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.
Dear Dr Sher, I just had my 3rd egg retrieval and it failed – 9 collected and only 3 mature. I am so devastated. My 1st and 2nd collections were great (12 collected/ 10 mature; 13 collected/13 mature). I stimmed for 13 days both times but this time my RE was in a hurry to collect cos of a prior weekend engagement. My RE admits he made a wrong call triggering me with only 1 follicle despite my past history of stimming for 13 days .
I really want to do another collection immediately before the year runs out and my insurance ends.
A) In your experience, is it ok to immediately start stims with my retrieval bleed? I am thinking that since my antrals were recently exposed to gonadotropins, starting stimulation immediately might help us get more eggs, and more mature quickly too. Is my thinking correct?
B) Or you think i could do about 7 days of bcp when my period comes (in about 5-8days) and then start the injections 3 days after stopping the pills. I am thinking that the pills might help resolve any cysts that might appear after our retrieval?
C) Or you think i should just skip the OCP and just start stims on day 3 of bleed?
Please kindly advice sir.
i meant trigger me with only 1 LEAD follicle. I had 11 follicles but only 1vat 18mm rest were smaller on last scan day of trigger
A) In your experience, is it ok to immediately start stims with my retrieval bleed? I am thinking that since my antrals were recently exposed to gonadotropins, starting stimulation immediately might help us get more eggs, and more mature quickly too. Is my thinking correct?
A: No! I would rest one cycle first.
B) Or you think i could do about 7 days of bcp when my period comes (in about 5-8days) and then start the injections 3 days after stopping the pills. I am thinking that the pills might help resolve any cysts that might appear after our retrieval?
A: Same answer.
C) Or you think i should just skip the OCP and just start stims on day 3 of bleed?
A: Same answer.
Geoff Sher
Hi Dr Sher
I’m 37 years old and my husband is 43 we have been TTC for over 7 years. We had tests done after a year of trying and they were all clear and we were diagnosed as unexplained infertilty although they did say my husband has slightly lower motility sperm but it shouldn’t cause problems. We staarted IUI treatment and had 5 rounds within 1 year. 1st round abandoned due to overstimulation, 2nd round failed, 3 round abandoned again due to overstimulation, 4th round negative PT after 2ww and 5 th round failed 2 days after procedure. We then had to wait over a year for NHS IVF. In the meantime I went to reflexology and a nutritionist who put me on a candida cleanse diet before starting my 1st round of IVF. I had initial blood tests done by the clinic and my AMH levels were 25.2 My 1 st round of IVF I used suprecur spray and gonal f injections on a long cycle and hyperstimulted so had an all freeze. I produced 20 eggs of which 18 fertilized and ended up with 5 blasto’s frozen on day 5. 3 months later I had an FET using suprecur and progynova with crinone gel and was implanted with one blasto ( the 1st 2 died during the thaw)- had positive HCG test but miscarried at 6 weeks. I was hospitalized as I had a severe haemorrage and problems with blood clot after. i started going for accupunture and I then had another FET using one blasto as the other one died during the thaw which failed and was left with none. Last year I had a private fresh IVF cycle on a short protocol using 2 injections daily and tablets instead of spray. I suffer from migraines and I found this cycle much easier as I always get severe migraines with my other cycles. I had an endo scratch and I retrieved 11 eggs of which 10 fertilized. I ended up with 2 5 day blasto’s and had 1 implanted and got a positive PT. I had a scan at 7 weeks and continued with accupunture and Chinese herbs. I then had a scan at 11 weeks and they weekend to think it was healthy although they were adamant I was 2 weeks earlier than what I was. I knew I couldn’t be as I had IVF but they said the baby looked good and had a sting heartbeat. At 12 weeks I had some minor spotting I decided to get checked out and they said there was no heartbeat. I went in for a medically managed miscarraige the following day and ended up with sepsis so I was in hospital for a week… I also had problems with a blood clot after as well and then I found out that I am rhesus negative. In July I started attending an arvigo therapist and I had an FET cycle with an endo scratch which failed. At the moment I’m trying to decide if it’s worth another go. My arvigo therapist has me on folapro and essential pregamancy multi vitamins and a female tonic and my husband has male multivitamins, antioxidents and a male tonic. Is there anything else you suggest?
Hi Dr Sher, I was so impressed by your website and I have read pretty much everything on there! I just purchased your updated ebook on Amazon! I haven’t started reading it yet, but can I assume it contains even more information than what’s on your website? Very excited to read it! I couldn’t resist buying it even though I have been doing IVF for 2.5 years without success. Thank you!
Thank you so much for your kind words Simone!
Geoff Sher
Hi , I accidentally took low dose baby aspirin today and tomorrow morning i am having egg retrieval. will that be an issue
Be sure to inform your RE, because this can increase bleeding at ER.
Good luck!
Geoff Sher
Dear Dr Sher,
I am having a frozen embryo transfer abroad, and want to exclude any negative impacts possible. My flight home is 20 hours in the air plus 2 short transits. I suspect the changes in pressure and altitude can have some physical impact on an embryo trying to implant. I don’t know how significant but want to cover all my bases.
Is it best to fly immediately on the day of transfer, to be home quickly before implantation has happened (and the embryo is still “rattling around”), or try wait 4 days to fly when implantation hopefully has already completed?
I could also look at taking a single 12 hour transit halfway instead – which lengthens the total journey time but cuts out one landing and takeoff, in case that causes the most disruption.
Can you offer any thoughts or guidance on this, I have read so much conflicting advice I don’t know what to do in this one variable within my control!
Thank you so much!
The motility of my patients fly in and out. I would wait for the day following the FET and then fly home. The cabins are pressurized…there is no problem.
Geoff Sher