– Geoffrey Sher, MD
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Uterine & Endometrial Health
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
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
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
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
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
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
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
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
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
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
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
Embryos & Genetic Testing
I just had a miscarriage at 5 weeks 4 days of a tested normal embryo 5 day AA PGT . And I tried to get pregnant for over 10 years. I was told I had an immunity disorder years ago,… — Sheyla M.
Dr. Geoffrey Sher answered
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 endo-uterine surface lesions, thin uterine lining (endometrium), or immunological factors. IVF success…
Embryos & Genetic Testing
Hi, dr. Sher! Do you recomend PGT (NGS) on day 3 embryos? I m 51 and have two day 3 embryos and my clinic want to biopsy now, because they think they won' t make it to day 5. I… — Polona B.
Dr. Geoffrey Sher answered
Absolutely not! They should wait to see if they reach blastocyst and then biopsy for PGS/PGT. Remember, embryos that do not reach blastocysts are all abnormal anyway and would never have propagated a viable pregnancy had they been transferred earlier. Geoff Sher PLEASE SHARE THIS WITH OTHERS AND…
Egg Health & Ovarian Reserve
Hi Dr Sher I have recently discovered your work and am curious if you think I should pursue an autoimmune protocol for IVF. I'm 40 years old and have undergone 2 unsuccessful cycles of IVF this year. I have been… — Jen M.
Dr. Geoffrey Sher answered
The fact that you have conceived before does not rule out an immunologic implantation dysfunction (IID). If so, you endometriosis and hypothyroid states would favor an autoimmune IID rather than alloimmune. However since treatment differs for each of these, a diagnosis is imperative. Your diminished ovarian reserve merely…
Ya que mi esposo no tiene yo creo que una niña — Diana R.
Dr. Geoffrey Sher answered
Please re-post in English! Geoff Sher
