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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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214 answers

Uterine & Endometrial Health

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Embryos & Genetic Testing Feb 9, 2023

Sonohysterogram during a FET

Hi Dr Sher, do you believe its okay to get a Sonohysterogram done during cycle day 6 - 11 of a medicated Frozen Embryo Transfer cycle? Can the medication (Estrogen and Progesterone) interfere with the SHG results or vice-versa? — Jennifer L.

Dr. Geoffrey Sher answered

Respectfully! I personally would not perform a SNH during a cycle of FET! 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 pleasure: 1.From In Vitro Fertilization to Family: A…
Ovarian Stimulation & OHSS Jan 28, 2023

Thin uterine lining after egg retrieval

Is it possible to have damaged the lining of my uterus during egg retrieval? My uterine lining went from 9.9mm 2 days before egg retrieval to 5mm after. Please advise. — Shernelle T.

Dr. Geoffrey Sher answered

That is highly unusual. The ER would not have caused this. Perhaps one of these measurements was not accurate. It was as far back as 1989, when I first published a study that examined the correlation between the thickness of a woman’s uterine lining (the endometrium), and the…
Third-Party Reproduction Jan 15, 2023

Possible IVF egg donor and success for patients who have Adenomyosis and Endometriosis

Hi We are based in the UK and want to know your live birth success rates for patients using egg donor, with a diagnosis of Adenomyosis and Endometriosis. I am also age 47 yrs and understand that there are risks… — Fiona F.

Dr. Geoffrey Sher answered

Adenomyosis-Related Infertility: A Therapeutic Challenge! Geoffrey Sher MD Adenomyosis is a condition where endometrial glands develop outside the uterine lining (endometrium), within the muscular wall of the uterus (myometrium). Definitive diagnosis of adenomyosis is difficult to make. The condition should be suspected when a premenopausal woman (usually>25 years…
Uterine & Endometrial Health Jan 15, 2023

Plan for a Receptiva

Hi I’m currently under the care of a Boston clinic (reside in Bermuda). I am considering transferring clinics and location but have one remaining embryo to transfer. Before doing so I would like a receptiva test carrying out for endometriosis.… — Gemma W.

Dr. Geoffrey Sher answered

It should not present a problem, in my opinion. 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 pleasure: 1.From In Vitro Fertilization to Family: A Journey with Sher Fertility…
Hormones & Ovulation Jan 7, 2023

Clarification on Article

Can I please get clarification on what this means: Churchill and Comstock (2017) conclude:" In our preliminary observations, the non- receptive ERA group had similar live birth rates compared to the receptive ERA group. It appears the majority of the… — Jamie B.

Dr. Geoffrey Sher answered

Endometrial Receptivity Array (ERA): Is There an actual There, There? Geoffrey Sher MD The blastocyst and the endometrium are in a constant state of cross-talk. In order for successful implantation to take place, the blastocyst must be at the appropriate stage of development, and needs to signal a…
Hormones & Ovulation Jan 7, 2023

38 and ovulation infection meds

I’m 38 years old and having difficulty conceiving. I developed Ashermans (moderate) in 2020. I got lysis of adhesions and conceived my daughter shortly after at 36 years old. I ovulate and haven’t regular cycles. My doctor is giving me… — Sarah E.

Dr. Geoffrey Sher answered

Respectfully, . After Ashernan's, endometrial thickness poses a real problem in many cases. In my opinion, Tamoxifen will make matters worse as far as the uterine lining is concerned. Look this up in my book, From In Vitro Fertilization to Family: A Journey with Sher Fertility Solutions (SFS)…
Age & Fertility Jan 7, 2023

Time between deliveries

Hello Dr Sherr, I’m 42 years old and I just had my first baby through IVF delivered through C section. How long would you recommend to wait before trying for the second baby. In my case my advanced age might… — Natalia B.

Dr. Geoffrey Sher answered

CONGRATULATIONS!! I would suggest waiting until you have stopped breast feeding and have since experienced at least 2 regular menstrual cycles. 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…
Ovarian Stimulation & OHSS Dec 27, 2022

FET Protocol

Hello I will be going for my next FET for baby #2, I have PCOS, any supplements advices , I will be taking aspirin for my pre eclampsia for sure, i just completed 5 days of Provera for period for… — Steph P.

Dr. Geoffrey Sher answered

There are many approaches to prepare for FET. Below is my preferred method! Geoff Sher Until less than a decade ago, most women undergoing IVF would have embryos transferred to the uterus in the same cycle that the egg retrieval was performed (“Fresh” Embryo Transfer). This was because…
Uterine & Endometrial Health Dec 20, 2022

Endometrioma removal and ivf

Hi Dr. Sher , I listened to your great informational interview on the egg whisperer channel about endometriosis and I had a question about my own ivf journey with endo . I have endometriomas on both ovaries between 1.5 and… — Mindy D.

Dr. Geoffrey Sher answered

Thank you! Very respectfully, I do not believe it is in your interst to do another ER until the endometriomas have been completely removed. In my opinion, The ovay(ies) housing the endometrioma(s) are far less likely to propagate good quality eggs. After surgery you will need 6-8 weeks…
Uterine & Endometrial Health Dec 19, 2022

Endometriomas and ivf

Hello , I am 40 years old with endometriomas on both ovaries both over 1 cm but under 4cm and a large endomtrioma 7.6 cm not on the ovaries. I have done 3 ivf egg retrievals that resulted in a… — Mindy D.

Dr. Geoffrey Sher answered

When women with infertility due to endometriosis seek treatment, they are all too often advised to first try ovarian stimulation (ovulation Induction) with intrauterine insemination (IUI) ………as if to say that this would be just as likely to result in a baby as would in vitro fertilization (IVF).…
IUI & Insemination Dec 17, 2022

TFMR with natural pregnancy followed by failed IUI, FET

Hi Dr.Sher, Thank you for taking the time to help all of us. I was on Birth Control for two years, came out of it and became pregnant naturally. Unfortunately the baby had a severe heart defect and we had… — Naveena S.

Dr. Geoffrey Sher answered

Perhaps you do have underlying endometriosis but taking the BCP for some time before conceiving probably had nothing to do with your original success. Perhaps we should talk about your secondary infertility. It is one thing for a woman who has never been able to conceive (primary infertility)…
Egg Health & Ovarian Reserve Dec 5, 2022

Poor response to oestrogen

Hello, My first IVF cycle with embryo adoption has been cancelled due to a thin endometrium as I have not responded well to the oestrogen medication (it was increased to 8mg of Progynova a day in combination with an estraderm… — Alyson B.

Dr. Geoffrey Sher answered

It is possible that the treatment of your endometrial cancer might have negatively impacted endometrial thickening in response to estrogen. This having been said, I would need much more information in order to provide an authoritative response! ADDITIONAL INFORMATION: I am attaching online links to two E-books which…
Hormones & Ovulation Dec 2, 2022

Infertility/Recurrent loss

Hello Dr. Sher, Thank you for taking the time to answer my questions. I have 1 daughter (age 16) then loss my son at 23 weeks gestation 2 years later, had 3 ectopic pregnancies and 4 chemical pregnancies. I've had… — Janeé B.

Dr. Geoffrey Sher answered

Your underlying PCOS does not explain the losses (chemical or ectopic). You likely have an underlying secondary implantation dysfunction which could be an autoimmune and/or alloimmune, immunologic implantation dysfunction (IID). The presentation suggests that it possibly is more likely the latter. Endometriosis is associated with an IID in…
IVF Failure & Pregnancy Loss Nov 30, 2022

Recurrent Chemical Pregnancy

Hi Dr. Sher, I love listening to you and first discovered you on the Dr. Aimee show! Thank you for all you have done and do in this field! I am 37 years old with 2 LB's, AMH is 6.37mg/dl… — Crystal M.

Dr. Geoffrey Sher answered

Q1. How likely could the negative impacts of potential endometriosis, such as poorer egg quality have on RPL in my case? I don't have any endometriomas, good reserve, clear tubes etc. It seems that more studies link endometriosis to infertility vs. RPL, specifically chemical pregnancy? I'm concerned if…
Uterine & Endometrial Health Nov 23, 2022

Lining issues

I’m 32 & have severe PCOS. I have a history of uterine cancer in which I was very fortunate to have caught it at stage 1. 8 months of immunotherapy using an IUD & now cancer free for 2 years.… — Yasmeen L.

Dr. Geoffrey Sher answered

I think we should talk! You clearly have an implantation dysfunction which needs to be identified, quantified and addressed. I invite you to contact my assistant, Patti Converse at 702-533-2691 and set up an online consultation with me. Implantation dysfunction is unfortunately often overlooked as an important cause…

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.

214 answers

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