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.

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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Dr. Geoffrey Sher

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Early Pregnancy & hCG Dec 31, 2023

Hcg level question

Hello! My LMP was 11/18/2023. On 12/18 I tested at 45 hcg, 12/22 I tested 183, and at 12/26 I tested at 1321 at 5 weeks and 3 days. Would you say this is a normal progression? I don’t have… — Sara W.

Dr. Geoffrey Sher answered

This could still be within an acceptable, viability range. An US in 1-2 weeks would be definitive. 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…
IVF Failure & Pregnancy Loss Dec 31, 2023

Chemicals pregnancy

I had 4 chemical pregnancies what should I do — Selemawit Z.

Dr. Geoffrey Sher answered

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, with up to 75% failing to develop, and around 30% of pregnancies ending within the first 10 weeks (first trimester). Recurrent pregnancy…
Embryos & Genetic Testing Dec 29, 2023

Mosaic embryo

Hello! My husband and I are doing IVF because he has ADPKD and we are trying to chose an embryo without that condition. We thankfully produced two healthy embryos (female) and one male without the ADPKD gene, negative segmental aneuploidy… — Loren S.

Dr. Geoffrey Sher answered

Human embryo development is a marvel of intricate processes, including reprogramming, sequential cleavage divisions, mitotic chromosome segregation, and embryonic genome activation. However, the journey towards a successful pregnancy is not without its challenges, as chromosomal abnormalities can occur during germ cell and preimplantation embryo development, leading to early…
IVF Failure & Pregnancy Loss Dec 28, 2023

Quisiera tener una niña por un vidrio

Quisiera tener una niña por un vidrio porque murió también mi esposo y mi esposo siempre querido una niña — Diana R.

Dr. Geoffrey Sher answered

Please repost 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…
Embryos & Genetic Testing Dec 23, 2023

Multiple Chemical Pregnancies

Hi Dr. Sher, This has been a long journey. I did a fresh transfer at 38 (got 18 eggs, 5 to blast stage, but we did not test then), the fresh transfer resulted in a chemical. Had to take some… — Mary R.

Dr. Geoffrey Sher answered

On the face of it, this sounds very much like3 "implantation dysfunction). 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…
Immunology & Implantation Dec 20, 2023

FET + Intralipids + Medrol + Heparin = Miscarriage

Hi Dr. Sher, I listened to your podcast on RPL with Dr. Aimee on The Egg Whisperer. I'm 44F, I've had 2 FET's with 2 tested 4AA embryos. Both implanted, both failed to grow. I was on the kitchen sink… — Marissa D.

Dr. Geoffrey Sher answered

WE need to talk. Might I recommend that you call my assistant, Patti Converse at 702-533-2691 to set up an online consultation with me to discuss. Geoff Sher
IUI & Insemination Dec 20, 2023

Seeking advice – IUI + letrozole

Hi Dr. Sher, I listened to the podcast on IUI with you and Dr. Aimee, the egg whisperer and I wanted to reach out to you in hopes of seeking your advice. I am a 34 year old who is… — Mallory F.

Dr. Geoffrey Sher answered

My bigger concern is that you might have an immunologic inmmplantation dysfunction and if so , IUI alone wont bve effective. This could explain your losses too. Between 2% and 5% of women in their childbearing years deal with hypothyroidism, a condition that affects women more than men.…
Infertility Basics Dec 18, 2023

Quiero tener un bb tengo 55 ano

Quiero tener un bb — Neibe C.

Dr. Geoffrey Sher answered

Please re-post in English! Geoff Sher
Cost & Insurance Dec 15, 2023

Pregunta sobre fertilidad

Quiero saber el precio y los pasos a seguir — Alexa A.

Dr. Geoffrey Sher answered

Please re-post in English! Geoff Sher Herewith are online links to 2 E-books recently co-authored with my partner at SFS-NY (Drew Tortoriello MD)....... for your reading pleasure: 1. From In Vitro Fertilization to Family: A Journey with Sher Fertility Solutions (SFS) ; http://sherfertilitysolutions.com/sher-fertility-solutions-ebook.pdf 2. Recurrent Pregnancy Loss and…
Uterine & Endometrial Health Dec 15, 2023

Polypectomy

Hi I was trying to do a treatment on another facility I have two frozen embryos. I want to know if I could do the Polypectomy at your office and do my check up on your office. I don’t know… — Tania L.

Dr. Geoffrey Sher answered

Absolutely this can be done. AND it is easy to relocate embryos to us. We do so all the time from all over the world. We in large part help facilitate this for you! G-d bless! Geoff Sher Herewith are online links to 2 E-books recently co-authored with…
Clinic & Practice Dec 15, 2023

Donor embryo transfer

Hi Dr. Sher, My husband and I struggled with infertility and failed with IVF. Now we are pursuing embryo donation and we were matched with a couple whose embryos are stored at your clinic. We live in Rochester, NY and… — Mayumi K.

Dr. Geoffrey Sher answered

Absolutely, we often do this. It would probably take no more than 4-5 visits at our center over a 10 day period of time. all the time! More and more American women are exploring IVF treatments in their late 30s and in their 40s. This trend often stems…
Uterine & Endometrial Health Dec 15, 2023

Endometrioma cyst

Hello:) I have an endometrioma cyst on my right ovary the drs want to do laparoscopy surgery but it runs the risk of getting good ovarian tissue and since I only have the right ovary I don’t want to do… — Lizeth C.

Dr. Geoffrey Sher answered

It is excellent alternative but unfortunately the medication needed to be injected into the cyst is no longer available. I wish I could help you! Geoff Sher Here is an article I wrote some time ago! • Effect of Advanced Endometriosis with Endometriotic cysts (Endometriomas) on IVF Outcome…
Embryos & Genetic Testing Dec 14, 2023

Day 7 Euploid embyro and Day 7 LLM – Success rates?

Hello. My last retrieval only resulted in Day 7 embryos, which we sent for PGT testing. We have 1 euploid Day 7 and 1 Low level mosiac (segemental low level with deletion of of chromosome 15 on the q25.3 arm… — Sumi G.

Dr. Geoffrey Sher answered

Respectfully, in my experience day 7 blastocysts are not worthy of transfer. They rarely iuf ever, will propagate viable pregnancies. Geoff Sher Herewith are online links to 2 E-books recently co-authored with my partner at SFS-NY (Drew Tortoriello MD)....... for your reading pleasure: 1. From In Vitro Fertilization…
Uterine & Endometrial Health Dec 14, 2023

Sclerotherapy

Hello Dr. Sher, I'm a 31 year old married G0 recently diagnosed with bilateral endometriomas: left 1.8x1.4 cm, right 9.8x8.4 cm. Currently on Lo Loestrin as treatment. I have never attempted to conceive but am very worried about future fertility… — Cotter C.

Dr. Geoffrey Sher answered

I no longer have access to a facility where this procedure can be performed and I do not know who to refer you to? Sorry! Geoff Sher
Infertility Basics Dec 13, 2023

ERA and EMMA and ALICE tests

Hi there, I am a 41-year-old trying to decide whether to do an ERA and EMMA and ALICE tests ahead of my next donor egg transfer. I had two high-quality embryos transferred last time from a 20-year-old egg donor, but… — Lorna T.

Dr. Geoffrey Sher answered

• 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 or underlying issues with the uterus, such…

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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