ACRM

Dr. Patel is an incredible physician and I would recommend her to anyone seeking fertility treatment. During my consults she was the one who came and got me from the waiting room. Which is so telling of her as a physician. She cares, she gets invested in your success. Dr. Patel always has a smile on her face even when I was breaking down she kept me positive and never gave up on me even when I was giving up on myself. I am going into this as a “solo mom by choice” and never once did I ever feel judged for the path I was taking. She treated me with the same care she would with a couple with infertility issues. After my 3 IUI’s Dr. Patel was very honest about the chances of my success with continued IUI’s. I was very scared to move to IVF but she took the time with me to calm my fears and help me understand the whole process. She is truly the greatest physician I’ve ever encountered and I would recommend her to anyone seeking care.

Don’t be afraid to ask questions. She’s open and accepting of any and all questions. I continually came to my appointments with a notebook I would keep my questions in and she took the time to answer them all in detail with me. She is always available to call or email and understands the fear and questions you WILL have during this process.

My first two IUI’s I was on different dosages of letrozole while helping to create a very large follicle they never created more than one which is what we like to have in IUI’s. On my third IUI she tried a combination of Letrozole and Clomid which worked so much better I was able to develop several follicles while it still was unsuccessful it helped us to see my body really responded to Clomid. When we moved to IVF she was able to add Clomid along with the injectable gonadotropins to help me develop many follicles during my IVF cycle. At my egg retrieval we were able to retrieve 20 mature eggs! 12 of which fertilized and 4 of those made it to the blastocyst stage. After the PGS testing I was left with 2 perfect embryos! Dr. Patel personally does her own transfers which was so very important to me! After my transfer she had me on estrogen tablets and progesterone injections which are typical of IVF transfers but she also added estrogen patches for good measure. When I got the call about my positive pregnancy test Dr. Patel made the call personally which again was so very important to me. She did all of my IVF scans and all of my OB scans. She takes a personal interest in her patients and that means so very much to me as this is such a huge undertaking!

The costs of going to ACRM we on par with any other clinic when looking at IVF costs. The costs were always explained upfront and I never showed up to the office and expected one cost and was asked to pay another. They always attempted to run through insurance before my costs were explained. I always had great communication with my IVF finance accounts person and she was very open about costs and due dates.

I had my embryos genetically tested to ensure quality and when I asked Dr. Patel about her thoughts on transferring both embryos VS one she explained that when genetically tested embryos transferring more than one embryo doesn’t increase your chances of pregnancy it increases your chances of multiples. While she left the final decision up to me I chose to take her advice and only transfer one embryo.

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.

My first appointment with Dr. Patel was awesome. Back story, I'm a transgender women who was seeking fertility preservation methods so I could begin hormone therapy. I was so nervous leading up to the appointment. I thought she'd tell me that the process could take years and I'd have to delay hrt, but she quickly explained how the process would be much easier tham I hadanticipated. She also explained IUI and IVF procedures to me and my partner. Dr. Patel listened to me and my concers and any concerns were met in a kind manor. Never once did I feel llike I was treated like a number at her office. Dr. Patel and her team were extremely great at communitcating, making the whole process quick and easy. Because of Dr. Patel at acrm I feel confident in my future as a mother.

Listen to her and ask questions.

After every specimen drop, Dr. Patel would review its viability and her team would quickly email me with all the paper work with data allowing me me how viable each sample was.

Dr. Patel was extremely kind and respectful when I brought up my concerns as a transgender woman.

The cost is not cheap since insurance does not cover the preservation costs. The billing department has been slow to respond as I'm trying to pay the bill I owe

Dr Patel is an incredible doctor. We could tell she genuinely cared about our journey. She always took care for us as an LGBT couple. She personally called us during set backs or any time we needed something explained. We never felt rushed by her.

Ask her everything! She will take time to explain everything to you as if you were a student in her class.

The monitoring appts were between 8-11 each day. That was somewhat difficult for us because we live a 5 hour drive away which left us leaving the house in the 3-4am time. Our care team still tried to schedule appts as late as they could. They do them this early because they process results in house and call you between 2-5 each appt day with results

We paid 12k for IVF cycle, 5k for transfer cycle, around 5k for each IUI i believe

Dr Patel preferred to transfer one embryo. We decided to transfer two. She explained all risks to us and ultimately said that it is my body to choice so she would not make that decision for us. We felt well informed.

She's attentive, compassionate, great listener, patient with questions and really makes you feel at ease. I'm 100% confident she's going to help me make a baby and this is the first time I have felt that in my entire life.

Go in with an open heart, because she will protect it.

I don't remember the actual protocol, but we have completed an HSG, Semen Analysis, and ultimately IVF is the best option for us, due to my condition with PCOS. Now all that's left to do is start the process and figure out how to finance it.

So far the initial consultations, HSG and other testing was roughly $1600-$1800 out of pocket. My insurance did not cover most.

I haven't started treatment cycles yet.

Dr. Fogle provided all of the information we needed to know, and at no time did I feel I was misled or had information withheld from us. She is warm, knowledgeable, and able to convey complex information in easily understandable terms. She is also open to answering questions fully and quickly.

I would recommend that they see her! My only regret is that she was not the first ER that I sought for treatment.

Due to COVID-19, my current treatment plan of IVF using donor eggs is on hold. Dr. Fogle recommended donor eggs due to my diagnostic tests, a failed FE transfer at another clinic with my own eggs, and my eggs. She ordered a hysteropalpinogram to rule out issues related to a childhood surgery that could have interfered with IVF success. That test showed no damage, and we are reassured that it may increase our chances of conceiving via donor eggs after my treatment is resumed.

With my treatment currently suspended for COVID-19, I have only completed diagnostic testing at this point. ACRM provided estimates of out-of-pocket costs in advance, and they were similar under my health insurance plan at my local clinic. My last visit included blood testing for me and my husband, a hysterosalpinogram, and hysteroscopy, and the total charged to me out of pocket was under $500.

Dr. Fogle's preference for single embryo transfers for women in my age group appears to be in line with currently accepted best practices in assisted reproduction. I am glad to follow her recommendations.

Dr. Carpenter is very to the point and thorough. She always took the time to explain everything to me which was so appreciated in this process. She also allowed me the freedom to suggest different pathways forward and was always honest on her opinion of these options

Come prepared with questions and Dr. Carpenter will spend the time to explain everything to you. I only know from my experience of asking many questions but I would also think that if you did not have questions, Dr. Carpenter would still be thorough on explaining the process

We did a stair-step approach when I did not respond to 50 mg clomid. In the same cycle, we increased to 100 mg clomid and then 7.5 mg letrozole. The next cycle she added dexamethasone to letrozole which helped with ovulation. Dr. Carpenter was very open to trying strategies to help make me ovulate. When the oral medication did not seem to result in a pregnancy, she very gently suggested IVF and explained her rationale for that suggestion.

David was professional and always on time. He was nice and genuine. He wasn’t very talkative but he was honest when I asked questions. He was helpful when I asked questions about the results of the ultrasounds he preformed. He always made the process more relaxing, by not making it feel like a procedure.

Be proactive about your questions, he will not ask if you have questions so you need to let him know if your curious or in the dark.

David and dr Patel together (due to procedures for the coronavirus and limitations) used a standard stims process using Gonal-f, menopur, cetrotide, leuprolide, and novarel. My follicles were a successful side but I did suffer from OHSS. Everything I was suppose to do was listed specifically on a protocol sheet and everything was relayed to me in a timely manner.

Phase one with genetic testing was about $18,000.00. This does not include pharmacy and additional outside services. ACRM is a little more expensive than other clinics but they have better success rates. The standard fee for phase one for the clinic is $1092.00. The clinic works with ccrm for most of the procedures, however ccrm does not accept insurance so most of the cost was out of pocket.

My doctor was very open to what I wanted. I was provided important information to make my own decisions.

Dr. Carpenter is very experienced and very thorough. She has a soft and warm manner about her making you feel comfortable under her care. She is also very smart and determined to get to the cause of any issues.

Dr. Carpenter goes above and beyond trying to ease your anxiety and find solutions to create the family you long for.

All of my transfers were frozen embryo cycles. Typically I would take birth control for a few days before beginning the real protocol to allow the 3-week protocol to be scheduled. I would start with estrogen for 2 weeks followed by the addition of progesterone injections for the 3rd week leading up the transfer.

Each embryo transfer was about $5000 total. The prescriptions for the transfer were about $100. This was out-of-pocket because we did not have infertility coverage.

Dr. Carpenter tried single embryo transfers the 1st 2 attempts and then the 3rd attempt we transferred to embryos which is when we became pregnant.

Dr Patel spent a lot of time going over diagnostics and my background She was very detail oriented and was always available to answer any of my questions Most appointments were virtual due to covid She was very prompt in answering any emails for any questions we had along the way She was very kind snd compassionate

Make sure to have a list of questions you may have She was very detailed in explaining the process and the diagnostics I appreciate the attention to detail I work in healthcare myself

We never got to actual treatment We conceived on our own during the month of diagnostics While awaiting all the lab results to come back, we ended up pregnant before the follow up It was very lucky bc I have a completely blocked tube

We were fortunate that’s our insurance paid for diagnostic testing and a portion of ivf We never had to go past diagnostic testing as we fortunately had a positive pregnancy test after the HSG If you had to do HSG out of pocket it was around $750 We did all our labs through labcorp bc it was covered as a small percentage

They only do single egg transfers

I was assigned to Dr Patel after my original doctor left the practice. She reveiwed the results from my first egg retrieval where I ended up with zero embryos and had a frank discussion with us about our hopes & desires. She provide multiple scenarios for how to move forward. We had a couple of unforeseen setbacks I knew she would find the solution...and she did. I always felt like she was my advocate and kept our goals in mind. In addition, she is a delight to be around- witty & smart. We now have a beautiful baby boy and two more embryos on ice.

If you have a question or don’t understand something - ask her. Dr. Patel is great at explaining the science and risks

My protocol included the following: 300 IU of Gonal-F, Menopur, 0.5 mg of Dexamethasone, 100 mg of Clomid, 0.25mg Cetrotide, & growth hormone. I usually had at least 9 Follicles over size 17 by day 11 abs would retrieve more matured than what showed. My results then followed the normal reduction with 50% turning into blasts, then half of those making it to day 5 and then we sent ours for genetic testing.

We did a lot of research online and with other friends who have gone to offices in Atlanta before we ultimately decided on ACRM, and Dr. Patel. From the moment we met her, we had full confidence that she would do everything she could to help us grow our family. We never had an false hope or expectations, understanding that this process doesn't always guarantee a pregnancy, but we genuinely felt like Dr Patel was giving us our best chance. She made tough calls, and had to tell a hormonal patient that we needed to cancel a cycle. I was always appreciative of her making the hard calls because I knew it was the right decision. I never felt like she was pushing me through the process. I would, and will, recommend Dr. Patel to anyone who is seeking to take the next step in growing their family. It's not an easy process, but Dr. Patel encouraged us and rooted for us the entire time!

Be upfront about questions/concerns. If something doesn't make sense (because it's doctor lingo) ask.

Our first appt was late February, right before Covid, so our path looked a little different. While the office was shut down, we did a few months of clomid and letrozole. Attempted and IUI in May, but that got cancelled due to male infertility issues. Decided to take a few months off of medication to let my body rest before starting back up again in August for Egg Retrieval. Attempted frozen egg transfer in Oct but my lining wasn't where we wanted it to be, so cancelled that procedure and tried a different protocol in November. Still wasn't thick enough, so we switched to doing a retrieval stimulation because my lining looked good during retrieval. We were successful with our first transfer with that protocol. We did several other procedures along the way: hysteroscopy, HSG, SIS.

We had a significant amount covered through my husband's insurance, so we consider ourselves very lucky in that regard. The only thing that wasn't covered by insurance was the genetic testing of the embryos. But everything was explained upfront and there were no surprise costs.

Because we only had 2 eggs, she recommended doing 1 at a time to increase our chances. In case the first didn't work out, we could still tweak things for the 2nd. But, if we had wanted to do multiple, she would have been open to that.

I instantly felt relieved and knew I was in great hands. She is warm. She is extremely knowledgeable. And she genuinely cares about you as a person. Every encounter with her felt like a visit with an old friend. It also helps in this type of situation that she is not at all dry (like most OB-GYN or RE fertility docs) and has a sense of humor in the most appropriate way.

The outcome will outweigh the financial cost/burdens.

She used Menopur, Gonal F, Cetrotide...but Omnitropin is the real reason for my review. Human growth hormone is not used by any other doctor in Atlanta and is no doubt the reason I have my two babies. Human growth hormone has shown in research to improve egg quality in women. I had 4 miscarriages prior to meeting Doctor Fogle. And I have no doubt in my mind that Doctor Fogle’s use of Omnitropin produced my two beautiful children.

It was always convenient and I didn’t feel like a number.

It’s priceless.. and in the grand scheme of things everyone’s treatment cost will be different. It cost me and my husband about $40,000 to have tests, procedures, one retrieval, and two transfers, with medication. Worth every penny.

Yes, she is very selective on who she would do a multiple embryo transfer on.

Great job explaining processes, likely results, all the options, the biology of it all. Matter of fact, but not cold. Appreciate all of his communication through out the process but most especially, of course, the call to confirm I was PREGNANT!

Listen to him- all aspects of the options and likelihood of success. There are no guarantees, but remaining positive is the best way to proceed.

2 IUI, 1 successful IVF total (with no fertility coverage with insurance, and including all Rxs) $30,000-$35,000

eSET was used. graded visually then genetic testing, as embroys where from me at 39 this is highly recommended.

Dr. Fogle is the best and my husband and I are so thankful and lucky that we were able to receive care by such a fabulous doctor! From day one my husband and I felt comfortable and in great hands with Dr. Fogle. Our journey was not a fun one nor a short one but I couldn't imagine going through this three year journey with any other doctor. Dr. Fogle treated us as if we were family and for that we are so thankful. She always showed compassion, gave her honest opinion and most of all never gave up! She made a point to always schedule me on her surgery days and see me as much as possible during the weekly visits, it was amazing. She was always responsive and there for us when we needed her whether that was in person, email or via the phone...and trust me I needed her a lot as the emotional part of the journey was harder than the physical toll on the body. All I wanted was answers as to why I wasn't able to keep a pregnancy and although we may never have received a true reason and just may have been unexplained infertility Dr. Fogle never ever gave up and got us to our sweet miracle baby boy today!! She always told us along the way she would let us know when it was time to look at different options such as surrogacy, donor egg etc. and we put all of our trust in her because of how thorough she was, compassionate and just down right the best! I am forever grateful for the phenomenal care Dr. Fogle gave us day in and day out. We will be going back to her for our next babies!

TRUST HER! She would never give up on you and she will always provide you with the most honest advice, even if it isn't what you want to hear. I am not going to lie, there were times I left being upset we had to wait two more months for the next transfer or do one more procedure before a transfer and I would be frustrated....but in the end I knew Dr. Fogle always, always, always had our best interest and was doing everything to get us to the end goal...which was a healthy baby!!! She puts so much thought in every step and for that we are so grateful!!

We had a ton of protocols and no two protocols were the same. Dr. Fogle always tweaked the protocols a bit, whether it was adding lovenox, pushing back the retrieval day, adding growth hormone, doing one more hysteroscopy and so much more.

Dr. Fogle always suggested that we do a single embryo transfer as I was having trouble keeping a pregnancy and multiple pregnancies are tougher. However, Dr. Fogle always said that if we wanted to transfer two eggs she would. Actually, one transfer the embryo didn't thaw as perfectly as we wanted so Dr. Fogle added another fresh embryo from a retrieval to give it our best shot. Unfortunately neither embryo stuck but she was always, always thinking of ways to get us to our end goal!!

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.

She was wonderfully supportive during our miscarriage. She wanted to reach out to us even though it was while she was on vacation. We will pursue future treatments with her because we know she cares and truly wants to help us have a family.

It is easy for us to let emotion make decisions but trust your doctor. She will make the best decisions for you on this journey.

I’m not sure! I don’t have notes on this, but we will be changing up our protocol for the next time to include growth hormones so my eggs are all around the same maturity age during retrieval.

We had appointment times, but it was first come at 8am.

We spent around 24k on several IUIs, a retrieval and transfer.

The clinic does one embryo transfer, and after a failed transfer or loss there is the option to transfer two. We understand these policies, and plus we only had one PGS normal embryo to transfer.

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!

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.

Dr.Calhoun was absolutely amazing! She always made me feel comfortable , hopeful , and that she was as invested as we were. She always does an awesome job explaining our treatment and next steps. She is quick to adjust plans as needed. She has truly impacted our lives greatly and motivated me want to go into this field and help others the way she is helping us!!

Don’t be afraid to ask questions

We started with trying leterolze. I was not producing any mature eggs so she bumped up the dosage. Still no production or mature eggs so went to highest dosage. After that wasn’t successful she tried combined cycle of leterzole and clomid for five days. Again nothing so she Bumped up the dosages to the highest of both medications for ten days. Went in and finally had some mature eggs. We did a trigger shot and I ovulate for the first time ever but the cycle was not successful in a pregnancy. We went back to 10 days of clomid & leterzole. Nothing was growing so starting at a low dosage of gonal - f for seven days. Two eggs were maturing so we did a trigger shot. Currently in Two week wait.

My insurance didn’t cover any fertility treatments. My appointments are anywhere from $110-200 Ultra sounds are anywhere from $150-300 In house blood work was $100 a test

Dr. Lisa Hasty has the best bedside manner and yet she is so professional and blunt with relaying clinical information, which is exactly what I want and need in a fertility doctor. With many doctors in the past, I felt like I was starting over with each appointment. I don't know how Dr. Hasty does it, but she remembers everything about me and my case every time I walk in her office. She is nothing short of amazing at what she does and as a person!

I would advise a new patient to provide Dr. Hasty with every piece of information you can from previous doctors, etc. because she will read it thoroughly and talk through it with you. In other words, don't feel like you would be wasting your time gathering medical records and filling out forms to the highest level of detail.

Thus far, I have only tried fertility medications (Letrozole and Clomid) under Dr. Hasty. I am currently in the process of beginning an IVF cycle.

The full IVF cycle costs $15,000. The associated anesthesia costs $550. Genetic testing is another approximately $2,000. The medications for IVF are approximately $6,000, plus the supplements that I am currently taking.

Dr. Hasty has advised I do a single transfer due to my incompetent cervix. She explained the risks involved with multiples and that the embryo could still split after transfer.

Dr. Patel is extremely thorough with providing me with the information needed to make a informed decision. She was prompt and to the point when needed, yet had a soft and understanding side as well. I appreciate that it was not pressured to just jump in. She wanted to know that I understood how everything worked.

Just be open and honest with your concerns or questions.

I have done 3 cycles of clomid before seeing Dr. Patel, so we made the decision to start with labs to see what is going on with me. She found a few items of concern. So, I am starting thyroid medication, a HSG procedure and my husband is doing a sperm test. We will wait for all of the results and schedule a follow up.

On my first visit, I had a specialist copay. They did labs as well that day, which my insurance covered. Dr. Patel encouraged me to go to a different facility for the HSG test as they had a lower cost. ACRM was $1100.00 vs. $500.00. I had to have in house blood pregnancy test for the HSG and it was $87.00. The sperm test was $140.00 I believe.

N/A - We haven't gotten this far.

Dr. Denis was always very warm and caring throughout all of our appointments. The thing I remember most about him is that he consistently reminded us to not blame ourselves for our infertility because we had no control over it and that he knew how much women played the blame game. He took the time at each appointment to answer any questions that we had and he explained the entire process in detail. We always left feeling like we knew what to expect and that he was doing everything in his power to diagnose our infertility problems instead of just sticking us in the “unexplained” category where we had been for years.

Go see him.

We did a frozen embryo transfer. Pretty standard protocol in terms of the drugs used before the egg retrieval. We had 22 eggs retrieved, 13 embryos, 9 made it to blasto, and ended up with 2 chromosomally normal embryos. It was at this point that Dr. Denis ordered another blood test and discovered that we have a chromosome translocation and that is why we had so much difficulty getting pregnant. We transferred one embryo that successfully implanted and had our son in February of 2020.

I believe our total cost was around $24,000. Our egg retrieval and embryo transfer was $17,000, genetic testing (since we had over 7 embryos) was $1,000, and medications were around $6,000.

Dr. Denis’s explanation of our single embryo transfer made sense. I had been pregnant before, I was under 30, and we only had 2 embryos to transfer.

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.

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