– Geoffrey Sher, MD
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Early Pregnancy & hCG
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
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
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
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
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
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
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
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
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
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
Early Pregnancy & hCG
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
IVF Failure & Pregnancy Loss
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…
Early Pregnancy & hCG
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…
Egg Health & Ovarian Reserve
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:…
Third-Party Reproduction
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…
