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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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Dr. Geoffrey Sher

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IVF Failure & Pregnancy Loss Apr 28, 2023

Repeated ivf failures

Hi there I just turned 43 in January and live in Vancouver. Over the last year I have done 5 standard ivf cycles and 1 mini ivf cycle and have never gotten a blastocyst on any cycle. We did a… — Kat L.

Dr. Geoffrey Sher answered

Whenever a patient fails to achieve a viable pregnancy following embryo transfer (ET), the first question asked is why! Was it simply due to, bad luck?, How likely is the failure to recur in future attempts and what can be done differently, to avoid it happening next time?.…
Hormones & Ovulation Apr 26, 2023

Am I ovulating?

I came off my pill in 2019 conceived within 4 months and had a beautiful daughter in 2020. I went back on the pill sep 2020. I came off the pill again in 2022 end of June. My cycles have… — Katelyn S.

Dr. Geoffrey Sher answered

_IT IS VERY LIKELY THAT YOU ARE NOT OVULATING FUNCTIONALLY! YOU SHOULD SEE YOUR OB/GYN ABOUT THIS. 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…
Egg Health & Ovarian Reserve Apr 26, 2023

low immature oocytes

Hello, I have recently had a failed IVF cycle, and I think it might be due to the lupron being used as a trigger shot. I am 34, healthy, non smoker, active. We are doing IVF due to mail fertility… — Rana N.

Dr. Geoffrey Sher answered

Very respectfully, I must agree that the protocol used for ovarian stimulation was likely an issue here. I think we need to talk . Please contact my assistant, Patti Converse at 702-533-2691 and set up an online consultation with me. Regards, Geoff Sher The importance of the IVF…
Egg Health & Ovarian Reserve Apr 25, 2023

Anemia and egg quality

Hi Dr. She’s, Due to countless fibroids and endometriosis, I spent two and half years bleeding heavily with no respite. As a result I was severely anemic and had to undergo many iron and blood infusions/transfusions to stabilize my iron.… — Rebecca M.

Dr. Geoffrey Sher answered

As long as the anemia has been cured, there should not be any significant adverse effect on egg/embryo quality. Good luck! 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…
Immunology & Implantation Apr 24, 2023

kir-hla

Dear Dr Sher. I have had 5 euploid embryo transfers, with no baby yet. We finally did the Kir-hla exam at the Rosalind Franklin university. I am kirbx and hla C1-c1 and my husband is hla C1-c1 too. It seems… — Stephanie R.

Dr. Geoffrey Sher answered

Currently, with few exceptions, practitioners of assisted reproduction tend to attribute “unexplained and/or repeated” IVF failure(s), almost exclusively to poor embryo quality, advocating adjusted protocols for ovarian stimulation and/or gamete and embryo preparation as a potential remedy. The idea, having failed IVF, that all it takes to ultimately…
Ovarian Stimulation & OHSS Apr 24, 2023

Transfer Prep

Hi Dr. Sher, I wrote to you a while back asking for your opinion on next steps. You suggested an additional transfer which I did-making three transfers. We are finally moving to a transfer (5 day frozen, tested) which will… — Danielle B.

Dr. Geoffrey Sher answered

This is my approach but your RE might prefer a different methodology!! Until less than a decade ago, most women undergoing IVF would have embryos transferred to the uterus in the same cycle that the egg retrieval was performed (“Fresh” Embryo Transfer). This was because embryo cryopreservation (freezing)…
Embryos & Genetic Testing Apr 21, 2023

Hormones and Genetics

Hello Dr, Sher! I am actually a result of your work back in 2002 with a couple, Vitaly and Svetlana Korchevsky. For years they had simply gotten the unexplained answer from doctors but with your help, I was born. Now… — Anna P.

Dr. Geoffrey Sher answered

Hi Anna, Wow! Thank you for sharing! Anna, I suggest you contact my assistant, Patti Converse (PH: 702-533-2691; email: concierge@sherivf.com) and set up an online consultation with me. G-d bless! Geoff Sher ADDITIONAL INFORMATION: I am attaching online links to two E-books which I recently co-authored with my…
Early Pregnancy & hCG Apr 21, 2023

Pregnancy test result

My results show 195122 mIU/mL what does it mean ? — Nosipho K.

Dr. Geoffrey Sher answered

I WOULD NEED FIRST TO KNOW WHETHER THIS IS A BLOOD BETA Hcg RESULT........ AND IF SO, HOW FAR PREGNANT YOU ARE GEOFF SHER
Fertility Preservation Apr 20, 2023

Adenomyosis and egg freezing

Hello Dr. Tortoriello, I was diagnosed with diffuse adenomyosis a month ago and am two weeks post-op for an excisional surgery for endometriosis. I am 31 and not yet married/partnered, so my surgeon recommended I consider freezing my eggs. Since… — N K.

Dr. Geoffrey Sher answered

I think you need to freeze about 10 mature (MII eggs) or 4 euploid (PGT-A normal) blastocysts. However, please read below on adenomyosis and its effect on fertility. Adenomyosis is a condition where endometrial glands develop outside the uterine lining (endometrium), within the muscular wall of the uterus…
Early Pregnancy & hCG Apr 20, 2023

DPO hCG levels

Hi Dr. Sher. I was hoping you could shed some light on HCG levels once a positive pregnancy test has been obtained. At 14 DPO, my HCG was 227. At 16 DPO, it was 475. At 18 DPO, it was… — Lisa-Marie E.

Dr. Geoffrey Sher answered

DPO hCG Levels Interpretation I know of no medical announcement associated with the degree of emotional anticipation and anguish as that associated with a pending diagnosis or confirmation of pregnancy following infertility treatment. In fact, hardly a day goes by when I am not confronted by a patient…
Early Pregnancy & hCG Apr 19, 2023

Pregnancy hcg

My daughter had a first eptopic. Now pregnant again gestation sac is there same as her yok sac but no fetal pole … hCG levels are 13,000 is she going to lose the baby she had a vaginal ultrasound and… — Laurie P.

Dr. Geoffrey Sher answered

I would repeat the US in 1 week to be certain! Geoff Sher
Male Infertility Apr 19, 2023

Testicular sperm aspiration

Hi! How much does the Testicular sperm aspiration cost? And does that include freezing the sperm? Thanks. Regards, Rick Hwang — Rick H.

Dr. Geoffrey Sher answered

I do not have the cost for you. For that you would need to call SFS-New York (see contact # on home-page of this website). Yes, I believe that freezing is included. ADDITIONAL INFORMATION: I am attaching online links to two E-books which I recently co-authored with my…
Clinic & Practice Apr 19, 2023

Need consultation online

Dear Dr. Geoffrey, i have heard one of your interview in podcast about the right protocol for ivf and i think what you have meanstioned it is exactly whats happened to me after 2.failed ivf round, i am 36 years… — Shafagh K.

Dr. Geoffrey Sher answered

Might I suggest that you contact my assistant, Patti converse (702-533-2691) and set up man online consultation with me to discuss you case in depth. It is primarily the egg (rather than the sperm) that determines the chromosomal integrity (karyotype) of the embryo, the most important determinant of…
IVF Failure & Pregnancy Loss Apr 18, 2023

Ivf failure

Hi Dr I am 30 years I had failed Ivf 3 times . Recently undergone Ivf and freezes 18 eggs . I have high AMH and bulky ovary. Should I go ahead and do Ivf cycle scheduled May or postponed… — Martam C.

Dr. Geoffrey Sher answered

The high AMH is no reason to postpone! Geoff Sher
Egg Health & Ovarian Reserve Apr 17, 2023

31y, normal AMH, no blasts after 3 rounds

Hi Dr. Sher, I started IVF when I was 30y/o and did 1 round with the standard antagonist protocol in March 2022 at CCRM Houston (BCP priming, 225u follistim, 2 vials menopur, ganirelix, combo trigger, dexamethasone qd). Stimmed for 8… — Macy S.

Dr. Geoffrey Sher answered

I believe that your problem can be resolved! We should talk........ I suggest that you call my assistant, Patti Converse (702-533-2691) and set up an online consultation with me to discuss your case in depth. While age and ovarian reserve can and do affect egg quality, these are…

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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