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.

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

Search the answers our doctors have already given

Fill in the following information and we’ll get back to you.

Answers from our doctors

Search 1,018 questions patients have already asked, or narrow them by topic.

Latest answers

Page 44 of 68

Embryos & Genetic Testing Jun 29, 2023

PGT-A

Dear Dr. Sher, I recently underwent IVF, resulting in 2 complex aneuploid embryos - one with Trisomy 11 and 21 and the other with Monosomoy 15, 18, 19 and 22. No mitoscore values were reported. Is it worth considering transfer… — Vess V.

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…
Embryos & Genetic Testing Jun 29, 2023

When Should I Stop Lovenox?

Hi Dr. Sher, I am 41 years old and I am currently 8 weeks and 5 days pregnant through IVF and I need a second opinion when to stop Lovenox. Just to provide some background, I had two failed embryo… — Lena M.

Dr. Geoffrey Sher answered

I would continue all the way through pregnancy and the 1st 6 weeks thereafter. Thrombophilia (Hereditary Clotting Defect) is defined as the genetic predisposition to developing intravascular thrombosis. It is due to hypercoagulability of blood leading to impairment of initial vascularization that takes place during implantation. Thrombophilia affects…
Early Pregnancy & hCG Jun 29, 2023

HCG doubling question

Dear Dr. Sher, I would like to ask about my hcg blood test results. It was not only doubled but fourfold in 48h. On Monday I had 220,9 nmol and 2 days later that was 996 nmol. Does it mean… — Timea H.

Dr. Geoffrey Sher answered

No ! It looks good! 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…
Hormones & Ovulation Jun 29, 2023

Multiple miscarriages

Dear Dr. Sher, I would like to ask you, if there is any possibility to "prevent" a miscarriage, or help my body to deliver a baby overall. Or any of your ideas just to help somehow. I'm 29 and in… — Ludmila K.

Dr. Geoffrey Sher answered

When it comes to reproduction, humans face challenges compared to other mammals. A significant number of fertilized eggs in humans do not result in live births, with up to 75% failing to develop, and around 30% of pregnancies ending within the first 10 weeks (first trimester). Recurrent pregnancy…
Egg Health & Ovarian Reserve Jun 29, 2023

Please Help!

Dear Dr. Sehr, I’m almost 37 years old AMH 1,08 (measured under the pill, last measurement 09/21 was 3,5) Husband has OAT3, used zymot last Icsi. Had 4 ICSIs, 7 transfers, one MMC 9weeks, one MC six weeks. Last four… — Jana S.

Dr. Geoffrey Sher answered

I very respectfully disagree with your RE who informed you that only the best morphologic embryos should be biopsied. I also disagree with the use of "flare" (short)-DR protocols for women with diminished ovarian reserve (DOR). The journey of in vitro fertilization can be a rollercoaster of emotions…
Hormones & Ovulation Jun 28, 2023

Estrogen Priming in IVF

Hi Dr. I'm 39 with amh of 0.3 and going through my 3rd ivf cycle. Because of lab availability for PGS they are looking at delaying my priming and injections, starting my priming on CD19 (my cycle is 24 days)… — Yasmin G.

Dr. Geoffrey Sher answered

There are different philosophies regarding ovarian stimulation protocols. Of one thing I personally have no doubt about and that is that the protocol used needs to be tailored to the individual. I wish I could advise you directly but to do so I would need much more information.…
Egg Health & Ovarian Reserve Jun 27, 2023

Improving Maturity Rates and Blastocyst Development Rate

Hi Dr. Sher, I've been through 8 IVF cycles with two separate clinics. Overall, despite changes to protocols, I've encountered the same issues. The first issue is that, though my ovaries produce a good number of oocytes, not enough of… — J C.

Dr. Geoffrey Sher answered

I think we should talk. Please call my assistant, Patti Converse at 702-533-2691 and set up an online consultation with me. In the interim, please read the articles that I have written...below. A: EGG/ EMBRYO QUALITY IN IVF & HOW SELECTION OF THE IDEAL PROTOCOL FOR OVARIAN STIMULATION…
Ovarian Stimulation & OHSS Jun 26, 2023

IVF Antihistamine Protocol – FET for Endo

Hi Dr. Sher, I am a 34F, underwent IVF for UI/suspected endo (I have painful periods and hyperechoic cysts, which are 1-2 occasionally, that come and go on my ovaries). I did a Gonal F protocol with Luveris, Ovidril Trigger,… — Crystal B.

Dr. Geoffrey Sher answered

I am not in favor of natural cycle FET's. In my opinion, it is better to pinpoint the ideal window for implantation with hormonal preparation. Here is the protocol I use: IVF FET Protocol Until less than a decade ago, most women undergoing IVF would have embryos transferred…
Uterine & Endometrial Health Jun 26, 2023

Sclerotherapy

Hello, I am interested on sclerotherapy to treat my endometriomas. I have 2 on my left and 1 on my right. I had 4 IVF cycles already. Yielded to 1 normal embryo that I transferred 2 weeks ago but didn’t… — Kamille S.

Dr. Geoffrey Sher answered

WE no longer perform this procedure because we can no longer gain access to the right sclerosant to inject! So sorry! 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…
IVF Failure & Pregnancy Loss Jun 26, 2023

adenomyosis and IVF success / miscarriage rates

Dear Dr. Sher, I am 39 years old and I was hoping to do a frozen embryo transfer. I have two genetically healthy and high quality frozen embryos. I was set to start the transfer process in mid-July and wanted… — Melis T.

Dr. Geoffrey Sher answered

Adenomyosis is a condition where endometrial glands develop outside the uterine lining (endometrium), within the muscular wall of the uterus (myometrium). Definitive diagnosis of adenomyosis is difficult to make. The condition should be suspected when a premenopausal woman (usually>25 years of age) presents with pelvic pain, heavy painful…
Embryos & Genetic Testing Jun 26, 2023

Embryo storage status

Hello my name is Nep S. I had worked with your clinic on my IVF birth successfully with you (over 3 years ago) and was coming back to inquire about doing this a second time. I wanted to ask on… — Nep S.

Dr. Geoffrey Sher answered

Great hearing from you! I hope all is well! Any embryo stored by us will be in safe keeping. Geoff Sher
Egg Health & Ovarian Reserve Jun 22, 2023

GV eggs

Hello I’m Asala from Saudi Arabia I’m 28 years old with stage 3 endometriosis my husband has normal semen analysis My fsh 9.9 amh 1.3ng/ml I have done 5 eggs retrievals with no success My first cycle one year ago… — Asala S.

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…
Early Pregnancy & hCG Jun 22, 2023

Dropping progesterone levels

I had an FET. My two weeks blood test was positive with hcg of 3146 miu/ml and 218nmol/l progesterone. Two days after I repeaters this test and hcg had risen to 4845 miy/ml but progesterone dropped substantially to 48.8 nm/l.… — Barby S.

Dr. Geoffrey Sher answered

I think you probably are OK but, in my opinion, you should do an ultrasound to determine fetal viability and growth. Then do another hCG blood test and repeat the US in 1 week. Going through IVF is a major investment, emotionally, physically, and financially, for every patient…
Infertility Basics Jun 22, 2023

Secondary Infertility

Hi Dr Sher I recently completed my first cycle of IVF in Australia and both FET failed. The first one in Feb was a chemical pregnancy, and the second one last month did not even detect any hcg in my… — Sahar S.

Dr. Geoffrey Sher answered

a) It is one thing for a woman who has never been able to conceive (primary infertility) to come to grips with undergoing In Vitro Fertilization. It is quite another matter for someone who has successfully achieved a pregnancy in the past having to come to terms with…
Early Pregnancy & hCG Jun 20, 2023

HCG levels

Hello, just wanted to know if 5,800 miu/ml is a normal level for 5 weeks 4 days pregnant. Thanks — Haley 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…

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.

Latest answers

Location

Follow Us