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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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Dr. Geoffrey Sher

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Uterine & Endometrial Health Dec 20, 2022

Endometrioma removal and ivf

Hi Dr. Sher , I listened to your great informational interview on the egg whisperer channel about endometriosis and I had a question about my own ivf journey with endo . I have endometriomas on both ovaries between 1.5 and… — Mindy D.

Dr. Geoffrey Sher answered

Thank you! Very respectfully, I do not believe it is in your interst to do another ER until the endometriomas have been completely removed. In my opinion, The ovay(ies) housing the endometrioma(s) are far less likely to propagate good quality eggs. After surgery you will need 6-8 weeks…
Embryos & Genetic Testing Dec 20, 2022

Dental bone graft before FET

Hi Dr.Sher, Thank you for taking the time to answer my question. A month prior to my FET I had dental bone graft placed. I took a full course of antibiotics and the healing was uneventful. Following month, my FET… — Ramya S.

Dr. Geoffrey Sher answered

The dental surgery and antibiotics would not have affected outcome. 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…
IVF Failure & Pregnancy Loss Dec 19, 2022

Ivf

Hi my name is Sabrina I’m a mother of four boys . I have been on the Depo for 3 years I want to get off the Depo . We want a girl so bad but I’m afraid it will… — Sabrina T.

Dr. Geoffrey Sher answered

I strongly suggest you contact my assistant, Patti Converse at 702-533-2691 so we can discuss your options. In the meanwhile, please see below. 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 Dec 19, 2022

Endometriomas and ivf

Hello , I am 40 years old with endometriomas on both ovaries both over 1 cm but under 4cm and a large endomtrioma 7.6 cm not on the ovaries. I have done 3 ivf egg retrievals that resulted in a… — Mindy D.

Dr. Geoffrey Sher answered

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 vitro fertilization (IVF).…
IUI & Insemination Dec 17, 2022

TFMR with natural pregnancy followed by failed IUI, FET

Hi Dr.Sher, Thank you for taking the time to help all of us. I was on Birth Control for two years, came out of it and became pregnant naturally. Unfortunately the baby had a severe heart defect and we had… — Naveena S.

Dr. Geoffrey Sher answered

Perhaps you do have underlying endometriosis but taking the BCP for some time before conceiving probably had nothing to do with your original success. Perhaps we should talk about your secondary infertility. It is one thing for a woman who has never been able to conceive (primary infertility)…
Immunology & Implantation Dec 15, 2022

Reproductive immunology

Hello, I’m wondering if I’ve come to the right place - Valley IFV suggested you might be able to help. I’m looking for an immunology work up as related to recurrent miscarriages (1 natural/successful pregnancy, followed by 3 miscarriages (natural… — Jennifer D.

Dr. Geoffrey Sher answered

You are at the right place. Currently, with few exceptions, practitioners of assisted reproduction tend to attribute “unexplained and/or repeated” IVF failure(s), almost exclusively to poor embryo quality, advocating adjusted protocols for ovarian stimulation and/or gamete and embryo preparation as a potential remedy. The idea, having failed IVF,…
Embryos & Genetic Testing Dec 14, 2022

Fever after FET

I had my FET 3 days ago of two embryos and 36 hours later experienced cold/flu symptoms (sore throat, cough, headache) which was accompanied by a rising temperature, which went up to 100.6. Can this negatively impact implantation? I am… — Victoria R.

Dr. Geoffrey Sher answered

Let me assure you that this is not due to your body reacting to the embryo(s). It is likely unrelated to the FET. I suggest you see your doctor and be evaluated to make sure it is not Covid. In the interim, try to keep your temperature down…
Ovarian Stimulation & OHSS Dec 13, 2022

Provera IVF Protocol

Dr Sher, I was supposed to start IVF in December. My Provera IVF protocol is birth control, followed by stims and antagonist, and trigger with HCG (10,000). However, I did not get my period (Cycle Day 40 today) and my… — Sophie J.

Dr. Geoffrey Sher answered

No real concern at all. However, make certain that you are not pregnant before taking Provera. Do a urine pregnancy test! ADDITIONAL INFORMATION: I am attaching online links to two E-books that I recently co-authored with my partner at SFS-NY (Drew Tortoriello MD) for your reading pleasure: From…
Egg Health & Ovarian Reserve Dec 12, 2022

Egg Maturity

What approach is best for optimising egg maturity? Would HGH be useful for this? I already use a double ovidrel trigger, but only get 1-3 mature eggs, despite retrieving about 8 eggs. I also stimulate rather quickly, with my follicles… — Cristina Y.

Dr. Geoffrey Sher answered

The importance of the IVF stimulation protocol on egg/embryo quality cannot be overstated. This factor seems often to be overlooked or discounted by t IVF practitioners who use a “one-size-fits-all” approach to ovarian stimulation. My experience is that the use of individualized/customized COS protocols can greatly improve IVF…
Egg Health & Ovarian Reserve Dec 12, 2022

DHEA & Testosterone Levels

Hello, I am wondering what you thoughts were on my situation. I just turned 39 and I have “lean” pcos. I have one living child conceived 6 years ago through medicated timed intercourse. Since then I have had a few… — Stephanie W.

Dr. Geoffrey Sher answered

Here is an article I wrote on PCOS an IVF: Polycystic ovary syndrome (PCOS) is a common hormonal system disorder among women affecting between 5% and 10% of women of reproductive age worldwide. Women with PCOS may have enlarged ovaries that contain small collections of fluid — called…
Egg Health & Ovarian Reserve Dec 5, 2022

Poor response to oestrogen

Hello, My first IVF cycle with embryo adoption has been cancelled due to a thin endometrium as I have not responded well to the oestrogen medication (it was increased to 8mg of Progynova a day in combination with an estraderm… — Alyson B.

Dr. Geoffrey Sher answered

It is possible that the treatment of your endometrial cancer might have negatively impacted endometrial thickening in response to estrogen. This having been said, I would need much more information in order to provide an authoritative response! ADDITIONAL INFORMATION: I am attaching online links to two E-books which…
Immunology & Implantation Dec 5, 2022

Miscarriage

I had a term baby at 38years. I was treated with immune protocol - Intralipid, clexane, dexamethasone,aspirin and so on for repeated implantation failure( after 6 failed implantation) Hla DQ and NK cells normal At 40 I did ivf again… — Ananthy A.

Dr. Geoffrey Sher answered

I am afraid , I would need a great deal more information to be able to comment authoritatively!. We should talk! 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…
Embryos & Genetic Testing Dec 3, 2022

3 failed pgs donor fet transfers

Hi Dr. Sher, I have a child conceived naturally at 39 and then two early miscarriages also natural conception (first loss at 6 weeks and second loss at 7 weeks prior to heartbeat being detected) at age 42 and age… — Eliana B.

Dr. Geoffrey Sher answered

This is highly likely to at least in part, be due to a secondary implantation dysfunction (see below). While not definitive, I suspect an immunologic implantation dysfunction (IID). The fact that you have had a child already means that it if an IID exists, it is possibly alloimmune…
Hormones & Ovulation Dec 2, 2022

Infertility/Recurrent loss

Hello Dr. Sher, Thank you for taking the time to answer my questions. I have 1 daughter (age 16) then loss my son at 23 weeks gestation 2 years later, had 3 ectopic pregnancies and 4 chemical pregnancies. I've had… — Janeé B.

Dr. Geoffrey Sher answered

Your underlying PCOS does not explain the losses (chemical or ectopic). You likely have an underlying secondary implantation dysfunction which could be an autoimmune and/or alloimmune, immunologic implantation dysfunction (IID). The presentation suggests that it possibly is more likely the latter. Endometriosis is associated with an IID in…
Embryos & Genetic Testing Nov 30, 2022

FET Protocol Opinion

Hi, I just wanted a second opinion on what my FET protocol looks like given my personal situation. I was diagnosed with endometriosis via laparoscopy in 2018. I did a total of 6 IUIs in 2021-2022 with my 4th one… — Taylor A.

Dr. Geoffrey Sher answered

This is an inordinate drop off from egg to "competent" embryo. In my opinion, , in spite of your borderline AMH (1.48ng/ml) which would suggest otherwise, you are a high responder to fertility drugs. The most likely explanation for your poor egg to "competent" embryo conversion has 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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