– Geoffrey Sher, MD
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Early Pregnancy & hCG
Hi! I have a history of recurrent miscarriage but also have 2 living children. I’ve been exposed to mold in the past so had recent testing done. Many of my IgE antibodies to mold/mycotoxins were high, suggesting a current mold… — Sarah R.
Dr. Geoffrey Sher answered
I honestly doubt that this is what has caused your miscarriages,. But discuss it with your primarybcare OB/GYN. Geoff Sher
Hormones & Ovulation
Hello, I was wondering what the recommended parameters are for TSH level prior to FET. My most recent TSH level was 4.01, just wondering if these are good numbers for going into transfer. I’m 35 and low AMH(0.98). Just want… — Maria S.
Dr. Geoffrey Sher answered
Your elevated TSH could indicate an underlying hypothyyroid state which could be due to an autoimmune condition andf your low AMH points towards iminished ovarian reserve (DOR: 1. Thyroid Autoimmunity (TAI) & Immunologic Implantation Dysfunction (IID) Between 2% and 5% of women of the childbearing age have reduced…
Early Pregnancy & hCG
Thank you for receive me, what if my LH level is higher (15,45 mIU/ml on Day 3 of menstrual cycle — Paola U.
Dr. Geoffrey Sher answered
I would need much more information. If you would like to discuss your case with me , email my assistant (702-533-2691 and set up an online consultation with me,
Egg Health & Ovarian Reserve
Hi, I'm on my first round of ivf due to same sex relationship. Im from the UK. I have just had my first egg retrieval and I'm bitterly disappointed with the amount of egg they collected. I'm 37, amh 14.1,… — Katie M.
Dr. Geoffrey Sher answered
Empty Follicle Syndrome" is a misleading term because follicles always contain eggs. However, some eggs may have difficulties detaching and being retrieved. This is more likely to happen when multiple attempts are needed to retrieve an egg from a follicle, indicating the egg may have chromosomal abnormalities. The…
Ovarian Stimulation & OHSS
Any advise would be appreciated for my 2 daughters recently diagnosed with fxpoi. 30 year old tried 2 cycles, the first down regulated before starting stims, range of doses were tried and a follicle slowly grew but was empty at… — Simone H.
Dr. Geoffrey Sher answered
I would need to consult directly with your daughters re ovarian stimulation. If you are interested, please reach outv to my assistant, Patti Converse (702-533-2691 ). Below is an article I wrote on Fragile-X FYI. Fragile X syndrome: Which IVF Candidates Should be Tested and How Should Results…
Early Pregnancy & hCG
Hi Dr Sher I’m 38 y/o and and going through fertility treatment using donor sperm. I have just had an unsuccessful fresh ICSI embryo transfer (6 eggs retrieved, 6 fertilised, grade A embryo transferred, 3 embryos frozen grades B B… — Liz D.
Dr. Geoffrey Sher answered
I Thank you for sharing your IVF treatment details. From what you’ve described, you are 38 years old and have recently undergone your second IVF cycle, during which three cleaved embryos of reasonable quality were transferred, but unfortunately, conception did not occur. In your first cycle, a single…
IVF Failure & Pregnancy Loss
MY WIFE HAD 2 CONSECUTIVE COMPLETE MOLAR PREGANANCIES AT AGE 24 AND 25. THEN SHE APPROACHED IVF, AND RETURNED A MALE EMBRYO BASED ON DR. SHER'S ARRICLE IN 2016 AS SOLUTION TO PREVENT A COMPLETE MOLE. MY QUESTION NOW, IS… — Ahmad A.
Dr. Geoffrey Sher answered
Not to my knowledge! Sorry! Geoff Sher
Uterine & Endometrial Health
I am looking for a clinic that can perform sclerotherapy for endometrioma treatment. Is this something that you offer? — Jessica L.
Dr. Geoffrey Sher answered
I don' think it is available presently. WE used to use Tetracycline hydrochloride 5%...cant get it any longer. Sorry! Geoff Sher
IVF Failure & Pregnancy Loss
At20weeksinmyivfpregnacymycervixdilatedandledtostillbirth.what could be the reason — N R.
Dr. Geoffrey Sher answered
This sounds like cervical incompetence . You likely leaked fluids after the membranes ruptured and the fetus was infected. This is something that can be treated through the insertion of a cervical cerclage. Discuss it with your Obstetrician. Geoff Sher
Uterine & Endometrial Health
Dear Dr Sher, I live in Israel, am 40 years A old and having frozen embryo created with donor eggs as I have no ovarian reserve. No previous pregnancies or miscarriages. My endomerial lining measured on day 4 of my… — Ayelah B.
Dr. Geoffrey Sher answered
I need to have more information. An important consideration is "how long have you been estrogen-depleted". IOW how long have you been not having periods (amenorrhea). The reason I say this is that women who have been anesgtrogenic for >6moths, often have depletion of endometrial estrogen receptivity and…
Egg Health & Ovarian Reserve
Hi, I have low AMH. I have had 1 round of IVF and did not obtain any embyros. I had a second round of ICSI and obtained 3 embyros. From this round, I have had two Embyro transfers which did… — Tara B.
Dr. Geoffrey Sher answered
It is very likely that your issue is an embryo quality issue stemming from the egg. The egg rather than the sperm is the main determinant of embryo "competency". Women with diminished ovarian reserve are at at greater risk of poor egg quality if the protocol used for…
Hormones & Ovulation
31 F/ G2 T0 P1 A1 L1/5’2.5 103lbs. Diagnosis: functional hypothalamic amenorrhea. DOR/PCOS/Lactational/thyroid all ruled out. Background: Past successful pregnancy with letrozol at 114lbs. Have been struggling with HA since then for 12 months. Past OBGYN wanted weight closer to… — Sarah O.
Dr. Geoffrey Sher answered
Women with HA can experience poorer egg quality. In addition, the low ovarian estrogen output can blunt endometrial response to estrogen. I advise you to have your doctor monitor endometrial thickness at the time of the hCG "trigger". It should measure at least 8mm. If less, this could…
IVF Failure & Pregnancy Loss
I was excited to see the depth of understanding and research regardingRPL.i am having my third miscarriage at6-7weeks. Could I schedule a telehealth consult? — Jane M.
Dr. Geoffrey Sher answered
Absolutely you can. Email my assistant, Patti Converse at concierge@sherivf.com with your telephone # and she will call you right back and set this up. Geoff Sher Herewith are online links to 2 E-books recently co-authored with my partner at SFS-NY (Drew Tortoriello MD)....... for your reading pleasure:…
Male Infertility
Hi doctor Sher, You gave me two amazing children from your clinic. We are officially done with IVF but I would still like to grow my family naturally in hopes of a third child. Our only issue was MFI and… — Megan L.
Dr. Geoffrey Sher answered
Thanks! You made my day! I suggest you go online to www.proceptin.com and order Proceptin . It is the best fertility blend available in my opinion and is only available through the website. Geoff Sher Herewith are online links to 2 E-books recently co-authored with my partner at…
Uterine & Endometrial Health
The best Protocol For Ivf With Adenomyosis? — Julia P.
Dr. Geoffrey Sher answered
There is no specific protocol for adenomyosis. It would depend on your clinical situation. I suggest yo email my assistant, Patti Converse (concierge@sherivf.com) and ask her to set you up with an online consultation with me to discuss our case in detail; Geoff Sher Adenomyosis: A Guide to…
