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Infertile patients cannot afford to wait for treatment while their eggs get older.

Dr. Sherman Silber, Infertility Center of St. Louis, is offering video consultations for patients who need to plan now for their treatment while stay-at-home orders are in place. He is talking to and evaluating patients in their home to comply with social distancing measures.

Dr. Silber is discovering that patients actually prefer this method of telemedicine consultation over the conventional office visit. Patients have conveyed that “it is so much more convenient and less stressful” to have a telemedicine personal consultation than to take a day off from work to travel to the doctor’s office and sit with other nervous patients in the waiting room.

The COVID-19 pandemic is thus changing much of the way we will do things in the future, and for the better. “Our patients are surprisingly much happier with this approach. Of course, at some point we need to perform hands on treatment. But with this new manner of seeing patients, we can come to the right diagnosis and treatment plan for most patients more efficiently, quickly, and painlessly, with no loss of personal one-on-one communication.” This is a very welcome new era of telemedicine that has been forced on us by the current difficult times.

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The Infertility Center of St. Louis
The Infertility Center of St. Louis
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Mini‑IVF Success: Cara  &  Chad’s 10‑Week Baby — Facebook Live with Dr.  Sherman  Silber

This Facebook Live session features Dr. Sherman J. Silber of the Infertility Center of St. Louis and former patient Cara, joined briefly by husband Chad and their 10‑week‑old son. Cara recounts a seven‑year struggle to conceive that began with the discovery of a large fibroid in 2018. After an open myomectomy—and removal of additional smaller fibroids—doctors advised her to “try naturally for six months.” When pregnancy still didn’t occur, Chad was tested and found to have low sperm count and motility, compounding the couple’s challenges.

Reluctant to pursue conventional high‑dose IVF because of injections, side‑effects, and cost, they moved from Austin to St. Louis, considered adoption, then learned that Dr. Silber offered a gentler Mini‑IVF protocol. At age 37 Cara completed two low‑stimulation cycles, producing three high‑quality blastocysts with minimal discomfort. Dr. Silber froze the embryos to preserve egg age while Cara underwent a second myomectomy and later a quick polypectomy. Six months after surgery, the first frozen‑embryo transfer succeeded—resulting in the healthy baby seen onscreen.

During the livestream Q&A, Dr. Silber explains why Mini‑IVF yields higher “baby‑per‑egg” rates: fewer but better oocytes, routine ICSI for all cycles, freeze‑all transfers to optimize uterine receptivity, and cutting‑edge vitrification that makes frozen embryos superior to fresh. He outlines new advances—AI‑assisted sperm selection, more accurate SNP‑array embryo screening, and experimental skin‑cell–to‑egg research that could restore fertility to women with no remaining oocytes.

Cara praises the clinic’s organization, minimal appointments, free initial consultation, and compassionate staff. She stresses the emotional benefit of a supportive partner and the importance of refusing to blame one another for infertility. Dr. Silber closes by encouraging viewers to schedule free consults and underscores his philosophy: act quickly to bank younger embryos, then correct anatomic issues without losing precious time.