ACRM

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!!

All I can say is she makes the weight of infertility bearable. She’s genuinely concerned about our situation and sometimes reaches out to us at late hours to check in and with recommendations. My husband thinks if she were his prof in school he would have loved school even more; that how gentle and deliberate she is! We absolutely love her !

Be open and tell her your concerns and expectations! You are in safe hands!

I think costs were okay when covered by insurance and I only had to pay my copay.

Not applicable

Dr. Patel was always very personable and compassionate. She knew a lot of information would be coming at me quickly and walked me through every step of what I needed to do. She was honest, hopeful, knowledgeable and very easy to work with..

See her as soon as you get your diagnosis. She's ready for you and will take care of you.

I don't remember the name of the drugs, but I did 2-3 injections at home prior to retrieval.

I had great insurance so the cost was minimal to me.

I love her. Intellectually curious and unafraid to explore interesting questions or unusual ideas (I had a lot of questions and ideas). Warm, kind, compassionate. Clear and forthright - I got straightforward and accurate information, even if it was bad news. Never rushed or distracted; always knew I had her full attention. Very quickly responsive - returned emails within hours. I wish she could be my regular OB!

Trust her. And bring her all your questions or concerns.

Priming for one month prior with testosterone, progesterone, and estradiol. Protocol included Gonal, Menopur, Omnitrope, Dexamethasone, and dual Lupron and HCG trigger.

Approximately $12k for stim and retrieval; transfer around $4k

Dr. Carpenter was very knowledgeable and kind. I had had an historectomy in 2012 so she explained that it wasn’t a certainty that I would still be ovulating but that we would check. Luckily I was an my eggs did mature. Giving me a total of 14 eggs. I appreciated how she explained things to me and that she was honest with me throughout the procedure.

I would say to not be scared. She will take good care of you.

I was put on a higher dosage of the fertility drugs because of my history of a hysterectomy.

The do single embryo transfer but I haven’t done it yet.

Dr. Carpenter is lovely both personally and professionally. I know several people who used her successfully throughout the years so we had high expectations, and she did not disappoint. Dr. Carpenter was warm but professional. We felt complete confidence in her ability to help us reach our fertility goals.

She is very accepting and easy to work with: however, she is very direct with her medical advise.

I absolutely love Dr. Patel, she is very easy to talk to and caring. She answers all questions in a timely manner and never makes me feel dumb for asking questions. She really wants to help her patients and you can really tell.

Go see her ASAP.

All we have done so far is a round of letrazole. But she has been very very helpful.

I have not gotten any bills yet so I am not sure.

As I mentioned before, I cannot say enough good things about Dr. Fogle. In fact, I am sad to be leaving her care as I graduate back to my ob-gyn for the duration of my pregnancy. I truly feel that she got to know me as a patient, which is invaluable. She is an expert in her field, has a wonderful, relatable demeanor and inspires confidence. And I was always impressed at how quickly she got back to me with answers to my questions. I wish that all of my doctors were like Dr. Fogle.

Going through fertility can be difficult and trying, but trust in the process and know that you are in excellent hands with Dr. Fogle.

I tried IUI once (it resulted in a negative pregnancy test) and then proceeded to IVF due to the increased odds of success for someone my age . I did stimulant injections, had an egg retrieval, my embryos were genetically tested, and then I had a frozen transfer. The transfer was successful and resulted in a pregnancy.

IUI has its own cost (broken down by visits, bloodwork and ultrasounds). IVF was broken into two phases: the egg retrieval (the most expensive phase) and then the frozen embryo transfer.

None.

She was always smiling and honest. From my first consultation, she reviewed the likely hood of each treatment resulting in a pregnancy and live birth. She helped confirm what I thought my issue was (tubal blockage) and based on my age we went with IVF as she explained this old be the fasted. most probably of me to get pregnant. I had a few setbacks, but she remained encouraged, shared what my options were, and we proceeded.

Nothing specific to her. Write down your questions for her so that you remember to ask them while you’re with her.

The visits and all my procedures were about $12k and the medicine was an additional $4500. My insurance cover the majority of medical, paid out of pocket for the dugs.

She recommended only transferring one embryo. I was thinking of transferring 2, but I’m glad I did not do that. My husband and I did the genetic testing of the embryos. I highly recommend that. Only 2 of 7 were viable options.

As a infertility patient, Dr. Patel has been the best doctor we've worked with so far. She was very patient with our questions and explained everything thoroughly. She presented all our options, explained each of them - their success rates, risks, etc. and once we made our decision, she helped us throughout our process. I recommended her to my cousin who was going through the similar issues and my cousin had the same positive experience with her. Dr. Patel treats each of her patient with much care that you can see while interacting with her.

Dr. Patel is very patient in answering questions, so if you have any question, do not hesitate to ask her.

We did IVF with Dr. Patel since we had tried IUI and other options with our previous doctor with no success. We are now 10 weeks pregnant.

IVF cost

Dr. Patel was warm and gracious during our time at ACRM. She was honest, supportive and her guidance was incredibly helpful. She was always prompt, clear & they always made sure to answer any questions that I had.

To be open and honest with her, set expectations together so everyone is on the same page & aware of the end goal.

The treatments were not cheap but we were made aware of what we could expect when the time came to make payments.

Dr. Patel was amazing. From our first virtual consultation, she made us feel at ease. She told us our options and gave the best advise to us. She was extremely positive and believed in the IVF process for us. She made great suggestions and we are very grateful the transfer worked out successfully the first time. We had very few setbacks while in her care.

Go in with an open mind. Have lots of questions. Dr. Patel will listen and answer your questions completely and honestly. She wants to do whatever she can to get her couples a baby.

1 Egg Retrieval Estrogen 3x a day Progesterone shots 1x a day for 10 wks 1 FET

$4000 for meds $22,000 for IVF cycle

Dr. Patel suggested only transferring 1 embryo for greater success.

Dr Patel is very thorough, confident and will not waste your time in IUIs and stuff. You'd have to let her know that you want to get pregnant at any cost. Yes, IVF can be a bit expensive, but all that money won't go with you to the grave. Provided you're not a high risk category (over the age of 36, etc), and provided the eggs and sperm are healthy, pregnancy should not be a problem. Dr Patel has expertise to get you thru this.

All Good!

We did use PGS which turned out to be great because we had 28 eggs retrieved off which only 11 survived after mixing with sperm after a week. They then sent those 11 embryos for PGS testing which turned out was important - Only 3 of those 11 embryos could produce a healthy baby. PGS Is so important! My wife and I are less than 35 years old and we benefit so much from it!

$7,000 including $3,000 for medications (off site speciality clinic - SMP Pharmacy in Miami) The rest was paid by our insurance since we had met our deductible for the year. Phew!

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.

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.

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. 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

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.

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

Ask all the questions!

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

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

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