CARE Fertility

Dr. Nackley is kind, smart and has good bedside manner. We had a really great experience overall and I feel that her treatment protocol for us was perfect. When I did get pregnant and had complications early on she was attentive and helpful.

Don't expect to see her much. Most of your visits will be with nurses, etc. But that is very normal in this context.

We have male factor infertility. She did not make me repeat any of the invasive/painful procedures I had done in the past to determine my fertility status, but was thorough in ruling anything remaining out for me. She tested my husband for additional issues and found something that a previous doctor had not, giving us an explanation that we never had before. We did IVF with some ICSI embryos. I was on multiple medications leading up to egg retrieval (I can't remember them all how, I'm sorry) but they were low doses. I had no crazy adverse side effects. I got through my egg retrieval without issues which I was very afraid of. My egg retrieval and recovery were very smooth (though Dr. Nackley did not do it, another doctor did). We got 6 embryos! We froze them all and did a FET the next month. I had bleeding early on which was awful, but the clinic was really tentative and gave me several early additional ultrasounds to check on things. I'm now 36 weeks pregnant.

I believe we paid somewhere around 7000 for our entire IVF process, but we had great insurance coverage

Dr. Nackley was very adamant that we only transfer one. We didn't have a strong desire to transfer more than one so the conversation stopped there.

He is kind and gentle and explains things as simply as he can. He is forward and honest without being harsh and insensitive. He always asks me my opinion on things and truly cares how I feel. He sits down and gets eye level with me and addresses me by my name, he has gone out of his way on numerous occasions to make sure I’m comfortable.

My first appointment with him in 2017 he told me “come hell or high water you will have a baby.” I didn’t know it at the time, but I was about to endure a lot of hell and high water. If I could give one of his prospective patients advice, it would Be to trust the process and take his advice.

We did a “natural” cycle of IVF. They explained the reasoning to me in great depth but of course as I sit here 2 months after my miscarriage of that IVF cycle I couldn’t tell you why. But I can tell you that if we ever get the chance to transfer again, I will advocate for a medicated cycle.

Roughly 15k including ultra sounds and meds

We were lucky to be able to transfer 2, now I kind of wonder what would have happened if we only transferred 1

I loved Dr. Nackley, but I do feel that she did not reveal l the clinics or her success rates with egg freezing (vitrification) and thawing. Only after, our horrible outcome of trying in unthaw my eggs, (none survived the thaw), I had to ask the lab manager these numbers, who said, we will have to get back to you, I dont know. And only when we had a meeting with Dr. Kevin Doody, 2.5 weeks later, did we learn that this clinic does not have much success with those that come back to unthaw their eggs and use them to create an embryo.

I loved Dr. Nackley, but do not have any confidence in the lab at CARE, for fertility preservation. Also, I feel that Dr. Nackely was almost too positive about egg freezing and thawing to make embryos. Only when we talked to an embryologist, did we realize that it egg freezing and later thaw to create embryos, was a very delicate process compared to embryo freeze/thaw

I dont remember much from egg freeze (stim) other that I think I took, memopur and Gonal F and did ultrasounds and blood work leading up to retrieval. 17 retrieved, 12 viable, 10 frozen. Dr. Nackley did not suggest another egg retrieval. She felt we had enough. When I went back 5 years later to unthaw eggs to create embryos, we did meds for 6 weeks leading up to possible fresh transfer.

She has a chart that she used to determine how many to transfer based on age. She was only going to transfer 1

I like that Nackley understood our time constraints and was able to get us tested for numerous things while we were there. She has a plan of action in mind as soon as you visit her. However, we ended up proceeding with IUI as she recommended. It was unsuccessful, and we did not see our RE during the whole process. It felt like the procedure wasn't regarded in a high manner because it wasn't as costly as IVF. The nurses made a mistake during our IUI, and did not offer to combine 2 samples as my husband's count was lower than normal. At this clinic, protocol is to offer this. They did not offer this to us, and did not even tell us my husbands counts until right before I was inseminated. They were supposed to do both those things before our IUI. When we were finally able to get ahold of Nackley, she did listen to our concerns. She promised to get us in contact with the Dr. Doody (owner of clinic) so that we could find resolution and hopefully get a refund or another IUI for free. She also promised that she would look into clinical trials for IVF for us. She DID NOT follow through with either of these promises. I called the clinic MULTIPLE times. She knows we are leaving this state soon, so I believe they are avoiding us until we move. In addition, she refused to test my progesterone as she doesn’t believe it really will show anything until your pregnant. She also refused to test for the MTHFR and a thyroid panel. Both are things I would have like to be tested for. I had to go elsewhere to get my progesterone tested and receive progesterone to take after ovulation. I felt like the doctor rushed us into having our only options be IUI or IVF. She would not give us the option of doing medicated cycles before jumping into these procedures. With our history of conceiving, it didn’t feel right and I couldn’t help but wonder if she was doing this for our best interest, or if there were different motives.

I would not recommend doing IVF or IUI here. With the amount of mistakes made during our IUI, I wouldn't trust them with IVF. Trust your gut, ask questions and be afraid to advocate for yourself.

IUI with 50mg of clomid, 4 dominant follicles, ultrasounds for monitoring cycle day 3, 9, 12, and 16 (confirming ovulation). Day 16 we had our insemination. Anna Nackley was not around for any of the IUI procedures. Multiple blood tests for: clotting disorders, AMH, insulin/diabetes, karyotype (both), thyroid (TSH), hormones (husband) Everything came back normal except for a blood clotting issue, referred to hematologists. Semen Analysis (husband): Count was low, not real treatments except for the option of IUI/IVF HSG and Hysteroscopy-to see if uterus was normal, it was

We were covered for most of the testing by insurance. We had to pay 200 out of pocket for an additional test. We paid 1,000 for our IUI (that is because we also paid for the trigger shot and clomid). For everything additional, it’ll be out of pocket. 1,000 for IUI.

Not sure what they do for that. I'm pretty sure they only transfer one embryo at a time if you're under 35.

She was very detailed about the information of my PCOS diagnosis and how she wanted to treat me. My main complaint is that she is unwilling to take small steps in order to help me get pregnant, she wanted to jump straight to expensive treatments because it’s how they operate there. From what I understood, her way is more successful more often, but financial is extremely expensive.

Ask more questions and don’t leave before they are answered.

She wanted me to use Clomid and IUI. Her rationale is that I am not ovulating and that clomid makes you ovulate but makes it hard for sperm to make it to the egg. She said that she takes care of that by doing an IUI at the same time. She wanted to me to take clomid with a trigger shot and then use IUI in my first cycle. She also said that I needed to remain on birth control when I wasn’t in a treatment cycle.

I spent about $1,000 just on testing for her. The treatment cycle that she wanted me to do would be an additional $1,000. This is probably because my insurance is awful and doesn’t cover it.

Dr. Thomas explained everything in detail to myself and husband. She worked quickly to get the answers we needed to move forward. She worked quickly through the (sometimes) painful procedures. She is compassionate, knowledgeable, and I would certainly recommend her to anyone.

Know how quickly you want to work through the process. The diagnostic stage can take a bit of time waiting for results. The majority of the process is up to you on how quickly you make appointments, etc.

We have not started the treatment process. However, our plan for moving forward is right on par for what we were expecting. Dr. Thomas used her knowledge and experience to decide the right plan of action for us. She took our history and diagnostic results to create a treatment plan that was right for us.

There was confusion with my insurance benefits, so we paid the $45 copay at each visit. However, the insurance did not cover everything the clinic expected so we received a bill (for diagnostic phase) around $700. The IUI (self pay, insurance does not cover any treatment options) will be about $1,000, with everything included. If we have to do IVF, (again self pay) will be about $10,000, with everything included. Their website is has everything listed out for cost and what is included with treatment options. Their staff was also very informative and answered any questions we had regarding finances and cost.

We talked briefly about this in our first visit/consultation. Her (and the clinic’s) approach is a single embryo transfer. We also asked about the chance of having multiples with IUI. She explained the risk of multiples has drastically dropped and there really isn’t much of a chance.

The number one reason I chose Dr Thomas was based on her reviews and Testimony’s that highlighted her ability to be compassionate. While I’m not looking for a doctor to sugarcoat diagnosis, I needed someone who would take a completely vulnerable and personal issue in my life and handle it with care.

Not specific to Dr. Thomas, but for any fertility specialist. Go in knowing what questions to ask.

After our initial consultation, we dove straight into testing. I’d previously done 3 medicated cycles with my OB and I had a feeling we had deeper rooted issues. After sharing this with DR Thomas, she understood our priorities laid in trying to get a diagnosis for our infertility so that we could be aggressive in tackling it. She suggested a number of test, all which played a key roll in giving us the diagnosis we were seeking.

My biggest issue with Dr. Doody is that I don’t feel like communication is always clear. For example, when beginning the IVF process, my husband and I were under the understanding we were doing Effortless IVF because it’s all we had talked about with her. Side note: she’s a huge proponent of Effortless. It wasn’t until we saw the financial consultant at the end of our appointment that we learned we were not good candidates for it. It was frustrating that she did not inform us of this when we were in consult with her. My husband does not think she has a warm bedside manner, and this bothers him. I prefer my doctors to be direct, so I appreciate her candidness. She is very straightforward when she is communicating. She seems to really know what she’s doing, which is why I stayed with her.

Be proactive in your communication-don’t wait for her to tell you something

Before seeing Dr. Doody, I had 7 unsuccessful IUIs at another clinic. She decided we needed to live straight to IVF, which I appreciated because I was over IUIs. I have an endometrioma on each ovary, but there has been no intervention for these. The plan was for a fresh transfer. I started with 20 units of Lupron for 8 days. Then 10 units of Lupron, 2 vials of Menopur, and 75 units of Gonal-f for 9 days. I started my period in the middle of this so we decided to do a FET but planned to proceed with retrieval. Retrieval resulted in 3 eggs, one fertilized, and one frozen.

My insurance covered all of the testing we needed prior to IVF. IVF cycle was around $9,000, excluding medications. Effortless IVF is much more cost effective, but I did not meet criteria for that.

For me, she recommended single embryo transfer. She believes the risks to multiple outweigh any potential benefit.

I love her - my husband and I deal with difficult issues with humor and I’m not sure she’s comfortable with that, but she is a great communicator and takes the time to make sure everything is understood and all questions answered.

She is really great - she may seem a little standoffish but she’s amazing once you build a relationship. She’s going to be aggressive when she needs to be to get you your family journey rolling.

We are early in our process; she recently gave me the option of full sedation for my hysteroscopy knowing I am busy and my schedule doesn’t allow much at work; this allowed her to look at my entire repro track and remove a uterine polyp we didn’t know was there. Typically she does this in the office and reschedules for anesthesia and removal at another time but she took into account my work schedule and allowed me to chose my treatment plan.

My insurance covered most of it, but my hysteroscopy biopsy was not ($353) and we’re headed towards IUI at $1000/medicated, assisted insemination. My husband has tricare and he paid out of pocket for his DNA semen analysis $150

I enjoyed working with Dr. Nackley. She showed compassion and understanding at every turn. I have medical knowledge and she always spoke to me as if I did but never left thing unexplained. She seems very knowledgeable in her profession and therefore exudes a confidence that helps me feel at ease as her patient. She was gentle during procedures and tried to help me stay comfortable while they were performed.

Write down your question so you don’t forget to ask them. There is so much to think aboiy and that is covered during consults it’s easy to forget your questions.

during my initial consult a ovarian cyst was found therefore I was scheduled to have it removed right away. A couple months after that we started my first timed IUI cycle which went as expected but did not end in pregnancy. 1 or 2 more timed IUI cycles were attempted but I did not ovulate. Another timed IUI. Yale was attempted with a round of provera and clomid. This cycle was also anovulatory. Dr. Nackley evaluated thyroid levels, hormone levels, and ultrasounds during theses procedures. She recommended time off and weight loss after the last anovulatory cycle. We are now in talks to start IVF because I am not ovulating normally.

Timed IUI was ~$850. Medicated IUI ~$950. Consultation fee ~$90.

N/A

Dr Kevin Doody was fantastic. I had a previous failed cycle at another clinic and also had several consultations with several different doctors. I was blown away with how great his consult was. He was knowledgeable, kind, patient, and confident. He always made me feel at ease and suggested options other drs hadn't.

Definitely give their clinic a shot. Their prices are very reasonable and their success rates are very high.

Dr Doody only allows single embryo transfer unless you are over a certain age. I was a bit disappointed with this because at some point I may want to transfer two...but that was mostly because my my lack of success from my previous clinic.

He tried to make sure we understood everything in full. He was very knowledgeable and made an effort to understand where my husband and I were coming from. When the cycle failed, he brought us in to go over the details. Unfortunately, it could have been any number of reasons why it failed. Therefore, he couldn’t give us A specific reason. It’s completely understandable. There were any number of reasons that could have been the culprit.

He doesn’t make much small talk, if you want that go somewhere else. He gives results.

I responded to very minimal medications and dosages. We used IVF due to my husbands sperm aspiration. ICSI was used as well. I did produce 24 eggs, however only 1 survived to freezing stage. Testing could not produce answers as to why the eggs and embryos did not survive.

IVF was approximately $8,600 with medications running about $4,500. Husbands sperm aspiration was another $3,500 and donor sperm ran about $800 with storage included in that cost.

He has as a specific amount he will transfer based on age and various conditions. It was explained in detail with sufficient rationale provided.

Dr. Doody didn’t ever make us feel as our concerns, questions or comments were irrational or stupid. He explained things clearly and gave “if it were me type recommendations”. He showed compassion and explained what previous doctors didn’t.

Ask any questions you want as he will answer honestly.

We used clomid for all 3 IUI cycles, we used the highest dosage of 3 injectibles for both IVF cycles to get as many viable follicles/eggs as possible. I had a handful of follicles for each IUI cycle, but none of them resulted in a pregnancy and Dr. Doody didn’t expect it to, but we had to have 3 failed IUIs for insurance to cover IVF. I had a previous doctor deplete my ovarian reserve by drilling on my ovaries thinking I had PCOS when I had no symptoms. She was only supposed to unblock a tube and remove mild endometriosis scar tissue. She didn’t discuss ovarian drilling or PCOS until after the surgery. Therefore the chance of IUI being successful were slim. We did two IVF cycles and only 1 of the 6 eggs retrieved made it to transfer. After the drilling at 38 I had the egg quantity of a 45 year old and had normal AMH/FH levels before the surgery. Due to the depleted reserve Dr Doody is now recommending Embryo donation and we are currently on the waiting list.

My insurance pays 80/20 until deductible met. We’ve spent about 8k out of pocket so far in our infertility journey.

Dr Doody’s policy for my age is single embryo transfer to minimize risks.

I really liked seeing Dr. Nackley. The testing didn’t go as well as I’d hoped for as far as results. I was offered 2 choices for treatment, and felt that there weren’t any other possibilities for even discussing other options. That is the thing that truly disappointed me.

She is very thorough and concise. She doesn’t waste any time. Make sure you have a list of questions ready so you don’t forget them, because the appointment will move along very quickly.

Dr. Nackley recommended IUI with clomid, and IVF. She didn’t seem to have much faith in my doing IUI because of my low egg count/quality. She recommended IVF more strongly because the embryos can be tested for quality. I would’ve liked to discuss more options. She did listen to me ask about supplements for egg quality, and she gave me printouts about Ubiquinol and DHEA. My husband and I weren’t comfortable proceeding with IUI or IVF from a financial standpoint.

I think the forst appointment was $50 copay, then I paid $100 for the AMH bloodtest, and the other bloodtests were run through my insurance. I had already met my copay, so the HSG and hysteroscopy were under $200. That’s as far as I went. If I would have done IUI the cost was $1000 per cycle, and IVF was $13,000. My insurance does not cover infertility treatment, but it did help cover the initial testing.

I truly felt Dr Thomas cared about the outcome of our procedures and tried hard to make them successful. She explored different options with us. She made sure that we understood what was happening and what would happen. During the procedures, she talked through them with us, letting us know each step that she was taking.

Be open with her so she can help you as much as she can!

When our first two transfers didnt work, she tried testing to rule out reasons as to why they wouldn’t be working.

The first transfer and retrieval was around $9,000. Medications were around 2,000. Second and third transfer were 2,700 with about $500-$700 worth of meds.

We actually only met with Mr Doody before everything began. We never saw him again during treatments because he was always traveling and out of the country. We liked him when we met with him which was why we wanted him to be our doctor, but it would have been nice to know we would never see him again

Go somewhere else

They never explained to me my protocol. I feel like they use the same protocol for every single patient. There were actually times I would call and talk to a nurse and she would ask me what protocol I was on. Ummm shouldn’t you know that? I feel like they let a lot slip and I wasn’t responding like I was supposed to but instead of actually having conversation with me about it they just moved along and then did the transfer anyway because I was apparently taking the meds for the allotted time. News to me.

We probably paid around 10k to their office plus medications

We only had one embryo to transfer so we didn’t have another choice... but he only does one at a time

I did three frozen embryo transfers and nothing was changed each transfer. We did the same medications, same everything. Nothing changed. She wanted to do a 4th transfer without changing anything in my protocol. Obviously if I haven’t gotten pregnant after three failed transfers...it isn’t working and something needs to change.

She is nice but I don’t feel like I’m her focus when she is with me. She always has an excuse for everything and always seems like she is distracted. I feel like I have wasted $20,000 at their clinic...

All three of my frozen embryo transfers included birth control for about 2 weeks, and then lupron injections, adding in estrogen pills (6mg/day) and then lastly progesterone 1ml/day. The highest my living ever got was 8mm and nothing was ever changed to help my lining be thicker. I had bleeding in my last two transfers, I was even bleeding 2 days before my embryo transfer and was told that it was normal. We transferred 1 embryo the first time, 1 embryo the second time, and 2 embryos the second time. None of which resulted in a pregnancy. My doctor wanted to do a 4th Transfer and wasn’t changing any of my medications or running any additional tests.

Clinic fee of $7500 for IVF with $5300 additional cost for medications. Frozen embryo transfer cost of $2500 with $500-700 additional cost for medications.

They do not recommend doing multiple embryo transfers if you are young and have good quality embryos. However after two failed frozen embryo transfers, I was allowed to transfer 2 embryos for my third transfer.

I liked Dr. Nackley. I think she did a good job explaining things and talked to me in terms I could understand. She also speaks in a very calm and comforting manner. But... I saw the actual doctor few times. Only when something went wrong or the last appointment before the retrieval (did not see her on retrieval day) and then on transfer day. When you’re going to the doctor multiple times a week, I was assuming I’d develop a close relationship with my doctor, but I didn’t get that at all.

Don’t expect to see her at every appointment. Or even every other.

My Fallopian tubes were completely blocked. Due to them being swollen and infected (a result of a ruptured appendix) Dr. Nackley suggested we remove them. That all went great. Dr. Nackley did the surgery and we were pleased. IVF was our only option. We began that process last year. Apparently my eggs are slow growers so my retrieval was pushed back a week and my stimulation medications were upped to maximum dosage. We retrieved 16 eggs, but half of them were not mature. Of the 8 that fertilized, half were very fragmented. We only got 3 embryos from 16 eggs. We did a 5 day fresh transfer with 1 embryo (this particular clinic prefers to do single embryo transfers). The embryo did not take. We waited for a bit to jump into our next transfer. Dr. Nackley decided to let us transfer both of our remaining embryos since one was poorer quality. We went through shots and multiple appointments again and found out on the morning of our second embryo transfer that neither of our remaining embryos survived the thawing process even though we were given an 85-90% chance of a successful thaw. We were (still are) absolutely devastated that we have zero embryos left. And were told that there is no rhyme or reason as to why our two embryos failed to thaw properly.

I don’t remember everything we paid before we got to the IVF process. I know it was several hundred dollars. We pain $12,800 upfront for IVF. We had to pay $250 (approximately) for both my husband and I to do genetic testing bloodwork prior to the egg retrieval (this was self pay, we denied insurance coverage because the cost would have been $800+). Then we paid around $5,000 for the stimulation meds for our first round. Our costs for the frozen embryo transfer was $2,600 up front. And about $1,300 for medications.

Our doctor/clinic only does single embryo transfers unless there are special circumstances. I will always wonder if we would have transferred two on our first transfer if 1 would have stuck. But we weren’t given the option.

Overall dr. Thomas has great bedside manner. I don't believe she knew enough about my condition to be able to really help us out. Her explanations were thorough however, when something worked she did not stick with it. I explained to her my concerns our last transfer and I felt I wasn't heard as I know my body. I knew I was starting my period and she didnt listen as well as a yeast infection uti spotting all right up until the day before transfer. My lining shrunk. Just disappointed

Make sure that you always go with your gut and don't let your vulnerability get the best of you.

Drug protocol 1st and 2nd time. Just estrace and progesterone. 1 by mouth and 2 vaginally. 2nd cycle ended in a pregnancy but miscarried shortly after. 3rd was lupron protocol which I disagree with. If it's not broke dont fix it kind of thing. The last protocol worked.

8500 to start then 2600 for every transfer after.

She wouldn't let me transfer my last 3 embryos as they were all unfrozen day of transfer due to a mix up.

Dr Thomas was kind and very knowledgeable. Although our IVF was unsuccessful she did explain the risk of moving forward with only 2 follicles. I was unhappy that she did not call ahead of time to notify us that the 1 embryo did not make it to day 5. We drove 2 hours just to be told we had nothing to transfer. It felt insensitive given the drive home was tearful and extremely emotional.

As with any medical treatments be your own advocate. Dr Thomas seemed to not have much say other than exactly what was set out by the medical director. They have strict day 5 only transfers and will not budge, regardless of how many embryos you have.

Lupron Flare protocol for low amh & high fsh. We used gonal f but not sure of the dosage.

Clinic fees were $8500 & meds were about $6000.

Under 35 patients can only transfer 1 at a time.

Dr. Thomas is caring and honest and does her best to get us the right treatment. It takes a little time for her to warm up and comes off as too "clinical" in the beginning. However, she knows what she's doing and does pay attention to your concerns and tries to address them.

Don't expect a warm, bubbly doctor but she's a professional who has experienced a lot of success and we've learned to trust her.

When starting, I had no overt issues that would prevent pregnancy so we started with unmedicated IUI. Three attempts were unsuccessful so we proceeded to Chlomid with IUI. Three attempts were again unsuccessful so she advised moving on to another protocol. We then tried a medicated round with injectables. While I had a significant response to the medication, it was so much so that Dr. Thomas advised that we not pursue additional rounds with this protocol as the response we saw could present additional risks. At this time, the recommendation from Dr. Thomas has been to pursue IVF. During each cycle, we were assertive and asked lots of questions. We would recommend that others do the same to get a full understanding of the possible outcomes and next steps.

Each cycle we have two major cost categories: Clinic costs which were all inclusive of the clinic resources required for that protocol (ie. sonograms, monitoring visits, blood work, IUI), and our drug costs. We liked that the clinic costs for each cycle were all inclusive and that we were not having to pay by the visit.

We understand that Dr. Thomas follows the recommendations from SART for embryo transfer count.

Dr. Doody spoke very quickly with what seemed to be in compassion. She’s very blunt so if you don’t care about warm and fuzzy you might like her but for me I really wanted a doctor that would have empathy and not treat me like a number.

Ask questions don’t just nod your head if you don’t understand.

My tubes were blocked so the plan was to open them up and try that and if that didn’t work pursue IVF. Once in surgery one tube was opened and another was removed. After the surgery I was hoping to get pregnant naturally but nothing happened. I didn’t feel like pursuing IVF with Care Fertility so my husband and I took a 3 year break.

Luckily my insurance covered most of it.

Although when we started Dr. Quintero was very friendly and showed concern as each treatment passed and failed it felt like we were just an obstacle taking his time. In the end he had no answers for us. He didn’t suggest pgs until we only had 3 embryos left.

Make sure you do all your own research before entering your appointment. He will only discuss what you ask.

We did one round of IVF. I did injectables. I can’t remember meds. Our transfers were all frozen. First and second transfer were done with injectables. The third transfer Dr. Q wanted to change things and try a “natural cycle” with oral meds which proved to not work to which he then simply started me on injectables again.

The clinic linked us to a loan company and we were able to pull a loan to start treatment. IVF cost were $20,000, $5,000 for meds. Each additional transfer was $1,500, $500 for meds each transfer. With ultrasounds, surgeries and all services not covered by insurance we spent $35,000.