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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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Page 23 of 68

Uterine & Endometrial Health Mar 4, 2024

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…
Early Pregnancy & hCG Mar 4, 2024

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
Ovarian Stimulation & OHSS Mar 4, 2024

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…
Embryos & Genetic Testing Mar 4, 2024

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…
Third-Party Reproduction Mar 4, 2024

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
IVF Failure & Pregnancy Loss Mar 4, 2024

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…
IVF Failure & Pregnancy Loss Feb 25, 2024

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…
Egg Health & Ovarian Reserve Feb 25, 2024

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…
Uterine & Endometrial Health Feb 23, 2024

Re: progesterone level before FET transfer

Good afternoon Dr. Tortoriello, I'm doing a fifth stimulated frozen embryo transfer due to thin lining issues and now have the best lining I've ever had of 8.7 mm, trilaminar. I expect to do my trigger injection tonight and start… — Eliana G.

Dr. Drew Tortoriello answered

Here is my suggested/personal approach to FET: Two decades ago, when women went through IVF (in vitro fertilization), they usually had their embryos put in the uterus right after the eggs were collected in the same cycle (known as "Fresh" Embryo Transfer). Freezing embryos at that time was…
IVF Failure & Pregnancy Loss Feb 22, 2024

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…
Egg Health & Ovarian Reserve Feb 22, 2024

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…
Ovarian Stimulation & OHSS Feb 21, 2024

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…
Egg Health & Ovarian Reserve Feb 20, 2024

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…
Egg Health & Ovarian Reserve Feb 16, 2024

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…
Embryos & Genetic Testing Feb 16, 2024

High TNF alpha

What is the recommended transfer protocol for someone with high TNF Alpha. I was given prednisone but it did not work. Prior to transfer it was 45.0 and I was prescribed 25mg prednisone for a month but it increased to… — Private

Dr. Geoffrey Sher answered

Elevated TNF alpha indicates activated natural killer cell activity. A RATIONAL BASIS FOR MANAGEMENT OF IMMUNOLOGIC CAUSES OF EMBRYO IMPLANTATION DYSFUNCTION 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…

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.

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