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.
Hey Dr. Sher:
So on Thursday I had 2 5-day blastocysts tranfser for a frozen cycle. Both were graded A-C (C because the embryologist didn’t feel comfortable biopsying them for our original plan of PGS so it was never done). Do I still have a good chance of it working even though they are A-C and not AA?
Hi Megan,
I am not familiar with the classification your lab uses for blastocysts (there are a variety) But if they were fully expanded and had a cellular inner cell mass (ask them), then yes, there should be a good chance of success.
Geoff Sher
Hi Dr Sher!
Your insight and dedication to this site is AMAZING! Good for you for helping so many people around the world to learn the best ways to conceive a child. A wonderful gift. 🙂
My?
What are your instructions after embryo transfer? Do you have people get up and about with their normal life or bed rest for a certain amount of time?
Thanks!
Dee
Thank you!
I do not require absolute bed rest. I ask my patients to be “couch potatoes” for 12 hours and then to resume moderate activity and return to work. Coitus is avoided till ultrasound confirmation of pregnancy.
Good luck!
Geoff cSher
Hi Dr Sher, are ICSI and assisted hatching procedures required to do PGS? I have read some clinics say they are necessary if having PGS done, but don’t understand why. Many thanks!
Yes they are! For PGS biopsy you need to strip away the cumulus cells surrounding the egg and once you do that, normal fertilization is largely inhibited so you need ICSI. And to do the biopsy you must make an opening in the egg envelopment (Zona Pellucida)…and that is AH.
Geoff Sher
Dear Dr Sher,
Is it ok to take protein shakes during stimulation?
Sure!
Geoff Sher
Hi Dr. Sher, I was wondering in a frozen embryo transfer, do you usually recommend a natural FET cycle or an artificial / medicated one? Medication cost and time is not a concern of ours, but we want to maximize success rates. Thanks!
In my opinion, a medicated cycle, because it allows for better fine tuning of the window of implantation and better prepares the uterine lining…is far preferable to NC-FET.
Geoff Sher