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.
I have an ultrasound which indicates 5 weeks pregnancy . Now having brown spotting . Consulted with doctor , he advised for the bed rest until next ultrasound . Is this needs to worry??
Painless mild bleeding in early pregnancy is often quite innocent. However, only time will tell!
Good luck!
Geoff Sher
Hello Dr Sher,
I’m 33yo, my CD3 FSH is 7.16 and my CD3 AMH is 4.55. Is this AMH normal for my age or too high? I have never been told I have PCOS nor do I have any of the classic symptoms.
It can be quite normal and alone, does not indicate PCOS. You would need to be fully evaluated to make such a dertermination.
Geoff cSher
Hi, I am 40 years old and have Diminished Ovarian Reserve. I have had three miscarriages. The last one was at 6 weeks after FET with a chromsomally normal embryo. I had a PE 6 years ago so I have used Lovenox with these failed pregnancies. Do you think I should get tested for Immunologic Implantation Dysfunction.? What test do I need to have done? Are these type of tests covered by insurance?
Hi Dr. Sher,
I’m 41 years old undergoing my 4th Donor Egg IVF early December. I’ve seen an RI and have my results back along with an immune protocol. Prednisone – Aspirin – Heparin – IVIG. My insurance might not cover IVIG and we can’t afford to do more than 2 or 3 infusions so I’m thinking Intralipids. I read somewhere that Intarlipids might not work for certain people with unnaturally high cytokine
levels. I’m having a hard time interpreting my cytokines results which are T-Cells 14.5 and B-Cells 10.0. What do these levels mean? Are they very hight so intralipids will nor work in my case? What do you think about intralipids versus IVIG? Thanks in advance.
In my opinion, intralipid therapy is equally effective as IVIG.
Good luck!
Geoff Sher
Dr. Sher
I’ve been told that it is better for embryo/egg quality to have appropriate response to stimulation early in the cycle and have to decrease the stim meds (gonal F and menopur in my case) vs. starting low and needing to increase. Do you find this to be true in your practice?
Also, do you use metformin in highish responders (29 eggs) who do not have any symptoms of PCOS (no insulin resistance, regularish periods 29-34 days, normal BMI, AMH 5 @ 32 years old) to improve egg/embryo quality?
Thanks,
Marie
In my opinion, it is preferable to start at a higher dosage and reduce the dosage after 2-3 days.
I am not in favor of Metformin therapy in the absence of biochemical evidence of hyperinsulinemia!
Geoff Sher