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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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Answers from our doctors

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

  1. Immunology & Implantation

    IVF and high TPO antibodies

    Hi Dr. Geoffrey Sher, I have a question regarding IVF. I have high TPO ( 4,843)but my TSH and t4,t3 are at normal level. Should I start IVF procedure ( my AMH is 0.053)and I am 39. Your advice will… — Olga M.

    Dr. Geoffrey Sher answered

    Between 2% and 5% of women of the childbearing age have reduced thyroid hormone activity (hypothyroidism). Women with hypothyroidism often manifest with reproductive failure i.e. infertility, unexplained (often repeated) IVF failure, or recurrent pregnancy loss. The condition is 5-10 times more common in women than in men. In…

  2. Sr

    Es algo serio — Gabriel C.

    Dr. Geoffrey Sher answered

    Please post in English! Geoff Sher

  3. Clinic & Practice

    IVF Record

    Hi, I was born at your clinic, and I am reaching out to request any records regarding my biological mother. I also have a twin sister. Please let me know what information you require from me to assist in this… — Remzi H.

    Dr. Geoffrey Sher answered

    I am no longer at the clinic where you were conceived. If you send me details of where and when you were conceived, I will do my best to provide you with more specific information. Good luck! Geoff Sher

  4. Embryos & Genetic Testing

    Article; IVF: FACTORS AFFECTING EGG/EMBRYO “COMPETENCY” DURING CONTROLLED OVARIAN STIMULATION (COS)

    Quick question- sperm and egg cells, don' t they contain 23 chromosomes only as they are germ cells (Haploid cells) , and not 2x 23 as mentioned in this article? — Theivanya U.

    Dr. Geoffrey Sher answered

    Both sperm and eggs start off with 46 chromosomes. Then during meiosis (reproductive maturational division, the divide their chromosomes in half to 23 (the haploid number). The fusion of the sperm and the egg thereupon reconstitutes the chromosomes in the embryo to 46(the diploid number). Geoff Sher Herewith…

  5. Uterine & Endometrial Health

    Toxic Uterine Environment

    I have had two failed FET 2nd FET protocol (estradiol, PIO, Aspirin , dexamethasone). I've had Hyseroscopy where polyps and scar tissue were removed. Now I'm being told that due to my endometriosis, now Adenomyosis is suspected but I will… — Tamieka G.

    Dr. Geoffrey Sher answered

    Respectfully. Nothing you are telling me add up. Read the article below and then call my assistant Patti and set up an online consultation with ne to discuss your case in detail and to set up a strategic approach. IMPLANTATION DYSFUNCTION Implantation dysfunction is often overlooked as a…

  6. Egg Health & Ovarian Reserve

    Cyst at baseline for FET

    Hi Dr. Sher, a resolving functional hemorrhagic cyst was found during ultrasound for my modified natural (Letrazole assisted) FET. I had delayed ovulation and they performed an ultrasound and found the cyst. On Friday, ultrasound showed cyst was 36 mm,… — Peg T.

    Dr. Geoffrey Sher answered

    Very respectfully, I would not enter an FET until the cyst is gone and you have had at least one interim natural cycle. I would also strongly recommend a medicated FET. FROZEN EMBRYO TRANSFER : ONE PREFERRED APPROACH AT SFS. Two decades ago, when women went through IVF…

  7. Egg Health & Ovarian Reserve

    Fertility at 41

    Hello Dr Sher, I am a physician G3P2 who has gone through 6 cycles of IVF for my 3rd child. (My elder two are 11 and 9 who were naturally conceived and delivered NSVD). I have done luteal phase stimulation… — Heena P.

    Dr. Geoffrey Sher answered

    Thank you for reaching out to me. We should talk. I recommend that you contact my assistant, Patti Converse at concierge@sherivf.com and set up an online consultation with me to discuss. In the meanwhile, please see below. Geoff Sher ADDRESSING ADVANCING AGE AND DIMINISHING OVARIAN RESERVE (DOR) IN…

  8. Clinic & Practice

    Consultation for egg freezing

    Hello! Are you available for a remote consultation in the next couple weeks? Would love to speak at your earliest availability. Thank you! — Jiji W.

    Dr. Geoffrey Sher answered

    For more than 50 years, scientists have been working to perfect the art of freezing and storing a woman's eggs, also known as “egg banking”. Although there have been challenges, the progress has been both amazing and is promising. Since the birth of the first "frozen egg baby"…

  9. Clinic & Practice

    Consult with Dr. Sher

    Recommendation regarding future IVF treatment- 41 y.o Female with DOR; multiple IVF cycles; embryos don't make it to blastocyst (only had 2 blastocysts) so far. — Neha K.

    Dr. Geoffrey Sher answered

    I agree! This requires an online consultation; I suggest you contact my assistant (Patti) and set this up with me. In the meanwhile, see below. Embarking on the journey of IVF often raises questions about the likelihood of success and the quality of embryos. While it’s challenging to…

  10. Immunology & Implantation

    Repeated Implantation Failures and MC

    Good morning Dr. Sher, My name is Xuandao ("Dao") Nguyen, I'm 42 yo and currently in round 4 of IVF at my local clinic here in Atlanta (ACRM). I want to give you a brief summary of my case and… — Xuandao N.

    Dr. Geoffrey Sher answered

    In my opinion, you have a likely implantation dysfunction . It could be anatomical or immunologic. I suggest you contact my assistant, Patti at concierge@sherIVF.com to set up an online consultation with me. Implantation dysfunction is often overlooked as a significant reason for IVF failure. This is especially…

  11. Embryos & Genetic Testing

    Eight losses

    Hello, my name is Vikki Carpenter. I am 40 years old and started IVF last year. I have one IVF failure (chemical), and 7 other chemical pregnancies before IVF. The pattern is virtually the same: I get pregnant and within… — Vikki C.

    Dr. Geoffrey Sher answered

    UNDERSTANDING RECURRENT PREGNANCY LOSS ( RPL): CAUSES AND SOLUTIONS. When it comes to reproduction, humans face challenges compared to other mammals. A significant number of fertilized eggs in humans do not result in live births, with up to 75% failing to develop, and around 30% of pregnancies ending…

  12. Third-Party Reproduction

    Donación de ovuloss

    Quisiera saber si soy apta para la donación de óvulos — Leydi M.

    Dr. Geoffrey Sher answered

    Please post in English! 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 to Family: A Journey with Sher Fertility Solutions (SFS) ; https://sherfertilitysolutions.com/sher-fertility-solutions-ebook.pdf Recurrent Pregnancy Loss and Unexplained IVF…

  13. Embryos & Genetic Testing

    News Reporter

    hi, would love to talk to you about PGT testing for a story. — Amy K.

    Dr. Geoffrey Sher answered

    Please contact my assistant Patti (concierge@sherIVF.com. 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 to Family: A Journey with Sher Fertility Solutions (SFS) ; https://sherfertilitysolutions.com/sher-fertility-solutions-ebook.pdf Recurrent Pregnancy Loss and…

  14. Uterine & Endometrial Health

    Progesterone Levels

    I went through a modified natural cycle that more or less turned into a medicated cycle since estrogen was added for the lining and also used vaginal progesterone and 1ml PIO On transfer day progesterone was >40.4 Estrogen 72 (… — Adriana L.

    Dr. Geoffrey Sher answered

    No! This has nothing to do with your progesterone level. 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 to Family: A Journey with Sher Fertility Solutions (SFS) ; https://sherfertilitysolutions.com/sher-fertility-solutions-ebook.pdf…

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