ACRM

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.

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.

All of the ACRM clinics are so inviting and have a peaceful environment. For me, this was important because of the stress associated with infertility. It was nice to go in a calm environment. Additionally, I love that they do not allow children at all for the sake of their patients.

From the day I met Dr. Hasty, I felt like I had known her for years! She was so friendly and inviting. She seemed genuinely eager to help us.

Nurse Michelle Deloach was always extremely helpful when I had questions or concerns. It was a breath of fresh air to be able to e-mail her directly and get a response within hours.

I do not have one negative thing to say about Dr. Hasty. The knowledge she has in her field is astounding! But equally important, is her bedside manner. She made me feel important from my very first visit. Every time I left her office, she gave me the biggest hug. Those hugs gave me comfort and hope!

I would advise any new patient to go in with questions written down. More than likely she will answer them all before you have a chance to ask. The amount of information she can provide can be overwhelming at a first visit, but in a good way.

Dr. Hasty started with two rounds of Letrizole for my treatment, because conceiving had not been my issue in the past. Unfortunately, I was not able to conceive during those months. She suggested IVF, but that is where my treatment stopped because we could not afford it at this time.

My insurance covered all preliminary tests. Once I began fertility pills, each ultrasound and exam was approximately $500. Had I been able to go through with IVF, the medications were going to be $6,600 and the IVF procedure in total was going to be approximately $17,000.

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

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

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

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

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

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

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

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

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

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

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

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

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

The clinic is great at scheduling people. The waiting room is never over crowded nor do you have to wait long. The care coordinators are responsive and caring. It would be great if the frozen sperm and IUI procedure were at the Johns Creek location vs going to the other office. I would have also prefer Dr. Carpenter to perform the IUI procedure instead of a doctor I never met.

Dr. Carpenter was open and honest. She cares about her patients including their physical and mental well-being.

Timeka is a good care coordinator. She always called back ina timely manner and was extremely fast when replying to emails. I did not have much interaction with my nurse. I did not have much interaction with

Dr. Carpenter always offers both sides of the procedure(s), good and bad. You never feel rushed when talking to her. She refrains from offering personal advice. She always provides research based answers.

Look forward to being cared for by a Dr. who puts you first.

I had 3 IUI’s. I wanted to try to have a child using my own eggs. My ovarian reserve was slightly below normal, but all other tests were fine. She used Letrozole to increase the number of eggs produced, but each time I never had more than 2 well developed eggs released. I also used progesterone inserted vaginally. The end result was 2 negative results and 1 chemical miscarriage. I am now preparing for egg donor IVF. Before this happens, she recommended I have the fibroids removed. The surgery is tomorrow, 3/1/18.

$60/visit. IUI approx. $3,000 each. Meds. $25

It is my understanding the center will only emplaned one egg when using a donor. I feel we should have the option to use more than one.

The strengths of this clinic is that they have several offices. They seem knowledgeable and they are compassionate. Weaknesses are they sometimes didn't show sympathy and also, the billing dept charged me for something that should have been prorated.

I felt that they actually considered my feelings however, the first cycle we have gone was like oh well that normal maybe next time. I felt that there wasn't much sympathy after the first negative test. it was oh well let's try again in a few months.

The staff was very nice but they wouldn't answer the phone calls. I would have to leave a message and wait for them to call back eventually. I could also, email them and they would respond faster through that approach.

Dr. Hasty was very friendly but, I only saw here once and that was in her office. I spoke with her on the phone once. She seemed like a very nice and compassionate person. She just didn't notify me that I wasn't just her patient. At ACRM they actually may as well share patients. I would be fine with that but, I just didn't know that until it came time to see a Dr. The times I had procedures done I actually was seen by a different Dr. every time. The other Dr.'s were very considerate but it just was uncomfortable. And when I went for the IUI the Dr. that performed the procedure (Carpenter), she continuously had to adjust the tools. Which kind of made me nervous and question if that what caused the IUI not to work as well. I appreciated what they have done so far. I just wish that next time I have a Dr. that takes care of me form the beginning to the end themselves. Lastly, since my negative appt. Dr. Hasty has not even called to tell me the next step.

Be honest in the beginning and ask all of your questions up front!

We had to keep up with the amount of cycle days, to begin testing for ovulation and taking fertility pills. Then, we had to call or email the nurse for the frozen smiley face to schedule and appt to come in for the IUI cycle. Once we arrived we waited and then the new Dr. came in and introduced herself and explained the procedure then she asked the nurse for several steps.

$8000 or a little more

N/A

ACRM has been wonderful. The facilities are convenient and very up to date. The ease of booking an appointment is wonderful and the wait time is always minimal. Everyone in the office has a caring and compassionate demeanor which is very calming and encouraging. The entire staff is there to help if you have any questions. I can’t say enough wonderful things about ACRM. Plus, I love that they are open 364 days a year (closed on Christmas Day).

Dr. Denis is very personable and easy to work with. He is very knowledgeable in the field of infertility and spoke very openly and honestly about the process. He has been a wealth of knowledge and able to answer any and all questions we have had. He is a caring and warm Dr. who has a vested interest in our journey and has made this journey much easier.

Our nurse is amazing. She too has invested a lot of interest and compassion throughout our infertility journey. She is very prompt in returning emails and phone calls no matter the time or day. She even wrote me a letter that we received during our two week wait following our FET. I adore our nurse.

As a patient of Dr. Denis, I have felt very calm and at ease through this process (as much as possible). He explains things in a way that we understand and answers any and all questions we have. We had an IUI scheduled and another doctor was scheduled to perform it for us, but Dr. Denis rearranged his schedule for the day to ensure he was the doctor completing the IUI. During our first embryo transfer, Dr. Denis made a point to come in and talk with us before and his demeanor showed how invested he was with us. He has always been very compassionate and caring through every step of the process. At one point through our journey we did seek out a second opinion. After meeting with the other Dr. we could easily see the difference and what made Dr. Denis so special. We are still on our IVF journey, but we have put of faith and trust in Dr. Denis.

Be open and ask any questions you may have.

IUI- all three times I took 150 mg of clomid and did a trigger shot the night before the procedure. Throughout the cycle we had several ultrasounds to track the progress of my ovaries. IVF- I was taking a lower dosage of medication because I was at risk for overstimulating. I can remember exactly the medication I took, but I know for sure menopur and gonal-f. My medication also increased as I got closer to retrieval. We had several ultrasounds to track the progress as well. FET- I started with estradiol and increased the dosage as we went on. I also had Progesterone injections nightly. The FET was scheduled when the time was right hormonally and that was checked by Bloodwork.

We have made several payments to ACRM. We have paid for initial infertility screenings, 3 IUI procedures, countless bloodwork and ultrasounds. We have paid for egg retrieval procedure as well as one frozen embryo transfer. We paid for genetic testing for 12 embryos and all of the medication for every cycle as directed.

Dr. Denis has a preference of transferring one embryo at a time due to my age and the quality of the embryos we have.

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

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

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

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

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

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

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

ACRM and Dr. Carpenter encourage single emrbyo transfer.

I love that the clinic has a no children policy. It made it so much easier knowing I wasn't going to be forced to have someone flaunt their child in front of us when we were trying our hardest for our first child. Overall everyone is nice

She listened to us and also went into detail about what we were going to do. She answered all our questions and talked to us like humans and equals never talked down to us.

Kim was probably the weak link. Like when we were waiting on results for blood work for a positive or negative I was told she would call us. Instead, she emailed and we waited for hours waiting for a call. She was a bit short in her replies and wasn't always clear about when we would get our results which increased our anxiety about the process. I only actually saw her twice during the months we went to the clinic.

I absolutely loved having her as our doctor. She gave me recommendations for local OBGYNs and she was wonderful. She was friendly and extremely knowledgeable. I wish we could have afforded to try IVF with her

She is great, you can have a conversation with her and get all your concerns addressed. I felt relaxed visiting her and never felt talked down to or anything. It was one of my best experiences with a doctor.

For the IUI we did Clomid and insemination. They did blood tests to test what would be my ideal time to inseminate and the nurses gave my trigger shots when needed.

2017 IUI First Visit $545 (Blood Test/Ultrasound) Medication $32.29 (Clomid) Mid Cycle visit $358.20 Trigger shot $135.85 Needles for shot .80 Giving shot $34 Insemination $470.00 Ultrasound $208.80 Bloodwork $3

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

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

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

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

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

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

We didn't get that far.

Unfortunately not.

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

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

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

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

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

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

Dr. Calhoun preferred to do one embryo transfer at a time for health reasons. This made sense to us and felt like the most safe/comfortable option.

Staff need to learn how to file insurance. I think they are so used to self pay, they all were unsure about filing and what my Ins covered and did not cover. Each visit I’d get a different answer from different staff which added unneeded stress.

Physicians treated me like a human. The clinical staff treated me like a number. I almost switched clinics because of some of the cold staff.

Michelle was not warm and I should have requested a new primary nurse but I didn’t want to be labeled as a difficult patient. Erin Martin at the perimeter office was SO cold. She needs to be in a different profession

Dr hasty was so warm and kind. Her predictions were spot on. She wanted to move to ivf after 2 Iuis to save us some money but we wanted to try more iuis and she supported our decision. We got pregnant with our beautiful baby girl on our first ivf cycle

Relax and trust the doctors. The nurses aren’t as warm as they should be and my primary nurse lacked communication although she never messed anything up, I constantly felt like I had to double check or check in to make sure things were on track-which have me unneeded stress

Dr hasty did the antigonoist protocol. I was irritated my nurse over ordered medication. It’s so expensive and her reasoning was that if they needed to stimulate me extra days, it wouldn’t be an issue if we needed more meds vs having to get them mailed in a pinch. We had about $500 in unused meds

WEbpaid about $12k and I had insurance that covered the monitoring-the lab was out of network

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

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

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

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

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

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

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

Already single.

ACRM is a very busy practice. I love all the doctors I have seen at the practice and I feel they are all very compassionate. However, you do not see the doctors often. You will be seeing a nurse. I feel like the nursing staff is overwhelmed because they do so much work for the patients. It's also very hard to get in contact with someone immediately in an emergency. I even find it difficult to schedule an appointment by phone or pay a bill by phone. You almost always have to leave a message and receive a call back.

Dr. Hasty is an incredibly compassionate doctor, when you are with her, you are all that matters. She takes a huge amount of time listening to your concerns and addressing all your questions. She even hugs you when you are leaving. However, as ACRM is a huge practice, you don't often see your doctor. So the problem is not with Dr. Hasty but with the size of the practice you really only see the nurses, who I have found sometimes to be less than compassionate.

Laura Lemay does all the primary care for the Buckhead office, so I think she is incredibly busy. Because of this, she often rushes phone calls and it is hard to get a hold of her.

Dr. Hasty is an incredibly compassionate doctor, when you are with her, you are all that matters. She takes a huge amount of time listening to your concerns and addressing all your questions. She even hugs you when you are leaving. However, as ACRM is a huge practice, you don't often see your doctor. So the problem is not with Dr. Hasty but with the size of the practice you really only see the nurses, who I have found sometimes to be less than compassionate.

Dr. Hasty herself is amazing. Extremely kind and helpful. Be aware that you will only see her a few times. I saw her for 2 consults, one for the initial discussion of what treatments to begin, and one to decide if it was time to move to IVF. She also did one of my IUI's, which is the cycle I became pregnant on. The doctors do the IUI's and obviously IVF, but the nurses handle all the other day to day procedures and calls.

During our initial consult I was switched from clomid to femera. Then after 4 cycles of that not progressing, the nurse switched me to femera with IUI. After IUI failed, I met with Dr. Hasty again and she agreed that it was time to move to IVF. I was in the middle of a femera cycle during that consult so we decided to proceed with an IUI, while I prepared for IVF. I got pregnant during that IUI.

My medicated timed intercourse cycles were covered under my insurance. My IUI's were about $500.

I know that in general Dr. Hasty prefers to transfer a single embryo for fear that multiples come along with a greater risk to the babies and mother.

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

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

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

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

Be ready to be wowed! She's amazing!

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

Dr. Fogle is a big proponent of single pregnancies (versus carrying multiples). She did not want me to have any complications due to twins both for my sake and for the babies. So she has always recommended a single embryo transfer.