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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: A Science-Based Approach to Better Egg Quality and IVF Success

A recent episode of The Repro Files featured renowned fertility specialist Dr. Sherman Silber discussing the science behind Mini IVF and why it differs from traditional high-dose IVF stimulation protocols. According to Dr. Silber, Mini IVF is not simply “low-dose IVF”.  It is a carefully designed protocol that aims to mimic the body’s natural reproductive processes while improving egg quality and reducing medication exposure.

Dr. Silber explains that the Mini IVF approach focuses on four key principles: lower-dose stimulation, synchronization of follicle development, the use of Clomid to support natural LH production, and extended Clomid use to prevent premature ovulation. The goal is to produce healthier eggs with a higher chance of resulting in pregnancy while minimizing the physical and financial burden of treatment.

The discussion also explores how Mini IVF may benefit women with diminished ovarian reserve, women over 40, patients with PCOS, and even those with normal ovarian reserve. Dr. Silber shares insights from decades of research involving ovarian transplantation, in vitro maturation (IVM), and stem cell technologies that continue to shape the future of fertility care.

Looking ahead, Dr. Silber discusses emerging innovations including advanced egg maturation techniques and the potential for creating viable eggs from stem cells, offering hope for future fertility preservation and treatment options.