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, I had ivf with donor eggs and am 20 days post 5 day transfer. The donor is 30 and the eggs were b and c grade. I had some brown bleeding on day 8 post transfer which didn’t last long and stopped. About a week later brown discharge/spotting has started again and has continued for 6 days now. Obviously I’m in total panic. Could this be normal or am I miscarrying
Many thanks
Kate
You need to have blood hCG level tracked every 2 dyas to see if it is rising. The painless bleeding might be as a result of local irritation at the ET or caused by insertion of vaginal hormone suppositories. Time will tell!
Geoff Sher
Hi Dr Sher,
Thanks for your response about PGS testing. This lab … https://www.natera.com/spectrum-pgs-pgd claims to be able to identify whether abnormalities are coming from the egg or sperm. Is this possible? I’ve had a couple of PGS tests which were supposedly the latest technology and have always been told it is not possible to tell whether the abnormality is coming from the egg or the sperm.
In my opinion, this impossible to do.
Geoff Sher
Hello Dr. Sher my name is Ahlana Sullivan and I had my tubal ligation about 4years ago after my fourth c-section. My husband and I have decided we want to add to our family, I also had a LEEP procedure done shortly after the birth of my last child. We would like to know our options, and if tubal reversal or IVF is recommended. Thank you for your time.
There is a relatively high success rates following tubal re-connection (reanastomosisis) in cases of previous tubal ligation (a birth rate of +/- 50% within 3 years of a successful surgery). However, IVF performed in a center of excellence produces almost the same success rate following a single attempt and is far less invasive than surgery. IVF also does not require general anesthesia, hospitalization, or a protracted time off work. Moreover by doing IVF and leaving the tubal ligation undisturbed, the woman retains subsequent control over family planning without having to resort to using some other form of contraception. Another point to be considered is the high incidence of tubal or ectopic pregnancy following the performance of tubal reanastomosisis high (about 20%).Major surgery also requires a few days of hospitalization and subsequently a few weeks of convalescence. There is also a risk of post-operative complications, increased cost, and time away from work, incapacitation, and significantly greater discomfort. The cost of a full cycle of IVF is in fact comparable to that of tubal reanastamosisis.
In my opinion, provided that IVF is performed in a program with high success rates, tubal surgery for fixing damaged or blocked Fallopian tubes, with few exceptions, can no longer be justified financially or ethically.
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
•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 Stimulation (COS) in IVF.
•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
•The Basic Infertility Work-Up
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.
We have tried IVF with your clinic 3 times with Mark… we have gotten pregnant twice. Lost one at 6 weeks and just lost another at 14 weeks. The babies hearts keep stopping. After having to give birth to my child who passed, I’m not sure if I want to try again, but we have 6 embryos left. Mark never recommended we do genetic testing on them, but I think we need to. I feel like I shouldn’t give up. I really want to give my husband a child. I’m healthy and have 2 older children from a previous marriage. Normal periods and ovulation cycles. We have to do IVF due to MFI.
I’m not sure if you can help us.
Karin
If you are interested, you can ask Mark to set you up with a supportive consultation with me to discuss. Mark is an outstanding RE and I have tremendous confidence in him, but a fresh opinion might help shed some light.
Geoff Sher
Dr. Sher, Thank you so much for this blog and your time dedicated to helping all of us out! I’ve completed a 5 day course of Femara (CD 4-8) and had a scan today, CD 12, at 8:00 AM central. I took a OPK test this morning at 6:30 AM and it was not positive. There were 3 follicle measurements given in my u/s notes – 15mm, 16.6mm, and 19mm. Also noted was that one of the follicles was beginning to partially collapse. Would this mean that ovulation has already started? And if so, have I missed the opportunity to take the HCG trigger shot? If not, should I go ahead and take it now, or this evening, or tomorrow morning? Thank you!
This does not sound encouraging. I suggest you move to gonadotropin stimulation.
Geoff Sher