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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 42 of 68

Uterine & Endometrial Health Jul 22, 2023

Viagra

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 Jul 22, 2023

IVF protocol

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 Jul 22, 2023

PRP treatment request

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 Jul 22, 2023

Implantation dysfunction

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 Jul 20, 2023

Hcg levels

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 Jul 19, 2023

Took Progesterone tablet during IVF

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 Jul 19, 2023

BMI cutoffs for IVF and IUI treatments

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 Jul 19, 2023

Questions

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 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…

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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