Boston IVF - The Albany Center

Dr. Elguero is very knowledgeable in the field of fertility. She has a very scientific approach to treatment, and clearly explains both the diagnosis and her plans for treatment. She is very dedicated to finding out what could be causing the infertility and set up a whole bunch of tests for us. She also makes sure to ask about your emotional and mental status throughout treatment. She did not push for any certain treatments, rather very clearly described our options and let us decide what we wanted to do next. Her delivery of information can be rather fast and overwhelming- she is all about the data. She also has a more blunt delivery, but does show concern and understanding with issues. We usually leave appointments with her satisfied with her treatment plan and care. However, she does rely on her staff for most of her communication outside actual appointments with her. We do not get to meet with her very often, and never even heard from her directly after our miscarriage (just from her head nurse). It is difficult to get an appointment with her, and usually there is a waiting period.

Bring something to take notes, as she will provide you with a ton of information during your appointment that may be overwhelming at first.

Dr. Elguero started me in Clomid and Ovidrel to stimulate ovulation. I first took 50mg of Clomid for 5 days, and then had ultrasound and blood work on cycle day 12 to monitor my progress. From there, they told me when to do my Ovidrel shot. I went in for my IUI 36 hours later. That had a negative pregnancy result. From there, she increased my Clomid to 150mg/day for 5 days. I continued with ultrasound and blood work monitoring and the Ovidrel shot. I did this for 5 more iuis. My last one resulted in a pregnancy. I unfortunately miscarried at 6 weeks. I am now currently waiting for my cycle to begin for our new round of treatment, which will involve injectables for 10 days, along with monitoring, and then another IUI. She is willing to try this for 4 cycles before moving on to IVF.

My insurance covered almost everything, including medications. There is a $60 copay for every appointment. If we do IVF, we were told it could cost up to around $12,000 (including monitoring costs) depending on the medications.

Dr. Elguero was wonderful. Very kind, good communicator, great at answering questions, very research-based. I was always happy to get to see her, but it is difficult to get an appointment with her, since she is very busy.

Write down your questions to ask, since your visits with her will be fairly short.

We did not want to do IVF, and we were paying full price out of pocket. Dr. Elguero considered these things with our treatments and gave up options with different price points. We did 4 IUIs with Clomid and did not do monitoring (too expensive for us) and did ovulation predictor kits at home instead. We got 1 chemical pregnancy and 3 negatives. We suspected endometriosis, so Dr. Elguero did an exploratory surgery. We did not find endometriosis, but I was satisfied with the surgery and glad I did it to make sure. Then we did a round of injectables with monitoring and IUI with a negative result.

N/A

Dr. Arroyo is a very kind man and explains things thoroughly. He and his wife also went through infertility, so he understands what we're going through. He is very diplomatic and doesn't have super strong opinions, but does offer occasional advice. I do wish there was more direct communication. I usually have to talk to a nurse, who then talks to him, and then gets back to me. But I think it's that way in a lot of cases.

2 timed intercourse with Letrozole (no trigger). In the middle of first IUI cycle with Letrozole and trigger. I previously went through 2 IUI cycles and 1 egg retrieval and 4 transfers at a previous clinic. I took some time off, and we're kind of starting over again since my body seems to want to try to work again. So far, I have only gotten negative results, and my luteal phase is shorter on these protocols.

All treatment so far has been covered by insurance (IUI, testing, drugs, etc.)

Dr. Elguero is very science-based in her treatment approach. She reviews treatment history at every appointment and details how that influences her treatment plans. I felt like I was able to take the time I needed in appointments to have all of my questions answered and to process the information from the doctor. She was also ready to cite studies and current research backing up her recommendations. I appreciate the way she presents the options and allows patients to feel supported to make decisions on treatment. She has always encouraged me to consider all of the pros and cons of both IVF and IUI cycles including effectiveness, cost, and emotional toll, but I have never felt overly pressured to pursue IVF over IUI. Dr. Elguero also seems mindful of the emotional toll fertility treatments can take and has always encouraged emotional readiness. When dealing with setbacks she was always very compassionate and even made follow up phone calls to me when I was experiencing health problems arising from pregnancy, even when I was no longer under her direct care. I have one con about my experience with Dr. Elguero. I have been a patient at the practice since they transitioned from Albany IVF to Boston IVF and have only seen it become more difficult to get an appointment with the actual doctor. They just seem so busy all of the time, so the Dr. doesn't perform any of the IUIs and it is not unusual to go a few IUI cycles without seeing the doctor at all. She also no longer performs D&C procedures after miscarriages. Even for a current patient, they seem to be scheduling appointments with the doctor 3-4 months out.

Even if you aren't sure if you want to pursue treatment with a specialist, call and set up a consultation so that you can get the ball rolling when you are ready.

I tried several unsuccessful IUI cycles with Clomid, one with Ovidrel trigger. After ruling out many possible causes of infertility I then switched to injectable IUI cycles with the goal of increasing egg quality and producing 2-3 good follicles. I used small doses of Follistim (starting at 75 iu), which she increased in some cycles as needed based on ultrasound and hormone monitoring. I also was instructed to use Ganirelix on several days in some cycles based on monitoring. I also used the Ovidrel trigger shot and prometrium for luteal support. Three cycles using this protocol resulted in 2 pregnancies that ended in miscarriage and 1 unsuccesful cycle. After two miscarriages, Dr. Elguero added to the previous protocol small doses of Menopur (50 iu) and an additional Lupron trigger to try and further improve egg quality. This cycle resulted in another pregnancy that also ended in miscarriage.

I was lucky enough to have IUI cycles covered by insurance. They offer base prices of $450 IUI and $4500 IVF, though that doesn't include medication or monitoring.

Dr. Elugero was extremely professional and I do think she is knowledgeable, even though I would not recommend her to a friend. However, Dr. Elugero pushed IVF on my husband and I before we even knew what was wrong. She was very cold and her meeting with us felt "scripted" and just the speech she gave every one. As I mentioned previously, I felt like a number in her office. She barely looked up from the computer during our meeting and she threw a lot of LOW statistics at us, scaring my husband and I into thinking we will never have children. (This was before I had any testing done) Dr. Elguero told me my eggs were similar to crumbs on the bottom of a cereal box. I was devastated. After my IUI with the clinic, I decided to leave as my experience just continued to go downhill and got worse when I got into the treatment. I did not have the option of speaking with Dr. Elguero once I started treatment, I was directed to nurses only.

To know that they are an IVF clinic only and Dr. Elguero will likely push this on you no matter what your diagnosis is.

I did one cycle of clomid (100 mg) for 5 days, and followed it with IUI. It was unsuccessful. The reason they did clomid was to produce more eggs and increase my chances of getting pregnant by releasing more eggs.

Dr. Elguero covered clomid IUI.

Dr. Elguero is soft spoken but definitely does not sugar coat the situation. She wants the patient to be knowledgeable of the process and to feel comfortable with decisions being made. I appreciate her honesty.

Ask a lot of questions! Feel 100% about your understanding of your situation.

Everything was broken down very specifically. Consult roughly $450 IVF cost around $7500 ICSI Sperm retrievel $600 Medications (different for each person ) mine was $5600

Dr Elguero was wonderful. She treated me with individualized care based on my needs and made sure I understood everything, each step of the way. She made me feel like I had some control in such an uncontrollable situation.

If you have any questions, ask. She wants to make sure you understand and make choices based on understanding and all of the information provided.

I was placed on Follistim (300 IU-450 IU) and Menopur (75 IU-150 IU) for about 2 weeks (introducing Ganerellix part way through). I was then triggered using HCG. I was put on a higher dose of meds after (higher number listed above) as my body was not responding to the hormones. Increasing as the Dr requested resulted in the retrieval of 7 eggs, 6 fertilized, 1 embryo and a singleton delivery.

I had copays for my monitoring month appointments, prescriptions and ultrasounds after pregnancy was established.

The Dr chose a single embryo transfer as I was in good health and young. I think she made the correct choice, besides I only had one embryo to transfer. She did however go over the 2 options and did explain the pros and cons of both.

Although she was very informative regarding stats, she was very rigid. Not personable at all. I reported that I was having an allergic reaction to meds (Follistim), and she continued to have me take it for multiple courses of treatment. I was only told to "take more Benadryl." I ended up on predinose at one point for a rash, and I was still RXed Follistim. I eventually had a full-body rash and ended up on Prednisone for a couple months and was referred to a dermatologist by my PCP for further treatment due to the severity of the rash. I didn't question the doctor's knowledge and treatment plan to continue w/a med that was obviously causing my body to react b/c I was willing to go through it if it meant I could conceive. In retrospect - now that I have more information about fertility immunology and the effects of inflammation on fertility - I very obviously should have insisted and advocated for myself that this doctor change my course of treatment as soon as I had a reaction. She wasted a lot of our time and money, and there was a significant emotional expense as well. My other issue with this doctor was this: My mother-in-law generously gave us money to do IVF. The cycle we were going to do it for, I ended up producing only 2 mature follicles (on Follistim). The doctor discouraged me from following through with IVF and told me they didn't want to do a surgical procedure on me with only 2 follicles. Hindsight being 20/20, I should have insisted I wanted to do it anyway. It seems to me that really what they didn't want was a bad mark on their statistics from a 41 year old woman attempting IVF. There might only have been 2, but what if they had healthy, fully matured eggs? What if even 1 worked? I'd be a parent now and not filling out the enormous form at 42 years old, hoping for some help. I am so disappointed in the care I received.

DON'T GO.

11/05/2016-Sat LMP 11/07/2016-Mon 1 Follistim 225 u 33 0.70 4.19 2.31 AFC 3 AFC 1 11/08/2016-Tue 2 Follistim 225 u 11/09/2016-Wed 3 Follistim 225 u 11/10/2016-Thu 4 Follistim 225 u 97 0.70 2.34 < 11mm Few(2 to 4) 12.2 < 11mm Few(2 to 4) 11/11/2016-Fri 5 Follistim 225 u 11/12/2016-Sat 6 Follistim 225 u 11/13/2016-Sun 7 Follistim 225 u 11/14/2016-Mon 8 497 0.97 4.71 12.5 < 11mm Few(2 to 4) 19.4 < 11mm Few(2 to 4) 11/16/2016-Wed 10 x 11/19/2016-Sat 13 Prometrium 200 PV BID mg 11/20/2016-Sun 14 Prometrium 200 PV BID mg 11/21/2016-Mon 15 Prometrium 200 PV BID mg 11/22/2016-Tue 16 Prometrium 200 PV BID mg 11/23/2016-Wed 17 Prometrium 200 PV BID mg 11/24/2016-Thu 18 Prometrium 200 PV BID mg 11/25/2016-Fri 19 Prometrium 200 PV BID mg 11/26/2016-Sat 20 Prometrium 200 PV BID mg 11/27/2016-Sun 21 Prometrium 200 PV BID mg 11/28/2016-Mon 22 Prometrium 200 PV BID mg 11/29/2016-Tue 23 Prometrium 200 PV BID mg 11/30/2016-Wed 24 Prometrium 200 PV BID mg 12/01/2016-Thu 25 Prometrium 200 PV BID mg 12/02/2016-Fri 26 Prometrium 200 PV BID mg x x NEGATIVE 12/02/2016-Fri 1 Follistim 375 u 17 4.89 0.87 2.25 < 11mm Few(2 to 4) < 11mm Multiple(5 to 10) 12/03/2016-Sat 2 Follistim 375 u 12/04/2016-Sun 3 Follistim 375 u 12/05/2016-Mon 4 Follistim 375 u 162 1.84 0.57 < 11mm Few(2 to 4) 10.7 < 11mm Few(2 to 4) 12/06/2016-Tue 5 Follistim 375 u 12/07/2016-Wed 6 Cetrotide 0.25 mg Follistim 375 u 12/08/2016-Thu 7 Cetrotide 0.25 mg Follistim 375 u 462 1.49 0.80 9.0 < 11mm Few(2 to 4) 14.8, 13.5, 10.1 < 11mm Few(2 to 4) 12/09/2016-Fri 8 Cetrotide 0.25 mg Follistim 375 u 12/10/2016-Sat 9 Ovidrel 250 mcg 12/12/2016-Mon 11 x 12/15/2016-Thu 14 Endometrin 100mg TID mg 12/16/2016-Fri 15 Endometrin 100mg TID mg 12/17/2016-Sat 16 Endometrin 100mg TID mg 12/18/2016-Sun 17 Endometrin 100mg TID mg 12/19/2016-Mon 18 Endometrin 100mg TID mg 12/20/2016-Tue 19 Endometrin 100mg TID mg 12/21/2016-Wed 20 Endometrin 100mg TID mg 12/22/2016-Thu 21 Endometrin 100mg TID mg 12/23/2016-Fri 22 Endometrin 100mg TID mg 12/24/2016-Sat 23 Endometrin 100mg TID mg 12/25/2016-Sun 24 Endometrin 100mg TID mg 12/26/2016-Mon 25 Endometrin 100mg TID mg 12/27/2016-Tue 26 Endometrin 100mg TID mg 12/28/2016-Wed 27 Endometrin 100mg TID mg NEGATIVE 12/28/2016-Wed 1 Follistim 375 u 54 0.82 2.93 AFC 8 AFC 9 12/29/2016-Thu 2 Follistim 375 u 12/30/2016-Fri 3 Follistim 375 u 12/31/2016-Sat 4 Follistim 375 u 171 2.29 0.67 11.3 < 11mm One < 11mm Few(2 to 4) 01/01/2017-Sun 5 Follistim 375 u 01/02/2017-Mon 6 Cetrotide 0.25 mg Follistim 375 u 01/03/2017-Tue 7 Cetrotide 0.25 mg Follistim 375 u 364 1.57 0.52 14.3 < 11mm Few(2 to 4) 12.0 < 11mm Few(2 to 4) 01/04/2017-Wed 8 Cetrotide 0.25 mg Follistim 375 u 01/05/2017-Thu 9 514 2.01 0.76 17.5 < 11mm Few(2 to 4) 15.9 < 11mm Few(2 to 4) 01/07/2017-Sat 11 x 01/10/2017-Tue 14 P4 IM 50 mg 01/11/2017-Wed 15 P4 IM 50 mg 01/12/2017-Thu 16 P4 IM 50 mg 01/13/2017-Fri 17 P4 IM 50 mg 01/14/2017-Sat 18 P4 IM 50 mg 01/15/2017-Sun 19 P4 IM 50 mg 01/16/2017-Mon 20 P4 IM 50 mg 01/17/2017-Tue 21 P4 IM 50 mg 01/18/2017-Wed 22 P4 IM 50 mg 01/19/2017-Thu 23 P4 IM 50 mg 01/20/2017-Fri 24 P4 IM 50 mg 01/21/2017-Sat 25 P4 IM 50 mg 01/22/2017-Sun 26 P4 IM 50 mg 01/23/2017-Mon 27 P4 IM 50 mg >41.00 57.60 01/24/2017-Tue 28 P4 IM 50 mg 01/25/2017-Wed 29 P4 IM 50 mg 72.62 01/27/2017-Fri 31 90.65 01/30/2017-Mon 34 71.81 02/02/2017-Thu 37 20.34 02/09/2017-Thu 44 3.96 02/16/2017-Thu 51 3.04 02/23/2017-Thu 58 3.24 03/02/2017-Thu 65 3.02 03/16/2017-Thu 79 MISCARRIAGE 03/30/2017-Thu 1 Gonal-F 600 u 23 0.68 AFC 3 AFC 5 2.14 03/31/2017-Fri 2 Gonal-F 600 u 04/01/2017-Sat 3 Gonal-F 600 u 04/02/2017-Sun 4 Gonal-F 600 u 04/03/2017-Mon 5 Gonal-F 600 u 94 6.80 0.79 < 11mm Few(2 to 4) < 11mm Few(2 to 4) 04/04/2017-Tue 6 Gonal-F 600 u 04/05/2017-Wed 7 Gonal-F 600 u 242 3.83 0.55 10.2 < 11mm Few(2 to 4) 9.7 < 11mm Few(2 to 4) 04/06/2017-Thu 8 Gonal-F 600 u 04/07/2017-Fri 9 Cetrotide 0.25 mg Gonal-F 600 u 475 4.46 0.61 13.2 < 11mm One 14.3 < 11mm Few(2 to 4) 04/08/2017-Sat 10 Cetrotide 0.25 mg Gonal-F 600 u 04/09/2017-Sun 11 Cetrotide 0.25 mg Gonal-F 600 u 04/10/2017-Mon 12 Pregnyl 10k u 825 2.79 0.69 19.8 < 11mm Few(2 to 4) 22.55 < 11mm Few(2 to 4) 04/12/2017-Wed 14 x 04/15/2017-Sat 17 P4 IM 50 mg 04/16/2017-Sun 18 P4 IM 50 mg 04/17/2017-Mon 19 P4 IM 50 mg 04/18/2017-Tue 20 P4 IM 50 mg 04/19/2017-Wed 21 P4 IM 50 mg 04/20/2017-Thu 22 P4 IM 50 mg 04/21/2017-Fri 23 P4 IM 50 mg 04/22/2017-Sat 24 P4 IM 50 mg 04/23/2017-Sun 25 P4 IM 50 mg 04/24/2017-Mon 26 P4 IM 50 mg 04/25/2017-Tue 27 P4 IM 50 mg 04/26/2017-Wed 28 P4 IM 50 mg 04/27/2017-Thu 29 P4 IM 50 mg 04/28/2017-Fri 30 P4 IM 50 mg After the miscarriage cycle, I can't recall exactly which other cycles resulted in chemical pregnancies. But there have been zero babies. June 2017 I did have a chemical following plain old sex w/my husband, no medical interventions. 07/29/2017-Sat LMP 08/01/2017-Tue 1 Follistim 450 u Menopur 150 u 73 0.43 3.55 AFC 3 AFC 5 08/02/2017-Wed 2 Follistim 450 u Menopur 150 u 08/03/2017-Thu 3 Follistim 450 u Menopur 150 u 08/04/2017-Fri 4 Follistim 450 u Menopur 150 u 207 2.81 1.45 < 11mm Multiple(5 to 10) 12.0, 10.3 < 11mm Multiple(5 to 10) 08/05/2017-Sat 5 Follistim 450 u Menopur 150 u 08/06/2017-Sun 6 Follistim 450 u Menopur 150 u 08/07/2017-Mon 7 Follistim 450 u Menopur 150 u 652 4.41 1.53 11.85 < 11mm Few(2 to 4) 17.75, 13.75 < 11mm Multiple(5 to 10) 08/10/2017-Thu 10 x 64.97 08/13/2017-Sun 13 P4 IM 50 mg 08/14/2017-Mon 14 P4 IM 50 mg 08/15/2017-Tue 15 P4 IM 50 mg 08/16/2017-Wed 16 P4 IM 50 mg 08/17/2017-Thu 17 P4 IM 50 mg 08/18/2017-Fri 18 P4 IM 50 mg 08/19/2017-Sat 19 P4 IM 50 mg 08/20/2017-Sun 20 P4 IM 50 mg 08/21/2017-Mon 21 P4 IM 50 mg 08/22/2017-Tue 22 P4 IM 50 mg 08/23/2017-Wed 23 P4 IM 50 mg 08/24/2017-Thu 24 P4 IM 50 mg 08/25/2017-Fri 25 P4 IM 50 mg 21.32 2.37 09/30/2017-Sat LMP 10/02/2017-Mon 1 Follistim 450 u Menopur 150 u 31 0.40 2.37 AFC 5 AFC 8 10/03/2017-Tue 2 Follistim 450 u Menopur 150 u 10/04/2017-Wed 3 Follistim 450 u Menopur 150 u 10/05/2017-Thu 4 Follistim 450 u Menopur 150 u 159 2.42 0.85 10.8 < 11mm Multiple(5 to 10) 9.6 < 11mm Few(2 to 4) 10/06/2017-Fri 5 Follistim 450 u Menopur 150 u 10/07/2017-Sat 6 Follistim 450 u Menopur 150 u 10/08/2017-Sun 7 Cetrotide 0.25 mg Follistim 450 u Menopur 150 u 10/09/2017-Mon 8 556 2.28 0.54 17.1, 12.9 < 11mm Few(2 to 4) 15.6, 11.9 < 11mm One 10/11/2017-Wed 10 x 47.25 10/14/2017-Sat 13 P4 IM 50 mg 10/15/2017-Sun 14 P4 IM 50 mg 10/16/2017-Mon 15 P4 IM 50 mg 10/17/2017-Tue 16 P4 IM 50 mg 10/18/2017-Wed 17 P4 IM 50 mg 10/19/2017-Thu 18 P4 IM 50 mg 10/20/2017-Fri 19 P4 IM 50 mg 10/21/2017-Sat 20 P4 IM 50 mg 10/22/2017-Sun 21 P4 IM 50 mg 10/23/2017-Mon 22 P4 IM 50 mg 10/24/2017-Tue 23 P4 IM 50 mg 10/25/2017-Wed 24 P4 IM 50 mg 10/26/2017-Thu 25 P4 IM 50 mg 10/27/2017-Fri 26 11/17/2017-Fri 1 Follistim 600 u 2.49 11/18/2017-Sat 2 Follistim 600 u 11/19/2017-Sun 3 Follistim 600 u 11/20/2017-Mon 4 Follistim 600 u 114 7.19 1.17 < 11mm Few(2 to 4) 11.5, 8.0 < 11mm Few(2 to 4) 11/21/2017-Tue 5 Follistim 600 u 11/22/2017-Wed 6 Follistim 600 u 11/23/2017-Thu 7 Follistim 600 u 11/24/2017-Fri 8 Follistim 600 u 389 3.31 0.80 9.1, 8.8 < 11mm Few(2 to 4) 8.8 < 11mm Few(2 to 4) 11/25/2017-Sat 9 Follistim 600 u 11/26/2017-Sun 10 Follistim 600 u 11/27/2017-Mon 11 Cetrotide 0.25 mg Follistim 600 u 1021 5.45 1.71 10.4, 10.4, 10.1 < 11mm Multiple(5 to 10) 16.2, 12.5 < 11mm Multiple(5 to 10) 11/28/2017-Tue 12 Cetrotide 0.25 mg Follistim 600 u 11/29/2017-Wed 13 958 1.07 1.18 14.3, 14.2, 12.6 < 11mm Few(2 to 4) 23.1, 16.5, 9.3 < 11mm Few(2 to 4) 12/01/2017-Fri 15 x 12.96 12/04/2017-Mon 18 P4 IM 50 mg 12/05/2017-Tue 19 P4 IM 50 mg 12/06/2017-Wed 20 P4 IM 50 mg 12/07/2017-Thu 21 P4 IM 50 mg 12/08/2017-Fri 22 P4 IM 50 mg 12/09/2017-Sat 23 P4 IM 50 mg 12/10/2017-Sun 24 P4 IM 50 mg 12/11/2017-Mon 25 P4 IM 50 mg 12/12/2017-Tue 26 P4 IM 50 mg 12/13/2017-Wed 27 P4 IM 50 mg 12/14/2017-Thu 28 P4 IM 50 mg 12/15/2017-Fri 29 P4 IM 50 mg 12/16/2017-Sat 30 P4 IM 50 mg 12/17/2017-Sun 31 P4 IM 50 mg 12/18/2017-Mon 32 P4 IM 50 mg 7.05 1.86 02/26/2018-Mon 5 Desogen 28 Day Tablet 1 Tablet 3.96 02/27/2018-Tue 6 Desogen 28 Day Tablet 1 Tablet 02/28/2018-Wed 7 Desogen 28 Day Tablet 1 Tablet 03/01/2018-Thu 8 Desogen 28 Day Tablet 1 Tablet 03/02/2018-Fri 9 Desogen 28 Day Tablet 1 Tablet 03/03/2018-Sat 10 Desogen 28 Day Tablet 1 Tablet 03/04/2018-Sun 11 Desogen 28 Day Tablet 1 Tablet 03/05/2018-Mon 12 Desogen 28 Day Tablet 1 Tablet 3.21 03/06/2018-Tue 13 Desogen 28 Day Tablet 1 Tablet 03/07/2018-Wed 14 Desogen 28 Day Tablet 1 Tablet 03/08/2018-Thu 15 Desogen 28 Day Tablet 1 Tablet 03/09/2018-Fri 16 Desogen 28 Day Tablet 1 Tablet 03/10/2018-Sat 17 Desogen 28 Day Tablet 1 Tablet 03/11/2018-Sun 18 Desogen 28 Day Tablet 1 Tablet 03/12/2018-Mon 19 Desogen 28 Day Tablet 1 Tablet 03/13/2018-Tue 20 Desogen 28 Day Tablet 1 Tablet 03/14/2018-Wed 21 Desogen 28 Day Tablet 1 Tablet 03/15/2018-Thu 22 CC 100 mg 2.46 03/16/2018-Fri 23 CC 100 mg 03/17/2018-Sat 24 CC 100 mg 03/18/2018-Sun 25 CC 100 mg 03/19/2018-Mon 26 CC 100 mg 03/20/2018-Tue 27 CC 100 mg 03/21/2018-Wed 28 CC 100 mg 03/22/2018-Thu 29 CC 100 mg 03/23/2018-Fri 30 128 7.01 1.08 < 11mm Few(2 to 4) < 11mm Few(2 to 4) 03/27/2018-Tue 34 228 4.83 0.51 14 < 11mm Few(2 to 4) 13.1, 11.4, 10.8, 8.0 < 11mm Multiple(5 to 10) 03/29/2018-Thu 36 240 6.45 0.63 15.1 < 11mm Few(2 to 4) 11.2, 10.4 < 11mm Multiple(5 to 10) 03/31/2018-Sat 38 415 9.12 0.77 19.8 < 11mm Few(2 to 4) 11.0, 9.9 < 11mm Multiple(5 to 10) 04/02/2018-Mon 40 x 39.58 04/18/2018-Wed 56 This one I remember was a chemical. In all of these cycles, the most mature follicles I ever made was 2. Also, I wish I could cut and paste the graph here from my patient portal so you could see things better.

I can't remember. We did go through about 10k paying out of pocket for IUI once insurance benefits were used. That money was initially given to us for IVF, but Dr. Elguero basically said it wasn't an option. So we WASTED all that money at that clinic instead of having it to use at a facility that provides better care, or - at the minimum - didn't continue to treat me with meds I had an allergic response to. I wish we never gave them a penny. So much regret!

I didn't get to do any IVF here b/c the doctor talked me out of it.

The first time I met Dr. Elguero I was greeted with a warm smile. I felt like I was in competent hands. During our consultation, she thoroughly explained the plan of initial treatment and what she believed was the underlying diagnose. She is very smart and is able to answer any questions. However, after the initial consultation, I never heard from her or saw her unless I made the appointment to discuss the next step in the treatment plan.

Dr. Elguero is very knowledgeable and resourceful, but you have to make the effort to see her if your treatment plan isn't effective within a couple if months.

No pregnancies yet. Letrozole 7.5 mg per cycle and Ovidrel injectables along with bloodwork and ultrasounds. No further treatment due to financial costs.

Insurance has covered all costs with timed intercourse monitoring. After that, due to the fact that we are active duty military we are a discount as tricare will not cover any infertility monitoring with IUI or IVF.

Very compassionate and caring. I developed ovarian hyperstimulation syndrome after my fresh egg transfer that required me to be hospitalized due to a pocket of fluid around my liver causing me to get very sick at. Dr Elguero called the hospital in the middle of the night to check on me and then came to visit me the next day.

She is excellent. She will treat you AND your infertility. Feel free to ask all the questions you want!

The overall strategy was to stimulate proper egg/follicle development with injectable hormones followed by IUI. After the first failed cycle my hormone doses were based on my ultrasounds and bloodwork. Tailoring my treatment based on my labs/ultrasounds. The 3rd attempted IUI was converted to IVF with an egg harvest and a successful fresh embryo transfer which resulted in our long awaited precious baby.

Very efficient office. I never waited more then 5 min past my scheduled time. The phlebotomist and the ultrasound tec were very nice.

My insurance covered the IUI procedures up to 6x. It did not cover the drugs or needed ultrasounds or the harvest, transfer, and freezing of an egg. I felt the price was fair, but frustrated at the lack of insurance coverage and the lack of support from New York state.

From the very beginning I trusted Dr. Elguero and felt that she really loved what she does. She showed so much compassion and had an incredible bedside manner that made me feel comfortable. I knew my journey wouldn’t be easy but Dr. Elguero reassured me we would get to the bottom of my infertility. Once she suspected endometriosis she scheduled a laparoscopy ASAP. She was very thorough in explaining everything to me in a way that I understood and always took her time with me. I never felt rushed out. It took 4 IUIs for me to get pregnant. Each time an IUI failed Dr. Elguero continued to give me hope and essentially fight for me to get pregnant. When I found out I was pregnant Dr. Elguero popped in on my appointment to congratulate me and hugged me. It was a very kind gesture. I have and still would recommend Dr. Elguero to anyone going through infertility.

Be very patient and trust the process.

For my first three IUIs I was on clomid and one injection (to induce ovulation). Once Dr. Elguero realized this was not working she asked if I would be comfortable with injectable meds and explained the difference and risks. I was totally on board and on my fourth try using injectables I was able to get pregnant. Dr. Elguero gave my body time to react and once she realized it wasn’t working she moved on to the next option without jumping to IVF. She literally saved us thousands.

My insurance covered most of the costs. I just paid copays.

She was excellent and I felt like she was really going to tailor treatment to me. In prior experiences it seemed like doctors were just guessing and throwing everything at me to see what stuck, rather than looking at my case as individual. At one point she heard that I was on the phone with a nurse and she actually took the time in the middle of her day to get on the phone with me without scheduling. She never rushed me. I wish that I had seen her more often and I wish that I had direct access to her through a portal.

I had no insurance, but I think it cost us about $8500 for everything (excluding drugs) - retrieval, transfer, ICSI, anesthesia, etc.

Doctor Elguero was great. She was always wonderful at explaining our previous failed cycles, what could have gone wrong, and what she would recommend we do to fix it for the next cycle. She always answered any questions we had. We felt more like family at this office with Doctor Elguero than just a number.

Ask questions! When in doubt or when you are wondering about ANYTHING during this crazy rollercoaster, ask as many questions as you can! Stay on top of things and always be prepared for anything.

For our first three IUI treatments we were on Clomid. Clomid thinned out my lining and we were unsuccessful with those IUIs (one was a chemical pregnancy). We moved onto Antagonist protocols for our IVF Cycles. Our First IVF cycle, we stimmed with Follistim, Menopur, Ganirelix and triggered with Ovidrel. We had 8 eggs result in that IVF cycle however our eggs were delayed in fertilization (we did not do ICSI the first round) so we had no embryos to transfer this round. Our 2nd IVF cycle we stimmed with the same protocol as the first. This resulted in 9 eggs retrieved. Of those 9 we ended with 2 very fragmented / poor quality embryos by day 3 and did a fresh transfer of the two embryos. Resulted in a negative pregnancy test. Our 3rd cycle we actually started as a Gonadatropin IUI (stimmed with Follistim only and then Ganirelix) and converted to IVF. We triggered with Ovidrel and we retrieved 14 eggs that time. We transferred 2 embryos on day 5 (two morulas so not full blasts). This resulted in a chemical pregnancy. Our 4th cycle of IVF we also did Follistim only plus Ganirelix. We triggered with Lupron and Ovidrel and retrieved 18 eggs. Of those we ended with 1 day 5 4AA embryo blast and 1 other embryo that was a little behind on day 5 but we gave it a shot and transferred both embryos on day 5 fresh. This resulted in a negative pregnancy test. We also tried one more (our 4th) IUI with Follistim and Ganirelix, triggered with Ovidrel, and this resulted in a negative test as well.

We were covered for one round of IVF with our insurance but we hit that lifetime max after our 1st IVF. The cost of IVF was around $13,000 after that and we also had to pay out of pocket for our medication, about $4k.

We wish we tried to do one single embryo (especially our 4AA Blast that we finally got on our 3rd round) rather than add in the other embryos that were always a little behind.

Dr Elguero seems almost nervous or awkward when she talks to you, which made me feel less confident in her knowledge/abilities when I first met her. After more appointments with her, I was less worried about it. It's just her personality. She's pretty upfront with her explanations of things, and has no issue explaining things in simpler terms to ensure you understand. One thing that *really* bothered my husband was that as soon as she was reminded we were paying out of pocket instead of with insurance, she adjusted the protocol and plans for possible future protocols. It seemed like she would have experimented more loosely if we weren't so concerned about the cost, which makes us wonder if the successful cycle would have been several cycles later instead.

Make sure you are prepared with all of your questions ahead of time and make sure she takes the time to answer them.

For our IUI cycle, we used meds typically used for IVF to see how my body woild respond. We were under the impression the IUI would not be successful because of my endometriosis and blocked tubes. Menopur and Follistim were used, along with Ganirelix. For the first IVF cycle, we used Menopur, Follistim, and Ganirelix again. We used a higher dose of Follistim and lower dose of Menopur. It was a very unsuccessful cycle. There were 12 follicles, but only 2 eggs were retrieved. Most follicles were such low quality or not fully matured, and they broke apart when she tried to retrieve eggs. Only one egg was good quality, it was transferred on day 3, and ended in a chemical pregnancy. The second IVF cycle, Dr Elguero decided to "flipflop" the meds. We used a higher dose of Menopur and a lower dose of Follistim. The meds were increased at a slower rate so that follicles would have a better opportunity to mature and develop. 10 eggs were retrieved, 8 fertilized. 6 developed into embryos, 1 was transferred and the other 5 are currently frozen. I'm 18 weeks pregnant from that cycle and things seem to be going smoothly.

For IUI, meds and procedure were covered by insurance and we only had to pay our $10 copay. For IVF, nothing was covered by insurance. Meds cost $3000, procedure cost $6500, and freezing embryos that weren't transferred cost $1000

I was not given an option regarding the number of embryos transferred. Dr Elguero said she would only transfer one embryo because I was young and carrying multiples was high risk.

Dr Elguero seemed very genuine in my first consultation with her. I quickly learned though that that wasn't the case. The second time I met with her to go over treatment options, she sounded very scripted and was pushing my husband and I to do IVF - without any explanation as to why we were both healthy and 24 years old and not conceiving on our own. She then strongly recommended that we did IUI with clomid and the trigger shot. She PROMISED she was going to do the IUI's herself because I have a tricky cervix which we discovered when she attempted unsuccessfully TWICE to do an HSG - which was a horrible experience. Instead, her nurse practioner did 2 / 3 IUI's, which we found out when the Dr did the 3rd one with ultrasound to confirm the catheter made it through the cervix, that the first 2 IUI's we're done incorrectly. Basically a waste of thousands of dollars.

Find a different Dr. One that will look at you and your situation and truly care about figuring out why you can't conceive naturally.

Dr Elguero suggested we do IUI with clomid and the trigger shot. She promised she was going to be the one to do it since I have a tricky cervix. However, she sent her nurse practioner to do the first 2 instead - both done incorrectly we found out later (never getting the catheter through the cervix). Dr Elguero did the 3rd IUI with ultrasound to confirm that the catheter made it through the cervix, and it felt comepletely different than the first two. However, I told her that morning before the IUI that it felt like I had already ovulated the day before. Rather than checking to confirm ovulation/ rescheduling for the following month, she said "okay this is perfect timing then". Which is obviously wasn't since the sperm needs to be there BEFORE ovulation.. All 3 IUI's ended with negative pregnancy tests.

It was roughly $2,000 per IUI cycle.

Very sweet extremely intelligent and hard working. Makes you feel like your her only patient and the goal is attainable no matter the obstacles. She was very thorough in her explanation in tests and procedures and results. She thoroughly checked every aspect that could have been wrong and when finally coming up with a diagnosis gave my husband and I first step, second step, etc. protocols. She told us what she would do if something didn't work and gave time lines to everything. She also let us help in the decision making process and made us feel like our concerns were important and our opinions on our options were valued.

See her- she is well worth the wait. She is by far the most compassionate, brilliant hard working doctor we met along our trek.

We tried 2 normal cycles with just taking blood work and watching for ovulation, we also tried a cycle with clomid and an IUI which was also unsuccessful. Then we tried a cycle of injectables with an IUI which yielded us a positive pregnancy.

Fortunately all of our costs were covered under my medical insurance for three treatments. I know the medicines (injectables) I bought would have been around the cost of $8,000

I only met with Dr. Elguero a few times (initially met with a different doctor who was temporarily handling the practice). She was nice but not extraordinary. She was not as familiar with my history at our visits as I would have liked and she seemed to have a standard educational "spiel" that she gave me when we got to the point of her explaining and recommending moving on to IVF. During my IUI cycles I did not really communicate with her and the nursing staff seemed to run the show, so I feel that I can't evaluate Dr. Elguero very well as she was so uninvolved in my treatment.

Ask lots of questions and clarify your next steps so you are not left waiting.

Medicated, monitored IUI 7x using frozen donor sperm. 6 Femara cycles, 1 Clomid cycle. Most cycles with HCG trigger and IUI 36h later, unless bloodwork/ultrasound indicated ovulation was occurring already by about CD16.

About $25k total - $6k for donor sperm, and then roughly $5k for testing and $14k for treatment with Albany IVF. Each IUI cycle was about $2000 total for multiple monitoring visits, sperm preparation and IUI. I had insurance coverage only for certain diagnostic testing and had a high-deductible plan so nearly all costs were out of pocket.

I only did a phone consultation with him because I was out of state, I never met him in person. But in the phone he was very positive, let me ask questions and answered them fully. I wish I had met him in person but it didn’t happen

Make sure you are heard

We used an egg donor at this facility (it didn’t give me that option for this review)

We only paid $12,000 for our egg donor cycle and we had one from frozen embryo transfer

It wasn’t an option for us

I feel she is very knowledgable about my protocols and how my body was responding to treatment, but not well versed in the male factor infertility that was affecting us. I found myself bringing research and options to her rather than the other way around, which is frustrating.

Do your own research and ask a lot of questions.

Started with IUI, did 3 rounds. Said if didn't work by then, probably wouldn't. Given sperm analysis (motility and morphology #s), suggested IVF/ICSI/PGS testing. Her protocol for my meds worked very well (no real adjustments needed) but DNA fragmentation resulted in only 1 good embryo from a total of 13 fertilizing. Now pursing possibly sperm biopsy for ICSI.

IUI was covered by insurance. We received a military discount. IVF with ICSI was about $9k plus PGS $3,500 plus transfer $1,500

N/A.

Dr. Elguero has a strenght in communciating the specific needs for our treatment. Not only was she very clear in our needs but she illustrated her explenation with data points, images, and models. She didn't shy away from explaining the scientific developments in the area of RE. It felt like she was leveling with us and was never talking down to us or "mansplaining" (I've had some really bad experiences with other RE's who talked to me and my husband like we were babies or unintelligent) She was fantastic. She knew our case so well and she made us feel so good about our treament. Absolutely love Dr. Elguero and trust her totally.

She will answer any and all questions, there are no stupid questions.

For our case, single embryo transfer is the best option.

I truly felt well taken care of by Dr. Elguero and appreciate everything she has done for me. Right from the start I felt completely at ease with her and trusted her to make our dream come true. Dr. Elguero was very compassionate and took the time to explain everything to me.

Be your own advocate, don’t be afraid to speak up and voice your opinions.

We started with 3 IUI procedures that ended in all negative results. My husband and I took some time off then returned and spoke about our options. We decided to do a laparoscopy to determine cause and discovered endotrimosis that was contributing to my infertility. We then decided to do IVF. After injections, 31 eggs were retrieved and Dr. Elguero thought the risk of over stimulation was too high so we decided to do frozen transfer which resulted in a positive pregnancy. I am currently 29 weeks pregnant with a healthy boy.

She asked alot of questions, required medical tests and followed up with phone calls. She took the time to listen and offer options. We are not well off so she worked with our insurance to do what was covered.

You are in good hands. Ask as many questions as you need to.

We stuck to Clomid as it had less chance of multiple babies. IUI was performed twice and now looking into invitro as we knew the odds of husbands sperm not being effective were very very low. If we cannot get assistance with the cost then we will go with donor sperm. We had spent 10k on adoption that failed when court turned over children to the father. Husband is jail guard and Im an author and pet groomer. We make enough to pay the mortgage and bills but not alot more than that. Cost is what is keeping us from invitro but that would be the more ideal route. Huband wants to be the father.

20$ copays. 200 IUI costs, 200 lab test.

Sonia was lovely. I always felt paid attention to and she answered any question we had. She was great at de-coding the jargon and telling us what was going on. But, we've only seen her twice in nearly 9 months going to this clinic.

We're a same sex couple not (yet?) experiencing infertility, and my wife (who will carry) is 28 with regular cycles. IUI attempts 1 - 3 were unmedicated, opk, no trigger shot to minimize any unnecessary intervention. We're having issues with the opk but our doctor didn't switch us to use the trigger shot until the 4th cycle... probably because she's so difficult to schedule with.

Honestly, it's hard to keep up.