Your Trusted Fertility Clinic In New York, NY

Your Journey. Your Family.

At Sher Fertility Solutions, we understand that each patient is unique. Everything we do is customized to you and your specific needs.

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Su clínica de fertilidad de confianza en New York, NY

Tu viaje. Tu familia.

En Sher Fertility Solutions, entendemos que cada paciente es único. Todo lo que hacemos está personalizado para usted y sus necesidades específicas.

Group photo of the Sher Fertility Solutions clinic team

Nuestros Servicios

Fertilización In Vitro (IVF)

La Fertilización In Vitro (IVF) es uno de los tratamientos de fertilidad más efectivos. Este proceso implica la combinación de óvulos y espermatozoides en un laboratorio para crear embriones, que luego se transfieren al útero. Más información sobre IVF

Inseminación Intrauterina (IUI)

La Inseminación Intrauterina (IUI) es un procedimiento menos invasivo en el que se colocan espermatozoides directamente en el útero durante la ovulación. Es una opción popular para parejas con problemas leves de fertilidad. Más información sobre IUI

Congelación de Óvulos

La Congelación de Óvulos permite a las mujeres preservar su fertilidad para el futuro. Este procedimiento es ideal para aquellas que desean retrasar la maternidad por razones personales o médicas. Más información sobre Congelación de Óvulos

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Si está interesado en tener una consulta sobre tratamiento de fertilidad con uno de nuestros médicos, por favor complete este formulario

Su clínica de fertilidad de confianza en New York, NY

Five Start Rating

Your Trusted Fertility Clinic in New York, NY

Five Start Rating

Your Trusted Fertility Clinic in New York, NY

The Best of Dr. Sher on The Egg Whisperer Show

Our Services

Infertility diagnosis/treatment

The causes of infertility are multiple and are often difficult to define but may include anatomical conditions involving tubal patency and/or function as well as diseases of the testicles and/or or sperm ducts, dysfunctional levels of certain hormones in both men and women, and ovulation difficulties in women.

Recurrent miscarriage diagnosis/treatment

The time has come to embrace the reality that the term “unexplained” is rarely applicable to 1) infertility of unknown cause, 2) repeated IVF failure, and 3) recurrent pregnancy loss (RPL). More often than not, rather than being “unexplained,” the condition is simply ignored and as such remains “undiagnosed.” All that is needed is to investigate and treat the issue appropriately in order to solve the problem.

Egg freezing for future fertility

There are many reasons why patients may need to preserve their fertility. For some, it may be a focus on education and career delays and for others it may be due to an illness. Although the decline in reproductive potential that occurs with age cannot be reversed, freezing your eggs at a younger age may allow the eggs to be preserved until you are ready to conceive. While there are no guarantees, using cryopreserved eggs may improve your chances for pregnancy in the future.

Testimonials

Ask Our Doctors

Dear Patients,
I created this forum to welcome any questions you have on the topic of infertility, IVF, conception, testing, evaluation, or any related topics. I do my best to answer all questions in less than 24 hours. I know your question is important and, in many cases, I will answer within just a few hours. Thank you for taking the time to trust me with your concern.

– Geoffrey Sher, MD

Name: Lisa-Marie E

Hello Dr. Sher

I am 39, childless and I’m currently undergoing IVF in Portugal. I have had 4 miscarriages in the past (2 clinical and 2 chemicals). On my last scan, my AFC was 15. My AMH is 1.24.

I would like to make and store as many embryos as possible in back-to-back retrievals, as we will be doing PGTA testing on the embryos and I know many of them will be abnormal.

However, in Portugal, as soon as you have a fertilised egg, you are legally not allowed to retrieve more eggs.

This means if I do back to back retrievals, we have to freeze the eggs from the first round and then fertilise them with the eggs harvested from the second round. If we do three retrievals, we have to freeze the eggs from the first 2 rounds and then fertilise them with the eggs retrieved from the 3 round, and so on and so forth. We can do as many retrievals as we like, but as soon as any batch is fertilised, we’re not allowed to do more.

Our options are:

1.) Collect as many eggs as we can from 2 or 3 or 4 rounds, but with the risk that we lose some in the freezing and thawing process. Pro is that we can collect more eggs to fertilise in one shot and hopefully this results in more embryos.

2.) Fertilise the eggs from the first round to reduce risk of egg loss. But that means we have to go through the entire process: fertilise, wait for day 5 embryos, PGTA testing and also transfer (if we make it that far). Only once all the embryos have been used or have failed, can we retrieve again. Given the attrition rate, it seems unlikely the first round will produce anything.

Currently, I am leaning towards collecting as many eggs as possible in 3 to 4 rounds. But a lot of people are saying that egg freezing at my age is too risky – that the eggs are too fragile.

What is your opinion on this? Thanks so much

Answer:

I concur. I would collect as many eggs as possible in advance.

Empowering Choices: Embryo Banking vs. Egg Banking for Fertility Preservation

Geoffrey Sher MD

It’s crucial for women to make informed decisions about preserving their fertility. Delaying trying to conceive, relying on egg freezing, or assuming the biological clock can be paused are misconceptions. As women age, egg quality declines, affecting the chance of a successful, healthy pregnancy.

Let’s break down the key points:

  1. Age and Egg Quality: As women progress past their mid-thirties, the quality of their eggs declines rapidly. This impacts conception rates, leading to higher miscarriage and chromosomal abnormalities like Down syndrome.
  2. Comparing Chances:
    • At 30, the natural conception rate is around 15-20%, with a 10-15% miscarriage rate and a 1:1000 chance of Down syndrome.
    • At 45, natural conception drops to 1-2%, with a 50-60% miscarriage rate and a 1:40 chance of Down syndrome.
  1. IVF and Age:
    • IVF success rates are better at younger ages, with a 50-60% conception rate for 30-year-olds and a 3-5% chance for 45-year-olds.
    • However, IVF doesn’t eliminate the increased risk of miscarriage or chromosomal abnormalities as women age.
  1. IVF Realities:
    • The success of IVF dramatically decreases with age, making informed decisions crucial.

Preimplantation Genetic Screening (PGS)/Preimplantation Genetic Testing for aneuploidy (PGT-A) is a breakthrough in fertility treatment, aiding the selection of the most viable embryos for a successful pregnancy. By analyzing all chromosomes, it significantly boosts the success rates of IVF. PGS/PGT-A not only increases the chance of a healthy baby per embryo transfer but also reduces the risks of miscarriages and chromosomal birth defects, regardless of the woman’s age.

Who Benefits from PGS/PGT-A?

PGS/PGT-A) has revolutionized embryo evaluation, especially for those facing unexplained IVF failure, infertility, recurrent pregnancy loss (RPL), and older women with diminished ovarian reserve (DOR).

Empowering Older Women: Embryo Banking

PGS/PGT-A is especially beneficial for women over 39 years of age and those with DOR, as it allows the storage (banking) of healthy embryos over multiple cycles, countering the ticking biological clock.. Selective banking of PGS-normal embryos over multiple cycles is a game-changer. It minimizes the impact of age on egg quality, giving these women a chance to make the most of their remaining time to conceive a healthy baby.

Egg Freezing: Factors to Consider

Eggs are vulnerable cells, and freezing a single egg is less effective than freezing a multi-cellular embryo. Additionally, a significant portion of eggs (especially in older women) have chromosomal abnormalities. This makes egg freezing less efficient and  embryo freezing, far more successful, especially when selectively freezing PGS/PGT-A-normal blastocysts.

Choosing the Right Path

Importantly, considering the decline in reproductive potential with age, it’s essential for women and couples to explore their fertility options before the age of 35. An aggressive approach, like moving to assisted reproduction and IVF can significantly improve outcomes. For younger women (<35y) who have normal egg reserves, especially those who are not married,  have not as yet settled on la “permanent” male partner or a do not feel secure with their existing male partner fathering a child with them might preferentially choose egg freezing . Conversely,  women who are comfortable with a designated male partner, older women and those who have DOR might rather select embryo banking.

In the choice between egg and embryo freezing, caution is advised. Current methods for egg selection lack chromosomal analysis. Conversely the performance of PGSGT-A allows for identification of the healthiest embryos for subsequent FET..

Either way, “timing” is a very important consideration.

By understanding these options, you can make an informed decision to maximize your chances of a healthy, happy family. Remember, knowledge is power in the journey to parenthood.

_____________________________________________________________________

Herewith are  online links to 2  E-books recently  co-authored with  my partner at SFS-NY  (Drew Tortoriello MD)……. for your reading pleasure:

  1. From In Vitro Fertilization to Family: A Journey with Sher Fertility Solutions (SFS) ; http://sherfertilitysolutions.com/sher-fertility-solutions-ebook.pdf

 

  1. Recurrent Pregnancy Loss and Unexplained IVF Failure: The Immunologic Link ;https://drive.google.com/file/d/1iYKz-EkAjMqwMa1ZcufIloRdxnAfDH8L/view

 

I invite you to visit my very recently launched “Podcast”,  “HAVE A BABY” on RUMBLE;   https://rumble.com/c/c-3304480

If you are interested in having an online consultation with me, please contact my assistant, Patti Converse at 702-533-2691 or email her at concierge@sherivf.com\

 

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Our Team

The emphasis we put on innovative, state-of-the-art technology began with our founder, Dr. Geoffrey Sher, one of the pioneers in the field of IVF, who has been influential in the births of more than 17,000 IVF babies. Dr. Sher plays an active role alongside our medical director, Dr. Drew Tortoriello. Together they have over 55 years of clinical and academic experience in the field of Reproductive Medicine.

Together, they were the first to introduce Preimplantation Genetic Testing which vastly increases the chances of IVF success and is now performed worldwide. They also pioneered the testing and treatment of Immunologic Implantation Dysfunction (IID) that frequently leads to “unexplained” infertility, repeated IVF failure, and recurrent miscarriage. We’re able to conduct a variety of other treatments and tests right on site. For example, we offer on-site sperm testing to ensure proper sperm selection techniques are used to create the healthiest possible embryos.

For those women seeking to preserve their fertility, we offer vitrification, a state-of-the-art technology that ensures their eggs will ultimately be thawed successfully.

From the moment you walk into our state-of-the-art New York fertility clinic, you’ll feel the warmth and compassion that will define your experience with us. Drew Tortoriello, MD serves as our Medical Director. He’s an outstanding fertility specialist that you’ll find to be caring, compassionate and personable.

When you receive fertility treatment with us, your doctor will participate with hands-on management of your case throughout your treatment. We’ve gained a reputation of being the place to turn to when all other treatment options have failed, and patients are searching for hope and fresh alternatives.

TL;DR:

  • Our doctors are among the best in the world, with over 55 years of combined experience
  • Together, they pioneered several tests and treatments that can help where other treatments have failed
  • We do many tests right here at the clinic, which means faster results and ensures proper techniques are used
  • Your doctor will be with you at every step of your treatment
  • Everyone here will get to know you during your treatment so you won’t just feel like a number
  • We’re known for being the clinic to go to when all other treatments have failed

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