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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 1,019 questions patients have already asked, or narrow them by topic.

Latest answers

Page 26 of 68

  1. 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…

  2. 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…

  3. 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)…

  4. 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

  5. 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…

  6. 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

  7. 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

  8. 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!

  9. 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

  10. 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…

  11. Ovarian Stimulation & OHSS

    Sobre la estimulación ovarica

    Doctor ayúdeme tengo miedo de haber malogrado mi estimulación ovarica, en mi última inyección que era de ovidrel de 250, no supe ponérmela la inyecte dos veces porque no había puesto la dosis correcta y me di cuenta después de… — Isa F.

    Dr. Geoffrey Sher answered

    Please re-post this in English and I will respond promptly! Geoff Sher

  12. Third-Party Reproduction

    Eggs v. Donor Egg

    At what age is it unethical to do IVF and do you check ovarian reserves before you make that choice. — Priscilla W.

    Dr. Geoffrey Sher answered

    Over 43y of age, egg donation is advisable because with advancing age, egg quality declines starting at 35 y and really accelerating after 40Y. At a younger age, egg donation should also be seriously contemplated in women who have VERY depleted ovarian reserve (AMH=,0.2ng/ml). Egg donation is when…

  13. Male Infertility

    Non obstructive Azoospermia case

    Me and my wife are looking to have an IVF/ICSI cycle. I have a severe non-obstructive azoospermia, I did a micro-tese procedure and they were able to find one good sperm which after that they froze the tissue extracted for… — Ridi D.

    Dr. Geoffrey Sher answered

    We have the required resources to do this. 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: From In Vitro Fertilization to Family: A Journey with Sher Fertility Solutions (SFS) ; http://sherfertilitysolutions.com/sher-fertility-solutions-ebook.pdf Recurrent Pregnancy…

  14. Egg Health & Ovarian Reserve

    Human growth hormone dosage

    Dear Dr. Sher, What is the ideal daily dosage for Omnitrope? Thanks for your kind and expert guidance, A.C. — Anne C.

    Dr. Geoffrey Sher answered

    There is no uniformity here. A dosage ranging from 8U per day to 20U per day is probably fine. I start the omnitrope with ovarian stimulation and discontinue on the day of the "trigger". Geoff Sher IVF and the use of Supplementary Human Growth Hormone (HGH) : Is…

  15. Egg Health & Ovarian Reserve

    Multiple miscarriages

    I am 30, my husband is 29. I was diagnosed with PCOS at 15. I had a miscarriage at age 20 at 8 weeks. Last year, I had three miscarriages (one at 6 weeks, 5 weeks and then at 4… — Kristina H.

    Dr. Geoffrey Sher answered

    Respectfully, I do not concur with the suggested approach. You have recurrent pregnancy loss. I suggest you read the articles I wrote , below and then seriously consider calling my assistant, Patti Converse at 702-533-to set up an online consultation with me to discuss your case in detail.…

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