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.
Hi Dr. Sher,
My brief history is as follows, PCOS with possible unexplained factors. I’m 30 years old and have good health, no previous pregnancies.
I had my egg retrieval last Tuesday and my doctor was able to retrieve 41 eggs. Thankfully I avoided Overstimultion with the doctors advice and a prescription of Dostinex. Of these eggs, only 4 are healthy embryos ready for freezing, not having anything to do with sperm quality, but the maturity and quality of my eggs. I was shocked when my doctor told me the stats. My question is, obviously there is some issue with my egg quality, but does this at all indicate the success of my FET in a few months? Is there any correlation between poor egg quality/low number embryos with so many eggs, and the success of overall IVF? I’m worried that if my body can’t even produce a a substantial amount of quality mature eggs, that there may be some other hidden issue that will affect proper implantation. Thanks in advance!
PCOS does add a complexity that impacts egg quality. However, with an optimal stimulation, you should still be able to produce good quality eggs…and that is really what it is about. You need a very individualized protocol for ovarian stimulation.
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.
•The IVF Journey: The importance of “Planning the Trip” Before Taking the Ride”
•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
•Anti Mullerian Hormone (AMH) Measurement to Assess Ovarian Reserve and Design the Optimal Protocol for Controlled Ovarian Stimulation (COS) in IVF.
•Human Growth Hormone Administration in IVF: Does it Enhances Egg/Embryo Quality and Outcome?
•The BCP: Does Launching a Cycle of Controlled Ovarian Stimulation (COS). Coming off the BCP Compromise Response?
•Blastocyst Embryo Transfers Should be the Standard of Care in IVF
•Why did my IVF Fail
•Blastocyst Embryo Transfers done 5-6 Days Following Fertilization are Fast Replacing Earlier day 2-3 Transfers of Cleaved Embryos.
•Frozen Embryo Transfer (FET): A Rational Approach to Hormonal Preparation and How new Methodology is Impacting IVF.
•Staggered IVF: An Excellent Option
•Preimplantation Genetic Testing (PGS) in IVF: It should be Used Selectively and NOT be Routine.
•IVF: Selecting the Best Quality Embryos to Transfer
•Preimplantation Genetic Sampling (PGS) Using: Next Generation Gene Sequencing (NGS): Method of Choice.
•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
•Preventing Severe Ovarian Hyperstimulation Syndrome (OHSS) with “Prolonged Coasting”
•Understanding Polycystic Ovarian Syndrome (PCOS) and the Need to Customize Ovarian Stimulation Protocols.
•“Triggering” Egg Maturation in IVF: Comparing urine-derived hCG, Recombinant DNA-hCG and GnRH-agonist:
•The “Lupron Trigger” to Prevent Severe OHSS: What are the Pro’s and Con’s?
•Micro-IVF: Often Preferable to Ovarian Stimulation with or Without IUI
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
Dr. Sher,
Do you recommend any supplements to improve egg quality for DOR patients?
Unfortunately none will help. I advise against DHEA, however.
Geoff Sher
I had a 2D transfer on 23/11/16, positive pregnancy test on 4/12/16. Spotting started on 5/12/16, HCG came back at 38 on 7/12/16. Told that news was not good since HCG was low, then started heavy bleeding till 10/12/16.
Thought I had definitely miscarried as bleeding was heavy with clotting. However HCG came back at 155 today 12/12/16.
Is it possible I am still pregnant? I am very confused.
Nurse said there was no point on doing an ultrasound since I’m only 5weeks. I have to wait till Friday 16/12/16 for another HCG.
Could you please advise on what I should do? Should I push for an ultrasound?
Anything is possible…Only time will tell! I suggest you wait until the 7th week. In the interim, repeat the hCG test in 2 days to see if the level is doubling.
Geoff Sher
Hi Dr. Sher. Next Fall we’ve decided to go back to have a FET. Our embryos are PGS normal but the grading is 3BB in both embryos. Can we be successful with this grading? I’m so worried. Your thoughts? Thank you so much!
Of course you can…especially if they are PGS-normal blastocysts!
Good luck and G-d bless!
Geoff Sher
Hi Dr Sher, my clinic does not open on the weekends. What happens if the embryo reaches blastocyst on a Sunday. Does this make any difference to the quality of the embryo? Many thanks!
It is in my opinion best to transfer blastocysts as soon as they reach the expanded state, whether on day 5 or day 6 post fertilization.
Geoff Sher