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’m 42. 45 XX +15 3BB
45 XY-16. 3BB
Should I risk transfer?
You could,…but at 42y of age, this is not likely to be a “mosaic”
Geoff Sher
Dear Dr. Sher, please help.
I am 44 an on an artificial cycle right now getting ready for an embryo transfer….
On 14 day of estrogen prep. (6 mg pills and 1 gel (1mg each) BID skin application), I experienced bloody light vaginal discharge and minor crumps. My Dr. told me to inject anti-bleeding medication Etamsylate. The spotting has stopped. She is inclined to continue with this cycle and embryo transfer which causes a great concern for me because of the spotting (I never had this in my prior IVF preps). In my opinion this cycle should be cancelled (endometrial lining has already been damaged (bloody spots) which is not compatible with the implantation.
TVU was done on day 9 of estrogen treatment and it was 9.6 mm (she did NOT start me on progesterone at that time which I hopped she would) and told me to continue with estrogen until day 17 instead. She planned on starting me on progesterone (1 , 2ml shot IM and 400 mg TV) that day. I feel the treatment is wrong.
Your thoughts, please.
I am looking forward to your reply.
….. progesterone was also administered to stop bleeding , next day.
I would not take Etamsylate after the transfer.
Good luck!
Geoff Sher
Hello Dr.Sher
I’m 37 years old, did my round of IVF this month. Out of 3 embryos only 1 Embryo Blastocyst day 6 survived, now Frozen.. Cooper Genomics testing results:
-6 Monosomy -17 monosomy High Level Mosaic.
Do you think I have any chance ?
It is definitely worth a try!
Good luck!
Geoff Sher
Dr. Sher,
Pigging back off Jennifer’s question. My doctor doesn’t think the use of Lupron for the agonist long protocol or antagonist (e.g. Ganirelix, Cetrotide,or Orgalutron) is necessary because my LH has never risen above 4.6 mIU/ml for the entire cycle in the past for blood work done. Is there a target LH # if it remains below during cycle you feel it is safe that no drugs are required to keep LH low? What is your target LH # you want it to remain below?
Thanks
I respectfully do not agree. I start all my stimulation cycl;es coming off a BCP and Lupro, overlap.
This having been said, you are not my patient and need to take advisement from your treating physician.
Good luck!
Geoff Sher
Dr Sher- last question. For antagonist only protocol, you noted starting As soon as period starts. My MD is proposing start 2-3 days before anticipated CD1. Thoughts?
It should not pose a severe problem!
Geoff Sher