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.
I’m starting the IVF process. Can a patient with a heart shaped uterus (bicornuate) transfer two embryos? I’m not sure my RE will let me transfer 2. Thank you for the time.
Yes!
Geoff Sher
Our first ivf cycle was a success! Transferred two PGS normal blastocysts. I have 3 month old twins. My remaining embryos were frozen. All pgs normal. They were frozen at my age of 34. We want to have more children and will go back to FET. We are planning on transferring two again when I turn 37. Are my chances good to have a baby/babies even though I’ll be older? Thank you for the time, Dr. Sher!
It should not be inordinately affected by age. Embryos frozen are protected indefinitely in a state of suspended animation.
Geoff Sher
Hi, last year i had miscarriage when i was pregnant with twins in the week 20. Recently we decided to try third cycle of icsi. This time the stimulation was much slower than the previous treatment, i am 39 years old and have normal hormonal values. On US day 6 i had lots of follicles but smaller than should be for day 6. Finally on day 13 i applied trigger shot. 13 eggs where collected , sperm sample was fine. They call me 48 hours later to tall me that only one of the eggs has fertilized and it is very good quality. Apparently is not explanation for this. In the two previous treatment i did not have any problem of fertilization and i have manage to get few blastocyst and get pregnant twice. What could be the reason of this fertilization failure. Wrong time for trigger? Wrong protocol? Suddenly quality of eggs declined in the last year? Very bad luck ? i Think 3 eggs were immature . All the rest just failed the Icsi fertilization. What would you suggest in this cases? Should i cancel the next cycle in the very beginning if i see on the first Us that the growing is not good enough for the time of stimulation?
Very clearly, it is most likely that this last response was a consequence of the protocol used and its implementation. WE really should talk.
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 Approach
•Ovarian Stimulation in Women Who have Diminished Ovarian Reserve (DOR): Introducing the Agonist/Antagonist Conversion protocol
•Anti Mullerian Hormone (AMH) Measurement to Assess Ovarian Reserve and Design the Optimal Protocol for Controlled Ovarian
•Treating Out-of-State and Out-of-Country Patients at Sher-IVF in Las Vegas:
•A personalized, stepwise approach to IVF
•How Many Embryos should be transferred: A Critical Decision in IVF.
•The Role of Nutritional Supplements in Preparing for IVF
•“Triggering” Egg Maturation in IVF: Comparing urine-derived hCG, Recombinant DNA-hCG and GnRH-agonist:
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.
Good afternoon Dr. Sher,
Thank you for taking the time to read my question. My husband and I are both 29 and recently completed our first IVF cycle with ICSI due to poor morphology. On day 3 of my cycle, I began 150 Menopur and 300 Follistim. On day 8, I remained on 300 Follistim but my Menopur dose was increased to 225. We did the trigger injection on day 10 and the ER was on day 12. At our ER, 12 eggs were retrieved and 8 fertilized via ICSI. Our day 3 update yielded less than desired results with 4 poor and 1 fair quality embryos so our frozen cycle was changed to a fresh cycle. On day 5, we transferred 1 poorly rated embryo (it was only at a day 4 stage) and are currently in our TWW. Our RE believes that the outcome of our embryos was due to poor egg quality. Do you have any recommendations of how to improve egg quality and increase our chances for our next cycle? Is there a possibility of a different protocol yielding better results? I greatly appreciate any input you may have. Thank you!
I just realized I accidently deleted part of my post which caused for incorrect data.
At our ER – 12 eggs were retrieved, 8 were mature, and 5 (not 8) fertilized via ICSI.
This is likely all about the protocol selected for your stimulation. WE really should discuss one-on-one.
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 Approach
•Ovarian Stimulation in Women Who have Diminished Ovarian Reserve (DOR): Introducing the Agonist/Antagonist Conversion protocol
•Anti Mullerian Hormone (AMH) Measurement to Assess Ovarian Reserve and Design the Optimal Protocol for Controlled Ovarian
•Treating Out-of-State and Out-of-Country Patients at Sher-IVF in Las Vegas:
•A personalized, stepwise approach to IVF
•How Many Embryos should be transferred: A Critical Decision in IVF.
•The Role of Nutritional Supplements in Preparing for IVF
•“Triggering” Egg Maturation in IVF: Comparing urine-derived hCG, Recombinant DNA-hCG and GnRH-agonist:
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.
Hello
I was wondering if you could give some information regarding the use of provera or utrogestan for inducing periods. I have irregular periods and therefore will need to induce a period for my next OE IVF cycle.
My query is this: does Provera or utrogestan prevent ovulation?
Do they only induce a bleed?
Thank you and look forward to hearing from you.
If treatment is started after you have ovulated, it should not be a problem. However, with you having irregular periods you are probably not having functional ovulation anyway. It usually takes less up a week for the Provera to trigger menstruation.
Geoff Sher