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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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31 answers

Infertility Basics

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Infertility Basics Sep 1, 2023

Unexplained infertility

Hi Dr Sher, Having heard some of your talks online, I felt reinvigorated and am now determined to find out the cause of my infertility. I am 25 years old and my husband is 29. We had been trying for… — Layla A.

Dr. Geoffrey Sher answered

Given your age and history, I would not be at all surprised if this were an implantation dysfunction (possibly immunologic). See the urticles below . In my opinion, you should delay doing another FET until there is a diagnosis. Infertility affects y 10%-15% of couples who are unable…
Infertility Basics Aug 28, 2023

Mujer

-ppost in english!Estoy operada hace 15 años con la tuvetomia y queiro tener un bebé que tratamiento podría realizar me muchas gracias — Restrepo L.

Dr. Geoffrey Sher answered

Please re-post in English! 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 Loss and Unexplained IVF…
Infertility Basics Aug 28, 2023

Getting Pregnant after IVF

Hi Dr. Sher, I got pregnant at your practice and had a healthy girl (thank you!). I finally just got my period at 7m pp but am still breastfeeding, I would like to try naturally until we are ready for… — Megan L.

Dr. Geoffrey Sher answered

In my opinion, you should wait until you discontinuous BF + 1-2 normal cycles. Proceptin can be helpful > Go to www.proceptin.com for information and to purchase. Good luck! Geoff Sher
Immunology & Implantation Aug 11, 2023

DQ Alpha testing

Dear Dr Sher, I am a 33 year old European woman currently TTC. I had my first conception success in 2022, in about 9 months period time and had a pregnancy loss before 8 weeks. Since then I was not… — Elia F.

Dr. Geoffrey Sher answered

The complete match is only a problem if in addition you have activated natural killer cells. ...see below. Geoff Shedr In the world of assisted reproduction, when IVF fails repeatedly or without explanation, it's often assumed that poor embryo quality is the main culprit. However, this view oversimplifies…
Hormones & Ovulation Aug 11, 2023

Ivf

Hello my name is James my wife and I been trying to conceive for the last year . The clinic we went said my wife would have to lose 60lbs before treatment. What is the Bmi requirements at your clinic… — James C.

Dr. Geoffrey Sher answered

Obviously women that are much overweight will have more difficulty in pregnancy. However we have no absolute BMI cut=-off requirements presently! 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…
Infertility Basics Aug 7, 2023

Fertility options

My wife was diagnoses last year with Adenomyosis after having a miscarriage, and had a DNC. We've been having trouble getting pregnant ever since, and would like to know all options. We saw this on a show, and wondering if… — Adam L.

Dr. Geoffrey Sher answered

Adenomyosis is a condition where endometrial glands develop outside the uterine lining (endometrium), within the muscular wall of the uterus (myometrium). Definitive diagnosis of adenomyosis is difficult to make. The condition should be suspected when a premenopausal woman (usually>25 years of age) presents with pelvic pain, heavy painful…
Infertility Basics Aug 1, 2023

Getting pregnant

Me and my husband been trying to Get pregnant and I want to see if I can get tested to see why I am not getting pregnant because we have been trying for months — Amber C.

Dr. Geoffrey Sher answered

After 1 year of unsuccessfully trying to have a baby, it is time to have a basic infertility evaluation. And the urgency increases the older the woman is. A: Preparatory Tests done on the woman: Tests for Ovarian Reserve: On the third day of spontaneous or progesterone withdrawal…
Infertility Basics Jul 10, 2023

Urea plasma parvum

Hello I am a 31 year old female I have two children ages 11 and 14, I don’t have any symptoms. My doc says I carry urea plasma parvum , we have tried to treat this year’s ago as they… — Fatima S.

Dr. Geoffrey Sher answered

I am no expert, but to my knowledge, the one to be concerned about is ureaplasma urealyticum. Ureaplasma urealyticum is a bacterium that belongs to the mycoplasma family. It can be detected in the reproductive tract of as many as 40% of individuals (male and female). Ureaplasma probably…
Infertility Basics Jun 22, 2023

Secondary Infertility

Hi Dr Sher I recently completed my first cycle of IVF in Australia and both FET failed. The first one in Feb was a chemical pregnancy, and the second one last month did not even detect any hcg in my… — Sahar S.

Dr. Geoffrey Sher answered

a) It is one thing for a woman who has never been able to conceive (primary infertility) to come to grips with undergoing In Vitro Fertilization. It is quite another matter for someone who has successfully achieved a pregnancy in the past having to come to terms with…
Infertility Basics Jun 12, 2023

Icsf

My daughter egg to be put in my body if I can't conceive or it might be him — Shareen B.

Dr. Geoffrey Sher answered

Sorry! I don't understand t6hge question. Please rephrase and re-post! Geoff Sher
Infertility Basics May 1, 2023

Difficulty in getting pregnant

Hello. I am a 30 years old married female. It's my third months of trying to conceive. I have regular periods and I am also tracking my ovulation. I have intercourse daily. But still I am not getting pregnant. What… — Anna A.

Dr. Geoffrey Sher answered

3 months of trying is far to early to be of concern. You should give it bat least 12 months. 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:…
Clinic & Practice Mar 20, 2023

Cancer and Fertility Testing

(I just had my friend write the below email to the info@sherinstitute.com and was then told to use this feature to connect with you. I am fluent in English but my writing skills are not up to par which is… — Oksana S.

Dr. Geoffrey Sher answered

Dear Oksana, Thank you for reaching out. I fully understand your situation as it relates to breast cancer and I empathize with you. However, in my opinion your age being 51y, virtually precludes successful IVF with your own eggs. In fact the chance of successful IVF, would be…
Hormones & Ovulation Jan 28, 2023

Laparoscopic Surgery or IVF?

I’m 31 with secondary infertility and been trying for 4 years with my husband. Three years ago I was diagnosed with hypothyroidism, hashimotos, pcos (before I was diagnosed I did 5 rounds of letrozle, and one IUI) and now endometriosis?… — Rachel B.

Dr. Geoffrey Sher answered

Unless the laparoscopy is intended to alleviate symptoms by ablating lesions, freeing pelvic adhesions or removing an ovarian endometrioma, I would NOT go that route. I would do IVF. When women with infertility due to endometriosis seek treatment, they are all too often advised to first try ovarian…
Age & Fertility Jan 7, 2023

Time between deliveries

Hello Dr Sherr, I’m 42 years old and I just had my first baby through IVF delivered through C section. How long would you recommend to wait before trying for the second baby. In my case my advanced age might… — Natalia B.

Dr. Geoffrey Sher answered

CONGRATULATIONS!! I would suggest waiting until you have stopped breast feeding and have since experienced at least 2 regular menstrual cycles. 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…
Infertility Basics Oct 30, 2022

Infertility

I’ve been trying to conceive a baby with my significant other for a couple months now and have had no luck. We’ve done everything we possibly can and nothing is working. Is it possible that if I smoke nicotine that… — Vaughn K.

Dr. Geoffrey Sher answered

Usually you would wait 1 full year before diagnosing infertility. If not pregnant by then, you would need an infertility work-up with your local doctor or call my assistant, Patti Converse (702-533-2691) and set up a consultation with me online. I don't think the use of nicotine is…

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.

31 answers

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