Ovarian Stimulation & OHSS
PROTOCOLO
CUAL ES LA CANTIDAD DE INTRALIPIDOS QUE SE DEBE COLOCAR A LOS 10-14 DIAS ANTES DE LA TRANSFERENCIA — Erika F.
Dr. Geoffrey Sher answered
Please re-post in English! Geoff Sher
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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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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Answers from our doctors
Search 1,006 questions patients have already asked, or narrow them by topic.
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Egg Health & Ovarian Reserve
Do I give up on IVF? Low amh, 31 y.o
Hi Dr Geoffrey Sher, By means of introductions, I’m Natalie and I’m struggling to find answers on my IVF journey. My endless research to try and find answers has led me to your page (after you answered another persons struggles… — Natalie M.
Dr. Geoffrey Sher answered
Hi Natalie, I really think I can help you sort all this out.m However, to do so we would need to consult. I invite you to call my assistant, Patti Converse at 702-53302691 and set up an online consultation with me. ADDRESSING DIMINISHING OVARIAN RESERVE (DOR) IN IVF…
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Ovarian Stimulation & OHSS
Ivf protocol low reponder
Dear Dr. Sher, five and a half years ago my husband and I conceived naturally in our first cycle. I gave birth to a healthy baby boy 9 month later. Two years after that we tried to have another child,… — Sandra W.
Dr. Geoffrey Sher answered
Thanks for the inquiry. I think I can help here. Might I suggest that you contact my assistant Patti Converse at 702-533-2691 and set up an online consultation with me to discuss in depth. I would need a lot more information but my first thought is that there…
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Embryos & Genetic Testing
Ivf protocol low reponder
Just to add some info I forgot with previous question: - usually no high FSH levels on day 1-5. I had once after the first ICSI treatment an FSH level of 21 on day 3. One dominant follicel grew but… — Sandra W.
Dr. Geoffrey Sher answered
Understood. The answer I gave earlier still holds! Geoff Sher
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Egg Health & Ovarian Reserve
Very low DOR & IVF
Dear Dr. Sher, I’m a 38yo physician with very low ovarian reserve ( AMH — Rita D.
Dr. Geoffrey Sher answered
Dear Doctor, Thanks for the inquiry. I think I can help here. Might I suggest that you contact my assistant Patti Converse at 702-533-2691 and set up an online consultation with me to discuss in depth. Geoff Sher >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Understanding the impact of ovarian reserve on the success…
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Ovarian Stimulation & OHSS
Protocol Question
I am writing to ask for advice on the proper protocol for me. Background: I am 32 years old, with a normal BMI. My AMH is 0.11, and my AFC is 3. My husband has male-factor infertility that requires IVF.… — Avery C.
Dr. Geoffrey Sher answered
Respectfully, I do not think you were on optimal stimulation protocols. I suggest you call my assistant, Patti (702-533-2691)and set up an online consultation with me to discuss in detail. Understanding the impact of ovarian reserve on the success of in vitro fertilization (IVF) is crucial when it…
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Ovarian Stimulation & OHSS
No concebir con omifin
Puedo volver a tomar clomid ahora que han pasado más de cuatro meses de descanso? — Iman D.
Dr. Geoffrey Sher answered
Please re-post in English! Geoff Sher
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Age & Fertility
Fertilidad
Tenho 2 fib fallidas protocolo estimulación 200 de pergoviris 450/900. 1a 6 ovulos ningún normal después de biopsia. Segunda 3 ningún balocisto De esta vez la 3a me adicionaron letrozol en los primeros dias de estimulación ovarica. Que mas puedo… — G C.
Dr. Geoffrey Sher answered
Please re-post in English. 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 Solutions (SFS)…
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Embryos & Genetic Testing
Recurrent biochemical & Ectopic
Hi Dr Sher, Could you please try and answer what could be causing my issue and possible solution. I am 38 (husband 40) and we are married for 13 years; trying for a child since 10 years. I never had… — Indira V.
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…
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Egg Health & Ovarian Reserve
Best protocol for DOR patient in need of uniform follicles
Hello, I’ve tried a mini IVF cycle with the antagonist method which did not stimulate my follicles enough. Only had one follicle and the others didn’t grow past 10mm. And then I tried the microdose Lupron flare 3 times, and… — Suzanne E.
Dr. Geoffrey Sher answered
I think we should talk. Might I invite you to call my assistant, Patti Converse at 702-533-2691 and set up an online consultation with me. EGG/ EMBRYO QUALITY IN IVF & HOW SELECTION OF THE IDEAL PROTOCOL FOR OVARIAN STIMULATION INFLUENCES EGG/EMBRYO QUALITY AND OUTCOME. The journey of…
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Ovarian Stimulation & OHSS
Ovidrel dosage
Dear Dr. Sher, Do very thin women with low BMI still need the Ovidrel double dosage? (250x2) Thank in advance for the guidance, Anne — Anne C.
Dr. Geoffrey Sher answered
Perhaps not but since it will do no harm..."Rather safe than sorry". So yes, I would still "trigger with 500mcg Ovidrel. Geoff Sher
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Age & Fertility
4th cycle advice – 40yo with normal AMH
Dear Dr Sher, I’d like some advice regarding protocol choice for what will be my 4th IVF-ICSI cycle. I am in the UK. I have no medical problems, but I do have a BMI of 33 (prev 43), I have… — Elizabeth T.
Dr. Geoffrey Sher answered
WE really should talk. If interested, please call my assistant, Patti Converse (702-533-2691) and set up an online consultation with me. In the interim, please review the articles below. GS Overcoming Age Barriers in IVF and Embracing New Pathways to Parenthood: Unlocking the Possibilities. Age should never be…
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Embryos & Genetic Testing
Double Ovidrel! dosage and low BMI
Dear Dr. Sher, I am 43 years old, and due to the high rate of aneuploidy in the previous two attempts, and following your teachings, I convinced my doctor not to use Decapeptyl in the dual trigger, but only Ovidrel… — Anne C.
Dr. Geoffrey Sher answered
I really cannot suggest how to approach your doctor on this matter! So sorry! Geoff Sher
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Fertility Preservation
IVF
I am considering the second attempt of IVF and choosing the clinic, but prior wanted to briefly get some consultancy concerning the chances for success. I live in Milan and last year made an attempt of egg freezing at IVI… — Ella B.
Dr. Geoffrey Sher answered
Respectfully, Freezing eggs in a woman of your age (regardless of ovarian reserve), yields very disappointing results. It is far better to fertilize the eggs, take them to blastocyst and to biopsy those that make it to that stage by no later than day 6...and do PGS/PGT to…
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Egg Health & Ovarian Reserve
FX DOR
Hi Dr. Sher, I'm 32 and am a Fragile X premutation carrier (90 repeats) with diminished ovarian reserve (AMH 0.44, on whatever scale the US uses). I just did my first stim cycle starting birth control on day 2 of… — Caitlin F.
Dr. Geoffrey Sher answered
Respectfully, In my opinion what you were on was a "microflare" protocol. I suspect that this might have been a factor. We should talk. I suggest that you contact my assistant, Patti Converse at 702-533-2691 and set up an online consultation with me to discuss in depth. EGG/…