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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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Search 1,006 questions patients have already asked, or narrow them by topic.

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  1. Uterine & Endometrial Health

    U/S endometrium is 1.4 at day 4 of period

    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…

  2. Egg Health & Ovarian Reserve

    Failed Embyro transfer

    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…

  3. Hormones & Ovulation

    Hypothalamic amenorrhea

    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…

  4. IVF Failure & Pregnancy Loss

    RPL

    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:…

  5. Male Infertility

    MFI

    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…

  6. Uterine & Endometrial Health

    Adenomyosis

    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…

  7. Immunology & Implantation

    RIF

    Dear dr Sher, I got my first child 2020 via embryodonation (34 yo) on the first attempt with HRT. I had low AMH and endo. Since 2024 we had 3 more embryotransfers (1 was PGT-a) tested with the same male… — Anna L.

    Dr. Geoffrey Sher answered

    We should really discuss this at length. It sounds to me as if you have an implantation dysfunction. Please read the article below and if interested in having an online consultation with me, contact my assistant, Patti Converse (concierge@sherivf.com) and set up an online consultation with me to…

  8. Male Infertility

    Sr

    Paradonaciondesemen — Luis G.

    Dr. Geoffrey Sher answered

    _I would not simply proceed because central to your success is probably the selection of a strategic protocol for Ovarian stimulation. 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: From In Vitro Fertilization…

  9. Embryos & Genetic Testing

    RIF

    We have had 1 successful implantation which ended in a miscarriage at 8 weeks. 1 chemical pregnancy and 4 failed implantation - 3 of which were with euploid embryos. Husband has poor SA (varicocele) and I have been diagnosed with… — Z M.

    Dr. Geoffrey Sher answered

    Respectfully, Elevated DFI does not negatively affect implantation. What you are experiencing is likely an implantation dysfunction which could be "immunologic" in origin and linked to endometriosis....see below. I suggest you contact my assistant, Patti Converse (concierge@sherivf.com and ask her to set up with an online consultation with…

  10. Hormones & Ovulation

    suppressedLH

    To start the IVF cycle,myclinic putme birth control.lowered LH almost undetectable. is this oversuppression?do you expect LH go up with start of menopur? we are doing a5 day washout period after stopping the birth control. — Carmela R.

    Dr. Geoffrey Sher answered

    When I prescribe the BCP it is for at least 10 days. Thereupon I overlap with Lupron to promote antral follicle growth through exposure to early Lupron-induced FSH. If you do not overlap with such a GnRH-agonist, the woman's ovaries will often be suppressed. Feel free to reach…

  11. Immunology & Implantation

    Miscarriages

    Hello! I am writing to you about my current pregnancy… I have a chronic spontaneous allergy, and since several bumps appeared on my body, my hCG is no longer increasing as it should (21.02-5300/24.02-7800/26.02-8030)… I have two miscarriages, I know… — Patricia C.

    Dr. Geoffrey Sher answered

    Please read the article below. Thereupon, if you wish to have an online consultation with me to discuss you case in detail, please contact my assistant, Patti Converse (concierge@sherivf.com) and she will set this up. Geoffrey Sher MD UNDERSTANDING RECURRENT PREGNANCY LOSS ( RPL): CAUSES AND SOLUTIONS. When…

  12. M

    Espema — Werks D.

    Dr. Geoffrey Sher answered

    Please post your question in English! Geoff Sher

  13. Third-Party Reproduction

    Masculino

    Qué es lo que se requiere para poder donar — Gustavo M.

    Dr. Geoffrey Sher answered

    Please repost in English! Geoff Sher

  14. Embryos & Genetic Testing

    RPL

    I am a 42 year old women undergoing IVF treatment. I had a very successful egg retrieval (13 fertilized eggs, 9 blastocyst, after PGT-A testing: 3 euploid embryos and 1 low mosaic). We transfered our 3rd euploid embryo 2 weeks… — Lindsey M.

    Dr. Geoffrey Sher answered

    At 42y, IUI is definitely not the answer..please read below and thereupon (if so inclined) contact my assistant, Patti Converse (concierge@sherivf.com) and have her set up an online consultation with me. IMPLANTATION DYSFUNCTION Implantation dysfunction is often overlooked as a significant reason for IVF failure. This is especially…

  15. Male Infertility

    Hombre

    Notengo — David P.

    Dr. Geoffrey Sher answered

    Please post i English!

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