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

178 answers

IVF Failure & Pregnancy Loss

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Age & Fertility Jul 19, 2023

Questions

Hi Dr Sher, I’m 43 yrs old & had a baby with IVF at 41 using the mini stim protocol (fresh) & hoping to try again for a 2nd. We’ve had 3 failed cycles since (using way higher doses). The… — Rosie S.

Dr. Geoffrey Sher answered

Frozen transfer of PGS-normal blastocyst is preferable in my opinion. With regard toi stimulation, consider the following: 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…
Embryos & Genetic Testing Jul 17, 2023

IVF

Hello ! I am 30 years old, I had my first successful embryo transfer three years ago, I have twins. It worked the first time, but this year I have had two failed attempts to transfer frozen embryos. Do you… — Enisa H.

Dr. Geoffrey Sher answered

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 to recur in future attempts and what can be done differently, to avoid it happening next time?.…
Age & Fertility Jul 14, 2023

IVF

I am 42 years old and had 1 failed IVF. I had 15 follicles, 11 retrieved, 6 became embryos but all 6 had chromosome abnormalities.. Is it worth doing IVF again — Tasneem K.

Dr. Geoffrey Sher answered

Yes, provided that an optimal protocol is used for ovarian stimulation. 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…
IVF Failure & Pregnancy Loss Jul 9, 2023

Ectopic pregnancy

What does 243,35 mIU/mL means ? — Marian S.

Dr. Geoffrey Sher answered

Not sure what was being measured and when?? Geoff Sher
Early Pregnancy & hCG Jul 2, 2023

Hcg

Dear dr. Shed, I have 2 questions about my pregnancy. I have concerns about my Hcg levels which are rising higher than normal in 48h. At 4+2 weeks HCG is 2856. Is it normal? Are there any exact HCG result… — Timi G.

Dr. Geoffrey Sher answered

I don't think attending a concert will prejudice your pregnancy! Going through IVF is a major investment, emotionally, physically, and financially, for every patient or couple. One of the most crucial moments is receiving the result of the blood test for human chorionic gonadotropin (hCG) pregnancy. It's a…
Hormones & Ovulation Jun 29, 2023

Multiple miscarriages

Dear Dr. Sher, I would like to ask you, if there is any possibility to "prevent" a miscarriage, or help my body to deliver a baby overall. Or any of your ideas just to help somehow. I'm 29 and in… — Ludmila K.

Dr. Geoffrey Sher answered

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 within the first 10 weeks (first trimester). Recurrent pregnancy…
IVF Failure & Pregnancy Loss Jun 26, 2023

adenomyosis and IVF success / miscarriage rates

Dear Dr. Sher, I am 39 years old and I was hoping to do a frozen embryo transfer. I have two genetically healthy and high quality frozen embryos. I was set to start the transfer process in mid-July and wanted… — Melis T.

Dr. Geoffrey Sher answered

Adenomyosis is a condition where endometrial glands develop outside the uterine lining (endometrium), within the muscular wall of the uterus (myometrium). Definitive diagnosis of adenomyosis is difficult to make. The condition should be suspected when a premenopausal woman (usually>25 years of age) presents with pelvic pain, heavy painful…
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…
IVF Failure & Pregnancy Loss Jun 9, 2023

practice

Dr Sher I follow you on social media but noticed that there has been no new updates since 2022. Are you still practicing? Thank you — Cheryl R.

Dr. Geoffrey Sher answered

Absolutely I am. I will look into this! Thanks! 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…
IVF Failure & Pregnancy Loss Jun 5, 2023

Egg Thawing

Hello, please can you let me know if you thaw eggs that were frozen at another clinic? Thanks — Morgan B.

Dr. Geoffrey Sher answered

Indeed we do! 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…
IVF Failure & Pregnancy Loss Jun 2, 2023

Recurrent Implantation Failure

Hello I’m located in Hong Kong doing IVF. I had a miscarriage at 6 weeks (natural pregnancy) and then diagnosed with low AMH (33 years old and AMH of 0,69) did IVF and had no implantation. We tested the embryos.… — Daniela R.

Dr. Geoffrey Sher answered

In the world of assisted reproduction, when IVF fails repeatedly or without explanation, it's often assumed that poor embryo quality is the main culprit. However, this view oversimplifies the situation. The process of embryo implantation, which begins about six or seven days after fertilization, involves a complex interaction…
Age & Fertility Jun 1, 2023

failed IVF cycle, age 43

I am 43 years old and had a failed IVF cycle. My AMF is .615. I was on Luperon, menopur and follistim. I had 5 mature eggs and 4 fertilized. Two made it to day 5 which one was a… — Allison L.

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…
IVF Failure & Pregnancy Loss May 30, 2023

Recurring chemical pregnancies

Dear doctor, I want to ask you about recurrimg pregnencies I have been faced with over a year now. I just had a third one with the same scenario like the previous ones. In week 4 I sudenly lose the… — Šejla K.

Dr. Geoffrey Sher answered

__ 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 within the first 10 weeks (first trimester). Recurrent…
Immunology & Implantation May 30, 2023

3rd miscarriage – subchorionic hematoma

Hi Dr Sher, Thanks for all the wonderful work that you do! I've just had my third miscarriage, I have no living children. This was my first IVF pregnancy. Our embryo was genetically tested and I was on an immune… — Beth Y.

Dr. Geoffrey Sher answered

Please be aware that in my opinion for IL/steroids to be of benifit , timing and dosage administration is crucial. The IL must be administered starting 10-14 days prior to embryo transfer. Administration starting just prior to transfer is not helpful. UNDERSTANDING RECURRENT PREGNANCY LOSS ( RPL): CAUSES…
Early Pregnancy & hCG May 15, 2023

Missed miscarriage

Hi Dr. Sher I wanted to ask you about missed miscarriages. I fell pregnant and had a early scam at 6 week 4 days. The embryo was there with a heartbeat. A week later, it hadn't grown at all and… — Lisa-Marie E.

Dr. Geoffrey Sher answered

In my opinion, it is possible, but highly unlikely that adenomyosis caused the missed abortion I suggest that you contact my assistant, Patti Converse at 702-533-2691 and set up an online consultation with me to discuss.. Geoff Sher ADENOMYOSIS: Adenomyosis is a condition where endometrial glands develop outside…

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.

178 answers

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