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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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Embryos & Genetic Testing Jul 26, 2023

Receptiva Test

Hi Dr. Sher, I have a question. I am 30 years old. No known medical issues, with unexplained infertility. I did a recent retrieval, and got 5 chromosomally normal embryos. I have transferred 2 now, both failed. The first was… — Rosina H.

Dr. Geoffrey Sher answered

Understanding the Power of Receptiva Test The Receptiva Test is often inconclusive but would do no harm. However, 30% of endometriosis is associated with an immunologic implantation dysfunction (IID). If present and there is evidence of increased natural killer cell activity (NKa) and/or antiphospholipid antibodies, this could cause…
Embryos & Genetic Testing Jul 26, 2023

Endometriosis

Hello Dr Im 35yo. Been trying to conceive since 2020. Did 3 IUI in 2022-did not work. Normal hormone levels. Miraculously got pregnant for the first time in Jan 2023 but miscarriage at around 7 weeks reports say likely due… — Pareet A.

Dr. Geoffrey Sher answered

You are correct, the Receptiva test is often inconclusive, but would do no harm. And, unless ultrasound shows endometriotic cysts I would not do a laparoscopy or take Lupron. Rather, I would undergo blood testing for an immunologic implantation dysfunction (IID) specifically looking for antiphospholipid antibodies (APA) and…
Egg Health & Ovarian Reserve Jul 22, 2023

Cut off Age for using own egg

Do you have a cut off age for using own egg. I am 46 and have never been pregnant, my last amh was about 0.4. Main reason of my infertility is currently blocked tubes which i experienced after fibroid surgery… — Jane M.

Dr. Geoffrey Sher answered

Our cut off for egg retrievals is 47Y. Frozen embryo transfers....no definitive cut off. See below: Age should never be a barrier to hope and fulfillment when it comes to IVF. Many women in their early to mid-40s are successfully having IVF babies using their own eggs, especially…
Uterine & Endometrial Health Jul 22, 2023

Viagra

I inserted viagra and the next day it came out what does that mean ? It was recommended by the doc for blood flow in my uterus, did I do it wrong or why did it take the next day… — Aisha A.

Dr. Geoffrey Sher answered

The dosage is 25mg inserted high in the vagina 4 times daily from early in the cycle to the day of hCG or progesterone administration. Back in 1989, I conducted a study that examined how the thickness of a woman's uterine lining, known as the endometrium, affected the…
Uterine & Endometrial Health Jul 22, 2023

PRP treatment request

Dear Dr. Tortoriello, I have extremely low ovarian reserve despite my age of 32. I had done PRP before in Korea, and I saw 3 follicles 2 months after, which is rare for me (I usually see one). Although I… — Jiseon P.

Dr. Geoffrey Sher answered

Yes we do! However, to be honest, I am not a true believer. 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…
Embryos & Genetic Testing Jul 22, 2023

Implantation dysfunction

I saw your interview on THE EGG WISPERER podcast and really appreciated your information and inspiration. We have been trying to conceive for about 6 years now (age 37) with no children, have low AMH (last tested about 18 months… — Ponda C.

Dr. Geoffrey Sher answered

Implantation dysfunction is often overlooked as a significant reason for IVF failure. This is especially true when IVF failure is unexplained, or when there are recurring pregnancy losses or underlying issues with the uterus, such as endo-uterine surface lesions, thin uterine lining (endometrium), or immunological factors. IVF success…
Uterine & Endometrial Health Jul 19, 2023

Took Progesterone tablet during IVF

Hi, I am doing cycle 3 of IVF stimulation. Day 6 today and I took progesterone tablet 10 mg by mistake. I am worried now if it will affect my IVF cycle. Please advise. Thanks. — Renu V.

Dr. Geoffrey Sher answered

That is not sufficient to disrupt your cycle...in my opinion. Discuss with your treating RE. 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…
Uterine & Endometrial Health Jul 17, 2023

Endometrial lining

I am doing a frozen embryo transfer I am taking 6 x2mg Estradiol tablets a day. Endometrial lining on day 14 was 8.1mm then on day 16 was about 7 mm. I am now taking progesterone and in 5 days… — Reema K.

Dr. Geoffrey Sher answered

I would not go ahead with a lining of
Uterine & Endometrial Health Jul 17, 2023

Vagina Sildenafil

Hi there We are in the UK but cannot get vaginal Sildenafil. Do you ship to the UK at all with a prescription? Thanks — Sean B.

Dr. Geoffrey Sher answered

Sorry! We do not produce compounded Viagra suppositories. We obtain it from MDRx located in Encino, CA. THE IMPACT OF A THIN UTERINE LINING ON EMBRYO IMPLANTATION: THE BENEFITS OF VIAGRA THERAPY Geoffrey Sher MD Back in 1989, I conducted a study that examined how the thickness of…
Uterine & Endometrial Health Jun 26, 2023

Sclerotherapy

Hello, I am interested on sclerotherapy to treat my endometriomas. I have 2 on my left and 1 on my right. I had 4 IVF cycles already. Yielded to 1 normal embryo that I transferred 2 weeks ago but didn’t… — Kamille S.

Dr. Geoffrey Sher answered

WE no longer perform this procedure because we can no longer gain access to the right sclerosant to inject! So sorry! 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…
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…
Early Pregnancy & hCG Jun 22, 2023

Dropping progesterone levels

I had an FET. My two weeks blood test was positive with hcg of 3146 miu/ml and 218nmol/l progesterone. Two days after I repeaters this test and hcg had risen to 4845 miy/ml but progesterone dropped substantially to 48.8 nm/l.… — Barby S.

Dr. Geoffrey Sher answered

I think you probably are OK but, in my opinion, you should do an ultrasound to determine fetal viability and growth. Then do another hCG blood test and repeat the US in 1 week. Going through IVF is a major investment, emotionally, physically, and financially, for every patient…
Uterine & Endometrial Health Jun 18, 2023

Fibroid

Hi Dr. Sher. I just got my pgs report from my egg retrieval and I have 5 euploids all top grade. I should be happy especially since I turn 40 soon. The bad news is that my doctor found a… — Kristin C.

Dr. Geoffrey Sher answered

Very respectfully, I would advise against proceeding to FET with a submucous fibroid. My advice would be to see a reproductive surgeon and have it removed, wait at least months and then proceed to a 2nd look hysteroscopy to make sure the uterine cavity is back to normal…
Uterine & Endometrial Health Jun 14, 2023

Thin uterine lining

Hi Doctor, I have always had a heavy period flow to the point where I needed Tranexamic acid to help with the heavy and long flow. Fast forward to October I had a brief chemical pregnancy or so I thought.… — Tropa R.

Dr. Geoffrey Sher answered

I think we should talk. Please call my assistant, Patti Converse (702-533-2691) and set up ,man online consultation to discuss. Geoff Sher Vaginally Administered Viagra is Often a Highly Effective Treatment to Help Thicken a Thin Uterine Lining Geoffrey Sher About 25 years ago, after reporting on the…
Uterine & Endometrial Health Jun 14, 2023

Endometritis

Hello DR. my frozen transfer is next week. I do have two children ages 14 and 11. An endometrial biopsy was taken and the results say (proliferative endometrium associated with scattered plasma cells, Few plasma cells are seen on the… — Fatima S.

Dr. Geoffrey Sher answered

With a notable exception (Pelvic Tuberculosis---(which is VERY rare in the USA), I am NOT a believer in chronic endometritis as a cause of IVF failure. The reason is that menstruation purges the endometrium every moth , preventing a chronic inflammatory process from taking hold. Good luck !…

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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