Fertility Preservation
Bloodwork.
Hi there! Do you do an HIV test before egg freezing? — Giorgi P.
Dr. Geoffrey Sher answered
YES!
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.
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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
Search 1,010 questions patients have already asked, or narrow them by topic.
Latest answers
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Age & Fertility
IVF at 51
I am a 51 year old woman who has had one child years ago. I have never gotten pregnant again. I am still getting my menstrual cycles, and want to know if IVF could be a possibility for me. Do… — Latisha S.
Dr. Geoffrey Sher answered
Unfortunately, the only hope for you is IVF with egg donation THE GIFT OF POSSIBILITY: FRESH DONOR EGGS, EGG BANKING, AND THE NEW ERA OF FAMILY BUILDING A Revolution in Reproductive Medicine Few developments in reproductive medicine have changed the lives of infertile women and couples as profoundly…
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Uterine & Endometrial Health
Sclerotherapy for endometromas
Hello, I have had multiple endometriosis excision surgeries with my stage 4 endo. I’ve remove my appendix and both fallopian tubes as a result . I am 33 years and and have been trying with IUI and IVF since 2022… — Anna P.
Dr. Geoffrey Sher answered
Here is an article I wrote on sclerotherapy, a procedure I pioneered >15 years ago. We should tal. Please email Patti , my asistant at cocierge@sherivf.com and she can arrange for us to have an online consultation to discuss. Addressing Ovarian Endometriotic Cysts, and Fertility A Simpler, Safer…
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Ovarian Stimulation & OHSS
BCP
Dear Dr. On day 24 of cycle, ultrasound before starting IVF was found a 22 mm ovarian cyst and decided to postpone stimulation. The plan is to take one bcp daily for 21 days, followed by a 7-day break, then… — Ola C.
Dr. Geoffrey Sher answered
No! If used correctly, the BCP should not suppress your response. Good luck! Geoff Sher
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Clinic & Practice
Moving embryo
Hi! We are moving to NYC in a couple months and we have an embryo stored at UTSW in Dallas. What is the procedure to move the embryo to your clinic? Thanks! P.S. This Form Doesn't allow spaces. — Aliya P.
Dr. Geoffrey Sher answered
Absolutely you can! Please call my assistant, Patti at 702-533-2691 and she will set you on the right course. Good luck with the move! Geoff Sher
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Egg Health & Ovarian Reserve
Hashimotos DOR- Protocol
Hello Dr, I’m 37 years old and have Hashimotos and Diminished ovarian reserve what t protocol would you recommend for me — Emoata O.
Dr. Geoffrey Sher answered
Here is some informaion on the effect of Hashimoto's on embryo implantation. Unfortunately I would need a lot more information to recommend a protocol for you. I suggest you contact Patti at concierge@sherIVF.com and set up an online consultation to talk it through with me. Geoff Sher Thyroid…
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Uterine & Endometrial Health
Failed two transfers
Hello, my question is is there anything that the IVF clinic can do differently? I am a surrogate. I’ve had two healthy pregnancies of my own no issues no fibroids polyps or scar tissue had all the HST, saline sonogram… — Duneeta G.
Dr. Geoffrey Sher answered
I understand your confusion, but if you intend to do surrogacy again, it is important that you be evaluated for an implantation disorder. If you would like to consult with me on this , I suggest you email my assistant, Patti Converse (concierge@sherIVF.com) and set up an online…
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IVF Failure & Pregnancy Loss
Infertilty
Obstruction — Tahir E.
Dr. Drew Tortoriello answered
Herewith are online links to 2 E-books recently co-authored with my partner at SFS-NY (Drew Tortoriello MD)....... for your reading pleasure: From In Vitro Fertilization to Family: A Journey with Sher Fertility Solutions (SFS) ; https://sherfertilitysolutions.com/sher-fertility-solutions-ebook.pdf Recurrent Pregnancy Loss and Unexplained IVF Failure: The Immunologic Link ;https://drive.google.com/file/d/1iYKz-EkAjMqwMa1ZcufIloRdxnAfDH8L/view If…
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Clinic & Practice
Fertility endo patient
Would like to schedule a consultation — Elizabeth S.
Dr. Drew Tortoriello answered
Herewith are online links to 2 E-books recently co-authored with my partner at SFS-NY (Drew Tortoriello MD)....... for your reading pleasure: From In Vitro Fertilization to Family: A Journey with Sher Fertility Solutions (SFS) ; https://sherfertilitysolutions.com/sher-fertility-solutions-ebook.pdf Recurrent Pregnancy Loss and Unexplained IVF Failure: The Immunologic Link ;https://drive.google.com/file/d/1iYKz-EkAjMqwMa1ZcufIloRdxnAfDH8L/view If…
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Embryos & Genetic Testing
Risky transfer for embryos
Hello, Is there a possibility to transfer embryos with the following profile? A1 05/29/2022 Complex Abnormal - Triploid XXY Abnormal A2 05/29/2022 45,XY,-8 Abnormal A3 05/29/2022 Complex Abnormal - Triploid XXY Abnormal We are willing to try, thank you — Simmona A.
Dr. Geoffrey Sher answered
I am afraid it is not a good idea. But perhaps I can help determine if anything can be done to access better embryos for you. Herewith are online links to 2 E-books recently co-authored with my partner at SFS-NY (Drew Tortoriello MD)....... for your reading pleasure: From…
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Immunology & Implantation
Intralipid/IVIG
Do you administer Intralipid/IVIG even if I’m a patient of another fertility clinic? — María P.
Dr. Geoffrey Sher answered
Absolutely, we do Unlocking the potential of intralipid therapy in IVF: a revolutionary approach to enhancing Implantation Intralipid (IL) is not just any solution; it’s a medical marvel. Picture this: tiny droplets of lipid, similar to what you’d find in soybean oil and egg yolks, floating in water.…
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Ovarian Stimulation & OHSS
AACEP protocol-consultant recomendation in London
Dear Dr Sher, I have read your paper on the AACEP protocol and as a 42 year old poor responder about to start my 10th IVF cycle (3 of which being dual stimulation cycles) I was very interested in trying… — Beatriz J.
Dr. Geoffrey Sher answered
USorry! I do not have anyone I could refer you to. Geoff Sher 702-533-2691
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Uterine & Endometrial Health
Case of Adenomyosis and Deep Pelvic Endometriosis
I am a 42 year old woman and never been pregnant. I had a failed frozen embryo transfer in December 2025. Two embryos (low quality) were transferred, and the egg retrieval and ICSI were done in May 2024. I froze… — Keji O.
Dr. Geoffrey Sher answered
If you are interested in talking with me, please reach out tp Patti (702-533-2691 and she will set you up with an online consultation with me.....Here is a recent article I wrote...FYI. Endometriosis and infertility : A Practical, Real-World Guide to Smart, Evidence-Based Treatment Decisions Geoffrey Sher, MD…
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IVF Failure & Pregnancy Loss
reoccurring miscarriage
Progesterone levels aren’t high enough to support my pregnancies. What do i do? — Aslinn N.
Dr. Geoffrey Sher answered
We would need to talk. However there is much more to RPL than low progesterone levels. The latter is often the result of a failing trophoblast (embryo root system)...not the cause of it. If you would like to talk to me about the specifics of your case, please…
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IVF Failure & Pregnancy Loss
RIF
I’ve had multiple frozen embryo transfers with no implantation - 4. I’d like an online consultation with Dr. Sher to review my history and get a personalized plan. — Monica J.
Dr. Geoffrey Sher answered
I invite you to contact my Office Manager, Patti Converse (702-533-2691 and set up an online consultation with me. Geoff Sher IMPLANTATION DYSFUNCTION Implantation dysfunction is often overlooked as a significant reason for IVF failure. This is especially true when IVF failure is unexplained, or when there are…