ART Institute of Washington

He seems very knowledgeable I wish he would see his pts during the cycle not just the day or retireveal or if something is wrong. His staff seems rushed, impersonable, and cold at times. They are horrible at responding to emails, phone calls are almost never andwered.

I would just tell her to be assertive and if anything seems off to make sure to ask questions.

I was on 150 of Gonal F and 1ml of Menopur. However my estrogen levels got super high so they took me down at one point to 75 of Gonal F however i was not made aware of this until the day before retrieval. This was devastating news because the ENTIRE time during monitoring I was not warned that my estrogen levels were trending up and I thought we would be going home with an embryo transfered.

It was very much so like a cattle call. You took a number sat for your lab draw, don’t ask questions because that messed up their flow, then sat and waited for your ultrasound which also went very fast and again felt rushed and I was defiantly not getting all the information at that appointment. Hence the reason I was so upset upon finding out there would be no greasy transfer. Because everyone I was coming in intact with kept telling me how “young and healthy” I was..

ICSI $8342 Admin fee $361

None to date

Dr. Hill was so kind and empathetic, he not only explained every detail of current ivf process but was also very patient and fully disclosing of risk and also possible outcomes. I felt very cared for understood and heard

You are in the best of hands, take one day at a time and ask any questions or voice concerns as you go

I knew going in i had endometriosis and my tubes were completely closed Dr. Hill confirmed this again and explained the meds that would be used for egg growth and retrievel along with the timed blood draws and why we needed to procede right to ivf. I honestly didnt have many questions or concerns being a nurse myself and having researched the process, my experience was SEAMLESS! Both times !

I don’t remember full details i think 15,000

The clinic only does single that i know do to high risk with multiples since i have two success stories im grateful i get to enjoy both at different stages

Being treated at Walter Reed’s military ART Institute of Washington is a very different experience from a private fertility clinic. That being said I only had the chance to see Dr. Hill twice in my cycle and they were on the day of Egg Retrieval and soon to be Transfer in May. He was the one who’s name I saw on everything so I knew he was important. We see a lot of doctors throughout our care at ART. On the day of my Egg Retrieval Dr. Hill took his time explaining everything also noting that this was my second cycle with ART and had knowledge of my history. With so many doctors and so many patients to handle this fact meant a lot to me. After Retrieval we did PGS testing on our embryos that made it to Day 5 due to a history of RPL. After a two week wait for the results, Dr. Hill was the one who called me to tell us our results. We got one normal healthy embryo. He was very kind and answered all my questions as well as telling me who would be contacting me with next steps. His tone of voice indicated that he knew how special this was for my husband and myself and that meant a lot.

To be persistent with the clinic. Know that you will not always see the same doctor, if ever at all. But know that the doctors do talk and decide on your treatment as a whole. It’s good to have one doctor as a point person but knowing you won’t always see or hear from that doctor keeps expectations in check for a military clinic.

After one failed IVF cycle due to poor response to medication and BC before start, I only two eggs retrieved first cycle. After a consultation with ART they tweaked my protocol and was put on an estrace priming protocol with no BC and Microdose Lupron. This protocol made a huge difference in the outcome. I still didn’t produce as many eggs as other women but I had 11 retrieved and 7 were mature and fertilized. The small change in protocol made a huge difference in my outcome. I now know what my body responds to better which I’m happy with.

It was different because we were military. My husband is In the service so we were able to go to ART Institute of Washington. We paid for the IVF procedure, ICSI, freezing costs and additional PGS costs. The hospital had medication that you are able to get from the onsite pharmacy.

Providers and patient time is limited since there is many more patients than providers so visits were always quick;. When there was something or term that we were unfamiliar with, I would take the time to look up on my own. I have joined a couple of fertility support groups that also have been able to answer questions through their own experience. I was considered advance maternal age when so I did have plenty appointments but these were appointments with ultrasounds and typically you visit with a tech which in turn provides result to the providers, our visits were super brief. We mostly met with fellows and residents but never any in house providers. I am satisfied with our growing family. I feel I am familiar enough with the process that I really do not intend to rely on so much time with providers.

Please inform yourself ask question about EVERYTHING which goes for any time of medical process. Get second third fourth opinions until you are comfortable and aware of the process. Always be your own advocate. Do not hesitate to questions, keep a journal. You will not visit with the same provider in this clinic, so always track what you have been told and remind every provider what or how you wish your process should be. Personal opinion, is try to go in knowing that and you still have control of your medical decisions.

BMI protocol is something that I really wish would be eliminated. It is in place for what they say is because of my age and higher chances of a live birth. I wish it was eliminated, from my research all clinics do not have this in place. They also suggested that we do ICSI, to create embryos with higher grade. We also use a 5 day embryo, because we were told was more mature and grader chance of sticking to the uterine wall. Over all we were happy with the strategies and our live birth.

Oh cost of this facility ie: (transfer, egg retrieval, ICSI, embryo growing) was only to use the facility all medications were covered. I do remembered and administrative fee and an orientation fee (which includes tour of facility) Storage is an annual fee.

The facility has a very strong approach about single embryo transfer. They really do their best to deter from it stating that would make for extremely high risk pregnancy and would not even consider that option until mother was at least the age 38. At the time I was three months shy of my 38th birthday and do wish I was able to transfer 2 embryos since the cost of the procedure is so high and we have really great embryos grades.

I would describe my experience at Walter Reed as GREAT. Dr. Csokmay was very knowledgeable and his team and him mitigated all risks for me. I couldn't have asked for a better experience there. They really took wonderful care of me. All staff, nurse and doctors included were great.

No specific advice. If you have any questions regarding any part of your treatment or specific issues you want to know more about.. definitely bring everything up. Ask all the questions you have! And concerns!

My protocol was the antagonist protocol, BCP for 4 weeks, stims with menopur and gonal-f and ganirelix to prevent ovulation. During my cycle I had about 30 follicles growing and they triggered me with Lupron instead on HCG. I ended up with 26 eggs retrieved and 25 were mature! The lupron trigger saved me from OHSS. Very greatful for that.

For a fresh cycle of IVF with ICSI it was around 6300$ this price included my medications Embryo freezing is 600$ additional FET is around 2400$

The doctors only allowed me to transfer ONE embryo, due to my age, and having a fully developed blastocyst. I understand the risks with multiple pregnancies and I also understand the reasons why they do not allow multiple embryos to be transferred unless there is a specific need or previous IVF failures.

Never actually met him but all the Dr's I did interact with were friendly, professional, and knowledegable. As a patient at WRMC, I am used to never seeing the same Dr. twice so this was not unusual, what was nice was that each Dr. knew my history so it was clear they were reading past appointment notes before coming in to see me.

Do not expect to meet him.

I used clomid with OPKs at home followed by an IUI after a positive OPK. Once it became clear that OPKs didn't always catch my ovulation time we switched to monitored cycles with an hcg trigger shot followed by IUI. I did one IUI on clomid without success and then had a break of several months where I tracked my cycles more then we changed to clomid + monitoring+ trigger and I got pregnant on my second IUI .

IUI was around 170$, IVF was around 5,000$. Of course these prices are all with TriCare which covered D1,D3,D21 labs, HSG, and medications. I believe if I were married TriCare would have covered the IUI and IVF fees but I am single and these were not covered.

The doctor was excellent at explaining what was going on within the cycle and addressing concerns that arose. The down side was that he was not always the doctor involved with the day today screenings.

Read all of the documentation that the clinic gives you and ask as many questions as you can in preparation of a cycle.

The antagonist protocol was used with a Lupton trigger and an HCG shot after retrieval. I used suppositories for my progesterone. ICSI was used for fertilization. The clinic has a strict single embryo transfer policy, so only one embryo was transferred. This has produced a healthy singleton pregnancy with 3 embryos frozen.

It was a first come first serve, during the allotted time period. It wasn't always convenient but it was at the same time everyday.

The clinic had strict guidelines for embryo transfer because of this I was only able to transfer a single embryo. I felt that this was a good policy which explained a lot of the risks to myself and any potential babies. It also made the decision of how many embryos to transfer a lot easier to make.

Dr. Csokmay is an extremely compassionate doctor who cares for his patients immensely. Every visit I had with him I left sure of what was happening next and what he was doing in the interim. ART Institute is extremely different from any other clinic I have interacted with but their ability to care for so many couples amazes me. Do not underestimate or cast off the clinic due to practice styles it wont disappoint.

Monitoring appointments were busy but they were efficient. You arrive at the clinic around 0630 and they had me out of the clinic no later than 0715 each day. The clinic has done this for many years and has the practice perfected.

Dr. Csokmay kept me informed every step if the way. Treated me with respect. Took time to explain what was going to happen at the current visit and future visits. Kind & compassionate. Took the time to ensure the patients felt like individuals not just a number within the cycle group.

Go into treatments with an open mind & open heart. Dr. Csokmay will assist as he can and work with you in hopes of the results you want.

I was sent home with a slew of medications and detailed instructions. The staff kept in contact on how the medications were to be administered, dosing, & my reaction. Egg retrieval occurred then ICSI & the embryos were frozen on day 5. Our embryos underwent genetic testing for C.F. before completing frozen cycles. Dr.Csokmay & his team kept us informed as they spoke with the genetic team (off site), we initially had to delay our cycle because our c.f. screening had to be built. Dr. Csokmay & his team did not hesitate to get us in outside of a normal cycle window for our 1st transfer.

I was worried monitoring apoinments would be difficult & nonpersonable, this was not the case. It was appointments by 1st come 1st serve but the team got patients in quickly & efficiently.

I think in total we paid out of pocket Approx. $15,000 due to being active duty military family

Dr. Csokmay was gentle and kind when speaking to us about the reason behind our infertility. He respected and honored my fears and even some of my strange requests. I think the way that he treats patients is very rare in today's medical setting but much appreciated.

Do not be scared to ask him questions.

When I arrived at the clinic I would sign in and take a number. Luckily, I lived and worked nearby and was able to be there very early. I never waited very long, usually a few people ahead of me.

We were warned about the risks of multiple embryo transfers by Dr. Csokmay but in the end he ultimately left the final decision up to us.