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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 63 of 68

Early Pregnancy & hCG Nov 7, 2022

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…
Egg Health & Ovarian Reserve Nov 7, 2022

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…
Nov 3, 2022

Personal

I need Goeff Sher,s personal email. Dr Victor Lewis M.D. FRCOG united kingdom — Victor L.

Dr. Geoffrey Sher answered

Hi Victor, Would you kindly email me at sher@sherivf.com and also send me your residential address and phone # and I will forward you all my contact information. Looking forward to hearing from you! Geoff
Embryos & Genetic Testing Oct 31, 2022

Euploid embryo transfer after giving birth

Dear Dr Sher, I have just given birth to baby son ( September 3d). The pregnancy was miracle due to natural conception in December last year. I delivered naturally (not C-section) at 39 weeks 4 days so at full term.… — Sayora G.

Dr. Geoffrey Sher answered

I would use both the euploid blastocysts. My suggestion is that once you have stopped breast feeding and are menstruating regularly you proceed to FET. Good luck!
IUI & Insemination Oct 30, 2022

Iui

I have low reserve egg quality. I currently did IuI and it failed 😔 also gonal F works fast to help follicles grow. I don't have menstrual Dr said I have secondary amenorrhea Is there any hope for me. I… — Kemisha O.

Dr. Geoffrey Sher answered

We would need to talk. Feel free to set up an online consultation by calling my assistant, Patti Converse (702-533-2691) Geoff Sher
Uterine & Endometrial Health Oct 30, 2022

Ovarian endometrioma

Hello, I had a laproscopy to remove 5cm endometrioma 14 months ago. I have stage 4 endometriosis. The endometrioma was conservatively removed at about 90% to preserve ovarian tissue. Ultrasound now shows the endometrioma is back and measuring 2cm. The… — Amanda H.

Dr. Geoffrey Sher answered

Sclerotherapy would be an option, but it might not be readily available. Endometriosis is a condition that occurs when the uterine lining (endometrium) grows not only in the interior of the uterus but in other areas, such as the Fallopian tubes, ovaries and the bowel. Endometriosis is a…
Infertility Basics Oct 30, 2022

Infertility

I’ve been trying to conceive a baby with my significant other for a couple months now and have had no luck. We’ve done everything we possibly can and nothing is working. Is it possible that if I smoke nicotine that… — Vaughn K.

Dr. Geoffrey Sher answered

Usually you would wait 1 full year before diagnosing infertility. If not pregnant by then, you would need an infertility work-up with your local doctor or call my assistant, Patti Converse (702-533-2691) and set up a consultation with me online. I don't think the use of nicotine is…
Uterine & Endometrial Health Oct 28, 2022

Thin endometrium

Dear sir! My name is Denisa, I am 32. In my 29 I gave a birth to a beautiful boy. Got pregnant for the first month trying, verything went well. After labour, there was a very small piece of placenta… — Denisa K.

Dr. Geoffrey Sher answered

This is likely due to post-partum endometritis following retained products of conception. WE should talk. Might I suggest that you call my assistant, Patti Converse (702-533-2691 and set up an online consultation with me to discuss options: It was as far back as 1989, when I first published…
Hormones & Ovulation Oct 28, 2022

Testosterone Prime

Thoughts on priming with estrace and testosterone? — Christine K.

Dr. Geoffrey Sher answered

Estrogen priming for cases of severely diminished ovarian reserve is in my opinion worthy of consideration. Rarely is testosterone priming beneficial! Geoff Sher
Uterine & Endometrial Health Oct 21, 2022

3D SIS & hysteroscopy

Hi Dr Sher, I've had one natural pregnancy which ended at 19 weeks. I had a D&C for this. Since then I've had two 3D saline sonograms, both of which have shown a completely normal uterine cavity. Since my D&C,… — Anne-Marie D.

Dr. Geoffrey Sher answered

You certainly are likely to have a secondary anatomical or immunologic implantation dysfunction...We should talk. I suggest you call my assistant, Patti Converse and set up an online consultation with me. Implantation dysfunction is unfortunately often overlooked as an important cause of IVF failure. This is especially relevant…
Immunology & Implantation Oct 21, 2022

Partial DQ apha and NK cells

Dear Doctor Sher, After many years of trying and 13 chemical pregnancies finally I did some immune tests this month: (Partner) 01.02 02.01 (Me) 01.02 01.02 19 17.9 (H) (2.00 - 12.00) 19 +cells 5+ 11.3 (H) (5.00 - 10.00)… — Ola K.

Dr. Geoffrey Sher answered

WE really do need to talk! Please call Patti Converse (my assistant, at 702-533-2691 and set up an online consultation with me. You have a partial DQ alpha match with your husband. This is only significant if in addition, you have activated NK cells (which needs to be…
Ovarian Stimulation & OHSS Oct 19, 2022

Back to back FETs

Hi Dr Sher, I've just had a failed medicated FET. I have now stopped all medication and am waiting for my period to start. I want to do my next transfer as quickly as possible and I'm keen to try… — Anne-Marie D.

Dr. Geoffrey Sher answered

The answer to both questions is yes! However, I am not a proponent of natural cycle FET. See below: 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…
Egg Health & Ovarian Reserve Oct 17, 2022

DOR Protocol Suggestions

I am 41.5 with DOR. I'm desperately looking for advice on what would be the right protocol. I don't believe BC helps me. I had 2 months cancelled when on it for cysts. 1 estrogen producing and the other was… — Kodi F.

Dr. Geoffrey Sher answered

I cannot provide you with a specific protocol via this venue. I can only do so for an active patient of mine. You would need to contact my assistant, Patti Converse at 702-533-26912 and set up an online consultation with me for this. However, below please find the…
Age & Fertility Oct 15, 2022

IVF

Hi, I'm 40 years old, 3 failed IUI during the last year and consulting for IVF. I'm looking for a clinic that allows me 2 embryo transfer at once for a chance of twins. is this possible at your clinic? — Nagibe C.

Dr. Geoffrey Sher answered

I would absolutely consider this favorably! I suggest you call my assistant, Patti Converse at 702-533-2591 and set up an online consultation with me to discuss. Geoff Sher
Egg Health & Ovarian Reserve Oct 15, 2022

High AFC with PCOS and pregnancy

Hi Dr. I am 39 and have PCOS. I went for my day 3 AFC and I was informed by the nurse that I have 20 follicles on my left ovary and another 20 on my right. The strange thing… — Kristin C.

Dr. Geoffrey Sher answered

Quite frankly, at 39y ,with PCOS, I would favor IVF over ovarian stimulation with or without IUI. 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…

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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