ACRM

It's clear when you are there in the waiting room that ACRM sees a large volume of patients. But it's also clear that they've gained tremendous experience and insight to a process that's still mostly an unknown. There's so much about fertility (or lack there of) that the medical profession just doesn't know. The financial group is not quite as with it as the medical side. If there's anything "different" about a cycle that doesn't follow their normal procedure, it throws the finance person off and usually they forget to update a fill-in the blank type field with the correct information. Review everything, ask questions, keep records.

ACRM is an extremely busy clinic. However everyone that I saw on a regular basis was extremely compassionate and empathetic. I've had an unusually high number of complications. The follow up has been incredible. The phlebotomist techs knew me by face and name, not just as a name on a piece of paper. Even the check out clerks were the same. When I miscarried, every person I saw was crying right along with me. When I was hospitalized, Dr. Fogle saw me daily in the hospital - I even had her cell phone and she checked in constantly via text.

I've had 3 primary nurses. The first moved out of state, the second went out on leave, and I'm still working with the third. All compassionate, answered all questions I had in a timely manner. I really like that I can send off an email and get an answer in a reasonable amount of time.

Dr. Fogle is amazing. From the first consult she has been kind, patient and thorough. She will go over everything in incredible detail, taking as much time as needed to answer questions. She did warn us about "Dr. Google" but she took the time to answer every far fetched question I had about anything I read online. Always upbeat when we saw her. Initially when we started at ACRM, yes we had the doctor rotation for monitoring, procedures, etc. But we're at a point in the process where Dr. Fogle is doing everything herself to ensure that I'm getting the treatment and level of care that she wants. She fully trusts the other doctors in the practice, but the fact that she wants to see it all through really means a lot.

Do your research, ask questions, be patient. Dr. Fogle did give realistic expectations for each procedure, but we still went into everything overconfident that we would beat the odds. Be realistic with yourself, listen to her and your care team. Don't be hard and beat yourself up if things don't go perfectly.

2 IUIs, 6 attempted IVF cycles resulting in 4 retrievals 1 IUI conversion and 1 complete cancellation/hospitalization IUI's had clomid followed by progesterone orally. Negative beta's. IVF cycles: E2 Priming x2, MiniStim x2, Microdose Flare x2. One of the E2 Priming and one of the Microdose Flare protocols resulted in 1 frozen embryo but CCS genetic screening showed a chromosome mismatch. One E2 Priming resulted in all embryos arresting. One Microdose Flare resulted in 1 embryo that was CCS chromosomal normal. That FET resulted in a miscarriage. One ministim was cancelled and the other converted into an IUI.

Yes, reading material was provided to us to review and all consults stressed single FET transfers. I only had a single embryo for FET, so there was no option for multiples.

Strengths: OMG! They have the best facility! Also very well qualifies professionals (including embryologists). Love that they order only the necessary meds so you don't end up with left overs. They let you make appointments on both locations for your convenience. You'll have your nurse contact information and you can reach her anytime. They were really sweet and the called to let me know I had a positive pregnancy test :) Weaknesses: Not sure if they have one. Trying to think of something but I can't find anything relevant that bothered me. I'd say it's the fact that they don't work with your insurance. Let's say my EOB would say I could have a discount but it was up to them to accept it and they never did.

They will give you a nurse that will be yours during your treatment there. Mine was out for a few days and when I called they gave me the nurse on call. I guess I was lucky because then I had two nurses to talk to and send emails with questions. Either phone or email they were very responsive. You can always get a hold of something if you need something.

Well... to start with... he speaks portuguese as well. So it was nice to be able to speak our native language for a change. He is very kind, compassionate, but he can also be direct and he'll definitely tell you the whole truth. Ask as many questions as you want... he will answer them! He has the facts, studies, examples, pictures ready for your appointment. I've been with different doctor (two previous failed transfers) and he was THE ONE that gave me my positive test on my very first transfer of this cycle. I'm very thankful and would definitely refer him to friends.

Don't hesitate to ask him questions. He works on both Buckhead and Perimeter location. So try to schedule where it's best for you. That's a plus :)

IVF Protocol Antagonist: - Started birth control pills on my CD3; - CD11 last birth control pill; - CD12 Baseline and bloodwork; - CD15 Started stimulation injection meds subcutaneously: 225IU of Gonal-F 1 Vial of Menopur (mixed with 1ml of saline) - CD20 (DOS6) Ultrasound and bloodwork; - CD20 (DOS6) Started Cetrotide 0.25mg injections; - CD22 (DOS8) Ultrasound and bloodwork; - CD24 (DOS10) Ultrasound and bloodwork; - CD24 (DOS10) Last injections of Menopur, Gonal-F and Cetrotide. - CD25 (DOS11) They put me on Cabergoline 0.5mg (1 tablet) for 8 nights because of high estrogen levels (risk of develop ovarian hyperstimulation symptoms); - CD25 (DOS11) Triger shot - Novarel 1,000 units subcutaneous at a specific time according to egg retrieval time; - CD25 (DOS11) Triger shot - 1hour later I took 4mg of Lupron (80 units) subcutaneous; - CD26 (DOS12) Triger shot - 12hours later I took the second dose of Lupron 4mg (80 units) subcutaneous - CD27 Egg Retrieval day (28 eggs retrieved; 23 mature; 20 fertilized; 11 made it to blast (5 were frozen on day 5 and 6 were frozen on day 6); all 11 were sent to PGS testing; 8 were normal and 1 did not get a reading (candidate to be retested in the future). - (CD1) 9 days after egg retrieval my period started ; - (CD2) Started birth control pills; - (CD12) SIS/Trial transfer appointment; - (CD17) Last birth control pill; - (CD19) Baseline and bloodwork appointment; - (CD20) Started Estrace 2mg (twice a day); - (CD26) Started Estrace 2mg (3 times a day); - (CD32) Midcycle ultrasound and bloodwork appointment; - (CD34) Started PIO (Progesterone sesame in oil 25mg); - (CD35) Increased PIO to 50mg; - (CD36) Started Medrol (Methylprednisolone) 16mg once daily, for 5 days; - (CD38) Bloodwork appointment (check progesterone and estrogen levels); - (CD39) Transfer day ( Transferred only 1 healthy PGS tested embryo); - (CD49) First pregnancy blood test; - (CD51) Second pregnancy blood test; - (CD54) Third pregnancy blood test.

I'm not able to tell the price because we used Attain finance program instead of payment directly to the clinic. But from where I recall: - Medications were self paid (I'm not sure but I don't think we reached the $5,000.00 we thought we would reach for the whole cycle- retrieval and transfer); - Anesthesia was also self paid ($515); - Preliminary Testing (i.e. Trial Transfer and SIS), also self paid; - For the baseline, biopsy and transfer a total of $16,540.00 - PGS is $1,950.00 (screening of up to 6 embryos and shipping); I guess that would be something around $25,000.00 (not included preliminary testing if you need it).

He explains it very well based on studies, researches etc. All based on your age, previous treatments, diagnosis, and others. I trusted in him and he convinced me that eSET was the best for me. It only took one for me to get pregnant on my first transfer with him!

The Buckhead clinic is organized and efficient. their Perimeter branch is a mess and you should regularly plan to have an hour or more wait. You do feel that they focus more on IVF and push you towards that, but not excessively so.

While with Dr. Hasty, in a one-on-one appointment, she takes her time and explains everything thoroughly. She also listens to your questions, provides answers, and does not make you feel rushed. The issue is that you as a patient rarely see her! Her nurse practitioner runs everything! The nurse practitioner is wonderful, but when you have not been able to get pregnant for an extensive amount of time, you really want to be seeing the doctor more often!

Laura is fantastic. She answers all emails in a 24 hour or less turn around. She can ease concerns and responds effectively. She is very efficient.

She is kind, caring and a great communicator. She is just rarely around. I came to her for IUIs and fertility medication. it is possible she is more involved in IVF, but I wish she would have explained that she would not be the one providing the regular treatments, her nurse practitioner would be, as well as any doctor who happened to be on call on the day of your procedure.

Be more involved in your patient's progress, or lack thereof. When something does not seem to be working for a while, change the course, instead of waiting for the patient to try to track you down. It takes 2 months to get an appointment with her.

She recommended and HCG to ensure tubes were not blocked, and put be on 750 MG of Metformin due to possible PCOS. I did this with timed interocurse for about 6 months. I was then given 5 mg Letrozole/Femara to take days 3-7. Dr. Hasty prefers Letrozole over Clomid due to a lower chance of multiples. I am still taking metformin, and concurrently doing IUI. I have done this 3 times. Last month was the first time I also used an HCG trigger shot for ovulation. I am continuing the same for this 4th cycle.

IUI with frozen sample: $470 Monitoring ultrasound and blood work: $300-500

We have not yet discussed embryo transfers.

ACRM is the most organized clinic I've ever been to. Everything is carefully planned out, with lots of helpful paperwork and info for every step of the fertility process. When you walk into the office, it is a relaxing and positive environment.

Dr. Fogle spent time getting to know me and my husband in a consultation, before talking to us about our options. She is empathetic when delivering test results, but also clear about what needs to be done.

The nurses are very good at getting back to me. Every email I send gets returned by one of the nurses. They are helpful in answering questions I have in between appointments.

Dr. Fogle is very empathetic, and delivers test results with a mixture of honesty and compassion. It is this combination that makes her an excellent doctor when dealing with this medical specialty, since for many fertility patients, time is against us. I like to ask a lot of questions and take notes, and Dr. Fogle does a great job translating medical jargon into decipherable information that I can understand. She seems to be more a proponent for traditional forms of fertility care (Clomid, IUI, IVF) and less supportive of nontraditional forms (acupuncture, herbal supplements).

I would take Dr. Fogle's advice, since she is an expert in her field, but also listen to your own instincts on trying nontraditional forms of fertility such as acupuncture.

We are trying IUI and letrozole this cycle. We will do two rounds of this treatment strategy. If these are unsuccessful, I will start IVF. Since I am a teacher with a limited salary, we don't know if IVF is a viable option for us financially. But we really want a baby, and are willing to do what it takes to have a family.

So far, with consultation, blood work, and HSG, the total is $1500. We are doing IUI this month, which will be $1900, and then after that, IVF will be $24,000.

ACRM wants you to be successful. I feel their strengths are that they aren't pushing into their own agenda, they want you to be comfortable with the treatments they suggest. My insurance covered most of the tests, and none of the treatment costs. They helped provide me with support group information. I don't have any weakness es As have had a great experience.

She cried with me when I had an ectopic and celebrated when we got positive results!

The ladies at ACRM (especially Cailin) ate amazing. They answer all my questions in a timely manner. They provide quality information and try to work my appointments around my work schedule.

Dr. Calhoun has always been open, honest and compassionate. I feel that we WILL be successful in her care. She has answered all 1000 questions in a timely manner. I have requested certain tests for my own peace of mind that she gladly performed (even if it wasn't necessary). She listens to my requests and concerns. When I had to end an ectopic pregnancy for my own health, she cried with me.

Be open to suggestions and listen to all the information before you start asking questions. (Most of the time, she will address it before you do.)

Our strategy is to get pregnant and stay pregnant. We tried Clomid (twice) which both times ended up as a chemical pregnancy. We then tried a trigger shot, which produced an ectopic. The ectpoic (along with PCOS) clogged my tubes so we will move on to IVF in March 2019.

For the past year we have spend $4000 in treatments and testing.

She has given us the choice, but has suggested eSET.

This clinic very much runs like a corporate office. Payment and scheduling is very mechanical, not at all personal. On the other hand it is very organized and the facilities are very clean. The setting is professional, but not personal.

interfacing with the doctor was very personable and all the information about testing and procedure was thoroughly explained. However this particular clinic did not put in much effort in terms of outreach when we were in testing. No updates or inquiry as to what happening with us. All contact was left completely up to us. We feel this was due to a lack of sensitivity to our financial situation, in that we didn't have money to complete the entire process from start to finish.

The nurses were very organized and professional in the office. However patient outreach and compassion for patients personal situations were not taken into account. We received very little communication from the office In terms of updates.

Dr. Fogle was very outgoing and friendly. She was clear in explaining the testing process and procedure. She decided on an appropriate course of action according to our specific situation and kept a very positive attitude.

To come with money for the entire procedure. To pay in segment becomes complicated.

Robin analyzed our specific situation by looking into our medical history, based on her findings she recommended certain testing to ensure our eligibility for testing and gave us her opinion on success rates of patients with similar medical issues. Dr. Fogle customized a treatment plan and for us with future trials taken into account.

This clinic is expensive, and no consultation, test or treatment goes unpaid before the next can begin. Very difficult for financially troubled people to work with.

It’s very busy - but it’s easy to get an appointment when you need it. They’ve got it down to a science! There are also several campuses so if you’re unable to get into one office, you can likely get in to another - even at a moment’s notice.

Dr. Carpenter is phenomenal at balancing the hard facts of infertility with the compassion needed to deliver those facts. She doesn’t sugarcoat things but is very compassionate in how she relates to her patients.

The nurses always returned my calls or emails within a few hours. My primary nurse talked to me twice on the day of my miscarriage and called back the day after to check on me.

She was hopeful that we would have success - and we did get pregnant. When I saw her in the middle of my miscarriage, she took extra time with me to make sure I knew it wasn’t my fault and that I was doing everything right. She was so incredibly compassionate on the worst day of my life - so glad she is my doctor.

While she is compassionate, she does not sugarcoat facts...which to me, is the best combination. She is straight forward with your chances of success but will do everything to help you have that success.

We had one successful pregnancy after a round of femara and are now awaiting our first IUI due to endometriosis. We are hopeful the femara with IUI will be successful.

So far, we have only been though one treatment with femara in which case the specialist copay is all that has been required so far. She did, however, give us a cost estimate for our IUI process.

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STRENGTHS I really like Dr. Robin Fogle and that is the reason I have decided to continue my care at ACRM. Another strength is the surgery staff. The doctors and nurses made me feel comfortable during invasive, nerve-wracking procedures. They were informative, positive and compassionate after each retrieval, transfer and termination. WEAKNESSES The support staff in the office seem more concerned with payment, and in such a sensitive line of work, that is off-putting. While it is a business, there is a way to conduct it in a dignified manner. Expect to wait for your appointment, each and every time. A more effective way to streamline clients would be beneficial to patient satisfaction. The shots are consuming alone, so the less time interrupting one's work schedule for blood work/doctor visits would relieve some stress. Getting in touch with someone regarding protocol outside clinic hours is not easy. Seeing as the IVF process is not a 9-5 endeavor, there needs to be more responsive staff available outside "normal" business hours. One of my cycles was drastically changed because of a need to clean the ACRM Lab. I was already in the middle of my protocol when I was informed of this, and was given the option to cancel the cycle or double some medications to speed up the process and make the deadline before the cleaning. Pharmacy is very expensive and had I been informed I would have opted to wait until the Annual Lab cleaning was complete. Seems like that would have been on the calendar for ACRM for some time. As a result of the drastic change, that cycle was not successful. My body was so out of whack, I ovulated early. It was a complete waste of time and money. I am currently opting to proceed with Egg Donation. While I was told the Bank was "in-house," I was not informed about the low census, even after expressing the characteristics my husband and I are seeking. The profiles available are extremely limited (ie 2 Caucasian donors) - and I was not able to even access that information until I paid a non-refundable $400. Very disappointing and misleading.

Dr. Fogle has a warm personality and I felt like she really listened to me and was invested in my desire to build a family.

My nurse/care coordinator Mikesha communicated effectively and with compassion. The surgery staff were exemplary and sent me a card after my miscarriage.

Dr. Fogle did not relay a risk in unfreezing embryos in the lab. We lost the one embryo we had put our hopes in due to it not surviving thawing. Because we did not realize this would be a possibility, we were blown out of the water by this loss.

Dr. Fogle is very compassionate. You would benefit from asking more technical questions every visit. Such as: "What's next? What are the risks? Is this what you expected?"

Testosterone priming seemed to be beneficial in my cycles. Low-dose hormones did not work. That protocol was not productive.

I have spent at least 30,000 for three rounds of treatment with Dr. Fogle. My insurance only covers a percentage of treatment, so this has been a major expense.

Having only been to one clinic, it is tough to call out strengths or weaknesses. That said, I have enjoyed me experience with Dr Hasty's office and staff and would recommend it to someone who is beginning their journey and looking for answers.

Dr. Hasty's bedside manner is amazing. She is encouraging, kind and patient. After leaving my initial consult, I felt like she was completely invested in helping us conceive. Every visit I have had with her since (and there have been several) has been the same.

Laura is easily accessible and very knowledgable. She is typically quick to respond and in the case that she is OOO, there is always someone you can reach out to in her absence.

I love Dr Hasty. She is a kind and compassionate Dr who genuinely makes you feel supported and like you have a good chance at being a mother. She spends time explaining they basics (and beyond) and never makes you feel rushed or like she does not have time.

Prepare all of your questions and do your SART research.

We did 4 rounds of medicated IUI with Letrozole and HCG trigger. We got pregnant on our second round but that resulted in a MC. After the MC we did two more round and then decided to move on to IVF. We did our retrieval a couple of weeks ago. Protocol was Menopur and Gonal F, with a dual trigger of Leupron and HCG. We were not given rationale for this protocol, but I will say that I never felt any discomfort during stims and I came nowhere near OHSS, despite the fact that I have 15 (or so) follicles.

The great thing about ACRM is that they are open 7 days a week so you are always able to get in for monitoring.

We are luck to have insurance coverage for the procedures. That said, when all is said and done, we will likely still pay about $10K OOP.

None yet - we have not done our transfer.

Yes, they take insurance. Yes, they do a money back program. Everybody here is really nice. The office is very comfortable. There is a parking lot. The office is not difficult to find. Getting an appointment isn’t difficult. Everybody here is very kind so don’t worry!

ACRM was very welcoming. Every staff member calls you by name and is kind. Dr. Toner took the time to listen to what I was saying and really answer our questions. He was also prompt about following up with emails when I had additional questions after appointments. I felt he genuinely cared about my input and like it was a team effort to grow our family and my husband and I have both felt very comfortable at all times.

All of the staff have been great. The phlebotomist who draws labs is great. I can’t even really feel her stick me to be honest and that’s saying something since I’m kind of grossed out by needles. The nurse is always ready to return an email or call and the front desk lady is the absolute best. It’s just really streamlined and everybody does their job very well. It’s a cohesive unit- they just work well together.

Dr. Toner listens very well. He doesn’t come off as “too good” to talk to you. He makes the somewhat awkward conversations that come with infertility feel effortless not intrusive. If you have questions come prepared with them or email him after and he is quick to respond.

Don’t be afraid to ask questions he will thoroughly answer them all.

We did a cycle of Femara. We decided against IUI for the cycle hoping everything would happen on its own. He was frank with us when he said that there wasn’t much chance and IVF was a better route for us due to the stage of my endometriosis. We had labs and ultrasounds throughout. Everything looked great but no pregnancy. At least we were prepared for that, though, since he had been very up front about what he thought our chances were. He was also very positive about moving forward with further treatment and caring. When we found we could get IVF for lower cost elsewhere he also agreed to do our monitoring so it could be made more affordable for us. Highly recommend him.

My insurance paid for some things. My femara cycle I had to pay for bloodwork and part of my meds and it was about $1,000 after insurance.

The practice does money back gaurantees if you go through one of their programs so eSET is actually possible financially. He only does multiple transfers after several failed cycles or after a certain maternal age. I think this makes good sense medically since it lowers risk of complications for mom and baby and since the risk for identical twins is still higher even with that eSET.

Excellent overall. Though I only had experience with one doctor and clinical team, I did have intermittent interaction with some of the other doctors and nurses who were all helpful and caring. Even coordinating billing/financial aspects of it was very smooth and he billing department was easy to get in touch with and work with you to figure out any issues.

The experience was very personal. She remembered details about my husband and my lives outside of the fertility world and asked questions/showed interest in really getting to know us. She always seemed genuinely invested in our process.

90% of the time the communication was excellent. There were times she would not respond for several days to my emails which was frustrating st times but overall was a good experience

Dr Calhoun is amazing. She made the experience so person and did not make us feel like just another couple trying to conceive. She remembered details about our lives and asked/expressed interest in really getting to know us. When we completed our initial extensive testing she explained everything in great detail on a level that was extremely easy to understand and we had a plan outlined for us based on those results. We saw her at every appointment throughout our IVF cycle and she was available if needed by phone to answer any questions or discuss anything that our nurse couldn’t. She was, in my opinion, the type of person you’d want leading you through this difficult and typically lengthy process.

Be patient. It is a difficult and lengthy journey most of the time but Dr Calhoun will be with you every step of the way and truly cares to see you end up with a positive outcome.

I don’t remember exactly. I initially took clomid but prior to my IUI that cycle she noticed the endometrial lining of my uterus was too thin so the IUI was cancelled and I was switched to another medication with worked well. We did 2 unsuccessful IUIs and Dr Calhoun was very honest to tell us she didn’t see any benefit in continuing with IUIs because given our fertility issue the chance of it working was slim to none and she felt as though we would be wasting our money to continue. Our IVF cycle was uncomplicated- I don’t remember the exactly medications but everything seemed to work just as planned.

I don’t remember specifics- but our total IVF cycle with meds was around $20,000. IUIs were around $500 each time I believe. They also charged between $100-300 for ultrasound monitoring and several hundred for blood work monitoring each time.

She strongly recommended a single embryo transfer given my younger age and higher chance of success at the time.

It’s a very well oiled machine. They always get me in and out very quickly, I’m rarely there start to finish longer than 30 minutes. The staff is all kind and very friendly. The blood draw nurses make me feel at ease and all the doctors are kind and very knowledgeable. They answer all my questions and make me feel confident.

She thoroughly explains everything and has met with me multiple times throughout the process to make sure we are on the same page. She speaks to you with empathy and a problem solving attitude. She makes you feel like you don’t have to worry because she has everything under control.

She is very communicative and prompt at responding to voicemails and email.

I like that she checks in with her patients regularly throughout the process. There was an error with some bloodwork testing in the lab which delayed our first IUI cycle by a full month. She took full ownership even though it wasn’t her mistake. She even made our first IUI cycle free and covered the cost of the testing that had the error. I feel this speaks to her character and desire to make her patients happy. We didn’t ask for her to cover the cost so we very much appreciated that she did.

This process is not easy. You have to go into it 100% commited to the process. Be ready for many many visits to the clinic! But also be prepared to have a knowledgeable, empathic doctor who will advocate for you.

I’ve done two IUI’s. She has me get a baseline ultrasound and tests my estrogen. I then go on clomid (2 pills a day, for 5 days). I go back for another ultrasound that determines the day of the trigger shot. I have my IUI the day after the trigger shot. I haven’t needed additional progesterone so far. No pregnancies yet but the success rates typically go up the more you do IUI.

It’s around $1700 per cycle of IUI before insurance. Testing costs vary and I can’t remember at this point.

Very organized. Considerate of each patient. Beautiful facility. Consistent across all other locations. I always know what to expect. Staff is amazing!! Consistent. Thorough. The nurses and partner doctors take excellent notes so no matter if I see my normal doctor or not, the treatment continues well and with ease.

This clinic is amazing. Everyone on the team and partner doctors make a great effort to stay informed of each patient. Information is shared very well with partner doctors if your main is unavailable. Calhoun is honest but so compassionate. She makes me feel very comfortable and informed. Love her!! She takes time to explain all the details and her team is consistently on top of my schedule.

They consistently follow up with me on my progress, test results, appointments, lab results, everything. They communicate with me directly and efficiently. Always with compassion and professionalism.

Dr. Calhoun is amazing. She’s thoughtful yet tactfully direct. She fully explains treatment options and what’s best for you specifically. She doesn’t just loop you in with the stats but really takes a full, wholistic approach to individual treatment needs.

Ask questions. Trust the process.

Diet adjustment for PCOS; letrozole with dexamethazone; we added to the dosage with each cycle to get me ovulating properly; added trigger shot; added IUI step; then added IVF consult pending this last try for IUI doesn’t work.

1300 for an IUI cycle; 600-1000 for medicated natural cycles; 10-20k IVF

Working full-time, I was concerned about flexibility. I was worried I had to go to the Buckhead office instead of Perimeter which was on my way to work. But the clinic was flexible, and I was in-and-out of my appointments so that I could still make it to work on-time.

Dr. Denis has made this whole IVF process bearable. We started the process to undergo IVF PGD/PGS after our son was diagnosed with Cystic Firlbrosis. Because of what he has to go through every day, we decided we wanted to grow our family, but we didn’t want to bring another child into this world to battle the disease. The risk just wasn’t worth it. Before the egg retrieval, I was a nervous wreck. I despise needles and became incredibly unnerved. However, Dr. Denis has this amazing way of just calming his patients down and setting expectations. There were times my husband and I felt anxious, frustrated, but we would meet with Dr. Denis and felt so at ease. We feel that without him, and his encouraging team, the process has been one we have thoroughly enjoyed.

My nurse and care coordinator were excellent. They have been accommodating, encouraging... they have been our cheerleaders as Dr. Denis has as well.

Dr. Denis is passionate about reproductive medicine. You can immediately tell he takes great joy helping families. Dr. Denis takes the time to explain the process thoroughly, what to expect, and has this way of just making you feel like everything is all right.

You are in the best hands with Dr. Denis. If you’re feeling anxious, or have a list of questions, Dr. Denis will sit down with you and show you every facet of the process in a calm manner.

The strategy was not to overstimulate me because we were able to conceive naturally. However, we wanted to get enough eggs so that we had a good sized sample to grow to the blastocyst stage and from there, send to biopsy. Once the results came in, we moved forward with preparing my body for transfer.

The monitoring appointments were set according to windows. It was helpful because it allowed me to set expectations with my boss at work.

We unfortunately had to pay most of our IVF our-of-pocket because our insurance doesn’t cover it. So, we have spent between $25,000 - $30,000.

In my case, identical twins run in my family. So, we whole heartedly agreed to do a single transfer to avoid the risk of triplets or even quadruplets.

They are very sterile and clinical. Even the room where the male is supposed to provide his specimen was very uninviting. I have seen others that are large, have a couch, and look like a normal room in a house and even have a sound machine so you feel like you have privacy. This one was tiny with a small chair and a sink, bright lights, and you could hear the staff outside the door.

Dr. Calhoun is very smart. However, at ACRM they are very clinical. The whole process feels like a laboratory experiment. They have a protocol for everything and there isn't much deviation from the protocol, regardless of individual situation.

They didn't seem to communicate with each other. I called the care coordinator with my negative pregnancy test results and the next day the nurse called to ask if I had any results. They are also VERY hard to get a hold of. Reaching someone is an all day process.

She is very knowledgeable and able to explain the science in an understandable way. However, she has some weaknesses. First, a lot of expensive tests are performed. I have been to 3 different fertility doctors and I know that all the tests are not necessary every time. I live almost 2 hours from the clinic and being required to come in so frequently really disrupts my work schedule and it costs a lot of money. They like to perform the tests so they have data. Second, she is quick to move to more invasive procedures like IVF, ignoring when I tell her I can't afford it right now. Finally, she was extremely insensitive regarding a potentially blocked tube. Instead of listening to my concerns and working with me to come up with a solution, she became scientific and spoke about removing both tubes which would make pregnancy without IVF impossible for the rest of my life. This is very distressing to a person navigating infertility. I went to another doctor who performed a test finding both tubes were open and healthy which indicates that there was no need for her to resort to such scare tactics.

Do your research and don't be afraid to get a second opinion.

We did 50 mg of Clomid for 5 days and then an IUI, but she wasn't hopeful (I am a great candidate for IUI) and spoke of moving to IVF before the IUI even occurred.

$1750 each IUI cycle not including the medication and multiple different blood test.

The clinic is very knowledgeable and has a good reputation. They worked with me on scheduling and even did some phone consultations with me. They were all very informative and showed genuine care and concern for me. They were sensitive to my needs while also straight-forward so I understand exactly what was best for me. The only weakness I would say is that I didn't seem to get as much assistance from the finance team as I needed.

The Dr and assistants seemed to genuinely have an interest in my needs and issues. They explained things in the amount of detail needed for me. They took as much time as needed to answer questions. The only reason that I didn't rate the highest rating is that while they did great in person, it was sometimes difficult to get responses over the phone. However, it is disclosed that the phone is not the best method of communication.

All of the staff that I communicated with was very helpful (with one exception). I spoke with Donna Jackson, Megan Barbrow, Vanessa Otamendi, and Michelle Johnson and they were all very helpful. The one exception was the initial finance person that I spoke to. I cannot remember his name but he was a man and was no longer there the last time I

Dr. Fogle was very informative. She spoke to me in layman's terms as much as possible so I would understand. She would listen to my questions/concerns and base her discussion on that. She explained the process very well and was straightforward with the information I needed to know, even if it wasn't what I wanted to hear.

Feel confident that she will be straightforward with your options and not give you false hope.

I did not reach the point to actually go through a cycle. I was diagnosed with diminished Ovarian reserve and therefore my only option was to do donor egg. While I had several testing procedures done, I did not go through any treatments. I was ready to schedule the IVF with donor egg until I was unable to continue due to running out of funds. Dr. Fogle did give me a protocol to follow with some vitamins and supplements and medicines that would help for when I was ready. I was given details about the process I would go through as well as a pamphlet of information that I was able to take with me so that I would know exactly what my next steps were.

I spent approximately $2500 on initial testing and visits. This was out of pocket as my insurance covered some of it. I was given a chart of what procedures I would need to go through for one embryo transfer using donor egg. This was approximately $18,000. I was unable to move forward with that cost and did not look into financing options yet.

Dr. Fogle did have a preference to do only one embryo transfer. She explained that the process they go through before the transfer ensures that only the healthiest embryos are used. She also explained the problems that could arise if multiple embryos are used and result in multiple babies.

I honestly love ACRM. The only person I ever felt slighted by or had a problem with was the financial counselor. I would have questions and it would take her days to respond. She was a little snappy and just not friendly. When you’re spending $20k out of pocket I guess I expect a different level of service. Other than that the clinic is very organized! They get you in and out and stick to your appointment time. During monitoring appointments I saw Dr. Hasty a few times and she was an absolute delight. Dr. Fogle did both of my retrieval’s and I always felt comfortable with her and Dr. Keegan did a fibroid surgery I had to have. All of them were great!

Dr. Denis had terrific bedside manner. He was always prepared to see us and would in depth explain our procedures. We really felt like he was rooting for us to have a baby.

I loved Tulsi (primary nurse) and raquel (patient care coordinator). She always got back to me right away and if it was something I was freaking out about she would forward to the other nurse or respond on her day off. There was no question to dumb.

He was kind, prepared, and genuinely wanted to help us achieve our #1 goal of having a baby. He never rushed us and always answered every question we had. He never pushed protocols on us but have us options so we could make the decision. When our first and second transfer didn’t work he wanted us to take as long as we needed. He was always sympathetic and knew just how heartbreaking the process was.

You don’t have to walk in as an assisted reproductive technology pro. He will give you your options and let you make the decision. There were so many times I remember him saying this is a personal decision that I can’t make for you. Also, be prepared with questions. If you have them he will take the time to answer them.

I’m unsure the name of the protocol.but I was on menopur (2 vials daily and 375 iu of Gonal f. I then added cetrotide between day 6 and 8 and triggered the night before. What’s listed above was for my second retrieval because I handled the first so well they almost doubled my meds to see if we could get even more eggs.

We did have some insurance coverage but a lot was paid out of pocket. Close to 20k for 2 full cycles.

My doctor was very honest that with my age being under 35 I did not need to transfer more than one embryo. Because of the strong possibility of multiples we always listened to him.

We had success before we went the IVF route but I trusted Dr. Fogle and her staff 100%. Testing done by the clinic gave us insight into why we were unsuccessful on our own. The Perimeter location is improved after they moved to floor 6. Parking and entering the campus where the facility is located is annoying due to construction in the area.

I did go through 3 different primary nurses while under Dr. Fogle's care. However, each nurse was fantastic. They were prompt with responses, skilled with their care and informative. My care coordinator was Vanessa and was the best ever. She was prompt, professional and caring. She juggled the schedule changes we had without any complaint. My only complaint would be about the staff doing the blood draws. The overall care provided by acrm was outstanding and the blood draw staff was in stark contrast to that. Although they weren't rude, they also were not friendly or warm. The blood draws were often rough and I bruised after several.

Dr Fogle was fantastic. She reviewed our history and discussed test results with us. Together we decided on a treatment plan. Although she wanted to go to IVF with PGS to get us the best results, she was supportive when we suggested a less aggressive route. She altered her treatment based on my outcomes. When I had a pregnancy that developed into a MMC, along the way Dr Fogle was kind and honest. She supported my emotional distress and then was like a cheerleader when we had success later.

Letrozole and timed intercourse worked for us as I was ovulating but had a poor or weak ovulation. Dr. Fogle treated my low progesterone in my MMC cycle.

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.

Dr. Fogle and her clinic (ACRM) have a clear policy to only transfer 1 embryo.

Efficiency is their top strength in my book! The clinic understands and values your time while not making it seem like a factory at the same time. Everyone has been so kind and caring. Greeting you as you walk in and out of the door and in the hallways. I can’t say enough things about the clinic!

From the moment I met Dr. Denis everything changed. One month earlier I had been turned away by another RE and told to pursue donor eggs. This encounter was definetly the most positive experience I’ve had in our 5 year journey. He said “ it’s 2017...we will get you a family” after he discussed in great detail our options while also ensuring he didn’t give us false hope. Those words gave me hope again after it had all been ripped away!

Efficient is he vest way to describe the clinic staff. My protocol required weekend appointments which are not favorable, however, they value your time and I was in and out in no time! Each time I’ve been to the clinic is see familiar faces. That in itself is important to me!

I was diagnosed with endometriosis in February 2017, had laproscopy surgery in May and was given the “there is nothing more we can do” in November. This was my experience prior to finding ACRM and Dr. Denis. We made the long drive to Atlanta expecting similar results, fortunately, that wasn’t the case. Dr. Denis clearly provided us with our options but was very clear to not give us false hope. In that appointment we found hope again that had been ripped away just the month before. Considering my diagnosis of stage 4 endometriosis and poor ovarian reserve, Dr. Denis provided us the option to do the most aggressive protocol of IVF and hope for the best. In February 2018, we completed our egg retrieval and now have three grade 1 frozen embryos! More than once Dr. Denis reminded us to make the decision that was best for us and that would leave us with no regrets. I feel that with his guidance we made the right decision and will continue to do so. He is most concerned with giving us that family we want not just treating the diagnoses or getting one healthy baby. His plans for ensuring we have our future family go above and beyond what I could have ever imagined! I’m so grateful for him overlooking statistics and taking a chance on us! Because of this I will be eternally grateful for his care regardless of our end result. Dr. Denis cares about people and it is obvious is his every day care!

Remember...no regrets. IVF and Infertility care in general is not easy by any means. Dr. Denis has given us multiple opportunities to make decisions, which are not always easy, but he encouraged us to really think beyond the moment before making these important decisions.

In my times of desperation or when my mind ran away I googled, like everyone else. I found new treatment options and data from all over the world. Honestly, I was willing to try anything. Many of the things I found Dr. Denis encouraged such as acupuncture and the use of CoQ10 for egg health. Testosterone was also part of my protocol again, due to poor ovarian reserve. Hearing “you’re a success story” at my follow up appointment after the retrieval was all I needed to be a believer in each of those things!

We were aware from the beginning that our costs would be at the higher end of the spectrum due to my need for the intensive protocol. This meant more frequent testing and more medications. After our meeting with Dr. Denis we met with a nurse and immediately knew what to expect about costs. They were able to call in medicines to a nearby pharmacy which specialized in fertility meds to cut down on the costs. We were definitely grateful for that!

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 am a one at a time kind of patient. I understand after all the information I have now that if an embryo is genetically tested and transfer is at the right time,all it takes is one embryo. At my age and having genetically tested embryos I understand that it is safe for me health wise to transfer one embryo at a time.

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

The clinic itself is very nice. Parking is easy and the waiting room comfortable. The front desk staff learn see you are very quickly and welcomes you when you walk in the door. I’ve never had a long wait they normally get you in and out pretty quickly. Also really appreciate that they ask that people do not bring children into the waiting room. Find that very respect.

The staff and doctor are very considerate and professionally with me. I sometimes feel rushed while I’m there and because there are so many patients there is little flexibility with appointments. Over, I am happy with how I am treated especially because this has been such an emotional and heartbreaking experience.

Sherry and Stephanie were the two nurses that I saw most often. They honestly became like friends and one of my biggest support systems. I live two hours away from the Johns Creek office in the north Georgia mountains. I often times have to wake up at five in the morning just to get there for a quick appointment or to get my blood drawn. These two ladies knew this and we’re very compassionate and understanding. They got to know me on a personal level and would ask questions and check on me. I felt human around them and not just some test subject.

Dr. Keenan showed a great deal of compassion when I had my miscarriage. It was in that moment that I truly saw how much he cares for his patients. He always treats me with such respect and dignity. It was my fear that my doctor would look on me with pity but instead he just tries to be proactive. He is respectful and soft-spoken. And I have never feel that he is going to give up on me even when I feel like giving up myself.

He comes across as having a tough outer shell but I truly believe that he has a soft center and really cares for his patients. I would also tell them to never worry about asking him too many questions. Honestly doesn’t mind being asked.

We have done three rounds of our UI with letrozol. Two out of the three rounds we did a trigger shot the day before. Getting the timing right with this has been very stressful for me because I have to drive two hours just to get to Dr. Keenan‘s office. The first round of IUI with letrozole and a trigger shot worked but resulted in a miscarriage. We are working really hard to save up to try another round after the second two failed. IVF Will be the next step if we can save up enough money.

Treatment has been extremely expense. I have insurance but my insurance covers nothing associated with infertility. Each round of our UI is approximately $2000, The trigger shot is almost $200 each time, and just a consultation with Dr. Keenan is around $150 every time we see him.

Something like this will be one of our next steps if you can save up enough money for I’ve.