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.

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

Search the answers our doctors have already given

Fill in the following information and we’ll get back to you.

Answers from our doctors

Search 1,009 questions patients have already asked, or narrow them by topic.

Latest answers

Page 48 of 68

Egg Health & Ovarian Reserve May 18, 2023

Question-LH -short protocol-Metformin

Dear doctor, I am 35 years old, have gone through 8 ivf cycles, no pregnancy. At beginning e2 92, fsh 7,1, lh 9.5, amh 1.39. No PCOS. Early regrutation, I suppose DOR. From the start poor response on short protocol,… — Tamara I.

Dr. Geoffrey Sher answered

WE should talk! Feel free to call my assistant Patti Converse to set up an onloine consultation. 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…
Age & Fertility May 16, 2023

Surgery vs induced menopause prior to implantation

Hi Dr. Sher, I am in the process of freezing embryos. I have both endometriosis and severe fibroids. I’ve had one abdominal myomectomy and several laparoscopies to remove endo and fibroids over the years and as we are planning for… — Rebecca M.

Dr. Geoffrey Sher answered

I would really need much more information to provide an authoritative opinion. Feel free to call 702-533-2691 to set up an online consultation to discuss in depth. Geoff Sher ADDITIONAL INFORMATION: I am attaching online links to two E-books which I recently co-authored with my partner at SFS-NY…
Early Pregnancy & hCG May 15, 2023

Missed miscarriage

Hi Dr. Sher I wanted to ask you about missed miscarriages. I fell pregnant and had a early scam at 6 week 4 days. The embryo was there with a heartbeat. A week later, it hadn't grown at all and… — Lisa-Marie E.

Dr. Geoffrey Sher answered

In my opinion, it is possible, but highly unlikely that adenomyosis caused the missed abortion I suggest that you contact my assistant, Patti Converse at 702-533-2691 and set up an online consultation with me to discuss.. Geoff Sher ADENOMYOSIS: Adenomyosis is a condition where endometrial glands develop outside…
Uterine & Endometrial Health May 15, 2023

2nd Infertility

I would want to know if there's any antibiotics to treat hydroselpinx. — Daphney D.

Dr. Geoffrey Sher answered

Damage to the Fallopian tubes as a result of prior pelvic inflammation is one of the most common female causes of infertility. Commonly (as was the case with RL), this results blockage of the tubes at their ends, while leaving them open and connected to the uterine cavity.…
Hormones & Ovulation May 12, 2023

High prolactine level, infertility, anemia and fibrosis

Hi! I have tried to conceive for years, but the challenge has been a significant prolactin level that tablets could not reduce, even after swallowing for years. I did a couple of tests and I am told the prolactin is… — Gwaliwa M.

Dr. Geoffrey Sher answered

We should talk. If interested, please contact my assistant, Patti Converse at 702-533-2691 to set up an online consultationGeoff Sher Prolactin is a protein hormone (closely related to human growth hormone) that is secreted by specialized cells in the anterior part of the pituitary gland. In addition, the…
Early Pregnancy & hCG May 12, 2023

Pregnency querries

My last periods was at march 27th and yesterday i had a beta hcg test and it shows 859miu/ml. Am i pregnent? — Hana F.

Dr. Geoffrey Sher answered

Repeat then hCG test in 2 days. It needs to double for confirmation. 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…
May 12, 2023

social media

i have been a fan of sher for awhile and enjoyed all the postings and article and informative blogs. i noticed that this has stopped over the last several months. i have been looking for informative posts since i am… — Cher R.

Dr. Geoffrey Sher answered

I confess!, I have not been as active with posting blogs in recent months. However, I did pen 2 new ones on our website in the last month or so. I will try to do better going forward. Geoff Sher ADDITIONAL INFORMATION: I am attaching online links to…
Egg Health & Ovarian Reserve May 11, 2023

CMP

Hi there, I've had 1 MMC and 2 Complete Molar Pregnancies in 2022. I recently had an egg retrieval where they got 22 eggs, 20 eggs were mature and only 7 fertilized via ICSI. I am now waiting to see… — Suman B.

Dr. Geoffrey Sher answered

No! It is not indicative that you cannot conceive with own eggs. A hydatidiform molar pregnancy happens when tissue that normally forms the placenta instead becomes a growth, that triggers symptoms of pregnancy. A hydatidiform mole is a benign tumor of the root system (trophoblast) of the embryo…
Ovarian Stimulation & OHSS May 10, 2023

Menopur – Mistake

Hi Dr. Sher, I am so upset with myself. Tonight will be my sixth day of taking menopur 75 IUs (along with rekovelle). I was not aspirating it correctly into the syringe and as such, a few times, some of… — Kristin C.

Dr. Geoffrey Sher answered

Don't be too hard on yourself. These things happen. Besides it will likely in no way prejudice your cycle. Good luck and G-d bless! 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).......…
Egg Health & Ovarian Reserve May 10, 2023

Empty Follicle

Dear Dr, what could possible be the cause of having empty follicle on egg retrieval day for ivf. I took the trigger 34hrs before the retrieval and I’m 34yra — Faith A.

Dr. Geoffrey Sher answered

Frequently, when following vigorous and often repeated flushing of follicles at egg retrieval they fail to yield eggs, it is ascribed to “Empty Follicle Syndrome.” This is a gross misnomer, because all follicles contain eggs. So why were no eggs retrieved from the follicles? Most likely it was…
Clinic & Practice May 10, 2023

outside monitoring

Do you have the option of doing monitoring out of state or city if you don't live in NY? — Patty M.

Dr. Geoffrey Sher answered

We do accommodate this, but my preference would be to do this all-important part of treatment with us in NY. Geoff Sher Implantation dysfunction is unfortunately often overlooked as an important cause of IVF failure. This is especially relevant in cases of unexplained IVF failure, recurrent pregnancy loss…
Embryos & Genetic Testing May 10, 2023

3 PGT Normal Implantation Failure.

Hello Dr. Sher, I just heard your interview about recurrent implantation failure on Dr. Aimee’s podcast. I am 33 years old, no known fertility issues, my husband and I are doing IVF with PGT-A/M for genetic purposes. I have had… — Alayna D.

Dr. Geoffrey Sher answered

Implantation dysfunction is unfortunately often overlooked as an important cause of IVF failure. This is especially relevant in cases of unexplained IVF failure, recurrent pregnancy loss (RPL), and in women with underlying endo-uterine surface lesions, thickness of the uterine lining (endometrium) and /or immunologic factors. IVF success rates…
Uterine & Endometrial Health May 10, 2023

PRP

I understand you offer PRP therapy? I am 44 with DOR and several failed IVF cycles. Would you recommend? If so, what is involved? — Patty M.

Dr. Geoffrey Sher answered

WE do offer PRP for those who wish to indulge...,And, there are differences of opinion, but I am not a proponent of PRP. 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…
Early Pregnancy & hCG May 9, 2023

Pregnancy

My bita HCG results is 792.35 and flag is h and ref. range is 0-5.0 mean I'm pregnant or not?? — Puja B.

Dr. Geoffrey Sher answered

Strongly suggests pregnancy, I know of no medical announcement associated with the degree of emotional anticipation and anguish as that associated with a pending diagnosis/confirmation of pregnancy following infertility treatment. In fact, hardly a day goes by where I am not confronted by a patient anxiously seeking interpretation…
Embryos & Genetic Testing May 9, 2023

Repeated implantation failure

I would like to find out ways in which I can maximize my ability to have a successful FET. I have had four (4) transfers with untested embryos and none of them implanted. I recently did a retrieval and I… — Tracey-Ann H.

Dr. Geoffrey Sher answered

Implantation dysfunction is unfortunately often overlooked as an important cause of IVF failure. This is especially relevant in cases of unexplained IVF failure, recurrent pregnancy loss (RPL), and in women with underlying endo-uterine surface lesions, thickness of the uterine lining (endometrium) and /or immunologic factors. IVF success rates…

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.

Latest answers

Location

Follow Us