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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 40 of 68

Egg Health & Ovarian Reserve Aug 1, 2023

No blastocysts from 2 ivf cycles.

My husband and I are both 29 years, we’ve been trying to conceive since two years and we’ve started visiting a fertility clinic since 11/2022. We’re both healthy, have no other health issues. Later in March-2023, my AMH fell to… — Kamala K.

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.…
Early Pregnancy & hCG Aug 1, 2023

Hcg report

My HCG level is 1.600.Is it Negative — Rupali S.

Dr. Geoffrey Sher answered

Yes! I am afraid this is a negative result! GS ADDITIONAL INFORMATION: I am attaching online links to two E-books which I recently co-authored with my partner at SFS-NY (Drew Tortoriello MD)....... for your reading pleasure: 1.From In Vitro Fertilization to Family: A Journey with Sher Fertility Solutions…
Clinic & Practice Aug 1, 2023

We are looking for fertility specialists

Hello Dr. Geoffrey Sher and team, We are looking for fertility specialists that can serve our private patients from the Jewish Community in the state NY. Normally we do a face-to-face meeting, however under the new circumstances I would like… — Rachel L.

Dr. Geoffrey Sher answered

Thank you! I am referring your inquiry to Dr Drew Tortoriello, Medical director at Sher Fertility Solutions-New york. I have no doubt that he will reach out to you. FYI am attaching additional information to this response. Geoff Sher ADDITIONAL INFORMATION: I am attaching online links to two…
Infertility Basics Aug 1, 2023

Getting pregnant

Me and my husband been trying to Get pregnant and I want to see if I can get tested to see why I am not getting pregnant because we have been trying for months — Amber C.

Dr. Geoffrey Sher answered

After 1 year of unsuccessfully trying to have a baby, it is time to have a basic infertility evaluation. And the urgency increases the older the woman is. A: Preparatory Tests done on the woman: Tests for Ovarian Reserve: On the third day of spontaneous or progesterone withdrawal…
Uterine & Endometrial Health Aug 1, 2023

High progesterone

Hi Dr., On the day of my last fresh transfer my progesterone level was 350nmol/l (far too high) & I still wonder if it contributed to my failed cycle. Five days later I produced/was leaking breast milk & had symptoms… — Rosie S.

Dr. Geoffrey Sher answered

Respectfully, I do not believe your sad loss had anything to do with the high progesterone. Geoff Sher ADDITIONAL INFORMATION: I am attaching online links to two E-books which I recently co-authored with my partner at SFS-NY (Drew Tortoriello MD)....... for your reading pleasure: 1.From In Vitro Fertilization…
Embryos & Genetic Testing Jul 26, 2023

Receptiva Test

Hi Dr. Sher, I have a question. I am 30 years old. No known medical issues, with unexplained infertility. I did a recent retrieval, and got 5 chromosomally normal embryos. I have transferred 2 now, both failed. The first was… — Rosina H.

Dr. Geoffrey Sher answered

Understanding the Power of Receptiva Test The Receptiva Test is often inconclusive but would do no harm. However, 30% of endometriosis is associated with an immunologic implantation dysfunction (IID). If present and there is evidence of increased natural killer cell activity (NKa) and/or antiphospholipid antibodies, this could cause…
IVF Failure & Pregnancy Loss Jul 26, 2023

5 months pregnant but not detecting inupt test

Five months pregnant but not detecting on the UPT test — Aajay N.

Dr. Geoffrey Sher answered

_Something is not right! See your wife's OB to confirm that she is indeed carrying a viable pregnancy. Good luck! Geoff Sher I am attaching online links to two E-books which I recently co-authored with my partner at SFS-NY (Drew Tortoriello MD)....... for your reading pleasure: 1.From In…
Early Pregnancy & hCG Jul 26, 2023

Pregnancy not detect on UPT… Hcg level’s

My wife pregnancy not detecting on upt test.. — Aajay K.

Dr. Geoffrey Sher answered

Do a quantitative blood hCG test. 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…
Embryos & Genetic Testing Jul 26, 2023

Endometriosis

Hello Dr Im 35yo. Been trying to conceive since 2020. Did 3 IUI in 2022-did not work. Normal hormone levels. Miraculously got pregnant for the first time in Jan 2023 but miscarriage at around 7 weeks reports say likely due… — Pareet A.

Dr. Geoffrey Sher answered

You are correct, the Receptiva test is often inconclusive, but would do no harm. And, unless ultrasound shows endometriotic cysts I would not do a laparoscopy or take Lupron. Rather, I would undergo blood testing for an immunologic implantation dysfunction (IID) specifically looking for antiphospholipid antibodies (APA) and…
Early Pregnancy & hCG Jul 26, 2023

Beta hCG Quant test

It was witten on my test 62619.0 H^1*1 I wanted to know what does it mean. — Asma A.

Dr. Geoffrey Sher answered

It is a high level but significance depends on when in pregnancy it was taken. An ultrasound done now should rule out a molar pregnancy (which I doubt is the case). Geoff Sher
IVF Failure & Pregnancy Loss Jul 26, 2023

Down sydrome

My age is 30.i have a daughter 4 years old.she is perfectly fine..had a new born 26th june 2023 .she has down sydrome and moderate secudum asd..i used primolut N during 1st month of pregnancy because i didn't knew.can medicine… — Kanwal C.

Dr. Geoffrey Sher answered

To my knowledge, there is no established relationship! Geoff Sher I am attaching online links to two E-books which I recently co-authored with my partner at SFS-NY (Drew Tortoriello MD)....... for your reading pleasure: 1.From In Vitro Fertilization to Family: A Journey with Sher Fertility Solutions (SFS) “…
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.…

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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