– Geoffrey Sher, MD
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Egg Health & Ovarian Reserve
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
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
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
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
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
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
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
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
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…
Age & Fertility
Dear Dr Sher, I’d like some advice regarding protocol choice for what will be my 4th IVF-ICSI cycle. I am in the UK. I have no medical problems, but I do have a BMI of 33 (prev 43), I have… — Elizabeth T.
Dr. Geoffrey Sher answered
WE really should talk. If interested, please call my assistant, Patti Converse (702-533-2691) and set up an online consultation with me. In the interim, please review the articles below. GS Overcoming Age Barriers in IVF and Embracing New Pathways to Parenthood: Unlocking the Possibilities. Age should never be…
Egg Health & Ovarian Reserve
Hi Dr. Sher, I'm 32 and am a Fragile X premutation carrier (90 repeats) with diminished ovarian reserve (AMH 0.44, on whatever scale the US uses). I just did my first stim cycle starting birth control on day 2 of… — Caitlin F.
Dr. Geoffrey Sher answered
Respectfully, In my opinion what you were on was a "microflare" protocol. I suspect that this might have been a factor. We should talk. 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. EGG/…
Egg Health & Ovarian Reserve
Dear Dr. Sher, I am 43 years old and am trying for the last time, after five unsuccessful attempts (I have reached the euploid stage before). This time I have 9 antral follicles, but I also have a follicular cyst.… — Anne C.
Dr. Geoffrey Sher answered
I see no reason not to proceed with the cycle! 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…
Egg Health & Ovarian Reserve
I got 29 eggs during my egg retrieval but was told that only 5 were mature. I am trying to understand why my maturity rate was so low. I triggered when 10+ follicles were at 20mm, and many at 18mm.… — Stephanie T.
Dr. Geoffrey Sher answered
Embarking on the journey of IVF often raises questions about the likelihood of success and the quality of embryos. While it’s challenging to predict outcomes due to various factors, there’s hope and information to guide you. Firstly, the key to fertilization potential lies in the chromosomal integrity of…
Egg Health & Ovarian Reserve
Hello doctor , I’m 33yrs old ….AMH came back .56 and progesterone on day 3 was 16.6 and I had chemical pregnancy in 2020….i don’t have kids and I’m not going to have any kids naturally …so even ivf is… — A C.
Dr. Geoffrey Sher answered
The AMH is NOT too low for IVF. In fact IVF is indicated but the protocol used for ovarian stimulation must be tailored. Understanding the impact of ovarian reserve on the success of in vitro fertilization (IVF) is crucial when it comes to reproductive health. This article aims…
Egg Health & Ovarian Reserve
1.3, 2.1cm Trigger was 10000 IU Gonasi HP (hCG) and on day 11. Only 1 mature egg was retrieved, and fertilised using ICSI. My day 3 update is a slow growing embryo of 3 cells with some fragmentation. I don't… — Vessie V.
Dr. Geoffrey Sher answered
"Empowering Choices: Embryo Banking vs. Egg Banking for Fertility Preservation" It's crucial for women to make informed decisions about preserving their fertility. Delaying trying to conceive, relying on egg freezing, or assuming the biological clock can be paused are misconceptions. As women age, egg quality declines, affecting the…
