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.
Dr Sher, what is your thoughts of using Ubiquino to help w/ conception? If people can’t afford
IVF…..
Best Lynn
I do not think there is any reliable evidence of true efficacy.
Geoff Sher
Hey.. I have a question about estrogen when using the patches how much should your estrogen go up every day?
I cannot say because I administer intramuscular estradiol valerate aiming at an E2 level of between 500-1000pg/ml.
Discuss with your RE.
Geoff Sher
Dear Dr Sher,
After a cancelled cycle I have waited 6 weeks for period to start without any luck yet. I am 38yrs and I don’t want to waste time. Cycle was cancelled due to low E2 but my linning was 6mm. My LH and FSH went very high 2 weeks ago with E2 still low but I thought I ovulated due to very high FSh and LH but still nothing. I have always ovulated and have very regular periods so this is a situation I have not experienced before. My progestrone is .19 so I have not ovulated yet. I have 4 questions.
1-When do I take progestrone shot if period is not comming after cancelled cycle?
2- When period comes after progestron shots are stopped, will I be able to start IVF with that period? Will new follicle start growing like normal menstuation?
3- Is there a disadvantage in inducing the period with progestrone rather than waiting for period to start naturally?
4- if I wait for period to come naturally when is the latest time i should wait for period to come?
1-When do I take progesetrone shot if period is not coming after cancelled cycle?
A: I suggest that an ultrasound be done to exclude a cyst. If there is none, then I would give the progesterone.
2- When period comes after progestron shots are stopped, will I be able to start IVF with that period? Will new follicle start growing like normal menstuation?
A: Yes I think you could.
3- Is there a disadvantage in inducing the period with progestrone rather than waiting for period to start naturally?
A: See # 1 above.
4- if I wait for period to come naturally when is the latest time i should wait for period to come?
A: See # 1 above.
Geoff Sher
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Controversial Post
Mother Gives Birth Using Daughter’s Eggs: Was It “Ill Conceived”?
27
Nov
Mother Daughter Egg Donor
Ask Dr. Sher A Question ?
I wish to share a very interesting case with you; one that I’m pretty sure will meet with the approval of some and evoke criticism by others. Before I even tell you about it, let me say that I and my team thought long and hard before going ahead with it.
The case in question involves “Melanie”, a charming, recently remarried, premenopausal woman in her late 40’s, who had a daughter some 25 years ago, in a prior marriage. She visited with me in my Las Vegas office to inquire whether I would be willing to perform in vitro fertilization using her daughter’s eggs, to be fertilized with her current husband’s sperm and then to transfer the embryos to Melanie’s own uterus.
I had never had such a request before and it occurred to me that if she were to conceive and give birth to a child using her daughter’s eggs, she would effectively be giving birth to her own genetic grandchild. Furthermore, her daughter (the egg provider) would become the sister of her own genetic offspring.
I shared this observation with Melanie, who countered that she was aware of a case where a man who had undergone a prior vasectomy, had used his son’s sperm for insemination of his new wife, and that in her opinion, this was a similar case, with the purpose of propagating a genetic link between the parent and the new baby. I admitted that I had performed IVF using the sperm of a man’s son to fertilize the eggs of his new wife.
We spent time discussing the implications of the above mentioned set of circumstances. I told her that it was imperative that there be no pressure on her daughter to do this and that it had to be by her own free will. I advised her that both she and her daughter should seek professional counseling and think carefully on the implications of any decision reached.
About two weeks later, Melanie, her husband, and her daughter together visited with me and informed me that they had taken my advice and gone through counseling, but that they all were resolute in the decision to proceed. I contacted the counselor and confirmed this.
I then scheduled and had a separate meeting with Melanie’s daughter in order to satisfy myself that she was not being coerced to proceed. I informed told her that although ovarian stimulation and egg retrieval (done properly) would be very unlikely to compromise her subsequent fertility, but since she had never been pregnant before, she should recognize this possibility, albeit a remote one.
With these issues addressed, I initiated her stimulation protocol. I harvested 11 eggs, which were fertilized with Melanie’s husband’s sperm. This resulted in four good quality blastocysts. I transferred two blastocysts to Melanie’s uterus while cryobanking (vitrifying) the leftovers for subsequent transfer.
Melanie conceived twins and, following an uneventful pregnancy which was overseen by a Perinatologist, she gave birth to two perfectly healthy babies (a boy and a girl), by caesarian section. I attended the christenings and had the opportunity to once again meet and confer with the genetic mother and the biological parents who were all elated.
Conclusion: While it is not unusual for the son of an infertile man to provide sperm to impregnate his stepmother, this is the first case that I have encountered in a 30 year IVF practice where the reverse has occurred, i.e., that a daughter donated eggs to her mother. Upon continued reflection, I cannot escape the thought that refusal to provide such a service while being willing to do so when it comes to donated sperm, would be sexist. I do recognize that there is a far greater commitment and physical investment when it comes to a woman undergoing ovarian stimulation and egg retrieval than there is for a man providing sperm for insemination or IVF. And, albeit minimal, there is always a risk that complications could arise in the process of stimulating a woman and performing egg retrieval, that might compromise her future fertility.
Nevertheless, all is well that ends well, and I have no regrets whatsoever. The babies are healthy, wanted and beautiful, the parents are happy, and the egg provider is nothing short of proud and elated at her ability to contribute towards the expansion of her family tree.
How do you feel about this scenario? Any comments will be appreciated.
56 Comments
« Older Comments
Rabe Jonk says:
September 14, 2016 at 6:29 am
Rabe Jonk
I was hopeless when I first found out I was unable to conceive children on my own. I became hopeful when I found America Egg Donor Agency. I now know anything is possible after my experience of working with an egg donor and am thankful for the exquisite care that AEDA took in assisting me in having my dream come true. While we sometimes think we could use a bit more rest, we don’t even want to sleep because we can’t stop staring at our little miracles. I gave birth to fraternal twins, we have a beautiful little boy and girl.
DR Samson Albert managed my cycle and he always had wonderful words and positive thoughts to share with me when I felt defeated or just had my own concerns crop up. he was professional, took great care of me, paid attention to all the details, was responsive and help put my nerves at ease.
We are so thankful for our wonderful donor Jessica. She is such a doll, and we are so thrilled that we found each other. She continues to impress us with her love, compassion, determination, and diligence in getting everything done in such a timely manner. I hope that our little ones have inherited many of her traits. My heart is filled with joy.
My love and blessings go out to all of those who helped me in this process, America Egg Donor Agency. was a huge part of it. contact them today on americaeggdonoragencyi@gmail.com. if you want to sell or buy they are always there for your services
Reply
Geoffrey Sher says:
September 14, 2016 at 7:16 am
My website has changed. The new site is at http://www.sherIVF.com where I host and populate new and updated blog articles . The blog can also be accessed directly by going to http://goo.gl/4hvjoP. I now only respond to posts on this new site.
To find and follow updated and new blog articles and to post questions or comments, please use this new venue. I promise to respond promptly.
In the interim, please re-post this question or comment on my new website-blog.
Geoff Sher
Reply
Nediana Pavlova says:
March 26, 2016 at 9:56 am
Hello, my daughter is 21, and she also want to give me eggs, because I just turned 50, but I have an younger boyfriend. I really don’t want to compromise her future fertility however! I want her to have her own kids when she gets married!
Reply
Geoffrey Sher says:
March 26, 2016 at 10:08 pm
I have done this before and I do not see why it cannot be done in your case as well.
Thank you for connecting! I am updating my entire blog, so kindly-go to http://goo.gl/4hvjoP and re-post your question/comment there, and I will respond promptly. Henceforth I will be responding on that site.
Thank you.
Geoff Sher
Reply
A Shaver says:
September 25, 2016 at 2:50 pm
I have a younger boyfriend who wants a child at some point, I’m 50 now and have a 21 year old daughter that wants to donate her eggs so that we can have child. I had no complications in pregnancy, delivered C-section (because of insurance reasons), have not gone through menopause, very regular periods still and have no medical issues at all. I’m extremely healthy, but have used no contraceptives for years, with him for 9 months and not even a scare. At this point, it’s all hypothetical because we are not engaged or anything, but have been dating almost a year and I really want to know my options, in case we do choose to move forward. Which I’m hoping too. My questions is: I realize that if this is an option, we would have to do something within the next couple of years. What is the first step to doing this if it’s something we decide to do?
Home
Clinics
Doctors
Education
Treatment
About Us
SIRM Blog
Search
Controversial Post
Mother Gives Birth Using Daughter’s Eggs: Was It “Ill Conceived”?
27
Nov
Mother Daughter Egg Donor
Ask Dr. Sher A Question ?
I wish to share a very interesting case with you; one that I’m pretty sure will meet with the approval of some and evoke criticism by others. Before I even tell you about it, let me say that I and my team thought long and hard before going ahead with it.
The case in question involves “Melanie”, a charming, recently remarried, premenopausal woman in her late 40’s, who had a daughter some 25 years ago, in a prior marriage. She visited with me in my Las Vegas office to inquire whether I would be willing to perform in vitro fertilization using her daughter’s eggs, to be fertilized with her current husband’s sperm and then to transfer the embryos to Melanie’s own uterus.
I had never had such a request before and it occurred to me that if she were to conceive and give birth to a child using her daughter’s eggs, she would effectively be giving birth to her own genetic grandchild. Furthermore, her daughter (the egg provider) would become the sister of her own genetic offspring.
I shared this observation with Melanie, who countered that she was aware of a case where a man who had undergone a prior vasectomy, had used his son’s sperm for insemination of his new wife, and that in her opinion, this was a similar case, with the purpose of propagating a genetic link between the parent and the new baby. I admitted that I had performed IVF using the sperm of a man’s son to fertilize the eggs of his new wife.
We spent time discussing the implications of the above mentioned set of circumstances. I told her that it was imperative that there be no pressure on her daughter to do this and that it had to be by her own free will. I advised her that both she and her daughter should seek professional counseling and think carefully on the implications of any decision reached.
About two weeks later, Melanie, her husband, and her daughter together visited with me and informed me that they had taken my advice and gone through counseling, but that they all were resolute in the decision to proceed. I contacted the counselor and confirmed this.
I then scheduled and had a separate meeting with Melanie’s daughter in order to satisfy myself that she was not being coerced to proceed. I informed told her that although ovarian stimulation and egg retrieval (done properly) would be very unlikely to compromise her subsequent fertility, but since she had never been pregnant before, she should recognize this possibility, albeit a remote one.
With these issues addressed, I initiated her stimulation protocol. I harvested 11 eggs, which were fertilized with Melanie’s husband’s sperm. This resulted in four good quality blastocysts. I transferred two blastocysts to Melanie’s uterus while cryobanking (vitrifying) the leftovers for subsequent transfer.
Melanie conceived twins and, following an uneventful pregnancy which was overseen by a Perinatologist, she gave birth to two perfectly healthy babies (a boy and a girl), by caesarian section. I attended the christenings and had the opportunity to once again meet and confer with the genetic mother and the biological parents who were all elated.
Conclusion: While it is not unusual for the son of an infertile man to provide sperm to impregnate his stepmother, this is the first case that I have encountered in a 30 year IVF practice where the reverse has occurred, i.e., that a daughter donated eggs to her mother. Upon continued reflection, I cannot escape the thought that refusal to provide such a service while being willing to do so when it comes to donated sperm, would be sexist. I do recognize that there is a far greater commitment and physical investment when it comes to a woman undergoing ovarian stimulation and egg retrieval than there is for a man providing sperm for insemination or IVF. And, albeit minimal, there is always a risk that complications could arise in the process of stimulating a woman and performing egg retrieval, that might compromise her future fertility.
Nevertheless, all is well that ends well, and I have no regrets whatsoever. The babies are healthy, wanted and beautiful, the parents are happy, and the egg provider is nothing short of proud and elated at her ability to contribute towards the expansion of her family tree.
How do you feel about this scenario? Any comments will be appreciated.
56 Comments
« Older Comments
Rabe Jonk says:
September 14, 2016 at 6:29 am
Rabe Jonk
I was hopeless when I first found out I was unable to conceive children on my own. I became hopeful when I found America Egg Donor Agency. I now know anything is possible after my experience of working with an egg donor and am thankful for the exquisite care that AEDA took in assisting me in having my dream come true. While we sometimes think we could use a bit more rest, we don’t even want to sleep because we can’t stop staring at our little miracles. I gave birth to fraternal twins, we have a beautiful little boy and girl.
DR Samson Albert managed my cycle and he always had wonderful words and positive thoughts to share with me when I felt defeated or just had my own concerns crop up. he was professional, took great care of me, paid attention to all the details, was responsive and help put my nerves at ease.
We are so thankful for our wonderful donor Jessica. She is such a doll, and we are so thrilled that we found each other. She continues to impress us with her love, compassion, determination, and diligence in getting everything done in such a timely manner. I hope that our little ones have inherited many of her traits. My heart is filled with joy.
My love and blessings go out to all of those who helped me in this process, America Egg Donor Agency. was a huge part of it. contact them today on americaeggdonoragencyi@gmail.com. if you want to sell or buy they are always there for your services
Reply
Geoffrey Sher says:
September 14, 2016 at 7:16 am
My website has changed. The new site is at http://www.sherIVF.com where I host and populate new and updated blog articles . The blog can also be accessed directly by going to http://goo.gl/4hvjoP. I now only respond to posts on this new site.
To find and follow updated and new blog articles and to post questions or comments, please use this new venue. I promise to respond promptly.
In the interim, please re-post this question or comment on my new website-blog.
Geoff Sher
Reply
Nediana Pavlova says:
March 26, 2016 at 9:56 am
Hello, my daughter is 21, and she also want to give me eggs, because I just turned 50, but I have an younger boyfriend. I really don’t want to compromise her future fertility however! I want her to have her own kids when she gets married!
Reply
Geoffrey Sher says:
March 26, 2016 at 10:08 pm
I have done this before and I do not see why it cannot be done in your case as well.
Thank you for connecting! I am updating my entire blog, so kindly-go to http://goo.gl/4hvjoP and re-post your question/comment there, and I will respond promptly. Henceforth I will be responding on that site.
Thank you.
Geoff Sher
Reply
A Shaver says:
September 25, 2016 at 2:50 pm
As the lady above, I have a younger boyfriend who wants a child at some point, I’m 50 now and have a 21 year old daughter that wants to donate her eggs so that we can have child. I had no complications in pregnancy, delivered C-section (because of insurance reasons), have not gone through menopause, very regular periods still and have no medical issues at all. I’m extremely healthy, but have used no contraceptives for years and not even a scare. At this point, it’s all hypothetical because we are not engaged, but have been dating almost a year and I really want to know my options, in case we do choose to move forward. Which I’m hoping too. My questions is: I realize that if this is an option, we would have to do something within the next couple of years. What is the first step to doing this?
Frankly, this is too much to address on this forum. I suggest that you call Julie Dahan and set up a consultation with me to discuss.
Julie Dahan
•Email: Julied@sherivf.com
•Phone: 702-533-2691
?800-780-7437
Thanks!
Geoff Sher
It can be done! However, we would need to talk firsts.
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
Geoff Sher
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.
Dear Dr.Sher, I have been taking vitex for about 3 months was on 2 pills/day and this month I’m taking just one 400mg/day, I have pcos and I’m suffering from recurrent chemical pregnancy (6 times).
I had my 5dbt on 22-sep-2016 (5days ago) and it was a FET, the doctor prescribed 3 duphastone 10mg/day and 2 cyclogest 400 mg pessaries/day. The problem is my doctor is not familiar with vitex and I am now still taking it once daily with the above mentioned medications, is it ok to continue taking all of this progesterone?
Protagonists of Vitex suggest that it could provide an alternative or adjunct to conventional fertility therapies. However, in my opinion, proof is lacking. Personally, I do not think it is likely to be harmful, but given the hormonal complexity of PCOS, I would not recommend adding another unknown variable.
Geoff Sher
, according to the study’s authors.