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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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Page 53 of 68

Egg Health & Ovarian Reserve Mar 28, 2023

Genuine Empty Follicle Syndrome

Hello Dr Sher I have just completed my 2nd ivf which failed due to my 13 follicles in egg collection being empty. The consultant diagnosed me with genuine empty follicle syndrome. I am 36 years old with a AMH of… — Laura K.

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…
Uterine & Endometrial Health Mar 28, 2023

Lining Thickness for FET

In 2020 (age 42), we had 2 natural pregnancies at 6-8 weeks and miscarried naturally. In 2021, we tried IVF, we had 2 cycles that gave us 11 embryos, only 1 grew and it was abnormal. In July of 2022,… — Tracy W.

Dr. Geoffrey Sher answered

It was as far back as 1989, when I first published a study that examined the correlation between the thickness of a woman’s uterine lining (the endometrium), and the subsequent successful implantation of embryos in IVF patients. This study revealed that when the uterine lining measured
IVF Failure & Pregnancy Loss Mar 27, 2023

Laparoscopy for endometriosis after failed ivf

Hi Dr. Sher , I have scheduled a robotic assisted laparoscopy to remove the endometriomas off of my ovaries based on your advice last year . My procedure description is “robotic assisted laparoscopy , lysis of adhesions , resection /… — Mindy D.

Dr. Geoffrey Sher answered

I think we should talk! Please call my assistant, Patti Converse at 702-533-2691 and set up an online consultation with me to discuss! 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…
Egg Health & Ovarian Reserve Mar 25, 2023

Am I a lost cause?

Dear doctor Sher, I am 33 years old and my husband is 36. After 5 months of trying to conceive (that was back in November 2022), we decided to visit a fertility specialist in Switzerland where we are currently located.… — Alexandra C.

Dr. Geoffrey Sher answered

Hi Alexandra, Yes indeed, based on your AMH blood level, you have prematurely developed diminished ovarian reserve (DOR) and this means you have very much reduced egg population (which cannot be replenished) and accordingly will propagate very few follicles. In addition, women with DOR often have an adverse…
Hormones & Ovulation Mar 24, 2023

2 failed cycles, No transfer

Hi Dr Sher I’m a 30 year old living in London. I have had 2 IVF cycles, but after both, all embryos stopped growing after 2-3 days post egg retrieval. I was also told I have mild PCO in my… — Abi S.

Dr. Geoffrey Sher answered

Very respectfully, this is not likely to be a uniform genetic issue. More than likely ity has to do with the protocol used for ovarian stimulation (see below). The importance of the IVF stimulation protocol on egg/embryo quality cannot be overstated. This factor seems often to be overlooked…
Embryos & Genetic Testing Mar 24, 2023

One embryo or two to transfer in FET

Hello Dr. Sher, I am a 49 year old female with two miscarriages behind me. In both cases the embryos were found to be genetically abnormal. My husband and I have two genetically normally (tested) embryos from our younger days… — Mary W.

Dr. Geoffrey Sher answered

At 49-50y, you really do not want a multiple pregnancy...So I would advise transferring one at a timer. 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 pleasure:…
Fertility Preservation Mar 24, 2023

COVID and Egg freezing IVF

Hi, I have come across contradictory information regarding egg freezing and COVID-19 and it’s impact on the eggs and overall IVF success. How long after getting COVID-19 is it safe to proceed with an egg retrieval ? I have come… — Ana T.

Dr. Geoffrey Sher answered

No one knows for certain. However, discretion being the better part of valor, I would suggest you wait 3 months. 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:…
Age & Fertility Mar 24, 2023

Adenomyosis, AMH and advanced maternal age

Hello Dr, Sher, from one South African to another :) I am living in Portugal now, and am trying to fall pregnant. I have been diagnosed with diffuse adenomyosis (mild) which is at the top of my uterus. Mainly on… — Lisa-Marie E.

Dr. Geoffrey Sher answered

Respectfully, I do not agree. Both age and diminishing ovarian reserve, make this a poor choice. I would move to IVF ASAP . Frankly , unless your adenomyosis is associated with a "thin uterine lining at mid-cycle, I would not be over concerned about this aspect.I am including…
Egg Health & Ovarian Reserve Mar 24, 2023

Egg Immaturity

Hello - I’ve just finished my second egg retrieval, both of which had disappointing results. I am 36 years old with a low AMH (0.69 as checked in November of 2022). Last FSH was 7.7. First egg retrieval was in… — Natalie M.

Dr. Geoffrey Sher answered

WE need to talk! Might I suggest that you contact my assistant, Patti Converse (702-533-2691) and set up an online3 consultation with me. In the meanwhile, please read below. The importance of the IVF stimulation protocol on egg/embryo quality cannot be overstated. This factor seems often to be…
Uterine & Endometrial Health Mar 23, 2023

Trilaminar Endometrium

Dear Dr. Sher, Thank you so much for your dedication to answering all our questions. I have a problem concerning the endometrium. Mine gets thick enough but never trilaminar anymore (it was like that for the last three attempts). I… — Shira M.

Dr. Geoffrey Sher answered

In my opinion, the trilaminar configuration is NOT important. It is endometrial thickness that matters. This needs to be >8mm on the day of "the trigge3r" or the start of progesterone. Geoffrey Sher It was as far back as 1989, when I first published a study that examined…
Uterine & Endometrial Health Mar 23, 2023

Anatomy

What is Inflammation of uterus — Ali-abbas M.

Dr. Geoffrey Sher answered

Endometritis where the endometrial lining becomes infected and inflamed, raising the possibility of an implantation dysfunction. 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…
Egg Health & Ovarian Reserve Mar 23, 2023

IVF – Friend of Ivan Sher

Hello, I am 41 years old. I am a friend of Ivan Sher's for many years and he mentioned I could get some help from Dr. Sher on here. My AMH levels are 2.87. We started IVF when I was… — Mash P.

Dr. Geoffrey Sher answered

I am flattered that Ivan referred you to me and will do my best to advise. The response will be lengthy but please read it carefully: There are several issues that apply here 1, AGE: It is primarily the egg (rather than the sperm) that determines the chromosomal…
Egg Health & Ovarian Reserve Mar 21, 2023

IVF

Hello, Im 41 . I had to have a myomectomy in 2021 which made me wait 6 months from consult to surgery then 7 months recovery. Long story short Dr did not tell me I had low ovarian reserve till… — Iris G.

Dr. Geoffrey Sher answered

Perhaps we should talk. I suggest you contact my assistant, Patti at 702-533-2691 and set up an online consultation with me to discuss. 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…
Uterine & Endometrial Health Mar 21, 2023

Thick uterine lining

I usually have a thick lining and went in for US and it's already at 11 after 6 days of estrogen (one 0.10mg patch March 15 and changed the patch on Saturday to a new 0.10mg patch).. When I went… — Rennae F.

Dr. Geoffrey Sher answered

As long as there is no endometrial pathology there is no such thing as a "too thick" endometrium. 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…
Embryos & Genetic Testing Mar 21, 2023

Should I continue to do egg retrievals or transfer?

Hi Dr Sher, I listened to you on The Egg Whisperer podcast. I found your way of explaining and just the overall wealth of knowledge you proved in just a couple of podcasts so incredibly helpful. Thank you for everting… — Danielle B.

Dr. Geoffrey Sher answered

Thank you for your communication. First , let me say that IUI in a woman over 40Y bis usually not a good idea. The baby rate is about 2-3% per cycle . And with diminished ovarian reserve (DOR), you do not have the time to waste on an…

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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