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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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Answers from our doctors

Search 1,006 questions patients have already asked, or narrow them by topic.

  1. Embryos & Genetic Testing

    3 failed pgs donor fet transfers

    Hi Dr. Sher, I have a child conceived naturally at 39 and then two early miscarriages also natural conception (first loss at 6 weeks and second loss at 7 weeks prior to heartbeat being detected) at age 42 and age… — Eliana B.

    Dr. Geoffrey Sher answered

    This is highly likely to at least in part, be due to a secondary implantation dysfunction (see below). While not definitive, I suspect an immunologic implantation dysfunction (IID). The fact that you have had a child already means that it if an IID exists, it is possibly alloimmune…

  2. Immunology & Implantation

    RIF and DE cycles

    I have had 5 DE failed cycles. I’m Kir-Aa, I have Hashimotos, and I’ve been on Lovenox, Prednisone and Aspirin for the last 3 rounds and still failed despite high quality embryos. The donor was HLA. Now we can start… — Sophie W.

    Dr. Geoffrey Sher answered

    WE really should talk! To me it seams that there is an underlying implantation dysfunction that is likely immunologic in origin. If I am correct then respectfully, in my opinion, the treatment to address the immunologic implantation dysfunction (IID) was not optimal/adequate.I invite you to contact my assistant,…

  3. Egg Health & Ovarian Reserve

    Infertility

    I am 32, have PCO. I have experienced EFS in all egg collections, medicated and unmedicated. Recently, I found out I have ZP1 homozygous mutation (autosomal recessive) which means maturation oocyte defect. Is there a way to find eggs or… — Andria E.

    Dr. Geoffrey Sher answered

    There is certainly room for differing opinions her, But I would not go straight to egg donation. There are so many factors that impact egg quality in women with PCOS, but most of them are amenable to treatment using an individualized protocol for ovarian stimulation. Polycystic ovary syndrome…

  4. Third-Party Reproduction

    Baby

    Using another doner — Mary L.

    Dr. Geoffrey Sher answered

    Please clarify your question/issue!

  5. Embryos & Genetic Testing

    IVF

    I have done an I VF and I am right now in the two week wait anxiety . I have tried 4 times previously and have a failure . The doctor this time did surgical scratching for the uterus ,… — Monica E.

    Dr. Geoffrey Sher answered

    I suggest you await the outcome and if you do not conceive, that you contact my assistant Patti Converse (702-533-2691) and set up a consultation online, with me. Good luck! Geoff Sher

  6. Third-Party Reproduction

    Hi

    Hi at what age can a daughter donate eggs to mothers based on your website I see you did this once thanks — Jan R.

    Dr. Geoffrey Sher answered

    I have done this > once. The daughter needs to be >18y and preferably over 21y. Geoff Sher

  7. Hormones & Ovulation

    Carrier Requirements

    Hello! I was wondering what requirements you have for the surrogates that your patients might work with if they choose the gestational surrogacy route. Is there an age limit or BMI limit? Would a surrogate who had diet-controlled gestational diabetes… — Jessi W.

    Dr. Geoffrey Sher answered

    Of course all the factors you mention and many more are part of the screening process. Also, I advocate that you meet with the surrogate. IVF surrogacy involves the transfer of one or more embryos into the uterus of a surrogate, who provides a host womb and carries…

  8. Embryos & Genetic Testing

    Embryo donation

    We have an extra embryo to donate to another couple or science. What are our options? — Patrick R.

    Dr. Geoffrey Sher answered

    Please call 646-792--7476 and ask for Bushra Sudal RN. She will be glad to assist you.

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