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! On February 17th we transferred 1 5 day early blastocyst and a morula. On my first beta in February 27th my hcg came back at 210 is that good?
Yes! That is optimistic.
Geoff Sher
Hi Dr Sher, do you think it’s ok to do back to back IVF cycles if doing a natural or mild cycle? Do you still think it’s necessary to have a month’s break due to the egg retrieval procedure.
Thanks in advance!
I am NOT a proponent of NC IVF. Success rates are too l,ow2 (<10% per cycle of ER). And all you save on is the cost of fertility drugs, in the end only having 1-2 eggs to work with. It is especially poor for older women and those who have DOR.
I always advise at least a 1 month break between cycles.
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.
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.
Dear Dr,
we have five day-3 embryos frozen from previous 2 ivf cycles, and currently in undergoing 3rd cycle.
our RE recommended to grow the frozen embryos to blastocyst stage along with fresh embryos from 3rd cycle to perform biopsy for doing PGS for better results.
She and embryologist believe doing biopsy on blastocyst stage embryos is better option and give better results, but we are worried if they don’t make it blastocyst we might loose embryos.
Please let us know if this approach will work or few frozen embryos cultured for blastocyst and retain the remaining ones as last option for direct transfer without PGS incase the if the first approach doesn’t work out.
please note i am 34yrs and my wife is 33yrs and we went IVF due to severe male factor[OAT].
Your feedback will be of great help for us to take right decisions along with our RE
Appreciate your comments.
Thanks
It is possible to thaw and then biopsy frozen blastocysts and to get a good outcome. However, in my opinion, the thaw (for biopsy, followed by the re-freeze (for time to test) and then re-thaw at a later date for FET is too traumatic on the embryos and I do not advise it.
Geoff Sher
Hi Dr. Sher I am 28 years old with no children. I have PCOS on one side and a swollen tube. I have blocked tubes. Would I be a candidate for a mini IVF or micro IVF?
Indeed your would but bear in mind that women with PCOS need a very individualized approach to 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
•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.
•Optimizing Response to Ovarian Stimulation in Women with Compromised Ovarian Response to Ovarian Stimulation: A Personal Approach.
•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?
•Treating Out-of-State and Out-of-Country Patients at Sher-IVF in Las Vegas
•Should IVF Treatment Cycles be provided uninterrupted or be Conducted in 7-12 Pre-scheduled “Batches” per Year
•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
•Taking A Fresh Look at Ovarian Hyperstimulation Syndrome (OHSS), its Presentation, Prevention and Management
•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?
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
Dear Dr,
My lining is 10mm 8 days before starting progesterone . I am unable to start progesterone earlier due to travel reasons. It took 25 days for my lining to grow to 10mm and now there will be a 7 day delay to start progesterone… is it ok to leave the lining at 10mm for 7 days without progesterone? Do you recommend canceling this cycle? I just have 2 frozen embryos left. Thanks
Neha,
Personally, I think that this could be too long a time to wait. However, this is really something you should discuss with your RE.
Geoff Sher