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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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Answers from our doctors

Search 1,017 questions patients have already asked, or narrow them by topic.

Latest answers

Page 22 of 68

  1. IVF Failure & Pregnancy Loss

    I need help with ivf

    Hi . I try ivf I don’t get pregnant :( I want baby but I can’t pay a lot money I don’t have :( I need help plz — Ikhlas D.

    Dr. Geoffrey Sher answered

    If you've undergone in vitro fertilization (IVF) and didn't achieve a successful pregnancy, you may be wondering why. It's important to know that IVF outcomes can be unpredictable, but there are factors that can affect your chances. Let's explore some common reasons for IVF failure in simpler terms.…

  2. Egg Health & Ovarian Reserve

    Best protocol for DOR patient in need of uniform follicles

    Hello, I’ve tried a mini IVF cycle with the antagonist method which did not stimulate my follicles enough. Only had one follicle and the others didn’t grow past 10mm. And then I tried the microdose Lupron flare 3 times, and… — Suzanne E.

    Dr. Geoffrey Sher answered

    I think we should talk. Might I invite you to call my assistant, Patti Converse at 702-533-2691 and set up an online consultation with me. EGG/ EMBRYO QUALITY IN IVF & HOW SELECTION OF THE IDEAL PROTOCOL FOR OVARIAN STIMULATION INFLUENCES EGG/EMBRYO QUALITY AND OUTCOME. The journey of…

  3. Third-Party Reproduction

    Una pregunta

    Quisiera saber si una persona que está operada para no tener puede donar óvulos — Paola S.

    Dr. Geoffrey Sher answered

    Please re-post in English! Geoff Sher

  4. Third-Party Reproduction

    Mujer

    Quiero donar obuy — Elmis S.

    Dr. Geoffrey Sher answered

    Please re-post in English! Geoff Sher

  5. IVF Failure & Pregnancy Loss

    Female miscarriages

    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,…

  6. Embryos & Genetic Testing

    IVF Failure/ embryo issue

    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…

  7. Early Pregnancy & hCG

    HCG levels

    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…

  8. Immunology & Implantation

    Recurrent miscarriage

    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…

  9. IVF Failure & Pregnancy Loss

    Infertility

    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) ;…

  10. Ovarian Stimulation & OHSS

    Ovidrel dosage

    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

  11. Age & Fertility

    4th cycle advice – 40yo with normal AMH

    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…

  12. Embryos & Genetic Testing

    Double Ovidrel! dosage and low BMI

    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

  13. Embryos & Genetic Testing

    Recurrent Implantation Failure

    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…

  14. Fertility Preservation

    IVF

    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…

  15. N

    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

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