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 Dr Sher,
How much does AFC vary month to month?
Not much!
Geoff Sher
Hello Dr Sher,
For an all freeze IVF cycle on a woman with elevated NK cells ( from endometriosis) and no other issues, is there any point in doing the steroids and IL during the cycle of egg retrieval? Or only during the FET cycle? Thank you
Probably not much value because there are othe factors with endometriosis that reduce fecundity;
Geoff Sher
Hi Dr Sher,
I have abnormal embryos which you reviewed and said could potentially be transferred.
I discussed this with my RE and he all but said I was chasing a unicorn. He seemed to think that there are less than a hundred cases of this working world wide. He predicted my best bet would end up pregnant but then miscarriage. Yet something in my gut says I should explore it more. You must know more about the success of abnormal embryo transfers than anyone- can you let me know what kind of success you are seeing. I can only image since these reports were published that a large number of women have tried abnormal embryos. Are you seeing success at your clinic or aware of other clinics having success. When I have googled this I have only found three personal cases on on all the fertility blogs.
I respectfully would disagree with the advice given you in this regard.
Geoff Sher
Can Lupron injections be given at the clinic? Are there alternatives for needles? If I can carry a baby but choose a surrogate will I still have to take all of the medications for my egg extraction? What medication will I need to take for the egg extraction process, how long will I need to take each med, and what forms do they come in? Will anything at all change with the meds if I’ve been on birth control for awhile? If I ever have to stop taking birth control while getting ready for egg retrieval how soon can I go back on it? Most importantly can the trigger shot be given to me by a doctor or nurse from the clinic because I don’t trust anyone to give me a shot if they’ve never done it before and I have shaky hands so is there any chance someone else with experience could give me any and all necessary shots? Especially since I really want to have my own baby but it’s along story of why I can’t! So please I hope you respond to all my questions thank you.
Hi Shaina,
I cannot answer as to what your chosen clinic could/would do, but within limits, we would help with the injections to our patients. Lupron cannot be taken orally or vaginally. It has to be by injection. I cannot go into the exact protocol for ovarian stimulation here. Nor can I expound on the actual extraction because this would differ from clinic to clinic.
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
•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 done 5-6 Days Following Fertilization are Fast Replacing Earlier day 2-3 Transfers of Cleaved Embryos.
•Embryo Transfer: The “Holy Grail in IVF.
•Frozen Embryo Transfer (FET): A Rational Approach to Hormonal Preparation and How new Methodology is Impacting IVF.
•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.
•Avoiding High Order Multiple Pregnancies (Triplets or Greater) with IVF
•The Role of Nutritional Supplements in Preparing for IVF
If you are interested in seeking my advice or services, I urge you to contact my concierge, Julie Dahan ASAP to set up a Skype or an in-person consultation with me. You can also contact Julie by phone or via email at 702-533-2691/ Julied@sherivf.com You can also apply online at http://www.SherIVF.com .
*FYI
The 4th edition of my newest book ,”In Vitro Fertilization, the ART of Making Babies” is available as a down-load through http://www.Amazon.com or from most bookstores and public libraries.
Hi Dr Sher,
I had a frozen five day blastocyst transfer on October 1th. My first Beta was 367 on Oct 11, ten days after the transfer and it doubled to 768 on October 13th, twelve days after transfer.
It seems the Beta is very high for a single transfer. I m concerned that the embryo could have split and i m pregnant with twins.
My question is, Is this a normal HCG level for a singleton?
Thanks
No, I think this is likely a singleton. I could be wrong though!
Good luck!
Geoff Sher