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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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165 answers

Egg Health & Ovarian Reserve

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Egg Health & Ovarian Reserve Jun 27, 2023

Improving Maturity Rates and Blastocyst Development Rate

Hi Dr. Sher, I've been through 8 IVF cycles with two separate clinics. Overall, despite changes to protocols, I've encountered the same issues. The first issue is that, though my ovaries produce a good number of oocytes, not enough of… — J C.

Dr. Geoffrey Sher answered

I think we should talk. Please call my assistant, Patti Converse at 702-533-2691 and set up an online consultation with me. In the interim, please read the articles that I have written...below. A: EGG/ EMBRYO QUALITY IN IVF & HOW SELECTION OF THE IDEAL PROTOCOL FOR OVARIAN STIMULATION…
Egg Health & Ovarian Reserve Jun 22, 2023

GV eggs

Hello I’m Asala from Saudi Arabia I’m 28 years old with stage 3 endometriosis my husband has normal semen analysis My fsh 9.9 amh 1.3ng/ml I have done 5 eggs retrievals with no success My first cycle one year ago… — Asala S.

Dr. Geoffrey Sher answered

The journey of in vitro fertilization can be a rollercoaster of emotions for many patients. Often times they have to face the harsh reality that the number and quality of eggs retrieved has fallen short of their expectations. Then, should fertilization of these eggs not propagate chromosomally normal…
Egg Health & Ovarian Reserve Jun 17, 2023

What to do / what not to do

Hello, I’m 39, low AMH (0.3), Hashimoto (in thyroid med) and had 2 failed IVF’s. What are the do’s and don’ts for moving forward? — Katie H.

Dr. Geoffrey Sher answered

The journey of in vitro fertilization can be a rollercoaster of emotions for many patients. Often times they have to face the harsh reality that the number and quality of eggs retrieved has fallen short of their expectations. Then, should fertilization of these eggs not propagate chromosomally normal…
Egg Health & Ovarian Reserve Jun 17, 2023

Differences between medication

I had many ivf cycles most of them failed due to empty follicles, I got 0 eggs after collection. I used gonal it shows goid response but no eggs collected. MENUPOR the ovaries didnt response at all. PUREGONI got 6… — Talia D.

Dr. Geoffrey Sher answered

The journey of in vitro fertilization can be a rollercoaster of emotions for many patients. Often times they have to face the harsh reality that the number and quality of eggs retrieved has fallen short of their expectations. Then, should fertilization of these eggs not propagate chromosomally normal…
Egg Health & Ovarian Reserve Jun 8, 2023

IUD

Is there any chance that having a Mirena IUD while going through egg freezing, specifically at an older age, can have a negative impact on the maturity process of the eggs? My uterine lining is very thin at around 0.3mm.… — J C.

Dr. Geoffrey Sher answered

In my opinion having an IUD in place during an ER cycle will not affect egg quality. Your thin lining is more than likely a direct consequence of the IUD but should not be a problem after removal......prior to, and during an FET cycle, Geoff Sher ADDITIONAL INFORMATION:…
Egg Health & Ovarian Reserve Jun 7, 2023

Low number of mature eggs

Hello, I'm a 38 year old woman (soon 39) and recently went through my third cycle of egg freezing. The first time I was 37,5 years and out of 23 eggs retrieved, 5 were mature. The second time resulted in… — C J.

Dr. Geoffrey Sher answered

The journey of in vitro fertilization can be a rollercoaster of emotions for many patients. Often times they have to face the harsh reality that the number and quality of eggs retrieved has fallen short of their expectations. Then, should fertilization of these eggs not propagate chromosomally normal…
Egg Health & Ovarian Reserve Jun 5, 2023

Maturing and young eggs

Does a young egg refer to the egg before or after maturation? — Adya P.

Dr. Geoffrey Sher answered

Before, Geoff Sher ADDITIONAL INFORMATION: I am attaching online links to two E-books which I recently co-authored with my partner at SFS-NY (Drew Tortoriello MD)....... for your reading pleasure: 1.From In Vitro Fertilization to Family: A Journey with Sher Fertility Solutions (SFS) “ http://sherfertilitysolutions.com/sher-fertility-solutions-ebook.pdf “Recurrent Pregnancy Loss and…
Egg Health & Ovarian Reserve May 31, 2023

Diminished ovarian reserve

I have been diagnosed with diminished ovarian reserve and my husband has some morphology issues on semen analysis. We have completed 6 egg retrievals, 1 fresh transfer of 2 day 3 embryos, 1 FET of 2 day 3 embryos, 1… — Sahar T.

Dr. Geoffrey Sher answered

Understanding the impact of age and ovarian reserve on the success of in vitro fertilization (IVF) is crucial when it comes to reproductive health. This article aims to simplify and clarify these concepts, emphasizing their significance in the selection of ovarian stimulation protocols for IVF. By providing you…
Egg Health & Ovarian Reserve May 30, 2023

IVF with low ovarian reserve

Hello, I am 40 yr old female with low ovarian reserve. I responded poorly to my first protocol OCP/antagonist. That cycle was cancelled and I was restarted on estrogen priming antagonist protocol with clomid and omnitrope adjuncts. I cleared my… — Amanda M.

Dr. Geoffrey Sher answered

Understanding the impact of age and ovarian reserve on the success of in vitro fertilization (IVF) is crucial when it comes to reproductive health. This article aims to simplify and clarify these concepts, emphasizing their significance in the selection of ovarian stimulation protocols for IVF. By providing you…
Egg Health & Ovarian Reserve May 30, 2023

To IVF again or not…

Aloha Dr. Sher! I just finished a second IVF cycle that was a total failure. I just turned 41, AMH .6, FSH 15, AFC 5. I had three follicles that were 17-20 at trigger but only retrieved one egg that… — Katie W.

Dr. Geoffrey Sher answered

_ Understanding the impact of age and ovarian reserve on the success of in vitro fertilization (IVF) is crucial when it comes to reproductive health. This article aims to simplify and clarify these concepts, emphasizing their significance in the selection of ovarian stimulation protocols for IVF. By providing…
Egg Health & Ovarian Reserve May 30, 2023

Infertility

I had stimulation done and during it it had antral follicles growing and got to 21,19 15,13 on day 11 ,with a high dose of 4501u ,on day 11 it was stepped down to 225iu as I complained of feeling… — Abigail R.

Dr. Geoffrey Sher answered

__ The importance of the IVF stimulation protocol on egg/embryo quality cannot be overstated. This factor seems often to be overlooked or discounted by t IVF practitioners who use a “one-size-fits-all” approach to ovarian stimulation. My experience is that the use of individualized/customized COS protocols can greatly improve…
Egg Health & Ovarian Reserve May 30, 2023

Low maturity rate related to retrieval timing?

Hello - I have gone through 5 rounds of freezing embryos with limited success, primarily due to very low maturity rates of my eggs (~25%). For example, I recently retrieved 27 eggs, similar in size, dr. pushed the size greater… — Rebecca P.

Dr. Geoffrey Sher answered

The problem is far more likely to be related to the protocol used for ovarian stimulation. The importance of the IVF stimulation protocol on egg/embryo quality cannot be overstated. This factor seems often to be overlooked or discounted by t IVF practitioners who use a “one-size-fits-all” approach to…
Egg Health & Ovarian Reserve May 22, 2023

Egg quality

I have gone through ovrian drilling for pcos before three months.. m not able to get pregnant and i have quality issue with my eggs how can i improve the quality pls suggest any diet plan — Kitty K.

Dr. Geoffrey Sher answered

There is like more to this than dietary control. I would need to know much more to be authoritative, but women with PCOS need a very individualized approach to ovarian stimulation. We should talk. Call my assistant, Patti (702-533-02691 and set up an online consultation with me to…
Egg Health & Ovarian Reserve May 18, 2023

Question-LH -short protocol-Metformin

Dear doctor, I am 35 years old, have gone through 8 ivf cycles, no pregnancy. At beginning e2 92, fsh 7,1, lh 9.5, amh 1.39. No PCOS. Early regrutation, I suppose DOR. From the start poor response on short protocol,… — Tamara I.

Dr. Geoffrey Sher answered

WE should talk! Feel free to call my assistant Patti Converse to set up an onloine consultation. Whenever a patient fails to achieve a viable pregnancy following embryo transfer (ET), the first question asked is why! Was it simply due to, bad luck?, How likely is the failure…
Egg Health & Ovarian Reserve May 11, 2023

CMP

Hi there, I've had 1 MMC and 2 Complete Molar Pregnancies in 2022. I recently had an egg retrieval where they got 22 eggs, 20 eggs were mature and only 7 fertilized via ICSI. I am now waiting to see… — Suman B.

Dr. Geoffrey Sher answered

No! It is not indicative that you cannot conceive with own eggs. A hydatidiform molar pregnancy happens when tissue that normally forms the placenta instead becomes a growth, that triggers symptoms of pregnancy. A hydatidiform mole is a benign tumor of the root system (trophoblast) of the embryo…

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.

165 answers

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