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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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Answers from our doctors

Search 1,017 questions patients have already asked, or narrow them by topic.

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Page 28 of 68

  1. Cost & Insurance

    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…

  2. Uterine & Endometrial Health

    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…

  3. Clinic & Practice

    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…

  4. Uterine & Endometrial Health

    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…

  5. Embryos & Genetic Testing

    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…

  6. Uterine & Endometrial Health

    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

  7. Infertility Basics

    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…

  8. Uterine & Endometrial Health

    ERA question

    Dear Dr. Sher, Do you believe in the ERA? We did a modified natural mock cycle. Biopsy was performed at 158.5 hours after a took my trigger shot. I came back at 98 hours receptive. This is so confusing as… — Rachael K.

    Dr. Geoffrey Sher answered

    The blastocyst and the endometrium are in a constant state of cross-talk. In order for successful implantation to take place, the blastocyst must be at the appropriate stage of development and needs to signal a well synchronized endometrium to ‘accept it”. This dialogue between embryo and endometrium involves…

  9. Enseminacion invitro

    Siento esterilizada puedo embarazarme — Irlanda R.

    Dr. Geoffrey Sher answered

    Please post in English please.

  10. Egg Health & Ovarian Reserve

    Stimulation poor responder

    Advice on stimulation proctol please. Background: I’m 36y, normal BMI, pelvic and bowel endometriosis (lap confirmed and excised), high activated NK cells, persistently raised cardiolipin IgM titre, 3+ yr history primary infertility.5 failed embryo transfers. I did have brief chemical… — Maya G.

    Dr. Geoffrey Sher answered

    A. 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…

  11. Egg Health & Ovarian Reserve

    Mistake on one dosage

    Hi Dr Sher, On the 5th day of my FSH treatment with Gonal-F only, I made a mistake and used Pergoveris instead of Gonal-F (same dosage), It's the same follitropin alfa, but I am afraid of the LH surge, that… — Jennifer S.

    Dr. Geoffrey Sher answered

    I don't think it will be a problem. I would not cancel...but discuss with your own RE. 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…

  12. IVF Failure & Pregnancy Loss

    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…

  13. Early Pregnancy & hCG

    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…

  14. Early Pregnancy & hCG

    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…

  15. Hormones & Ovulation

    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…

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