The Perkins family in Texas delivered sextuplets last month. We congratulate the new parents and hope their newborns will all do well. They are going to be busy. Like many couples struggling with infertility, they sought help from a fertility clinic. It is pretty certain they did not set out to have sextuplets when they … Read more

In vitro fertilization (IVF) treatment is expensive and virtually no one contemplates undergoing treatment without first considering this. But with IVF there are really two components to this cost.  The first is financial and the second (usually the most burdensome) is emotional. The Financial Cost of IVF “Perception is reality.” Nothing could be truer when … Read more

Geoffrey Sher, MD
Executive Medical Director (SIRM)
Sher Fertility Clinic - Las Vegas

The process of going through an IVF stimulation cycle is hard to endure at the best of times. The strange mixture of medications, ultrasounds and the assorted probings and proddings which make up the cycle can be overwhelming at times. The process itself initially seems like a mixture of rocket science and magic and can … Read more

Gary M. Horowitz, MD
Medical Director (SIRM)
Sher Fertility Clinic - Central Illinois

When I walk out to the waiting room to call upon my patient for their appointment, I can always pick out the “first timers”. They are generally a couple, huddled in two corner seats, wide-eyed, with an anxious body posture. This always bothers me, because there is no need to be anxious or worry about … Read more

Albert Peters, D.O.
Medical Director (SIRM)
Sher Fertility Clinic
New Jersey & Lehigh Valley

“Unexplained IVF Failure” Please join Dr. Geoffrey Sher for a live webinar where he’ll discuss the three Root Causes of IVF Failure: Stimulation Protocols – how an individualized protocol of controlled ovarian stimulation can influence egg quality/quantity and contribute to IVF success. Egg/Embryo “Competence” – how chromosomal abnormalities of the egg/embryo can lead to repeated … Read more

Geoffrey Sher, MD
Executive Medical Director (SIRM)
Sher Fertility Clinic - Las Vegas

(CLICK CHART TO ENLARGE) In a field that is virtually devoid of regulation in the U.S., there is a real need for access to accurate and reliable IVF outcome statistics. But alas, this is not readily available. In fact, for over 20 years, the American Society of Reproductive Medicine (ASRM) and the Society for Assisted Reproductive Technology (SART) … Read more

Geoffrey Sher, MD
Executive Medical Director (SIRM)
Sher Fertility Clinic - Las Vegas

“Little of how we conduct IVF treatment is based on findings derived from “gold standard” randomized and controlled studies. They simply do not exist and, given the multitude of variables that influence IVF outcome, such studies would be virtually impossible to conduct reliably anyway. In fact if a book on IVF were to be constructed … Read more

Geoffrey Sher, MD
Executive Medical Director (SIRM)
Sher Fertility Clinic - Las Vegas

Here are a list of points I recommend that patients consider when contemplating tubal ligation reversal. One should be wary of what the proclaimed “success rates” are for tubal reversal; “success” should be measured in terms of live birth not just patency of the tube after surgery. The tubes may be open but not functionally normal; there … Read more

Peter Ahlering, MD
Medical Director (SIRM)
Sher Fertility Clinic - St. Louis

(This is the first in a two part series detailing my approach to IVF at SIRM.) Little of how we conduct IVF treatment is based on findings derived from “gold standard” randomized and controlled studies. They simply do not exist and, given the multitude of variables that influence IVF outcome, such studies would be virtually impossible to … Read more

Geoffrey Sher, MD
Executive Medical Director (SIRM)
Sher Fertility Clinic - Las Vegas

Many doctors perform a laparoscopy for infertile women or “want to check that everything is ok prior to IVF”. Unfortunately, while it sounds effective, this is another useless procedure. I advise you to avoid it, no matter what your insurance covers. The reasons are simple: most of the time nothing is found, and even when … Read more

Walid Saleh, MD
Medical Director (SIRM)
Sher Fertility Clinic - Dallas

The issue of whether to apply CGH technology to the testing of day-3 versus day-5 embryos and/or whether metaphase CGH (mCGH) or array CGH (aCGH) should be the preferred method used for testing eggs and embryos for their “competency” continues to rage. Central to this debate are several considerations. Fresh versus Frozen embryo transfers of CGH tested embryos:Is it … Read more

Geoffrey Sher, MD
Executive Medical Director (SIRM)
Sher Fertility Clinic - Las Vegas

by Walid Saleh, MD The short answer: It depends when they are measured. 1) Early Pregnancy Because serum progesterone is a reflection of progesterone production by the corpus luteum, which is stimulated by a viable pregnancy, it is helpful as a screening tool to rule out an abnormal pregnancy like a miscarriage or tubal pregnancy. … Read more

Walid Saleh, MD
Medical Director (SIRM)
Sher Fertility Clinic - Dallas