Ask Our Doctors
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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Hi, I came across your page because I have been dealing with a 5 cm endometrioma and have been looking at different options. I found your article about ovarian sclerotherapy and was wondering if you know where this procedure can be done? I have been trying to look for a place but I’m having trouble!
Wondering what your thoughts are on lower testosterone but very high sperm count? My husband has 150 million motile sperm count but his testosterone is only 8.77 (and the lab values like to see at least 9.9). His morphology is slightly lower too at 5. Would the low testosterone impact his fertility if everything else looks ok?
Dr. Drew – we have been working with another clinic and are pretty upset with them – we have 6 embryos and just found out the lab – Igenmonix – destroyed all samples. Our friend is a patient of yours. Please can you call me 973-652-2237 or email me at email@example.com?
My boyfriend and I have been trying to get pregnant for about 9 months, unprotected intercourse, I have been tracking my ovulation and “highest days to get pregnant” and it’s been very difficult for us. We are both 27years old- we are just a bit concerned and wondering what we should do to help us start our family?
My husband just received his semen analysis results. His count is 331 million with 82% motility. Which is still very good, leaving us in the mid 200 million range.
I am confused and very concerned about his morphology and am looking for some clarification. The report said 4% morphology. Which from what I read is still within normal range according to their WHO guidelines. However, it said the head abnormality is 80%, tail is 10% and neck is 5%.
Are these numbers reflected in that 4% morphology calculation? Or is it 4% morphology PLUS these numbers above which makes the total number of normal sperm lower?
What are you thoughts on his fertility potential?
Hello! I was wondering what requirements you have for the surrogates that your patients might work with if they choose the gestational surrogacy route. Is there an age limit or BMI limit? Would a surrogate who had diet-controlled gestational diabetes be someone that can be reviewed and approved? Is there a limit on the number of deliveries or c-sections they’ve had? Any sort of guidelines that your patients need to keep in mind for potential surrogates would be super helpful. Thank you so much!
Just wondering if you see any pitfalls in doing a simple oestrogen/progesterone protocol. I asked about adding in prednisolone, as a precaution. But the clinic is not keen using steroid medications- such as prednisolone, in patients who do not necessarily need it can cause more harm than good and also due to the nature of steroid medications there is a lot of side effects of these medications so would not be a light decision to start them. Its strikes me that approach can vary so much from clinic to clinic… my approach would be to throw everything at it now, minimise the number of collections/transfers needed and cost, i.e take the steroids in case you body see the embryo as an alien object it needs to reject. Would you mind confirming that the oestrogen/progesterone approach stands a good chance of working… I ovulate, produced some euploids and no known issues.
Many thanks & best wishes to you!!!
Good afternoon dear doctor! I am 42 years old, after 8 hormonal stimulations, I have a single mosaic embryo. Blastocyst 7 days. I need to decide an important question whether to transfer it or not. Embryo seq(3)x1~2,(6)x1~2. Mosaic monosomy of chromosome 3 (mosaic level 40%) and chromosome 6 (mosaic level 30%). Female. Doctor, please help. Thank you!
Hello Dr Sher!
I’ve taken this drug to treat thrush, 150mg.
I’m getting my period is 8 days and am planning to start FET protocol – but I’ve since read that it’s not a safe drug to take when trying to conceive.
It can stay in the system up to 7 days, does that mean I should be ok to start FET next cycle / should I wait another month?
i’m 40 years old,my AHM is 0.89. i was undergoing an ivf which failed. they got 6 eggs,5 mature,i embryo was slowly groing ending up not sticking after transfering.
later the doctir told me they examined my eggs and came to conclusion that they were post mature.
i was stimmed from the second day of my cycle with gonal-f (225) at mirning,and gonal f (225) and Luveris (225) at evening for 6 days, then gonal f 4450 one shot and luverus 225 at tge 7th day,day 8 triggered ,orgalutran 250 at morning and burselin 1000 and ovidrel 250 at night. next day no med.
day 10 was retrieval
what do you suggest,i found you very informative regarding the best protocol for my cases.
Dear Dr. Sher,
I’ve been following your comments for years. Thanks for the info. on 2 shots of Ovidrel. I’m interested in what you say here about Hoshimoto’s and what you call “Immunologic Implantation Dysfunction.” You mention that 50% of women (with or without Hoshimoto’s/full-blown hypothyroidism) will have this IDD due to the thyroid anti-bodies. Is this your hypothesis or is this based on a study you have done or data that you are aware of? Do you have any material I could see apart from this one case? How did you arrive at the 50%? Is speculative wisdom from what you’ve witnessed at your own practice? I’m a huge admirer, but I’m honestly confused as to where this information is coming from. Would love to know! Many thanks, Katharine
Hi Dr Sher
I have been trying to conceive for 3 years now with no success. I’ve recently had 1 failed ivf cycle where I began bleeding 7 days post embryo transfer. Which I believe is implantation failure.
I have a history of heavy painful periods, stomach problems such as diarrhea and bloating, mid cycle bleeding (i spot randomly at any point during the cycle and it feels like having a mini period as i spot and have pain at the same time), painful ovulation. I suspect that I have endometriosis however my doctor refused to investigate further and said I only have hormonal imbalance. However, I have heard that endometriosis and estrogen dominance go hand in hand.
A year before pursuing ivf, I had a hysteroscopy which showed that I didn’t have any polyps and my uterus is normal. My question to you is that can you detect endometriosis with hysteroscopy and should I continue to push my doctor for endometriosis diagnosis.
I also want to ask you that I suffer from allergies such as hayfever, does this make my immune system overactive and creates more natural killer cells?
Dear Dr Sher,
I recently had a baseline scan and oestrogen and progesterone blood tests for an upcoming FET cycle. The scan and blood tests identified a 2.5cm hormone-producing simple cyst on my left ovary. I have been prescribed 21 days of Provera (2 x 10mg tablets daily), which I’m told usually resolves these cysts. How long does it normally take for simple cysts of this size to resolve? Is this course of Provera likely to resolve the cyst within 3 weeks?