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. I have been diagnosed with pcod. Both ovary r swollen and have pyosalphinx. I have endometrioma of size 3 cc. Doctor says possible TB but all tests like TB pcr, mantox are negative. I m 29 trying to conceive. What to do !!!
First, the TB must be treated. Then the endometrioma and pyosalpinx must be surgically addressed. Then the PCOS issue will require a very individualized approach to ovarian stimulation…see below on these issues.
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?
•IVF Should Supplant Tubal Fertility Surgery.
•IVF Failure and Implantation Dysfunction:
•The Role of Immunologic Implantation Dysfunction (IID) & Infertility (IID):PART 1-Background
•Immunologic Implantation Dysfunction (IID) & Infertility (IID):PART 2- Making a Diagnosis
•Immunologic Dysfunction (IID) & Infertility (IID):PART 3-Treatment
•Thyroid autoantibodies and Immunologic Implantation Dysfunction (IID)
•Immunologic Implantation Dysfunction: Importance of Meticulous Evaluation and Strategic Management:(Case Report
•Intralipid and IVIG therapy: Understanding the Basis for its use in the Treatment of Immunologic Implantation Dysfunction (IID)
•Intralipid (IL) Administration in IVF: It’s Composition; How it Works; Administration; Side-effects; Reactions and Precautions
•Natural Killer Cell Activation (NKa) and Immunologic Implantation Dysfunction in IVF: The Controversy!
•Treating Out-of-State and Out-of-Country Patients at Sher-IVF in Las Vegas:
•A personalized, stepwise approach to IVF
•Pelvic Inflammatory Disease (PID), Tubal Damage and Hydrosalpinx: Preparing for IVF
•Endometriosis and Infertily
•Endometriosis and Immunologic Implantation Dysfunction (IID) and IVF
•Endometriosis and Infertility: Why IVF Rather than IUI or Surgery Should be the Treatment of Choice.
•Endometriosis and Infertility: The Influence of Age and Severity on Treatment Options
•Treating Ovarian Endometriomas with Sclerotherapy.
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.
Happy New Year! My questions are what is the likelihood of a embryos in a batch being chromosomally abnormal? Also Have you had any success with 3 day 4 or 5 celled embryos becoming viable pregnancies or live births?
On average, about 1: 2 blastocysts derived from the fertilization of eggs from a woman under 34Y are likely to be normal. At 40y, about 1:5 and at 45y , <1:10 .However, this is a generalization and is influenced greatly by the woman's age , ovarian reserve, sperm quality and the protocol being used for ovarian stimulation.
Geoff Sher
Hi Dr. Sher – Thank you for your advice regarding Sildenafil to thicken our surrogate’a uterine lining after two cancelled cycles due to thin lining and fluid. We have also read that Vitamin E can help with these problems. On what days of the cycle would you recommend the surrogate take Vitamin E? Should she start it with the Birth control, wait for Lupron, or wait for the Estrogen stimulation to begin? Thank you so much!!
I am not a believer in Vitamin E having a benefit. However, the Viagra (compounded) vaginal suppositories are taken starting as soon as the period ends and continued until the hCG trigger or progesterone therapy is started.
Geoff Sher
MY 1ST B-HCG RESULT IS 4019 MIU/ML AND 6857 MIU.ML AFTER 48 HOURS. I WAS ASKED BY THE OBGYNE TO CHECK MY HCG LEVELS OR IF POSSIBLE FOR MISCARRIAGE. MY TVS SHOWS SMALL VALUE OF SUBCHORIONIC HEMORRAGE. I’M REALLY BOTHERED WHAT MY B-HCG TEST RESULTS MEAN, I JUST WANT TO KNOW IF IT IS MISCARRIAGE, A PROBLEM OR COULD BE A GOOD PREGNANCY… PLS. I NEEDED ANSWERS. THANK YOU SO MUCH DR. SHER
You need to wait 1 week and then do an ultrasound examination to evaluate viability of the pregnancy.
Good luck!
Geoff Sher
I am 34 with severe PCOS, had 4 IUIs failure, 3 years back had IVM, got positive but 5th week had an AB. We considered IVF now in Sep 2016, had OHSS, so first FET was Dec 2014, came negative with 9.9 beta hCG day before yesterday, still 6 embryos left. When can I consider the next FET? Actually last FET, endo thickness was only 6.9, same thickness I am getting repeatedly for 2 months, but my doctor told blood test and blood flow are good enough and we can try. Is it because of the lining FET failed?? Should I wait for the good endo thickness?? As I am worried that my age running out.