19,771 Comments

1. Natalia on November 11, 2021 at 7:04 am

   Progesterone level 2 days before the transfer

   Hi Dr. Sher,

   This round, my progesterone level is only at 29 three days before embryo transfer. One round they canceled everything when it was at 28. The last 3 rounds it was at 46.

   Is my chance of success rater lower with a progesterone level of 29 instead of over 40 three days before transfer?
   Which is the most favorable level of progesterone before transfer?

   Thanks

   • Dr. Geoffrey Sher on November 11, 2021 at 3:01 pm

     I think your P4 level of 29pmol/L is fine!

     Geoff Sher

2. Natalia on November 11, 2021 at 7:02 am

   Uterine lining thickness

   Hi Dr. Sher,

   I used to have a thickness of uterine lining of 12.5 (three times) and once 14.5. This round it is only a 9.5.

   I am wondering which is the most favorable thickness of uterine lining?
   I know it must be above 8.

   However, what is the most favorable one? Is a 9.5 or 12.5 better?

   Thanks

   • Dr. Geoffrey Sher on November 11, 2021 at 3:02 pm

     Anything above 9mm is optimal. 8-9mm is in the gray zone!

     Good luck!

     Geoff Sher

3. sharnee on November 11, 2021 at 6:07 am

   Hi Dr Sher,

   I have had 2 misscarriages this year and think I may miscarry again now .

   I recently had my HCG levels checked they are as followed

   05 nov 21 – 89839
   08 Nov 21- 147358
   10 Nov 21- 197398

   Now my dr told me from the 8th to the 10th my HCG hasn’t doubled and it’s a cause for concern.

   I’m not to sure how far along I am as I misscarried on the 15th of sept and think I may have fallen pregnant shortly after.

   I would love your opinion.

   Kind regards

   Sharnee

   • Dr. Geoffrey Sher on November 11, 2021 at 3:04 pm

     The rate of rise in hCG level will slow down after it exceeds 4000-5000U. I would not be overly concerned at this stage.

     Good luck!

     Geoff Sher

4. Julie on November 9, 2021 at 9:43 pm

   Hi Dr. Sher,

   I messaged you about two weeks ago saying that my betas had been low but doubling. At 5 weeks 5 days we saw a gestational sac and yolk sac. At 6 weeks 6 days we saw an empty gestational sac. I’m so confused and upset. Where did the yolk sac go?! I stopped all meds as per doctors recommendation, but almost regret doing so.

   • Dr. Geoffrey Sher on November 9, 2021 at 11:39 pm

     This could be a technical error. Repeat the US at 7 weeks for a definitive finding!

     Good luck!

     Geoff Sher

5. Sheena on November 9, 2021 at 11:53 am

   Hi Dr Sher, what is your opinion on the menstrual microbiome test vs Emma/Alice? Specifically I am looking at Ferlysis’s test (in Greece).

   What is hidden Chlamydia? As it is on another consultant’s list. TIA !

   • Dr. Geoffrey Sher on November 9, 2021 at 5:31 pm

     I do not use or sanction tests that analyse the menstrual or endometrial microbiome.

     Geoff Sher