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.
Hello!
I just had my first lap in February for an endometrioma. My doctor removed the endometroma and looked into my other ovary since there was a cyst. He confirmed it was functional ( which we knew going in) and did not remove the cyst and “closed” my ovary back up. My tubes are open and mild endo was removed from my bladder. Now four months later, and endometrioma has returned on the ovary that had the previous endometrioma. I do not want to get surgery again. Do you think I’m a good candidate for the scletheropy( sp) approach? I wish I knew about this before—-me fear now is of any scar tissue/adhesion that I may have, now. Thanks!
You might well be a candidate but I would require much more information and probably might have to examine you myself to be sure.
Geoff Sher
702-800-780-7437
Dear Dr. Sher,
I was overjoyed to learn that my last IVF cycle yielded 5 PGS tested normal embryos. The morphology grades, however, were all 3ab or 3bb. Do embryos with these grades still have a good chance of implantation?
Thanks in advance.
Jen
I really do not recognize the grading system which varies from one setting to another.
Geoff Sher
Hi! What is the rate of aneuploid day 5 blastocysts? Is PGS the only option to understand which are normal or is there embryo checks along the way to help determine which are Euploid?
Currently PGS is the only way to ascertain karyotype. The younger the woman, the greater the chance that a day 5-6 expanded, cellular blastocyst would propagate a viable pregnancy. Up to 35 years of age it is about 30-35%, at 40Y it is about 15% and above 43Y it is <5%. These are rough estimates. And the numbers improve dramatically when the karyotype is normal (euploid).
Geoff Sher
Hi Dr. Sher,
I’m hoping to get your opinion on what happened during our 1st IVF Cycle. I was put on Follistim, Menopur and Ganirelix. I responded very well to the injections. I had my retrieval back in April, 12 eggs retrieved but only 10 were mature. The lab ICSI’d all 10 of them but only 1 fertilized. We did PGS on the 1 embryo and it came back having a genetic abnormality. So devastating! What do you think happened? We have unexplained infertility and my husband has minor issues with his sperm.
What can the doctor’s do next time, so this doesn’t happen again? Could something be wrong with my eggs? My doctor tested my levels and all came back normal.
I’m praying this doesn’t happen again!
Thanks,
Kristy
It could have to do with the protocol for ovarian stimulation. BUT I need a great deal more information to provide an authoritative response.
I strongly recommend that you visit http://www.DrGeoffreySherIVF.com. Then go to my Blog and access the “search bar”. 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)
•The Fundamental Requirements For Achieving Optimal IVF Success
•Ovarian Stimulation for IVF using GnRH Antagonists: Comparing the Agonist/Antagonist Conversion Protocol.(A/ACP) With the“Conventional” Antagonist Aproach
•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)
•Controlled Ovarian Stimulation (COS) in Older women and Women who have Diminished Ovarian Reserve (DOR): A Rational Basis for Selecting a Stimulation Protocol
•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?
•Blastocyst Embryo Transfers Should be the Standard of Care in IVF
•Why did my IVF Fail
•Staggered IVF: An Excellent Option When. Advancing Age and Diminished Ovarian Reserve (DOR) Reduces IVF Success Rate
•Embryo Banking/Stockpiling: Slows the “Biological Clock” and offers a Selective Alternative to IVF-Egg Donation.
•Preimplantation Genetic Sampling (PGS) Using: Next Generation Gene Sequencing (NGS): Method of Choice.
•PGS in IVF: Are Some Chromosomally abnormal Embryos Capable of Resulting in Normal Babies and Being Wrongly Discarded?
•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.
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
?800-780-7437
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
Hi Doctor Sher, I had a miscarriage when I was 12 weeks along. And my doctor said the cause of that miscarriage may have been that the baby was not getting nutrition. I actually didn’t understood and still don’t understand what that means. During my pregnancy I was bleeding and was really sick everyday like throwing up all day long I had fatigue through and I couldn’t eat anything at all I was always laying down the worse part was my sense of smell was so sensitive I could smell anything and everything and I didn’t like smell of a lot of things I even hated the sound Of my phone when I get a text message and etc. one time during my pregnancy I went for ultrasound and that’s when my doctor told me she had seen a fallop and that it was causing the bleeding she said when I have my baby it may just come out too. But it was unfortunate that I lost the baby and I went back for a check up and she said that the fallop was no more. I also some time have painful intercourse my lower abdominal sometime hurt mostly when we are using the doggie style position, and also sometimes when we have sexual intercourse during or right after my menstruation. Thanks so much Doctocter for your time.
How do I know if I have an immune issue with endometriosis? What tests are needed?
Please call Tina at 702-892-9696 and she will assist you.
Geoff Sher