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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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Early Pregnancy & hCG Mar 18, 2023

Slow Rising hCG Levels for a Viable Pregnancy

Hi Dr Sher, I recently found out I'm pregnant with a chromosomally normal embryo and have had two Beta HCG tests, which have shown my levels are increasing as expected: First Beta HCG: 12 days past 6 day transfer =… — Mary T.

Dr. Geoffrey Sher answered

Very likely this will be a viable pregnancy (probably---80%+). Good luck! Geoffrey Sher Each and every patient/couple, in undergoing IVF makes huge emotional, physical and (in most cases) also financial investment. The fact that receiving the result of the blood human chorionic gonadotropin (hCG) pregnancy test represents the…
Embryos & Genetic Testing Mar 17, 2023

Do I Need Another Retrieval?

Dr. Sher, We got the following PGT tested embryos from our first round of IVF at 33: two 4aa, one 3aa, one 3ab, two 5bb (six total genetic normals out of 10 that made it to blast). One of the… — Mary P.

Dr. Geoffrey Sher answered

I would not test the "inconclusive" blastocyst. In my opinion, 2ndary testing is too traumatic on trhe embryo. I would also not do another ER. You had a good result and all things being equal (e.g., the absence of an implantation dysfunction) you should be able to ave…
Egg Health & Ovarian Reserve Mar 17, 2023

GV immature eggs

HI I am 41 y/o who recently went through IVF. When I began my menstrual cycle, I did a baseline US which showed 13 follicle in my left and 8 follicles in my right. I started my IVF cycle and… — Lisa L.

Dr. Geoffrey Sher answered

Very respectfully, in my opinion, the protocol used for ovarian stimulation might not have been optimal. Your low E2 level with so many follicles, suggests possible3 "premature luteinization. (see below). Geoff Sher 1. IMPORTANCE OF INDIVIDUALIZING THE PROTOCOL FOR OVARIAN STIMULATION. The importance of the IVF stimulation protocol…
Early Pregnancy & hCG Mar 17, 2023

Suspected pregnancy

First day of Last period was on 9/2/2023..B.HCG today was 577micro IU/ml.. Is that normal... — Smr Q.

Dr. Geoffrey Sher answered

Repeat the test bin 2 days. It should double! 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…
Hormones & Ovulation Mar 16, 2023

2 Failed FETs

Hi Dr Sher, first of all thank you for taking the time to read my question. I am 35 years old, and I just had my 2nd failed FET. On both occasions we transferred a 5aa hatching embryo non PGT… — Alisa W.

Dr. Geoffrey Sher answered

I think we should talk. P)lease consider calling my assistant, Patti Converse at 702-533-2691 to set up an online consultation with me. Geoff Sher Whenever a patient fails to achieve a viable pregnancy following embryo transfer (ET), the first question asked is why! Was it simply due to,…
Ovarian Stimulation & OHSS Mar 16, 2023

Missed dose of Buserilin

Hi I was taking Buserilin daily for two weeks as a down regulation, prior to beginning stimulation for a frozen embryo transfer. One evening, I took my injection 2.5/3 hours late and the next day my cycle had to be… — Ashleigh S.

Dr. Geoffrey Sher answered

In all like3lihood, the late dosage of Buserelin had nothing to do with this. 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:…
Age & Fertility Mar 16, 2023

Pcos, AMH and menopause?

Hello Dr. I am turning 40 this year and have pcos. Can you explain why my AMH is still very high? 12 years ago it was 10 ng/ml, now it’s 6.85. I also used to have 15 follicles on each… — Amanda B.

Dr. Geoffrey Sher answered

It ism true thatvwo9men with PCOS have an increased risk of developing breast and ovarian cancer. However, this is by no means a great risk. You need to have regular check-up evaluations at least yearly, but I would not become paranoid about this. In the vast majority of…
Egg Health & Ovarian Reserve Mar 15, 2023

3rd failed IVF and problem with egg maturity

Hello Dr Sher, First of all I would like to thank you in advance for giving me a chance to ask you a question and for answering if. I really appreciate it. I am 33 years old, have a good… — Stephanie K.

Dr. Geoffrey Sher answered

One of the commonest questions asked by patients undergoing IVF relates to the likelihood of their eggs fertilizing and the likely “quality of their embryos. This is also one of the most difficult questions to answer. On the one hand many factors that profoundly influence egg quality; such…
IVF Failure & Pregnancy Loss Mar 14, 2023

Failed ivf

I just failed my first round of IVF. I am 33. I have a 3 year old (spontaneous pregnancy). History of ulcerative colitis and j pouch with revision in 2018. My HSG was normal however given my previous gut history.… — Lindsey M.

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?.…
Embryos & Genetic Testing Mar 14, 2023

Want to start accessing our oocytes or embryos

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 Mar 14, 2023

Gestational age with IVF

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 Mar 13, 2023

46 year old with multiple canceled IVF cycles because of dominant ovarian follicle

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 Mar 13, 2023

HCG levels

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 Mar 9, 2023

IVF & Endometriosis

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 Mar 8, 2023

Vanishing twin from single embryo transfer – risks/prognosis?

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

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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