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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 1,009 questions patients have already asked, or narrow them by topic.

Latest answers

Page 25 of 68

  1. Egg Health & Ovarian Reserve

    ‘Empty’ follicles

    Hello Dr. Sher, I just had an egg retrieval cycle where despite my follicles growing nicely and the clinic expecting to collect 15 eggs, they only retrieved 6 eggs, two of which have fertilised. Apparently, the ‘empty’ follicles contained cumulus… — Ruth A.

    Dr. Geoffrey Sher answered

    Empty Follicle Syndrome" is a misleading term because follicles always contain eggs. However, some eggs may have difficulties detaching and being retrieved. This is more likely to happen when multiple attempts are needed to retrieve an egg from a follicle, indicating the egg may have chromosomal abnormalities. The…

  2. Embryos & Genetic Testing

    Embrión mosaido

    Buenos días Dr, Soy de Madrid, España. Me acabo de transferir un embrión mosaico de Bajo Grado (30%) para trisomía del cromosoma 6. Me ha implantado, pero por mas que intento buscar información y casos que hayan ido bien, no… — Maria L.

    Dr. Geoffrey Sher answered

    Please post in English! Geoff Sher

  3. Immunology & Implantation

    IVF/Hashimotos

    Hi Dr. Sher, I heard you on a recent episode of the Egg Whisperer. I am 35 and I was recently diagnosed with Hashimotos with very high antibodies ( 300 TPO and 900 TgAB). I recently had a failed FET… — Ana K.

    Dr. Geoffrey Sher answered

    A RATIONAL BASIS FOR MANAGEMENT OF IMMUNOLOGIC CAUSES OF EMBRYO IMPLANTATION DYSFUNCTION Geoffrey Sher MD 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 oversimplifies the situation. The process of…

  4. Age & Fertility

    42 years old fresh 3 day transfer tomorrow

    Hi! Ok so I am 42 years old! I have a 17 year old daughter who I had severe pre-eclampsia with at that time. Now doing ivf because I had gotten pregnant naturally 2 times this year and 1st time… — Suzaura M.

    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 with…

  5. Embryos & Genetic Testing

    IVF Question

    I'm almost 40 y/o. I've had 4 failed IUIs and two egg retrievals, resulting in only 1 euploid from 47 total eggs retrieved. My fertilization and blast rates are "average" to above average, but my maturity rates are very low.… — Jessica W.

    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…

  6. Age & Fertility

    Medicamento letrozol

    Buenas tardes consulto, tengo 39 años y antimulleriana 0,19 muy baja, he intentado 3 ciclos con clomifeno y voy uno con letrozol, leí por aquí que para mi caso no son buenos esos estimulantes??? Gracias — Flavia F.

    Dr. Geoffrey Sher answered

    Please re-post 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: From In Vitro Fertilization to Family: A Journey with Sher Fertility…

  7. Embryos & Genetic Testing

    Abnormally tested embryos

    Hi. I have 4 abnormally PGS tested donated embryos. The normally tested ones either didn’t implant or I miscarried. I even did the ERA scratch, and other testing to make sure my uterus was good. Anyway, can abnormal embryos be… — Gina T.

    Dr. Geoffrey Sher answered

    Abnormal, non-mosaic embryos (aneuploid should not be transferred. IVF FAILURE WITH “NORMAL” EMBRYOS: EXAMINING AND ADDRESSING ANATOMICAL AND IMMUNOLOGIC CAUSES. 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…

  8. Embryos & Genetic Testing

    High testosterone and repeat chemical pregnancies

    Hi Dr. Sher, I heard you on an episode of the Egg Whisperer. I have high testosterone from PCOS and have had one implantation failure and two chemical pregnancies. Could the high testosterone be the cause? My embryos were not… — Allison B.

    Dr. Geoffrey Sher answered

    Navigating Polycystic Ovary Syndrome: Understanding, Hope, and Treatment Understanding the intricate interplay of hormones and the impact on egg development empowers us to create personalized protocols, offering hope for improved egg quality and ultimately optimizing the chances of successful IVF for women with PCOS. Polycystic ovary syndrome (PCOS)…

  9. Early Pregnancy & hCG

    Pregnancy query

    My beta hcg on 9 jan is 867 on 16 jan it is 2860 nd on 18 jan it is 3916 is it ok — Sheetal P.

    Dr. Geoffrey Sher answered

    It is probably OK but do an ultrasound to confirm a viable pregnancy! Geoff Sher

  10. Age & Fertility

    Question regarding EFS

    Hello. I hope you are well, Dr. Sher. In the rate event that you are reading this, I wanted to see if I might be able to receive your insight. I have just completed my first attempt at egg retrieval… — Kristin B.

    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…

  11. Trompas con hidrosalpx

    Buenas tardes. Nuestro es el siguiente. Mi mujer presenta hidrosalpx bilateral distal con salida de contraste a la zona pélvica en al menos uno de ellos. ¿Sería efeciva la técnica de la Escleroterapia en este caso para la búsqueda de… — Javier S.

    Dr. Geoffrey Sher answered

    Please re-post in English! Geoff Sher

  12. Hormones & Ovulation

    Exceso flujo vaginal

    Hola! Estuve el mes pasado con puregon 75mm pero por una variación de prolactina hemos tenido que dejar el proceso de inseminación. Desde hace tres semanas he tenido un incremento de flujo vaginal y no puedo estar sin salvaslip. No… — Rebecca A.

    Dr. Geoffrey Sher answered

    Please re-post in English! Geoff Sher

  13. Age & Fertility

    Fiv

    Hola. Tengo 40 años y 0,73 Amh. Me sometí q un ciclo fiv con fostipur 300 y meriofert 150, luego cetrotide, me quedé embarazada pero lo perdí. Me han realizado otro ciclo pero me incluyeron femara y progynova y quitaron… — Rj C.

    Dr. Geoffrey Sher answered

    Please post in English!

  14. Ovarian Stimulation & OHSS

    Inflammation

    Hi Dr. Sher, I had a hscore of 3.4 on Receptiva dx but had a lap done afterwards that showed 0 endometriosis. Why should I lower estrogen with Lupron if there is no endometriosis? — Crystal M.

    Dr. Geoffrey Sher answered

    Respectfully, I do not see a reason! Geoff Sher

  15. Egg Health & Ovarian Reserve

    Unexplained infertility

    Greetings! I am a 39yo f, pmhx prolactinoma (dx 1/2023, medically managed now), ulcerative proctitis (on stelara, almost in remission) with 1 natural conception and loss at 8 weeks due to trisomy, now 3 failed IVF stim attempts. My AMH… — Lindsey A.

    Dr. Geoffrey Sher answered

    In my opinion, we need to have a detailed online consultation to discuss the following issues in detail: 1. Egg/embryo quality issues: and the influence of the protocol used for ovarian stimulation as well as diminishing ovarian reserve and advancing age.. 2. Implantation dysfunction as it might relate…

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