– Geoffrey Sher, MD
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IVF Failure & Pregnancy Loss
Pleaze call [phone number removed] — Charlotte L.
Dr. Geoffrey Sher answered
I suggest you call my assistant, Patti Converse at 702-533-2691 and set up an online consultation with me to discuss. Geoff Sher 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,…
Embryos & Genetic Testing
Hello Dr. Sher, I just watched a video of your interview with Dr. Aimee regarding RIF. I am age 36 with 5 failed to implant IUI's and 2 IVF retrievals with donor sperm. Prior to now I never tried to… — Michelle D.
Dr. Geoffrey Sher answered
ADDRESSING DIMINISHING OVARIAN RESERVE (DOR) IN IVF Understanding the impact of 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…
Early Pregnancy & hCG
I had my first HCG quantitative blood test done yesterday, measured at 22mlU. I decided to have another test done today at another laboratory and it was 21mlU over a 24 hr period. Should I be concerned? Does a 1ml… — Amy L.
Dr. Geoffrey Sher answered
Sadly it is concerning. I suggest suggest you repeat it in 2 days to make sure....It should at least double. Going through IVF is a major investment, emotionally, physically, and financially, for every patient or couple. One of the most crucial moments is receiving the result of the…
Immunology & Implantation
Dr sher In the past 2 years I have had 2 mmc one at 6 weeks and one at 9 weeks. The products were tested of the 9 week one it was genetically normal. After that I have had 3… — Tara B.
Dr. Geoffrey Sher answered
Having done the tests you describe has no real merit if they were not done at one of about 4 Reproductive Immunology Laboratories in Th US that can do these tests with optimal specificity and sensitivity. We need to talk! I invite you to contact my assistant, Patti…
IVF Failure & Pregnancy Loss
Can letrozol and omega3 take together during period — Bamikole O.
Dr. Geoffrey Sher answered
Yes! 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: From In Vitro Fertilization to Family: A Journey with Sher Fertility Solutions (SFS) ;…
Ovarian Stimulation & OHSS
Dear Dr. Sher, Do very thin women with low BMI still need the Ovidrel double dosage? (250x2) Thank in advance for the guidance, Anne — Anne C.
Dr. Geoffrey Sher answered
Perhaps not but since it will do no harm..."Rather safe than sorry". So yes, I would still "trigger with 500mcg Ovidrel. Geoff Sher
Age & Fertility
Dear Dr Sher, I’d like some advice regarding protocol choice for what will be my 4th IVF-ICSI cycle. I am in the UK. I have no medical problems, but I do have a BMI of 33 (prev 43), I have… — Elizabeth T.
Dr. Geoffrey Sher answered
WE really should talk. If interested, please call my assistant, Patti Converse (702-533-2691) and set up an online consultation with me. In the interim, please review the articles below. GS Overcoming Age Barriers in IVF and Embracing New Pathways to Parenthood: Unlocking the Possibilities. Age should never be…
Embryos & Genetic Testing
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
Embryos & Genetic Testing
Hello Dr. Sher at my current clinic I have gone through 4 transfers with PGT-A normal embryos. My first transfer resulted in a chemical pregnancy, but the following transfers did not implant at all. The tests I have done are… — Ashley P.
Dr. Geoffrey Sher answered
In my opinion this is almost certainly an implantation dysfunction. Bear in mind that in 30% of cases, endometriosis is associated with an immunologic implantation dysfunction. Implantation dysfunction is often overlooked as a significant reason for IVF failure. This is especially true when IVF failure is unexplained, or…
Fertility Preservation
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…
Buenas noches has comprado hoy el tratamiento y el día 4 del mes que viene es el primer día de la regla. Cuando tenía que tomarlo empieza hoy o después del día 4 ?
Dr. Geoffrey Sher answered
Please post in English! Geoff Sher
Egg Health & Ovarian Reserve
Hi Dr. Sher, I'm 32 and am a Fragile X premutation carrier (90 repeats) with diminished ovarian reserve (AMH 0.44, on whatever scale the US uses). I just did my first stim cycle starting birth control on day 2 of… — Caitlin F.
Dr. Geoffrey Sher answered
Respectfully, In my opinion what you were on was a "microflare" protocol. I suspect that this might have been a factor. We should talk. I suggest that you contact my assistant, Patti Converse at 702-533-2691 and set up an online consultation with me to discuss in depth. EGG/…
Early Pregnancy & hCG
My beta HCG results is 4,284. Is it positive? — Nikki N.
Dr. Geoffrey Sher answered
Yes indeed! Going through IVF is a major investment, emotionally, physically, and financially, for every patient or couple. One of the most crucial moments is receiving the result of the blood test for human chorionic gonadotropin (hCG) pregnancy. It's a big deal! The days after the embryo transfer,…
Third-Party Reproduction
Hello, I am 35 years old. I want to know if I can be a donor and I am linked. — Luisana S.
Dr. Geoffrey Sher answered
Yes indeed you can. Here is a phone # that you can call for more information (Ask for Rozanne) 702-860-0097) Geoff Sher IVF WITH EGG DONATION: A REVIEW Introduction: Egg donation is when a woman donates her eggs for assisted reproduction or research purposes. In assisted reproduction, it…
Uterine & Endometrial Health
Hello! I hope i will hear back from you. I was 24 years old during my first ivf. We’ve retrieved 11 oocyte and all of them were immature. During second ivf 6 oocyte 3rd ivf, (long protocol) retrieved 9 oocyte,… — Jesica S.
Dr. Geoffrey Sher answered
I respectfully differ. In my opinion, unless you still have sizable endometriotic cysts (endometriomas) in your ovaries or you have significantly reduced ovarian reserve, I doubt that the endometriosis itself explains your poor egg/embryo quality. Given your young age, I suspect that the protocol used for ovarian stimulation…
