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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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Dr. Geoffrey Sher

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IVF Failure & Pregnancy Loss Oct 26, 2023

Recurrent biochemical pregnancy

I have three children born via IVF in 2018 2019 2020. After my last child, I had a incisional hernia that was repaired with MESH. Therefore, my doctor highly discouraged further pregnancies. We currently are using a surrogate. Our surrogate… — Ashley C.

Dr. Geoffrey Sher answered

It is likely just bad luck but bear in mind that even a perfect surrogate is not immune to developing implantation issues. Discuss the possibility that your surrogate might be one of these (as unlikely as this might seem). You might even consider switching surrogates. IVF FAILURE WITH…
Hormones & Ovulation Oct 26, 2023

Repeated Miscarriage

Hi Dr. Sher, Thanks so much for taking the time to read and answer our questions, and for the valuable resources on your site. I have PCOS and have had 4 losses, no live births yet. Each miscarriage at a… — Irma M.

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…
Early Pregnancy & hCG Oct 26, 2023

5w 4d ivf

Hello, I am not one of your patients however I have been having issues with my current fertility clinic and I was just wondering Is how often an hcg should be pulled? .. .and is a patient Notify you that… — Sarah J.

Dr. Geoffrey Sher answered

You need to repeat the hCG blood test to see whether the levels are dropping. But, sadly, this sounds like a very early pregnancy loss to me. Going through IVF is a major investment, emotionally, physically, and financially, for every patient or couple. One of the most crucial…
Egg Health & Ovarian Reserve Oct 26, 2023

IVF

I have gone through two failed IVF cycles and have very low AMH 0.4.. is it possible for me to undergo another IVF with my own eggs — Samudika R.

Dr. Geoffrey Sher answered

Understanding the impact of age and ovarian reserve on the success of in vitro fertilization (IVF) is crucial when it comes to reproductive health. This article aims to simplify and clarify these concepts, emphasizing their significance in the selection of ovarian stimulation protocols for IVF. By providing you…
Third-Party Reproduction Oct 26, 2023

Invitro

Puede mi hermana donarme huevos — Heidy V.

Dr. Geoffrey Sher answered

Please 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…
Fertility Preservation Oct 26, 2023

Dominant Follicle

I am currently on my second egg freezing cycle (35 years old). In my first cycle I had 11 follicles with 8 eggs frozen. I just began my second cycle 6 days ago and there is now a dominant follicle… — Courtney L.

Dr. Geoffrey Sher answered

It may have to do with a need to adjust your protocol for ovarian stimulation. Geoffrey Sher More About Dominant Follicle The journey of in vitro fertilization can be a rollercoaster of emotions for many patients. Often times they have to face the harsh reality that the number…
Ovarian Stimulation & OHSS Oct 20, 2023

If I miss a day of my Buserelin injection

Hi, am currently going through an IVF process and I have been taking my injection since the 8th and it'll continue till next month but I realized this morning that I forgot to do my injection yesterday and also forgot… — Blessing A.

Dr. Geoffrey Sher answered

Without knowing your case and your diagnosis, I cannot respond authoritatively. You will need to talk to your treating doctor.. 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…
Embryos & Genetic Testing Oct 20, 2023

Ivf

I want to knw why my embryos failed to grow at the 1st attempt of ivf ...and is the any hope or solution for me if go for the 2nd attempt — Onkarabetse R.

Dr. Geoffrey Sher answered

We should talk! 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) ; http://sherfertilitysolutions.com/sher-fertility-solutions-ebook.pdf Recurrent Pregnancy Loss and Unexplained IVF Failure: The Immunologic…
Immunology & Implantation Oct 20, 2023

Pregnancy and Reproductive Immunology Protocol

Hello! I'm so grateful to come across this generous offering to answer questions :) I am 36 years old and currently 5W, 2D (gestational sac measures 5W, 5D). Natural pregnancy, B-HCG numbers strongly doubling. I have an RE in Chicago… — Tara S.

Dr. Geoffrey Sher answered

Ideally treatment for NKa+ should commence >10days prior to embryo transfer and be combined with a steroid (prednisone or dexamethasone). Starting this late might not work! I was the first to recommend IVIG for NKa+ and it works well but it is a blood product, it is very…
Uterine & Endometrial Health Oct 20, 2023

Viagra vaginal insertion

Please, can Viagra help grow my uterine lining,i did Hysteroscopy 4 months ago and my doctor just prescribed Viagra to help my womb before Embryo transfer. Thank you. — Okeoma N.

Dr. Geoffrey Sher answered

Back in 1989, I conducted a study that examined how the thickness of a woman's uterine lining, known as the endometrium, affected the successful implantation of embryos in IVF patients. The study revealed that when the uterine lining measured less than 8mm in thickness by the day of…
Embryos & Genetic Testing Oct 18, 2023

SET vs. DET

I read through your website in your opinion of how many embryos to transfer. Would your recommendation change in the case of multiple failed euploid transfers in someone under 35? I have done all of the recommended testing and have… — Tasha T.

Dr. Geoffrey Sher answered

If multiple euploid embryo transfers have failed, you likely have an implantation dysfunction and it wont matter whether you transfer 1 or 2 embryos...outcome would be the same. What is needed is ti identify and address the cause of the implantation failure (see below). IVF FAILURE WITH “NORMAL”…
Third-Party Reproduction Oct 17, 2023

Donación de Ovulos

Deseo soñar ovulos — Mishel H.

Dr. Geoffrey Sher answered

Please re-post in English! Geoffrey 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…
Third-Party Reproduction Oct 16, 2023

Failed DE Treatment

Hi Dr. Sher, In 2019 I moved to DE at the age of 43 in Greece. I became pregnant on my first transfer and delivered my son in 2020. Since then I have been trying for a sibling with no… — Jaime K.

Dr. Geoffrey Sher answered

We really need to discuss this one-on-one. I suggest you contact my assistant, Patti at 702-533-2691 and set up an online consultation with me. 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…
Uterine & Endometrial Health Oct 16, 2023

progesterone in the days prior to FET

atiI took an extra progestrone shot (1 ml) in the morning 4 days prior to my scheduled FET. I'm supposed to take in the evening (yesterday was my first day on progesterone injections and the clinic had me take one… — Mary M.

Dr. Geoffrey Sher answered

I wish I could help but you need to discuss this directly with your treating doctor! Sorry! Geoff Sher
Age & Fertility Oct 16, 2023

Hola

Buenos días Doctor yo quería saber si yo con ya casi 50 años podría salir embarazada me encantaría poder tener otro bebé yo tengo ya dosu Geoff Sher — Elvis H.

Dr. Geoffrey Sher answered

__Please redraft your question in English! 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) ; http://sherfertilitysolutions.com/sher-fertility-solutions-ebook.pdf Recurrent Pregnancy Loss and…

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.

980 answers

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