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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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Dr. Geoffrey Sher

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Egg Health & Ovarian Reserve Jul 18, 2023

LOW AMH AND PREGNANCY

Hi I am struglling from last 6 years to conceive but there is no luck yet.Had 4 round of IVF with short and long protocole 2 rounds of IUI and dozen of cycles of ovulation induction with Letrozole and Clomofin,nothing… — Sobia H.

Dr. Geoffrey Sher answered

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 the number and quality of eggs retrieved has fallen short of their expectations. Then, should fertilization of these eggs not propagate chromosomally normal…
Embryos & Genetic Testing Jul 17, 2023

IVF

Hello ! I am 30 years old, I had my first successful embryo transfer three years ago, I have twins. It worked the first time, but this year I have had two failed attempts to transfer frozen embryos. Do you… — Enisa H.

Dr. Geoffrey Sher answered

Whenever a patient fails to achieve a viable pregnancy following embryo transfer (ET), the first question asked is why! Was it simply due to, bad luck?, How likely is the failure to recur in future attempts and what can be done differently, to avoid it happening next time?.…
Uterine & Endometrial Health Jul 17, 2023

Endometrial lining

I am doing a frozen embryo transfer I am taking 6 x2mg Estradiol tablets a day. Endometrial lining on day 14 was 8.1mm then on day 16 was about 7 mm. I am now taking progesterone and in 5 days… — Reema K.

Dr. Geoffrey Sher answered

I would not go ahead with a lining of
Early Pregnancy & hCG Jul 17, 2023

Ureaplasma

I was tested for ureaplasma a week ago. The results came back positive. If i were to be having implantation bleeding will it effect the embryo? I have an antibiotic(doxycycline) but i cant take that if i am pregnant. What… — Kalyn H.

Dr. Geoffrey Sher answered

__ Ureaplasma urealyticum is a bacterium that belongs to the mycoplasma family. It can be detected in the reproductive tract of as many as 40% of individuals (male and female). Ureaplasma probably does not prevent normal conception in the majority of cases, because by and large, the uterine…
Uterine & Endometrial Health Jul 17, 2023

Vagina Sildenafil

Hi there We are in the UK but cannot get vaginal Sildenafil. Do you ship to the UK at all with a prescription? Thanks — Sean B.

Dr. Geoffrey Sher answered

Sorry! We do not produce compounded Viagra suppositories. We obtain it from MDRx located in Encino, CA. THE IMPACT OF A THIN UTERINE LINING ON EMBRYO IMPLANTATION: THE BENEFITS OF VIAGRA THERAPY Geoffrey Sher MD Back in 1989, I conducted a study that examined how the thickness of…
Age & Fertility Jul 14, 2023

IVF

I am 42 years old and had 1 failed IVF. I had 15 follicles, 11 retrieved, 6 became embryos but all 6 had chromosome abnormalities.. Is it worth doing IVF again — Tasneem K.

Dr. Geoffrey Sher answered

Yes, provided that an optimal protocol is used for ovarian stimulation. 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…
Early Pregnancy & hCG Jul 10, 2023

Beta hcg values

Hi My Bhcg on first blood test is 1377 and after two days it's 3599. It's my 4th week is it normal? Please help — Blessy J.

Dr. Geoffrey Sher answered

Normal! 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…
Infertility Basics Jul 10, 2023

Urea plasma parvum

Hello I am a 31 year old female I have two children ages 11 and 14, I don’t have any symptoms. My doc says I carry urea plasma parvum , we have tried to treat this year’s ago as they… — Fatima S.

Dr. Geoffrey Sher answered

I am no expert, but to my knowledge, the one to be concerned about is ureaplasma urealyticum. Ureaplasma urealyticum is a bacterium that belongs to the mycoplasma family. It can be detected in the reproductive tract of as many as 40% of individuals (male and female). Ureaplasma probably…
Early Pregnancy & hCG Jul 10, 2023

Do I need to go for another Beta HCG test?

Hello doctor, I recently get to know that I am 4 weeks pregnant. My last periods date was 10th June 2023. On Saturday (8th july), I undergo for beta hcg test and I got 205.3 result. So, do I need… — Sana Z.

Dr. Geoffrey Sher answered

In my opinion, if the levels have been increasing appropriately, there is no need. Do an US in 2-3 weeks for confirmation. Geoff Sher gEOFF sHER
Egg Health & Ovarian Reserve Jul 9, 2023

Lots of immature eggs

Hi, I have done 4 rounds of egg freezing at 3 different clinics. First round- 30 follicles growing, 15 retrieved but only 6 mature. I believe I was triggered to early as the majority of eggs were less than 16mm… — E J.

Dr. Geoffrey Sher answered

It seems as if you have produced enough "mature" eggs to give you a shot. However, as to the reason for so many immature egg cells, consider the following: One of the commonest questions asked by patients undergoing IVF relates to the likelihood of their eggs fertilizing and…
IVF Failure & Pregnancy Loss Jul 9, 2023

Ectopic pregnancy

What does 243,35 mIU/mL means ? — Marian S.

Dr. Geoffrey Sher answered

Not sure what was being measured and when?? Geoff Sher
Ovarian Stimulation & OHSS Jul 9, 2023

Slow follicular growth

Hi, can an estrogen priming ( 5 days before my period )or taking hGh 8 weeks prior to stimulation and during stimulation cause slower growth of follicles? My forth stimulation protocol is the same as the previos three ( third… — Polona B.

Dr. Geoffrey Sher answered

In my opinion, estrogen priming, by suppressing FSH, can suppress antral follicle formation and son delay follicle growth and development. 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:…
Male Infertility Jul 9, 2023

TESE

My nephew is in ICU with brain injury due to an accident and his wife wants to collect sperm for future IVF .He is in Las Vegas but unconscious . Do you know if you can help with that or… — Evelina I.

Dr. Geoffrey Sher answered

Thank you! I suggest you reach out to Dr Jeffrey Fisch in Henderson, Nevada! Geoff Sher
Egg Health & Ovarian Reserve Jul 9, 2023

Functional cyst

Hello! I was told I have a 40mm cyst in my right ovary at my baseline Ivf ultrasound today. They called this afternoon and said my baseline bloodwork is normal (estrogen level is normal) and I can proceed with stim… — Molly S.

Dr. Geoffrey Sher answered

Respectfully, I would not proceed with stimulation with a 40mm cyst present. An ovarian cyst is any collection of fluid, surrounded by a very thin wall, within an ovary. An ovarian follicle that is larger than 22mm is termed a functional follicular cyst. They are non-malignant (benign) and…
Early Pregnancy & hCG Jul 6, 2023

Weeks of pregnancy

My hcg level is 569 I just am not sure how far long I am — Katelyn L.

Dr. Geoffrey Sher answered

You are probably around 5 weeks pregnant. But this is a guestimate. 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.…

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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