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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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Egg Health & Ovarian Reserve Aug 12, 2024

Transfer at age 45

Hello, Im am 45 . We have male factor infertility and in 2012 we got pregnant on our first try with a non medicated IUI using donor sperm. I had a healthy baby boy via C section. He is 11.5… — Emily B.

Dr. Geoffrey Sher answered

You clearly have diminished ovarian reserve. This in conjunction with your age (45y) makes the chance of successful pregnancy using your own eggs, very improbable. You actually need IVF with egg donation. Also, IUI has less than a 1:80 chance of success for you. If in spite of…
Egg Health & Ovarian Reserve Aug 12, 2024

Protocol

Hi, I am 44 with an Amh between 2.3 and 3 ng/ml, we had failed Icsis but always blastocysts. Would you also recommend the protocol you normally describe here or at the egg whisperer podcast in my case? Last year… — M M.

Dr. Geoffrey Sher answered

Your normal AMH at 44y comes as a surprise but that is decidedly in your favor. However, independently, age impacts egg "competency" and it is the egg (rather than the sperm that is most important in propagating normal "competent" embryos. Age should never be a barrier to hope…
Egg Health & Ovarian Reserve Aug 5, 2024

Trying to get pregnant

How can I get pregnant with 470 DHEA-S levels and irregular periods? I am 28 years old and we are trying to concieve since november 2023 — Rotila S.

Dr. Geoffrey Sher answered

An elevated DHEAS points to either over-ingestion of DHEA supplements or a possible adrenal factor. This needs to be looked into before proceeding any further. Might I suggest that you contact my assistant, Patti C9onverse at 702-281-7437 mand set up an online consultation with me. Geoff Sher,
Egg Health & Ovarian Reserve Jul 22, 2024

Ivf low responder

Dear Dr. Sher, I am in my late 30s and have an amh of 0,3. My period is very regular with regular ovulation (day 11 to 13) and I do not have any problems in the luteal phase like spotting.… — Sandra W.

Dr. Geoffrey Sher answered

I think I can help here! Please see my repose to your 2nd post...Same recommendation applies...We should talk. Geoff Sher
Egg Health & Ovarian Reserve Jul 22, 2024

Ivf low responder

Aldingen some additional information I forgot in my initial question: - no problems with uterine thickness and according to my doctor no signs of any scarves as due to thickness of approx 9-10 mm few days before ovulation - during… — Sandra W.

Dr. Geoffrey Sher answered

In my opinion, we should talk. I cannot provide authoritative advice on this information alone. I suggest you call my assistant, Patti Converse (702-533-2691) and set up an online consultation with me to discuss in detail. Geoff Sher ADDRESSING DIMINISHING OVARIAN RESERVE (DOR) IN IVF Understanding the impact…
Egg Health & Ovarian Reserve Jul 9, 2024

Repeat implantation failure

Hi Dr. Sher, I come from Denmark and here we can't screen our embryos - so we transfer untested. I have had all initial testing done in August last year before starting my egg retrievals and all my tests were… — Julie R.

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…
Egg Health & Ovarian Reserve May 20, 2024

HGH for DOR

I have read about increasing primordial follicles and thus increasing the antral follicle count by using HGH for 70 days, after ovarian PRP. Is there long term affects for the mother either during use of HGH or from withdrawal affect… — Kristina L.

Dr. Geoffrey Sher answered

This is very controversial. I am not at all convinced of its benefit! Geoff Shert
Egg Health & Ovarian Reserve May 16, 2024

Failed fertilization

How do you handle repeated failed fertilization? Does/can estrogen/prog before the cycle make this worse? We have already added calcium ioniphore. — Jessica S.

Dr. Geoffrey Sher answered

One of the commonest questions asked by patients undergoing IVF relates to the likelihood of their eggs fertilizing and the likely “quality of their embryos. This is also one of the most difficult questions to answer. On the one hand many factors that profoundly influence egg quality; such…
Egg Health & Ovarian Reserve May 12, 2024

Amh

Hi Dr. Sher, I am 47 with an AMH of 0.9. Is there any possibility I could get pregnant with my own eggs doing IUI? Alison — Alison P.

Dr. Geoffrey Sher answered

Anything is possible but it is very highly unlikely. You need egg donor-IVF. IVF WITH EGG DONATION: A REVIEW Introduction: Egg donation is when a woman donates her eggs for assisted reproduction or research purposes. In assisted reproduction, it usually involves using IVF technology, where the eggs are…
Egg Health & Ovarian Reserve May 9, 2024

5 failed IVF rounds – Low AMH –

Dear Dr Sher Geoffrey, I have been through 5 failed IVF rounds. Most of the time my eggs are degenerative, empty or abnormal. I have a 2 year old daughter, concieved naturally, only in 2 months of trying. Now I… — Mary V.

Dr. Geoffrey Sher answered

Hi Sherella; I really think I can help you sort all this out.m However, to do so we would need to consult. I invite you to call my assistant, Patti Converse at 702-53302691 and set up an online consultation with me. ADDRESSING DIMINISHING OVARIAN RESERVE (DOR) IN IVF…
Egg Health & Ovarian Reserve May 9, 2024

Do I give up on IVF? Low amh, 31 y.o

Hi Dr Geoffrey Sher, By means of introductions, I’m Natalie and I’m struggling to find answers on my IVF journey. My endless research to try and find answers has led me to your page (after you answered another persons struggles… — Natalie M.

Dr. Geoffrey Sher answered

Hi Natalie, I really think I can help you sort all this out.m However, to do so we would need to consult. I invite you to call my assistant, Patti Converse at 702-53302691 and set up an online consultation with me. ADDRESSING DIMINISHING OVARIAN RESERVE (DOR) IN IVF…
Egg Health & Ovarian Reserve May 4, 2024

Very low DOR & IVF

Dear Dr. Sher, I’m a 38yo physician with very low ovarian reserve ( AMH — Rita D.

Dr. Geoffrey Sher answered

Dear Doctor, Thanks for the inquiry. I think I can help here. Might I suggest that you contact my assistant Patti Converse at 702-533-2691 and set up an online consultation with me to discuss in depth. Geoff Sher >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Understanding the impact of ovarian reserve on the success…
Egg Health & Ovarian Reserve Apr 22, 2024

Empty follicle

Dear Dr. Geoffrey, I get a empty follicle. What I can change for my last stimulation? Low AMH. Age 40. Kind regards, Charlene — Charlene T.

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 Apr 2, 2024

Ivf

Hi Dr. Sher. I was about to start IVF and I was told I only have 5 follicles this cycle and that IVF will most likely fail. I was advised to do blood work again for AmH, FSH, TSH, vitamin… — Valentina W.

Dr. Geoffrey Sher answered

I would need much more information to provide a response. I suggest you call Patti Converse at 702-533-2691 and set up an online consultation with me to discuss. Geoff Sher PLEASE SHARE THIS WITH OTHERS AND HELP SPREAD THE WORD!! Herewith are online links to 2 E-books recently…
Egg Health & Ovarian Reserve Apr 1, 2024

Best protocol for DOR patient in need of uniform follicles

Hello, I’ve tried a mini IVF cycle with the antagonist method which did not stimulate my follicles enough. Only had one follicle and the others didn’t grow past 10mm. And then I tried the microdose Lupron flare 3 times, and… — Suzanne E.

Dr. Geoffrey Sher answered

I think we should talk. Might I invite you to call my assistant, Patti Converse at 702-533-2691 and set up an online consultation with me. EGG/ EMBRYO QUALITY IN IVF & HOW SELECTION OF THE IDEAL PROTOCOL FOR OVARIAN STIMULATION INFLUENCES EGG/EMBRYO QUALITY AND OUTCOME. The journey of…

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.

165 answers

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