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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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Male Infertility May 22, 2023

Sperm

Hello Dr. Sher, I just had my egg retrieval on Friday and everything went well other than the fact that I developed mild-moderate OHSS. 25 eggs were retrieved, 18 mature, and of the 18, 16 were fertilized. I just looked… — Evelyn M.

Dr. Geoffrey Sher answered

No, it is not possible to "purify the sperm manually. I know you are cussed on a possible sperm issue. However, it is far more likely to be an underlying ovarian stimulation issue. One of the commonest questions asked by patients undergoing IVF relates to the likelihood of…
Male Infertility Apr 19, 2023

Testicular sperm aspiration

Hi! How much does the Testicular sperm aspiration cost? And does that include freezing the sperm? Thanks. Regards, Rick Hwang — Rick H.

Dr. Geoffrey Sher answered

I do not have the cost for you. For that you would need to call SFS-New York (see contact # on home-page of this website). Yes, I believe that freezing is included. ADDITIONAL INFORMATION: I am attaching online links to two E-books which I recently co-authored with my…
Clinic & Practice Apr 19, 2023

Need consultation online

Dear Dr. Geoffrey, i have heard one of your interview in podcast about the right protocol for ivf and i think what you have meanstioned it is exactly whats happened to me after 2.failed ivf round, i am 36 years… — Shafagh K.

Dr. Geoffrey Sher answered

Might I suggest that you contact my assistant, Patti converse (702-533-2691) and set up man online consultation with me to discuss you case in depth. It is primarily the egg (rather than the sperm) that determines the chromosomal integrity (karyotype) of the embryo, the most important determinant of…
Male Infertility Apr 15, 2023

Husband with low sperm motility, lifespan and concentration

Hello, I am a 38 year old woman who just completed a failed round of IVF today. I live in Canada and wonder if we don't have the IVF advancements perhaps as there is in the USA. I am healthy,… — Kristyn W.

Dr. Geoffrey Sher answered

Whenever a patient fails to achieve a viable pregnancy following embryo transfer (ET), the first question asked is why! Was it simply due to, bad luck?, How likely is the failure to recur in future attempts and what can be done differently, to avoid it happening next time?.…
IVF Failure & Pregnancy Loss Feb 27, 2023

2 Implantation failure

I had 2 FET with 2 A grade embryo so each time but failed. No undying issues other than mild PCOS. chosen IVF due to male infertility low motility and 1% morphology. Please help me. I got the immunology tests… — Rakshitha R.

Dr. Geoffrey Sher answered

There are only t 4 Reproductive Immunology Labs in the US that in my opinion, can do the immune tests adequately. If these were not used, the results are probably erroneous. Implantation dysfunction is unfortunately often overlooked as an important cause of IVF failure. This is especially relevant…
Clinic & Practice Feb 14, 2023

New Pathway without a referral

Hello, I was referred to you from great friends of mine and I’m already impressed that there is a question portal! My husband and I would like to change doctors and don’t have a referral. Would we need one to… — Deanna F.

Dr. Geoffrey Sher answered

I would be delighted to consult with you. Please contact my assistant, Patti Converse at 702-533-2691 and set up an online consultation with me. I look forward to meeting both you and your husband. Geoff Sher ADDITIONAL INFORMATION: I am attaching online links to two E-books which I…
IUI & Insemination Feb 8, 2023

Should we do IUI?

Hi there, I am 36 years old with 2 children already my husband is 39. We have been trying to conceive number 3 for close to 2 years and have experienced miscarriage & struggle conceiving. My AMH is 6.5. Recently… — Kathryn T.

Dr. Geoffrey Sher answered

With sperm antibodies, IUI is really not a tangible option. You need IVF/ICSI. Antisperm antibodies (ASA) are immunoglobulins that attach to sperm. They are most commonly encountered in semen, blood, cervical mucous and follicular fluid. Not all ASA bind to sperm. However, those that do so can inhibiting…
Male Infertility Jan 30, 2023

Semen analysis

Does this clinic do semen analysis for infertility? I've been trying to find somewhere that does semen analysis but all the places I've contacted only do it for post vasectomy patients. — Jorge S.

Dr. Geoffrey Sher answered

Absolutely we do.Simply call the clinic (contact info is on website). Good luck! Geoff Sher
Egg Health & Ovarian Reserve Jan 10, 2023

Unexpected IVF Results

Hi Dr. Sher- I just completed my first failed IVF cycle and I'm left shocked and confused by the results, for both egg retrieval and transfer. I am 38 years old, AMH is 5.12, FSH 6.3, follicle count around 40-… — Jennifer M.

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 eggs and embryos. This is also one of the most difficult questions to answer. On the one hand many factors that profoundly influence egg…
Male Infertility Nov 21, 2022

What does your clinic do differently?

Hello, My husband and I have been trying to have a baby for 8 years now. We reside Alberta, Canada. We have attempted 5.5 IVF ICSI cycles. I am wondering if your clinic does the IVF procedures differently then in… — Masuma M.

Dr. Geoffrey Sher answered

You are only 34y of age, So when it comes to egg/embryo quality, regardless of your ovarian reserve, you should be able to do better. Your husbands sperm dysfunction could be contributing factor but in my opinion, the protocol used for ovarian stimulation and its implementation is the…
Embryos & Genetic Testing Nov 7, 2022

Permutation Fragile X

I have have had 2 pregnancies, 1 resulted in miscarriage and the other resulted in mono-di girls. I am a permutation fragile x carrier and they have the gene as well. Myself and my husband would like to go through… — Randi T.

Dr. Geoffrey Sher answered

The answer to both questions is yes! Fragile X syndrome occurs in individuals who carry the gene, FMR1 on an X-chromosome. This condition is inherited as a dominant X-linked disorder. With a dominant disorder, the condition results when there is only one copy of the altered gene in…
Infertility Basics Oct 30, 2022

Infertility

I’ve been trying to conceive a baby with my significant other for a couple months now and have had no luck. We’ve done everything we possibly can and nothing is working. Is it possible that if I smoke nicotine that… — Vaughn K.

Dr. Geoffrey Sher answered

Usually you would wait 1 full year before diagnosing infertility. If not pregnant by then, you would need an infertility work-up with your local doctor or call my assistant, Patti Converse (702-533-2691) and set up a consultation with me online. I don't think the use of nicotine is…
Embryos & Genetic Testing Sep 26, 2022

repeated implantation failed

Dear Dr, Embryo Solution recommended me to contact you to get your point of view on my fertility problem. With my husband we have a severe male infertility problem and in 2017 we did a fertility treatment when we lived… — Sofia G.

Dr. Geoffrey Sher answered

The commonest cause of your type of issue relates to egg/embryo "competency". AND here, the protocol used for ovarian stimulation is pivotal. The importance of the IVF stimulation protocol on egg/embryo quality cannot be overstated. This factor seems often to be overlooked or discounted by t IVF practitioners…
Male Infertility Sep 12, 2022

Morphology

Hello Dr. Sher, My husband's semen analysis came back as 250 million motile sperm but only 4% morphology. Is such low morphology an issue in your professional experience? Does this mean that its basically 10 million sperm that are ok… — Lisa M.

Dr. Geoffrey Sher answered

This quite acceptable. I do not see it as a significant issue at all.when it comes to IVF/ICSI, Geoff Sher
Male Infertility Sep 6, 2022

Sperm retrieval

Hi, My partner and I have had a friend that was successful at your clinic (Michelle and Steve Christie) and we are exploring a child together but do not have the funds to have it not be successful going back… — Kristen S.

Dr. Geoffrey Sher answered

Here is some information on : Previous vasectomy and IVF; Gender selection and Endometriosis and infertility. We should talk,. call Patti Converse (702-533-2691) and set up an online consultation with me. 1. GENDER SELECTION Couples have for centuries sought to influence the gender of their offspring. More than…

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.

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