– Geoffrey Sher, MD
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Embryos & Genetic Testing
Need your support to access my ebryos by AI — Prashant S.
Dr. Geoffrey Sher answered
Not sure how to advise you! Sorry! 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)…
IVF Failure & Pregnancy Loss
Hi, checking to see from what dae do you start counting IVF baby with a 5 day tranfer? I read where you add 2 weeks then, I read where you don't add 2 weeks. Then I read where you add… — Lela C.
Dr. Geoffrey Sher answered
You add 2 weeks + 5d. 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) “…
Age & Fertility
What is in your opinion the best IVF protocol for a 46 year old with FSH 19 and AMH 0.51, poor responder, 4 canceled IVF cycles turned into IUI because of dominant ovarian follicle and only 1 egg retrieval of… — Nari J.
Dr. Geoffrey Sher answered
Very respectfully, the chance of IVF success at 46y with these parameters is negligible. Of course it would be your right to try, but in my opinion, only IVF with egg donation would offer success! Geoffrey Sher The importance of the IVF stimulation protocol on egg/embryo quality cannot…
Early Pregnancy & hCG
Hello, I just found out I am pregnant and I am worried about my hcg levels. The first day of my last period was 21.2., but I usually have an early ovulation. Right now my hcg levels are 133.7, and… — Anja S.
Dr. Geoffrey Sher answered
I do not see this as a problem ! God luck! Geoff Sher
Egg Health & Ovarian Reserve
37 yrs old, 1.6 amh. 7 years of infertility, 4 failed IUI's before surgery, 2 surgeries to remove endometriosis and endometriomas on both ovaries, 1 IVF completed and obtained one normal 5BB embreyo. What protocol is best for 2nd IVF… — Jule A.
Dr. Geoffrey Sher answered
ENDOMETRIOSIS AND IVF When women with infertility due to endometriosis seek treatment, they are all too often advised to first try ovarian stimulation (ovulation Induction) with intrauterine insemination (IUI) ………as if to say that this would be just as likely to result in a baby as would in…
Early Pregnancy & hCG
Hello Dr. Sher, We transferred a single 5-day blastocyst January 30th. Our first hcg level was 1005 miu/ml at 14 days post-transfer, and 2nd hcg was 2200 miu/ml at 16 days. Two fetuses were present when we went in for… — Ian M.
Dr. Geoffrey Sher answered
In my opinion, the chance that the 2nd twin will be OK, is good! G-d bless and good luck! Geoff Sher
Embryos & Genetic Testing
After having had several failed implantations of healthy embryos, I did blood tests and obtained very high values of Factor X activity, clothing, and Factor XII activity clothing. What does it mean and how does it affect me? What's the… — Sofia G.
Dr. Geoffrey Sher answered
I really don't think this is likely to be a problem. 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…
Immunology & Implantation
Hi Dr Sher, I've been following your work for some time and I really hope you can help. I'm based in the UK and have just had my second unsuccessful IVF cycle in Prague (first IVF was with the NHS… — Angela E.
Dr. Geoffrey Sher answered
Implantation dysfunction is unfortunately often overlooked as an important cause of IVF failure. In the pursuit of optimizing outcome with IVF, the clinician has a profound responsibility to meticulously assess and address this important issue if IVF success is to be optimized. This is especially relevant in cases…
Uterine & Endometrial Health
My doctor tested my progesterone (P) levels 1 day after 5 day transfer and said it was 103 (Canadian units) but that it should be 50-100. He dropped my dose from 50 mg PIO to 12.5 mg without rechecking it… — Lauren C.
Dr. Geoffrey Sher answered
The decision is between you and your treating RE. I might have done differently, but I doubt it will make a difference. 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).......…
Immunology & Implantation
Hi Dr Sher, My Proliferative Phase Endometrium Immune Cell Studies on CD9 came back with Natural Killer Cells present at 5.1% and Foxp3 cells at 26/mm2. My fertility specialist has included in my next treatment plan for a FET for… — Katrina P.
Dr. Geoffrey Sher answered
I am sending you a copy of my book on immunology. You will see that I use a different approach for fixing on treatment. Geoff Sher Currently, with few exceptions, practitioners of assisted reproduction tend to attribute “unexplained and/or repeated” IVF failure(s), almost exclusively to poor embryo quality,…
Embryos & Genetic Testing
Hello Dr Sher! I was wondering if any of these "aneuploid" embryos stand a chance? I was wondering if I could maybe implant any, and if yes can I implant more than one at a time? Thank you :) 1.… — Tina F.
Dr. Geoffrey Sher answered
If any are"mosaic" they could auto correct in the uterus. Discuss with your RE. EMBRYO MOSAICISM: WHAT IS IT AND WHAT ARE THE CONSEQUENCES? Geoffrey Sher MD Human embryo development occurs through a process that encompasses reprogramming, sequential cleavage divisions and mitotic chromosome segregation and embryonic genome activation.…
IVF Failure & Pregnancy Loss
Hi Dr. Sher thank you for your time. I’m 45 mother of 2 -18 &17 yr olds(normal pregnancies) I been doing IVF for the past 3 years. I’m currently on my 8th treatment with sperm & egg donor. I’ve had… — Ashley T.
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?.…
Age & Fertility
Hi, for women age 41+ with low ovarian reserve what are options to conceive successfully using own eggs? I've been discouraged with clinic's pushing donor eggs and I am looking for a specialist that can help someone like me. Any… — Newbie F.
Dr. Geoffrey Sher answered
It is primarily the egg (rather than the sperm) that determines the chromosomal integrity (karyotype) of the embryo, the most important determinant of egg/embryo competency”. A “competent” egg is therefore one that has a normal karyotype and has the best potential to propagate a “competent” embryo. In turn,…
Early Pregnancy & hCG
My hcg level went from 1058 to 3857 in 48 hours. Is that normal. Should I be worried about a molar pregnancy or Down syndrome? — JoAnn D.
Dr. Geoffrey Sher answered
I doubt this is a "molar' pregnancy but it could be a "multiple gestation". Measuring and interpreting Blood hCG to Assess Pregnancy Viability Following ART Treatments. Geoffrey Sher MD I know of no medical announcement associated with the degree of emotional anticipation and anguish as that associated with…
IVF Failure & Pregnancy Loss
I had 2 FET with 2 A grade embryo so each time but failed. No undying issues other than mild PCOS. chosen IVF due to male infertility low motility and 1% morphology. Please help me. I got the immunology tests… — Rakshitha R.
Dr. Geoffrey Sher answered
There are only t 4 Reproductive Immunology Labs in the US that in my opinion, can do the immune tests adequately. If these were not used, the results are probably erroneous. Implantation dysfunction is unfortunately often overlooked as an important cause of IVF failure. This is especially relevant…
