– Geoffrey Sher, MD
Fill in the following information and we’ll get back to you.
Search 1,009 questions patients have already asked, or narrow them by topic.
Page 41 of 68
Early Pregnancy & hCG
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
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
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
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
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
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
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
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
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
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
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
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
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
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…
Egg Health & Ovarian Reserve
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…
