Ask Dr. Sher – Open Forum

22 Nov

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This is a forum where I welcome any questions you have on the topic of infertility, IVF, conception, testing, evaluation, or any other related topic.

I try to answer all questions in less than 24 hours. In many cases, I will answer within just a few hours.

– Geoffrey Sher, MD

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14,395 Comments

  • Tasha says:

    Hi Dr. Sher,

    I have PCOS and a good ovarian reserve. I have done IVF twice now. The first time there were 11 follicles, 10 eggs retrieved, 4 mature and only 1 fertilized. We transferred on Day 3 but it didn’t work. The second time, we had 20 follicles, 10 eggs retrieved and only 2 mature. Both the embryos have fragmentation, one is developing normally and the other is a slow grower. I have 2 questions.

    1. When I had 20 follicles, why were only 10 eggs retrieved?
    2. Why are so many of my eggs immature? Could I be triggered too soon?

    • Geoffrey Sher says:

      My website has changed. The new site is at http://www.sherIVF.com where I host and populate new and updated blog articles . The blog can also be accessed directly by going to http://goo.gl/4hvjoP. I currently respond to posts on this new site

      To find and follow updated and new blog articles and to post questions or comments, please use this new venue. I promise to respond promptly

      Geoff Sher

  • Nancy says:

    My husband and I are in our early 40s. I have consistent antral follicle count (between 10-15), normal day 3 FSH (between 5-7.5) and estrogen (<50). We have been doing some research and are impressed by your responses in your forum. Firstly, I read that some studies showed that triggering earlier (at 16mm rather than 19mm) may lead to better quality eggs for my age, due to lower chances of exposure to premature lutenisation. What is your view? Secondly, due to my scattered follicle sizes (as shown in repeated scans), I am wondering which protocol is more effective for synchronizing the follicle growth in my age– traditional long Lupron without birth control pills or luteal estrogen priming? Will these protocols be too suppressive for my ovaries for my age? Also, in your experience, are there any other disadvantages with these protocols? Thank you.

    • Geoffrey Sher says:

      My website has changed. The new site is at http://www.sherIVF.com where I host and populate new and updated blog articles . The blog can also be accessed directly by going to http://goo.gl/4hvjoP. I currently respond to posts on this new site

      To find and follow updated and new blog articles and to post questions or comments, please use this new venue. I promise to respond promptly

      Geoff Sher