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.
Dear Dr Sher,
Just back from the Hospital where I was told I am not pregnant after the last FET. Briefly:
Fresh cycle in August, I could retrieve 9 mature eggs, 7 fertilized without ICSI. We transferred 3 (day 2, 4 cells) during fresh cycle but negative. After one month break we transferred other 2 and we ended with negative again. Finally, the lat two were thawed, one did not survive this time. I asked to go to blastocyst stage and transferred a good blastocyst last week on Monday – negative once again and no more frozen embies.
Standard tests say all is good for me and the sperm of my partner – except for the age: I am 43. I conceived & delivered naturally my daughter when I was 40, I was pregnant again in august 2015 (termination due to medical reasons) and March 2016 (chemical pregnancy). Considering how easy was my first pregnancy e the good number of embryos we got, I was hoping in good results.
I am unsure now on what to do. Doctors say My ovaries work pretty well and my ovaries still have many follicles. Should I try another fresh cycle? Should I ask for any further test before trying again ? I think this – if we decide to do it – will be really last try and I do not want to miss anything important…. thank you for any suggestion or guidance
Doctor when you mean robust AACP means more tan 300 gonal f at first stims? In Argentina thats the máximum . Is any difference to start with 450 or 300/375 and then low at the third day to 225 of gonal and 75 menopur?
I understand and frankly think that setting that ceiling dosage makes absolutely no sense. Nevertheless, there is probably not much you can do about it. I simply do not think a starting dosage of 300U gonadotropins is quite adequate.
Geoff Sher
Hi Dr. sher,
I was wondering what your thoughts are on endometrial receptivity analysis for multiple failed FETs (6) of PGS embryos when lovenox, prednisone, IVIG, intralipids have been used with no success. Thank you.
Hi Andrea,
I am definitely not a believer in ERA testing.
Geoff Sher
Dear doctor Sher,
We have been trying to conceive but unfortunately I have also been battling with extremely severe anemia. I’ve just been told I can’t absorb oral iron and need an infusion. How long should I wait after the infusion before trying again?
I’m 39 years and have a very low AMH, but am still ovulating, no previous children or pregnancies and have hashimoto hypothyroidism. Would you think that AI or IVF would be the better option?
Thanks very much,
Nina
I would suggest you wait till the iron deficiency anemia is reversed. It would not be advisable to go into a pregnancy, anemic. And at 39y, with the biological clock on the move, you might wqant to consider IVF preferentially.
Geoff Sher
I’m currently breastfeeding my 13 month old daughter. I feed her 4-5 times a day. I have only had one menstrual cycle which started 12/29/2016. Would my prolactin levels interfere with an FET cycle?
By this time your prolactin level might be back to normal…even though you are breast feeding. Have it checked.
Geoff Sher