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.
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 1,006 questions patients have already asked, or narrow them by topic.
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Embryos & Genetic Testing
Recommendation?
Hello, I recently had my first FET ever with a PGT tested normal donor egg embryo. I had such high hopes, but it unfortunately did not stick. When my lining was checked a week before the FET, it was 8.7.… — Bree M.
Dr. Geoffrey Sher answered
Two decades ago, when women went through IVF (in vitro fertilization), they usually had their embryos put in the uterus right after the eggs were collected in the same cycle (known as "Fresh" Embryo Transfer). Freezing embryos at that time was risky, with about 30% not surviving the…
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Hormones & Ovulation
unexplained secondary infertilty
Dear Dr, my husband and I have a 5year old daughter. we have been trying to get pregnant for the last 4 years but no success so far. we visited a fertility Dr and were subjected to hormonal profile test,… — Clare A.
Dr. Geoffrey Sher answered
UNEXPLAINED” INFERTILITY: A RATIONAL APPROACH TO MANAGEMENT Infertility affects y 10%-15% of couples who are unable to conceive. In some cases, the cause of infertility cannot be determined using conventional diagnostic methods, leading to a diagnosis of "unexplained infertility." However, it is important to note that in most…
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Egg Health & Ovarian Reserve
Ivf
Hi Dr. Sher. I was about to start IVF and I was told I only have 5 follicles this cycle and that IVF will most likely fail. I was advised to do blood work again for AmH, FSH, TSH, vitamin… — Valentina W.
Dr. Geoffrey Sher answered
I would need much more information to provide a response. I suggest you call Patti Converse at 702-533-2691 and set up an online consultation with me to discuss. Geoff Sher PLEASE SHARE THIS WITH OTHERS AND HELP SPREAD THE WORD!! Herewith are online links to 2 E-books recently…
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Embryos & Genetic Testing
Double Ovidrel! dosage and low BMI
Dear Dr. Sher, I am 43 years old, and due to the high rate of aneuploidy in the previous two attempts, and following your teachings, I convinced my doctor not to use Decapeptyl in the dual trigger, but only Ovidrel… — Anne C.
Dr. Geoffrey Sher answered
I really cannot suggest how to approach your doctor on this matter! So sorry! Geoff Sher
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Fertility Preservation
IVF
I am considering the second attempt of IVF and choosing the clinic, but prior wanted to briefly get some consultancy concerning the chances for success. I live in Milan and last year made an attempt of egg freezing at IVI… — Ella B.
Dr. Geoffrey Sher answered
Respectfully, Freezing eggs in a woman of your age (regardless of ovarian reserve), yields very disappointing results. It is far better to fertilize the eggs, take them to blastocyst and to biopsy those that make it to that stage by no later than day 6...and do PGS/PGT to…
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Hormones & Ovulation
Failed ivf cycle
Hello doctor; i am 32 yo female, amh 1.59 ng/ml. Partner 32 years old with varicocele, 0 morphology and very low count. (Impossible to check for dna fragmentation) I am Insulin resistant, on metformin 750 for 5 months now with… — Nino K.
Dr. Geoffrey Sher answered
There clearly is both male factor infertility and diminished ovarian reserve (DOR). Both issues need to be thoroughly evaluated and addressed. The cause of the male factor will need further testing and the DOR requires a very individualized approach to ovarian stimulation...(see below). I strongly suggest that you…
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Embryos & Genetic Testing
High testosterone and repeat chemical pregnancies
Hi Dr. Sher, I heard you on an episode of the Egg Whisperer. I have high testosterone from PCOS and have had one implantation failure and two chemical pregnancies. Could the high testosterone be the cause? My embryos were not… — Allison B.
Dr. Geoffrey Sher answered
Navigating Polycystic Ovary Syndrome: Understanding, Hope, and Treatment Understanding the intricate interplay of hormones and the impact on egg development empowers us to create personalized protocols, offering hope for improved egg quality and ultimately optimizing the chances of successful IVF for women with PCOS. Polycystic ovary syndrome (PCOS)…
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Hormones & Ovulation
Exceso flujo vaginal
Hola! Estuve el mes pasado con puregon 75mm pero por una variación de prolactina hemos tenido que dejar el proceso de inseminación. Desde hace tres semanas he tenido un incremento de flujo vaginal y no puedo estar sin salvaslip. No… — Rebecca A.
Dr. Geoffrey Sher answered
Please re-post in English! Geoff Sher
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Egg Health & Ovarian Reserve
Human growth hormone dosage
Dear Dr. Sher, What is the ideal daily dosage for Omnitrope? Thanks for your kind and expert guidance, A.C. — Anne C.
Dr. Geoffrey Sher answered
There is no uniformity here. A dosage ranging from 8U per day to 20U per day is probably fine. I start the omnitrope with ovarian stimulation and discontinue on the day of the "trigger". Geoff Sher IVF and the use of Supplementary Human Growth Hormone (HGH) : Is…
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Early Pregnancy & hCG
withdrawal bleeding during estrogen and progesteron supplementation a week after FET
Dear Dr.Sher. I am an ENT doctor from Europe. I am diagnosed with PCOS and I have amenorrhea and no ovulation at all. One year ago my fertility doctor prescribed me Letrozol, because I wanted to conceive. Not only that… — Maria K.
Dr. Geoffrey Sher answered
It could be an implantation dysfunction due to another thin endometrium (endometrial insufficiency, Back in 1989, I conducted a study that examined how the thickness of a woman's uterine lining, known as the endometrium, affected the successful implantation of embryos in IVF patients. The study revealed that when…
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Hormones & Ovulation
Ovidrel dosage on low BMI
Dear Dr. Sher, I am low BMI. Should I do 500mcg hCGr for trigger or is 250mcg enough? Thanks again for all the help, A.C. — Anne C.
Dr. Geoffrey Sher answered
500mcg Ovidrel! Geoff Sher PLEASE SHARE THIS WITH OTHERS AND HELP SPREAD THE WORD!! Herewith are online links to 2 E-books recently co-authored with my partner at SFS-NY (Drew Tortoriello MD)....... for your reading pleasure: 1. From In Vitro Fertilization to Family: A Journey with Sher Fertility Solutions…
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Egg Health & Ovarian Reserve
preparation for ivf
Dear Dr. George I am a 36-year-old female struggling with fertility issues and preparing for IVF. My recent tests have shown an AMH level of 5 pmol/L in UK units, indicating possible low ovarian reserve. I typically experience late ovulation… — Maria S.
Dr. Geoffrey Sher answered
WHY DID MY IVF FAIL: HOW CAN I OPTIMIZE THE CHANCE OF SUCCEEDING NEXT TIME ROUND Geoffrey Sher MD If you've undergone in vitro fertilization (IVF) and didn't achieve a successful pregnancy, you may be wondering why. It's important to know that IVF outcomes can be unpredictable, but…
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Age & Fertility
IVF
This question is about reciprocal IVF. Im 21 and my wife is 58. She hasn’t reached menopause and I have irregular periods. I was diagnosed with infertility at a young age after a miscarriage. Who would you recommend to use… — Mikayla H.
Dr. Geoffrey Sher answered
Youn could do so, but I must caution you that there would be significant medical risk in a woman of 58Y carrying a pregnancy. Geoff Sher ++++++++++++++++++++++++++++++++++++++++++++++++ PLEASE SHARE THIS WITH OTHERS AND HELP SPREAD THE WORD!! Herewith are online links to 2 E-books recently co-authored with my…
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Hormones & Ovulation
Repeated Miscarriage
Hi Dr. Sher, Thanks so much for taking the time to read and answer our questions, and for the valuable resources on your site. I have PCOS and have had 4 losses, no live births yet. Each miscarriage at a… — Irma M.
Dr. Geoffrey Sher answered
When it comes to reproduction, humans face challenges compared to other mammals. A significant number of fertilized eggs in humans do not result in live births, with up to 75% failing to develop, and around 30% of pregnancies ending within the first 10 weeks (first trimester). Recurrent pregnancy…