– Geoffrey Sher, MD
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Uterine & Endometrial Health
Hello. I am 45 and I am days away from medicated FET. I did a mock FET first, and then I was cancelled during my last FET round (right at the end) because I ovulated. So I waited, scheduled a… — Michelle R.
Dr. Geoffrey Sher answered
In my opinion, your errors were minor and in any case, you apparently corrected for them in a timely manner. I do not think you have compromised your chances at all! Good luck! Geoff Sher
Egg Health & Ovarian Reserve
s ago. Hi! I read about an IVF alternative called CAPA-IVM from this article: https://www.sciencealert.com/ivf-alternative-first-baby-born-in-australia-through-cheaper-safer-fertility-treatment I want to know if you offer this procedure or, if not, can you recommend a place that does it in the US? Thanks! — Liz C.
Dr. Geoffrey Sher answered
CAPA-IVM is Biphasic In-Vitro Maturation. of eggs. It is a technical variation on conventional maturation of early eggs (in vitro maturation) that was introduced in Australia about 4y ago.. It has not taken hold in this country as it does not offer any real advantage , in my…
Uterine & Endometrial Health
When is best time to start and stop Viagra through vigaina. — Okeoma N.
Dr. Geoffrey Sher answered
THE IMPACT OF A THIN UTERINE LINING ON EMBRYO IMPLANTATION: THE BENEFITS OF VIAGRA THERAPY Geoffrey Sher MD 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.…
Early Pregnancy & hCG
I don't seem to understand these hcg levels. I did a blood test the first time and it showed that my hcg levels were on 6105 and I am 5 weeks pregnant. I did a test again a week after… — Nomonde M.
Dr. Geoffrey Sher answered
Ideally the level should have increased. Repeat the hCG again. Geoff Sher TIMING AND INTERPRETATION OF hCG BLOOD PREGNANCY TESTS Geoffrey Sher MD 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…
Cost & Insurance
Hace 7 años me hice una ligadura de trompas con mi última hija en mi país. Tengo 2 niñas. Ahora deseo tener un bebé. Tengo 30 años. Quiero saber el precio de la reconstrucción de trompas. — Nora R.
Dr. Geoffrey Sher answered
Please post your 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: From In Vitro Fertilization to Family: A Journey with…
Egg Health & Ovarian Reserve
I just Received blood work where my dhea levels are elevated and they might believe it’s associate with pcos. What can I do In regards to having a baby? — Julie A.
Dr. Geoffrey Sher answered
Raised DHEA is not a real problem . it is a raised DHEAS that xcouyld be problematic as it would point to a possible adrenal contribution to the PCOS equation. Navigating Polycystic Ovary Syndrome: Understanding, Hope, and Treatment Geoffrey Sher MD Understanding the intricate interplay of hormones and…
Embryos & Genetic Testing
nd can use own eggs/embryos. I am a current patient. 2 failed ivf. High NK. Myself and husband have 2 variants of MTHFR I did intralipids in both. I was wondering if we would have better chances if we used… — Shontae S.
Dr. Geoffrey Sher answered
No, I do not think you need to go on Lovenox and use own eggs/embryos. Hereditary Clotting Defects (Thrombophilia) Geoffrey Sher MD Thrombophilia (Hereditary Clotting Defect) is defined as the genetic predisposition to developing intravascular thrombosis. It is due to hypercoagulability of blood leading to impairment of initial…
IVF Failure & Pregnancy Loss
Hello Dr Sher, I hope you're well. We just had a dating scan at 13w1d, they confirmed everything looks good. However, in the printed report, it states that for the Dopler Ultrasound there is a "notch right" - they didn't… — Cassidy O.
Dr. Geoffrey Sher answered
Frankly, I would not be overly concerned. And no,there is in my opinion nothing to do here. except follow up with ultrasound evaluations intermittently. Good luck! 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…
Egg Health & Ovarian Reserve
Hello Dr. Sher I am 39, childless and I'm currently undergoing IVF in Portugal. I have had 4 miscarriages in the past (2 clinical and 2 chemicals). On my last scan, my AFC was 15. My AMH is 1.24. I… — Lisa-Marie E.
Dr. Geoffrey Sher answered
I concur. I would collect as many eggs as possible in advance. "Empowering Choices: Embryo Banking vs. Egg Banking for Fertility Preservation" Geoffrey Sher MD It's crucial for women to make informed decisions about preserving their fertility. Delaying trying to conceive, relying on egg freezing, or assuming the…
How can I get pregnant if i don’t have the period anymore? — Maria L.
Dr. Geoffrey Sher answered
You will need to be evaluated as to the reason for your not having periods. Only then could treatment be contemplated. Go an see your primary OB/GYN. Geoff Sher
Egg Health & Ovarian Reserve
Good afternoon, For my 1st, and most recent cycle, I retrieved 14 eggs and only 6 were mature. 6 were GV and 2 were M1. I am 32, my AFC was 17, my AMH is 2.4, my CD3 FS &… — Margaret C.
Dr. Geoffrey Sher answered
In my opinion, this is likely due to the protocol used for ovarian stimulation (see below EGG/ EMBRYO QUALITY IN IVF & HOW SELECTION OF THE IDEAL PROTOCOL FOR OVARIAN STIMULATION INFLUENCES EGG/EMBRYO QUALITY AND OUTCOME. Geoffrey Sher MD The journey of in vitro fertilization can be a…
Immunology & Implantation
My NK results from Fertilysis Greece came back within range but I read on this blog that sometimes women with endometriosis can have NK results that appear normal when they are in fact very elevated. I’m not sure if the… — Lucy T.
Dr. Geoffrey Sher answered
In the world of assisted reproduction, when IVF fails repeatedly or without explanation, it's often assumed that poor embryo quality is the main culprit. However, this view oversimplifies the situation. The process of embryo implantation, which begins about six or seven days after fertilization, involves a complex interaction…
Egg Health & Ovarian Reserve
Hi Dr. Sher, I found your website after researching pgt embryos that fail to implant. I’m 38 years old, I have DOR, AMH .5 when tested a year ago, FSH 10.3. I did three retrievals and ended up with 5… — Jill D.
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…
Age & Fertility
Hola, Quería preguntar acerca del fallo ovarico prematuro. Tengo 42 años y hace varios meses que no tengo menstruación. Mi nivel de FSH en febrero era de 13, en julio de 4 y en octubre de 27. Mi nivel de… — Cristina C.
Dr. Geoffrey Sher answered
Pleased post the questions in English
Cost & Insurance
Hola tengo tres anós que me cortaron para no tener bebé pero deseo dos niños más. Es posible tenerlo. Ustedes toman seguro médico — Sheila 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…
