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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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Early Pregnancy & hCG Sep 4, 2023

Failed euploid transfer

Dear dr Sher, Thank you so much giving me the option to ask you a question! I’m very curious about what your differential diagnosis/following steps would be. I’m 34 years old and we have been dealing with unexplained infertility for… — Eline L.

Dr. Geoffrey Sher answered

In my opinion, this sounds very much like an implantation dysfunction. >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> IVF FAILURE WITH “NORMAL” EMBRYOS: EXAMINING AND ADDRESSING ANATOMICAL AND IMMUNOLOGIC CAUSES. Geoffrey Sher MD Implantation dysfunction is often overlooked as a significant reason for IVF failure. This is especially true when IVF failure is unexplained,…
Uterine & Endometrial Health Sep 4, 2023

Progesterone Timing and Receptivity

Hi Doctor. I am worried about my uterine receptivity and progesterone exposure. I'm in the TWW after a modified natural cycle. On a Monday my follicle was 17mm. and my doctor told me to trigger the next day not expecting… — Albena T.

Dr. Geoffrey Sher answered

I do not think the surge or the "trigger" with Ovidrel will change the timing of the FET. But to be quite honest, I personally prevent FET's in hormone replacement cycles to better pinpoint the ideal window of implantation. Prior to 2 decades ago, most women undergoing IVF…
Infertility Basics Sep 1, 2023

Unexplained infertility

Hi Dr Sher, Having heard some of your talks online, I felt reinvigorated and am now determined to find out the cause of my infertility. I am 25 years old and my husband is 29. We had been trying for… — Layla A.

Dr. Geoffrey Sher answered

Given your age and history, I would not be at all surprised if this were an implantation dysfunction (possibly immunologic). See the urticles below . In my opinion, you should delay doing another FET until there is a diagnosis. Infertility affects y 10%-15% of couples who are unable…
Ovarian Stimulation & OHSS Aug 31, 2023

Eggs disintegrate

is it possible 10 hours after egg retrieval your eggs can disintegrate and if so, how is that possible? — Mckeeya B.

Dr. Geoffrey Sher answered

It is most unusual but it can happen due to an egg issue or due to a laboratory dysfunction. In my opinion the most important remedy is to use an individualized protocol for ovarian stimulation to try and protect egg development during stimulation. The journey of in vitro…
Ovarian Stimulation & OHSS Aug 30, 2023

Endo?

At the last scan before my retrieval, one of my ovaries was found to be adhered to the back of my uterus. I have no history of infection or STIs. Is this indicative of endometriosis? — Grace D.

Dr. Geoffrey Sher answered

Very possibly Yes! Endometriosis is a condition where the lining of the uterus grows in other places besides its usual spot inside the uterus. It can affect the Fallopian tubes, ovaries, and bowel and on rare occasions can even disseminate beyond the pelvis and abdominal cavity. While it…
IVF Failure & Pregnancy Loss Aug 30, 2023

3 Failed FET’s using normal donor eggs

Hi, I just had my 3rd failed FET. 1st one was negative, second one we got pregnant but resulted in a chemical (pregnant for 5 days, we used Letrozole), 3rd one completly negative. I am very confused and loosing hope.… — Erin C.

Dr. Geoffrey Sher answered

__ If you've undergone in vitro fertilization (IVF) and didn't achieve a successful pregnancy, you may be wondering why. It's important to know that IVF outcomes can be unpredictable, but there are factors that can affect your chances. Let's explore some common reasons for IVF failure in simpler…
Embryos & Genetic Testing Aug 30, 2023

international patient

Hello Dr. Tortoriello, My name is Jeffrey Dorr and I am a US physician (neuroradiologist) living overseas in Japan. My wife is 41 yo, and has undergone fertility treatment here in Japan for the last 16 months, including 6 rounds… — Jeffrey D.

Dr. Geoffrey Sher answered

Dear Dr Dorr, We do not manage patients during pregnancy.We only address reproductive dysfunction. Might I I suggest that you reach out to an obstetrician to look after your wife while you are in NY. If you need help in finding one., please let me know and I…
Embryos & Genetic Testing Aug 30, 2023

TSH prior to FET

Hello, I was wondering what the recommended parameters are for TSH/T4 level prior to FET. I have no issues with thyroid and my most recent TSH level was 3.6 and T4 1.3, just wondering if these are good numbers for… — Julie M.

Dr. Geoffrey Sher answered

Your TSH is modestly elevated. In my opinion this is an indication to evaluate for antithyroid antibodies, which if present, could suggest an underlying autoimmune, immunologic implantation dysfunction linked to activation of uterine natural killer cells (NKa). This should be addressed in advance of undergoing FET in my…
IVF Failure & Pregnancy Loss Aug 29, 2023

Yo

Estoy operada quiero saber cuanto cuesta su tratamiento — Sonia A.

Dr. Geoffrey Sher answered

Pleased post your question/comment 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…
Uterine & Endometrial Health Aug 29, 2023

FET Today – I may have messed it up

Hi Dr.Sher, I just had my FET today. I went for acupuncture and drank a TON of liquid before but didn't feel the urge to pee. I fell asleep at acupuncture and when I woke up an hour later, I… — Rivka R.

Dr. Geoffrey Sher answered

I sincerely do not believe that this would impact embryo implantation one way or another. Geoff Sher
Infertility Basics Aug 28, 2023

Mujer

-ppost in english!Estoy operada hace 15 años con la tuvetomia y queiro tener un bebé que tratamiento podría realizar me muchas gracias — Restrepo L.

Dr. Geoffrey Sher answered

Please re-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…
Embryos & Genetic Testing Aug 28, 2023

2 failed IVF frozen embryo transfers

Hello, I am 39 years old. I have now had 2 failed FET cycles. I’m getting frustrated bc my levels For everything have been “ideal” per my doctor and they are not sure why it is not working. I have… — Nikki F.

Dr. Geoffrey Sher answered

This sounds like an implantation dysfunction. 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…
Infertility Basics Aug 28, 2023

Getting Pregnant after IVF

Hi Dr. Sher, I got pregnant at your practice and had a healthy girl (thank you!). I finally just got my period at 7m pp but am still breastfeeding, I would like to try naturally until we are ready for… — Megan L.

Dr. Geoffrey Sher answered

In my opinion, you should wait until you discontinuous BF + 1-2 normal cycles. Proceptin can be helpful > Go to www.proceptin.com for information and to purchase. Good luck! Geoff Sher
Clinic & Practice Aug 24, 2023

Ivf

Hi i was wondering what the whole process would be of ivf and how it would work on two girls? — Jazzy L.

Dr. Geoffrey Sher answered

We would need to talk. Please call my assistant, Patti Converse at 702-533-2691 and set up an online consultation with me to discuss! 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…
Egg Health & Ovarian Reserve Aug 24, 2023

Fertilizing well, but with really high attrition rates

Age: 39.5 AMH 3.6 FSH 6.1 LH 4.6 I just completed my second fairly disappointing cycle. I've been told my AMH is high for my age, although, I have not been formally diagnosed with PCOS and my RE told me… — Taylor M.

Dr. Geoffrey Sher answered

In my provisional opinion, this is likely attributable to the protocols used for ovarian stimulation. I do not agree with testosterone supplementation or concomitant clomiphene included in the cycle. I think we should talk and I urge you to contact Patti Converse (my assistant) at 702-533-2691 (see below).…

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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