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.
Can vaginal viagra improve the lining after oocyte retrieval? Would it cause adverse reaction or reduce chances of implantation after embryo transfer?
No! It must be administered prior to the trigger or initiation of progesterone injections.
Geoff Sher
What is your success rate for the AA/C protocol for women aged 35-36?
About 40% pregnancy rate but that very much is affected in both directions by individual patient circumstances, especially by ovarian reserve. My practice is heavily and atypically weighted towards women with DOR and those with recurrent IVF failures and such cases can be tough.
Geoff Sher
Hi Dr. Sher,
I’m doing my next FET early December with prednisone, heparin, aspirin, and Intralipids. What do you think about taking probiotics supplements and prebiotics/fermented foods every day. Should I stop taking them altogether since they increase NK cells?
I don’t think it will have any adverse effect!
Geoff Sher
If there is no sperm issues, but the woman is 41, do you prefer ICSI over conventional IVF or is it best to stick to ICSI? Does it really increase the fertilisation if you use ICSI? Most clinics recommend ICSI for women over 40. Is this the same in your clinic?
Hi Dr Sher, I just read your new DOR article (published 25 Oct 2017), in it you say “The incidence of egg aneuploidy increases with age such by age 39 years, 3 in 4 are competent, and by the mid-forties, less 8 to 9 out of 10 are aneuploid.” Is it really the case that 3 out of 4 eggs are euploid at the age of 39?? I would have thought that that was a pretty good statistic. Is this your finding from your agonist/antagonist conversion protocol? Also, when do you use A/ACP and A/ACEP??
Just to clarify my question, in what circumstances do you use A/ACP and in what circumstances do you use A/ACEP? Is it when estrogen levels are low that you would suggest A/ACEP?
No…3:4 are aneuploid and by the mid-40’s 8:9 are likely to be aneuploid.
Geoff Sher