Hormones & Ovulation
Ivf
Do you help with making someone pregnant with twin boys if they don’t have ovulation problems ? — Sally K.
Dr. Drew Tortoriello answered
Not really! Geoff Sher
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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.
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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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Latest answers
Page 16 of 68
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Uterine & Endometrial Health
Progesterone type
Is sub cutaneous progesterone as effective as intra muscular? Can there be a case of too much progesterone If progesterone gel, oral and sub cutaneous forms are administered together for luteal support? — Sreevidhya V.
Dr. Geoffrey Sher answered
Here is the Luteal Phase support I advocate. Luteal support: commences on day-1 , 6 days prior to the FET, with intramuscular progesterone in oil (PIO) at an initial dose of 75-100 mg (-Day 1). Daily administration- is continued until late in the evening of Day 5 (…
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Embryos & Genetic Testing
Gender Selection Options
Hello, What options are available that allow for gender selection? Thanks! Michelle B — Michelle B.
Dr. Geoffrey Sher answered
Couples have for centuries sought to influence the gender of their offspring. More than seven centuries ago the ancient Chinese developed a birth calendar said to be able to predict gender on the basis of when conception occurred. Later, the ancient Greeks suggested that by lying on her…
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Uterine & Endometrial Health
Vaginal viagra suppositories
Hi there I am from the UK and have been prescribed vaginal viagra suppositories but finding it impossible to find a pharmacy that can obtain it or make it up. Could you advise how the suppositories are made? Presumably they… — Helena G.
Dr. Geoffrey Sher answered
I really do not know how you could get access in the UK. I suggest you contact MD-RX Pharmacy in Encino, CA . They might be able to advise you.. Good Luck! Geoff Sher Ask for Robert Makhane and mention my name when you talk with him..
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Cost & Insurance
IVF cost
Hello Doctor I have listened to you on Egg Whisper and would like to come for IVF treatment from Tanzania. I am 48 years and would like to use my own eggs. My last eggs retrieval at 47 years we… — Esnath C.
Dr. Geoffrey Sher answered
Before making a final decision on how tom proceed, I suggest we talk. Let me tell you from the get go that doing IVF with own eggs at your age is not a wise option. Success rates are dismal....But let us have a dialogue about this. Geoff Sher…
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Embryos & Genetic Testing
Frozen embryo transfer add on
Hello Dr. Sher, Hope you are doing well.. 1. What is your view about hcg booster shots between ovulation induction and transfer for modified natural transfer? Does it have positive effect on endometrium before transfer? If yes what will be… — Sreevidhya V.
Dr. Geoffrey Sher answered
What is your view about hcg booster shots between ovulation induction and transfer for modified natural transfer? Does it have positive effect on endometrium before transfer? If yes what will be the ideal protocol and dose for hcg booster? A: I do not advocate this! 2. What is…
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Early Pregnancy & hCG
Feeling confused
I happened to take a test and it was positive i started having pains and irregular spotting i consulted with the health providers and so far i recieved to opinion the first Dr suspected an ealry pregnancy as he could… — Philisiwe P.
Dr. Geoffrey Sher answered
There is no specific hCG level that differentiated between and IUP and an ectopic. However, the level should double every 2 days with normal intrauterine pregnancy ...in the early stage of pregnancy. If it rises more slowly, that suggests a possible failing pregnancy or an ectopic. An US…
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Trompas ligadas
Quisiera saber si me puedo embarazar nuevamente con ligaduras de trompas y de q forma sería el proceso — Saona E.
Dr. Geoffrey Sher answered
Please re-post in English! Geoff Sher
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Cost & Insurance
Loraine
Quiero iniciar el proceso pero quisiera saber si mi seguro médico cubre el proceso — Loraine D.
Dr. Geoffrey Sher answered
Please repost in English! Geoff Sher
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Early Pregnancy & hCG
IVF treatment plan question with immunological problem
Dear Dr Sher, I am a 35 years old woman and I have fallopian tube blockage. I have had 4 IVF cycles, 3 were unsuccessful, the second was successful (at the beginning hcg:5000, progesterone: 34), but unfortunately I had to… — Flora K.
Dr. Geoffrey Sher answered
It seems highly likely that you do have an immunologic implantation dysfunction. Your endometrial cytoikine and NK cell elevation are suggestive. However, the cause must firsdt be identified before treatment can be defined for FET. This will require a detailed assessment (see below). A RATIONAL BASIS FOR MANAGEMENT…
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23 years
Q tengo q aser — Fabricio Q.
Dr. Geoffrey Sher answered
PLease post in English! Geoff Sher
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Hormones & Ovulation
Infertility
A woman doesn’t ovulates what can she do ?? — Ahmad A.
Dr. Geoffrey Sher answered
You have to determine the reason and provided it is not due to menopause and she is not >42Y of age...ovulation induction.
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Ser mamá
Hola doctor me queda alguna posibilidad de embarazarme con 43 — Amalfi M.
Dr. Geoffrey Sher answered
Please re-post in English! Geoff Sher
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Embryos & Genetic Testing
2nd opinion
Hi. Is it possible to get a second opinion on my IVF process? I'm located in Philadelphia and won't be getting IVF at your clinic. I just wanted to find out Dr. Sher's opinion about my IVF protocols and what… — Kseniya F.
Dr. Geoffrey Sher answered
Please call Patti at 702-533-2691 or email her at concierge@sherivf.com and set up an online consultation with me. Geoff Sher EGG/ EMBRYO QUALITY IN IVF & HOW SELECTION OF THE IDEAL PROTOCOL FOR OVARIAN STIMULATION INFLUENCES EGG/EMBRYO QUALITY AND OUTCOME. The journey of in vitro fertilization can be…
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Immunology & Implantation
Immune Issues/ DQ Alpha Match?
Hi Dr Sher, My husband and I had our son 5 years(+3 months) ago. He was conceived after just 2 months trying. We have been experiencing secondary infertility for over 4 year +3 months. I have had 5 embryos fail… — Joanna B.
Dr. Geoffrey Sher answered
I think we should talk. Please contact my assistant, Patti Converse at 702-533-2691 or email her at concierge@sherIVF.com to set up an online consultation with me. Geoff Sher UNDERSTANDING RECURRENT PREGNANCY LOSS ( RPL): CAUSES AND SOLUTIONS. When it comes to reproduction, humans face challenges compared to other…