Arizona Associates for Reproductive Health

I have only seen Dr. Patel 3 times. Each time, he has been rude and condescending with me. He does not give clear information or directions and insinuated that I was lying to him twice while relaying info to him from doctors he had referred me to. He gets visibly irritated when you ask any questions whatsoever and when I asked him to explain something, he said he had other patients to see and I needed to make another appointment if I wanted to ask him any questions. I would NOT go here again if I had it to do all over again.

Do your research. Check his reviews and read the negative ones. They are oftentimes more accurate, unfortunately.

I have not had my period in over 2 months. I told him my last office gave me a progesterone shot to induce my period. He refused to give it to me until he officially diagnosed me with PCOS, which he refused to do until he could do an ultrasound on me while I was on my period, which I was not having. He said we should ‘wait and see’ if it starts on it’s own. I told him I haven’t been having it for the entire year without being given some type of progesterone. Still, he refused to give me any medication or treat me at all until it had been another month. His NP assured me there was nothing wrong with not having periods, but also told me I can’t ovulate as long as I am not having periods. Dr. Patel told me, at the next appointment, that I can still ovulate even if I don’t have periods. When I tried to notify the NP of my concerns regarding not having a period for several months and the potential to cause cervical or uterine cancer, she said that’s not possible. Then Dr. Patel said going without a period for several months can cause uterine or cervical cancer! My husband was scheduled to do bloodwork prior to having his sperm sample frozen and the lab lost his bloodwork.

Ultrasounds $200-$300 each.

Dr. Johnson was so kind and caring, I would cry at every appointment and he took the time to listen. His approach was positive and warm, he didn't provide any false hope to us when things looked grim. He was accommodating with our schedules for monitoring and the IUIs we did with him.

He is very kind and compassionate, has a great bedside manner for such a difficult time.

We did one HSG to ensure my tubes were open due to the fact I have mild endometriosis, three IUI's with Dr. Johnson, and one timed intercourse, because I responded well to clomid and had plenty of follicles being produced. And my husbands semen analysis had good numbers too post wash. However we never got pregnant via IUI's/TI with Dr. Johnson.

Luckily all my IUI's were covered by my insurance all I had to pay for was meds think it was like $300 for Clomid and Ovidrel trigger.

At my consultation, I was nervous. I went in for a second opinion because we were not able to get pregnant with our first fertility doctor. Dr. Patel explained everything to both my husband and I as to what our next steps are. I left understanding his plans and felt at ease. At my testing appointments, he made me feel so comfortable and had really good bedside matter. When he come in, he remembers who I am and I’m not just another number.

None. He is wonderful.

I haven’t had any treatments yet, just testing so far. Awaiting my follow up appt

The office verified my insurance and benefits. I have a very understanding of my insurance. I’ve only gone in for a consult and testing which all fell under my copay.

We loved Dr. Johnson. He was warm and kind to us. He explained the procedures, and was honest about our chances of conceiving with the different types of fertility treatments. He completed every procedure that I had.

Come up with list of questions to ask.

Since our infertility was male factor, he strongly suggested only one embryo be transferred.

Dr. Amols came up with a great plan according to what we could afford and what methods we did or did not want to use to treat our infertility. I knew wholeheartedly that he does what he does to help people get pregnant, not for the money. He is good at what he does medically, but still makes it a personal experience.

Share with him your thoughts and feelings. He really does listen to them.

We used clomid and then did 2 FSH injections after an ultrasound to help the follicles grow. We then went in for IUI, but the 1st time my ovulation fell on Thanksgiving and the office he was working at was closed, so we went the following day. I feel (after tracking my own ovulation for years) that we missed that ovulation. The following month, it was going to land on Christmas, so we did clomid and intercourse alone that month. The following month we did Clomid and 2 injections of Menopur, had the IUI on the correct day and got pregnant with our twin boys.

I do not recall, but I do remember that he did what he could to help keep treatment affordable.

No experience with this

He always made sure I understood what is going on with my body and how it can effect me in ivf.. if Myself or husband had any questions he would answer. He would also ask us questions to get to know us and made us feel really comfortable

I would recommend going in with a lot questions he will definitely answer all of them

I didn’t start treatment yet

We were very optimistic when we first starting seeing Dr. Patel. We had been trying to conceive for just over a year when my OBGYN referred me to his care. We were all in and ready to get whatever testing was recommended so we could evaluate our options and get to work as quickly as possible. We spent a lot of time and effort on testing of which I ultimately did not feel resulted in much learning. Looking back, we were never given a diagnosis and were not given clear expectations of our chances of a positive outcome. Strangely enough, we were first presented with the cost of IVF. This was surprising to us in that there didn't appear to be anything "wrong." We asked to take a more conservative approach and try IUI first. We got pregnant with IUI on our first try and were overjoyed. Unfortunately, we went on to learn that the pregnancy was not viable at 5.5 weeks and I miscarried at 9 weeks - this was after many unnecessary scares and talk of my pregnancy being ectopic even though there was a visual gestational sac in my uterus. Dr. Patel had me come back every few days for repeat scans (even after I was sent externally for a more in depth ultrasound where it was confirmed that the pregnancy was not ectopic) which, looking back, caused a lot of unnecessary anxiety and confusion. There was clearly not much that was going to change over 48-72 hours and if anything it made the experience that much more painful and emotionally taxing. While I don't blame Dr. Patel for the result of the pregnancy, I do find the way in which my miscarriage to have been handled to be concerning. After my body recovered from the miscarriage, we returned to Dr. Patel for another round of IUI. In that first round back the timing of my cycle wasn't managed close enough and I missed my opportunity to trigger using Ovidrel. It was a huge let down to spent our money and not feel that things were as controlled as they could have been to ensure a positive outcome. If I were to summarize my biggest frustration, it would be that my care felt disorganized. I felt like I was the project manager and that I had to advocate and remind often. There seemed to be a lack of framework and structure in the approach to my care.

Dr. Patel's pricing is competitive, it was a huge reason why we chose to proceed with his clinic, however, having been to another clinic now, I can more clearly see what extra dollars can get you. If price is important to you, Dr. Patel can be a great fit, however, my advice is that you make sure you know your stuff and plan to take an active role in advocating and managing your care.

We did 3 rounds of IUI with Dr. Patel. I took 2.5mgs of Femara each round. Two of the rounds we were able to trigger with Ovidrel, 1 of the rounds, we missed our opportunity. Following IUI I started 200mg progesterone suppositories daily until the start of my period and/or a negative pregnancy test.

Each round of IUI cost $950.00. I also purchased medications (Ovidrel / Femara / Progesterone) for each cycle which cost about $250.00. In total each round cost us approximately $1,200.00.

Dr Patel is highly experienced, dedicated to his job, and has an incredibly strong work ethic. Sometimes he can be a little too blunt, but personally I like to know the truth and prefer honesty so I have realistic expectations and do not mind this. Sometimes he can be very busy as the office can be hectic, but, he does always find time to meet with me at every visit and thoroughly explains everything.

Have patience as the process will be a long Journey. I had good luck booking appointments at the end of the day, when it is less hectic in the office and the doctor and nurses are not pressured by additional appointments like they are in the middle of the day.

Dr Patel recommended genetic testing on my husband and I to rule out the possibility of us both being a carrier of a genetic disease. Neither of us were carriers for the same genetic diseases so it did not matter in our case in the end, but provided additional peace of mind. We also did a freeze all on the embryo’s and chose genetic testing of the embryo’s per Dr Patel’s recommendation. This did prove to be very helpful and we were shocked how many embryo’s had potential chromosomal problems. Highly recommend the genetic testing.

All monitoring appointments went as planned, got in quickly and no issues

Currently at $83,000 which is a negotiated rate. We have had some help with insurance.

Dr Patel is not willing to do multiple embryo transfers and explains the added risks of that thoroughly. He strongly recommends and is only comfortable doing single embryo transfers.

Dr. Patel doesn't beat around the bush or raise false hope during treatment; he tells it like it is. Some people want hand-holding and that kind of comfort from their RE but we want a skilled physician who will help us make a baby. From the initial consultation and throughout the course of treatment, Dr. Patel was always brutally honest about his expectations so that we were aware of the situation and where we stood. He tells it like it is as opposed to what he would like it to be. Out of close to a year and a half of treatment, we saw Dr. Patel for every visit except 2 or 3 when he was out of town or unavailable due to emergency surgery. Dr. Patel did all my monitoring ultrasounds himself and was always familiar with my case and medications. He would joke with us, sharing really bad "dad jokes" because he realized we enjoyed that kind of humor. When we wore customized shirts from Etsy for our transfer, he loved them so much he took pictures with us and wanted everyone in the clinic to come and see. When we had our 7 week ultrasound visit to check for fetal heart beat, he got so excited and gave us a huge hug, telling us how happy he was for our miracle and that is WAS a miracle. When we lost the pregnancy in the second trimester, he called that afternoon to talk and find out what had happened, and assured us that he would help in every way he could. I'm confident that he has been thinking deeply about how to reconcile our loss of a genetically normal fetus and will have some ideas at our follow up (we are still waiting on some additional genetic testing). He is somewhat set in his ways and reliant upon evidence-based research, so he is sometimes hesitant to try new things unless you come prepared with peer-reviewed publications and a solid argument. He is willing to compromise when you make a compelling case. Although it can be difficult to reach him personally sometimes, he does review everything and knows exactly who his patients are.

Don't be put off by his abruptness or direct talk; he doesn't waste time telling you what you want to hear. He tells you what you need to hear. He doesn't like to raise false hope and he will also do everything within his ability to help you be successful.

I did four back to back retrieval cycles because I have DOR and needed to embryo bank before my eggs got any fewer and worse quality. We started with an agonist protocol (150IU Menopur, 300IU Gonal-F). I have DOR, and when the first cycle wasn't as successful as we'd hoped (we got 5 mature eggs, 4 fertilized, 2 blasts - 1 PGS normal, 1 low mosaic), Dr. Patel wanted to try a microdose lupron flare protocol to see if we could get better results. He also added Omnitrope (HGH). The MDL protocol was terrible for me and resulted in a failed cycle (5 mature eggs, 4 fertilized, 1 poor quality blast - high mosaic), so we switched back to agonist. For cycles 3 and 4 we used 150IU Menopur, 0.4 units Omnitrope, 300IU Gonal-F, and 150mg Clomid, and were more successful. In cycle 3 we got 7 mature eggs, 5 fertilized, 3 blasts - 2 PGS normal, 1 low mosaic; cycle 4 we got 5 mature eggs, 5 fertilized, 3 blasts - 1 PGS normal, 2 aneuploid. For cycles 1-3 we used birth control priming and for cycle 4 we used estrogen/testosterone/progesterone priming. The ETP priming appeared to result in more follicles overall but after stims started my right ovary didn't respond at all, so Dr. Patel said that if we ended up doing another retrieval in the future, we would stick with birth control priming. He didn't want to use estrogen priming alone for me because he was concerned I would ovulate through the medications. He kept me with birth control because my hormonal levels didn't indicate my ovaries were oversuppressed, which can happen with some DOR patients.

At the time of my initial treatment in 2018/2019 I had coverage for most things under insurance (that's since changed). For initial diagnostic testing, I paid copays and some lab charges less than $100, although my genetic carrier screening cost $299 because insurance wouldn't cover it. My recollection is that for cash pay patients it's around $5000 for the retrieval + anesthesia costs + medication. If you want genetic testing of embryos, it's $1800 to test 8 embryos over 9 months. Medication costs will vary but mine was equivalent to probably $5000-$8000 per cycle. Omnitrope is not covered by insurance and can cost around $400 per vial; for three cycles I had 4 vials each (so a total of 12 vials...). I believe the transfer is around several thousand dollars + medicine (usually covered by insurance this time), but I'm not sure. I also did a diagnostic cycle with the ERA test and the ReceptivaDx test. They both cost around $800 each to the test companies + clinic fees for the monitoring appointments and biopsy. Embryo storage is $720/year and you can pay one annual fee or monthly.

Dr. Patel told us his policy is to transfer 1 PGS normal embryo if the genetic testing has occurred. Transferring multiple embryos increases pregnancy risk and the potential for complications as well as risk to the growing fetuses.

Dr. Patel is an amazing physician and incredibly knowledgeable. He is very forthcoming with his advice and recommendations and won't sugar coat any expectations for you which I appreciate. He spends as much time with you as you need at every appointment (mine ended up being daily during stim meds) to ensure all your questions are answered. He cares about his patients and also has a great sense of humor. The office is incredibly busy yet I always felt like I was getting wonderful care and was part of a family really rooting for my success.

Do your research on potential procedures so you can come prepared with potential questions and expectations of what is to come. Dr. Patel will happily answer and explain the process you're about to undergo and what realistic expectations could be.

I underwent one round of egg stimulation meds and egg retrieval. I was put on follistim and menopur as injections and triggered with ganirelix. My body reacted VERY quickly to stim medications and we ended up having to decrease my dosage on a daily basis to ensure I didn't overstimulate. Dr. Patel had me come into the clinic daily for two weeks for ultrasound and blood work to keep a close eye on my levels and follicle growth. He warned me my results may end up in a cancelled cycle but because he is an amazing doctor, he was able to save it. My retrieval resulted in 28 eggs, 24 mature, 20 fertilized, and 14 embryos by day 6 with 11 being genetically normal. We underwent one transfer which was successful! I was put on birth control then oral estrogen and PIO 5 days before transfer. I continued estrogen and PIO until week 13 of pregnancy.

IVF isn't cheap. I would say we probably spent about 15k. However alot of our costs were associated with genetic testing because we had so many embryos.

Dr. Patel was not willing to do a multiple embryo transfer on me as he felt the risks associated with a multiple pregnancy outweighed the percentage increase of success by putting in two. This may be different for a different patient.

Dr Patel was quick to crack a joke to make me smile. He did talk fast sometimes so I would ask him to repeat things every once in a while. While I had a great experience, when my husband came with me for the final review of all our initial tests, we learned that it was male factor infertility. It didn’t seem like Patel was prepared ahead of time to give that info. As the appt evolved it seemed like he read the results and gave it to us that way. He also stepped out of the room for a couple phone calls. So while I really enjoyed my experience overall, my husband was less impressed, probably because it was the time he needed a doctor to give him attention and Patel wasn’t really “present”.

Just in general, Any type of infertility testing is hard, so just be prepared for an emotional roller coaster and it’s ok to cry on your way home every now and then.

I only did the consulting tests. He did say the next step was a saline ultra sound for me and a urologist consult for my husband

The costs were pretty typical for cash pay.

Dr. Patel is a very good doctor. He doesn't beat around the bush. Although he may not always have bed side manner, I've always appreciated the bluntness so that I know exactly what he means. He has always seen me on time and explains everything in detail.

If you are someone who is sensitive and is not 100% committed to hearing the facts as directly as possible, then he's probably not your doctor to see.

My 1st protocol was starting on birth control pills for 14 days prior to me starting my stimulation medication. Once i started, i was on 2 vials of Menupur daily for 8 days. 300 mg of gonal f for 8 days. The last 3 days we added cetritide. After that i did my trigger shot. My 2nd retrieval consisted of taking 2 mg estrace the month before along with 1 pump of testosterone gel. The last week before my cycle, i started on 200 mg capsules of progesterone. Once i began my cylce, i was take 2 vials of Menupur, 300 mg of gonal f, 10 mcg of omnitrope, and 1 pill of the dexamethasone. Last 3 days before retrieval I started cetritide. Then did my trigger shot and started my antibiotic.

My initial appointments and labs were covered. Once I began treatment I had to pay 7500 for all future appointments that included ultra sounds, labs, and visits till my retrieval. I also had to pay and additional 500 the day of my retrieval for the anesthesia. When i did my first transfer i paid 1700 for the labs. Appointments, and transfer.

He is an amazing physician. He is very personable and takes the time to see me on each visit. He explains all risks and possibilities so that I am fully prepared for what is coming. I had an accident where I dropped my Lupron trigger vial and it shattered into a million pieces. I called him, ugly crying my eyes out. Dr.Patel reassured me we would do everything possible to ensure my cycle did not get interrupted. He stayed up late praying for me that my levels would be okay. You cannot ask that of a doctor, and will never find that with others. He has come in on Easter Sunday for me when I needed monitoring appointments. I cannot say enough about this man and how amazing he is.

He may seem a little cut and dry at first but do not let this scare you off. He means well and has the absolute best intentions for all his patients. He takes pride in what he does and ensures all his patients get the best care he can give them. You won't find a better doctor!

I am not sure of the protocol names, but he monitored me closely to avoid OHSS. I did menopur 75 iu per day, gonal started at 200 iu, but bumped up to 300 iu in my cycle to help my ovaries stimulate more, he prescrived dexomethazone and cetrotide as well. I did these during my stims.

It was cheap for my OOP costs. I worked a second job during this to qualify for Starbucks insurance to help with costs of some of the procedures. We did not have coverage the whole cycle and the clinic did everything possible to work with us on billing needs.

He is very conservative and does all his planning to give his patients the best results. I am in the middle of my first IVF cycle so am not sure how many I will transfer. I want 2, he recommends 1. We agreed it would depend on my egg quality after retrieval and how the embryos came back. He is very reasonable, but has my best interest at heart, so ultimately I will trust him.

I think Dr. Patel is very knowledgeable and a great resource for information. He is open to questions and makes you feel like there is hope for you no matter what your situation is. I enjoy seeing Dr. Patel and I would recommend him to anyone.

Make sure you ask questions and do your research. Come with suggestions and options that you would like to have on the table. Sometimes if you dont ask, they wont tell you.

I am going through a cycle now. Will be starting my injections soon. The only thing that bothered me is that Dr. Patel never sat down with me and went over my treatment plan in a sense that how aggressive my plan will be what I should expect the side effects of injections and all thing that I need to know going into IVF for the first time.

IVF retrieval with ICSI and PGS testing biopsy is $8000. FET is $2000

At 29 it is not easy to hear that menopause is happening within a few years. Not only that but both tubes were blocked, hormones are awful and at my young age my egg reserve was extremely low. My husband and I were treated with great respect and met with Dr. Patel himself at every appointment. He would spend as much time as he would need to go over the findings as well as the next steps. I would frequently met with his wonderful staff right after where they would go in depth about money and options available to me. His team would answer questions after hours and never made me feel like the questions I had were not appropriate. He took the time to make sure I knew that certain paths would not be worth it for me and our wallets which was a huge relief. We felt like he was human and not just a doctor out to make money. Dr. Patel is a miracle in our journey.

Ask as many questions that you would need. Be patient in the waiting room and know that he is behind because he cares about his patients.

We are just beginning our journey of IVF Egg Donor. My donor has just been approved and will be here in April for further testing.

I am going through a known donor and I was quoted 12,000

My doctor does one egg transfers at a time if they are good quality and multiple if the quality is low

Dr. Patel is very straight-forward and almost discouraging in setting expectations for success. He was set on not beginning the process for egg retrieval until my thyroid hit a certain number, but I read the studies he sent me and showed him that my thyroid level was good for egg retrieval and so he finally agreed to go forward after months of delay based on that. Since he agreed with me, he was very clear to warn that we may have no eggs much less embryos since we went forward without reaching his ideal thyroid number. I acknowledged his warning and we went forward and I now have 4 frozen embryos. He is a nice man and very knowledgeable but stubborn and very much "by the book" which is both good and bad. He is always very professional and courteous when I see him.

Be patient but also advocate for yourself.

I was on 150 menopur and 300 gonal-f for 10 days and then 10,000 hcg trigger. It effectively allowed us to successfully create 4 frozen embryos.

I don't know because we have insurance coverage. This clinic is part of the centers of excellence. We have spent most of our deductible from our visits and fertility medication.

He is a one embryo only transfer doctor.

Dr. Patel seemed to not care about me or the situation I was in. He was very cold when telling my husband and I that we had a less than 5% chance of ever conceiving naturally. He had absolutely no opinion or suggestions as to what vitamins and supplements I should be taking to increase my chances and improve egg quality. When he spoke to us, he talked to and made eye contact with my husband but rarely with me, even though the treatment was centered around me! He didn't seem to care about the results of each treatment. There was no way I would have stayed and done ivf with him.

He is the typical cold, no bedside manner doctor. If you want a doctor that shows little compassion and just focuses on treating you, he's your guy. If you want anything more, go somewhere else.

I did three IUI's with Dr. Patel. The first round I took Clomid, had three follicles grow but my lining was thin. The next round I was switched to Femara, had two follicles grow, good lining but still negative result. The third IUI was canceled due to a cyst, so we tried again the next month and only had one follicle grow. Also a negative result.

The IUI's totaled to about $1200 for each one.

I genuinely got to know and admire Dr. Patel. He was extremely caring and very good at what he did. He adjusted his treatment in response to my body's reaction to previous cycles. He was very abreast of the latest in fertility treatments and actually the cycle I got pregnant he was trying a different approach because of things he had just read about in the medical journals. I do and have recommended Dr. Patel to friends.

Listen to him. He knows his stuff. He was fairly straight forward with me, because I was older my changes were less, but he was still hopeful and aggressive with his treatment. And he did things because of medical knowledge and experience. I was very pleased with his overall approach and his results.

I had failed to conceive several times, IUI and IVF, because I was older and was using donor sperm. My eggs appeared good, though, so he was willing to help me. I was very lucky when two of my embryos took.

Is straight to the point when giving information but sometimes does not clearly answer questions or answers snidely. This was the reason I never left the office feeling like I was clear on the procedures to come

Ask more and more questions and do not stop asking questions. Your comfort level is important for the process and the price your are paying for each cycle. I feel like my money is more wasted than used efficiently.

Unfortunately, due to the level of communication I did not know what strategies were being used.

My IUI without medication was 800 I believe. With medication it was 1050 plus cost of medication

Dr. Patel is clear. He always takes explains the next steps and why he is changing dosages, etc. I really appreciate that he takes time to explain. He also has a fun sense of humor. This can be a stressful process, so it’s nice to enjoy seeing your doctor. Especially when you are getting scans nearly everyday.

Ask questions. Dr. Patel is great at explaining, but he can’t read your mind to know what questions you have. Don’t hesitate to ask.

1st IVF round was Menopur and Follistim. We retireived very few eggs and none survived to day 5. 2nd IVF round, we also used a human growth hormone. We retrieved 8 eggs and 4 made it to day 5!

IVF/ICSI/PGT, $8,700.00, includes all monitoring, does not include offsite PGT testing fee, medications, anesthesiologists, or FET

Due to my age, Dr. Patel recommend freezing our eggs so we could have PGS testing performed on them.

Dr. Patel was honest and straight to the point. I didn’t always understand what we were doing or why we were doing it - which wasn’t my preferred way to handle it- but they always answered my questions when I asked them directly.

Make sure you advocate for yourself. Understand what your options are and don’t be afraid to ask questions.

We used an antagonist protocol with extended birth control pill use beforehand. We tried this method first I believe because it is the standard approach at this clinic for good results with minimal risk of OHSS.

Base treatment for IVF $6500 Anaesthesiologist $500 Biopsy fee for testing $1300 FET $3500

I felt that this doctor took a personal interest in my case, calling me personally and addressing issues. However this doctor did not display a sense of urgency or timeliness about my treatments, so I eventually left this clinic.

Ask for a clear timeline and follow up if they are not making timely progress on your insurance or treatments.

The treatment strategies used were appropriate but they did not take a proactive role in managing our care.

The costs of care were approx said to be $17k for IVF.

Dr. Patel is an incredible doctor. I trust him tremendously. At first I struggled with him because he is not very emotional, however once I realized how knowledgeable he was, that no longer mattered to me. We had several setbacks due to my bodies response to the medicines, and i appareciated his honesty and the way he led us thru that time.

If you need an emotional doctor, he may not be the right fit.

Dr. Patel prefers to transfer one embryo I believe.

Dr Patel is a straight shooter, but is extremely compassionate and empathetic. He also took us seriously and didn’t down play our situation, The fact that he does all of his own ultrasounds and procedures is incredible and not the norm. We felt so lucky to be in his care. We just delivered a healthy baby boy in November thanks to him and we will not be hesitating to make an appt when we are ready to start trying for a second child.

Don’t get caught up in wanting the warm and fuzzies from Dr Patel. He’s who you want as your fertility doctor!

IUI with letrozole (not Clomid due to high number of follicles)