– Geoffrey Sher, MD
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IVF Failure & Pregnancy Loss
At20weeksinmyivfpregnacymycervixdilatedandledtostillbirth.what could be the reason — N R.
Dr. Geoffrey Sher answered
This sounds like cervical incompetence . You likely leaked fluids after the membranes ruptured and the fetus was infected. This is something that can be treated through the insertion of a cervical cerclage. Discuss it with your Obstetrician. Geoff Sher
Uterine & Endometrial Health
Dear Dr Sher, I live in Israel, am 40 years A old and having frozen embryo created with donor eggs as I have no ovarian reserve. No previous pregnancies or miscarriages. My endomerial lining measured on day 4 of my… — Ayelah B.
Dr. Geoffrey Sher answered
I need to have more information. An important consideration is "how long have you been estrogen-depleted". IOW how long have you been not having periods (amenorrhea). The reason I say this is that women who have been anesgtrogenic for >6moths, often have depletion of endometrial estrogen receptivity and…
Egg Health & Ovarian Reserve
Hi, I have low AMH. I have had 1 round of IVF and did not obtain any embyros. I had a second round of ICSI and obtained 3 embyros. From this round, I have had two Embyro transfers which did… — Tara B.
Dr. Geoffrey Sher answered
It is very likely that your issue is an embryo quality issue stemming from the egg. The egg rather than the sperm is the main determinant of embryo "competency". Women with diminished ovarian reserve are at at greater risk of poor egg quality if the protocol used for…
Hormones & Ovulation
31 F/ G2 T0 P1 A1 L1/5’2.5 103lbs. Diagnosis: functional hypothalamic amenorrhea. DOR/PCOS/Lactational/thyroid all ruled out. Background: Past successful pregnancy with letrozol at 114lbs. Have been struggling with HA since then for 12 months. Past OBGYN wanted weight closer to… — Sarah O.
Dr. Geoffrey Sher answered
Women with HA can experience poorer egg quality. In addition, the low ovarian estrogen output can blunt endometrial response to estrogen. I advise you to have your doctor monitor endometrial thickness at the time of the hCG "trigger". It should measure at least 8mm. If less, this could…
IVF Failure & Pregnancy Loss
I was excited to see the depth of understanding and research regardingRPL.i am having my third miscarriage at6-7weeks. Could I schedule a telehealth consult? — Jane M.
Dr. Geoffrey Sher answered
Absolutely you can. Email my assistant, Patti Converse at concierge@sherivf.com with your telephone # and she will call you right back and set this up. Geoff Sher Herewith are online links to 2 E-books recently co-authored with my partner at SFS-NY (Drew Tortoriello MD)....... for your reading pleasure:…
Male Infertility
Hi doctor Sher, You gave me two amazing children from your clinic. We are officially done with IVF but I would still like to grow my family naturally in hopes of a third child. Our only issue was MFI and… — Megan L.
Dr. Geoffrey Sher answered
Thanks! You made my day! I suggest you go online to www.proceptin.com and order Proceptin . It is the best fertility blend available in my opinion and is only available through the website. Geoff Sher Herewith are online links to 2 E-books recently co-authored with my partner at…
Uterine & Endometrial Health
The best Protocol For Ivf With Adenomyosis? — Julia P.
Dr. Geoffrey Sher answered
There is no specific protocol for adenomyosis. It would depend on your clinical situation. I suggest yo email my assistant, Patti Converse (concierge@sherivf.com) and ask her to set you up with an online consultation with me to discuss our case in detail; Geoff Sher Adenomyosis: A Guide to…
Immunology & Implantation
Dear dr Sher, I got my first child 2020 via embryodonation (34 yo) on the first attempt with HRT. I had low AMH and endo. Since 2024 we had 3 more embryotransfers (1 was PGT-a) tested with the same male… — Anna L.
Dr. Geoffrey Sher answered
We should really discuss this at length. It sounds to me as if you have an implantation dysfunction. Please read the article below and if interested in having an online consultation with me, contact my assistant, Patti Converse (concierge@sherivf.com) and set up an online consultation with me to…
Male Infertility
Paradonaciondesemen — Luis G.
Dr. Geoffrey Sher answered
_I would not simply proceed because central to your success is probably the selection of a strategic protocol for Ovarian stimulation. Geoff Sher Herewith are online links to 2 E-books recently co-authored with my partner at SFS-NY (Drew Tortoriello MD)....... for your reading pleasure: From In Vitro Fertilization…
Embryos & Genetic Testing
We have had 1 successful implantation which ended in a miscarriage at 8 weeks. 1 chemical pregnancy and 4 failed implantation - 3 of which were with euploid embryos. Husband has poor SA (varicocele) and I have been diagnosed with… — Z M.
Dr. Geoffrey Sher answered
Respectfully, Elevated DFI does not negatively affect implantation. What you are experiencing is likely an implantation dysfunction which could be "immunologic" in origin and linked to endometriosis....see below. I suggest you contact my assistant, Patti Converse (concierge@sherivf.com and ask her to set up with an online consultation with…
Hormones & Ovulation
To start the IVF cycle,myclinic putme birth control.lowered LH almost undetectable. is this oversuppression?do you expect LH go up with start of menopur? we are doing a5 day washout period after stopping the birth control. — Carmela R.
Dr. Geoffrey Sher answered
When I prescribe the BCP it is for at least 10 days. Thereupon I overlap with Lupron to promote antral follicle growth through exposure to early Lupron-induced FSH. If you do not overlap with such a GnRH-agonist, the woman's ovaries will often be suppressed. Feel free to reach…
Immunology & Implantation
Hello! I am writing to you about my current pregnancy… I have a chronic spontaneous allergy, and since several bumps appeared on my body, my hCG is no longer increasing as it should (21.02-5300/24.02-7800/26.02-8030)… I have two miscarriages, I know… — Patricia C.
Dr. Geoffrey Sher answered
Please read the article below. Thereupon, if you wish to have an online consultation with me to discuss you case in detail, please contact my assistant, Patti Converse (concierge@sherivf.com) and she will set this up. Geoffrey Sher MD UNDERSTANDING RECURRENT PREGNANCY LOSS ( RPL): CAUSES AND SOLUTIONS. When…
Espema — Werks D.
Dr. Geoffrey Sher answered
Please post your question in English! Geoff Sher
Male Infertility
DFI Score guides ART method selection in=998 cyrles — Abdirahman A.
Dr. Drew Tortoriello answered
Thank you! Geoff Sher
Third-Party Reproduction
Qué es lo que se requiere para poder donar — Gustavo M.
Dr. Geoffrey Sher answered
Please repost in English! Geoff Sher
