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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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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…
Uterine & Endometrial Health Jun 18, 2023

Fibroid

Hi Dr. Sher. I just got my pgs report from my egg retrieval and I have 5 euploids all top grade. I should be happy especially since I turn 40 soon. The bad news is that my doctor found a… — Kristin C.

Dr. Geoffrey Sher answered

Very respectfully, I would advise against proceeding to FET with a submucous fibroid. My advice would be to see a reproductive surgeon and have it removed, wait at least months and then proceed to a 2nd look hysteroscopy to make sure the uterine cavity is back to normal…
Egg Health & Ovarian Reserve Jun 17, 2023

What to do / what not to do

Hello, I’m 39, low AMH (0.3), Hashimoto (in thyroid med) and had 2 failed IVF’s. What are the do’s and don’ts for moving forward? — Katie 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…
Egg Health & Ovarian Reserve Jun 17, 2023

Differences between medication

I had many ivf cycles most of them failed due to empty follicles, I got 0 eggs after collection. I used gonal it shows goid response but no eggs collected. MENUPOR the ovaries didnt response at all. PUREGONI got 6… — Talia D.

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 15, 2023

Pregnancy confirmation

I took my Beta HCG test in 33 day from LMP. In report the level was 2480. Is it positive or negative. — Uma M.

Dr. Geoffrey Sher answered

It is positive news! Good luck! Geoff Sher TIMING AND INTERPRETATION OF hCG BLOOD PREGNANCY TESTS Geoffrey Sher MD 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…
Embryos & Genetic Testing Jun 14, 2023

IVF

Hi, I'm 33, ttc for 2.5 years and no joy. Progressive sperm — Maggie C.

Dr. Geoffrey Sher answered

think we should talk. Please call my assistant, Patti Converse (702-533-2691) and set up ,an online consultation to discuss. 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…
Uterine & Endometrial Health Jun 14, 2023

Thin uterine lining

Hi Doctor, I have always had a heavy period flow to the point where I needed Tranexamic acid to help with the heavy and long flow. Fast forward to October I had a brief chemical pregnancy or so I thought.… — Tropa R.

Dr. Geoffrey Sher answered

I think we should talk. Please call my assistant, Patti Converse (702-533-2691) and set up ,man online consultation to discuss. Geoff Sher Vaginally Administered Viagra is Often a Highly Effective Treatment to Help Thicken a Thin Uterine Lining Geoffrey Sher About 25 years ago, after reporting on the…
Uterine & Endometrial Health Jun 14, 2023

Endometritis

Hello DR. my frozen transfer is next week. I do have two children ages 14 and 11. An endometrial biopsy was taken and the results say (proliferative endometrium associated with scattered plasma cells, Few plasma cells are seen on the… — Fatima S.

Dr. Geoffrey Sher answered

With a notable exception (Pelvic Tuberculosis---(which is VERY rare in the USA), I am NOT a believer in chronic endometritis as a cause of IVF failure. The reason is that menstruation purges the endometrium every moth , preventing a chronic inflammatory process from taking hold. Good luck !…
Embryos & Genetic Testing Jun 13, 2023

effect trigger on euploidy rate?

Dear dr Sher, I have a question about the IVF trigger and aneuploidy/euploidy. I'm asking you because I found a lot of profound information about different triggers on your website, thanks for that!! I'm a woman of 34 years old.… — Eline L.

Dr. Geoffrey Sher answered

Understanding the article below which I recently wrote will answer all your questions. It emphasizes that the choice of ovarian stimulation protocol As well as the type, timing and dosage of the “trigger” can greatly impact egg development and thereby embryo “competency”. The trigger's purpose is to initiate…
Infertility Basics Jun 12, 2023

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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