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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 43 of 68

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.…
Hormones & Ovulation Jul 6, 2023

Positive ANA and thyroid

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 Jul 6, 2023

High E2 day 2

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 Jul 6, 2023

HCG TEST AFTER IUI

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 Jul 3, 2023

Synarel and DHEA

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.…
Egg Health & Ovarian Reserve Jul 2, 2023

Human Growth Hormone Administration in IVF

Hi, very interesting article. I was using this hormone in my IVF treatment but I did not get results. It was administered one month before the egg retrieval and only for 30 days. Could this be the cause of it… — Alejandra G.

Dr. Geoffrey Sher answered

No! You (in my opinion) do not need to take the HGH for long. My patients start a week before ovarian stimulation commences. 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…
Early Pregnancy & hCG Jul 2, 2023

Hcg

Dear dr. Shed, I have 2 questions about my pregnancy. I have concerns about my Hcg levels which are rising higher than normal in 48h. At 4+2 weeks HCG is 2856. Is it normal? Are there any exact HCG result… — Timi G.

Dr. Geoffrey Sher answered

I don't think attending a concert will prejudice your pregnancy! 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…
Egg Health & Ovarian Reserve Jul 2, 2023

Empty follicles

Hi dear doctorI hope you are well ,why my All my three follicles was empty I used controlled ovarian stimulation thanks a lot — Feriba E.

Dr. Geoffrey Sher answered

Frequently, when following vigorous and often repeated flushing of follicles at egg retrieval they fail to yield eggs, it is ascribed to “Empty Follicle Syndrome.” This is a gross misnomer, because all follicles contain eggs. So why were no eggs retrieved from the follicles? Most likely it was…

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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