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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. Age & Fertility

    Ivf at 44

    Hello I’m contacting you to see if you offer ivf to age 44 to use my own eggs with my husband sperm. We are not having success with our current clinic. Please let us know. We live in Nebraska and… — Dana D.

    Dr. Geoffrey Sher answered

    Understanding the impact of age and ovarian reserve on the success of in vitro fertilization (IVF) is crucial when it comes to reproductive health. This article aims to simplify and clarify these concepts, emphasizing their significance in the selection of ovarian stimulation protocols for IVF. By providing you…

  2. Age & Fertility

    Recommendation for Fertility Doctors in Cape Town

    Hi Dr Sher, my name is Lindsay Tame. I recently heard you on a podcast and immediately recognized the South African accent. Im 42 years old and have done 3x IUI at Cape Fertility with Dr le Roux, 2x full… — Lindsay T.

    Dr. Geoffrey Sher answered

    Perhaps we should talk. I suggest that you call my assistant, Patti Conve3rse (702-533-2691 and zset up an online consultation with me to discuss. ADDRESSING ADVANCING AGE AND DIMINISHING OVARIAN RESERVE (DOR) IN IVF Understanding the impact of age and ovarian reserve on the success of in vitro…

  3. Clinic & Practice

    Semen Analysis

    Hi Dr.Sher, This is Yiding, reffered by Gardenobgyn for semen analysis. May I make a appointment and let me know the email address which I can send my Info (ID, referral, insurance) to? thanks. — Yiding X.

    Dr. Geoffrey Sher answered

    Please email Dr Sitara Ravikumar in NY at sitara.ravikumar@gmail.com. She will provide you with this information. Geoff Sher

  4. Egg Health & Ovarian Reserve

    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…

  5. Egg Health & Ovarian Reserve

    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…

  6. Egg Health & Ovarian Reserve

    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

  7. Male Infertility

    Espermatozoides

    Valores de espermatozoides Cantidad de pago Explícame mejor — Diego O.

    Dr. Drew Tortoriello 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…

  8. Hormones & Ovulation

    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…

  9. Male Infertility

    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

  10. Male Infertility

    Fertilyty

    Quiero donar mi esperma — Juan L.

    Dr. Drew Tortoriello answered

    Please repost in English!

  11. Embryos & Genetic Testing

    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…

  12. Male Infertility

    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…

  13. Embryos & Genetic Testing

    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.…

  14. Egg Health & Ovarian Reserve

    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…

  15. Immunology & Implantation

    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…

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