– Geoffrey Sher, MD
Fill in the following information and we’ll get back to you.
Search 1,017 questions patients have already asked, or narrow them by topic.
Page 34 of 68
Early Pregnancy & hCG
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
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
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
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
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
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…
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
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
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
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
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…
Early Pregnancy & hCG
Dear dr. Sher! I have a question about Clexane. I'm 17 weeks pregnant, I've been injecting 0.4 clexane since the beginning, I started at about 67 kg and gained about 3 kg so far. I am on immune therapy due… — Timi G.
Dr. Geoffrey Sher answered
In my opinion, in the absence oft certain thrombophilias, or a history of thromboembolism, heparin therapy for suspected immunologic implantation dysfunction (IID) s rarely required beyond the 10th week. In the world of assisted reproduction, when IVF fails repeatedly or without explanation, it's often assumed that poor embryo…
Early Pregnancy & hCG
Cómo puedo lograr quedarme embarazada — Eleuteria E.
Dr. Geoffrey Sher answered
Please re-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…
Ovarian Stimulation & OHSS
Hi there, I was wondering why you decrease the dosage of Lupron once the Estrogen begins? I struggle with a thin endometrium lining and was reading your protocol for FET. I was wondering if the reason why my lining may… — Tracy W.
Dr. Geoffrey Sher answered
Frankly , little to no Lupron is needed once the estrogen therapy begins. A thin uterine lining can have numerous causes. 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…
Third-Party Reproduction
Dear Dr. T, When is one directed towards the surrogacy option? Thank you. — Y M.
Dr. Geoffrey Sher answered
IVF surrogacy involves the transfer of one or more embryos into the uterus of a surrogate, who provides a host womb and carries the baby to term, but does not contribute genetically to the baby. Typically, the intended mother provides the eggs and her partner (the intended father)…
