– Geoffrey Sher, MD
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Ovarian Stimulation & OHSS
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
Third-Party Reproduction
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…
Male Infertility
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…
Egg Health & Ovarian Reserve
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…
Egg Health & Ovarian Reserve
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.…
Early Pregnancy & hCG
Cómo hago para quedar embarazada — Nelly V.
Dr. Geoffrey Sher answered
Please post in English! GS
IVF Failure & Pregnancy Loss
Can a woman that has had molar pregnancy twice within 4 years and undergone chemotherapy be advised to go for IVF? — Tony A.
Dr. Geoffrey Sher answered
It is possible Molar pregnancy or hydatidiform mole — is a benign tumor that occurs in the uterus. It starts when an egg is fertilized, but instead developing into a normal, conceptus + placental tissue, the placenta tissue develops into a mass of small cysts. Here, the root…
Immunology & Implantation
Hi Dr Sher, I’m at a crossroads and desperate for advice. I’m 34 and my husband and I did 3 rounds of IVF to bank 4 euploid embryos. While I have low amh/DOR — my euploid rate was 80%. I… — Mel M.
Dr. Geoffrey Sher answered
WE should talk: I suggest you call my assistant, Patti at 702-533-2691 and set up an online consultation with me. 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…
Early Pregnancy & hCG
Quiero saber si estoy embarazada — Roxana A.
Dr. Geoffrey Sher answered
Please 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: From In Vitro Fertilization to Family: A Journey with Sher Fertility Solutions (SFS) ; http://sherfertilitysolutions.com/sher-fertility-solutions-ebook.pdf Recurrent Pregnancy Loss and Unexplained IVF…
Egg Health & Ovarian Reserve
Hello. 3 years ago I underwent a standard ivf. 13 follicles, 11 oocytes, 9 mature, 6 fertilized, 2 blasts, one very poor quality, one hatching AA resulting in my daughter. Now I am 39 years old, AMH 2,68 and I… — Helen C.
Dr. Geoffrey Sher answered
I would urge you not to do NC IVF. Consider the following options: Mini-IVF is a procedure that involves ovarian stimulation with oral fertility drugs such as clomiphene or letrozole to promote the development of follicles, for egg extraction. This is on the pretext that Mini-IVF, involves the…
Early Pregnancy & hCG
Dear Dr.Sher. I am an ENT doctor from Europe. I am diagnosed with PCOS and I have amenorrhea and no ovulation at all. One year ago my fertility doctor prescribed me Letrozol, because I wanted to conceive. Not only that… — Maria K.
Dr. Geoffrey Sher answered
It could be an implantation dysfunction due to another thin endometrium (endometrial insufficiency, 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 when…
Immunology & Implantation
Hi Dr. Sher, I was initially given your name from a friend of mine who had complex fertility issues and great success under your care. I have tested pregnant five times over the past 18 months and either had chemical… — Danielle K.
Dr. Geoffrey Sher answered
This is problematic because you have a total match + NK cell activation. This makes the chance of you carrying your own baby very small regardless of you being treated with LIT/steroids; IVIG/steroids or Intralipid/steroids. We should talk. I suggest you contact my assistant, Patti Converse at702-533-261 and…
IUI & Insemination
Tengo 27 años busco un tratamiento de inseminacion in vitro sufro de síndrome de ovarios poliquisticos — Gresia U.
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…
Early Pregnancy & hCG
My hcg level is 306 on 30/12/2023. LMP 18/11/2023. Abdominal ultrasound shows no embryo sac.Any complications? — Rizvana T.
Dr. Geoffrey Sher answered
Sadly, This sounds like a non-viable pregnancy. 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 human chorionic gonadotropin (hCG) pregnancy. It's a big deal! The…
Early Pregnancy & hCG
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…
