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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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Egg Health & Ovarian Reserve Nov 8, 2023

CAPA-IVM

s ago. Hi! I read about an IVF alternative called CAPA-IVM from this article: https://www.sciencealert.com/ivf-alternative-first-baby-born-in-australia-through-cheaper-safer-fertility-treatment I want to know if you offer this procedure or, if not, can you recommend a place that does it in the US? Thanks! — Liz C.

Dr. Geoffrey Sher answered

CAPA-IVM is Biphasic In-Vitro Maturation. of eggs. It is a technical variation on conventional maturation of early eggs (in vitro maturation) that was introduced in Australia about 4y ago.. It has not taken hold in this country as it does not offer any real advantage , in my…
Uterine & Endometrial Health Nov 7, 2023

Viagra

When is best time to start and stop Viagra through vigaina. — Okeoma N.

Dr. Geoffrey Sher answered

THE IMPACT OF A THIN UTERINE LINING ON EMBRYO IMPLANTATION: THE BENEFITS OF VIAGRA THERAPY Geoffrey Sher MD 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.…
Early Pregnancy & hCG Nov 6, 2023

Hcg levels

I don't seem to understand these hcg levels. I did a blood test the first time and it showed that my hcg levels were on 6105 and I am 5 weeks pregnant. I did a test again a week after… — Nomonde M.

Dr. Geoffrey Sher answered

Ideally the level should have increased. Repeat the hCG again. Geoff Sher TIMING AND INTERPRETATION OF hCG BLOOD PREGNANCY TESTS Geoffrey Sher MD Going through IVF is a major investment, emotionally, physically, and financially, for every patient or couple. One of the most crucial moments is receiving the…
Cost & Insurance Nov 3, 2023

Reconstrucción de trompas

Hace 7 años me hice una ligadura de trompas con mi última hija en mi país. Tengo 2 niñas. Ahora deseo tener un bebé. Tengo 30 años. Quiero saber el precio de la reconstrucción de trompas. — Nora R.

Dr. Geoffrey Sher answered

Please post your question 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…
Egg Health & Ovarian Reserve Nov 2, 2023

Elevated dhea

I just Received blood work where my dhea levels are elevated and they might believe it’s associate with pcos. What can I do In regards to having a baby? — Julie A.

Dr. Geoffrey Sher answered

Raised DHEA is not a real problem . it is a raised DHEAS that xcouyld be problematic as it would point to a possible adrenal contribution to the PCOS equation. Navigating Polycystic Ovary Syndrome: Understanding, Hope, and Treatment Geoffrey Sher MD Understanding the intricate interplay of hormones and…
Embryos & Genetic Testing Nov 2, 2023

embryo adoption

nd can use own eggs/embryos. I am a current patient. 2 failed ivf. High NK. Myself and husband have 2 variants of MTHFR I did intralipids in both. I was wondering if we would have better chances if we used… — Shontae S.

Dr. Geoffrey Sher answered

No, I do not think you need to go on Lovenox and use own eggs/embryos. Hereditary Clotting Defects (Thrombophilia) Geoffrey Sher MD Thrombophilia (Hereditary Clotting Defect) is defined as the genetic predisposition to developing intravascular thrombosis. It is due to hypercoagulability of blood leading to impairment of initial…
IVF Failure & Pregnancy Loss Nov 2, 2023

Doppler US – notch right at 13 weeks

Hello Dr Sher, I hope you're well. We just had a dating scan at 13w1d, they confirmed everything looks good. However, in the printed report, it states that for the Dopler Ultrasound there is a "notch right" - they didn't… — Cassidy O.

Dr. Geoffrey Sher answered

Frankly, I would not be overly concerned. And no,there is in my opinion nothing to do here. except follow up with ultrasound evaluations intermittently. 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 your reading…
Egg Health & Ovarian Reserve Nov 2, 2023

Egg freezing risks in IVF

Hello Dr. Sher I am 39, childless and I'm currently undergoing IVF in Portugal. I have had 4 miscarriages in the past (2 clinical and 2 chemicals). On my last scan, my AFC was 15. My AMH is 1.24. I… — Lisa-Marie E.

Dr. Geoffrey Sher answered

I concur. I would collect as many eggs as possible in advance. "Empowering Choices: Embryo Banking vs. Egg Banking for Fertility Preservation" Geoffrey Sher MD It's crucial for women to make informed decisions about preserving their fertility. Delaying trying to conceive, relying on egg freezing, or assuming the…
Nov 1, 2023

Lala

How can I get pregnant if i don’t have the period anymore? — Maria L.

Dr. Geoffrey Sher answered

You will need to be evaluated as to the reason for your not having periods. Only then could treatment be contemplated. Go an see your primary OB/GYN. Geoff Sher
Egg Health & Ovarian Reserve Oct 31, 2023

Immature Egg Rate

Good afternoon, For my 1st, and most recent cycle, I retrieved 14 eggs and only 6 were mature. 6 were GV and 2 were M1. I am 32, my AFC was 17, my AMH is 2.4, my CD3 FS &… — Margaret C.

Dr. Geoffrey Sher answered

In my opinion, this is likely due to the protocol used for ovarian stimulation (see below EGG/ EMBRYO QUALITY IN IVF & HOW SELECTION OF THE IDEAL PROTOCOL FOR OVARIAN STIMULATION INFLUENCES EGG/EMBRYO QUALITY AND OUTCOME. Geoffrey Sher MD The journey of in vitro fertilization can be a…
Immunology & Implantation Oct 31, 2023

NK cell activation – endometriosis

My NK results from Fertilysis Greece came back within range but I read on this blog that sometimes women with endometriosis can have NK results that appear normal when they are in fact very elevated. I’m not sure if the… — Lucy T.

Dr. Geoffrey Sher answered

In the world of assisted reproduction, when IVF fails repeatedly or without explanation, it's often assumed that poor embryo quality is the main culprit. However, this view oversimplifies the situation. The process of embryo implantation, which begins about six or seven days after fertilization, involves a complex interaction…
Egg Health & Ovarian Reserve Oct 30, 2023

Reoccurring failed implantation

Hi Dr. Sher, I found your website after researching pgt embryos that fail to implant. I’m 38 years old, I have DOR, AMH .5 when tested a year ago, FSH 10.3. I did three retrievals and ended up with 5… — Jill D.

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…
Age & Fertility Oct 30, 2023

Fallo ovarico prematuro

Hola, Quería preguntar acerca del fallo ovarico prematuro. Tengo 42 años y hace varios meses que no tengo menstruación. Mi nivel de FSH en febrero era de 13, en julio de 4 y en octubre de 27. Mi nivel de… — Cristina C.

Dr. Geoffrey Sher answered

Pleased post the questions in English
Cost & Insurance Oct 26, 2023

Ayuda

Hola tengo tres anós que me cortaron para no tener bebé pero deseo dos niños más. Es posible tenerlo. Ustedes toman seguro médico — Sheila A.

Dr. Geoffrey Sher answered

Please post 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 Unexplained IVF…
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…

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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