– 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 38 of 68
Uterine & Endometrial Health
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
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
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
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
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
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
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
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…
Embryos & Genetic Testing
Hi Dr Sher, apologies to bother you again, your insights are so helpful and I'm worried this IVF round isn't going to work! It's a Euploid embryo being transferred that I don't want to wast. We're doing a modified natural… — Cassidy O.
Dr. Geoffrey Sher answered
No! It sounds as if the timing will still be OK! Good luck! Geoff Sher
Embryos & Genetic Testing
I went in for a scan today in anticipation of doing a modified natural cycle, it's day 10 - LH levels are rising -I've not reached ovulation yet, LH normally surges on day 14 for me. The lining was trilaminar… — Cassidy O.
Dr. Geoffrey Sher answered
Candidly, I am not a fan of modified natural cycle FET's. However, the time to trigger is just before the onset of the natural LH surge.; This is determined by the size (20+mm) of the dominaqnt follicle and bloopd E2. (150pg/ml+ or 300+ if there are >2 dominant…
Ovarian Stimulation & OHSS
I am 42, 2.15 AMH, did the first cycle with Decapeptyl only and got all empty follicles. Then did three more cycles with dual trigger and got no euploids. Should I try an Ovidrel only trigger? 500 or 250? (I… — Anne C.
Dr. Geoffrey Sher answered
Empty Follicle Syndrome" is a misleading term because follicles always contain eggs. However, some eggs may have difficulties detaching and being retrieved. This is more likely to happen when multiple attempts are needed to retrieve an egg from a follicle, indicating the egg may have chromosomal abnormalities. The…
Clinic & Practice
To whom it may be concerned, I am Dr. Amy Huang's patient. After more than one year of getting pregnancy naturally, we decided to move forward with other options. I got referral from Dr. Huang and would like to make… — Yuyan Q.
Dr. Geoffrey Sher answered
Thanks for contacting me. Please call 702-533-2691 and ask my assistant, Patti Converse, to set you up with an online consultation with me. 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…
IVF Failure & Pregnancy Loss
Hello... My name is Claire...I've had 3 pregnancy losses ..one was at 6weeks and the rest were chemical pregnancies they exited even before I noticed I was pregnant..my gyna did thyroid.. diabetes and immune disorder test with my blood and… — Claire L.
Dr. Geoffrey Sher answered
When it comes to reproduction, humans face challenges compared to other mammals. A significant number of fertilized eggs in humans do not result in live births, with up to 75% failing to develop, and around 30% of pregnancies ending within the first 10 weeks (first trimester). Recurrent pregnancy…
Embryos & Genetic Testing
Hi, I came across your podcast about implantation issues. I went thru infertility issues for 4 years (Ivf wasn’t covered) 19iuis- I had a miscarriage in the 2nd trimester- 3 chemical pregnancies and 2 miscarriages ending before 9 weeks we… — Lauren B.
Dr. Geoffrey Sher answered
Clearly you have recurrent pregnancy loss...likely due to an implantation dysfunction (anatomical or immunologic.However, I would need much more information to be able to comment authoritatively. When it comes to reproduction, humans face challenges compared to other mammals. A significant number of fertilized eggs in humans do not…
Egg Health & Ovarian Reserve
Dear Dr. Sher, 42 year old here desperately wanting to be mother for the first time! 6 year unknown infertility, 99 lbs, 5'6'', eat healthy, taking COQ10 and prenatal, very healthy and no disease illnesses in the past. My AMH… — Anne C.
Dr. Geoffrey Sher answered
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 protocols for IVF. By providing you…
