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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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Dr. Geoffrey Sher

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Egg Health & Ovarian Reserve Jul 26, 2023

CoQ10

Would love to hear your thoughts on taking CoQ10 in women over 40yrs doing IVF? If you feel it’s worth taking, at what dose & duration pre- IVF, Thanks, R — Rosie S.

Dr. Geoffrey Sher answered

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 go through, creating a stress support system for yourself by using tools…
Early Pregnancy & hCG Jul 22, 2023

Pregnancy

My beta HCG level is 72743UI/l what does it mean — Alina M.

Dr. Geoffrey Sher answered

Going through IVF is a major investment, emotionally, physically, and financially, for every patient or couple. One of the most crucial moments is receiving the result of the blood test for human chorionic gonadotropin (hCG) pregnancy. It's a big deal! The days after the embryo transfer, waiting for…
Egg Health & Ovarian Reserve Jul 22, 2023

Cut off Age for using own egg

Do you have a cut off age for using own egg. I am 46 and have never been pregnant, my last amh was about 0.4. Main reason of my infertility is currently blocked tubes which i experienced after fibroid surgery… — Jane M.

Dr. Geoffrey Sher answered

Our cut off for egg retrievals is 47Y. Frozen embryo transfers....no definitive cut off. See below: Age should never be a barrier to hope and fulfillment when it comes to IVF. Many women in their early to mid-40s are successfully having IVF babies using their own eggs, especially…
Immunology & Implantation Jul 22, 2023

Treatment for autoimmune issues

Hello I found your article very interesting and I believe it is relevant to my own fertility situation. What treatments are available for autoimmune disorders causing failure of very early pregnancy? Thanks very much in advance Emma — Emma G.

Dr. Geoffrey Sher answered

Treatment Options for Immunologic Implantation Dysfunction (IID): Intralipid (IL) Therapy: IL is a mixture of soybean lipid droplets in water, primarily used for providing nutrition. When administered intravenously, IL supplies essential fatty acids that can activate certain receptors in NK cells, reducing their cytotoxic activity and enhancing implantation.…
Male Infertility Jul 22, 2023

Can I use my daughters eggs?

My question is I want to have another baby, can I use my daughters eggs and someone else’s sperm to have a baby? — Sheila F.

Dr. Geoffrey Sher answered

Provided strict criteria are applied...yes, you could use your daughter's eggs. 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) ;…
Early Pregnancy & hCG Jul 22, 2023

Buserlin Injection

Hi doctor. I was injected with buserlin injection at 12th say of my period. I was going for follicular monitoring. Now after around 7 days I am feeling periods cramps which is very early from my periods date. Am I… — Vandana K.

Dr. Geoffrey Sher answered

This is not likely to be a pregnancy. However, to be certain...do a blood pregnancy test. 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…
Egg Health & Ovarian Reserve Jul 22, 2023

Sjogren’s Syndrome and Fertility

Hello Dr Sher, I am currently going through IVF in Phoenix, AZ. I am prepping for my first egg retrieval and I am very concerned that my Sjogren's Syndrome will affect my success and/or, if successful, might cause implantation failure.… — Roma T.

Dr. Geoffrey Sher answered

Sjogren Syndrome is likely an autoimmune condition and can be associated with an autoimmune, immunologic implantation dysfunction (IID), in my opinion.See below: In the world of assisted reproduction, when IVF fails repeatedly or without explanation, it's often assumed that poor embryo quality is the main culprit. However, this…
Uterine & Endometrial Health Jul 22, 2023

Viagra

I inserted viagra and the next day it came out what does that mean ? It was recommended by the doc for blood flow in my uterus, did I do it wrong or why did it take the next day… — Aisha A.

Dr. Geoffrey Sher answered

The dosage is 25mg inserted high in the vagina 4 times daily from early in the cycle to the day of hCG or progesterone administration. Back in 1989, I conducted a study that examined how the thickness of a woman's uterine lining, known as the endometrium, affected the…
Ovarian Stimulation & OHSS Jul 22, 2023

IVF protocol

2 abortion- 32 y. (was because of personal reason), second 37 y. (no development). Now 42 years old. AMH 0,05, FSH 39 (after first stimulation in march), LH last measurement 03.2023 -22(FSH 22). First Protocol Gonal 300. Failed. Second PRP… — Desislava Y.

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…
Uterine & Endometrial Health Jul 22, 2023

PRP treatment request

Dear Dr. Tortoriello, I have extremely low ovarian reserve despite my age of 32. I had done PRP before in Korea, and I saw 3 follicles 2 months after, which is rare for me (I usually see one). Although I… — Jiseon P.

Dr. Geoffrey Sher answered

Yes we do! However, to be honest, I am not a true believer. 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…
Embryos & Genetic Testing Jul 22, 2023

Implantation dysfunction

I saw your interview on THE EGG WISPERER podcast and really appreciated your information and inspiration. We have been trying to conceive for about 6 years now (age 37) with no children, have low AMH (last tested about 18 months… — Ponda C.

Dr. Geoffrey Sher answered

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 (endometrium), or immunological factors. IVF success…
Early Pregnancy & hCG Jul 20, 2023

Hcg levels

I am about 3 weeks pregnant and my first HCG level on 7/18/23 were 650.64 and today 7/20/23 were 227.04. I have had no bleeding at all and im just wondering if these levels are okay or if it could… — Samantha S.

Dr. Geoffrey Sher answered

Going through IVF is a major investment, emotionally, physically, and financially, for every patient or couple. One of the most crucial moments is receiving the result of the blood test for human chorionic gonadotropin (hCG) pregnancy. It's a big deal! The days after the embryo transfer, waiting for…
Uterine & Endometrial Health Jul 19, 2023

Took Progesterone tablet during IVF

Hi, I am doing cycle 3 of IVF stimulation. Day 6 today and I took progesterone tablet 10 mg by mistake. I am worried now if it will affect my IVF cycle. Please advise. Thanks. — Renu V.

Dr. Geoffrey Sher answered

That is not sufficient to disrupt your cycle...in my opinion. Discuss with your treating RE. 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…
Hormones & Ovulation Jul 19, 2023

BMI cutoffs for IVF and IUI treatments

Hi Dr. Sher, I'm a patient navigator working with a plus size patient (BMI ~50) who is looking for a fertility specialist without a hard BMI cutoff. I came across your name in The Cut piece about BMI limits in… — Jamie G.

Dr. Geoffrey Sher answered

Yes indeed I do! 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 Failure: The…
Age & Fertility Jul 19, 2023

Questions

Hi Dr Sher, I’m 43 yrs old & had a baby with IVF at 41 using the mini stim protocol (fresh) & hoping to try again for a 2nd. We’ve had 3 failed cycles since (using way higher doses). The… — Rosie S.

Dr. Geoffrey Sher answered

Frozen transfer of PGS-normal blastocyst is preferable in my opinion. With regard toi stimulation, consider the following: 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…

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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