ACRM

I've been to 2 of the locations. The offices themselves are very nice, but the front office is fairly flaccid at both locations. No greeting or 'how are you?'. They also don't run your insurance before hand if your insurance changes- one of the reasons we stopped having the iui's performed was because my insurance changed. They didn't run it the first 2 visits after and made me pay out of pocket, which was almost $1000. Then i found out my insurance covered nothing, so we stopped the iui midcycle.

For the most part I felt like a human, however the office was always busy and it didn't seem that he took the time to look in my chart before seeing me. I took 3 months off in between iui 4 and iui 5 and no one noticed.

Janelle was amazing. She was always great with bloodwork and coordinating prescriptions for the doctor if needed. My nurse (I forgot her name!) Was great as well. The back office staff is always sweet and we're great to talk about any issues I was dealing with.

He was direct and to the point, and explained things fairly well. He was willing to answer all of my questions, but was always rushed. I felt that I was in good hands though. I think if there were better emotional support from him I would feel better. However, I would rather have a competent physician that wasnt overly friendly vs a super friendly physician who may not know exactly what they were talking about or what needed to be done.

Be prepared to feel a bit like a number. I've heard so many good things about the office, so even though we didn't have success yet doesn't mean that they won't.

We started with bloodwork, naturally. My husband was diagnosed with low testosterone, and even though his sperm count was still in the normal range, it was on the low side. He was prescribed clomid to help with his testosterone, which in turn boosted his sperm count over the next few months. As far as I'm concerned, my bloodwork came back all within a normal range. I was then sent for a hsg, which showed that my tubes were clear. Dr. Toner then met with us to discuss a game plan. Dr. Toner thought that we just had a bit of 'bad luck' over the previous 18 months and want us to give iui a try. Every month, my husbands sperm count rose but I did not/ have not fallen pregnant as of yet. Going on 3 years of trying!

Baseline ultrasound and bloodwork- approx. $500 Midcycle ultrasound and bloodwork- approx. $500 Hsg- approx $400 Iui- approx $300

The only problems were occasional wait times and billing issues, but the Marietta office was great. Just stay on top of your bills, check them all for accuracy, mistakes happen. Also, some of the Drs are not as compassionate. I did not like Dr Fogle. She sent me home with no pain meds telling me I was just gonna have to tough ohs out, when I told her I felt like I was dying, and I turned out to have a ruptured ectopic pregnancy. Dr Calhoun was amazing, though.

Dr toner was great. He took my emails anytime, always responded with thorough and detailed answers, even when I was really delving into Google research and had a million questions. He never acted annoyed, though I'm sure I was very annoying, heh. He always listened to what I wanted, gave his advice, thoroughly explaining why he recommended it, but always took my wishes and direction into consideration in planning my cycles. Best of all, he always told me it would happen, it was just a matter of time, and never let me lose all hope. I also loved Dr Calhoun and a few of the other Drs. This is a great practice.

My nurse was amazing. She always responded to my emails within like 30 mins during business hours, and as soon as she got in. She was so compassionate, even when I cried, and I cried a lot over those 2 years. She always was on top of everything I needed. She made it all easy. She was excellent.

Dr toner was amazing. He took my emails anytime, always responded with thorough and detailed answers, even when I was really delving into Google research and had a million questions. He never acted annoyed, though I'm sure I was very annoying, heh. He always listened to what I wanted, gave his advice, thoroughly explaining why he recommended it, but always took my wishes and direction into consideration in planning my cycles. Best of all, he always told me it would happen, it was just a matter of time, and never let me lose all hope.

Dr Toner is not going to give you false hope. If he thinks you have a strong possibility of a good outcome, believe him. Sometimes it just takes longer than we want to accept. It's worth it in the end! Don't be afraid to ask questions, and ask to change your treatment if you feel strongly about it, Dr Toner will work with you. He won't let you stray too far or do anything that could be harmful. He knows what he is doing! But sometimes it's ok to ask to move on to the next course of treatment sooner than later.

I had diminished ovarian reserve and was a low responder to stimulation medication, so I actually did two "mini ivf" retreival cycles. I was on a lowish dose of letrazole days 2-7(I think 5mg? It's hard to remember back in 2015-2016), then a low dose of follistim days 4-until my eggs were big enough. I did not use Lupton or anything to suppress ovulation because I was never ovulating on my own anyway, so they just monitored my estrogen and lh daily until i was ready to trigger. My second retrieval round actually began as a break round-return to an IUI after I had had two miscarriages in a row from a fresh transfer and a frozen transfer, but my ovaries responded so well to the medications that time that we had to switch to an egg retrieval. Normally I had no more than 1-4 follicles developing in any given cycle, but that one I somehow suddenly had 13! That is the retrieval that contained my son. I had an insane pregnancy with him splitting into a twin then the twin dying and the sac becoming a subchorionic hemorrhage that stayed with me until my water broke at 29 weeks, the other transferred embryo becoming ectopic and exploding my fallopian tube, hidden behind my hyperstimulated ovary, for which I had emergency surgery to discover this and remove my right ovary, all while I was pregnant with my son. But it was worth it in the end!

I paid about $11,000 total per egg retrieval, since my insurance covered some things like bloodwork, not including medications. Medications per retrieval were purchased offsite, and for me were about $1100, because of the mini IVF cycle. Dr toner always helped discount procedures for me. I was able to take out the costs for any specific procedures I didn't need, not just charged the global ivf cycle price. I went through each cost list with a fine toothed comb and they worked with me. My frozen transfer cycle was about $4000, plus medication. IUI cycles were covered by my insurance, but cost me about $200/ month.

ACRM has 4 locations within the Atlanta area and I have been to three of them due to my cycle sometimes causing the IUI to take place on a weekend or holiday. To me this is a HUGE plus to have many locations all easily accessible. Reduces the stress big time! All of the locations are nicely decorated and have peaceful quiet waiting rooms. They do not allow children to be brought inside and I very much appreciate this rule. They have a very easy check in and out process with very kind people working there (all 3 locations that I know of). They offer water and have bowls of candy out. It is a very different enviroment than any other Dr office. You feel more at home and relaxed b/c it is not sterile and the decor isn't from 1975. They are also able do all lab work in-house which eases stress of having to go yet another place to get poked. They provide ample handouts on your treatment so you know what is happening when and how. They take the time to ensure you know exactly what is happening and why as well. I can honestly say I don't know of any weaknesses.

I felt like a human with her because I never felt gushed when speaking to her. She was/is always attentive, let’s you speak, and she always takes notes. I feel like with her my thoughts, concerns etc are important and in turn she takes the time to clearly explain and respond to all of them. She makes the effort to ensure you understand what’s happening and next steps so that you aren’t scared.

My nurse was Megan Kent and she was fantastic. Very much like Dr. Calhoun, you could ask her anything and she never made you feel like it was a dumb question or if it was repetative, she did not seem bothered. For me this was a big deal b/c as you go through all the tests, instructions, etc it can get very confusing and you are so full of hope, you want to ensure your are doing everything right to ensure your biggest dreams will come true. Megan was always direct and explained things very well and was also good with giving tips too. With my clinic sending questions, etc via email was the way to go b/c I liked to have things documented to refer back to and also b/c if you called the nurse, it would always go to voicemail and they would call you back later in the day. I did not care for the voicemail but I did understand the reason behind it.

The day I met her I immediately felt connected. She’s very kind, funny and yet a straight shooter. Those are qualities I must have in a Dr of this nature. Another thing I really like is she’s always prepared, she knows your history and remembers it. She’s looking at you when speaking, not at her computer. She also takes the time to draw things out so you can visually see the treatment, not just words on paper. She’s very positive and empathetic and you feel like you have a friend in what can be a very dark scary journey. I haven’t had success yet, but I will stick with her because of who she is and how she treats you. She sees you as a human being going through a tough time and she’s willing to help any way she can. I also need to mention she isn’t in any way pushy, she lets you go at your own pace and make your own choices.

To trust her. Infertility is scary and hard. It’s difficult to understand but with. Dr like her, you can trust her advice and methods.

All four of my IUIs had a Letrozole leadin, my body responded well to the drug with little to no side effects. Also two trigger shots only be my follicles we’re ready yet I hadn’t gotten a positive surge on my OPK. Then post IUI we did progesterone suppositories b/c my bloodwork showed lower progesterone. I have also had two uterine reservations due to a septum. First being before my first IUI then again before the 4th IUI.

In total for 4 IUIs, we've spent close to 9K. Breakdown estimates below after insurance which covered diagnostics only: Baseline - $200 Midcycle - $350 Insemination - $500 Sperm Analysis - $140 Blood work (various) - $100 each, has several per IUI Trigger Shots - $100 Hysteroscopy surgery (2) - $1500 each

When you first meet with the clinic, you are assigned a doctor, nurse, and patient care coordinator. At first, it is confusing as to whom you should speak to about particular questions. The patient care coordinator sets appointments and the nurse answers all medical questions. I felt there was a lot of confusion with the patient care coordinator and that role coordinating with the nurse. I am not far into the process so I am still figuring everything out. Since my last appointment, communication is running much more smoothly.

Dr. Denis was so kind upon first meeting. He made me and my husband feel comfortable and did not pressure us to pursue any option that we were not comfortable with. He laid out the options for us and spent as much time as we needed answering questions.

Tulsi has been very helpful in this process. She has provided me with all the information I have requested in a timely manner. She is very sweet and compassionate.

Dr. Denis made my husband and I feel calm and reassured. He took his time with us and made us feel very comfortable and "normal" through the process. Infertility is a very alienating experience and Dr. Denis spoke with hopefulness that we would conceive a child successfully.

I would tell the prospective patient to be forthcoming about all their medical history so Dr. Denis can rule out any unknowns during the treatment process. Also to be relaxed because Dr. Denis is very down-to-earth.

The meds range from 6-8k, anesthesia $500, 25k for embryo testing and transfer

Be sure to know the contact names and numbers. It can be hard to get a hold of someone. Their services are expensive but you get what you pay for. The doctors are the best in the business. And be aware you won't always see your primary doctor and will have to travel to Atlanta for weekend appointments.

She cared about our ongoing situation.

The nurses were helpful yet at times seemed very busy and were hard to get a hold of. Overall they were good at their jobs.

Dr Calhoun was kind, sincere and caring through the whole process. I would recommend her to anyone. We struggled with the process but she remained optimistic yet truthful. We will be forever grateful for her intelligence and compassion.

Ask questions and be prepared for a difficult road.

We started with IUI, but after 2 miscarriages she suggested we shift to PGS with IVF. Although it was very expensive she explained it would increase our chances. Which it did!!

Very expensive and paid out of pocket. Around $15k for IVF and $1200 for IUI.

15k for IVF and 4 k for meds

Annoying financial co-orindator Chantol. Not the sharpest tack in the bunch. In first telephone consult tells me its ok to pay by AMEX. I continue to go great, at least i get points for this :) (distinctly remember saying this) Get to the appointment and she is like, we don't accept AMEX. Frustrating because i brought that as a form of payment and had to scramble to move money into different accounts

Part of my reason for choosing her after "interviewing" 2 other doctors was her warm and open personality. We seemed to bond over and be able to chat (briefly) about things outside of just eggs

90% of all communication came through my RN. She was good, responsive within a day.

Disappointed that I went through 2 IVF stimulation protocols and the first ended early with one egg follicle developing faster/larger than the rest of the pack. So she advised to just take a trigger shot and have sex. Our intention was to bank embryos Second round, she put me on a longer stimulation protocol. One the day of egg retrieval we anticipated 5-6 eggs. Once I got out of post-op she told me i had "prematurely" ovulated and she could only get 1 egg???!!! I just feel like she could have been more on top of this, perhaps done an US before the invasion egg retrieval.... and then we attempted to fertilize 1 egg? Which didn't take so I actually have no idea what the quality was.... So all in all, it felt like it could have been managed better

I wish I went back and was stronger in voicing my dislike of the 2 failed rounds.... especially the second. Ovulating early seems like something that could have been avoided and i waste 6 eggs. i should have asked to come in for daily US

Round 2: E2/Testosterone priming with GH (Lupron, gonal, menopur, omnitrope, clomid) -- No sides effect or physical complaints. she did a longer esterase and testosterone priming because of in the previous round one egg developed faster than the rest

$18000

Strengths: all top doctors - knowledge of protocols, bedside manner (for the majority of the doctors - not all), drawing blood Weakness: long wait times. If a doctor other than your primary doctor sees you for an ultrasound sometimes you'll come back in to be seen by primary (not a true weakness because thorough but just more appointments)

Dr Fogle always treated me kindly, called me directly when the transfers did not work. She has come up with a new plan and told us to move forward and try again, very supportive. However, it is a big clinic so the routine blood tests / ultrasounds sometimes just feel like one of many.

Strengths: Cycle details, response time to emails and compassion when I had a breakdown re: failed attempt.

Extremely knowledge- answers every question. Doesn't make you feel rushed. Very caring. But some things with fertility are unknown so can be frustrating when she says it was bad luck (after transfer of a good embryo and failed pregnancy).

Ask her your different options for treatment. She will let you know and give a recommendation.

1 IUI after two miscarriages. We had chromosomal testing. 2 IVF after 2 more miscarriages and testing of the embryos. Antagonist protocol. PGD testing. Vaginal estrogen (help with lining) + progesterone shots. 3. Next round : adding growth hormone shot to help with eggs and a Lupron trigger (with HCG). Adding a new test - ERA - before the transfer.

Cost for retrievals, PGG testing, transfers. No charge for consults.

This is a big clinic. It's a baby making factory, and as such you will become just one of the patients moving along the conveyer belt. If you are lucky enough to have a doctor as caring as Dr. Carpenter, I would still say that it's not worth it because you will be bounced around to so many other doctors and nurses and your time with "your" doctor will be limited. Many of my tests and procedures were performed by nurse practitioners, not even other doctors. I was displeased about this because I was paying the same regardless of who performed it. So I would have preferred any doctor, if not MY doctor.

I always felt that Dr. Carpenter had a great bedside manner. She took time to explain everything and answer questions. I also felt she genuinely cared about things working out for me. Unfortunately, during most of my appointments I was meeting with other doctors, nurse practitioners, or the nursing staff and I did not feel that many of them saw me as much more than a number. This was one of the reasons that I left ACRM.

This was one of my biggest disappointments with ACRM. In an attempt to look super organized, each patient has both a designated nurse and a separate designated patient care coordinator. I was sometimes on the phone with one and rather than just booking the appointment, I had to be transferred to someone else. It seemed a lot of steps were involved to do anything. I also felt that the staff didn't have much compassion. They were very hard to reach. I don't think that I EVER was able to get though to my nurse via phone directly. I always had to leave a voicemail and then she would call back. Yes, it was within the designated "appropriate call back time," but I felt as if they almost had a policy of not answering the phone. The nursing staff who drew blood were cordial, but there were times when I was in the office multiple days in a given week. They never seemed to acknowledge that they knew who I was. We had no relationship and they didn't seem to want to develop one. I do understand that they have a lot of patients, but the lack of warmth left something to be desired. I also had a situation occur where I needed to meet with my doctor to discuss something prior to beginning a cycle. I was scheduled for an appointment and was told I would be meeting with my doctor. At the appointment, my nurse told me that was not the case. I was just having blood work to move forward with the cycle. I was very uncomfortable doing so without consulting my doctor and having some questions answered. Despite the fact that I had had a conversation with both her and with my patient care coordinator earlier in the day and had been told I could see Dr. Carpenter, I was now told that it was not scheduled that way and it was not possible. I was informed Dr. Carpenter was with another patient. I suggested that I would wait until whenever she could see me. I was visibly upset and was now crying, but no compassion was shown and I was told I could not meet with her that day. This left a very bad impression on me of the nurse. I do not blame Dr. Carpenter, as it seemed she was unaware that one of her patients was in a room crying and trying to meet with her.

I very much like Dr. Carpenter. She was the first infertility specialist that I ever saw, so I was in a pretty emotionally fragile place going into our first meeting. I felt that she took a lot of time to explain everything that was happening and what our next steps were. I never felt rushed. She seems to genuinely care about her patients. On the visits that I was actually able to see her, she took time to answer every single one of my often very long list of questions.

I would suggest someone considering Dr. Carpenter keep in mind that although she is your doctor, you will be spending a somewhat small amount of time with her. Other doctors and staff will be the ones handling many of your procedures, so make sure you are comfortable with feeling like a number during the visits when you do not see Dr. Carpenter.

I was not ovulating on my own. We did about 4 months of clomid, which did induce ovulation each time but did not result in pregnancy. We then switched to Femara for 2 months, and included 3 IUIs (2 in one cycle) during that time. Both of those months also led to ovulation, but not to pregnancy. We were then discussing IVF, but I switched clinics before beginning that process.

Nothing was covered by my insurance, so it all seemed very pricey. It was about 2 years ago at this point, so I do not remember exact numbers. The cost of IVF (which I never started at ACRM) was comparable to other locations in Atlanta, but much more expensive than I was able to find out of state.

The entire team is personable, knowledgable and very kind. Dr. Fogle was both candid and hopeful in my initial and subsequent visits. She responds promptly and attentively to email questions and inquiries about treatment options. She is open and warm. She is intentional about writing clear processes and protocol out on paper that you can take home at look at again when all the initial dust and information settle.

They always called the same day with results and explained exactly what each level meant in relation to target levels. They are very organized, always made my f/u appointments for me, knew exactly what the next step that I needed was in relation to medication, blood test, etc.

We are still working with Dr. Fogle. I find her very learner-oriented. At my first session she reviewed the protocol she intended to follow, along with success rates and wrote it all down clearly on a piece of paper for me to take home, which helped simplify the packet of information the clinic provides you with. She is cheery and energetic.. The only thing I am surprised by is that I don't see her for every procedure. All three of our IUIs were done by another doctor at the facility. Two fell on a Saturday, so am not sure if she would have done them herself had they fallen during the week.

Feel free to ask as many questions as you like, Dr. Fogle is extremely patient and very happy to explain things over and over until you understand. You will not see her at every procedure.

I already had been diagnosed with PCOS and am 36, so those two were the only factors they identified as, thankfully, all my levels and my husband's levels were within normal range. Protocol was to complete three IUIs before first attempt at IVF. We are in our third IUI currently. The clinic seems to have a standard protocol to do a series of blood and hormone tests initially. I then had the HSG procedure which uses dye to eliminate the possibility of blockages in the fallopian tubes. For each round of IUI, administer the drug letrozole to induce ovulation and check progesterone levels and vaginal ultrasound before initiating letrozole and mid-cycle to check how your ovaries respond to the drug. If no ovulation by about day 14, they prescribed the HCG injection to force ovulation and IUI scheduled for the following day. One week following the IUI return for bloodwork for progesterone levels to confirm ovulation and assure uterine lining is sufficient to support the baby. The first two cycles of IUI were unsuccessful, we are waiting for results of the third. I did request the third cycle we use Clomid instead of letrozole only b/c I had conceived our daughter three years earlier on clomid and wanted to try something different since the first two IUIs were unsuccessful. I still had to have the HCG shot with Clomid.

Weaknesses: they have set protocols and don't like to vary from them. They will cancel treatment cycles against your wishes (in my opinion, to protect their success rates). There is not a culture of compassion for the patients. You will likely not get to see your doctor much/at all during your treatment cycle - you'll see a different doctor at every appointment who doesn't know you and won't take the time to get to know you - you'll just be names on a chart. You will sometimes have to wait a really long time for your appointment. Strengths: Free parking. People who draw blood are very good. Able to get early morning (before work) appointments most of the time.

My fertility issues did not "fit the mold." We attempted three IVF cycles and were cancelled each time prior to retrieval, against our wishes (the doctor/clinic didn't think there were enough eggs to even try; we just wanted a chance). Basically, we were told they had three protocols and we had tried them all so our "only option" was to move on to donor eggs (note: we switched clinics and were successful on our first cycle with them). I believe the doctor/clinic is probably ok for 90% of people/couples who are "easy" but terrible for those in the other 10%. Also, in the 10 months we worked with this doctor/clinic, we conceived twice (one on our own on a break cycle and once after a cancelled-IVF-converted-to-IUI cycle). We lost both pregnancies but my issue with the doctor (and everyone else at this clinic) is that with neither pregnancy did we hear a "congratulations" upon conception or any expression of sorrow when we lost the pregnancy. Also, I hated that we didn't get to see our doctor during our treatment cycle - we saw a different doctor at every appointment who didn't know us and didn't want to take the time to get to know us; we were just names on a chart. They made decisions about our care without knowing our situation or preferences.

My nurse was actually pretty good, though like everyone else at the clinic never congratulated us when we conceived or expressed sorrow when we lost the pregnancies.

In my experience she was unwilling to think outside the box/vary from set protocols. She dismissed our preferences (e.g., continue with retrieval despite few eggs), in my opinion, to protect the clinic's success rates (little did she know that our first attempt with a different clinic would be successful). She had little-to-no interaction with us during our cycles. She never congratulated us when we conceived (twice in our ten months with the clinic) or expressed sorrow when either pregnancy failed (at least not until I pointed this fact out to her at which point she did tell us she was sorry but it seemed to be very hard for her to do).

If, for whatever reason, you decide to give her/this clinic a try and are unsuccessful after a cycle or two, SWITCH TO A DIFFERENT CLINIC (may I suggest Dr. Shapiro at RBA?). If you don't fit the mold, find a doctor/clinic that will think outside the box/treat you as an individual.

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I was fortunate and had most expenses covered by insurance. I paid $40 for each visit (including blood draws, unfortunately) plus out-of-pocket for the meds insurance wouldn't cover.

The doctors and nursing staff are so wonderful! There was never a doubt in our mind where we would go when trying for our 2nd or 3rd child. The administrative staff isn't always super organized.

Dr. Fogle always took the time to explain procedures and reasoning behind each cycle. She never rushed us during appointments and made us feel comfortable with every decision.

The nurses at ACRM are amazing! They're so sweet and compassionate!

Dr. Fogle is such a wonderful and experienced doctor. Once we met her, we knew we wanted her to be our doctor. She is so patient and spoke to us candidly but with compassion. She always explained everything so we would fully understand what we were about to go through.

Be ready to be wowed! She's amazing!

Dr. Fogle diagnosed us as unexplained infertility. We did 3 rounds of IUI which were unsuccessful. We then moved on to a fresh IVF cycle with Lupron. I had a good response to the stimulation and they were able to retrieve 16 follicles, 12 of which fertilized. 9 made it to day 5 and we transferred one embryo. That cycle did not produce a pregnancy. WE then proceeded with a frozen embryo transfer and I did become pregnant (she was born April 2013). When we started trying for our second child, we attempted a FET first which did not work. So we did a fresh cycle next to be able to get more embryos for the future (I have a low AMH level). My stimulation in that cycle was pretty intense (sorry I don't remember all the hormones I had to inject). We had the same response with stimulation, retrieval and fertilization as our first fresh cycle. We transferred one embryo and I did get pregnant (our son was born September 2015).

The strength of ACRM is their efficiency and organization. The only weakness I would say is the technology of clinic. I think that they should update some of the machines and exam rooms,but other than that I love it.

My team is absolutely amazing! Dr.Toner and my nurse Mikesha Middlebrook have always treated myself and m husband as more than just patients. We have a very long and complicated history,but they've always been there for us. I suffer two second trimester losses due to an incompetent cervix and they both came to the hospital and just sat with us. It meant the world to me that in my lowest moment they were there for us.

I cant say enough great things about my nurse. I absolutely,positively love her!! She has helped me through so many ups and downs in this infertility journey. She is more than a nurse,I can call or email her and she always gets back to me. Shes been there for me and my husband through transfer after transfer,loss after loss. She held my lifeless baby in her arms and Ill never forget that. She goes above the call of duty and I am so grateful to have her as my nurse. She is truly is an extraordinary woman and definitely a huge contributor to ACRM's success.

Dr Toner gave me hope when one of his colleagues completely dismissed me. I have PCOS and I remember him telling me that my weight or the diagnosis would not stop me from becoming a mom. When we meet with him covers all the facts and explains all the possible outcomes. He supports whatever decisions we make and have gotten us through some pretty tough times. ACRM's lab does not accept our insurance so we had to have our third egg retrieval at another clinic. Although we were able to get some eggs I felt more comfortable just paying the money to go back to ACRM. My seventh egg transfer will be March 13 with Dr.Toner and I wouldnt have it any other way.

He's a very kind man,and definitely knows what hes talking about. He will give you hope when other wont.

My second egg retrieval was devastating because we ended up with nothing,but I understand that these things happen. Trial and error. I was triggered too early and my eggs hadn't had time to mature. After having the ERA test done that was performed by Dr.Toner I went on to conceive twice after having four unsuccessful transfers. My protocols for egg retrieval is to stim slow and steady to prevent OHSS. Transfer protocol is very simple estrogen tabs,followed by six days of PIO before transfer. My ERA results showed that I needed an extra day of PIO before transfer.

I have no complaints with the time frame of monitoring. It makes sense that they are done first thing to ensure that patients with consults later on in the day get the full attention they deserve.

Right now Dr.Toner i covered under my insurance but not the lab. That part has been a bit of a disappointment,but Dr.Toner offered us a 20% discount for what is not covered under insurance.

I can't think of any weaknesses that ACRM needs to improve upon. The entire staff is caring, helpful and obviously extremely professional. Wait times were little to none (they run a very smooth operation but you never feel rushed) We always felt that outside of family and close friends they were our biggest cheerleaders. Whether it was the receptionist at the front desk, the nurses, the lab, the financial counselors, Doctors, etc they ALL care for the patient as a whole, you most certainly will not feel like a number!

Dr. Kathryn Calhoun always made us feel like we were her only patients (even though we knew that obviously wasn't true). She never rushed us through phone calls, appointments, etc. She genuinely cared about us as a couple trying to start a family.

Carla (our primary nurse) and Tammy (our care coordinator) were awesome! Carla always made sure I knew exactly what meds I needed to take, what the procedures would entail, etc. Tammy was always quick to schedule my appointments and always made sure my procedures worked with our schedules.

Dr. Calhoun is just outstanding, there's no other way to describe her! She was with us from the very beginning of our journey to become parents. We had 2 rounds of IUI. One resulted in a Ectopic Pregnancy that ruptured. She performed the emergency surgery. We went on to go 3 for 3 in the IVF process and have 3 beautiful children. We truly believe we were successful because she took so much of the stress out of our journey. We felt comfortable at each stage, even during the difficult times. The only "negative" about Dr. Calhoun is that she couldn't deliver the 3 babies she helped us bring into this world!

No one WANTS a membership to the IVF club but sometimes there aren't any other options. The journey is stressful but at some point you have to just let go and place it in the hands of experts. This means you need to have a tremendous amount of trust in whoever is providing your care. In our opinion Dr. Calhoun is the right expert to help you during this process. Trust in her experience and know that she truly wants to see you accomplish your fertility goals.

I think in total we spent probably around $50k-$60k from the very start to the very end.

ACRM is a very good clinic. Their strategy is coordinated care--so, you may not see your primary physician every time. But, information is shared and the physicians are great about working together. It's seamless. The rest of the staff is very friendly and helpful. You can pay bills online. And, their offices are very well appointed and comfortable. Also, they have several locations across metro Atlanta.

Dr. Carpenter treats her patients 100% like humans. She ALWAYS makes sure her patients leave her office understanding their care plan and feeling comfortable with their plan. She's accessible and easy to talk to. And, she really genuinely cares about you as a person.

My care team at ACRM consistent for Sherri (primary nurse) and Timeka Carter (care coordinator). Sherri has been the most incredible support throughout this journey. She is easily accessible and answers my questions (or finds Dr. Carpenter) every single time. Timeka is also amazing. She knows my appointment preferences and always reaches out in a timely manner to help schedule my appointments.

My experience is ongoing, but it's been a great one. We've had setbacks and we haven't had the results we want yet, but I'm confident in our plan and I always feel like I'm a participant in the plan vs. just a patient.

She's very, very smart. Ask as many questions as you'd like and she'll always be ready with an answer. She cares about you and your journey--never hesitate to reach out if you're feeling overwhelmed.

Our retrieval was antagonist protocol with birth control. 225 IU of Gonal + 1 vial of Menopur for 6 days. Then, on day 7 we added 0.25 of Cetrotide for 4 days. We did a Pregnyl trigger injection. We opted for ICSI and did genetic testing. We froze our embryos to test/let my body recover from stimulation. This protocol resulted in 15 eggs retrieved and 5 day 5 embryos frozen. Unfortunately, our first IVF round was unsuccessful. We did a uteran septum resection after our failed attempt and are now waiting to transfer our second embryo.

My retrieval was about $14K. Each transfer is about $4K. My insurance (BCBS) is not covered for blood work, so each time I needed in-house labs, the cost was several hundred dollars. Through my insurance, only 'diagnosis' codes are accepted. So, monitoring and consultations are copay only. But, anything beyond that is out of pocket.

Smaller practice and office which was nice. They don't keep you with one doctor, they have meetings weekly to discuss the patients in treatment but as the patient it feels like they don't really have a handle on who you are or what your situation is.

That practice did not give you one Dr, they all saw you - you rotated through depending on who was in the office that day. Dr. Denis was my main doctor but when other doctors came in they did not always know exactly where I stood in my cycle, progress, situation, condition, etc.

I went to ACRM and Dr. Denis as a second opinion after being told to use egg donation. Before he concurred he gave me one last go at IVF with my own eggs. I got cancelled the day before retrieval. After this transpired he agreed that Egg Donation was the right course of action for me. I got pregnant with twins through egg donation. At the three month mark I graduated to to my OBGYN. At my first appointment with my obgyn it was determined that Baby B had a severe omphalocele. My high-risk doctor performed a selective reduction on Baby B. Two days later Baby A died as a result of the procedure. I had a D and C. Two weeks later I went back to Dr. Denis to discuss the matter and what course of action to take next. I wanted to stop all RE efforts for 6 months while I went holistic to take a different approach. Dr. Denis told me that it would be unethical for him to agree to do that. That is was basically hopeless and that he would not work with me on my new plan. I went to another practice, found someone who would work with me and had twins with my own eggs via IVF 18 months later. In all that happened to me the worst day was the day that Dr. Denis told me there was no hope. I still believe he owes me an apology. I think he has no recollection of me and my case but one day I will introduce him to my children!!!

Don't go.

Because I had already done clomid, IUIs, IVF and was being refered to Egg Donation his one last attempt to do IVF with my eggs before making his own assessment of Egg Donation he used the highest doses possible on that cycle of IVF. Regardless I was still cancelled the day before retrieval,

Always friendly when you walk in, someone always greets you, appointments are always on time, and I've never really had to wait on the Dr or nurse. I don't want to make them sound perfect, as maybe some of the staff isn't as friendly as others but for the most part, they are all nice, professional and easy to communicate with.

Dr Fogle is one of the realest Dr's I've ever met. From the moment I met her, it was like sitting down with an old friend that only wanted the best for me. She typically started her advice to me with, If you were my sister... She was always upfront and honest with me. She knew exactly what information needed to be shared and what didn't need to be shared. Her expertise and devotion to fertility is quite apparent and its almost as if she knows things before they even happen. I felt very confident under her supervision during the IVF cycle that I already did and will continue to trust her judgement and protocol for the next one. Its all about finding the good egg at this point. I am a 41 year old single female, with a deep desire to start a family on my own and I will do whatever it takes to make that happen. I know Dr Fogle will be by my side through it all with her best intentions along the way.

You would thing my nurse and Dr Fogle were sisters. They had the same great characteristics and made me feel comfortable every step of the way. My nurse was always on top of everything, she responded to every email or call in a timely manner, she was compassionate and treated me like a friend and not just a patient.

Dr Fogle is real! She is honest and personable making you feel comfortable every step of the way. She is always on time, professional, and friendly. Dr Fogle explains every aspect of each process and was always spot on with each protocol she suggested during IUI attempt and IVF attempt #1. She has kept my mind at ease during the process and I know she will continue.

I would tell a prospective patient to be patient with the process, don't be overly confident, trust the process and remain positive with each step of the way.

For the IUI process, I was on letrozole for a week before the insemination. I used donor sperm as I'm single. I became pregnant on my first ever IUI and first time trying. Unfortunately it resulted in an eptoptic pregnancy at 6 weeks. So then Dr Fogle advised me to start IVF next. Being my age, and having an eptoptic can increase your chances of it happeneing again. Protocol for IVF, I was on birth control for 10 days then start the stimulation injections. Morning and evening was a dose of Micro dose lupron and dexamethasone 1x a day. Then the following evening I started gonal-f, menopur, and omnitripin with the micro dose lupron. That lasted for about 9 days for the trigger shot/hcg. With ultra sound at day 6 and the week of the trigger shot every other day to make sure my ovaries were stable, and the follicles were growing to the right size needed for the egg retrieval. I was very successful with this treatment. I had many follicles, retrieved 20 eggs, 12 fertilized and three embryos but unfortunately the three were not chromosomal normal, which happens to the best of us. I have no known fertility issues only my age. I will keep trying!

I have nothing to compare it to. Its expensive no matter where you go. IVF is costly. I did the attain program and so for each step, I wasn't sure of the cost but total its expensive.

We found a few of both these during our short time with the clinic. Strengths-Multiple locations, Staff was good, stayed on top of everything as much as they could. Weakness-Doctor experience, Finance department

When we first met with the doctor she seemed very sweet, but she was quick to tell us we needed to do IVF and wanted to get the process started asap. Being this was our first clinic I wish we would have received a better consultation rather than a stack of papers.

She had everything in order but with the short time we were with ACRM there was more attitude then we needed during this rough time.

We felt like a number and a count in how many IVF cycles they would complete. Dr. Carpenter drew her chart with how the males body works and how the females body works. She did this to explain how everything works (lots of medical words) every time we met. I felt that was her go to. She was very sweet but didn't feel the compassion for such an emotional procedure. What pressed my button was when I saw her after my HSG at the perimeter location. The PA completed it and then when I walked out to pay I was surprised to see her there as I was told she wasn't available to complete my procedure. I was fine with it because I know their schedules are busy but when I said Hi, excited to see her....it was a wave without anything out of her mouth and like she was forced to say hello. As a doctor you would think she would care to say hi to her patients with a little bit more enthusiasm and care.

I would ask her to give you options and ask her to explain in detail the steps and how you can communicate with her through the process.

Unfortunately we didn't even get this far. After the HSG we were done with ACRM and decided to find another doctor and practice.

We didn't get that far.

The clinic is organized, clean, and offers various locations for convenience of the patients. The nurses are good and responsive and the doctors are knowledgeable. The patient coordinators do a good job at knowing your cycle and when to schedule the different tests and appointments. The admin and finance staff could be better though. The OR at ACRM is top notch! I would definitely recommend them, from the nurses to the people doing follow ups. They were compassionate and clearly cared about the patients.

Dr. Fogle took the time to answer questions and explain things to us as we are informed patients. She also repeatedly reminded me that our prognosis wasn't as bad as I thought. She also performed a D&C after our miscarriage and was kind when I woke up from the procedure.

Megan and Suzanne are two nurses at ACRM and both are good communicators. Megan is a bit more responsive. Both nurses seem knowledgeable and answered emails and questions on an ongoing basis. The nursing staff is overall good and responsive but can sometimes take long to call with results. Our patient care coordinator is Vanessa Otamendi. She is really nice and very responsive as well. Some members of the staff taking care of blood work and other jobs besides communicating with the patients could use better bedside manner.

Dr. Fogle is knowledgeable and doesn't rush through the appointments like other doctors I've had. She asks questions, is direct, eloquent and uses clear language while giving enough information in a non-condescending way. We are patients that do research and come up with multiple questions; she has addressed them with patience. However, she didn't inform us about the risk of not obtaining a result upon sending the products of conception for genetic testing, and in my opinion, represented that there wasn't a male factor in our journey, when it was found later that there was upon doing further testing. I believe we should've been warned that a test was missing that could show more later if we decided or needed to do it. For a long time, we assumed that we only had one issue and didn't work on improving the male factor. Dr. Fogle has an approachable personality. I would recommend her and for the time being intend to continue treatment with her.

Ask enough questions and be your own advocate. Dr. Fogle will listen and take your opinion into consideration.

We did two medicated cycles with Clomid under Dr. Fogle's treatment and one IUI (actually performed by Dr. Hasty in ACRM). Looking back, the IUI should've perhaps been cancelled because husband was traveling on the more ideal day but she took in consideration our opinion and we didn't want to "waste a cycle." These treatments resulted in negative pregnancy tests. Dr. Fogle also performed a HSG and HSC (actually performed by Dr. Keenan). Upon getting pregnant naturally, Dr. Fogle performed ultrasounds and adjusted my synthroid dose from 75 MCG to 88 MCG after I asked for my TSH to be checked again. She also adjusted my progesterone dose upon my request. Unfortunately, that pregnancy ended in a miscarriage. After our second miscarriage (first under her care), she recommended a number of tests including karyotypes, glucose tolerance test, SCSA, and more. Dr. Fogle has reviewed the supplements I am taking (Vitamin D, DHEA, Coq10, Fish Oil, Dim Detox, L'arginine, Magnesium, Acai Berry) and adjusted some doses. She is also recommending a mini-stims IVF cycle with ICSI. We plan to start this next month.

We've paid out of pocket for fertility treatments since our insurance doesn't cover them. Diagnostic tests are covered. We believe that 1 appointment wasn't coded right as we were still discussing options and it was coded as IVF appointment because Dr. Fogle did provide the protocol she would suggest. However, we were still in a diagnostic stage. ACRM isn't particularly affordable but such is the cost of medicine in the US.

The clinic was convenient, clean and inviting. All of the staff and doctors are of the highest quality.

Dr Fogle was not only extremely knowledgeable and certainly an expert in fertility, she had an extremely caring and warm bedside manner. I appreciated her continued and thoughtful concern for my health and the success of egg retrieval procedure.

The nursing staff was prompt, kind and caring.

Dr. Fogle is not only a brilliant surgeon, she took the time to really listen to my needs and concerns. As a 31 year-old career-minded woman, I did not want my age to determine by ability to have children. So I went to see Dr. Fogle to discuss freezing my eggs. She answered all of my many questions articulately and made sure that she had fully understood and answered everything completely. She calmed all of my uncertainty with her knowledgeable and thoughtful responses. Through the procedure, I felt how much she cared for me as a patient and a person. The procedure was a huge success and I would highly recommend Dr. Fogle to anyone in need of assistance with fertility.

I am 100% confident that Dr. Fogle was the best doctor for my treatment and would recommend her to any of my friends or family.

N/A

ACRM accepts many insurance plans and promptly submitted all of my claims.

I thought everything about ACRM was wonderful. From the front desk staff to the nurses and doctors, they make you feel comfortable and welcomed. They work around your schedule to make sure you see the doctor you request and I never waited more than 10 minutes for an appointment. They made the retrieval and transfer process enjoyable.

She went above and beyond to make sure I was comfortable and understood the process. She is one of the best doctors I've ever been around and I am forever grateful for her.

Kim was amazing just like Dr. Calhoun. They are two of the most caring health care providers I think anyone will ever find.

Our experience was amazing given the situation we were going through. Dr. Calhoun never rushed us and made sure we were 100% on board with every treatment. She took ample time to review each treatment and never left us feeling pressured or confused. She truly is one of a kind.

Trust everything she says. She 100% has the patient's best interest in mind.

We tried three rounds of Letrozole before having my husband tested (our decision, not hers). We then moved onto IVF where we now have 14 embryos frozen and I'm pregnant with our first son.

Our insurance covered most of the treatment. I think I paid about $7,500 out of pocket at the end of the process.

I loved working with her, she gave me her personal email and telephone number. She also called me personally with my beta test results and was genuinely excited that we succeeded!

They were always available to answer questions. They were great, I am so thankful they were on my case! The protocol was fantastically detailed. I have seen IVF protocols from other clinics and they don't compare to the level of detail ACRM provides.

Dr Calhoun was fantastic!! She was great at explaining everything. We originally planned to do three IUIs but after monitoring me she decided to recommend we just move on to IVF. I am so glad she did because one last test revealed I had a septum in my uterus that would have prevented me from getting pregnant. During my IVF treatment, I was not responding well to the drugs and luckily she made the change midway through so I could finish the protocol. On transfer day, the embryologist revealed my embryos were grade 3, but, somehow, both implanted! I believe it was Dr. Calhoun's skilled placement in my uterus. One split and the other thankfully never developed. Today, I have two beautiful twin girls and it is all because of Dr Calhoun.

The Johns Creek office is really efficient, I always valued how quickly k was seen.

Strengths: professional, great nurses, seemingly popular, very organized process. Weaknesses: some (not all) administrative staff is disorganized and rude.

He made sure to be very familiar with all details of our case.

Mikesha was EXCELLENT and has taken great care of me. My patient care coordinator, Michelle, was very forgetful. She often called to schedule me for a treatment I wasn't scheduled to even have. Thankfully for my IVF cycle I made most of my appointments with Mikesha and felt great in her care.

He lacked emotion or bedside manner, but was always pleasant and optimistic. I trust him and felt he had a very good sense of what he was doing and how to handle our case successfully. He recommended freezing sperm (which was unsuccessful because samples didn't survive thaw well).

Do not expect extreme warmth, but do expect a capable and calm Doctor.

Antagonist protocol (no female issues known). ICSI for fertilization

This was a well-oiled machine. I was usually called into appointments within 15 minutes, though I was almost always early or on time. I did wait for 10-15 minutes in the exam rooms, though.

Cycle $15,600. Meds $3,300. Pre-treatment (Hysteroscopy, mock transfer) $1,770.

I was often treated by the same staff. They knew me and created relationships with me. Everyone was compassionate and always had time to talk to me and answer any questions. It was not a quick in and out appointment unless I wanted it to be that way.

Both nurses were readily available to me by phone and email (which worked best for me). I could ask a million different questions or the same question a million times and always be treated as intelligent and with respect. They were both patient and compassionate and extremely knowledgeable.

Dr. Hasty was easy to talk to about all of our concerns - medical, financial, and emotional. She would talk to us using medical terms about our issues and concerns and listen as we would make sure we understood it in our layman terms. Dr. Hasty was honest and direct, yet encouraging. I felt she cared more about us as people than about how our success would benefit ACRM's success rate.

Be up front with her about your fears so she can address them.

I have not had any problems with ACRM. They are very professional and informative. I'm always told how much my appointment is going to cost before hand and everyone is very friendly and there to help.

Dr Fogle is very caring and understanding on the topic of infertility. She has kept me informed and her staff always responds to my questions and treats me like they really care. ACRM has been wonderful!

Megan and Vanessa have been wonderful. They are always very quick to reply to my emails and keep me posted on what's next.

Dr Fogle has been very thorough with my condition and treatment. She has covered all her bases with testing and even though there have been some unexpected diagnoses while undergoing my myomectomy, She has stayed positive and made me feel very well cared for.

To trust Dr Fogle with your care, and to always ask questions and voice your concerns. She is there to help you.

I was diagnosed with uterine fibroids, tubal blockage, and PCOS at the same time. After undergoing testing and Dr Fogle performing my myomectomy and tubal removal, she discovered stage 3 endometriosis. I will under go an HSG once healing is complete to examine my other tube. Dr Fogle is thinking my other tube isnt functioning properly as well. If this is true, IVF is my only option. My HSG is set to be done in early June.

Cost so far has been for blood work, ultrasound, and my surgery. I have been totally informed on financial responsibility before any treatment was performed