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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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Page 46 of 68

Egg Health & Ovarian Reserve Jun 7, 2023

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…
Embryos & Genetic Testing Jun 6, 2023

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…
IVF Failure & Pregnancy Loss Jun 5, 2023

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…
Embryos & Genetic Testing Jun 5, 2023

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…
Immunology & Implantation Jun 5, 2023

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…
Egg Health & Ovarian Reserve Jun 5, 2023

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…
Embryos & Genetic Testing Jun 2, 2023

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…
IVF Failure & Pregnancy Loss Jun 2, 2023

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…
Age & Fertility Jun 1, 2023

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…
Early Pregnancy & hCG Jun 1, 2023

HCG levels

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 May 31, 2023

Diminished 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 May 31, 2023

IVF fertility freezing egg

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 May 31, 2023

High beta 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 May 30, 2023

Fertility

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 May 30, 2023

Clomid

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…

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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