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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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Answers from our doctors

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214 answers

Uterine & Endometrial Health

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Embryos & Genetic Testing Nov 23, 2022

32, 3 failed IUIs, 1 failed IVF transfer

Hi, I’m 32 years old and was diagnosed with mild endo which was removed last year. I’ve also had a few polyps, fibroids and cysts removed in the past 2 years. I had 3 failed IUIs and recently my first… — Miranda B.

Dr. Geoffrey Sher answered

I suggest we talk. Please consider calling Patti Converse (my assistant) at 702-533-2691 and set up an online consultation with me to discuss. 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…
Immunology & Implantation Nov 23, 2022

Free immunology e-book link

Good afternoon, I recently heard your interview with Dr. Aimee (the Egg whisperer) about reoccurring implantation failure. My husband and I are seeing a fertility specialist in the Chicagoland area and we have gone through the gambit of miscarriage from… — Rachel P.

Dr. Geoffrey Sher answered

I really suspect an underlying implantation dysfunction...probably an immunologic implantation dysfunction. If I am correct, you were not (in my opinion) adequately treated. WE should talk!! Might I suggest that you contact my assistant, Patti Converse at 702-533-2691 and set up an online consultation with me. I believe…
Uterine & Endometrial Health Nov 19, 2022

Cycle cancelled due to thin lining and fluid in endometrium

Thanks for taking the time to provide all this info and answer questions on this blog. It's so very much appreciated. We just had a frozen embryo transfer cancelled due to a thin lining and excess fluid in the endometrial… — Mike M.

Dr. Geoffrey Sher answered

A lining
Embryos & Genetic Testing Nov 7, 2022

Thin Endometrium

Hello Dr., I am currently 36 with unexplained infertility. We sought help in 2019 and ended up with a successful IVF cycle, 7 PGS -tested normal embryos (1 day 5 and 6 day 6). We transferred our day 5 embryo… — Natasha B.

Dr. Geoffrey Sher answered

Obviously I cannot with certainty define the cause of your thin lining. I can tell you 2 things: 1. A lining of
Cost & Insurance Nov 7, 2022

In vitrio

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 Oct 30, 2022

Ovarian endometrioma

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 Oct 28, 2022

Thin endometrium

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 Oct 21, 2022

3D SIS & hysteroscopy

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 Oct 15, 2022

ERA in adenomyosis

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 Oct 13, 2022

Infertility

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 Oct 10, 2022

How long to taper off progesterone support

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 Sep 18, 2022

IVF

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 Sep 13, 2022

Implantation failure

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 Sep 8, 2022

Test

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 Sep 6, 2022

Ovarian sclerotherapy

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

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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