– Geoffrey Sher, MD
Fill in the following information and we’ll get back to you.
Search 1,006 questions patients have already asked, or narrow them by topic.
Cost & Insurance
Hola doct mi pregunta es ase 8años me operaron. Tube 3niños me deje con mi pareja La doct que me operó me dijo que me habían cortado las trompas y que solo con in vitro podía aserlo cuánto tiempo dura… — Sindy V.
Dr. Geoffrey Sher answered
Please re-post this question in English! Geoff Sher
Uterine & Endometrial Health
Hello, I had a laproscopy to remove 5cm endometrioma 14 months ago. I have stage 4 endometriosis. The endometrioma was conservatively removed at about 90% to preserve ovarian tissue. Ultrasound now shows the endometrioma is back and measuring 2cm. The… — Amanda H.
Dr. Geoffrey Sher answered
Sclerotherapy would be an option, but it might not be readily available. Endometriosis is a condition that occurs when the uterine lining (endometrium) grows not only in the interior of the uterus but in other areas, such as the Fallopian tubes, ovaries and the bowel. Endometriosis is a…
Uterine & Endometrial Health
Dear sir! My name is Denisa, I am 32. In my 29 I gave a birth to a beautiful boy. Got pregnant for the first month trying, verything went well. After labour, there was a very small piece of placenta… — Denisa K.
Dr. Geoffrey Sher answered
This is likely due to post-partum endometritis following retained products of conception. WE should talk. Might I suggest that you call my assistant, Patti Converse (702-533-2691 and set up an online consultation with me to discuss options: It was as far back as 1989, when I first published…
Uterine & Endometrial Health
Hi Dr Sher, I've had one natural pregnancy which ended at 19 weeks. I had a D&C for this. Since then I've had two 3D saline sonograms, both of which have shown a completely normal uterine cavity. Since my D&C,… — Anne-Marie D.
Dr. Geoffrey Sher answered
You certainly are likely to have a secondary anatomical or immunologic implantation dysfunction...We should talk. I suggest you call my assistant, Patti Converse and set up an online consultation with me. Implantation dysfunction is unfortunately often overlooked as an important cause of IVF failure. This is especially relevant…
Uterine & Endometrial Health
Dear Doctor, I would like to ask for your opinion of ERA specifically in women with adenomyosis. I had an ERA which showed that I would need one extra day of progesterone (so transfer after 6 days). However, a new… — Shira M.
Dr. Geoffrey Sher answered
Herewith my response on both issues; A: ADENOMYOSIS: 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
Hello Doctor Sher, I have a question about my last analyses. I got the resulting biopsy. CD3 (Polyclonal Rabbit, Dako) - an average of 20 positive cells per 1 v.p.z. X40; CD4 (Clone4B12, Thermo scientific) - an average of 28… — Svitlana M.
Dr. Geoffrey Sher answered
In my opinion, these tests cannot provide reasonable insight into whether or not there is an underlying immunologic implantation dysfunction.(IID). Might I recommend that you contact my assistant, Patti Converse at 702-533-2691 and set up an online consultation with me to discuss~! Implantation dysfunction is unfortunately often overlooked…
Embryos & Genetic Testing
Dear Dr Sher, I am currently 8+2 pregnant following our final FET with our last euploid embryo. It was a natural FET. My 8 week scan showed everything to be on track with no obvious concerns. My IVF clinic say… — Vicky A.
Dr. Geoffrey Sher answered
I agree eith your RE! Geoff Sher
Embryos & Genetic Testing
I have done an I VF and I am right now in the two week wait anxiety . I have tried 4 times previously and have a failure . The doctor this time did surgical scratching for the uterus ,… — Monica E.
Dr. Geoffrey Sher answered
I suggest you await the outcome and if you do not conceive, that you contact my assistant Patti Converse (702-533-2691) and set up a consultation online, with me. Good luck! Geoff Sher
Embryos & Genetic Testing
Hi Dr Sher. I am from New Zealand and almost 2 years on in my fertility journey. I’m 42 now and have 3 children of my own. My husband has 1. We are both fit and healthy. I’ve always had… — Barbara C.
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?.…
Early Pregnancy & hCG
What test would you consider if someone had 4 miscarriages before 6 weeks I have done all the basic test Immune conditions Chromosome Ovarian reserve My husband sperm Protein Std Everything is normal No polyps I do have fibroids not… — Medjine E.
Dr. Geoffrey Sher answered
When it comes to reproduction, humans are the poorest performers of all mammals. In fact we are so inefficient that up to 75% of fertilized eggs do not produce live births, and up to 30% of pregnancies end up being lost within 10 weeks of conception (in the…
Uterine & Endometrial Health
Hi, I came across your page because I have been dealing with a 5 cm endometrioma and have been looking at different options. I found your article about ovarian sclerotherapy and was wondering if you know where this procedure can… — Sophia G.
Dr. Geoffrey Sher answered
I really do not know who offers this or where you could find out! You will have to inquire around. Geoff Sher
Uterine & Endometrial Health
Is an ERA necessary for a natural FET cycle? — Helen D.
Dr. Geoffrey Sher answered
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 well synchronized endometrium to ‘accept it”. This dialogue between embryo and endometrium involves…
Hormones & Ovulation
Hello! I was wondering what requirements you have for the surrogates that your patients might work with if they choose the gestational surrogacy route. Is there an age limit or BMI limit? Would a surrogate who had diet-controlled gestational diabetes… — Jessi W.
Dr. Geoffrey Sher answered
Of course all the factors you mention and many more are part of the screening process. Also, I advocate that you meet with the surrogate. IVF surrogacy involves the transfer of one or more embryos into the uterus of a surrogate, who provides a host womb and carries…
IVF Failure & Pregnancy Loss
Hi Dr Sher I have been trying to conceive for 3 years now with no success. I've recently had 1 failed ivf cycle where I began bleeding 7 days post embryo transfer. Which I believe is implantation failure. I have… — Isma B.
Dr. Geoffrey Sher answered
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). Nothing could be further from reality It is time to set the record…
Embryos & Genetic Testing
Dear Dr. Sher, Do you recommend Sildenafil 4x 25mg/day during the follicular phase or only when the embryo transfer is scheduled? Do you recommend Sildenafil although there are no previous evidences of lack of thickening of the endometrial walls? Thank… — Ola
Dr. Geoffrey Sher answered
Yes…only in the follicular phase but not in the absence of an endometrial thickness issue! Geoff Sher
