Infertility Basics
Icsf
My daughter egg to be put in my body if I can't conceive or it might be him — Shareen B.
Dr. Geoffrey Sher answered
Sorry! I don't understand t6hge question. Please rephrase and re-post! Geoff Sher
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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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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Answers from our doctors
Search 1,006 questions patients have already asked, or narrow them by topic.
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Early Pregnancy & hCG
Am I pregnant
Hi, how are you ? my last period was 28 April to 1 may. I missed my periods then. I tested positive for pregnancy. My hcg levels were very low since start. Few days back little bleeding occurred. I was… — Ayesha A.
Dr. Geoffrey Sher answered
The likelihood is that you are pregnant with a viable baby. However, I suggest an ultrasound to confirm the same. Good luck! Geoff Sher
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IVF Failure & Pregnancy Loss
practice
Dr Sher I follow you on social media but noticed that there has been no new updates since 2022. Are you still practicing? Thank you — Cheryl R.
Dr. Geoffrey Sher answered
Absolutely I am. I will look into this! Thanks! 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…
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Early Pregnancy & hCG
Hello
Hello Dr, I had medical abortion from 12 days (7-weeks pregnancy)and i did b-hcg quantitative blood test its 900 and ultrasound showed clear uterus what that means and is medical abortion successful? When will it go back to zero? — Lyl L.
Dr. Geoffrey Sher answered
The level should keep dropping to zero within another 7-10 days. However, the blood hCG level needs to be tracked every 2 days (for another 2 or 3 readings), because sometimes (albeit rare), both an intrauterine pregnancy and a tubal pregnancy can coexist (i.e., a heterotopic pregnancy). Geoff…
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Egg Health & Ovarian Reserve
IUD
Is there any chance that having a Mirena IUD while going through egg freezing, specifically at an older age, can have a negative impact on the maturity process of the eggs? My uterine lining is very thin at around 0.3mm.… — J C.
Dr. Geoffrey Sher answered
In my opinion having an IUD in place during an ER cycle will not affect egg quality. Your thin lining is more than likely a direct consequence of the IUD but should not be a problem after removal......prior to, and during an FET cycle, Geoff Sher ADDITIONAL INFORMATION:…
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Third-Party Reproduction
Odds of healthy pregnancy with younger gestational carrier
Hello. Me and my husband are researching for family planning and when googling your website really stood out with sound and solid information. I have a question which I havent bern able to find a conducive answer for. Im 41… — Azadeh B.
Dr. Geoffrey Sher answered
It is the age of the egg provider that is more important (see below) Geoff Sher 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…
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Egg Health & Ovarian Reserve
Low number of mature eggs
Hello, I'm a 38 year old woman (soon 39) and recently went through my third cycle of egg freezing. The first time I was 37,5 years and out of 23 eggs retrieved, 5 were mature. The second time resulted in… — C J.
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…
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Embryos & Genetic Testing
Timing of implantation
We just transferred a day 5 4AA euploid embryo into our surrogate. We were shocked to get a positive at home test at 4 days post transfer. Does earlier implantation mean anything about quality of embryo? Does an earlier implant… — Mary P.
Dr. Geoffrey Sher answered
Unless you received an hCG "trigger" for the FET, this potentially good news! GS 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…
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IVF Failure & Pregnancy Loss
Egg Thawing
Hello, please can you let me know if you thaw eggs that were frozen at another clinic? Thanks — Morgan B.
Dr. Geoffrey Sher answered
Indeed we do! 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) “ http://sherfertilitysolutions.com/sher-fertility-solutions-ebook.pdf “Recurrent Pregnancy…
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Embryos & Genetic Testing
Ivf
Unexplained infertility I underwent failed frozen transfer 5 times with 7 blastocyst. However conceived in the 1st fet with day 3 embryo. Did hysteroscopic.No issues found in uterus. Husband sperm also good However,i did test my auto immune(ANA) out of… — Jes J.
Dr. Geoffrey Sher answered
_ 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 view oversimplifies the situation. The process of embryo implantation, which begins about six or seven days after fertilization, involves a complex…
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Immunology & Implantation
Prednisone
When is the standard timeline to wean off of prednisone? — K M.
Dr. Geoffrey Sher answered
10 weeks! 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) “ http://sherfertilitysolutions.com/sher-fertility-solutions-ebook.pdf “Recurrent Pregnancy Loss…
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Egg Health & Ovarian Reserve
Maturing and young eggs
Does a young egg refer to the egg before or after maturation? — Adya P.
Dr. Geoffrey Sher answered
Before, 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) “ http://sherfertilitysolutions.com/sher-fertility-solutions-ebook.pdf “Recurrent Pregnancy Loss and…
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Embryos & Genetic Testing
Embryo transfer
I have a family that has their embryos stored at your clinic and will be donating them to us. I do live in Florida but, would love more information/ pricing on transferring in your clinic . Thank you — Tiffany B.
Dr. Geoffrey Sher answered
Please contact Patti Converse at my office (702-533-2691) and she will put you in contact with Jessica Ortiz (administrator) at the SFS-NY office in Manhattan for information and costs. Geoff Sher ADDITIONAL INFORMATION: I am attaching online links to two E-books which I recently co-authored with my partner…
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IVF Failure & Pregnancy Loss
Recurrent Implantation Failure
Hello I’m located in Hong Kong doing IVF. I had a miscarriage at 6 weeks (natural pregnancy) and then diagnosed with low AMH (33 years old and AMH of 0,69) did IVF and had no implantation. We tested the embryos.… — Daniela R.
Dr. Geoffrey Sher answered
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 view oversimplifies the situation. The process of embryo implantation, which begins about six or seven days after fertilization, involves a complex interaction…
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Age & Fertility
failed IVF cycle, age 43
I am 43 years old and had a failed IVF cycle. My AMF is .615. I was on Luperon, menopur and follistim. I had 5 mature eggs and 4 fertilized. Two made it to day 5 which one was a… — Allison L.
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 you…