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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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Page 9 of 68

Uterine & Endometrial Health Jan 11, 2025

Asynchronous endometrium with glandular-mucosal-hypotrophy

Dear Dr. Sher, I have a complicated medical history but I will try to keep it as short as possible. I am 35 years old and exactly a year ago I have undergone 3 ovarian stimulations that resulted in 6… — Constantina A.

Dr. Geoffrey Sher answered

Dear Constantina, It certainly sounds as if you have a probably implantation dysfunction + diminished ovarian reserve. It is not possible to cover this large and complex issue here. We need to talk. I suggest that you contact my assistant, "Patti" sat concierge@sherivf.com and set up an online…
Hormones & Ovulation Jan 11, 2025

possible pcos

Hi I am a 20 years old female. 5'7 roughly 150-160 pounds A year ago i was experiencing a bunch of symptoms that led me to get a check up. My symptoms were - excessive hair growth especially on my… — Zipporah T.

Dr. Geoffrey Sher answered

This indeed sounds like PCOS. I suggest that you contact my assistant, Patti at concierge@sherivf.com to set up an online consultation with me. Navigating Polycystic Ovary Syndrome: Understanding, Hope, and Treatment Understanding the intricate interplay of hormones and the impact on egg development empowers us to create personalized…
Male Infertility Jan 11, 2025

Sperme

C'est combien — Ange E.

Dr. Geoffrey Sher answered

_Please re-post in English 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 Failure: The…
Immunology & Implantation Jan 11, 2025

Probable cause of Infetility Immune Related

Good day Dr Sher I hope you are well. My name is Candice Castle, I am a functional health practitioner and you assisted me years ago with what medication to import into South africa so that I could have a… — Candice C.

Dr. Geoffrey Sher answered

Dear Candice, Thank you for your kind sentiments. It is a pleasure and privilege to be of service. It certainly sounds as if your patient likely has an implantation dysfunction. Please advise her to read the information below carefully and to access the e-book attachments below for more…
Embryos & Genetic Testing Jan 11, 2025

Recurrent pregancy loss and ivf failures cause

I had 3 natural pregnancies that ended up in miscarriages and 3 embryos pgt tested implanted that failed. I want to know the cause — Joyce M.

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…
Fertility Preservation Jan 11, 2025

Egg Freezing – Breast Cancer

Hi, this is just to any doctors available. I have cancer and my Oncologist referred me to this clinic and I was interested in a consultation, as soon as possible according to my Oncologist. I am 36 and I want… — Dahlia M.

Dr. Geoffrey Sher answered

So sorry for the delay but our website went down. Please contact my assistant, Patti (concierge@sherIVF.com and set up on online consultation with me to discuss. EGG BANKING: “The bottom line is that because of the traumatic effect of freezing on egg viability and “competency” the statistical chance…
Third-Party Reproduction Jan 11, 2025

Infertility-help

I need more information about egg donors. — Khadija N.

Dr. Geoffrey Sher answered

IVF WITH EGG DONATION: A REVIEW Introduction: Egg donation is when a woman donates her eggs for assisted reproduction or research purposes. In assisted reproduction, it usually involves using IVF technology, where the eggs are fertilized in a lab. Unfertilized eggs can also be frozen for future use.…
Immunology & Implantation Jan 11, 2025

Any Correlation between elevated NK cells and MCAS diagnosis?

Hi Dr Sher, Thanks to you, I have an amazing 5 year old daughter named Amelia, from your last batch of IVF protocols in Las Vegas. Shes doing wonderful and really is our miracle baby. While undergoing treatment with you,… — Hilary U.

Dr. Geoffrey Sher answered

I wish I had an answer for you on this issue...but although I suspect there could be a link to autoimmune, IID , there is no data to support this.. There is however unlikely to be a link with alloimmune IID (DQ alpha/HLA matching/NKa+). Thanks for the kind…
Egg Health & Ovarian Reserve Jan 11, 2025

Dor Diagnosis

I’ve been diagnosed with Dor. First antagonist cycle only ended up with 4 follicles on trigger day after 10days of stimming. However, e2 never got above 380 and seemed to have dipped on trigger day to 373. Clinic still proceeded… — Avie H.

Dr. Geoffrey Sher answered

There is a great deal to discuss! I suggest that you contact my assistant, Patti (concierge@sherIVF.com ) and set up a time to discuss online. ADDRESSING ADVANCING AGE AND DIMINISHING OVARIAN RESERVE (DOR) IN IVF Understanding the impact of age and ovarian reserve on the success of in…
Third-Party Reproduction Jan 11, 2025

Upper-age limit

Hello, I'm 53, would you consider donor egg IVF? — Sarah K.

Dr. Geoffrey Sher answered

Absolutely. This is your only option...in my opinion. Geoff Sher. IVF WITH EGG DONATION: A REVIEW Introduction: Egg donation is when a woman donates her eggs for assisted reproduction or research purposes. In assisted reproduction, it usually involves using IVF technology, where the eggs are fertilized in a…
Uterine & Endometrial Health Jan 11, 2025

Breastfeeding-FET

Dear Dr Sher, Your work has shaped my IVF journey and I want to give great thanks for your generosity in the information you have offered in interviews and YouTube videos. Thanks to you my dream has come true. Mh… — Catherine S.

Dr. Geoffrey Sher answered

Yes! I am afraid so because it can increase prolactin which can impact implantation. I would suggest waiting at least 2 cycles after stopping BF before engaging again with FET. By the way, thank you for your kind sentiments. Geoff Sher Herewith are online links to 2 E-books…
Ovarian Stimulation & OHSS Jan 11, 2025

Unsure about priming protocol estrace//ganarelix

Hello Dr Sher, I am a scientist and as I often do i studied all mechanisms of action of IVF drugs. I have done natural start cycles but recently had leading follicles. AMH of 1.33 40 years old 6-9 afc… — Cecilia P.

Dr. Geoffrey Sher answered

There is so much to talk about. i think I can provide information that will be of help. I suggest you contact my assistant, Patti (702-533-2691) and set up an online consultation with me to discuss.. In the meanwhile,...see below. EGG/ EMBRYO QUALITY IN IVF & HOW SELECTION…
Uterine & Endometrial Health Dec 5, 2024

FETcycle

My previous FET cycle which was modified natural failed. It did not implant. my lining was only 7.2 mm so could have failed due to that. I was taking progesterone suppositories twice daily and on my day of transfer my… — Camila S.

Dr. Geoffrey Sher answered

The endometrial lining thickness is an issue but I do not think to progesterone administration is a factor...WE need to discuss this. I suggest you contact my assistant, Patti Converse (concierge@sherivf.com) and set up an online consultation with me. Geoff Sher FROZEN EMBRYO TRANSFER : ONE PREFERRED APPROACH…
Uterine & Endometrial Health Dec 3, 2024

liningforFET

how important is the trilaminar appearance before FET trigger? I am on a modified natural cycle and my RE put me on viagra PV to thicken my lining. at trigger my lining was 12.4mm but homogeneous. The sonographer told me… — Andreea N.

Dr. Geoffrey Sher answered

The3 trilaminar appearance is in my opinion not important.. An Ideal thickness is >9mm but >8mm is acceptable. Good luck! Geoff Sher
Embryos & Genetic Testing Nov 27, 2024

Embryo Transfer

Is it normal take 10mg Prednisolone 5 days before transfer and 5 Progynova a day? If so, do you have any suggested reasons why this might be the case ? Also how do you improve blood circulation prior to transfer?… — Meshelley S.

Dr. Geoffrey Sher answered

Respectfully, I do not uses such an approach! Geoff Sher

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.

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