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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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52 answers

Male Infertility

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Male Infertility Oct 5, 2023

Sperm Sample for IVF- Fresh or Frozen after fever?

Hello, My wife and I are about to undergo an egg donor cycle for IVF. Im 40 years old, healthy weight, non-smoker, and have undergone a semen analysis and all the parameters are normal (75x10^6 concentration, 62% motile, 6% normal… — Mark S.

Dr. Geoffrey Sher answered

Since you have no fertility issues and your sperm parameters are normal, provided proper protocol was followed, your back-up specimen should be fine for fertilization in-vitro. 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…
Embryos & Genetic Testing Sep 25, 2023

What is left to try?

Hello, I’m at 38 year old, female with low ovarian reserve and type 1 diabetes. My partner has male infertility, requiring tese. We had a successful IVF pregnancy with a day 3 embryo in 2018. For the last two years… — Alexa A.

Dr. Geoffrey Sher answered

We need to talk. 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…
Male Infertility Jul 22, 2023

Can I use my daughters eggs?

My question is I want to have another baby, can I use my daughters eggs and someone else’s sperm to have a baby? — Sheila F.

Dr. Geoffrey Sher answered

Provided strict criteria are applied...yes, you could use your daughter's eggs. 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) ;…
Male Infertility Jul 9, 2023

TESE

My nephew is in ICU with brain injury due to an accident and his wife wants to collect sperm for future IVF .He is in Las Vegas but unconscious . Do you know if you can help with that or… — Evelina I.

Dr. Geoffrey Sher answered

Thank you! I suggest you reach out to Dr Jeffrey Fisch in Henderson, Nevada! Geoff Sher
Embryos & Genetic Testing Jun 14, 2023

IVF

Hi, I'm 33, ttc for 2.5 years and no joy. Progressive sperm — Maggie C.

Dr. Geoffrey Sher answered

think we should talk. Please call my assistant, Patti Converse (702-533-2691) and set up ,an online consultation to discuss. Geoff Sher ADDITIONAL INFORMATION: I am attaching online links to two E-books which I recently co-authored with my partner at SFS-NY (Drew Tortoriello MD)....... for your reading pleasure: 1.From…
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…

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.

52 answers

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