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.

19,771 Comments

  1. Dr Sher,

    I will have extra HGH do you recommmend starting it before stims to help recruit more follicles? What about after trigger? I will definitely already do it days 1-8.

    • Days 1-8 should be fine.

      Geoff Sher

  2. Curious too about the second part of my question, Thanks :

    I’m also worrying about progesterone pressaries im doing 3 times a day. Being on that medication, would it prevent me from having bleeding if I miscarry? Every time I did ivf I had to quit progesterone to get my period back. Is progesterone can mask, hide, delay, make ‘invisible’ a miscarriage?

    • Yes, progesterone can delay a bleed and even the passage of a missed abortion.

      Geoff Sher

  3. Dear Dr Sher,
    Had a FET of 2 “great looking” day 5 blasts.
    13dp5dt got a 406 beta hcg result. My clinic said that all looks good and didn’t ask for a second blood sample. Re said I’ll be having my next appointement around 7 weeks.
    Was it wrong to assume 406 was that good? I kind of worry its on the low side ?

    I’m also worrying about progesterone pressaries im doing 3 times a day. Being on that medication, would it prevent me from having bleeding if I miscarry? Every time I did ivf I had to quit progesterone to get my period back. Is progesterone can mask, hide, delay, make ‘invisible’ a miscarriage?

    Thank you so much !

    • In my opinion, it is always wise to repeat the beta hCG at least once (2 days later to make certain the level doubles. I have seen strange things happen in my career.

      Geoff Sher

  4. Dear Dr. Sher,

    Today I am 35 days after FET of early blastocyst (medicated cycle ). I had multiple ultrasounds done and BHCG checked and it doesn’t look good to my doctor. I am advised to stop the medications. I wanted to ask what is your opinion? Is there really no hope?

    On Tuesday at 7 weeks and 2 days ultrasound showed 2.5 mm fatal pole but no heart beat.

    BHCG:
    4/25: 4951
    4/28: 4690
    4/30: 4000
    5/1: 8026

    Could this unexpected increase after a drop of BHCG mean that maybe … there is a hope and I should continue medications?

    Thank you,
    Zuza

    • It does not look promising, I am afraid. Get another US in a week to be certain though.

      Geoff Sher

  5. Dr Sher
    First day of my last period was 24.03. My av. cycle is 29days. I had my first 2 hcg tests dated 24.04 and 26.04. Progesterone 39 and hcg 82 then 120 (36hrs after) .
    Today I week later I did another hcg test in a different lab and country and my hcg is 316.5 do labs different so much from one another or should I be concerned?

    • It can vary, but I would repeat the hCG two days from now again and then get an US in about 10 days.

      Geoff Sher