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.

19,771 Comments

  1. Hi Dr Sher, today I had a scab which found a 27mm follicle on legt ovary and 17, 20 and 21mm follicles on right ovary. But today is cycle day 5 of a natural cycle. What is going on here? My day 3 estrogen was 131 and LH was 1.1. Sonographer and doctor confirmed none of them are cysts.. is this what happens in women with DOR? What do I makd if this? If I normally ovulate on cd14, these follicles are going to end up being > 30mm.. Surely this is not good?? I’m not on any stimulation at all..

    • I should add that this cycle follows a failed IVF antagonist cycle.

    • Respectfully, this is an hormonally dysfunctional cycle and the large follicles so early on are becoming “cystic”. It might not happen again. It is more common after a prior cycle of stimulation and is one of the reasons I have my patients rest a full cycle after being stimulated, before undergoing another stimulation.

      Geoff Sher

  2. Quick question. Do you know of any link between undiagnosed celiac disease and NTD?
    I have not been able to conceive for over 4 years with IVF. Finally got pregnant this summer and baby was diagnosed with anencephaly at 16 weeks. I’m a very healthy eater and took prenatal vitamins with 1000mcg daily. I know I do not absorb B12 well, as I have been on monthly injections for years now. Do you ever test for celiac?

    • I am not aware of such a link…have not heard of it!

      Geoff Sher

  3. Hi Dr Sher, it has been suggested that taking natural progesterone (Prometrium) orally along with vaginal progesterone pressaries during the luteal phase helps avoid early recruitment of follicles. Is this true?

  4. Hi Dr Sher , I have frozen embryos in a lab in different state from where I live.
    I found out I can transfer them and do the Fet in different clinic close to where I live now , is about 6 hours flight difference, I want to ask you if do you think it is safe to the embryos to do that . Or do you think it’s better to do the fet there ! All I want is to succeed, thank you

    • Frozen embryos can travel quite safely.

      Geoff Sher

  5. Dear Dr Sher ,
    I have left with 2 frozen embryos, want to ask you if you recommend to transfer both of them together, or to try one embryo at a cycle .
    I’m asking because I don’t want to to have twins . But from the other side I want to do the best to have a child . And in the past I tried one cycle with 2 embryos Fet , it’s didn’t work . Than second time I transferred also 2 embryos fet and I have one child from it ,thanks god .
    Please advice me what to do , I appreciate your time and efforts to answer me

    • The overall cumulative chance of success is not associated with how many embryos are transferred. It may take longer (>1 try) but in the end it is “embryo competency” that counts. So…you can transfer 1 at a time with the same overal chance of success!

      Good luck!

      Geoff Sher