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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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Dr. Geoffrey Sher

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Egg Health & Ovarian Reserve Jan 12, 2023

Low AFC in IVF cycle after BCP vs IUI

Hi Dr Sher, I’ve done 5 IUIs before and my AFC has varied between 13 and 18. I’m now doing IVF. After 13 days of taking BCP, my ultrasound only showed 9 follicles and I was asked to start stims.… — Sophie J.

Dr. Geoffrey Sher answered

I would not take this AFC count as an accurate indication of how many follicles you might end up with. I suspect that with stimulation there will likely be more. Good luck! Geoff Sher ADDITIONAL INFORMATION: I am attaching online links to two E-books which I recently co-authored…
Early Pregnancy & hCG Jan 11, 2023

Beta HCG

Hi I did FET on December 30 2022 after 12 days post transfer Beta is 150. Is my pregnancy viable? — Rene S.

Dr. Geoffrey Sher answered

You need to repeat the hCG in 2 days. If it doubles or better, it is likely a viable implantation. Good luck! Geoff Sher
Early Pregnancy & hCG Jan 10, 2023

Beta hcg

My beta hcg is 5000 and it’s around 6th week I got my scan on 27th of dec in the scan it was showing 4 weeks Its 11 jan today and my beta hcg levels are 5311.13 The beta hcg… — Maria S.

Dr. Geoffrey Sher answered

My hunch is that all will turn out fine!. Wait 10 days and repeat the US. Good luck! Geoff Sher
Egg Health & Ovarian Reserve Jan 10, 2023

Unexpected IVF Results

Hi Dr. Sher- I just completed my first failed IVF cycle and I'm left shocked and confused by the results, for both egg retrieval and transfer. I am 38 years old, AMH is 5.12, FSH 6.3, follicle count around 40-… — Jennifer M.

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 eggs and embryos. This is also one of the most difficult questions to answer. On the one hand many factors that profoundly influence egg…
Immunology & Implantation Jan 9, 2023

Fish oil and clexane

Hi Dr Sher, Thank you so much for all the wonderful work that you do. I'm in Australia, and have Stage 4 endo (excised via laproscopy) and have had two miscarriages (one at 7 weeks and a MMC after seeing… — Bethany Y.

Dr. Geoffrey Sher answered

That would be fine! Good luck Geoff Sher More than half of women who have endometriosis harbor antiphospholipid antibodies (APA) that can compromise development of the embryo’s root system (trophoblast). In addition and far more serious, is the fact that in about one third of cases endometriosis, regardless…
Hormones & Ovulation Jan 7, 2023

Clarification on Article

Can I please get clarification on what this means: Churchill and Comstock (2017) conclude:" In our preliminary observations, the non- receptive ERA group had similar live birth rates compared to the receptive ERA group. It appears the majority of the… — Jamie B.

Dr. Geoffrey Sher answered

Endometrial Receptivity Array (ERA): Is There an actual There, There? Geoffrey Sher MD The blastocyst and the endometrium are in a constant state of cross-talk. In order for successful implantation to take place, the blastocyst must be at the appropriate stage of development, and needs to signal a…
Egg Health & Ovarian Reserve Jan 7, 2023

Chinese herbal medicine and acupuncture

Can Chinese herbal medicine help with egg quality? Is acupuncture effective for egg quality? — Sarah E.

Dr. Geoffrey Sher answered

I don't believe anyone can answer that question with confidence. But it wont hurt! 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:…
Hormones & Ovulation Jan 7, 2023

38 and ovulation infection meds

I’m 38 years old and having difficulty conceiving. I developed Ashermans (moderate) in 2020. I got lysis of adhesions and conceived my daughter shortly after at 36 years old. I ovulate and haven’t regular cycles. My doctor is giving me… — Sarah E.

Dr. Geoffrey Sher answered

Respectfully, . After Ashernan's, endometrial thickness poses a real problem in many cases. In my opinion, Tamoxifen will make matters worse as far as the uterine lining is concerned. Look this up in my book, From In Vitro Fertilization to Family: A Journey with Sher Fertility Solutions (SFS)…
Age & Fertility Jan 7, 2023

Time between deliveries

Hello Dr Sherr, I’m 42 years old and I just had my first baby through IVF delivered through C section. How long would you recommend to wait before trying for the second baby. In my case my advanced age might… — Natalia B.

Dr. Geoffrey Sher answered

CONGRATULATIONS!! I would suggest waiting until you have stopped breast feeding and have since experienced at least 2 regular menstrual cycles. 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…
Cost & Insurance Jan 7, 2023

Do you accept link inserts?

Hello, Wondering if you accept link inserts on existing posts on sherfertilitysolutions.com? How much would you charge for this? Also, do you have any other sites for link inserts? Justin If you'd like to unsubscribe click the following link. https://mailerking.xyz/optout/?site=sherfertilitysolutions.com — Justin M.

Dr. Geoffrey Sher answered

Sorry! We do not do 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: A Journey with Sher Fertility Solutions (SFS) “…
IVF Failure & Pregnancy Loss Jan 7, 2023

Mis

Necesito saber de la insiminaciom invitro Tengo 4 años intentando y quiero intentarlo de esa manera y quiero saber de los pagos como es — Madelyn G.

Dr. Geoffrey Sher answered

Please re post this question in English and I will respond promptly! 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…
Embryos & Genetic Testing Jan 7, 2023

5th embryo transfer failed

What can you advise for me to do after my 5th embryo is unsuccessful? Thank you and appreciated your response. — Ruby H.

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?.…
Egg Health & Ovarian Reserve Dec 27, 2022

Are my poor outcomes just related to age?

[et_pb_section admin_label="section"] [et_pb_row admin_label="row"] [et_pb_column type="4_4"][et_pb_text admin_label="Text"]Hello, I had my daughter via ivf aged 40 after 2 cycles (first and only FET). Have been trying for a second (aged 41-42 years) over 4 cycles. My AMH is 31 and I… — Kay L.

Dr. Geoffrey Sher answered

Age could well be a factor, however, the protocol used for ovarian stimulation should be reviewed and if need be, revised. Also, I do suggest doing PGT on all blastocyst sand selective transferring only "competent" ones. Geoff Sher The importance of the IVF stimulation protocol on egg/embryo quality…
Ovarian Stimulation & OHSS Dec 27, 2022

FET Protocol

Hello I will be going for my next FET for baby #2, I have PCOS, any supplements advices , I will be taking aspirin for my pre eclampsia for sure, i just completed 5 days of Provera for period for… — Steph P.

Dr. Geoffrey Sher answered

There are many approaches to prepare for FET. Below is my preferred method! Geoff Sher Until less than a decade ago, most women undergoing IVF would have embryos transferred to the uterus in the same cycle that the egg retrieval was performed (“Fresh” Embryo Transfer). This was because…
Early Pregnancy & hCG Dec 27, 2022

HCG report

My HCG Level 852 mlu/ml at 4 week from my marriage am i Pregnant — Reta M.

Dr. Geoffrey Sher answered

It certainly appears likely...provided the levels keep rising by doubling in 2 days! 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…

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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