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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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Fertility Preservation Oct 16, 2023

Egg freezing at 48

I have been prepping for an IVF cycle for the past few months after undergoing an ovarian rejuvenation procedure. After my blood work last week. My doctor said I had ovulated and ready to start birth control pills. My concern… — Lucie A.

Dr. Geoffrey Sher answered

Our cut-off for IVF using own eggs is 47Y. Sorry! 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…
Egg Health & Ovarian Reserve Oct 16, 2023

Empty follicles

Hi Dr, thanks for your article on empty follicles. I have DOR, and had two retrievals in 2021 and 2023 which yielded zero eggs (out of 3-4 follicle ). My protocol were different each time but both at least included… — Halima I.

Dr. Geoffrey Sher answered

It is too complex to respond to here. I suggest you call my assistant Patti at 702-533-2691 and set up an online consultation with me to discuss. Geoff Sher
Egg Health & Ovarian Reserve Oct 13, 2023

DOR

dear Dr.Sher , please help me with your advice. i admire you and i am so sad that here in Serbia we don’t have more fertility options. 39yo ,DOR , fsh 30 , Amh 0,375 4 IVF 1st and 4.… — Ana T.

Dr. Geoffrey Sher answered

Thank you for your kind words 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…
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…

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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