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.

  • 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.

  1. Third-Party Reproduction

    Donación de ovulos

    Cómo hago para donar ovulos

    Dr. Geoffrey Sher answered

    Please post in English! Geoff Sher

  2. Third-Party Reproduction

    Eggs v. Donor Egg

    At what age is it unethical to do IVF and do you check ovarian reserves before you make that choice. — Priscilla W.

    Dr. Geoffrey Sher answered

    Over 43y of age, egg donation is advisable because with advancing age, egg quality declines starting at 35 y and really accelerating after 40Y. At a younger age, egg donation should also be seriously contemplated in women who have VERY depleted ovarian reserve (AMH=,0.2ng/ml). Egg donation is when…

  3. Clinic & Practice

    Donor embryo transfer

    Hi Dr. Sher, My husband and I struggled with infertility and failed with IVF. Now we are pursuing embryo donation and we were matched with a couple whose embryos are stored at your clinic. We live in Rochester, NY and… — Mayumi K.

    Dr. Geoffrey Sher answered

    Absolutely, we often do this. It would probably take no more than 4-5 visits at our center over a 10 day period of time. all the time! More and more American women are exploring IVF treatments in their late 30s and in their 40s. This trend often stems…

  4. Third-Party Reproduction

    Invitro

    Puede mi hermana donarme huevos — Heidy V.

    Dr. Geoffrey Sher answered

    Please post 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 Sher Fertility…

  5. Third-Party Reproduction

    Donación de Ovulos

    Deseo soñar ovulos — Mishel H.

    Dr. Geoffrey Sher answered

    Please re-post in English! Geoffrey 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…

  6. Third-Party Reproduction

    Failed DE Treatment

    Hi Dr. Sher, In 2019 I moved to DE at the age of 43 in Greece. I became pregnant on my first transfer and delivered my son in 2020. Since then I have been trying for a sibling with no… — Jaime K.

    Dr. Geoffrey Sher answered

    We really need to discuss this one-on-one. I suggest you contact my assistant, Patti at 702-533-2691 and set up 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…

  7. Third-Party Reproduction

    Donar ovulo

    Clínicas para un asesoramiento — Luisa L.

    Dr. Geoffrey Sher answered

    Please redraft your question 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…

  8. Third-Party Reproduction

    Hello

    Dear Dr. T, When is one directed towards the surrogacy option? Thank you. — Y M.

    Dr. Geoffrey Sher answered

    IVF surrogacy involves the transfer of one or more embryos into the uterus of a surrogate, who provides a host womb and carries the baby to term, but does not contribute genetically to the baby. Typically, the intended mother provides the eggs and her partner (the intended father)…

  9. IVF Failure & Pregnancy Loss

    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…

  10. Embryos & Genetic Testing

    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…

  11. Third-Party Reproduction

    Odds of healthy pregnancy with younger gestational carrier

    Hello. Me and my husband are researching for family planning and when googling your website really stood out with sound and solid information. I have a question which I havent bern able to find a conducive answer for. Im 41… — Azadeh B.

    Dr. Geoffrey Sher answered

    It is the age of the egg provider that is more important (see below) Geoff Sher 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…

  12. Third-Party Reproduction

    Thin endometrium 3 years after successful egg donor pregnancy

    I had my first egg donor transfer at 43 years old and it was successful. Had a c-section with no complications. Now I am 47 years old and wanted to try once more. This time I have had 4 transfer… — Alicia C.

    Dr. Geoffrey Sher answered

    It is possible that with established menopause, the chronically low estradiol has suppressed endometrial estrogen receptors, rendering the lining refractory to short-term estrogen stimulation. In my opinion you s might try a few months of cyclical estrogen/progesterone therapy to try and prime the endometrium (reawaken estrogen receptor response).…

  13. Immunology & Implantation

    2 failures with Donor Eggs

    Hi Dr. Sher, I’m writing you at a complete loss and low point in my treatment. I am 34. My husband is 41. We started to try to conceive when I was age 31 and within 3 months, I became… — Alyssa J.

    Dr. Geoffrey Sher answered

    There is very likely to be an implantation dysfunction. We should talk. I suggest you call my assistant, Patti Converse (702-533-02691 and set up an online consultation with me. Implantation dysfunction is unfortunately often overlooked as an important cause of IVF failure. In the pursuit of optimizing outcome…

  14. Immunology & Implantation

    High NK Cells & using donor egg

    Hello Dr Sher, I have elevated NK cells and even after completing a full immune protocol (ivig, intrallipids) my NK cells went from 15.6 down to 14.9. My husband and I have a full DQ alpha match and no matter… — Melissa K.

    Dr. Geoffrey Sher answered

    In my opinion...you would face the same issues . It is not recommended! This is about your genotype and that of the sperm that fertilized the egg. It is not about egg and sperm. Read the additional information below! Geoff Sher ADDITIONAL INFORMATION: I am attaching online links…

  15. Third-Party Reproduction

    Possible IVF egg donor and success for patients who have Adenomyosis and Endometriosis

    Hi We are based in the UK and want to know your live birth success rates for patients using egg donor, with a diagnosis of Adenomyosis and Endometriosis. I am also age 47 yrs and understand that there are risks… — Fiona F.

    Dr. Geoffrey Sher answered

    Adenomyosis-Related Infertility: A Therapeutic Challenge! Geoffrey Sher MD Adenomyosis is a condition where endometrial glands develop outside the uterine lining (endometrium), within the muscular wall of the uterus (myometrium). Definitive diagnosis of adenomyosis is difficult to make. The condition should be suspected when a premenopausal woman (usually>25 years…

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