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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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159 answers

Egg Health & Ovarian Reserve

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Egg Health & Ovarian Reserve Nov 30, 2023

Hipogonadismo hipogonadotrópico

Buenas tardes tras azoospermia y un mes tomando citrato de clomifeno por tener la lsh fsh y testosterona baja me he realizado una analitica y han subido los tres parametros, ¿ eso quiere decir que el seminograba mejorara? Gracias un… — Danie L.

Dr. Geoffrey Sher answered

Please post your inquiry in English! Geoff Sher PLEASE SHARE THIS WITH OTHERS AND HELP SPREAD THE WORD!! Herewith are online links to 2 E-books 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…
Egg Health & Ovarian Reserve Nov 30, 2023

Autoimmune Protocol

Hi Dr Sher I have recently discovered your work and am curious if you think I should pursue an autoimmune protocol for IVF. I'm 40 years old and have undergone 2 unsuccessful cycles of IVF this year. I have been… — Jen M.

Dr. Geoffrey Sher answered

The fact that you have conceived before does not rule out an immunologic implantation dysfunction (IID). If so, you endometriosis and hypothyroid states would favor an autoimmune IID rather than alloimmune. However since treatment differs for each of these, a diagnosis is imperative. Your diminished ovarian reserve merely…
Egg Health & Ovarian Reserve Nov 27, 2023

preparation for ivf

Dear Dr. George I am a 36-year-old female struggling with fertility issues and preparing for IVF. My recent tests have shown an AMH level of 5 pmol/L in UK units, indicating possible low ovarian reserve. I typically experience late ovulation… — Maria S.

Dr. Geoffrey Sher answered

WHY DID MY IVF FAIL: HOW CAN I OPTIMIZE THE CHANCE OF SUCCEEDING NEXT TIME ROUND Geoffrey Sher MD If you've undergone in vitro fertilization (IVF) and didn't achieve a successful pregnancy, you may be wondering why. It's important to know that IVF outcomes can be unpredictable, but…
Egg Health & Ovarian Reserve Nov 27, 2023

Empty follicles

Hi. I did multiple rounds of egg freezing and two times although 6 follicles showed on ultrasound the lab retrieved just one. The doctor said i should consider donor eggs. I did these procedures in Lebanon and i was wondering… — J H.

Dr. Geoffrey Sher answered

“Empty Follicle Syndrome" is a misleading term because follicles always contain eggs. However, some eggs may have difficulties detaching and being retrieved. This is more likely to happen when multiple attempts are needed to retrieve an egg from a follicle, indicating the egg may have chromosomal abnormalities. The…
Egg Health & Ovarian Reserve Nov 20, 2023

Protocolo para preservación

He realizado mi primer ciclo para vitrificar ovulos, sin embargo de 5 fólicos que han engordado sólo se ha podido obtener un óvulo maduro. Tengo 37 años y AMH de 0,33. En la ecografía se observaban 10 folículos. El tratamiento… — Maria M.

Dr. Geoffrey Sher answered

Please re-post your question in English! Geoff Sher PLEASE SHARE THIS WITH OTHERS AND HELP SPREAD THE WORD!! Herewith are online links to 2 E-books recently co-authored with my partner at SFS-NY (Drew Tortoriello MD)....... for your reading pleasure: From In Vitro Fertilization to Family: A Journey with…
Egg Health & Ovarian Reserve Nov 20, 2023

Protocolo DOR

Primero agradecer su trabajo. Le escribo para saber según su opinión ¿Cuál es el mejor protocolo de medicamentos para una estimulación ovárica para mi con 37 años y 0,3 de antimulleriana? Con otras respuestas no consigo entender día a día… — Laura S.

Dr. Geoffrey Sher answered

Please post in English! 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…
Egg Health & Ovarian Reserve Nov 13, 2023

Empty Follicle Syndrome

Hello- I was diagnosed with DOR at age 29 with AMH 0.3 (AMH stable x 3yr, FSH ~12), otherwise no reproductive abnormalities for myself or my husband. Over the past 2yr, I have completed 12 rounds of IVF - the… — Jen C.

Dr. Geoffrey Sher answered

_ “Empty Follicle Syndrome" is a misleading term because follicles always contain eggs. However, some eggs may have difficulties detaching and being retrieved. This is more likely to happen when multiple attempts are needed to retrieve an egg from a follicle, indicating the egg may have chromosomal abnormalities.…
Egg Health & Ovarian Reserve Nov 11, 2023

Egg quality

Hi, dr. Sher! Is it true, that a quality of eggs can be worse in a second cycle, if you do one stimulation after another? My doctor said I shold wait a month for another stimulation because of that. Thank… — Polona B.

Dr. Geoffrey Sher answered

No! I do not believe so! In my opinion, the most important determinants are age, ovarian reserve and the protocol used for ovarian stimulation. The journey of in vitro fertilization can be a rollercoaster of emotions for many patients. Often times they have to face the harsh reality…
Egg Health & Ovarian Reserve Nov 8, 2023

CAPA-IVM

s ago. Hi! I read about an IVF alternative called CAPA-IVM from this article: https://www.sciencealert.com/ivf-alternative-first-baby-born-in-australia-through-cheaper-safer-fertility-treatment I want to know if you offer this procedure or, if not, can you recommend a place that does it in the US? Thanks! — Liz C.

Dr. Geoffrey Sher answered

CAPA-IVM is Biphasic In-Vitro Maturation. of eggs. It is a technical variation on conventional maturation of early eggs (in vitro maturation) that was introduced in Australia about 4y ago.. It has not taken hold in this country as it does not offer any real advantage , in my…
Egg Health & Ovarian Reserve Nov 2, 2023

Elevated dhea

I just Received blood work where my dhea levels are elevated and they might believe it’s associate with pcos. What can I do In regards to having a baby? — Julie A.

Dr. Geoffrey Sher answered

Raised DHEA is not a real problem . it is a raised DHEAS that xcouyld be problematic as it would point to a possible adrenal contribution to the PCOS equation. Navigating Polycystic Ovary Syndrome: Understanding, Hope, and Treatment Geoffrey Sher MD Understanding the intricate interplay of hormones and…
Egg Health & Ovarian Reserve Nov 2, 2023

Egg freezing risks in IVF

Hello Dr. Sher I am 39, childless and I'm currently undergoing IVF in Portugal. I have had 4 miscarriages in the past (2 clinical and 2 chemicals). On my last scan, my AFC was 15. My AMH is 1.24. I… — Lisa-Marie E.

Dr. Geoffrey Sher answered

I concur. I would collect as many eggs as possible in advance. "Empowering Choices: Embryo Banking vs. Egg Banking for Fertility Preservation" Geoffrey Sher MD It's crucial for women to make informed decisions about preserving their fertility. Delaying trying to conceive, relying on egg freezing, or assuming the…
Egg Health & Ovarian Reserve Oct 31, 2023

Immature Egg Rate

Good afternoon, For my 1st, and most recent cycle, I retrieved 14 eggs and only 6 were mature. 6 were GV and 2 were M1. I am 32, my AFC was 17, my AMH is 2.4, my CD3 FS &… — Margaret C.

Dr. Geoffrey Sher answered

In my opinion, this is likely due to the protocol used for ovarian stimulation (see below EGG/ EMBRYO QUALITY IN IVF & HOW SELECTION OF THE IDEAL PROTOCOL FOR OVARIAN STIMULATION INFLUENCES EGG/EMBRYO QUALITY AND OUTCOME. Geoffrey Sher MD The journey of in vitro fertilization can be a…
Egg Health & Ovarian Reserve Oct 30, 2023

Reoccurring failed implantation

Hi Dr. Sher, I found your website after researching pgt embryos that fail to implant. I’m 38 years old, I have DOR, AMH .5 when tested a year ago, FSH 10.3. I did three retrievals and ended up with 5… — Jill D.

Dr. Geoffrey Sher answered

Implantation dysfunction is often overlooked as a significant reason for IVF failure. This is especially true when IVF failure is unexplained, or when there are recurring pregnancy losses or underlying issues with the uterus, such as endo-uterine surface lesions, thin uterine lining (endometrium), or immunological factors. IVF success…
Egg Health & Ovarian Reserve Oct 26, 2023

IVF

I have gone through two failed IVF cycles and have very low AMH 0.4.. is it possible for me to undergo another IVF with my own eggs — Samudika R.

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…
Egg Health & Ovarian Reserve Oct 16, 2023

Empty follicles

Hi Dr, thanks for your article on empty follicles. I have DOR, and had two retrievals in 2021 and 2023 which yielded zero eggs (out of 3-4 follicle ). My protocol were different each time but both at least included… — Halima I.

Dr. Geoffrey Sher answered

It is too complex to respond to here. I suggest you call my assistant Patti at 702-533-2691 and set up an online consultation with me to discuss. 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.

159 answers

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