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,
I’m 34 and have had two IVFs with two frozen embryos (one from each). We haven’t done any transfers because I wanted to stock pile some blasts. How many blastocysts do you typically recommend to stockpile before doing transfer? Thank you!
If you have diminished ovarian reserve, it might be best to do another fresh cycle to try and make hay while the sun still shines. If you have normal reserve, I would do a frozen transfer sooner rather than later.
Geoff Sher
Hi Dr.Sher,
Does Sjogren’s Syndrome affect IVF? In Trying to conceive?
It might have an autoimmune component accordingly you would need to be tested for an immunologic implantation dysfunction.
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
•Use of GnRH Antagonists (Ganirelix/Cetrotide/Orgalutron) in IVF-Ovarian Stimulation Protocols.
•Anti Mullerian Hormone (AMH) Measurement to Assess Ovarian Reserve and Design the Optimal Protocol for Controlled Ovarian Stimulation (COS) in IVF.
•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
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.
I had a baby 6 months ago, breast feeding some but not aggressively. I still have not had a period yet. Is this abnormal? Thank you. Read your forum religiously!
Not abnormal at all. Thanks for reading the blog!
Geoff Sher
Dear Dr. Sher,
I wrote to you back on August 28th about an inability to suppress my estrogen levels in order to start my IVF cycle. Thank you for responding back then! As it turned out, my RE and I cracked what was happening. Unbelievably, I actually had antibodies to the assays at the hospital lab where my RE is located. He shipped my blood out, and we got normal results from two other labs. It was due to exposure to rabbits as a child! It took us several months to figure out what was going on.
I was able to do my IVF cycle with my egg retrieval in November. I had 18 eggs retrieved, 14 mature, 11 fertilized, 2 transferred, and 2 made it to freeze. Of the two that transferred, one implanted. Sadly, my baby died at 8w5d. I had just had my graduation ultrasound the day before with my RE, where the baby measured on track with a perfect heartbeat and moving about. Other than the initial spotting, my body refused to recognize the miscarriage, so my OB and RE both recommended a D&C, which I had done on Friday. This was my first pregnancy. I’m 39, and my husband is 41. We do have two embryos frozen, but we are really leaning toward doing another egg retrieval prior to transferring the frozen embryos. We’re meeting with my RE on Monday to figure out what to do next. Would you recommend transferring the two frozen embryos or proceeding with another egg retrieval first? I know that my eggs are getting older, and I really want a family!
I forgot to mention that I’m ANA positive, but it has never resulted in any particular disease. Should my RE be treating this in some way for my next pregnancy? Thanks!
I have 4 children. I’ve been pregnant 7x. All from the help of my RE. I’ve had pregnancies from clomid, femara and IVF. All worked except for a few miscarriages. Tubes are open. I do have pcos but my weight is very good. I only get 3 or 4 periods a year. I just feel like since I never got pregnant on my own, I don’t need to ever worry about birth control. 1.) Your thoughts on no BC? 2.) As I get older, (I’m 35 now) can fertility increase as a woman reaches menopause? I haven’t had my tubes tied and my husband hasn’t opted for a vasectomy. Thanks for the time…
If you are relatively sure that yor family is complete…I would suggest your husband’s sperm be banked (just in case you change your mind later) or, you have a tubal ligation . Alternatively, a low dose monophasic BCP would do fine
Good luck!
Geoff Sher