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,
When starting BCP priming for IVF, what type of BCP is used…is it always mono- phasic BCP that’s used for 10 days till onset of period??
Thank you so much for your wonderful blog.
Monophasic and used for at least 10 days.
Geoff Sher
Dear Dr, Sher
I have read the different protocols you have suggested for patients who are aged over 40 with DOR and I wanted some advice regarding my case. I am 43 with severe DOR. I intend taking BCP for 6 days about a week after ovulation, stopping BCP and immediately starting Estrogen patches the following day for 2 days till start of period. Soon after period starts, starting Gonal F 450 for 5 days with Ganirelix and then reduce dose of Gonal F add 75 Menopur + Ganirelix for remaining days till trigger. I wanted some advice on this combination.
Hi Carrrey,
I do not feel comfortable critiquing your treating physician under whose expertise you currently are being managed.
Please visit my new Blog on this very site, http://www.DrGeoffreySherIVF.com, find the “search bar” and 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 promptl
•Controlled Ovarian Stimulation (COS) for IVF: Selecting the ideal protocol
•Ovarian Stimulation for IVF using GnRH Antagonists: Comparing the Agonist/Antagonist Conversion Protocol.(A/ACP) With the“Conventional” Antagonist Aproach
•IVF: Factors Affecting Egg/Embryo “competency” during Controlled Ovarian Stimulation(COS)
•Anti Mullerian Hormone (AMH) Measurement to Assess Ovarian Reserve and Design the Optimal Protocol for Controlled Ovarian Stimulation (COS) in IVF.
•The “Biological Clock” and how it should Influence the Selection and Design of Ovarian Stimulation Protocols for IVF.
•Diagnosing and Treating Infertility due to Diminished Ovarian Reserve (DOR)
•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?
If this cycle does not end with a viable pregnancy and you then wish to discuss your case with me, please call 702-699-7437 or 800-780-7437 or go online on this site and set up a one hour Skype consultation with me.
I also suggest that you access the 4th edition of my book ,”In Vitro Fertilization, the ART of Making Babies”. It is available as a down-load through http://www.Amazon.com or from most bookstores and public libraries.
Geoff Sher
Dear Dr Sher,
Forgive me for asking a question that perhaps I should know by now after doing 4 cycles but I cannot understand the difference between BCP and Estrogen and how they work in IVF. What determines what is more effective for older women with severe DOR and extremely poor follicle count? My last 3 cycles Estrogen patches were given prior to IVF start and I cannot understand why Estrogen patches are selected in some cases rather than BCP? How do you determine what to give to whom and how does each work on the body and follicles?
The protocols used by different physicians can differ. While precycle estrogen works like a BCP (which contains an estrogen —-and a progesterone), I prefer prescribing the BCP. I only prime with estrogen in cases of very severe DOR and then I start after a BCP-induced period.
Please visit my new Blog on this very site, http://www.DrGeoffreySherIVF.com, find the “search bar” and 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 promptl
•Controlled Ovarian Stimulation (COS) for IVF: Selecting the ideal protocol
•Ovarian Stimulation for IVF using GnRH Antagonists: Comparing the Agonist/Antagonist Conversion Protocol.(A/ACP) With the“Conventional” Antagonist Aproach
•IVF: Factors Affecting Egg/Embryo “competency” during Controlled Ovarian Stimulation(COS)
•Anti Mullerian Hormone (AMH) Measurement to Assess Ovarian Reserve and Design the Optimal Protocol for Controlled Ovarian Stimulation (COS) in IVF.
•The “Biological Clock” and how it should Influence the Selection and Design of Ovarian Stimulation Protocols for IVF.
•Diagnosing and Treating Infertility due to Diminished Ovarian Reserve (DOR)
•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?
If tyou then wish to discuss your case with me in detail, please call 702-699-7437 or 800-780-7437 or go online on this site and set up a one hour Skype consultation with me.
I also suggest that you access the 4th edition of my book ,”In Vitro Fertilization, the ART of Making Babies”. It is available as a down-load through http://www.Amazon.com or from most bookstores and public libraries.
Geoff Sher
Dear Dr Sher,
I have found in my case that without primming I make more follicles but like so many my LH fluctuates. With primming I make just one follicle and LH fluctuates anyway. Why does follicles reduce when primmed rather than starting stims with start of period without priming?
Hi Hilda…this likely all depends on how the priming with estrogen is implemented.
Please visit my new Blog on this very site, http://www.DrGeoffreySherIVF.com, find the “search bar” and 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 promptl
•Controlled Ovarian Stimulation (COS) for IVF: Selecting the ideal protocol
•Ovarian Stimulation for IVF using GnRH Antagonists: Comparing the Agonist/Antagonist Conversion Protocol.(A/ACP) With the“Conventional” Antagonist Aproach
•IVF: Factors Affecting Egg/Embryo “competency” during Controlled Ovarian Stimulation(COS)
•Anti Mullerian Hormone (AMH) Measurement to Assess Ovarian Reserve and Design the Optimal Protocol for Controlled Ovarian Stimulation (COS) in IVF.
•The “Biological Clock” and how it should Influence the Selection and Design of Ovarian Stimulation Protocols for IVF.
•Diagnosing and Treating Infertility due to Diminished Ovarian Reserve (DOR)
•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?
If you wish to discuss your case with me, please call 702-699-7437 or 800-780-7437 or go online on this site and set up a one hour Skype consultation with me.
I also suggest that you access the 4th edition of my book ,”In Vitro Fertilization, the ART of Making Babies”. It is available as a down-load through http://www.Amazon.com or from most bookstores and public libraries.
Geoff Sher
Hello i have my ist ivf cyle in march the egg transper was on 14 march then Blood test on 24 which was 6.7 then again blood test on 29 march was 38 the third time blood test was 36.7 on 31march is there any chance to get pregnant still am normal no periods..
It does not look promising. This is unfortunately likely to be a failed implantation.
Sorry!
Geoff Sher