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,
1/ In a Menopur/Gonal F stim cycle, if LH is increasing (going above 6) is it reasonable to stop the Menopur to prevent further increase?
2/ is it ok to stop Menopur suddenly if blood LH is increasing too much?
3/ is LH likely to be higher in cycles where synthetic FSH is given compared with cycles where no FSH is given?
1/ In a Menopur/Gonal F stim cycle, if LH is increasing (going above 6) is it reasonable to stop the Menopur to prevent further increase?
A: Yes! However, the rising LH is preventable if the optimal protocol for ovarian stimulation is used.
2/ is it ok to stop Menopur suddenly if blood LH is increasing too much?
A: Yes!
3/ Is LH likely to be higher in cycles where synthetic FSH is given compared with cycles where no FSH is given?
A: Not necesarily
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?
Please call or email Julie Dahan, my patient concierge. She will guide you on how to set up an in-person or Skype consultation with me. You can reach Julie at on her cell phone or via email at any time:
Julie Dahan
Email: Julied@sherivf.com
Phone: 702-533-2691
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
Dear Dr. Sher,
Do your clinics have donor egg database and is it possible to see adult photo of selected donor? Also how long does it take to match a recipient with a donor?
Greatly appreciate your forum!
Yes!
I use the donor agency “Footsteps to Family” and they do provide photographs and a great deal more. Go to http://www.footstepstofamily.com for more information and then contactact them directly by phone.
Good luck!
Geoff Sher
Dear Dr
In my IVF cycles no follicles are seen in the early part of the cycle. LH suddenly goes high (13-17) around CD8 followed by the sudden appearance of tiny follicles after this increase in LH. These follicles that appear develop to good size for retrieval.
Are these follicles that have suddenly appeared after premature surge affected by the LH surge? They were not even visible at time of premature surge.
Indeed they likely would be adversely affected.
Geoff Sher
Dear Dr Sher,
I am thinking of a cycle without priming because even the smallest amount over suppresses me. I have done 2 cycles and main problem is to keep LH from spiking and get E2 to increase. When LH is kept low, E2 is very low. I am thinking of FSH/LH with Ganerelix but how can I get E2 to increase while keeping LH low?
I would personally prefer a different protocol. In my opinion you would do best on a long Lupron, pituitary down-regulation protocol. See below.
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
•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.
•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?
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
When embryos arrest between day 3-5 can it still be a sperm issue when ICSI is performed? I know most of the time it’s egg quality. However in unexplained cases does ICSI really over sperm quality issues or is it limited in it’s potential? Most people seem to put all the emphasis on the egg even when unexplained. However, have you come across instances where sperm quality issues were the reason for arresting embryos or even the reason after tested embryos getting to day 5 and failing to implant.
Thank you
Mark
It is much more likely to be an egg “competency” issue but yes, it can be sperm related.
Geoff Sher