Early Pregnancy & hCG
hcg
5.8 hcg is it pregnant? how many weeks — Feabe G.
Dr. Geoffrey Sher answered
That is a low level. You need to Repeat the hCG test in 48h of the last one, to see if it at least doubles as it should do! Good luck! Geoff Sher
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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.
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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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Answers from our doctors
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Latest answers
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Early Pregnancy & hCG
Enquiry
17790mIU/mL in HCG blood test means pregnancy positive or negative — Devika N.
Dr. Geoffrey Sher answered
POSITIVE!!
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Early Pregnancy & hCG
Bhcg
656 IU/L is good at 4 week 2 days?? — Janbat U.
Dr. Geoffrey Sher answered
Very good. Repeat it in 2 days to see if it (at least) doubles...as it should!
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Ovarian Stimulation & OHSS
Stim Protocol
Dear Dr. Sher, My spouse and I are both 36 years old with unexplained infertility. We've had 6 failed IUIs (4 with letrozole, 1 with letrozole and Menopur, and 1 with Gonal-F). My spouse's AMH is 1.27 ng/mL and AFC… — Gautam J.
Dr. Geoffrey Sher answered
. Obviously there are differences of opinion. What I have espoused is based upon 38Y in the field and >17000babies. 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…
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Age & Fertility
factor 5
Hello Hello, I am not sure my last email went through. we were successful with Elin Fifer being born on 8/28/2013. I am from Colorado and saw you 3 times. Elin is extremely smart and tested a high IQ. she… — Elizabeth A.
Dr. Geoffrey Sher answered
I personally do not see this as an absolute contraindication. The dosage would be the same! I do however suggest you discuss this with a Hematologist. Geoff Sher
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Cost & Insurance
LIT
Dear Dr. Sher, In 2 days, due to partial DQA match with my husband and weak positive LAD Im going to have LIT in Greece. There are 2 clinics with big differences in price. One does the transfer to my… — Ola K.
Dr. Geoffrey Sher answered
The subcutaneous injection of the male partner’s lymphocytes to the mother is thought to enhance the ability for the mother’s decidua (uterus) to recognize the DQ alpha matching embryo as “self” or “friend” and thereby avert its rejection. LIT has been shown to up-regulate Treg cells and thus…
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Age & Fertility
Stimulation with LH in older women
Dear Dr. Sher, thank you very much for all the things you do for our community of fertility warriors. I have heard that gonadotrophins stimulation in older women with low ovarian reserve should only be done with FSH and no… — Shira M.
Dr. Geoffrey Sher answered
It is primarily the egg (rather than the sperm) that determines the chromosomal integrity (karyotype) of the embryo, the most important determinant of egg/embryo competency”. A “competent” egg is therefore one that has a normal karyotype and has the best potential to propagate a “competent” embryo. In turn,…
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Embryos & Genetic Testing
steroids for raised TH1/TH2 assay
I had my first child with no difficulty. followed by 3 losses due to chromosomal issues then went to IVF and had 1 successful birth! We have been trying for the last 4 years and it has resulted in 2… — Tasnem A.
Dr. Geoffrey Sher answered
Your raised TH1: TH2 suggests activated uterine natural killer cells. In your case, having had a child already, this suggests that it is alloimmune rather than autoimmune, immunologic implantation dysfunction (IID). This would require a different approach to treatment. First, however you need to establish a diagnosis. We…
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Embryos & Genetic Testing
Thin Endometrium
Hello Dr., I am currently 36 with unexplained infertility. We sought help in 2019 and ended up with a successful IVF cycle, 7 PGS -tested normal embryos (1 day 5 and 6 day 6). We transferred our day 5 embryo… — Natasha B.
Dr. Geoffrey Sher answered
Obviously I cannot with certainty define the cause of your thin lining. I can tell you 2 things: 1. A lining of
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Third-Party Reproduction
Baby
Using another doner — Mary L.
Dr. Geoffrey Sher answered
Please clarify your question/issue!
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Personal
I am a colleague of Geoff Sher and i am anxious to contact him . Can you please let me know asap his telephone number or personal email or ask him to contact me directly. This is the second email… — Victor L.
Dr. Geoffrey Sher answered
Hi Victor, So good hearing from you. I do not want to publish my personal contact information on this busy forum. Could you please contact my assistant, Patti Converse at concierge@sherIVF.com or 702-533-2691 and she will provide you with all my contact information. G-d bless! Geoff
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Cost & Insurance
In vitrio
Hola doct mi pregunta es ase 8años me operaron. Tube 3niños me deje con mi pareja La doct que me operó me dijo que me habían cortado las trompas y que solo con in vitro podía aserlo cuánto tiempo dura… — Sindy V.
Dr. Geoffrey Sher answered
Please re-post this question in English! Geoff Sher
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Embryos & Genetic Testing
Permutation Fragile X
I have have had 2 pregnancies, 1 resulted in miscarriage and the other resulted in mono-di girls. I am a permutation fragile x carrier and they have the gene as well. Myself and my husband would like to go through… — Randi T.
Dr. Geoffrey Sher answered
The answer to both questions is yes! Fragile X syndrome occurs in individuals who carry the gene, FMR1 on an X-chromosome. This condition is inherited as a dominant X-linked disorder. With a dominant disorder, the condition results when there is only one copy of the altered gene in…
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Early Pregnancy & hCG
Recurrent early pregnancy loss
Dear Dr Sher, My husband and I (both 35) have a severe male factor as well as lean PCOS. Despite this we had great fertilization and blastocysts rates in our IVF-ICSI with beautiful AA and BB embryos. Meanwhile we had… — Katrina S.
Dr. Geoffrey Sher answered
When it comes to reproduction, humans are the poorest performers of all mammals. In fact we are so inefficient that up to 75% of fertilized eggs do not produce live births, and up to 30% of pregnancies end up being lost within 10 weeks of conception (in the…
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Egg Health & Ovarian Reserve
Primary Ovarian Insufficiency
Hi Doctor, I am a 30 year old woman with a recent POI diagnosis. I no longer have a natural cycle and at diagnosis in January my FSH was as high as 105. Currently I have been on HRT for… — Brittany F.
Dr. Geoffrey Sher answered
Yes! I do offer the opportunity to try and ovulate on ovarian stimulation. However, you need to be realistic about the fact that in the final analysis, egg donor-IVF might ultimately be your only option. Feel free to call my assistant, Patti at 702-533-2691 and set up an…