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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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Page 59 of 68

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…
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).…

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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