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.

One of the biggest strengths is how compassionate they are. This is a very scary and overwhleming process and they're with you every step of the way. Our next step is IVF. It is very expensive so we keep doing IUIs while saving up, but I dont feel as if we've exhausted all of our options to get there yet. I'm not sure if we've tried all the medications we can, for my husband and myself.

Dr. Calhoun is always so kind and remembers personal things about your journey. You're never just a number.

Everyone was so kind and were always very informative. While it's easy to feel alone in this scary process, they always make you feel like they're always by your side every step of the way. They are all so understanding.

Dr Calhoun is very kind and compassionate. She makes you feel a lot better about a process that it's already extremely difficult to deal with. She is always so optomistic, which puts you in a better mindset. She has went above and beyond for me with everything.

Express any concerns and ask any questions you may have. She is extremely knowledgeable and will make sure you have all of the answers you need.

I was on Letrozole, Clomid, and Dexamethasone. The first 3 cycles were clomid and dexamethasone, the next 4 were all 3, and the current one is Letrozole and dexamethasone. I've always responded well with the Clomid, but it always thinned out my lining. I would trigger for ovulation after my mid cycle results came back and the IUI would be around 24 hours after. I have had failed cycles each time.

for IUI alone I paid around $500 each time. I received bills all throughout the month for things like ultrasounds and bloodwork.

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!

Strength is it’s large and has multiple providers and locations, so getting an appointment has never been an issue. Weakness is sometimes, you feel lost in the shuffle of different offices, providers etc. there isn’t much consistency. Another weakness is their billing/patient accounts dept.

Dr. Calhoun has a good bedside manner. You genuinely feels like she cares. I did an entire cycle (checks, SIS and IUI) where I saw a different provider at ACRM and she personally called me and my husband to check in and give feedback

My nurse had changed in my time at ACRM. The new nurse, Cailin is nice, but doesn’t seem very organized. I usually have to reach out to her for results, etc, and sometimes feel unclear about the information I get from her. Often another nurse will contact me with results or specific treatment information. My care coordinator, Bernice, is nice, but really only schedules appointments.

She seems involved and caring even when others are providing treatment. I’ve only met her twice. Once at the consult and again when she did my second IUI. However, she still seems very knowledgeable and invested in my case and treatment

She might be a bit of a ghost doctor, but she’s sweet and wants to get you pregnant

I came to Dr. Calhoun after 3 unmonitored clomid cycles with my OBGYN. She recommend further testing HSG (came back good), SIS (came back good), SA was good. She suggested IUI with Letrozole. Our first IUI had 3 follicles, but a surprising low SA. It was a fail. She did further testing on my husband, found low testosterone and prescribed him Clomid. Second IUI had 2 follicles and good sperm counts, but was a fail.

The costs for IUI quoted without insurance was roughly $1,000-$2,000. Whatever lab ACRM has onsite is out of network for both BCBS and Humana. So labs must be sent out or are an added fee

This has not been brought up in my treatment

Very nice. Like any other doctor's office, you have to wait for your appt, and I've waited past my appt time to be seen. Make sure your insurance is accepted there. With my insurance, labs were not covered and had to be sent to Lab Corp, which is fine, but they did tell me I would have to pay OOP for some during treatments that needed to be known right away. When I had my HSG done, I had to go to a different clinic. The NP and radiologist were nice, but I felt like I was just a number there, too.

I felt that I was just another number because of how quickly I felt things were moving. Of course, I want things to move quickly because we obviously want to conceive. Although he is very cordial, I felt that he was almost rehearsing a memorized speech for people choosing IUI and IVF.

Everyone has been very nice. I just wish some would remember to smile :)

If I had to choose, I probably would have chosen a woman doctor to have, probably because I would just feel more comfortable, not that Dr. Denis has made me feel uncomfortable in any way. He has been nice, informative, and very open about what the next steps would be.

Ask all the questions!

We haven't gotten this far in the treatment process, but I did flag on labs regarding my adrenal glands. I had that lab retested, and he told me before hand if the DHEA was still elevated, he would want me to get an MRI, which is the next step for me right now.

I had to pay co- pays each time, but my insurance covered most of my labs and most of my husbands labs. We had to pay OOP for semen analysis and some genetic labs. I have Anthem BCBS, and we are still working through what is covered, etc.

N/A

The clinic is very nice with a beautiful waiting room. The exam rooms are pretty average but fine for an ultrasound. They had me in and out of there very quickly with each visit and they usually called back as promised with results of blood work.

Dr. Hasty herself was wonderful. Her nurse, Michelle DeLoach, acted like she didn’t have the patience to be dealing with something so silly as helping someone fulfill a lifelong dream while spending their entire savings.

Michelle DeLoach was hardly ever in the office. In fact I would send emails to her for two reasons...1 - to see when she would be back and 2 - to beg for further information. She was not helpful, compassionate and I felt like her emails were restricted to a 140 character limit with her responses.

She is very warm and welcoming and truly made you feel that she cared. She gave me hope and made me believe we were going to have a baby. I didn’t see her very often but she made up for it when I did see her. She took her time and I never felt rushed. She seemed to really be invested in my life and the outcome of my family.

Go ahead and come with all the questions you want to ask. She’s willing to talk through everything.

For years, she told me to lose weight. I finally got my act together and got my BMI below 30 and she immediately started us with IVF with ICSI, PGS and frozen embryo transfer. We realized I had hydrosalpinx and needed to have my tubes removed before implantation. I am having surgery in July.

Insurance covered some but PGS testing, cryo and storage, and some medications were extra.

We have not yet gotten to that stage.

I was REALLY disappointed with my care at ACRM. They don’t seem to have their act together. This is such a stressful issue, the very least I would expect is for them to have some organization and compassion. And I shouldn’t have to email 3 times to get a response from a nurse. If the policy is to respond to email in 24 hours, actually stick to it, and if you don’t apologize for taking so long to respond. Also...there should be someone somewhere who answers a phone. If a patient is freaking out about finding out what location they were supposed to be at because they don’t call or send reminder/verification messages for appointments, the patient should at least be able to reach a receptionist

I waited for an hour and a half in the waiting room, when I did my consultation and kept checking her text messages and breaking off while talking to me to do so. She gave me information which later ended up being incorrect, her office canceled my HSG appointment and couldn’t reschedule it so they outsourced me to another place (not one of their locations), they scheduled my initial appointment and didn’t tell me which location (indicated it was with my original location but it was not).

I was pretty disappointed with their scheduling. My care coordinator was nice, but the office had some serious issues with scheduling. My HSG (which I scheduled at the beginning of my cycle) got cancelled and they couldn’t reschedule - I had to go to Northside Hospital radiology to get it done instead, which was really disappointing

At first I liked how she mapped out the course of treatment, but then I found out she told me a lot of wrong information (which medication, antibiotics, which labs they would run and which they wouldn’t because my obgyn had already run, etc).

If she isn’t paying attention to you, tell her that you are paying for the consultation, you expect her to be present. Also, ask her what you should do if anything changes from what she is telling you along the way (should you tell your nurse, etc)

Initially she told me they would do a base ultrasound on day 3, along with a panel of hormones, etc. She told me she wouldn’t redo tests my doc had already done (she did though because apparently she doesn’t put anything she says in the system). She then told me they would set up the HSG and the MidCycle ultra sound and blood work at the same time and I should take the antibiotic a day before the HSG and continue until I was done with the course (5 days) this changed because she never noted it in my file and forgot what she told me. I would go on letrozole on my 3rd day of my cycle, come in for an iui (maybe do a trigger shot depending on my follicial size st my mid cycle).

It’s definitely not cheap. It was about 1500 for intial blood work and ultrasound, 1500 for the HSG, 500 for midpoint ultrasound, 499 for iui, etc

No idea

Overall, ACRM is a well-oiled machine. Before going myself, I had read some bad reviews about the clinic along the lines of "it's a fertility factory, and you'll just be a number", so I was a bit apprehensive, but I have been very pleasantly surprised. It's a factory only in the sense that they have everything down to a science. I have never waited more than 15 minutes before being called back for an appointment, and the only time I had to wait 30 minutes on the table for an IUI procedure to be done, a nurse came to check on me and told me that a retrieval was going long and I would be seen shortly, and the doctor apologized profusely as well once he came in. The office is beautiful and clean, and scheduling is a dream. It's so seamless. I've always gotten test results the same day. I get return emails over the weekend. Well oiled machine. The only downside is that it is a big clinic. My doctor works out of two different offices, and I have only seen her in person three times. Both of my IUIs have been performed by random doctors (including a male doctor who I find to be too gruff). I hate not seeing the same doctor and nurses every time, but I'm willing to make the sacrifice for the smooth experience and excellent care otherwise.

Dr. Calhoun has been fantastic so far. She personally called me with the very surprising news that I was pregnant after my second IUI (I had already started Letrozole for another IUI because earlier bloodwork had indicated I wasn't pregnant), and scheduled a meeting with me the very next day to personally conduct an ultrasound and talk me through what was clearly going to be an early miscarriage. She called me a few days later, and I assumed she had some sort of test result she wanted to share that maybe I didn't know about, and so I asked why she was calling. "Because I'm worried about you!" was her answer. I was totally shocked to have a doctor call just because she cared and wanted to check in with me during a confusing and disappointing situation. She's very kind and warm, but also honest and straightforward. The perfect personality mix for me.

I really haven't had much interaction with Cailin yet. So far it's been fine, but she really hasn't had much of a chance to be good or bad – she has been responsive and friendly via email, which is huge. I LOVE one of the nurse practitioners Marin (don't think I'm spelling her name right) who has done several ultrasounds for me. It's a big clinic, and I often have random doctors and nurses performing ultrasounds and doing procedures for me (which I don't like), but I'm always happy when I see Marin. I'm THRILLED by how easy scheduling is. It's an absolute delight that I can just send someone an email to get an appointment scheduled, and an hour later, its on the books. It's a far cry from the pain of scheduling appointments with my obgyn before we moved to the big leagues.

Dr. Calhoun has been such a kind, warm and skillful RE so far. During our very first consultation, she had to break the news to me that residual cysts from a previous clomid cycle would mean I had to wait a month before starting an IUI cycle, and she was straightforward and kind in her delivery. She personally called me when we realized halfway through my third IUI cycle that I was inexplicably pregnant (bloodwork 10 days before showed progesterone of 1, so they had started me on another round of letrozole), and even though she herself was confused about what exactly was going on, she was very kind as she shared that I was most likely experiencing an early miscarriage. She personally conduced an ultrasound the next day so we could learn more and I could ask her questions. She seems genuinely interested in my success and well being. My only con about her is that I've only seen her in person three times. She splits her time between offices, so she has never performed an IUI for me, and it's a little unnerving to not know who I'm going to see. But when sh!t got real (confusing pregnancy/early miscarriage) she was all over it with multiple personal phone calls and a prompt in-person consultation. I'm hopeful about our next steps and feel confident with Dr. Calhoun handling my treatment.

If it's important for you to see her in person at most visits, be willing to go to multiple office locations depending on her schedule.

So far I've done 2.5 IUI cycles with Dr. Calhoun (third got cancelled halfway through.) She's had me do a baseline scan and bloodwork day 2 or 3, then prescribed 5.0mg of letrozole each time, had me do a mid-cycle scan around day 12, and then I've always ovulated on my own, but if I hadn't, I was prepared to do a trigger shot. First one failed outright, second appeared to have failed, but actually resulted in a very early miscarriage, and third got cancelled. I will do one more IUI and then more onto IVF. She is ready for me to go to IVF now, but I want to try one more IUI since #2 technically worked, and she was fine with me trying one more.

So far each IUI is around 2,000 and we anticipate one round of IVF will be 25,000. Likely an extra 5,000 for genetic testing and 5,000 for additional transfers.

N/A as I haven't moved onto IVF yet

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.

Sometimes the front staff can be a bit cold, but the nursing team and finance people are great. Also, be prepared to wait a while at appointments. I once waited an hour and 20 mins for a simple blood draw. I would recommend getting the first appointment of the day if possible and getting there extra early. This seemed to help me get through in a timely manner.

She was always very calm and reassuring during my visits. I do wish there was greater attention on my case and concerns.

The staff can be difficult to contact over the phone (don't miss the afternoon call backs if you have questions!) However, they were very responsive to emails and I learned to have them address my concerns via email.

She is very knowledgeable and kind but I wish there were greater attention to my case. I saw her *maybe* once a month during monitoring appointments so I did not feel like she was really involved or even really appraised of how the treatments were going.

Be prepared to really advocate for yourself.

I started with timed intercourse and clomid bc I have PCOS. After getting no results, I was diagnosed with unexplained infertility and it was recommended that I try IUI. I began to have reactions to clomid, so asked to try another medication, femara, but it did not work well for regulating my cycle. At one point it made me ovulate very early and honestly wished they had recommended that we cancel that IUI bc it was not optimal timing or follicle quality. The treatments are pricey and we felt like that one was a waste.

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.

I felt complete confidence in this clinic from day one. Medically they always took great care of me, they called me with my test updates on time and were accommodating when I needed to adjust timing and protocols as a result of unexpected life things happening along the way. Additionally, the offer a free support group each week for patients and once I started attending I found it to be so helpful.

We never felt rushed with him and he made it feel like he truly cared about our situation. He answered all our questions and explained things to us in great detail. His approach was the perfect mix of fact and feeling for us.

Tulsi was responsive and compassionate and I’m so glad that we had her on our team.

Upon our first meeting with Dr Denis we felt very comfortable talking with him about our situation. He took the time to get to know us as a couple and to walk through a lot of info and data that made us much more aware of all our options and what course of action would be best for us. While we didn’t see him for every appointment I knew that he was being kept up to date on our treatment by the great team of nurses. When we did experience a loss he was compassionate and it felt like he was right there on this journey with us.

Take advantage of the time you get with him and ask all the questions. Come prepared with questions so that you can make the most of his knowledge.

We did Clomid with IUI the first time around and got a negative test - but learned my progesterone was low. With progesterone supplements I got pregnant the next try with Clomid and timed intercourse (we had a vacation planned so we couldn’t do the IUI), however we lost that pregnancy at 10.5 weeks. We then graduated to IVF in the hopes of finding a good egg as we knew I wasn’t infertile with Gonal-F, Menopur, Omnitrope and Novarel - but after retrieving only 4 eggs we didn’t have any make it to blast. We’re now beginning our second round of IVF with Gonal-F, Menopur and micro dose Lupron.

We haven’t gotten there yet.

It is beautiful and flexible but they are very unorganized. They have messed up a few times when ordering blood draws and when billing, etc. They are nice but you have to advocate for everything. They also didn't do the best explaining what was going on or why I was being charged the way I was being charged.

Some were really sweet and some where down right rude and one almost messed up a cycle by not calling in my perscription in time. One who is no longer there was amazing but the one who helped me during my last iui was unwittingly unsensitive when she wrote to me in an email that she would see me on x date to confirm pregnancy, which really messed with me emotionally.

I like that she seems agressive in trying things and changing things up but her bed side manner is terrible, she is very brusque and said things like, all the numbers say you should be pregnant but your not, like she has no clue that the numbers arent the whole story. I also thought I was getting all the explanation and options but when talking to others Im starting to think she didnt.

Advocate and do a ton of research because she'll help you get it done but may not bring it up

Her strategy was to use hormones to get me to ovulate (which I did on both Clomid and Letrozole) and then do an iui. The first two iuis were with clomid and no trigger (bec I didn't need) neither resulted in pregnany. Then we did two with Letrozole and a steroid, one with a trigger and one was too late for a trigger. The first, number wise looked great but didn't work, I'm waiting on my last one now. We do have male factor and the numbers werent great and I kept asking if iui made sense bec one of the doctors doing the iui didnt seem to think so and Dr. Carpenter seemed to not feel one way or another about it which was very confusing. Hoping #4 made it happen.

ACRM Buckhead facility is new and modern. Scheduling an appointment is typically easy and their hours of operation are friendly to the working professional. When working with this clinic, you will deal more with the care team and not as much directly with the doctor.

Dr. Hasty is very compassionate. While I didn't actually interact with her often during treatment, when I did I felt as though she was familiar with who I was and my file.

There were times that I wish I was given more information. For example, they would schedule an appointment but I wasn't informed on what type of appointment or what to expect at the appointment unless I asked. Blood test results were communicated as normal but I would have to follow up for specifics. Overall the team was friendly, I just wished for more detailed communication.

Dr. Hasty is compassionate and caring physician. During consultations with her I felt she was very thorough and familiar with my file. Unfortunately, my interactions with her were very limited and I dealt more with the nurse staff.

If you are looking for a lot of direct communication and expect to see your doctor during most appointments, this may not be the right decision. That said, the Dr. Hasty is very knowledgeable and will put you at ease when you do see her.

Prescribed Metformin as my labs favored PCOS. Two cycles of Letrozole and cycle timing. Two IUIs, one of which produced a chemical pregnancy.

My insurance didn't cover anything so I paid out of pocket for everything. I believe an IUI cycle was roughly $1,500.

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