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 Sher,
What is the purpose of LH early in the cycle and can LH be used without FSH throughout the cycle till trigger since it has both LH and FSH?
Yes, LH can be administered in low doage up to the hCG trigger. LH causes the production of testosterone by the ovarian connective tissue (theca/stroma). Testosterone is the building block from which the follicle produces estrogen…while the egg develops (ovogenesis) prior to maturing (due to the LH surge, or hCG administration. Some LH-induced testosterone is needed. Too much can compromise follicle and egg development.
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
•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.
•The BCP: Does Launching a Cycle of Controlled Ovarian Stimulation (COS). Coming off the BCP Compromise Response?
•Traveling for IVF from Out of State/Country–
•A personalized, stepwise approach to IVF
•How Many Embryos should be transferred: A Critical Decision in IVF.
•The Role of Nutritional Supplements in Preparing for IVF
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
When NK Killer cells aren’t activated do you recommend any other specific testing such as DQ Alpha matching?
Thank you
I would still test for antiphospholipid antibodies and do ma thrombophilia panel to see if treatment with Lovenox/Clexane is needed.
Geoff Sher
Dear Dr. Sher, my husband and I have had 2 failed IVFs (one fresh and one FET). I have been diagnosed with elevated natural killer cells, TH1/TH2 was normal. I have raynauds but blood clotting tests have come back normal. We are due to start another fresh cycle soon with prednisolone, intralipids and aspirin. In your opinion would this be sufficient or would clexane and gestone be necessary also?
It all depends whether or not, in addition, you have other issues like antiphospholipid antibodies and/or certain types of thrombophilia (hereditary clotting defects), in which case you might need a heparinoid (e.g. Clexane) as well.
Geoff Sher
I just had my Beta HCG tested and my result is 23.8 . Does this means that i am pregnant?
Yes, but whether this is a normal implantation depends on therate of subsequent blood hCG rise (it should more or less double every 2 days) and threupon, US findings in 2-3weeks from now.
Geoff Sher
Dear Dr Sher,
I have been having food allergies for awhile that results in rather bad joint pains. It is difficult to determine what exact foods cause this reaction. Sometime eating out at certain places causes joint pain and I dont know the ingredients. This situation I have been struggling with for a few years. Now I want to do IVF and worried if these allergy issues can cause a problem. What allergy tests can I do to determine if I have inflammation that might affect my cycle outcomes?
Allergies will not impact ovarian response or egg quality, nor will they ompact implantation potential. The type of immune problem that can negatively affect implantation is completely different. You can be tested for these.
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
•IVF Failure and Implantation Dysfunction: The Role of Endometrial Thickness, Uterine Pathology and Immunologic Factors
•Immunologic Implantation Dysfunction (IID) & Infertility (IID):PART 1-Background
•Immunologic Implantation Dysfunction (IID) & Infertility (IID):PART 2- Making a Diagnosis
•Immunologic Dysfunction (IID) & Infertility (IID):PART 3-Treatment
•Thyroid autoantibodies and Immunologic Implantation Dysfunction (IID)
•Immunologic Implantation Dysfunction: Importance of Meticulous Evaluation and Strategic Management:(Case Report)
•Natural Killer Cell Activation (NKa) and Immunologic Implantation Dysfunction in IVF: The Controversy!
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