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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 37 of 68

Embryos & Genetic Testing Aug 23, 2023

Slow Freeze Donated Embryos

Hi Dr Sher, My husband and I are using donated embryos from a clinic program after 8 rounds of failed IVF due to low AMH 0.19 & diminished ovarian reserve. I have endometriomas in my ovaries and am now 44… — Naz C.

Dr. Geoffrey Sher answered

It is important to understand that endometriosis can be associated with an autoimmune, immunologic implantation dysfunction in about 30% of cases (regardless of its severity). This should, in my opinion, be thoroughly evaluated before transferring any more of these embryos! In the world of assisted reproduction, when IVF…
Ovarian Stimulation & OHSS Aug 23, 2023

Cabergoline before oocyte collection

Could taking Cabergoline after trigger but before oocyte collection have a negative impact on oocyte quality? — Cristina Y.

Dr. Geoffrey Sher answered

No! It should not! 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…
IVF Failure & Pregnancy Loss Aug 22, 2023

IVF

I went in for I V F but I keep getting shiver and can not sleep — Bridget A.

Dr. Geoffrey Sher answered

See your RE and be evaluated to exclude ifection! 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…
IVF Failure & Pregnancy Loss Aug 22, 2023

Follicular study

On day 15th i went to follicular study and in right ovary egg size is 10.3×7mm and left ovary egg size is 10×6mm can I able to conceive doctor suggested me to come again on 24th for another follicular study — Lalitha I.

Dr. Geoffrey Sher answered

Possible but highly unlikely! 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…
Uterine & Endometrial Health Aug 21, 2023

FET lining 17

Hi, I read a lot online about the lining being too thick for a successful FET. Mine is measuring 17 and still a week to go. Should I be concerned or are they right were good to move forward with… — Jennifer M.

Dr. Geoffrey Sher answered

Provided t here is no endometrial pathology, a thick lining does not adversely affect IVF outcome. 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…
IVF Failure & Pregnancy Loss Aug 21, 2023

Unknown ivf failure

I need to why it is happening ? — Juby B.

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 terms.…
Cost & Insurance Aug 21, 2023

Ivf

How much for ivf — Kimmona S.

Dr. Geoffrey Sher answered

It all depends on the proposed treatment. Call Patti at 702-533-2691 and she will provide additional and more specific information. 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…
Uterine & Endometrial Health Aug 21, 2023

Sub fertility

Can the catheter drain pus in the blocked fallopian tube — Awulatu A.

Dr. Geoffrey Sher answered

I am afraid not! 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…
Clinic & Practice Aug 21, 2023

Expert Opinion

Hi, we are doing an ivf cycle in canada and plan to continue that here. However, we would like to get consultation from Dr. Sher to review our file, details, previous tries and provide recommendations remotely. We might be wrong… — Ahmad A.

Dr. Geoffrey Sher answered

If you are interested in having an online consultation with me, please contact my assistant, Patti Converse at 702-533-2691 or email her at concierge@sherivf.com\ 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…
Immunology & Implantation Aug 21, 2023

Endo and Lupron

Hello, I scored 1.8 on the Receptiva test, and had a laparoscopy two weeks ago that revealed pelvic and bowel adhesions, and a blocked tube (all likely caused by a past silent infection - not from endo?). They also found… — Mel P.

Dr. Geoffrey Sher answered

I personally do not advocate long acting Lupron for treating endometriosis-related infertility. When women with infertility due to endometriosis seek treatment, they are all too often advised to first try ovarian stimulation (ovulation Induction) with intrauterine insemination (IUI) ………as if to say that this would be just as…
Embryos & Genetic Testing Aug 21, 2023

Frozen Embryo Transfer

Hello, I recently moved to Las Vegas after being in Japan for 2 years. I had an embryo transfer on the 15th of July but its looking to be a blighted ovum. I have a confirmatory ultrasound scheduled for Monday… — Zanetta F.

Dr. Geoffrey Sher answered

I recommend that you contact Dr Jeffrey Fisch in Henderson Nevada! 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…
Uterine & Endometrial Health Aug 17, 2023

Follicle and lining

Hi Dr.sher, As a follow up to my last question. Could you still do an FET if the lining thickens to a good size although the follicle is slow to develop/lack of ovulation. My lining is close to 7 mm… — Kristin C.

Dr. Geoffrey Sher answered

In my opinion, the lining needs to be >8mm (at least) prior to ovulation and/or progesterone supplementation. Geoff Sher
Early Pregnancy & hCG Aug 17, 2023

Hcg levels

Hi Dr. Sher, I had a dating ultrasound last week on Tuesday and was measuring 5 w and 5 d and they did an hcg test with and my levels were 52819 H. Yesterday I had another ultrasound and measuring… — Debbie R.

Dr. Geoffrey Sher answered

In my opinion there is reason for optimism! I know of no medical announcement associated with the degree of emotional anticipation and anguish as that associated with a pending diagnosis/confirmation of pregnancy following infertility treatment. In fact, hardly a day goes by where I am not confronted by…
Ovarian Stimulation & OHSS Aug 16, 2023

Slow Growth on Letrozole

Hi Dr.Sher, I am almost 40 and just did an egg retrieval on may. I have 5 euploids and 1 LLM. I also have pcos. I was hoping to do a modified natural cycle this month using 5mgs of letrozole.… — Kristin C.

Dr. Geoffrey Sher answered

I am afraid it does not look good for this cycle. Respectfully, I am not a fan of Letrozole used in "older" women. The journey of in vitro fertilization can be a rollercoaster of emotions for many patients. Often times they have to face the harsh reality that…
Immunology & Implantation Aug 15, 2023

Lovenox for homogenous MTHFR 677CT

Hello, I am currently 18 weeks pregnant following a fresh IVF transfer. Would you advise that I stay on lovenox 0.4 during the whole pregnancy since I have the following genetic mutations? - homogenous MTHFR 677CT - heterozygous PAI 4G/5G… — Kim D.

Dr. Geoffrey Sher answered

Yes! You will need Lovenox throughout pregnancy and until the 6th week post-delivery. Respectfully, I am not pro-using progesterone throughout pregnancy. 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 vascularization…

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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