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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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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…
Cost & Insurance Mar 20, 2023

Egg Freezing Costs

Hi could you please provide me approximate cost for 1 cycle of egg freezing, in house monitoring, medication, and 1 -3 year storage fees? — Pauline C.

Dr. Geoffrey Sher answered

Please call Sher Fertility Solutions in Manhattan. They will be happy to address this question. Geoff Sher
Early Pregnancy & hCG Mar 20, 2023

Hi

Hello I’m pregnant and they said I was only 5 weeks and 6 days Wednesday and my hgc levels where 7,772 and they need me to repeat the blood work they said I was to early and they couldn’t hear… — Elizabeth O.

Dr. Geoffrey Sher answered

At this stage, an ultrasound should be able to diagnose a viable pregnancy, 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: 1.From In Vitro Fertilization to…
Clinic & Practice Mar 20, 2023

Cancer and Fertility Testing

(I just had my friend write the below email to the info@sherinstitute.com and was then told to use this feature to connect with you. I am fluent in English but my writing skills are not up to par which is… — Oksana S.

Dr. Geoffrey Sher answered

Dear Oksana, Thank you for reaching out. I fully understand your situation as it relates to breast cancer and I empathize with you. However, in my opinion your age being 51y, virtually precludes successful IVF with your own eggs. In fact the chance of successful IVF, would be…
Early Pregnancy & hCG Mar 19, 2023

Hi

Hello I’m pregnant and they said I was only 5 weeks and 6 days Wednesday and my hgc levels where 7,772 and they need me to repeat the blood work they said I was to early and they couldn’t hear… — Elizabeth O.

Dr. Geoffrey Sher answered

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 of a pregnancy…
Egg Health & Ovarian Reserve Mar 19, 2023

Hormone levels during IVF

I am 36 years old and only freezing eggs. My AMH was just over 1 ng about a year ago, AFC usually 6-8. I have a long history of stage 4 endometriosis. 1. Could a disproportionately high estrogen to follicle… — Lilly G.

Dr. Geoffrey Sher answered

I do not believe tyhat an E2 of 3000pg/ml at peak, is potentially harmful. This having been said, the protocol used for ovarian stimulation is important, but without much more information in this regard, I cannot comment authoritatively. Av separate issue is the effect of endometriosis on IVF…

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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