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.
for FET cycles, I’ve heard some clinics start with 1/2 dose of progesterone and then increase. my clinic just does full amount for 5 nights before transfer. wondering what the reasoning is. What do you suggest? and why?
I agree with your clinic using full dosage.
Geoff sher
Hi,
My husband and I just went through our first IVF cycle and we found out last week that I am not pregnant. The cycle yielded 18 eggs but only 1 made it to a 5 day blastocyst. My RE cited poor egg quality as the issue though did not provide any specifics as to what about the eggs were poor/abnormal. I am only 29 years old. All of my hormone levels and blood tests came back normal (estradiol, amh, fsh). My only known issue is that I have extensive pelvic/abdominal scar tissue because of surgeries I went through as an infant. I have regular cycles and home tests have shown that I ovulate between day 14 and 17. My husband’s semen analysis came back great. My RE said she would advise against us doing another IVF unless we use donor eggs. I am looking for second opinions and inputs as I am having a hard time accepting this after only one cycle. I would appreciate any opinions/input/advice you may offer. Thank you.
This sounds very much like a possible ovarian stimulation protocol issue to me.
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.
•Egg Maturation in IVF: How Egg “Immaturity”, “Post-maturity” and “Dysmaturity” Influence IVF Outcome:
•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?
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 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.
•Egg Maturation in IVF: How Egg “Immaturity”, “Post-maturity” and “Dysmaturity” Influence IVF Outcome:
•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?
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 Sher,
After many failed IVF attempts I discovered your research on vaginal Viagra and my lining was >9 this round where as my previous attempts (7) I had only got a lining of around 7. I got a positive result on Friday only to be told today that my hgc levels have dropped so am no longer pregnant. I wish I had discovered your research earlier as this was my final round of IVF (I can’t afford anymore) but I still have loads of Viagra left. I just wondering if there is any point in using it and trying to conceive naturally or am I just clutching at straws?
Thank you, Rachael
You could try…I suppose! It should not do any harm.
Good luck!
Geoff Sher
Is there any research regarding lowered body temp after ivf implantation and positive hcg with regard to pending miscarriage?
Not as far as I am aware!
Geoff Sher
Dr. Sher,
My husband and I are both 29, have been trying to conceive for about 3 1/2 years. Did 5 failed rounds of IUI before moving to IVF. Our first round resulted in me having 15 eggs, 13 mature, and only 3 fertilized with ICSI. Husband has male factor, I have PCOS. Otherwise we are healthy. He had karyotype testing done that came back normal. We’ve been encouraged to look at donor sperm. Just wanted a second opinion on our near failed results with ICSI.
If you got PGS-normal blastocysts, you should not be dismayed. It is tougher with women who have PCOS to propagate “competent” embryos. But I can tell you that to optimize response, the protocol of stimulation MUST be strategically individualized in women with PCOS.
Good luck!
Geoff Sher