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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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Dr. Geoffrey Sher

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Early Pregnancy & hCG Sep 8, 2022

Test

What test would you consider if someone had 4 miscarriages before 6 weeks I have done all the basic test Immune conditions Chromosome Ovarian reserve My husband sperm Protein Std Everything is normal No polyps I do have fibroids not… — Medjine E.

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…
Hormones & Ovulation Sep 8, 2022

Estrogen levels

Hello doctor Sher, Thanks for taking the time to answer our questions!! Is it true that vaginal estrogen route result in higher serum estradiol unlike transdermal and intramuscular? Does the estradiol level a day to pio matter ? Can it… — Indo I.

Dr. Geoffrey Sher answered

My preference is subcutaneous estradiol twice weekly injections.. My second preference is trans dermal. Vaginal estradiol is not evenly absorbed and oral estradiol is in my opinion the poorest choice because absorption through the GIT passes via the liver to the systemic circulation and this can alter the…
Male Infertility Sep 6, 2022

Sperm retrieval

Hi, My partner and I have had a friend that was successful at your clinic (Michelle and Steve Christie) and we are exploring a child together but do not have the funds to have it not be successful going back… — Kristen S.

Dr. Geoffrey Sher answered

Here is some information on : Previous vasectomy and IVF; Gender selection and Endometriosis and infertility. We should talk,. call Patti Converse (702-533-2691) and set up an online consultation with me. 1. GENDER SELECTION Couples have for centuries sought to influence the gender of their offspring. More than…
Uterine & Endometrial Health Sep 6, 2022

Ovarian sclerotherapy

Hi, I came across your page because I have been dealing with a 5 cm endometrioma and have been looking at different options. I found your article about ovarian sclerotherapy and was wondering if you know where this procedure can… — Sophia G.

Dr. Geoffrey Sher answered

I really do not know who offers this or where you could find out! You will have to inquire around. Geoff Sher
Early Pregnancy & hCG Sep 6, 2022

422,000 mIU/ml at 6weeks pregnancy

My wife had a test two weeks a go at 4th week, the result read 33,896 miu/mi. Fast forward 2weeks and it is standing at 423,909 miu/mi. SIhould we be worried? — Ejiofor B.

Dr. Geoffrey Sher answered

Not in my opinion! Geoff Sher
Early Pregnancy & hCG Sep 4, 2022

422,000 mIU/ml at 6weeks pregnancy

My wife had a test two weeks a go at 4th week, the result read 33,896 miu/mi. Fast forward 2weeks and it is standing at 423,909 miu/mi. Should we be worried? — Ejiofor I.

Dr. Geoffrey Sher answered

I think it is OK. However, she should have a confrontational US. Good look! Geoff Sher
Cost & Insurance Sep 3, 2022

Family balancing

I want baby boy through IVF ...how much it cost — Rupali V.

Dr. Geoffrey Sher answered

Please call our office in New York for details. Ask for Jessica Ortiz. THE ROLE OF GENDER SELECTION: THE PRO’S & CON’S Geoffrey Sher Couples have for centuries sought to influence the gender of their offspring. More than seven centuries ago the ancient Chinese developed a birth calendar…
Hormones & Ovulation Aug 29, 2022

Low Testosterone

Wondering what your thoughts are on lower testosterone but very high sperm count? My husband has 150 million motile sperm count but his testosterone is only 8.77 (and the lab values like to see at least 9.9). His morphology is… — Maya J.

Dr. Geoffrey Sher answered

I am not at all concerned about your husband's sperm quality. The lowish testosterone is another issue altogether. I would caution against him taking testosterone supplements as this would likely worsen his sperm parameters. Geoff Sher
Clinic & Practice Aug 29, 2022

Transferring embryos from another clinic?

Dr. Drew - we have been working with another clinic and are pretty upset with them - we have 6 embryos and just found out the lab - Igenmonix - destroyed all samples. Our friend is a patient of yours.… — Tanya G.

Dr. Geoffrey Sher answered

You have posted on my board. I suggest you re-post on that of Dr Tortoriello! Geoff Sher
Hormones & Ovulation Aug 29, 2022

Conception

My boyfriend and I have been trying to get pregnant for about 9 months, unprotected intercourse, I have been tracking my ovulation and “highest days to get pregnant” and it’s been very difficult for us. We are both 27years old-… — Kãlah S.

Dr. Geoffrey Sher answered

You need to give it more time. If no pregnancy in 6 months from now, then you can start the evaluation process! Geoff Sher
Male Infertility Aug 29, 2022

Semen Analysis

Hi Dr. My husband just received his semen analysis results. His count is 331 million with 82% motility. Which is still very good, leaving us in the mid 200 million range. I am confused and very concerned about his morphology… — Samantha T.

Dr. Geoffrey Sher answered

In my opinion, your husband's semen analysis is quite adequate. Geoff Sher
Embryos & Genetic Testing Aug 28, 2022

IVF transfer failure

Hi! I would like to book a consultation and consider next steps. I did two precision IVF and the transfer failed. Genetically normal embryos. I’m trying to figure out if seeing a RI would be worth it. I’m open to… — Gloria K.

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).…
Third-Party Reproduction Aug 25, 2022

Hi

Hi at what age can a daughter donate eggs to mothers based on your website I see you did this once thanks — Jan R.

Dr. Geoffrey Sher answered

I have done this > once. The daughter needs to be >18y and preferably over 21y. Geoff Sher
Early Pregnancy & hCG Aug 23, 2022

Pregnancy test

I have done my blood test i want to ask from u that can u plz confirm my hcg level 113 477,0 please tell me i am waiting for my test positive — Azhar K.

Dr. Geoffrey Sher answered

This is strongly positive! Geoff Sher
Uterine & Endometrial Health Aug 22, 2022

ERA for Natural FET Cycle

Is an ERA necessary for a natural FET cycle? — Helen D.

Dr. Geoffrey Sher answered

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 well synchronized endometrium to ‘accept it”. This dialogue between embryo and endometrium involves…

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.

980 answers

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