– Geoffrey Sher, MD
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Search 1,017 questions patients have already asked, or narrow them by topic.
Early Pregnancy & hCG
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
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
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
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
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
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
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
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
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
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…
Hormones & Ovulation
Hello! I was wondering what requirements you have for the surrogates that your patients might work with if they choose the gestational surrogacy route. Is there an age limit or BMI limit? Would a surrogate who had diet-controlled gestational diabetes… — Jessi W.
Dr. Geoffrey Sher answered
Of course all the factors you mention and many more are part of the screening process. Also, I advocate that you meet with the surrogate. IVF surrogacy involves the transfer of one or more embryos into the uterus of a surrogate, who provides a host womb and carries…
Embryos & Genetic Testing
Just wondering if you see any pitfalls in doing a simple oestrogen/progesterone protocol. I asked about adding in prednisolone, as a precaution. But the clinic is not keen using steroid medications- such as prednisolone, in patients who do not necessarily… — Cassidy C.
Dr. Geoffrey Sher answered
Perhaps we should talk! 702-533-2691
Embryos & Genetic Testing
Good afternoon dear doctor! I am 42 years old, after 8 hormonal stimulations, I have a single mosaic embryo. Blastocyst 7 days. I need to decide an important question whether to transfer it or not. Embryo seq(3)x1~2,(6)x1~2. Mosaic monosomy of… — Olga M.
Dr. Geoffrey Sher answered
I would not advise using this embryo! Human embryo development occurs through a process that encompasses reprogramming, sequential cleavage divisions and mitotic chromosome segregation and embryonic genome activation. Chromosomal abnormalities may arise during germ cell and/or preimplantation embryo development and represents a major cause of early pregnancy loss.…
Infertility Basics
Hello Dr Sher! I've taken this drug to treat thrush, 150mg. I'm getting my period is 8 days and am planning to start FET protocol - but I've since read that it's not a safe drug to take when trying… — Cassidy C.
Dr. Geoffrey Sher answered
THERE WOULD IN MY OPINION BE NO PROBLEM!
IVF Failure & Pregnancy Loss
i'm 40 years old,my AHM is 0.89. i was undergoing an ivf which failed. they got 6 eggs,5 mature,i embryo was slowly groing ending up not sticking after transfering. later the doctir told me they examined my eggs and came… — Tammy S.
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,…
