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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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Page 33 of 68

Immunology & Implantation Oct 12, 2023

Hashimotos and IVF

Hi there, I have high TPO antibodies (around 300) and now about to embark on our IVF journey in a few weeks. It seems that I have POI and I'm 27 years old. I am currently on 100mg of Levothyroxine… — Georgina H.

Dr. Geoffrey Sher answered

Between 2% and 5% of women in their childbearing years deal with hypothyroidism, a condition that affects women more than men. This issue with the thyroid often leads to difficulties in getting pregnant or maintaining a pregnancy. Hypothyroidism in women often happens because the immune system attacks the…
Egg Health & Ovarian Reserve Oct 9, 2023

Poor Fertilization and Embryo Quality

Hello. I had an egg retrieval last week - 75 eggs collected, 1/2 normal insemination and 1/2 ICSI. 0 eggs fertilized with normal insemination. In the ICSI group (38 eggs) - 25 mature, 12 fertilized, 1 graded 3BB blast at… — Nkoli A.

Dr. Geoffrey Sher answered

I suspect it has to do with the ovarian stimulation protocol rather than an inherent egg quality deficit. Geoff Sher 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…
Hormones & Ovulation Oct 9, 2023

Do Intralipids in IVF cause weight gain

I am 37, have low egg count and poor egg quality in the last 3 egg retreivals. There is mild adenomyosis and possible endometrioma on my scans. I don’t have any known autoimmune conditions. My fertility specialist feels I might… — Michaela T.

Dr. Geoffrey Sher answered

It should not cause weight gain. 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…
Early Pregnancy & hCG Oct 9, 2023

Viable?

I had my first beta draw at 12 DPO (October 2) and it was 85. I had my second draw (October 5) and it was 315. What are the chances of this being a viable pregnancy? My doubling time according… — Lindsay B.

Dr. Geoffrey Sher answered

Likely to be viable! Congratulations _GS 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…
Early Pregnancy & hCG Oct 9, 2023

Regarding pregnancy

Hi my beta hcg report value is 819mlu/ml ..means I'm 100% pergenant or not — Revathi A.

Dr. Geoffrey Sher answered

It depends on whether the level is doubling every 2 days or not 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…
Immunology & Implantation Oct 6, 2023

Reproductive Immunologist?

Hello there, and thank you for your generosity with responses and for publishing so many valuable resources! After RPL and testing high for immunoglobulin E, my IVF clinic is suggesting we enlist prednisone and lovenox as a means to prevent… — Sl T.

Dr. Geoffrey Sher answered

I was one of the pioneers into the field of ART-related reproductive immunology. Feel free to call my assistant, Patti Conve3rse (702-533-2691 to set up a consultation with me at your convenience. A RATIONAL BASIS FOR MANAGEMENT OF IMMUNOLOGIC CAUSES OF EMBRYO IMPLANTATION DYSFUNCTION Geoffrey Sher MD In…
Age & Fertility Oct 6, 2023

IVF preparation

I am 42 old woman, planning for IVF in next few months. What supplements, dosage and duration would you recommend for me? Thank you — Pema L.

Dr. Geoffrey Sher answered

The Role of Nutritional Supplements in Preparing for IVF Geoffrey Sher MD It is important to nurture and take care of yourself mentally and physically when preparing and going through your IVF journey. This starts with trying to have a positive attitude about what you are about to…
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 Oct 4, 2023

Mosaic on chromosome 18

Hi Dr you come so highly recommended. Would you transfer an embro with 35% mosaicism on chromosome 18? My current gyanae thinks it'll correct itself in the womb. Thank you — Neelam R.

Dr. Geoffrey Sher answered

No doubt a tough call....I would transfer BUT would do an early CVS or amniocentesis to make certain that the baby was OK...leaving open the option to terminate, if not so! Good luck and G-d bless! Geoff Sher Herewith are online links to 2 E-books recently co-authored with…
Egg Health & Ovarian Reserve Oct 2, 2023

Success at 44

Hello. My husband and I are trying for our first. I am 44. My AMH was assessed 8 months ago and was .09. At the time my FSH was 14. I took a urine sample this cycle and it is… — Sara E.

Dr. Geoffrey Sher answered

IVF at 44y, even with normal ovarian reserve (AMH) is a long shot. See below. Sorry! Geoff Sher ADDRESSING ADVANCING AGE AND DIMINISHING OVARIAN RESERVE (DOR) IN IVF Geoffrey Sher MD Understanding the impact of age and ovarian reserve on the success of in vitro fertilization (IVF) is…
Oct 2, 2023

Posting

Dear Doctor, I am not sure who I should contact but I used to love going on your social media pages as they were both insightful and encouraging. Some days the posts were very medical and some days the post… — Mary G.

Dr. Geoffrey Sher answered

Thank you for your feed-back. You make a valid criticism and I will try to do better going forward! Perhaps if I post a photograph of myself, it will make you laugh!! Geoff Sher PLEASE SHARE THIS WITH OTHERS AND HELP SPREAD THE WORD!! Herewith are online links…
Early Pregnancy & hCG Sep 28, 2023

HCG Levels

On 9/22 I had an HCG test done and my numbers were 8,221.0 and then I got my HCG test done again on 9/27 and the numbers were 11,225.0. Are the numbers rising at a good pace? — Madyson R.

Dr. Geoffrey Sher answered

At this stage of pregnancy, the levels do not rise as fast as earlier on. I think this is perfectly acceptable.../However an US done in 1-2 weeks should be definitive! Good luck! Geoff Sher TIMING AND INTERPRETATION OF hCG BLOOD PREGNANCY TESTS Geoffrey Sher MD Going through IVF…
Egg Health & Ovarian Reserve Sep 27, 2023

HGH

Hi Dr. Sher, I’m wondering what your opinion is on using HGH specifically for egg QUALITY (not quantity). I’m turning 44 in a week and although my reserve seems to be fine, it’s the quality that I’m attempting to help.… — Bree M.

Dr. Geoffrey Sher answered

IVF and the use of Supplementary Human Growth Hormone (HGH) : Is it Worth Trying and who needs it? Geoffrey Sher MD Older women and those who have diminished ovarian reserve (DOR) have greater difficulty in conceiving naturally or through assisted reproductive technology (ART). This is largely due…
Embryos & Genetic Testing Sep 27, 2023

Accuracy of Quad Screening

We are 20 weeks and have our anatomy scan next week. Very anxious! Day 5 4AA euploid embryo. Quad screen levels all looked perfect at 16 weeks. Is it safe to relax now? Does a tested high-quality embryo with a… — Mary P.

Dr. Geoffrey Sher answered

I would all-but stop worrying at this stage`. 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…
Ovarian Stimulation & OHSS Sep 27, 2023

BCP initiated IVF

Hi Dr. Sher, At what stage of the menstrual cycle do you recommend starting the birth control pill, prior to initiating ivf stimulation protocol? Thank you for your help. Regards, RACHEL — Rachel L.

Dr. Geoffrey Sher answered

Within the 1st week of the period starting. One often hears the expressed opinion that the BCP suppresses response to ovarian stimulation. This is not the case, provided that the BCP is overlapped with administration of an agonist (e.g. Lupron, Buserelin, Superfact) for several days leading up to…

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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