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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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Egg Health & Ovarian Reserve Aug 12, 2024

Transfer at age 45

Hello, Im am 45 . We have male factor infertility and in 2012 we got pregnant on our first try with a non medicated IUI using donor sperm. I had a healthy baby boy via C section. He is 11.5… — Emily B.

Dr. Geoffrey Sher answered

You clearly have diminished ovarian reserve. This in conjunction with your age (45y) makes the chance of successful pregnancy using your own eggs, very improbable. You actually need IVF with egg donation. Also, IUI has less than a 1:80 chance of success for you. If in spite of…
Egg Health & Ovarian Reserve Aug 12, 2024

Protocol

Hi, I am 44 with an Amh between 2.3 and 3 ng/ml, we had failed Icsis but always blastocysts. Would you also recommend the protocol you normally describe here or at the egg whisperer podcast in my case? Last year… — M M.

Dr. Geoffrey Sher answered

Your normal AMH at 44y comes as a surprise but that is decidedly in your favor. However, independently, age impacts egg "competency" and it is the egg (rather than the sperm that is most important in propagating normal "competent" embryos. Age should never be a barrier to hope…
Egg Health & Ovarian Reserve Jul 22, 2024

Ivf low responder

Dear Dr. Sher, I am in my late 30s and have an amh of 0,3. My period is very regular with regular ovulation (day 11 to 13) and I do not have any problems in the luteal phase like spotting.… — Sandra W.

Dr. Geoffrey Sher answered

I think I can help here! Please see my repose to your 2nd post...Same recommendation applies...We should talk. Geoff Sher
Hormones & Ovulation Jun 19, 2024

infertility questions

Hi Dr. Sher, First off thank you for what you do & all of the valued information you provide people. Good information is hard to find on infertility. Here is my scenario: I am currently 39 y/o Female and my… — Holly B.

Dr. Geoffrey Sher answered

Hi Holy, Thank you for that detailed letter. I really would need to talk to you after receiving all relevant information. It does sound as if a male factor might be involved but I cannot vouch for this without more detail. It is possible (in spite of US…
Male Infertility May 24, 2024

sperm donation

Hello, I am 19 years old and I would like to donate sperm and I was wondering how much they paid per donation. — Billy R.

Dr. Geoffrey Sher answered

Sorry! I do not know. I suggest you call a sperm bank! Geoff Sher
Embryos & Genetic Testing Apr 10, 2024

Frozen Donor eggs and no blastocysts

Dear Dr. Sher, Im 37 years old with long story of 15 natural chemical pregnancies and after one ovarian stimulation with my oen eggs but with no blastocysts in October 2023 I decided to go through frozen donor eggs from… — Ola C.

Dr. Geoffrey Sher answered

I think we should talk. Please call my assistant, Patti Converse (702-533-2691) and set up an online consultation with me to discuss in depth. UNDERSTANDING RECURRENT PREGNANCY LOSS ( RPL): CAUSES AND SOLUTIONS. When it comes to reproduction, humans face challenges compared to other mammals. A significant number…
Male Infertility Jan 5, 2024

Non obstructive Azoospermia case

Me and my wife are looking to have an IVF/ICSI cycle. I have a severe non-obstructive azoospermia, I did a micro-tese procedure and they were able to find one good sperm which after that they froze the tissue extracted for… — Ridi D.

Dr. Geoffrey Sher answered

We have the required resources to do this. Geoff Sher 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) ; http://sherfertilitysolutions.com/sher-fertility-solutions-ebook.pdf Recurrent Pregnancy…
Embryos & Genetic Testing Dec 5, 2023

Secondary Infertility

Hi Dr Sher Ive watched the egg whisper Dr aimee talk to you about implantation failure and I wanted to ask you your advice, I messaged you a few years ago and was very grateful for your response and advice,… — Ayesha A.

Dr. Geoffrey Sher answered

I am so happy that you ultimately succeeded. But now you do have the biological clock working against your egg/embryo quality. The most important determinant is no doubt the issue of egg/embryo quality. Here,age, ovarian reserve and your husband's sperm dysfunction all are the most important operative variables.…
Egg Health & Ovarian Reserve Nov 30, 2023

Hipogonadismo hipogonadotrópico

Buenas tardes tras azoospermia y un mes tomando citrato de clomifeno por tener la lsh fsh y testosterona baja me he realizado una analitica y han subido los tres parametros, ¿ eso quiere decir que el seminograba mejorara? Gracias un… — Danie L.

Dr. Geoffrey Sher answered

Please post your inquiry in English! 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…
Immunology & Implantation Nov 17, 2023

APS diagnosis, 1 successful FET, 3 failed FETs

Hi Dr. Sher, I'm here because, like many women who come to you, I have had multiple failed FETs. I did IVF back in 2017 due to male Factor infertility, azoospermia. I was 30 years old and my embryos were… — Kimberly N.

Dr. Geoffrey Sher answered

This very much sounds like an 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 recurring pregnancy losses or underlying issues with the uterus, such as endo-uterine surface lesions, thin…
Male Infertility Oct 5, 2023

Sperm Sample for IVF- Fresh or Frozen after fever?

Hello, My wife and I are about to undergo an egg donor cycle for IVF. Im 40 years old, healthy weight, non-smoker, and have undergone a semen analysis and all the parameters are normal (75x10^6 concentration, 62% motile, 6% normal… — Mark S.

Dr. Geoffrey Sher answered

Since you have no fertility issues and your sperm parameters are normal, provided proper protocol was followed, your back-up specimen should be fine for fertilization in-vitro. Good luck! Geoff Sher Herewith are online links to 2 E-books recently co-authored with my partner at SFS-NY (Drew Tortoriello MD)....... for…
Embryos & Genetic Testing Sep 25, 2023

What is left to try?

Hello, I’m at 38 year old, female with low ovarian reserve and type 1 diabetes. My partner has male infertility, requiring tese. We had a successful IVF pregnancy with a day 3 embryo in 2018. For the last two years… — Alexa A.

Dr. Geoffrey Sher answered

We need to talk. 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…
Male Infertility Jul 22, 2023

Can I use my daughters eggs?

My question is I want to have another baby, can I use my daughters eggs and someone else’s sperm to have a baby? — Sheila F.

Dr. Geoffrey Sher answered

Provided strict criteria are applied...yes, you could use your daughter's eggs. Geoff Sher 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) ;…
Male Infertility Jul 9, 2023

TESE

My nephew is in ICU with brain injury due to an accident and his wife wants to collect sperm for future IVF .He is in Las Vegas but unconscious . Do you know if you can help with that or… — Evelina I.

Dr. Geoffrey Sher answered

Thank you! I suggest you reach out to Dr Jeffrey Fisch in Henderson, Nevada! Geoff Sher
Embryos & Genetic Testing Jun 14, 2023

IVF

Hi, I'm 33, ttc for 2.5 years and no joy. Progressive sperm — Maggie C.

Dr. Geoffrey Sher answered

think we should talk. Please call my assistant, Patti Converse (702-533-2691) and set up ,an online consultation to discuss. Geoff Sher ADDITIONAL INFORMATION: I am attaching online links to two E-books which I recently co-authored with my partner at SFS-NY (Drew Tortoriello MD)....... for your reading pleasure: 1.From…

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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