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,
I’m getting ready to get my 3rd IUI. I was prescribed letrozole for 5 days (CD 2-6) and Gonal-f (CD 5,7,9). A scan was done on CD10 with 2 follicles 20mm and 13mm. I was told to trigger that night. My IUI was scheduled in 36-38 hrs which will be CD 12. I’m just wondering, what’s your opinion on the timing? Was the shot administered too early? Was I supposed to take more stimulants?
No! I think the timing is right. However, I cannot comment on whether IUI is the ideal approach….certainly not without access to much more information.
Good luck!
Geoff Sher
Hello Dr Sher,
Greetings from Greece.
I am 31 years old. I will try to make my long story short for you. Me and my husband face unexplained infertility.
The time line of our trying to conceive story:
1. One year of trying with no positive pregnancy test.
2. 3 failed IUIs.
3. 1 failed cycle of IVF. long protocol, 8 eggs, 7 embryos, 2 transfers of 3days embryos, not so good quality.
4. Another IVF cycle with antagonists. 13 eggs, 10 blastocysts. First transfer failed. Then we added hipparin injections. 2nd FET: twins, miscarried on 8th week, no heartbeat. 3rd FET: biochemical pregnancy. 4th FET negative.
What is your advise? Is there a chance for me to give birth to a healthy child?
Thank you
How much would it cost to send you records from 2 failed IVF treatments to review and discuss possible next steps?
If you are interested in my advice or medical services, I urge you to contact my patient concierge, ASAP to set up a Skype or an in-person consultation with me. You can also set this up by emailing concierge@sherivf.com or by calling 702-533-2691 and/or 800-780-743. You can also enroll for a consultation with me, online at http://www.SherIVF.com.
Geoff Sher
Hi Dr. Sher,
I am a 36yo who has severely diminished ovarian reserve being 1.2pmol Feb 2017 and an FSH fluctuating between 9-26 when tested. Normal regular cycle, mild to mod endo – treated July 2017. No MFI
I have had 1 IUI -Neg. 1 IVF -no eggs collected (AFC 9 and 2 follicles at collection).
IVF 2 Aug 2017 Short antagonist- AFC 3, 3 eggs all fertilised 1 blast transferred – partial mole with normal karyotype. Meds for IVF 2 – Elonva 150, Gonal F450 and Luveris 75. ( started in DHEA July 2017)
IVF 3 March 2018 – cancelled, no response FSH 26.
IVF 4 April 2018 4 follicles at egg collection – likely ovulated before collection – no eggs. Meds for IVF 4 were Elonva 150, Letrozole, Gonal F 300 and Menopur 150
IVF 5 – cancelled at baseline as endometrium too thick – put on OCP until following month
IVF 6 – FSH 24 Ovaries very quiet – cancelled
IVF 7 July 2018 – FSH 11, 2 follicles same meds as IVF 4 – follicles disappeared around cycle day 11 – cancelled ( Stopped DHEA July 2018)
Attempt at semi natural/mini IVF August 2018 – AFC 5 FSH 16, Gonal f 75 started day 8 increased to 150 and premature ovulation day 13
IVF 8 – AFC 8, FSH not tested – letrozole 2.5mg x 5/7 and Gonal F 375 only 1 follicle at egg collection and nothing collected.
I’m acutely aware of how bad this situation is but want to feel we have done everything before moving onto donor eggs. Would you have anything to add to this exhausting journey.
Kind Regards,
Maeve
Hi Dr. Sher,
I am 38 years old and I had a Myomectomy last year which was complicated by a fistula. The fistula was repaired this year. I was told that I should not get pregnant because of how much fibroids I had. I had regular menstrual periods before and after my moymextomy (they became very light after my moymextomy). I have not had my period for over 4 weeks now which is very unusual and worrisome. Will I need to have another surgery/procedure to figure out what’s going with me not having any periods? I read online that some females can get adhesions after myomectomies and that it can stop the menstrual periods.
I am very worried that I now will not be able to retrieve my own eggs for surrogacy.
Thanks.
It sounds as if you had very extensive fibroid surgery which likely involved entering the uterine cavity. I suspect that the reduced flow might be due to intrauterine scarring. My suggestion is that you undergo a hysteroscopy to evaluate this thoroughly before proceeding any further.
Good luck!
Geoff Sher