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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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Search 1,017 questions patients have already asked, or narrow them by topic.

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  1. Egg Health & Ovarian Reserve

    It’s over

    Dear Dr. Sher, I am 43 years old, and in the last 2 years: 6 cycles, 100 follicles, 90 oocytes collected, 60 oocytes matured, 50 embryos, 10 blastocytes, 1 euploid. One abortion (prior to ivf), two failed transfers (the euploid… — Anne C.

    Dr. Geoffrey Sher answered

    I think we should talk first before you make that determination definitively. If you are interested in having an online consultation with me, please contact my assistant, Patti Converse at 702-533-2691 or email her at concierge@sherivf.com\ Geoff Sher ADDRESSING ADVANCING AGE AND DIMINISHING OVARIAN RESERVE (DOR) IN IVF…

  2. IVF Failure & Pregnancy Loss

    Hysteroscopy result

    Hi, I have had 3 natural miscarriages, but 3 failed implantations with PGT embryos. I got a hysteroscopy, and they found dyssynchronous proliferative endometrium and polypoid dyssynchronous proliferative endometrium consistent with endometrial polyp. Can this have any impact in my… — Laura C.

    Dr. Geoffrey Sher answered

    UNDERSTANDING RECURRENT PREGNANCY LOSS ( RPL): CAUSES AND SOLUTIONS. When it comes to reproduction, humans face challenges compared to other mammals. A significant number of fertilized eggs in humans do not result in live births, with up to 75% failing to develop, and around 30% of pregnancies ending…

  3. IVF Failure & Pregnancy Loss

    IVF

    For egg retrival they got 7 eggs 4 eggs died why is this — Tammy S.

    Dr. Geoffrey Sher answered

    I would neede to know much morev to comment authoritatively! 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…

  4. Embryos & Genetic Testing

    Failed FET

    Hi Dr. Sher, You did my egg retrieval 3 years ago, and we welcomed our beautiful daughter 2 years ago. We just did another transfer of 1 pgt embryo for a baby boy, and it failed. We only have 1… — Megan L.

    Dr. Geoffrey Sher answered

    We should talk. Please call my assistant, Patti (702-533-2691) and set up an online consultation to discuss. Geoff Sher

  5. Immunology & Implantation

    Pregnancy Loss, IVF & Immunologic Testing

    Hi Dr. Sher, I live in Toronto and have had 2 chemicals and one miscarriage within the span of 5 months. I used Letrozole to ovulate with the first 2 pregnancies, but I ovulated naturally with the third pregnancy. For… — Catherine B.

    Dr. Geoffrey Sher answered

    Based upon your representation, this sounds very suggestive of an embryo implantation dysfunction.However, to provide an authoritative opinion we should talk. If I turn out to be correct and you are not treated appropriately to counter the implantation dysfunction, you will very likely experience the same over and…

  6. Immunology & Implantation

    Failed ivf with donor eggs

    Dear Dr Sher I’m 50 year old , I have healthy 9 year old boy from my first marriage, with my second marriage my husband is 55 yrs old , tried one cycle ivf with 2 healthy embryos-my won eggs-… — Fofo A.

    Dr. Geoffrey Sher answered

    This sounds like a possible implantation dysfunction. I suggest we talk. Please contact my assistant, Patti Converse (702-533-2691) and set up an online consultation with me to discuss in depth. IVF FAILURE WITH “NORMAL” EMBRYOS: EXAMINING AND ADDRESSING ANATOMICAL AND IMMUNOLOGIC CAUSES. Implantation dysfunction is often overlooked as…

  7. Hormones & Ovulation

    Repeated Miscarriages

    Hi, My husband and I have been trying to conceive for 2 years now and have had 6 miscarriages within that time, all being early miscarriages except for our little girl who stopped growing at 13 weeks due to triploidy.… — Breann W.

    Dr. Geoffrey Sher answered

    _ When it comes to reproduction, humans face challenges compared to other mammals. A significant number of fertilized eggs in humans do not result in live births, with up to 75% failing to develop, and around 30% of pregnancies ending within the first 10 weeks (first trimester). Recurrent…

  8. IVF Failure & Pregnancy Loss

    Recurrent pregnancy loss

    Hi, I'm 38 yo and I live in Norway, and here the doctors are quite conservative. I have had 5 miscarriages after natural conception. 1 at 5w, then had my son in 2021, then 4 the last 12m, one at… — Helene N.

    Dr. Geoffrey Sher answered

    When it comes to reproduction, humans face challenges compared to other mammals. A significant number of fertilized eggs in humans do not result in live births, with up to 75% failing to develop, and around 30% of pregnancies ending within the first 10 weeks (first trimester). Recurrent pregnancy…

  9. Early Pregnancy & hCG

    Miscarriages

    Hello doctor, I had a chemical pregnancy due to low hcg 4yr back …it took a lot of time after that to get pregnant again I had all the basic test that my fertility specialist did and I got pregnant… — Ammy K.

    Dr. Geoffrey Sher answered

    When it comes to reproduction, humans face challenges compared to other mammals. A significant number of fertilized eggs in humans do not result in live births, with up to 75% failing to develop, and around 30% of pregnancies ending within the first 10 weeks (first trimester). Recurrent pregnancy…

  10. Embryos & Genetic Testing

    AMA and RPL (Secondary Infertility) – Chemical after First FET

    I just found out my first FET with a PGT-A tested 6AA embryo is ending in a chemical. I'm 35 with 2 known autoimmune issues (vitiligo and Reynaud's) and a history of RPL (2 miscarriages, at 7 and 8 weeks).… — Jillian B.

    Dr. Geoffrey Sher answered

    When it comes to reproduction, humans face challenges compared to other mammals. A significant number of fertilized eggs in humans do not result in live births, with up to 75% failing to develop, and around 30% of pregnancies ending within the first 10 weeks (first trimester). Recurrent pregnancy…

  11. Egg Health & Ovarian Reserve

    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…

  12. Embryos & Genetic Testing

    Two failed IVF with healthy embryos

    Hi! I recently had 3 failed iuis and two failed transfers with seemly healthy embryos (BA BB) These eggs were from when I froze them at age 34. I am now 40 and have no embryos left. I have had… — Carolyn S.

    Dr. Geoffrey Sher answered

    IVF FAILURE WITH “NORMAL” EMBRYOS: EXAMINING AND ADDRESSING ANATOMICAL AND IMMUNOLOGIC CAUSES. 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…

  13. Early Pregnancy & hCG

    Feeling confused

    I happened to take a test and it was positive i started having pains and irregular spotting i consulted with the health providers and so far i recieved to opinion the first Dr suspected an ealry pregnancy as he could… — Philisiwe P.

    Dr. Geoffrey Sher answered

    There is no specific hCG level that differentiated between and IUP and an ectopic. However, the level should double every 2 days with normal intrauterine pregnancy ...in the early stage of pregnancy. If it rises more slowly, that suggests a possible failing pregnancy or an ectopic. An US…

  14. IVF Failure & Pregnancy Loss

    Ectopic pregnancy

    Hello, I recently had an ET resulting in ectopic pregnancy. I would like to have your opinion on whether this is frequent and in which cases. Thanks — Elia F.

    Dr. Geoffrey Sher answered

    ECTOPIC (“TUBAL”) PREGNANCY By definition, an ectopic pregnancy is a gestation that occurs outside of the uterine cavity. The most common site is in the fallopian tube, but sometimes it can also occur in the ovary, the cervix, or even the abdominal cavity. Estimates put the incidence of…

  15. IVF Failure & Pregnancy Loss

    Aborto espontáneo por hematoma

    Me realize una transferencia de embrión con pruebas genéticas preimplantation ales me pusieron intralipidos unas días antes de la transferencia la implantación fue un éxito y todo iba perfecto hasta la semana 6 y 3 días empecé a sangrar fui… — Casandra E.

    Dr. Geoffrey Sher answered

    Please re-post 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 Sher Fertility…

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