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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 1,006 questions patients have already asked, or narrow them by topic.

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  1. Egg Health & Ovarian Reserve

    Follicular cyst and FSH stimulation

    Dear Dr. Sher, I am 43 years old and am trying for the last time, after five unsuccessful attempts (I have reached the euploid stage before). This time I have 9 antral follicles, but I also have a follicular cyst.… — Anne C.

    Dr. Geoffrey Sher answered

    I see no reason not to proceed with the cycle! 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…

  2. Third-Party Reproduction

    Donar ovulos

    Quisiera saber cómo puedo hacer para donar mis óvulos Y si califico para ello — Yoannys V.

    Dr. Geoffrey Sher answered

    Please re-post in English! Geoff Sher

  3. Uterine & Endometrial Health

    Thin endometrium luteal phase

    Dear Dr. Sher, Thanks for creating this forum, I really appreciate. My periods are lighter since I gave birth to my daughter 8 months ago (no breastfeeding). My endometrium measured 9.3 mm the day before ovulation, 8.6 mm 2 days… — Alina D.

    Dr. Geoffrey Sher answered

    It is the thickness of the endometrium pre-ovulation that matters. Good luck! Geoff Sher 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…

  4. Early Pregnancy & hCG

    Hernandez

    Yo estoy esterilizada pero qué será saber si puedo salir embarazada Se si hay alguna oportunidad para poderlo hacer — Yohanna E.

    Dr. Geoffrey Sher answered

    Please Repost in English! Geoff Sher

  5. Ovarian Stimulation & OHSS

    Irresponsive endometrium after Lupron

    Hi Dr Geoffrey, I’ve been dealing with fertility issues for years (endometriosis, fibroids) and last year, after two unsuccessful embryo transfers (of genetically normal embryos), I decided to have a laparoscopy surgery to treat the endometriosis and remove the intramural… — Carolina G.

    Dr. Geoffrey Sher answered

    Asherman Syndrome is a medical condition characterized by severe intrauterine adhesions, also known as synechiae. These adhesions can cause significant damage to the basal layer of the endometrium, the part of the uterus responsible for developing the uterine lining (endometrium) under the influence of hormones like estrogen and…

  6. Embryos & Genetic Testing

    Failed donor embryo FET

    Hi there, I hope you are well. I had failed pgs tested 3AA embryo donation. Era receptive microbiom recently tested lactobacillus — Private

    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…

  7. Third-Party Reproduction

    Ovó donación

    Ovó donación tengo 51 años y pérdidas recurrente incluso con ovó donación — Aracely O.

    Dr. Geoffrey Sher answered

    Please re-post this question in English! If you are interested in having an online consultation with me, please contact my assistant Patti Converse at 702-533-2691 or email her at concierge@sherivf.com Geoff Sher

  8. IVF Failure & Pregnancy Loss

    Next Steps

    aI am a 36 y.o. female with PCOS. I have had 2 miscarriages at 6 weeks (1 from an IVF transfer recently and 1 from letrozole round several years ago) , and 2 failed IVF transfers that failed to implant.… — Christy L.

    Dr. Geoffrey Sher answered

    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 uterine lining (endometrium), or immunological factors. IVF success…

  9. IVF Failure & Pregnancy Loss

    Recurrent Implantation Failure

    Hello! I am a 24 y.o. female, Gravida 0, AMH 0.2-0.8, four failed IUI’s, and now 4 failed transfers with 5 embryos never implanting. I’ve done two ERA’s (both postreceptive at 96 and 72 hours) but we’ve ignored these results… — Delaney D.

    Dr. Geoffrey Sher answered

    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 uterine lining (endometrium), or immunological factors. IVF success…

  10. Egg Health & Ovarian Reserve

    Egg Retrieval with Immature Eggs

    I got 29 eggs during my egg retrieval but was told that only 5 were mature. I am trying to understand why my maturity rate was so low. I triggered when 10+ follicles were at 20mm, and many at 18mm.… — Stephanie T.

    Dr. Geoffrey Sher answered

    Embarking on the journey of IVF often raises questions about the likelihood of success and the quality of embryos. While it’s challenging to predict outcomes due to various factors, there’s hope and information to guide you. Firstly, the key to fertilization potential lies in the chromosomal integrity of…

  11. IVF Failure & Pregnancy Loss

    Ivf

    Dr am 44 had a miscarriage in October naturally without ivf thinking of starting ivf last period was January 21 until date no flow and am not pregnant your advice pls and thxs — Vera E.

    Dr. Geoffrey Sher answered

    _ Age should never be a barrier to hope and fulfillment when it comes to IVF. Many women in their early to mid-40s are successfully having IVF babies using their own eggs, especially if they have a good number of eggs left in their ovaries. However, for women…

  12. Egg Health & Ovarian Reserve

    Low Amh

    Hello doctor , I’m 33yrs old ….AMH came back .56 and progesterone on day 3 was 16.6 and I had chemical pregnancy in 2020….i don’t have kids and I’m not going to have any kids naturally …so even ivf is… — A C.

    Dr. Geoffrey Sher answered

    The AMH is NOT too low for IVF. In fact IVF is indicated but the protocol used for ovarian stimulation must be tailored. 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…

  13. Ovarian Stimulation & OHSS

    What is the likelihood of my pregnancy succeeding

    I had my first blood test done my levels are around 57 and they couldnt see anything on an ultrasound they had me wait 4 days to do repeat testing and my numbers are only at 71 — Shelby N.

    Dr. Geoffrey Sher answered

    This is a slow rise and the likelihood is that the pregnancy will not survive! However, repeat th hCG test in 2 days to see if it doubles as it should. So sorry! Going through IVF is a major investment, emotionally, physically, and financially, for every patient or…

  14. Egg Health & Ovarian Reserve

    IVF consultation

    1.3, 2.1cm Trigger was 10000 IU Gonasi HP (hCG) and on day 11. Only 1 mature egg was retrieved, and fertilised using ICSI. My day 3 update is a slow growing embryo of 3 cells with some fragmentation. I don't… — Vessie V.

    Dr. Geoffrey Sher answered

    "Empowering Choices: Embryo Banking vs. Egg Banking for Fertility Preservation" It's crucial for women to make informed decisions about preserving their fertility. Delaying trying to conceive, relying on egg freezing, or assuming the biological clock can be paused are misconceptions. As women age, egg quality declines, affecting the…

  15. Egg Health & Ovarian Reserve

    Stimulation Protocol for Severe DOR

    I'm 40 about to turn 41 with what's been described as severe DOR, amh is dropping fast. 2 years ago it was .22, last april .08 and this past test (after my stimulation complications) it's now .03. Last year I… — Private

    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…

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