ACRM

When you are one on one with Dr. Denis he seems to exhibit understanding and compassion. For the first three egg retrievals before the transfer process, we left feeling optimistic about next steps and grounded in a firm outcome of what happened during the last cycle. We also never felt rushed and he answered all the questions we brought to him. He is not the right doctor for you, however, if you like more grounded statistics and forthcoming details of the process. While he will answer all the questions you ask, when you are going through any piece of this for the first time, you might not know what to ask. Additionally, our last conversation did not go well with him and ultimately cemented our decision not to go back to him at all in the future. While my husband and I both know IVF doesn't mean the outcome of having a baby, there are two places where we feel let down by him: 1) Dr. Denis had clearly stated in an earlier debrief in March, "I feel confident you have one child between these two embryos." We did not have a child between those two embryos and now know that potential was misrepresented and overstated. When questioned about this, Dr. Denis got defensive and said, "This is just biology rearing it's ugly head." I would have rather heard that in March than be filled with false expectations. 2) We did not have critical information at key times in our cycles which could have impacted our decisions. Without going into vivid detail, we became aware of things that could go wrong AFTER they could go wrong, leaving us with few if any options. For people with large amounts of embryos, this might be less pertinent. We had fewer embryos and EVERY decision point was crucial. While there might be lines buried deep in consent forms of risks, some of the outcomes we got were never brought up in initial conversations. When we brought his up, twice, he mentioned it was in the consent forms.

If you like to by assuaged with hope and have unlimited funds to put towards this journey, Dr. Denis will be a good fit for you. If you prefer someone who speaks more accurately and thoroughly, he is not the right fit for you. Additionally, if you do choose Dr. Denis, I would recommend having a lawyer read your consent forms with you to walk you through all of the key points.

I stimmed three times - I had an endometrioma on one ovary, so was operating with only one ovary. Each cycle (I believe), he increased the dosage of Gonal F and Menopur. We added HGH the second and third cycles. I then would start Cetrotide for several nights followed by three trigger shots (one lupron, then the trigger, followed by another lupron). I got 8, 9, then 10 eggs each cycle (mainly from the one functioning ovary). For the transfer, I was on Estradiol for about three weeks with progesterone in oil added five days before the transfer until the last beta.

Each cycle, including ICSI and PGS testing, was around $14,000. Medications ran between $4000-6000, so around 20k per cycle. The transfer of one embryo cost around $4000 (slightly over). Medications for the transfer were covered by insurance.

Dr. Denis highly recommended ICSI and PGS testing to then only do eSET. I don't remember multiple embryos in one transfer being a conversation. Fresh transfers are also not an option. In retrospect, I wish we had the option of a fresh transfer as we lost one of our viable embryos in the freeze process.

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.

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

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.

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

Dr. Patel is very compassionate. She's always patient and never made us feel rushed. She took the time to answer our questions, and explain next steps and courses of action. One thing we noticed is her challenge with providing detail in email communication/conversation. There were times where she didn't fully communicate what would be happening, and there were some surprises we came up against that we weren't expecting.

Do your research on your condition, if one is identified. Don't be afraid to fight for what you need, you're the best advocate for yourself. If something feels unsure, ASK!

After our initial consult and blood work, I was diagnosed with a severely diminished egg reserve at age 34. 0.3% to be exact. We were thankful to have found this out early on. From there, Dr. Patel put me on one month of priming with estrogen, and the next month was my egg retrieval. I was put on the highest dose of gonal, menopur + omnitrope. She retrieved 4 eggs, 3 fertilized, and 1 embryo was determined to be genetically normal. We transferred it back the following month, but got a negative pregnancy test. So we immediatly moved into retrieval #2. Since my body didn't respond as well to the highest dose of drugs, my protocol was a lower dose of gonal + omnitrope in addition to clomid + letrazole. 6 eggs were retrieved, 2 fertilized but none made it through the week. She also found that my uteran lining was thinner this go round than last, likely due to chlomid side effects. We took a break from IVF for a month and plan to try again. This time with either little or no chlomid to prevent a thin lining, and we will do a day 3 fresh transfer vs freezing to see if that makes a difference.

Cycle #1: $26,899.39 - meds, visits, retrieval, testing + transfer Cycle #2: $23,954.96 - meds, visits, retrieval

She is knowledgeable and wants to see the best results for her patients, at least that's how I felt. Even though I felt like IVF was being pushed more than any other treatment options. I wish IVF would not be the 1st treatment option that is given to the patients.

Ask a lot of questions. You are your own advocate

We did the 1st round of clomid with timed intercourse but that was not successful. Then she told me we need to do IVF but I felt like I wanted to try a few more rounds of Clomid with a trigger shot first, I actually begged for that.

The whole treatment is too expensive especially for someone like we whose insurance does not cover fertility. Also I compared HSG testing cost to the another clinic and ACRM charges $491 more

She is very warm and welcoming. Shows a lot of compassion towards your situation. I never felt rushed and she would answer all questions. However there were times where she came across as not genuine and selling me hope. I felt selling a patient in need help was her angle and wanted you to feel taken care of but ultimately I was not. In fact my care was borderline negligence. I started a cycle of estrogen and then could not get in touch with any staff member to answer questions or concerns about my protocol. This led me to leave her practice and only then was she In touch with me.

Don’t get distracted by her compassion for your situation and promise of success. Ask all the questions you need to and insist on having her direct info as her staff or main office line operators don’t seem to have authority to put you through to your own doctor in any event.

Estrogen 2 mg beginning day two of cycle. Progesterone two weeks later followed by injectable medications. Clomid for my husband for 8 to 10 weeks.

I was emailed a lengthy document with cost breakdown just 5 days before payment was expected. Everything was listed in medical and clinical terms that I couldn’t not understand so I had to call the representative to explain them to me which was still confusing as nobody had even fully gone over my protocol with me in a way I could understand. Also this payment was expected in full before I even started my injectable medications. These costs were also outrageously inflated compared to my current clinic and most clinics I researched.

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.

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

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

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

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

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.

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

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

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

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

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I wish the process had been clearly explained to my husband and I before we spent our life savings trying to start a family. I feel additional testing should have been offered to get to the root of my infertility. I was able to get pregnant six times but unable to maintain them. On most of my visits Dr. Denis talked about the economy and other current events in the world. I think this was used as an ice breaker but I did not care to hear that. He often told us he could empathize but it felt like they were empty words without feelings attached. In my opinion more testing should have been done prior to the transfers to avoid the financial headaches and pain from not being able to conceive.

Spend more time with families to ensure they are clear on what should be expected in the process. Avoid having small talk conversation used as ice breakers as families only care about trying to get pregnant. Lastly do any and all testing prior to transfers especially with older patient like myself and let us know all options available and the individual cost associated with each before we are in a financial hole that we can't get out of.

Recipient Donor Egg Bank Protocol _7/28___ Cycle day 1 = First day of continuous menstrual flow (spotting is NOT day 1) • Call office to inform us • Start prenatal vitamins, 1 pill orally once a day until pregnancy test • Start Baby Aspirin (81mg), 1 pill orally once a day until pregnancy test • Schedule your financial consult to discuss IVF fees (Fees are due 2 weeks before baseline appointment) _7/29___ Cycle day 2- Start birth control pills, 1 pill orally once a day _8/9___ Start Lupron (Leuprolide) 0.1 cc (10 units on tuberculin syringe) subcutaneously once daily _8/14___ Last Birth control pill (Take one today and then stop) • (you may have some bleeding after stopping the bcps, it may be light spotting or heavy like a regular period - this is normal) _8/17___ Baseline Ultrasound/Blood work Appointment: Time: _8am___ Location: Buckhead • Last day to bring in Consents _8/18___ Start Estrace 2mg twice a day, orally • Drop Lupron dose to 0.05cc (5 units) once daily _8/23___ Increase the Estrace 2mg to three times a day, orally • Continue Lupron 5 units once daily _8/31___ Midcycle Ultrasound/Blood work Appointment: Time: _8am___ Location: Buckhead • This appointment will determine whether and when progesterone injections can begin. • Do not start progesterone injections until you have received confirmation from your nurse. • If you uterine lining is not ready your embryo transfer may have to be rescheduled. • Continue all medications _9/2___ Eggs are Thawed • Spouse/Partner Appointment: Time: _8am__ Location: PERIMETER • STOP Lupron dose • Start Progesterone injection 25 mg IM (0.5ml) in the evening between 6pm-10pm Continue Estrace 2mg three times a day _9/3___ Increase Progesterone injection to 50mg (1ml) daily in the evening between 6pm - 10pm • You will receive a call with the fertilization results. (Please make sure your first and last name are stated on your voicemail message so we can leave a detailed message if you are unable to answer the phone when we call.) • Estrace 2mg three times a day _9/4___ Continue Progesterone once daily in the evening • Estrace 2mg three times a day • Start Medrol 16mg once daily with dinner _9/5___ Continue Progesterone once daily in the evening • Estrace 2mg three times a day • Medrol 16mg once daily with dinner _9/6___ Blood work Appointment Time: _8am___ Location: Perimeter • Progesterone once daily in the evening • Estrace 2mg three times a day • Medrol 16mg once daily with dinner _9/7_ Embryo Transfer Arrival Time: 9:30am Location: PERIMETER w/Dr. Toner • Please be aware that your embryo transfer time is tentative and subject to change. You will be notified the day before your procedure if your time is changed. • Please eat breakfast (low sodium) • Do not bring ANY valuables (purses, jewelry, etc.) the day of the procedure. • Dress comfortably and do not wear any makeup, perfume, baby powder or talcum powder to the retrieval OR to the transfer. No cologne for your partner/spouse. • 2 hours before your arrival time start to drink water (room temperature, no ice) • 1 hour before your arrival time take the following medication • Xanax 0.5 mg (Reminder: you must have someone drive you to and from the office because this medication will make you drowsy. ) • Ibuprofen 800 mg, take with food (Motrin/Advil 200mg tabs x 4 purchase over the counter)This is taken to help to relax the muscle of the uterus. Do not take this medication if you have any history of allergy or sensitivity to it 1 hour before your arrival time you should drink enough water so that your bladder fills full (DO NOT EMPTY YOUR BLADDER) Without a full bladder, we are unable to get proper visualization and/or placement of embryos and your procedure will be delayed if your bladder is not properly filled. • Instructions after your embryo transfer: • Today take Doxycycline 100mg tab orally, one with lunch and one with dinner • Continue all your daily medications (PNV, low dose aspirin, estrace, medrol, progesterone injections until your pregnancy test • Minimal activity day of transfer • No exercise until pregnancy test (easy walking and light house work OK) • No intercourse until pregnancy test _9/17___ Pregnancy Test Blood work Appointment Time: _8am_ Location: Buckhead

We ending up spending $30,000 for IVF and donor eggs.

My husband and I wanted to transfer two embryos but Dr. Denis was not on board with that as he described it could lead to twins. I was concerned that one of the two embryos might not take so it would be better to do two instead of one but under the doctor's recommendation we only transferred one each time.

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

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

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

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

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

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

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

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

Don't go.

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

I was told I had too many follicles after 1st appointment and ultrasound - and told I could not do IUI because I would be like "octomom". After meeting with another RE - learned that was not necessarily the case.

She is good, but is more like a business - was my experience. I also asked about Chinese medicine - and was response was she seemed opposed.

Decided to go with Chinese medicine after she wanted to put me on Tamoxifan as a treatment (breast cancer treatment medicine), after I already had allergic reaction to Letrozole.

Do not recall. i decided to try chinese medicine after my appointment

She was great and smart. I really liked her. I wish I saw her more in the process. She was knowledgeable. She was recommended from my OB. I wish she spent more time going through our genetic results and understanding everything.

She’s great, her staff is tough to deal with.

I was an over producer and kept calling them with my estrogen levels daily. I reported them extremely high every day and they waited till I was in the danger zone and had to get an emergency pill to bring my levels back down. I wish they would have been more proactive and not let my levels get that high. I had to leave work early (as soon as I got the call) to drive an hour away to a specialty pharmacy to get it. It was a pain. I felt like they shipped have predicted this based on my reported numbers being so high.

I still have no idea what we paid. The bills and insurance were so confusing.

I love Dr. Fogle but really dislike the office and staff. They are always so busy. It feels like you're just a number when you're there. You move from waiting room to the next waiting room. I'm usually there for over 2 hours but only physically see someone that works there for 30 minutes. There's alot of wasted time. The initial waiting room wait is over 30 minutes then the nurse waiting room is about another 20 minutes then the payable waiting room is another 20 minutes. I really want to go somewhere else but we love Dr. Fogle. I really can't stand her office though.

Prepare yourself to feel like a number and wait for over 2 hours per appointment.

1750 for IUI

He is a kind man, but I didn't pay $20,000 for that I paid for results. After my first failure with a pgs tested embryo he wasn't willing to look into why it failed. I switched doctors and found out they never let my whining get thick enough. I also found out I have a blood clotting disorder and MTHFR. Sure enough, after switching doctors and moving my last two embryos and transferring them I am now pregnant with my son.

I would not go to him if you're infertility is female related.

It was about $30,000 for one round of IVF, including medicines transfer and pgs testing

We felt like our success rate for IVF was inflated or sugar coated. We were told at the first consult (which was extremely quick) that our chances were really good. ACRM's opinion certainly changed between failed round 1 and failed round 2. After leaving ACRM we found out I had DOH which was never discussed at ACRM at all.

I don't have a particularly good opinion of ACRM after my experience. I would advise patients to consult at all clinics and choose the one you feel best fits your needs.

Menopur, Gonal F, Centrotide and Omnitrope, all 1 x injection per day. 2nd round Gonal F increased slightly. Not sure of the rationale. 2nd round = more blasts than first round but they did put the low number of blasts round one to "bad luck"

I had insurance coverage so cannot comment on the costs

I did not make it that far. No embryos to transfer

I wouldn't recommend Dr. Sue to anyone, treatment style is cold fish, dragged on without affirmative information. We would like to see more aggressive style, with clear cut future of the treatment. Setbacks can be told on the face if any without all the numbered lab visits.

Please consult someone else with higher rating if your case is even if a little complicated. You will never get them in a call, and will feel like number.

Style is very delicate, may be that's the way it is. They did multiple ultrasound, lab etc without clear cut information and finally started IVF. One day, they just called and asked to stop taking more medication without the reason why. We decided to stop consulting her, felt the pace is really slow and this can be dragged on to years.

My plan is Cigna HDHP, out of pocket max 6K. I have been told that the plan fully covers IVF after 6K is paid off and a few 1K for medication. But I ended up paying 3K for the first cycle and 5K for second at that point we stopped IVF. Not sure how the drug cost went up that level.

Sorry! we didn't go that far. Personally we don't like the approach of multiple transfer; just reading through the downside of it.