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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 1,017 questions patients have already asked, or narrow them by topic.

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  1. IVF Failure & Pregnancy Loss

    failed ivf

    i'm 40 years old,my AHM is 0.89. i was undergoing an ivf which failed. they got 6 eggs,5 mature,i embryo was slowly groing ending up not sticking after transfering. later the doctir told me they examined my eggs and came… — Tammy S.

    Dr. Geoffrey Sher answered

    It is primarily the egg (rather than the sperm) that determines the chromosomal integrity (karyotype) of the embryo, the most important determinant of egg/embryo competency”. A “competent” egg is therefore one that has a normal karyotype and has the best potential to propagate a “competent” embryo. In turn,…

  2. Hormones & Ovulation

    Hoshimoto’s question

    Dear Dr. Sher, I've been following your comments for years. Thanks for the info. on 2 shots of Ovidrel. I'm interested in what you say here about Hoshimoto's and what you call "Immunologic Implantation Dysfunction." You mention that 50% of… — Katharine C.

    Dr. Geoffrey Sher answered

    I published on this 25y ago. Sher G, Maassarani G, Zouves C, Feinman M, Sohn S, Matzner W, Chong P, Ching W. "The use of Combined Heparin/Aspirin and Immunoglobulin G. Therapy in the Treatment of IVF Patients with Antithyroid Antibodies" Am J Repr Immunol, 1998; 39:223-5.

  3. Egg Health & Ovarian Reserve

    No normal embroys

    Hi Dr. Sher, I am asking this question after first egg retrieval. I am 40 years old, first time doing this IVF. I saw about 23 follicles during ultrasound and was on 21 days lupron protocol ended with 20 eggs,… — Esther L.

    Dr. Geoffrey Sher answered

    The importance of the IVF stimulation protocol on egg/embryo quality cannot be overstated. This factor seems often to be overlooked or discounted by t IVF practitioners who use a “one-size-fits-all” approach to ovarian stimulation. My experience is that the use of individualized/customized COS protocols can greatly improve IVF…

  4. Embryos & Genetic Testing

    I need your advice. I have had two failed embryo transfers

    I need your advice. I have had two failed embryo transfers. I had my embryos PGT tested and they were normal and very high-quality embryos. I am 37 years old with no underlining health conditions. But maternal history of endometriosis.… — Vanessa A.

    Dr. Geoffrey Sher answered

    antibodies (APA) that can compromise development of the embryo’s root system (trophoblast). In addition and far more serious, is the fact that in about one third of cases endometriosis, regardless of its severity is associated with NKa and cytotoxic uterine lymphocytes (CTL) which can seriously jeopardize implantation. This…

  5. Egg Health & Ovarian Reserve

    I would like to ask you about DUO stim protocol for women with DOR

    Dear Dr. Sher, I would like to ask you about DUO stim protocol for women with DOR. Is it OK to have double stim within the same menstruation cycle? I have DOR, endometriosis stage 1, MTHFR, 35 yrs old and… — Ola

    Dr. Geoffrey Sher answered

    Respectfully, I am not a protagonist of Duo-stimulations. In my opinion it can compromise follicle development as well a jeopardize egg/embryo “competency”. Geoff Sher

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