Geoffrey Sher

I did 4 retrievals and 1 transfer with Dr. Sher at his Nevada clinic. He was present at every appointment, unfortunately that did not prove out to be a positive for me. It has taken several years for me to come to terms with the fact that I felt violated repeatedly during my pelvic ultrasounds. I've had dozens of pelvic ultrasounds with other doctors and they always stand to my side when inserting the probe. Dr. Sher would sit between my legs, and instead of asking me to "scooch forward a few inches", would grab my hips/butt and pull me toward him. This happened on multiple occasions. When you are going through IVF you're already in such a vulnerable situation, I just ignored it and didn't realize how violating this was until I found a doctor that truly respects my body autonomy and the importance of medical consent. Another big disappointment came when I realized the published success rates on the CDC site for my age & diagnosis were SIGNIFICANTLY lower than the success rates he quoted for me at our initial consult. Success rates from person-to-person and clinic-to-clinic can be hard to compare, but the lack of consistency was a major red flag. During our initial consult he told me roughly 70% chance of success, on the day of my transfer he told me "50/50 shot" (this transfer of 2 euploid embryos resulted in a chemical pregnancy) - and then the published success rates for my year of treatment indicated roughly 29% live birth rate in my age bracket. This was a major red flag to me.

I would proceed with caution. He has a very convincing pitch and his ideas around protocols sound good, but ultimately my results were absolutely nothing like what he projected they would be.

Dr. Sher had me on the agonist-antagonist conversion protocol for low AMH. It was a very expensive and high dose protocol (starting with 600u of FSH). Since leaving the practice, I have spoken with other physicians and seen research that suggests the doses he used were entirely inappropriate and potentially harmful to my outcome. On this protocol, I had the highest number of mature eggs retrieved that I've had on any other protocol but the lowest number of euploid blastocysts. Getting a lot of eggs is not very helpful when you don't end up with usable embryos in the end.

We bought a package through Attain. Our cost was around $23,000 for two retrievals and unlimited FETs until we bring home a baby, this package has now expired and did not result in a live birth. The package included PGT biopsy, but not the testing, did not include anesthesia or egg freezing and storage. Anesthesia was required to be paid the day of the retrieval by check or cash.

He recommended transferring 2 PGT-A euploid embryos for me at age 29, which goes against ASRM recommendations.

The only negative is that he’s retiring from actively seeing patients after the upcoming March cycle. He’s been doing this for over 30 years and is moving to a consultation only based practice- but not hands on. I wish a million times I had just gone to see him first. I’m still hopeful that the new doctors at SIRM will uphold his same standard of individualized care.

Be open and honest and be ready to get tested for a lot up front, to know what you’re dealing with instead of trying the “standard” and making changes after it doesn’t work. It seems like a lot of steps before you can just jump in but it’s worth it

I came to Dr. Sher from another clinic that wasn’t so great. I thought I’d had plenty of testing done but he ordered more. Because of my PCOS and endometriosis he ordered a NK Cells panel... that confirmed that I do have elevated natural killer cells in my body that will likely harm any embryos before they have a chance unless I prepare my body with things like interlipid infusions prior to transfer. But those results indicated that I needed to do a DQ Alpha test with me and my husband, and we’re a partial match which means half our embryos won’t be accepted by my body. As for treatment- I went on birth control,to align me with the next cycle date. Started leupron injections in the mornings, and omnitrope injections in the evenings. Came off birth control and started my period. Went in for baseline ultrasounds (conducted by Dr. Sher ), given clearance to start stimulation meds. We did 150 of gonal for two days, then 75 of gonal and 75 of menopur for the remainder till I was ready. The first retrieval did not go as expected and my eggs were stuck to the walls of my lining. Only 1 egg came out, but it did not fertilize. The next cycle we bumped up the stimulation meds to 300, and got 14 eggs, 11 fertilized, but 3 made it to blast stage. Currently awaiting PGS results.

My insurance covers 50% of eligible costs up to 20,000 lifetime benefit. My first retrieval, after all ultrasounds and monitoring came to just under $900 with insurance. My second retrieval billing is still pending.

Because of our partial DQ Alpha match, they will only do single embryo transfer for me... because if one is that match, my body would abort both.

Dr Sher really wants to help you. He's very knowledgeable on all aspects of fertility. He also told me what I needed to do to prepare for my next cycle. Unfortunately, I had problems with fibroids and had to deal with that first. I also had 2 miscarriages so I'm a difficult case. He has retired since last year and passed onto other doctors and I will meet with them to assess working with them.

I think Dr Sher was one of the best doctors. His prices are high but people come all over the world to see him.

I came to Dr. Sher because I just had my second miscarriage. We did DNA analysis and tested for antibodies to various diseases to figure out what caused my miscarriage. The only thing that showed up was that I have MTHFR C677T mutation.

I didn't get to do a cycle with Dr Sher as he retired. I only did diagnostic testing for miscarriage and fibroids. My health insurance covered most of those costs.

not applicable. we never got that far

Where to begin? Dr. Sher us one of a kind. No wonder he has delivered over 18,000 babies and still going. He has patients fly from other countries for his services. Dr. Sher is honest, kind, compassionate and truly cares about his patients and their families. The minute we met him and then had an hour conversation about our issues and concerns, he made us feel comfortable and breathe a little easier. We knew we needed to be here and with the SIRM family. We had been to other clinics but nothing compared to the warmth we received. Excited to see what the future holds.

Ask questions and never feel afraid to share all of the thoughts you may have. Dr. Sher is a wealth of knowledge. Utilize that!

I began with birth control to regulate my periods, then started on Lupron and Omnitrope. The first week I had a lot of headaches and mood swings. Then a week later I began Ganirellix and stopped the Lupron at that time. A few days later I added Follistim and 2 days after added Menopur. My follicles weren't growing fast enough and large enough so the continued me on an additional few days past the "normal" to give them time to grow and the caught up.

Approximately 10K in office for IVF. Also had Natural killer cell testing at about $1400 and bloodwork for DQHLA (sp) at $250 each for my husband and me. Meds came out to about $7000

We only have one to transfer but if two made it we would have transferred two because of my age and recurrent miscarriages.

I think it's going to be difficult and a bit long to put this into words, but I'm going to try. For me, Dr. Sher is the most knowledgeable professional in the IVF arena, today and since decades ago. I think perhaps in all the United States and surely must be one of the best in the world, it is incredible the amount of practices that are implemented today in IVF thanks to him. You just have to do a bit of online research to be amazed. But I do not want to talk about this, but about my own personal experience with him. I was very surprised when we arrived that he had taken the time to study all our history previously, (before I had gone with Dr. Bruce Shapiro also in the Las Vegas area, and I had asked to transfer all my file to Dr. Sher ). I was even more surprised as he tried to correlate my history of infertility and my particular medical conditions (PCOS, insulin resistance, tubal factor, among others), to explain in a natural and scientific way my failures in previous attempts. He did what a Doctor rarely does and took a lot of time explaining how one could try to overcome each of the obstacles, I think I learned more in that consultation than in all the time I've been reading, researching and trying to conceive. My only regret is not having met Dr. Sher before, for example before trying to use Clomid, which by producing large amounts of eggs caused also a large increase in free testosterone, and not only produced poor quality eggs that had difficulty to reach my uterus through my only blocked tube -which was believed by another doctor to be healthy because it was permeable to some grade-, but also caused the fall of half of my beautiful and abundant hair. Dr. Sher sent me a list of all the articles in his blog related to my situation, and asked me to read everything before starting the cycle, so I did and it helped me a lot to be informed and not to be anxious during the process. I love that every time we see each other, even if he is not looking at his computer, he always reminds me by my name and also my husband. As he told me himself once, he was going to take care of me during my treatment as if I were his little sister, and he really has always made me feel that way. If I have to mention his weaknesses, there would be only two: 1) Hopefully it will be less time before the initial consultation with him could be obtained, although in reality it is worth the wait, since the doctor and his team are in charge of compiling exhaustively all the tests, images, medical history, that you have listed in the initial questionnaire sent to you by mail. In this part it is important that you'll be equally thorough, and as the form says, be very detailed, because the Doctor will take all this time to investigate and more importantly, analyze the history of each patient, in order to determine the best way to approach your treatment. 2) I wish the Doctor was not about to retire, I still can not believe that he will retire in mid-2019, I hope I can conceive before that date because I do not want to see any other doctor than Dr. Sher.

Book your consultation with him as soon as you have the first thought, just take the phone and dial the number because it will pass time before you get to see him and he is worth every minute you are going to wait. You'll have time to do all your research online later, and if in the end you decide you don't want to see him, or you'll go with another doctor (which I personally think will be a mistake), just be polite and nice and cancel within the timeframe you're given to do so.

Dr. Sher what is called the prolonged coasting method for me to cycle, to avoid Ovarian Hyperstimulation Syndrome (OHSS). In my first IVF cycle with him, he suggested toinitiate a long pituitary down regulation protocol (using Lupron) coming off a birth control pill (BCP). Then stimulated with 450U of Folistim for two days and reduced the dosage to 300U daily thereafter, adding 375U of Menopur, and I also had 8U of Omnitrope to help my eggs grow and to improve quality. I had 8 follicles that were between 15 and 22mm. At this time “prolonged coasting” was stopped and I was administered a “trigger shot” of 10,000u hCG. 2 mature eggs were retrieved and 2 others were retrieved but weew not fully mature, they were let grow for some hours and them all there 4 were fertilized correctly but 3 of them stopped growing around days 3 and 4. Only one beautiful embryo made it to blastocist and had been frozen. I'm still waiting on PGS results for next week, but it looks great and I'm positive it will be healthy and highly graded. I am already preparing for my next cycle, as we want as least to have some more to try transfer. I was going to do it on December but we moved it to October, since I'll be coming out of BCP and I already got my period, doctor recomends to let ovaries rest for at least a month, so we'll be doing that. For next cycle my doses are going to be increased, and we are keeping the same protocol. which is expected to continue protecting me against OHSS, but we hope for better results with the adjusted doses considering I'm heavy overweight right now. I'm following the fertility diet too to help my eggs, alsod using CQ10, prenatal vitamins with only Folic Acid (No DHEA for now, read Dr. Sher's explanation here: https://haveababy.com/fertility-information/ivf-authority/dhea-and-ivf-harmful-in-certain-cases), as I have high insulin/insuline resistance, which makes my testosterone to be higher already. Completing with Metformin 500 mg twice a day to try to keep that insuline resistance under control.

I was insurance covered, insurance also pays my medication for 2 cycles. I paid $1,752 for Biopsy and anesthesia on egg retrieval and $1651 for inmune testing.

He'll let you pick sex if you want to, and would transfer up to 2 embryos. Has educated about the risks of multiples.

Upon our first consultation we were absolutely sold on Dr. Sher. Our previous experience with other doctors was more cold, and all about getting down to business/treatment. Dr. Sher took the time to explain infertility and his approach, fully acknowledging we had the choice to go anywhere and this was his opportunity to explain what he was about so we could decide if he was the right fit. No hard sell. He clearly cares about what he does. He also gives out his cell number before you even sign up and his able to be contacted any time for questions. He takes each patient seriously and wants to make sure each feels comfortable. He is super warm and personable. Makes you feel he's really rooting for you. Also I felt very comfortable with his vast expertise. He's a pleasure to be around, puts you at ease.

Don't be afraid to contact him w/any questions - he's your best resource. When you go in for visits though, the time will be very quick, so you have questions then hit him w/them quickly!

Dr. Sher perscribed a different medication protocol then I had w/my previous RE. He was very specific about why the previous one did not suit my condition, age, etc. He also did extra testing including a hysterscopy, fluid ultrasound, and a bunch of immunological testing to rule out other implantation issues. He was able to rule out a host of uterine/immune issues that could be causing implantation failure. He also did PGS testing on my embryos which I hadn't done before.

$200 Consultation Cycle was around $10k + $450 for anesthesia + $1500 PGS FET was $4050 Medications around $4000 + travel expenses Consultations / phone calls w/doctor beyond the initial one are all free!!

eSET was not discussed - I only had 1 viable embryo after PGS. As far as multiple we did discuss this earlier on and he said it was really our personal decision, but again we only had 1 to work with so we didn't delve to far into this topic.

Dr. Sher is really kind, and worked well with us. I am disappointed that we did not get the answers that ew wanted, and thus not much of a treatment plan. However, this was explained well to us, regardless of how poorly I felt about it.

Read the blog before seeing Dr. Sher

We've had 4 miscarriages (to include 1 mmc, 1ep, and 1 cp), and presented having already completed chromosome analysis, blood clotting disorders, and the fetal remains. I was then tested for elevated NK cells, and PCOS, and my spouse and I were tested for DQ Alpha match. We found that we are a partial match, but I do not have elevated NK cells. So this means that there is no obvious cause for our recurrent losses, and thus not a lot that we can do. He recommended doing medicated cycles to increase our chances of conceiving each cycle. We did this before and conceived our 3rd pregnancy this way, so I am not hopeful that this will result in a live birth.

The initial consult was $200, and all subsequent consults were of no cost to us. I am not sure the final cost for all of our labs at Reprosource, but before insurance - which isn't likely to cover much - they were around $2k. I'm not sure the cost of clomid as I did cycles with letrozole before, and it was covered by my insurance.

I love him, there is no other way to describe it. Before I got my miracle baby I told my husband: if we fail with Dr. Sher I will know we did everything we could to try to succeed and it just wasn’t meant to be. He is the only RE that cares, have 110% and gave me hope. He is humble, so incredibly knowligable and a caring doctor. I truly believe he is one of if not the best.

If you feel like giving up, if you feel like your RE isn’t fighting as hard as you, go see Dr. Sher. Even if all fails you will know there wasn’t anything else anyone could have done. He fights for you. Trust him

I have always had problems with my thin lining. So he had me on vaginal viagra. It helped so much! Also even though my natural killer cell test came back negative we tried intralipids and it worked wonders. We finally had success. Other then that the protocol was standard

They have set times and cycle dates. But it always worked out for me

17.000 for a two egg retrieval plan. Unlimited fet and 5.000 for genetic testing plus meds around 2000

Dr Sher usually likes to only transfer one embryo to reduce the chances of twin pregnancy. But if it is your wish or he thinks it would be a higher chance for success he will gladly transfer two

I really liked Dr.Sher. He is compassionate and super knowledgeable. He makes you feel like part of a team...one that will be winning. He doesn't sugar coat things though and he is honest about what he feels you need to do to bring home a baby. Whether that be using a donor or surrogate. He presents all the options and then let's you decide what is best for you. The one cycle where I poorly responded to the meds (no one could figure out why) I literally stumped him he was kinda cold and seemed angry. The nurse later explained to me that his demeanour was out of frustration because he felt bad he couldn't give me an answer. The next cycle we went in though he was much better and super happy that he had figured out a solution. That cycle resulted in us having our baby boy!

If you are tired of other clinics not being able to provide directions and answers go see Dr.Sher - it was the best decision we ever made!

I don't remember the stim protocol but I was given intralipids and steroids for high NK cells.

We purchased a 2 cycle package for around $13,000 (kinda works like the lottery if it works the first time you loose the second cycle). For us we felt like if if worked the first time we wouldn't care. :) Our medications were around $3000

Dr. Sher is very knowledgable in his speciality. He was not arrogant in any way and was very compassionate when discussing my chemical pregnancy after using our last two embryos. He has a good sense of humor and explained the procedures well. He is very warm and friendly.

Although he has a large practice and seems to be too busy at times, he's not. He provides his email and cell phone and promptly responds at any hour. Be patient.

Dr. Sher recognized I definitely had an autoimmune issue causing failure with our embryo transfers. He addressed my anti-phospholipid antibodies with Lovenox as well as my endometriosis. He gave me Dexamethasone to prevent embryo rejection. We plan to use a coasting method when we do our first egg retrial with him in June. We achieved our first ever pregnancy (in five years of trying to conceive), with him despite it ending in a chemical pregnancy. He gives us hope.

Frozen embryo transfer with military discount - $3,275 Two cycle micro IVF - $14,175 PGS testing $4,125 Skype consult $200

Dr. Sher was incredible- kind, patient, and with a great sense of humor which goes a long way in such a stressful situation. He found an issue, endometriosis, which previous Drs had not found. He is incredibly focused on the details and with him I knew I was getting the very best.

There may be delays for your appointments but be patient as this means Dr Sher is giving everyone his time-and delays are worth it to meet with him each time.

I was on an agonist/antagonist conversion protocol (LA8) coming off of a birth control pill. The rationale behind this protocol is not to overmedicate for women who have DOR or are of advanced maternal age, as Sher's take is that this can damage the eggs. I started wit Lupron while on BCP, then lowered the Lupron dose and added Ganerelix, stopped Lupron and added Follistim, added Menopur which I stayed on for the duration of the protocol. The trigger was an intramuscular shot of pure HCG. Dr Sher is very adamantly against Ovidrel because he sees it is an inferior product which does not release the eggs for the egg retrieval and will compromise a cycle.

I used insurance, but I do know that there are packages available, costs vary based on age

He said it was my eggs, my immune system and my husbands sperm any time something went wrong. He made me do tons of tests that were unnecessary and take treatments for my immune system “attacking” the embryo. Every miscarriage was something I “could have prevented” had I don’t this test or taken this pill. It was never a “I’m so sorry about your miscarriage,” it was always, “Well your body is rejecting it, we have to do XYX and you can start next cycle.” I also had ovarian hyperstimulation and he didn’t even ask to see me back in the office. He took around 30 eggs that round and when we called after me being in horrific pain, said my pain was “just gas.” Told me to take ibuprofen and not get up.

Don’t go here.

Lupron, Gonal, Menopur And after transfer - progesterone suppositories and shot. He also said I needed to do this IV of some solution (not covered by insurance - usually given to patients in comas for nutrition) three times at $1000 a pop to calm my body down. He was considering using Viagra as a vaginal suppository to increase blood flow. He had no rhyme or reason to do much of this - his explanations were outlandish, but I didn’t know any better and thought he knew what he was doing.

Sharron was in charge and she was awful. Their paperwork was a copy of a copy of a copy about all the packages they offered and the prices. She told me what was covered and what wasn’t but it proved to be incorrect. She was more like a used car salesman than someone who cared about my money and my ultimate goals. It’s 5 years after going there and I actually just got a bill for something else she did wrong in terms of billing to insurance. After I transferred my embryos, she immediately sent me an email saying she was sending me to collections for outstanding insurance payments - again - all of which was done incorrectly on her part.

He was willing to put in as many as I wanted. My personal though was the faster we went through embryos, the more money he could make. I also felt like he would use more to try and get a positive pregnancy test. He generally only reports his positive pregnancy test results online - not live births.

Dr Sher seems to know everything there is to know about IvF which is why I trust him rather than care about how he treats me. Although that is important, I care more that he knows what he’s doing. I didn’t get the results I was expecting but I still plan to use him and try again if we find a way to get some money to pay since insurance covers nothing.

I’m not exactly sure. I took all the meds that other people I know who have undergone IVF did. Although Dr Sher said I have a low egg reserve so he put me on a higher dose.

Roughly $16,000 with everything including medication

No

He was overly positive, and didn't prepare us for the outcomes we received in our cycles. He made it seem like a sure thing, when we ended up with 3 cycles and no positive outcome. It made the final results so much harder, because we truly were led to beleive we would be sucessful.

Make sure you understand the risks of fertiliy treatments, and that they don't always turn out the way that you would hope.

We used a "l8" protocol with heparin, hgh, and intralipid infusions.

around 20,000 including meds

They refused to do more than 2 embryos, no matter the quality.

His honesty and the way he cares for his patients is admirable. He even gives you his cell phone. He is very supportive , and is willing to answer your question. He shows his passion for the field and we know we are in good hands . He is also a very spiritual man and knows that science can only do so much.

Be honest, and dont be afraid. There are options

Birth control and overlap of lupron, gonal f and menopur and cetrotide plus HGH

Around 10k not including meds.

He was open to 2 embryo transfers

He was very knowledgeable on my unique issues. Several doctors had made me lose hope but he was skilled in what he does and was able to provide me with more information and hope than others. I didn't feel rushed and was able to ask him all the questions I had. He is a great doctor.

I don't have any but just to trust that this office has your best interest at heart.

We had our consultation and on the spot he decided to do an exam/ultrasound to take a look at the health of my uterus. This was not something typically done on the first visit but he wanted me to be well informed on my uterine health before I left.

$16,0000

I love Dr Sher. Although my case of DOR and age produced a different outcome, he didn't give up on me. He was transparent. He communicated effectively with no ticky tacking of fees. I didn't feel like a number or price tag. It's was clear, concise with clarity.

Dare to ask difficult questions. Dr Sher can handle it. See him NOW rather than later and do so soon because he's retiring at the end of this year, 2017.

I will not disclose that info. It was a protocol specific to mine and my husband's needs. I can share I was a protocol 7 on the scale of 1-10.

Efficient. Well oil machine

Do not care to disclose. It was competitively priced.

Very compassionate; more interested in pushing cycles than helping you have a baby. Seems financially driven and isn’t as committed to patient care as other doctors I saw. Exceptional clinic with high success rate.

Stick up for yourself; if you want a second opinion, advocate that.

Recommended tubal ligation before starting IVF because of toxic fluid; suggested mini-IVF.

$20k a cycle for IVF

Didn’t get that far; left clinic to start treatment with his colleague.

Everyone in office very attentive. Frequent check ups. Changed procedure to best fit me personally. Good follow up procedures. Would recommend and use again. Staff very experienced. Found things other doctors missed

Better explanation of medications