– Geoffrey Sher, MD
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Early Pregnancy & hCG
Is 7,662 normal for HCG levels at 5 weeks pregnant? — Ava D.
Dr. Geoffrey Sher answered
Yes! Good luck! Geoff Sher 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…
Egg Health & Ovarian Reserve
I have been diagnosed with diminished ovarian reserve and my husband has some morphology issues on semen analysis. We have completed 6 egg retrievals, 1 fresh transfer of 2 day 3 embryos, 1 FET of 2 day 3 embryos, 1… — Sahar T.
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…
Hormones & Ovulation
My daughter did IVF treatments and froze her eggs one month ago. She was very hormonal during treatments, moody and yelling and screaming at every one. She does not act that way normally. Her behavior has not changed back, she… — Deborah L.
Dr. Geoffrey Sher answered
I doubt it, but the stress of going through this might be playing a role. GS
Early Pregnancy & hCG
My beta hcg at 6 weeks pregnancy is 220000 and repeated 48 hour is 331000. Abdominal scan show iugs and fetal heart. What would the cause of high beta hcg? — Suhaida S.
Dr. Geoffrey Sher answered
Hard to say, unless there is some molar degeneration in the trophoblast. I doubt it though! Geoff Sher
Ovarian Stimulation & OHSS
I've done fertility treatment before. Two rounds of letrozole. Wanted to try another round of letrozole — Takida H.
Dr. Geoffrey Sher answered
Perhaps we should talk first. 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…
Hormones & Ovulation
Hello, I was treated with Clomid day 5-9 and I am 36 years old. I failed to get pregnant 5 months and was prescribed this because of pcos. At the ultrasound at 12 days I had 4 mm endometrium and… — Erin K.
Dr. Geoffrey Sher answered
Clomiphene citrate (Clomid, Serophene) is the most popular agent used for inducing ovulation and in the 1980’s was also the most widely used method for COH in preparation for In Vitro Fertilization (IVF). Clomiphene citrate is a synthetic hormone that deceives the hypothalamus into thinking that the body's…
Embryos & Genetic Testing
Hi Dr. Sher, I just received my day 5 call and the nurse said I have 14 early blasts (and one more developing). Is this good news or should they all have reached blastocyst stage by now? Is it likely… — Alysha G.
Dr. Geoffrey Sher answered
As long as they reach expanded blastocyst stage by day 6, you should still be OK Good luck! 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…
Egg Health & Ovarian Reserve
Hello, I am 40 yr old female with low ovarian reserve. I responded poorly to my first protocol OCP/antagonist. That cycle was cancelled and I was restarted on estrogen priming antagonist protocol with clomid and omnitrope adjuncts. I cleared my… — Amanda M.
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…
Embryos & Genetic Testing
Dr Sher My doctor says I have to undergo genetic testing to confirm if I have ZP1 mutation. My blood works and hormone level are within normal range. She says the eggs are killed before retrieval as there is abnormal/no… — Rana A.
Dr. Geoffrey Sher answered
Perhaps we should talk before you proceed along those lines . 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…
Egg Health & Ovarian Reserve
Aloha Dr. Sher! I just finished a second IVF cycle that was a total failure. I just turned 41, AMH .6, FSH 15, AFC 5. I had three follicles that were 17-20 at trigger but only retrieved one egg that… — Katie W.
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…
IVF Failure & Pregnancy Loss
Dear doctor, I want to ask you about recurrimg pregnencies I have been faced with over a year now. I just had a third one with the same scenario like the previous ones. In week 4 I sudenly lose the… — Šejla 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…
Immunology & Implantation
Hi Dr. Sher, I am on the verge of giving up. I have just gone through 4 failed egg donor transfers. I have Hashimotos, so for the last 2 transfers my doctor put me on Prednisone, low dose aspirin, Neupogen,… — Shannon B.
Dr. Geoffrey Sher answered
_ Between 2% and 5% of women of the childbearing age have reduced thyroid hormone activity (hypothyroidism). Women with hypothyroidism often manifest with reproductive failure i.e. infertility, unexplained (often repeated) IVF failure, or recurrent pregnancy loss (RPL). The condition is 5-10 times more common in women than in…
Egg Health & Ovarian Reserve
I had stimulation done and during it it had antral follicles growing and got to 21,19 15,13 on day 11 ,with a high dose of 4501u ,on day 11 it was stepped down to 225iu as I complained of feeling… — Abigail R.
Dr. Geoffrey Sher answered
__ The importance of the IVF stimulation protocol on egg/embryo quality cannot be overstated. This factor seems often to be overlooked or discounted by t IVF practitioners who use a “one-size-fits-all” approach to ovarian stimulation. My experience is that the use of individualized/customized COS protocols can greatly improve…
Early Pregnancy & hCG
I tested positive 9 days post ovulation. On the day of my expected period, I did a blood test and got 82 miu/ml, I was scheduled for a second test because of my previous miscarriages, I went in for my… — Buthaina E.
Dr. Geoffrey Sher answered
Repeat the test at 2 day intervals 1 or 2 times to see if the hCG starts to double again...and reads below: 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…
Embryos & Genetic Testing
Good morning Dr. Tortoriello, I am just following up to our last visit. I am wondering if the blood results came back in and also I received a Horizon Advanced Screening kit and I was wondering if that was an… — Agnes B.
Dr. Geoffrey Sher answered
Please call Patti at 702-533-2691 to discuss and get clarification. Geoff Sher
