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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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Page 28 of 68

IVF Failure & Pregnancy Loss Dec 10, 2023

Chemical Pregnancy

TTC 3+ years. One Tube removed from ectopic 17 years ago previous partner. AFC 11. 37years old. Elevated NK cells. 1 failed round of IVF. 3 IUI, 2 of which were recent and I had chemical pregnancy in both. One… — Anneka K.

Dr. Geoffrey Sher answered

Subject to confirmation through further consultation and testing, I believe your history to be highlyb suggestive of an implantation dysfunction (probably) partly or completely due to an immunologic cause. Implantation dysfunction is often overlooked as a significant reason for IVF failure. This is especially true when IVF failure…
Early Pregnancy & hCG Dec 9, 2023

Bleeding as soon as I fall pregnant

Medication plan help: I am currently going through IVF. I have one PGT-tested embryo. My last two pregnancies, as soon as I fell pregnant, I experienced severe bleeding. First pregnancy - natural conception - bleeding started on day 33 and… — Abs G.

Dr. Geoffrey Sher answered

Protocols differ from clinic tom clinic. While interesting, the information provided here is not comprehensive enough for me to provide an adequate opinion. I suggest you call my assistaznt, patti Converse at 702-533-2691 and set up an online consultation with me to discuss. Good luck! Geoff Sher PLEASE…
Early Pregnancy & hCG Dec 9, 2023

No quedo embarazada

Quiero salir embarazada — Aamy A.

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: 1. From In Vitro Fertilization to Family: A Journey with Sher…
Hormones & Ovulation Dec 8, 2023

Ovidrel dosage on low BMI

Dear Dr. Sher, I am low BMI. Should I do 500mcg hCGr for trigger or is 250mcg enough? Thanks again for all the help, A.C. — Anne C.

Dr. Geoffrey Sher answered

500mcg Ovidrel! 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: 1. From In Vitro Fertilization to Family: A Journey with Sher Fertility Solutions…
Uterine & Endometrial Health Dec 8, 2023

Invitro

Se puede hacer un invitro si tube clamidia y mi utero está inflamado — Karina C.

Dr. Geoffrey Sher answered

Please post your comment/question 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: 1. From In Vitro Fertilization to Family: A Journey…
Egg Health & Ovarian Reserve Dec 8, 2023

Suspected endometriosis and low AMH.

I have suspected endometriosis and very low ovarian reserve. Should I do a laparoscopy for endometriosis, then PRP therapy to increase my ovarian reserve before I retry IVF? Will this help? My last two attempts at IVF have only ever… — Aqsa G.

Dr. Geoffrey Sher answered

Unless you need surgery because of intractable symptoms or you require surgical treatment of ovarian endometriomas, I would not advocate laparoscopy at all. Your miscarriages could well be due to endometriosis-induced , immunologic implantation dysfunction. When women with endometriosis-related infertility seek treatment, they are often advised to try…
Embryos & Genetic Testing Dec 7, 2023

embrion mosaico nivel bajo

Buenas tardes Dr El resultado del examen PGT de mi esposa fue Sample ID Sample Barcode Result Sex Chromosomes Impacted Interpretation LB1 2023061467 Aneuploid XY +9 Abnormal LB2 2023061467 Mosaic XY -Y [mos] Low Level Mosaic Aconseja implantar el LB2… — Jose S.

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: 1. From In Vitro Fertilization to Family: A Journey with Sher…
Egg Health & Ovarian Reserve Dec 7, 2023

Omnitrope dosage

Dear Dr. Sher, Should Omnitrope continue to be taken on the day of the trigger and the next day, all the way till egg retrieval day, or stop two days before, when FSH stops? And what's the optimal dosage? Thanks… — Anne C.

Dr. Geoffrey Sher answered

No! It stops on the day of the "trigger". Good luck! 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: 1. From In Vitro…
Egg Health & Ovarian Reserve Dec 7, 2023

Empty follicles

I am currently 33 years old and have already had 3 ICSIs. However, the first one was 5 years ago. Last year I stimulated for 2 days with 375 Gonal f and 75 Menopur and then with 225 Gonal f… — Monika O.

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…
Egg Health & Ovarian Reserve Dec 5, 2023

Positive lads after 4th lit treatment

Dear Dr. Sher, Thank you for your answer. I did take ivig before pregnancy was diagnosed. Took 30g ivig on ovulation and on positive hgc test but it faild to relax my immune system. I refuse to take steroids as… — Irit L.

Dr. Geoffrey Sher answered

I Did 3 lit treatments 1.5 years ago. Lads were negative. After the last pregnancy loss I did the 4th lit. Finally lad became weak positive 40%. Do you think that positive lads gives me a better chance to carry a pregnancy? A: I do not believe this…
Ovarian Stimulation & OHSS Dec 5, 2023

Endometrial cavity fluid

I’ve had ECF ever since a d&c and forcep removal of rpoc in Jan 2022. I’ve taken prophylactic abx, hysteroscopy with loa and normal lap, 2.5 months lupron and letrozole for adeno. Failed medicated FET. 1) should I do a… — Arielle M.

Dr. Geoffrey Sher answered

There is too much here to discuss with a short response. We should talk. 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
Uterine & Endometrial Health Dec 5, 2023

Viagra

For thin lining I am considering trying viagra suppositories. Is there a difference between just using the regular tablet vs. Having it compounded? As info, with just estradiol, my lining seems to max out at about 7.2, hoping based on… — Tasha T.

Dr. Geoffrey Sher answered

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 the uterine lining measured less than 8mm in thickness by the day of…
Embryos & Genetic Testing Dec 5, 2023

Secondary Infertility

Hi Dr Sher Ive watched the egg whisper Dr aimee talk to you about implantation failure and I wanted to ask you your advice, I messaged you a few years ago and was very grateful for your response and advice,… — Ayesha A.

Dr. Geoffrey Sher answered

I am so happy that you ultimately succeeded. But now you do have the biological clock working against your egg/embryo quality. The most important determinant is no doubt the issue of egg/embryo quality. Here,age, ovarian reserve and your husband's sperm dysfunction all are the most important operative variables.…
Egg Health & Ovarian Reserve Nov 30, 2023

Hipogonadismo hipogonadotrópico

Buenas tardes tras azoospermia y un mes tomando citrato de clomifeno por tener la lsh fsh y testosterona baja me he realizado una analitica y han subido los tres parametros, ¿ eso quiere decir que el seminograba mejorara? Gracias un… — Danie L.

Dr. Geoffrey Sher answered

Please post your inquiry 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: 1. From In Vitro Fertilization to Family: A Journey…
Uterine & Endometrial Health Nov 30, 2023

Fluid in endometrium before FET

Hello, I am currently on day 14 of taking estrogen in preparation for a FET, but since Day 12, a small mount of fluid has been seen in the lining. The estrogen is working to build the lining an Friday… — Rebecca S.

Dr. Geoffrey Sher answered

In many cases, the fluid will absorb after a few days of progesterone. If it fails to absorb, the FET should be canceled and a hysteroscopy performed to look for a surface lesion in the uterine cavity. Please also note that if the endometrium was

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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