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
How many days/weeks after CMV exposure should I redo a test since I got CMV negative tested several months ago. I worked in child care for several months and now I need to find out if I got infected during that time.
Thanks
The ideal time to do the antibody test for HIV is after two months or after six to eight weeks of exposure and the PCR test would be positive in around two weeks to three weeks after exposure.
Geoff Sher
Hi , i am 34 years old and recently had my 3 ivf cycle with icsi.my hysband has azoospermia which made impossible to conceive naturally. My 1st cycle was about 8 years ago which transferred only 1 day 3 embryo which didnt work.2nd cycle was in 2017 in pakistan with AMH 8.90pmol/l and they gave high medications and used manopur with 450 iu and they got 13 eggs with 11 mature and when injected with sperms 7 fertilized and 4 reached blastocyst and they transferred 2 blastocyst on day 5 but i started periods after a week. Our 3 attempt was in june 2019 from Uk where they used gonal- f with 450 units as stimulating drug and buserlin with 150 units as down regulation and 250units if trigger injection and my AMH us 5.90pmol/l . They got again 13 eggs and 11 were mature and injected with frozen sperm sample of my husband .7 were fertilized but on day 3 they didnt achieve app growth and out of 7 ; 5 stopped and 2 were behind blastocyst stage on day 5 and transferred but i didnt conceive .kindly let me know how can i try my next cycle as i am very upset.
Dear Dr Sher,
I recently failed the FET of a PGD tested embryo. During the review, the doctor mentioned that it failed because the transfer was too difficult to navigate and that a dilatation of cervix is required before the next transfer. I am saddened because the failed FET could perhaps have been prevented because an FET trial was conducted prior to the FET, and the hysteroscopy could have been ordered before the FET.
I am moving forward to a second opinion with another doctor but that will take time. I understand that you wouldn’t be able to know if I really am a difficult case, but I just wanted to check with you:
1. Have you ever encountered difficult transfer before, and is dilatation of cervix the answer, and what are the chances it will work to open the pathways? As I have searched through your site but have not seen you mention such. There is also very little information available in the web and forum. The only info I found is this article. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6262663/
2. Why can’t they simply inject the embryo from outside into the uterus?
Thank you.
Jiahui
There is very infrequently a situation where (with proper planning and cervical mapping)an adequate ET cannot be done. On those rare occasions where that is not possible, a transmyometrial ET cannot be done adequately.
Call 800-7807437 and ask Patti tom set up a Skype/FaceTime consultation with me to discuss.
Geoff Sher
Do my HCG results mean I will miscarry?
My 5 day embryo was transferred on 9/27.
My first beta was on 10/4 was 48. My second beta was on 10/9 was 128.3 and my third beta was on 10/12 was 180.
From the first two the second was okay but more than 72 hours between the two tests. I’m really concerned about the last test. What do you think? My RE mentioned male embryos HCG levels sometimes rise slower than females. This was a PGS tested male embryo.
It is hard to say, but this could be a failing implantation. I doiubt that tis is an ectopic (tubal pregnancy in the make, but it could be. So make sure your doctor stays on top things.
Good luck!
Geoff Sher
Dear Dr. Sher,
My wife (28 years old) and I (30 years old) had 4 failed IVF. The fallopian tubes of my wife have been removed because of obstructions caused by a previous wrongly (later) treated appendicitis. My results were fine. We started the IVF treatment (with ICSI) in last October which resulted in 6 “good looking” blastocysts. (Unfortunately, it is not possible to test the blastocysts in Hungary.) One of them has been transferred in October and others in January, March and September this year. Except the first and last cases we had chemical pregnancies. (HCG levels on day 14 after ET were: 44 and 35 IU/L)
After the 3rd failed IVF the doctors suggested to check immunological factors, thrombophilia and karyotype testing. They said that the results are fine and they suggested Low Molecular Weight Heparin (Clexane 40 MG) only. Because of these facts they suggested to create an ERA test which resulted in “receptive” status at 96 +-3 hours. Last time we tried the FET with 2 blastocysts on the 4th day (after 96 hours of progesterone administration) but it failed also.
2 times during the cycles (2nd and 4th) the doctors said that my wife could have endometrial polyp. But on the next ultrasound scans they have not find it and they performed the transfers. Is it possible that this polyp is visible only on some days of the cycle?
We don’t know what to do. We still have 1 blastocyst frozen. What is your opinion?
Thanks!
Tibor