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.
development must advance to the expanded blastocyst stage. As of this morning, 1 embryo has developed into an expanded blastocyst and was frozen.
Dr. Sher: my wife and I love your website; thank you for being such an incredible resource. Was hoping you could help with a couple questions. We are on day 5 post ET and have 1 frozen blastocyst as of today. Should they be providing us “the grade”?
Also, the clinic says, “there are 5 additional embryos which are early blastocysts today and another 9 embryos which are developing but are very slow and have not reached the blastocyst stage”. They are watching them to see what happens tomorrow, apparently. What are the success rates of non-expanded embroys, or ones that expand on Day 6? Any advise would be much appreciated!
There are a variety of classifications for blastocysts. In summary a day 5 or day 6 expanded blastocyst with a cellular inner cell mass is good.
Good luck!
Geoff Sher
Hi Dr. Sher,
After 5 miscarriages, through testing, we found that I have elevated nk’s and hashimotos disease and my husband has very low morphology. We are also a full DQ alpha match. So we decided to use a sperm donor with Ivf and we were successful and had a full term son. I was also on prednisone, lovenox and intralipids. My question is, we’d like to have another baby and have frozen embryos. However, will I need to use a different sperm donor since I had a son? Did that trigger my immune system to fight off other embryos made with that same sperm donor or will it not have mattered? Thank you so much!
No! You would again have the same chance with your frozen embryos but would also again require the same immunotherapy with Steroids and IL.
Good luck!
Geoff Sher
I was wondering your thoughts on if you think an antagonist cycle without BCP and Lupron priming would be worth a try. I have low very low AMH 0.69, 38 years old and unsure of AFC but did have ovarian wedge resection to both ovaries due to PCOS last year. I am at the end of my first IVF cycle now. I was on BCP for 5 weeks and added Lupron 5 days before discontinuing. I am not sure the name of this protocol but I have done Follistim 225 then added Menopur 75 and eventually this dose was increased to 225 after 7 days of stims. I initially had 5 good size follicles at day 7 of monitoring, then decreased to 4 on day 10 and now day 12 only have 3 but all are good size. We are triggering at day 13 and continuing with the cycle. I have had several chemicals, a 10 week miscarriage, a 7 month fetal demise and 1 live birth. My NK cells is negative but my APA was positive so Lovenox was added to protocol. My question is do you feel it is worth a try to do a cycle without priming so long with BCP to see if we get a better response. I am already a SIRM patient currently in Dallas.
Let me add I love Dr. Saleh and completely trust him and the staff but just wondering your thoughts and thinking ahead incase this cycle is not successful.
I’m 25,last year April I got pregnant but after 6 week I got miscarriage..and doctor checked but nothing is problem…all reports came normal and after that 3 months I didn’t get my periods… Then from October I started bleeding continuesly and never stopped for one day also….and I checked with doctors and again all test are normal but she told me to get D&C done because bleeding continued for 3 months(all day spotting) not heavy periods but on normal period days it’s heavy for 4 days. On 29 January I got D&C. For 1 month I didn’t get periods after March till now I’m spotting. Again all test are normal.i dnt know what to do.( 5days spotting and 4 days not ). Please prefer me doctor
It is not possible to provide an authoritative opinion without access to much more information.
Geoff Sher
Dr. Sher, We are planning IUI#2 with Gonal F. Do you recommend double insemination over single insemination if cost is not a major concern. Also, what should the timings look like in both the cases post trigger? For double insemination, does it make sense to use a frozen sperm sample to ensure the 3 day abstinence for better sample for the second insemination? Do you suggest natural intercourse before and after insemination? Thanks a lot for your advice.
Some claim that a double insemination is preferable. In my opinion a single well-timed insemination done immediately prior to ovulation is qui]te adequate.
Geoff Sher