Dr. Geoffrey Sher

Acupuncture and IVF: Does it Improve Success?

Acupuncture involves the insertion of thin needles into the skin along
so called meridians (energy channels). It has been used in China for
centuries to regulate and treat many health disorders including
ailments involving the female reproductive system.
When I visited China back in 1987, I actually witnessed a Cesarean
birth being performed without sedation, pain killers or anesthesia…
using only acupuncture. The mother lay there relaxed, conversing with
the surgeon and…

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Endometriosis and IVF

By Dr. Geoffrey Sher

When women with infertility due to endometriosis seek treatment, they
are often advised to first try ovarian stimulation (ovulation
Induction) with intrauterine insemination (IUI). As with essentially
all reasons for infertility, IVF offers a much higher chance of
success than proceeding with multiple IUI cycles in endometriosis
patients. This is not to suggest that all women with
infertility-related endometriosis should automatically resort to IVF.
Quite to the contrary; in spi…

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Why did IVF fail?

By Dr. Geoffrey Sher

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?.
It is an indisputable fact that any IVF procedure is at least as
likely to fail as it is to succeed. Thus when it comes to outcome,
luck is an undeniable factor. Notwithstanding, it is incumben…

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Egg Banking-Fertility Preservation

By Dr. Geoffrey Sher

THE BOTTOM LINE IS THAT BECAUSE OF THE TRAUMATIC EFFECT OF FREEZING ON
EGG VIABILITY AND “COMPETENCY” THE STATISTICAL CHANCE OF EACH
FROZEN/ THAWED EGG ULTIMATELY RESULTING IN A BABY IS ONLY AT BEST
6-8%. SO, WHILE SUCCESS RATES FOLLOWING THE TRANSFER OF EMBRYOS
DERIVED FROM FROZEN EGGS HAVE INDEED IMPROVED SUBSTANTIALLY OVER THE
LAST 5-10 YEARS, THEY REMAIN SIGNIFICANTLY LOWER THAN WHEN EMBRYOS
DERIVED THROUGH FERTILIZATION OF FRESH (NOT FROZEN) EGGS, ARE
TRANSFERRED. …

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Recurrent Pregnancy Loss (RPL)

By Dr. Geoffrey Sher

The bottom line is that because of the traumatic effect of freezing on
egg viability and “competency” the statistical chance of each
frozen/ thawed egg ultimately resulting in a baby is only at best
6-8%. So, while success rates following the transfer of embryos
derived from frozen eggs have indeed improved substantially over the
last 5-10 years, they remain significantly lower than when embryos
derived through fertilization of fresh (not frozen) eggs, are
transferre…

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Prolactin (PRL)

By Dr. Geoffrey Sher

Prolactin (PRL) is a protein hormone (closely related to human growth
hormone
[/blog/human-growth-hormone-administration-in-ivf-does-it-enhance-eggembryo-quality-and-outcome/])
that is secreted by specialized cells in the anterior part of the
pituitary gland. In addition, the hormone is also produced and
secreted by a broad range of other cells in the body, most prominently
variou…

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EZ-IVF

By Dr. Geoffrey Sher

…

EZ-IVF Read More »

EZ-IVF: AN IMPROVED , LOW-COST, LOW-STIMULATION, SAFE & SUCCESSFUL ALTERNATIVE T0 MINI-IVF AND NATURAL CYCLE-IVF

By Dr. Geoffrey Sher

Geoffrey Sher MD & Drew Tortoriello MD
Mini-IVF is a procedure that involves ovarian stimulation with oral
fertility drugs such as clomiphene or letrozole to promote the
development of follicles, for egg extraction. This is on the pretext
that Mini-IVF, involves the administration of oral low-dosage
medication, cuts down on cost, reduces the need for intensive
monitoring and is highly successful. Natural-cycle (NC)- IVF is an
extension of the same concept….

EZ-IVF: AN IMPROVED , LOW-COST, LOW-STIMULATION, SAFE & SUCCESSFUL ALTERNATIVE T0 MINI-IVF AND NATURAL CYCLE-IVF Read More »

Hormonal Treatment of Male Infertility

By Dr. Geoffrey Sher

There exists in the man a cyclical production of spermatozoa where
the duration of spermatogenesis from takes approximately 90 days. It
follows that, any treatment aimed at enhancing sperm production
requires approximately a period of 3 months. Since the enhancement of
testicular function must of necessity be mediated through FSH and LH
it follows that in order to assess response to testicular stimulatory
drugs it is necessary to get a baseline FSH, LH and testosterone as
well as a semen…

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The Role of IVF in the Management of Infertility Caused by Pelvic Inflammation

By Dr. Geoffrey Sher

Pelvic Inflammatory Disease (PID) refers to inflammation of pelvic
structures including the uterus, fallopian tubes
[/blog/role-ivf-cases-tubal-damage/], ovaries, bowel, and the smooth
membrane that lines the surface of the pelvic cavity (the peritoneum).
PID
[/blog/pelvic-inflammatory-disease-pid-tubal-damage-hydrosalpinx-preparing-ivf/]
follows inf…

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