Ask Our Doctors – Archive
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 Dr,
Thank you very much for this forum.
Is it better to wait a few days after CD1 to start stims…like day 4 or 5 of period rather than start from CD1?
Thanks,
Sheela
Thank you!
It does not matter if you start on day 1, 2, 3 or 4.
Geoff Sher
Hi Dr Sher,
I am 34 years. Is it normal for LH to surge one day before the period? I ovulate normally and surge normally around day 14 and my hormone levels are normal throughout my cycle other than my LH going high a day before my period. Is this normal?
Thanks for your help
That is unusual! Discuss with your RE.
Geoff Sher
Dear Dr Sher,
In a natural cycle, is it benefitial to add some FSH and LH in the form of Follistim and Menopur?
Once you do that it is no longer a natural cycle. You would be inducing ovulation.
Geoff Sher
Hello Dr. Sher. I am 35 and have DOR. My AMH has dropped from 13.1 pmol/L to 2.3 pmol/L in the last year. We have decided to do embryo banking over 3 rounds of egg retrieval. I would like to do PGS but this will significantly increase the cost of treatment. Two questions 1) do you strongly recommend PGS? 2) how many good quality embryos should we aim for? Thank you!
Hi Erin,
In my opinion, at 35Y of age, provided that only good quality blastocysts ore banked and you would be open to transferring two (2) at a time, it really would not be that essential to do PGS.
Please visit my new Blog on this very site, http://www.DrGeoffreySherIVF.com, find the “search bar” and type in the titles of any/all of the articles listed below, one by one. “Click” and you will immediately be taken to those you select. Please also take the time to post any questions or comments with the full expectation that I will (as always) respond promptly
•Controlled Ovarian Stimulation (COS) for IVF: Selecting the ideal protocol
•Ovarian Stimulation for IVF using GnRH Antagonists: Comparing the Agonist/Antagonist Conversion Protocol.(A/ACP) With the“Conventional” Antagonist Aproach
•IVF: Factors Affecting Egg/Embryo “competency” during Controlled Ovarian Stimulation(COS)
•Anti Mullerian Hormone (AMH) Measurement to Assess Ovarian Reserve and Design the Optimal Protocol for Controlled Ovarian Stimulation (COS) in IVF.
•The “Biological Clock” and how it should Influence the Selection and Design of Ovarian Stimulation Protocols for IVF.
•Diagnosing and Treating Infertility due to Diminished Ovarian Reserve (DOR)
•Human Growth Hormone Administration in IVF: Does it Enhances Egg/Embryo Quality and Outcome?
•The BCP: Does Launching a Cycle of Controlled Ovarian Stimulation (COS). Coming off the BCP Compromise Response?
•Frozen Embryo Transfer (FET): A Rational Approach to Hormonal Preparation and How new Methodology is Impacting IVF.
•Staggered IVF: An Excellent Option When. Advancing Age and Diminished Ovarian Reserve (DOR) Reduces IVF Success Rate
•Embryo Banking/Stockpiling: Slows the “Biological Clock” and offers a Selective Alternative to IVF-Egg Donation.
•Preimplantation Genetic Sampling (PGS) Using: Next Generation Gene Sequencing (NGS): Method of Choice.
•PGS in IVF: Are Some Chromosomally abnormal Embryos Capable of Resulting in Normal Babies and Being Wrongly Discarded?
•How Many Embryos should be transferred: A Critical Decision in IVF.
•The Role of Nutritional Supplements in Preparing for IVF
•Measuring and Interpreting Blood hCG to Assess Pregnancy Viability Following ART Treatments.
I invite you to call 702-699-7437 or 800-780-7437 or go online on this site and set up a one hour Skype consultation with me to discuss your case in detail.
I also suggest that you access the 4th edition of my book ,”In Vitro Fertilization, the ART of Making Babies”. It is available as a down-load through http://www.Amazon.com or from most bookstores and public libraries.
Geoff Sher
Hi Dr. Sher,
Is MTHFR heterozygous and HLA-DQ-1 o1,05 match with partner has something to do why my embryo are not implanting? Eventhough I was taking claxene and Prednisolene, then Dexmethesone and Claxene on the FET still no success? How many days should IVIG or LIT should be given before transfer (FET) also does neopogen will help? I really want to have a Skype consultation with you eventhough i am not from USA. Please?
Doubt that a heterozygous MTHFR mutation can explain failure to implant. As far as the HLA match is concerned, I would need to know thw specifics . Was this a DQa match between you and your partner and if so, what were the specific genetic matches.Finally was there an associated NK cell activation by the K-562 target cell test.
Geoff Sher