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.
Hi Dr. Sher,
2 months after my D&E, I had a hysteroscopy after my period returned. This is when they found retained placenta, which they removed. The biopsy of the uterine lining showed mild endometritis (not endometriosis).
Which antibiotics and dosage do you prescribe for endometritis?
Would you re-biopsy before an FET?
Have you seen successful pregnancies after antibiotic treatment?
Thank you!
It all depends on whether the endometritis has damaged the basal (“germinal”) endometrium, rendering it incapable of responding adequately to estrogen.
“From one of my Blogs”:
. In fact, about 30%-40% of women treated fail to show a lining improvement on vaginal Viara therapy. This is because in certain cases of thin uterine linings, the basal endometrium will have been permanently damaged and left unresponsive to estrogen. This happens in cases of severe endometrial damage due mainly to post-pregnancy endometritis (inflammation), chronic granulomatous inflammation due to uterine tuberculosis (hardly ever seen in the United States) and following extensive surgical injury to the basal endometrium (as sometimes occurs following over-zealous D&C’s).
Geoff Sher
Hi, I have a fertility question. My husband and I aren’t TTC anymore, but we did for 9+ years. We did conceive right after going off BCP 10 years ago, but diagnosed as blighted ovum and had a D & C. Since then, we did many rounds of timed intercourse and IUI with femara or injectables, no success. Our diagnoses are DOR and 1% sperm morphology. We aren’t TTC anymore due to age, I turned 40 this year. My question is, about 1-2 times every year I experience a brief (1-2 day) flu like illness (fever, achy). I started timing them and realized they always occur during the time an embryo would be implanting if we had conceived. Is there any significance to this? Thank you for your time.
Honestly Bethany…I doubt there is any significance to this.
Geoff Sher
Dr. Sher,
I underwent IVF at the age of 34 and have one remaining 5-day blastocyst. I do not have DOR or other known fertility issues (male factor). However, I had very few MII eggs at retrieval and so my lab ICSI’d the M1s as well (no extended maturation, just done at normal ICSI time). My remaining embryo is 4AB but was from one of the ICSI’d MI eggs (that is, it was injected as an MI–it never matured to an MII). My questions are: 1) Do you believe this embryo is as likely to be competent as an embryo from an injected MII? If not, how would you estimate its chance? 2) Is there any increased risk of genetic or other health consequences to a live baby from having developed from this type of embryo?
Thank you very much for your help!
It is probably less likely to be euploid, but it could be. Only time would tell!
Good luck and G-d bless!
Geoff Sher
Dear Dr. Geoffrey Sher,
I am 47 years old and I am from Bucharest (Romania). My partner has 43 years old. We know that the succes rate with own oocytes is very low, but in this point we do not take into account the donated oocytes alternative.
I would like to find out which clinics in Europe accept patients at age 47 for in vitro fertilization using own oocytes.
Thank you very much.
Sorry Laura,
I really do not know!
Good luck!
Geoff sher
Hey Dr. Sher, you might remember, I recently got pregnant with twins, but also saw a large subchorionic hemorrhage at our first scan at 5 weeks + 4 days.
Next scan was at 6 weeks (due to some bleeding from the SCH) and we saw one heartbeat, albeit slow at 110 (so likely just starting). Didn’t see a heartbeat on the other twin, but a healthy yolks sac and fetal pole. SCH had grown from the scan two days earlier.
Today, one week later I went in for another scan to check on the other baby and SCH. I am 6 weeks, 6 days. Baby A measured great at 7 weeks, 1 day with a heartbeat of 132. And this week we DID see a second heartbeat from Baby B, albeit slow. It was just 92 and baby measured 6 weeks, 1 day (so 5 days behind where I actually am today).
The SCH has gotten smaller since the last scan and is starting to thin out.
Still on edge about the SCH (but more hopeful than before), but now in total limbo on Baby B. Wanted to get your thoughts on that– is it possibly a viable pregnancy or is the measuring behind by 5 days and low HB at this stage ominous?
At this point, I’m expecting to lose that one, but I wondered if you’d ever seen positive stories from something like this before (one twin “slower” than the other this early). Thanks in advance, Dr. Sher!
While I am not optimistic for # 2, I am hopeful fo #1. As I predicted, as long as the SCH does not expand, it will usually settle down.
G-d bless!
Please keep me updated.
Geoff Sher