Embryo transfer (ET) is undoubtedly the single most important step in IVF. It takes confidence, dexterity, skill and timing to optimally perform ET. Of all the procedures conducted in IVF, embryo transfer is the most difficult to perfect. Sadly, far … Read more
When it comes to the selection of ovarian stimulation protocols for older women and those who have DOR there is in my opinion, no justification for the use of a “one size fits all” or “recipe approach”. I firmly believe … Read more
All gonadotropin releasing hormone (GnRH) agonists act by rapidly expunging reservoirs of follicle stimulating hormone (FSH) and luteinizing hormone (LH) from the pituitary gland. GnRH agonists can be administered by intramuscular injection (e.g. Lupron, Buserelin) or through intranasal administration (Nafarelin, … Read more
Today, due to a myriad of factors, IVF is regarded as one of the main thoroughfares for helping couples achieve the goal of creating a family. However, no two IVF candidates are exactly alike and there is no single approach … Read more
Background: CJ, a 34-year-old, and her husband RJ, age 35) presented to me with a six-year history of infertility. Based on semen analysis, RJ, who had initiated two pregnancies in a prior relationship, was found to be perfectly fertile. … Read more
Background: “Jamie” consulted with me when she was 34 years of age, after 3 years of failed treatment and a diagnosis of “unexplained infertility.” A laparoscopy had revealed her to have mild (Stage 1) endometriosis, which was … Read more
One of the commonest questions asked by patients undergoing IVF relates to the likelihood of their eggs fertilizing and the likely “quality of their embryos. This is also one of the most difficult questions to answer. On the … Read more
There is nothing more stressful to patients and to caring physicians than dealing with recurrent early pregnancy losses (RPL). There is also no greater imperative in such cases than to carefully identify the underlying cause that without which successful … Read more
“Over the years we have performed IVF on many patients that often journeyed from as far away as, France, South America, China, Europe, Africa, Central/South America, Canada, Japan, the Middle East, Russia, etc. Almost all have been surprised at the … Read more
Unlike virtually every other form of medical treatment in America, IVF is largely not covered by insurance. To make matters worse, patients often require more than one attempt to have a reasonable chance for success and the majority of … Read more
Sher-IVF Success Rate
IVF SUCCESS RATE EXPRESSED AS VIABLE PREGNANCY RATE PER EMBRYO TRANSFERRED (PRPE): A PROPOSED NEW PRADIGM FOR IMPROVED AND VERIFIABLE REPORTING OF IVF STATISTICS
Genetically Testing IVF Embryos
A Case for Transferring Blastocysts on Day 5-6 Post-Fertilization Rather Than on Day 2-3 as Cleaved Embryos.
Management of Immunologic Implantation Dysfunction (IID)
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