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.

  • 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

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

  1. Early Pregnancy & hCG

    High risk pregnancy

    Hello Dr. Sher, I can only imagine how busy you are so I will try to make this question as brief and concise as possible. I just turned 39. Currently 5wks pregnant (naturally conceived--was told it was an impossibility by… — Kristine S.

    Dr. Geoffrey Sher answered

    I am so happy for you. The fact that you have had 2 children with this underlying autoimmune condition, suggests that you are of the50% of women who have thyroid antibodies but do not have activated uterine natural killer cells. If so, this pregnancy could be safe. Besides,…

  2. Embryos & Genetic Testing

    Do you recommend Sildenafil 4x 25mg/day during the follicular phase

    Dear Dr. Sher, Do you recommend Sildenafil 4x 25mg/day during the follicular phase or only when the embryo transfer is scheduled? Do you recommend Sildenafil although there are no previous evidences of lack of thickening of the endometrial walls? Thank… — Ola

    Dr. Geoffrey Sher answered

    Yes…only in the follicular phase but not in the absence of an endometrial thickness issue! Geoff Sher

  3. Embryos & Genetic Testing

    I need your advice. I have had two failed embryo transfers

    I need your advice. I have had two failed embryo transfers. I had my embryos PGT tested and they were normal and very high-quality embryos. I am 37 years old with no underlining health conditions. But maternal history of endometriosis.… — Vanessa A.

    Dr. Geoffrey Sher answered

    antibodies (APA) that can compromise development of the embryo’s root system (trophoblast). In addition and far more serious, is the fact that in about one third of cases endometriosis, regardless of its severity is associated with NKa and cytotoxic uterine lymphocytes (CTL) which can seriously jeopardize implantation. This…

  4. Egg Health & Ovarian Reserve

    I would like to ask you about DUO stim protocol for women with DOR

    Dear Dr. Sher, I would like to ask you about DUO stim protocol for women with DOR. Is it OK to have double stim within the same menstruation cycle? I have DOR, endometriosis stage 1, MTHFR, 35 yrs old and… — Ola

    Dr. Geoffrey Sher answered

    Respectfully, I am not a protagonist of Duo-stimulations. In my opinion it can compromise follicle development as well a jeopardize egg/embryo “competency”. Geoff Sher

  5. Egg Health & Ovarian Reserve

    I have very low ovarian reserve Amh=0.4

    Dear Doctor, I saw your video on internet and I noticed that you master very well my case. I have very low ovarian reserve Amh=0.4 So I live in France and I want to came and have an ivf protocol… — Elies E.

    Dr. Geoffrey Sher answered

    Thank you! If you wish to consult with me online, please contact my assistant, Patti Converse at 702-533-2691. When it comes to reproductive performance, humans are the least efficient of all mammals. Even in young women under 35y, at best only 1 out of 2 eggs are chromosomally…

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