in a chemical. I'm 35 with 2 known autoimmune issues (vitiligo and Reynaud's) and a history of RPL (2 miscarriages, at 7 and 8 weeks).… — Jillian B.

    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 pregnancy…

  12. Embryos & Genetic Testing

    Baby

    Good day I am looking for info. I am a 36 year old single female from NY. I would love to adopt a boy embrio, black hair and blue eyes, white. I am not able to have kids of my… — Jorja P.

    Dr. Geoffrey Sher answered

    I suggest you call Patti Converse (my assistant) and set up an online consultation with me to review your case and make suggestions. Geoff Sher 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…

  13. Cost & Insurance

    Ivf

    How much is Ivf treatment or is it free I’ve been looking for three 😞 — Monique H.

    Dr. Geoffrey Sher answered

    I suggest you call and ask our office manager, Jessica Ortiz (866-747-6692). Geoff Sher 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 Solutions (SFS)…

  14. Egg Health & Ovarian Reserve

    Repeat implantation failure

    Hi Dr. Sher, I come from Denmark and here we can't screen our embryos - so we transfer untested. I have had all initial testing done in August last year before starting my egg retrievals and all my tests were… — Julie R.

    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 success…

  15. Embryos & Genetic Testing

    Important

    Do you help a women get pregnant with twin babies if she’s 29 years old? — Nathan K.

    Dr. Geoffrey Sher answered

    There is no guarantee that if you transfer >1 embryo you will get a multiple pregnancy. I suggest you call Patti Converse (my assistant) and set up an online consultation with me to discuss. Geoff Sher PLEASE SHARE THIS WITH OTHERS AND HELP SPREAD THE WORD!! Herewith are…

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