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
I’m 40 years old woman and I asked you before several months about the negative effects of DHEA, especially that I have low AMH (0.21 before 1 year) and my FSH now is 17.9. I’m planning for a 2nd IVF trail.
Well you answered me that DHEA is not good in my case and that sounded true because after only 1 month of 50 mg daily DHEA I had many time hot flashes in body with sweating in addition to that my eggs become very small that month which not normal with me. And after I stop it I became better. My question now is: I going now to another doctor and we plan to do an IVF next month, so he described to me again the DHEA 50/day with Orfem tab 1/day and Progyluton 1/day, and when I told him about the negative effect that happened with me during taking the DHEA, he said that this occurred because I took it alone before but now with the other medications DHEA will be good for me. So please dr. tell me your opinion, do you agree with him. I just started to take it sine 4 day and from 2 days I had again hot flashes about once each day.
Many thanks in advance
While I am not sure that the DHEA caused the symptoms you describe, I still respectfully submit that in my opinion, it is potentially harmful , especially if used by women who have DOR.
Geoff Sher
Dear Dr Sher,
What is the success with slow frozen embryos? I am considering embryo adoption and they just have slow frozen embryos from my ethnicity. Thanks
Pregnancies are reported but at a lower rate by far…than with ultrarapidly frozen (vitrified) embryos.
Geoff Sher
They have 11 slow frozen embryos. Will I have a good chance to have atleast 1 baby with 11 embryos if they are all BB grade? Thanks
Halo, Dr Sher, I’m 42 4 days ago my last IVF journey started. I have minimal stimulation, only Gonal 150 + Menopur 75, my AMH is low 0,35. But my basic 3 day of cycle LH was 12 – in my opinion to high , today – 6 day of cycle, (3 day of stimulation) is 19, should I worry about this elevated LH and ask my RE for Cetroitide or somethng similar?
In my opinion a raised LH is not ideal, but you are already in-cycle and trying to alter alter the course of this stimulation, at this stage is probably not going alter the course of this stimulation.
Geoff Sher
Dr Sher, if I have almost natural IVF , only 2-3 follicles growing , and minimal dosage of Gonal and Menopur ( only few days), due to my age should I have Pregnyl (trigger) 10000 to prevent chromosomal abnormality of eggs or only 5000? I’m 41, small body size, my E2 is near 600.
Andrea,
In my opinion, it is suboptimal to “trigger” with 5,000U hCG. The dosage should be 10,000U.
Geoff Sher
hi i had 3 surgerys in 2015 than i did 9 months of lupron and than got on birth control i have been off all meds for 3 months and cant get pregnant why? my obgyn did an ultrasound and said there is no endo but my pain is unreal when i get my period this last time i couldn’t move i dont like to take pain meds i tried to fight the pain where do i go from here? thank you
Hi Sadie,
I think we best should talk. Please call Julie at 702-533-2691 and set up a Skype consultation with me to discuss everything in detail.
Geoff Sher