– Geoffrey Sher, MD
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Uterine & Endometrial Health
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
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
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
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
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
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
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
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
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
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
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.…
Hormones & Ovulation
I am currently undergoing IVF for PCOS, an ovulation. My first cycle I collected 26 eggs, 24 of which were mature and all fertilised and ended up with 12 day 5 blastocysts only 1 of low quality. First FET resulted… — Rebecca M.
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…
Hormones & Ovulation
Hi Dr Sher, I got covid during my ivf cycle last month, so had to cancel D9 after taking corifollitropan alfa D3. I got my period early on D19 (usually have 28 day cycle) and my D2 E2 is 138… — Jess L.
Dr. Geoffrey Sher answered
Yes! It is very often due to a folliclular cyst! It should absorb in time. Alternatively it can be aspirated under local, trans-vaginally and the level will drop....Good luck! ADDITIONAL INFORMATION: I am attaching online links to two E-books which I recently co-authored with my partner at SFS-NY…
Early Pregnancy & hCG
I HAVE MY IUI PROCEDURE ON 14 JUNE 2023. ON 27 JUNE 2023, I DID MY HCG TEST AND IT READS AS 74 mUL/ml. ON 01 JULY 2023, I DID MY SECONG HCG TEST AND IT READS AS 303.10 mUL/ml.… — Yeshna L.
Dr. Geoffrey Sher answered
Looks great to me! Good luck! 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 to Family: A Journey with Sher Fertility Solutions (SFS) “…
Egg Health & Ovarian Reserve
Hi, I have been a responding best to the long protocol where I start with Synarel on day 21. Because of low testosterone I’ve been taking DHEA for the last weeks. I read that DHEA can cause an increase in… — Linda B.
Dr. Geoffrey Sher answered
Synarel is a GnRH agonist. It is administered nasally. As such, absorption sometimes erratic. I prefer Lupron or decapeptyl which are administered intramuscularly. Dehydroepiandrosterone (DHEA), is steroid hormone produced by the adrenal glands and ovary. It is involved in producing the male hormones, androstenedione testosterone and also estrogen.…
