CCRM Northern Virginia

We had a fantastic experience with Dr. Martini. Our previous experience with Shady Grove was homophobic and all around awful, and she immediately was welcoming, respectful, and treated us like any other patient. Made a difficult processes so much easier!

Start with her first instead of transferring late like I did

Covered by insurance

Dr. Payson is dedicated and knowledgeable. I trust him because he was very realistic during the treatments. He will always look optimistic even though something did not give the final result (i.e. viable embryo). When I finally got pregnant after my first set of IVF, I had a miscarriage, but Dr. Payson saw the good things and he designed a plan to continue the treatment. Thanks to all his guidance and work, I was able to get pregnant again and give birth to a healthy baby in my forties.

As a Patient, you have to be on top of your treatment, diet, daily routine, meds and what your insurance covers. There is some work in the hands of the patient and a successful treatments depends on it.

The protocols designed for me included growth hormone to improve the quality of my eggs. For each IVF cycle, I was able to produce between 12 and 20 eggs, and between 8 and 12 resulted fertilized.

Monitoring appointments were performed in the mornings, that time was very convenient for me to be at the office on time. Drawing the blood and ultrasounds took about 30 mins or less; when the clinic was crowded they usually let you know the waiting times. They use an advanced equipment for ultrasounds and surgeries. The operating room is pristine and the clinic is warm in general.

Dr Carpinello is knowledgeable about fertility treatments and understands that our family planning goals as well as finances and risk tolerance affect our desired course of treatment. She gave us a lot of support through 2 TI cycles, 1 egg retrieval and 2 frozen transfers. When explaining results, she is clear and uses a lot of visual aids, e.g., a hand-written chart of egg retrieval attrition rates. I felt completely at ease under her care.

Embrace her optimism but don't hold back any of your doubts or concerns.

For timed intercourse, we started on a lower dose of letrozole for the first cycle and went to a higher dose when the first cycle failed. For the egg retrieval: antagonist protocol with birth control priming. Started with Gonal-F 150 units and Menopur 75 units, added Ganirelix around day 6, triggered with 2 separate injections of Lupron (0.8ml). For the frozen transfers: primed with BCP, took estradiol tablets, PIO shots starting from 6 days before transfer, Medrol for 4 days before transfer.

Around $5000 after insurance

She is a strong proponent for single embryo transfer when it comes to frozen transfers.

My wife and I did IVF with Shady Grove Fertility four times with no success. We were devastated. We both have nothing wrong with us. We were very close to giving up and decided to try CCRM. Dr. Payson delivered for us on the first go. We had a beautiful, healthy baby girl born in early October - truly a miracle. I cry every time I look at her. I asked Dr. Payson point blank what he thought separates CCRM from Shady Grove and why we were successful with CCRM and not Shady Grove. He praised the quality of CCRM's lab. We'll never really know for sure obviously why CCRM worked and Shady Grove didn't, but I can say CCRM delivered for us after one go around and Shady Grove did not. All I can offer are the results. Based on my own research and experience, Dr. Payson is the best fertility doctor in all of the DC area. My advice: don't mess around. If you want the best, go see Dr. Payson. I wish we would have gone with CCRM from the start.

Be ready to provide Dr. Payson everything you have and as much details as possible so he knows what treatment to provide.

Dr. Payson is patient and is happy to explain things a few different ways to help you understand the what is going to happen and his treatment plan. I always felt informed and included in the decision of our treatment plan. He was willing to entertain my outside research and discuss what may or may not be a good option given my background and past treatments. With Dr. Payson I've always felt like I've had a true partner in my IVF journey.

Be candid with what you are wanting, what your expectations are. He will take it all into consideration but sometimes you have to ask or speak up. Ask questions if you don't understand why he is choosing something, he will always take the time to make sure you understand and are comfortable with what the plan is!

First IVF cycle we started dosing at what it was from 'the factory' in our previous cycle. After Day 3, we he quickly bumped up the dosage. Our dosage was 300 gonal, 150 menopur, and cetrotide with an HCG trigger. Of the ~12 eggs retrieved (I only have. ovary) we got 4 embryos to go for testing but only 1 came back normal (can't complain because that embryo is my bouncy 10 month old!). My second cycle we did same course of action which resulted in ~19 eggs but when we went to do ICSI all eggs disintegrated which had never happened before. He took my files to several other doctors across the country to examine what may have happened, we didn't get to a great answer besides sometimes bodies do weird stuff. In our final cycle we decided to play it safe with half going for ICSI and half to conventional insemination (none of the ICSI fell apart this time) and we had added omnitrope to our meds. We're awaiting CCS results but we sent 16 embroys for testing so we're hopeful!

~$9500 for a single IVF cycle, not including meds.

After seeking consultation and preparing for a cycle with another clinic, and deciding to switch because of the number of screw ups prior to CD1, I felt an immediate connection with Dr. Owen. I could relate to her analytical nature but also, she gave me reassurance of my diagnosis and assuaged certain fears I had. I felt comfortable and was glad I waited for her to have consultation availability. It was because I had such a comforting connection and because it was my first retrieval, that I was disappointed at how little interaction I had with her during this process. I was very relieved and assured that while she wasn’t originally my retrieval Dr scheduled, she made it a point since I was first retrieval to do it. Despite a bad outcome, I appreciate her taking to time to speak with me, comfort me and ensure the nurse connected with me to schedule a regroup to assess and come up with a plan.

Understand that there will be a lack of 1:1 and therefore you will feel a little disconnected and possibly just a number but when you do get that time with her, she will give you undivided attention, empathy and have an open ear.

I had a natural start cycle as I have a reliable monthly cycle. While that was the rationale it wasn’t said yet I assume we were also purposely avoiding BC due to suspicion that my long time BC use is contributing to my DOR/ or expected stubborn response. I was on an Antagonist protocol and the doses were high for what this clinic/Dr uses. I don’t know if every clinic feels this way but it was expressed that there’s research showing more saturation doesn’t necessarily precipitate a stronger response. I don’t feel comfortable sharing my meds and doses. While my baseline AFC was the highest it’s been I did response slower in terms of my estrogen. Eventually we upped a med and of course as an uneducated patient I wondered the “what if” game. At the end of the day I didn’t respond as well as I WANTED but I have a feeling I responded on the lower end of ‘as expected’ by my doctor.

Clinic monitoring hours 7-930. Never had an issue getting the time or location I asked for. I enjoyed that my ultrasound nurse was almost always the same. Only slightly concerned I learned at an end-of-cycle ultrasound that the nurse didn’t see a polyp anymore, which was a surprise as she never told me at a prior appt she found one. As for my bloodwork, the phlebotomist was insanely polite, personable and a joy considering I hate needles. Loved Mark.

The cycle cost was slightly more the SGF and my medication pharmacy partner options varied a little, but they too had slightly higher cash pay/discounted rates than the pharmacy quotes I got during my time with SGF. While the structure wasn’t as simple as a set cost each cycle (I don’t qualify for multiple round discounts) I did get a straightforward out of pocket fee schedule for the first three cycles (which does decrease slightly each cycle). When comparing CCRM to SGF for three cycles it was only a few thousand more at most and let’s be honest, what is 1-2k more when you’re spending 45k?? Because I loved my doctor and felt comfortable that she was the right person to go through this journey with, I made the sacrifice to pay more. And again, the annual storage is less so at some point it’ll even out.

I originally contacted Dr. Payson because I thought I might not be ovulating after 4 months of trying to get pregnant and I wanted to confirm whether I was or not. After an initial consult, Dr. Payson had me come in for bloodwork and immediately jumped into a timed intercourse cycle with no search for whether I had been ovulating or not and if not, what might be causing it. It was not until after three unsuccessful timed intercourse cycles that Dr. Payson even bothered to get back in touch with me to discuss the cycles and next steps. During this time I had been doing my own research and, after my third unsuccessful cycle, sought out a second and third opinion. Both the second and third opinion doctors thought it was highly likely that I might have PCOS given my clear lack of natural ovulation and polycystic ovaries. When I asked Dr. Payson about PCOS during our consult after my three failed cycles, he said there was no way I had PCOS because I am thin and do not exhibit the typical outward traits. He simply said that the next step was IVF or I could continue timed intercourse if I wanted. He demonstrated a complete lack of initiative to find out why I was having trouble conceiving and ovulating. It ultimately turns out that I do have PCOS. Luckily my new doctor insisted on finding out if there were any diagnosable reasons for my infertility and lack of ovulation before proceeding. Besides fertility, PCOS can have ramifications for life, including potential diabetes. It was also peace of mind to know that there may be a cause and that potential lifestyle changes could help a bit (even if not substantially, being empowered with that information made the process much smoother). There is another fairly common reason for infertility and lack of ovulation (I cannot remember what it is called) that a simple blood test can determine. If someone has this, a procedure is required to fix it or no fertility treatment will be successful. My new doctor discovered in all of the records sent over from CCRM that this simple test was never completed for me so we needed to interrupt my current fertility cycle to test for it. Luckily I was negative. However, just knowing that likely or simple to fix issues were causing my infertility but that Dr. Payson never tested for them or even considered them was completely infuriating. During my timed intercourse cycle, there was never any explanation of what exactly was going on, never any adjustments of the medicines that were prescribed, or anything else. In addition to my initial consult, my new doctor has already called me four times (not during scheduled appointments but to provide information, check-in, let me know what the next steps are and why she prescribed certain medications). I am still in the middle of a cycle with my new doctor but I feel like a human with her and like a valued patient. I appreciated that she was willing to look deeply into what was the cause of my infertility because the answer could affect treatment and also my life in general.

Avoid CCRM at all costs. I know there are many positive reviews and I'm sure that patients who have a successful outcome are likely to rate a doctor and clinic highly and the reverse as well. However, I have still not had a positive outcome at my new clinic and it is still considerably better. Go to CCRM if you have an easily-diagnosed infertility issue, or are trying to conceive with a donor. Do not go there if you would like any inquiry into your infertility or any explanations along the way.

For all three cycles of timed intercourse, I was prescribed 5mg of Letrozole daily for 5 days, was then seen for bloodwork and ultrasounds every few days, and then prescribed Ovidrel for my trigger shot. During one of my cycles, my follicles failed to grow to the needed size so the 5mg of Letrozole was prescribed for an additional five days. The medication dosages were never altered nor was any rational for using them (vs any other medications or lower or higher dosages) used. Similarly with timed intercourse, no other options were discussed until after three failed cycles at which time IVF was recommended, although additional cycles of timed intercourse were not ruled out.

With my insurance, timed intercourse was $300 per cycle. This seems reasonable (and I'm sure the costs for it without insurance is substantially more but it is at other clinics as well).

I can't say enough great things about CCRM and Dr. Payson. We sought fertility treatment after 2 miscarriages and it was found out early on that my husband and I were both carriers for the same genetic disease (Dr. Payson said this is very rare) so he recommended IVF. Although the process took a little time (had to build a probe for our genetic condition prior to retrieval) the staff at CCRM kept in touch throughout the whole process answering all my questions. Dr. Payson is very through and an expert in his field, my husband and I knew we were in great hands and never once questioned anything throughout the IVF process.

If you have questions make sure your ask, Dr. Payson is more than willing to answer, since I am in the medical field I didn't have too many questions and trusted my doctor completely

Priming with BC, Stim: Gonal/Menopur, Suprresion: Cetrotide- 10 days of stim prior to egg retrival

Most of the time my monitoring apts I was in and out in less than 30 minutes, occasionally I had to wait a bit longer, first you usually get your blood drawn by Mark who is amazing then you get called back for ultrasound check

Luckily majority of ours was covered by insurance, I do think their prices are higher than other clinics but they have great results

Dr. Owen got me my baby, so we got the end result we were looking for. This is most important! I appreciated how much Dr. Owen cared about me and achieving a viable pregnancy. She also fully adjusted our plan of attack when needed. She is friendly, upbeat, caring and personally called me several times with good or bad news during my treatment. In hindsight, she pushed me toward donor egg far sooner than was necessary. I had one (very) bad retrieval cycle, after which she warned that I may not be able to use my own eggs. Because of that conversation and the fact that another cycle was delayed for three months, I had several weeks of mental anguish that wasn't necessary. She wanted me to be informed of the most direct path to a pregnancy, but it was an extremely difficult time. Dr. Owen performed all of my retrievals and my embryo transfer. I also saw her frequently during monitoring appointments during the beginning of my treatment (early 2021). However, by the end of the year, the clinic hired an ultrasound tech and two new physicians. During a retrieval cycle, I saw a rotating cast of people who were days into new jobs. It left me feeling very concerned about my treatment. That said, when I voiced that concern, Dr. Owen called and walked me through her thoughts. Ultimately, that was my best cycle.

Be clear about your goals. Before you speak with Dr. Owen, have a clear idea of your questions and concerns

Dr. Payson at that point did most of our ultrasounds and all of our procedures. He was accessible and supportive and we benefited greatly from his guidance and confidence that we could conceive. He was patient and kind and answered all of our questions in full. Overall we could not recommend him more highly!

I would say to come prepared with questions to the appointment. We found Dr. Payson to be incredibly knowledgeable and responsive and pretty spot on in his predictions.

Dr. Payson used a standard antagonist protocol for us, while our previous clinic had recommended a microdose Lupron protocol that did not work well.

My insurance only partially covered the cost of treatment, but it was worth it as it lead to our son. I think the costs were in line with or slightly higher than other local clinics.

I think he preferred eSET but we only had one embryo so I don’t know.

I chose Dr. Payson after a failed egg retrieval at another clinic. During my second opinion meeting with him, he came across as very knowledgeable as well as compassionate. I’m glad I moved to his care because my experience with him was excellent. During treatments he was always open to suggestions and always explained why or why not my suggestions would work. I also liked how well he listened to me during all my appointments. Even when he was extremely busy, he made sure he listened to everything my husband and I had to say. His bedside manner was also excellent and I felt genuine compassion during and after my procedures.

If you have questions for him, feel free to ask them and discuss the pros and cons of everything. Sometimes he’s in a hurry but he always makes time to listen.

I did the antagonist protocol with clomid. Fertilization was through ICSI and we PGT tested all the embryos.

After insurance coverage: Around $6000 per retrieval cycle with ICSI and PGT. Around $3000 for transfer cycle.

Dr. Payson made it clear that they very much preferred doing single embryo transfer because of all the risks that were explained to me.

I could tell that Dr. Owen spent time reviewing my previous clinics' records so that she could come up with a plan for me. Unfortunately she has had a few occasions to deliver bad news to me during my treatment and it was always done with warmth and compassion.

Trust Dr. Owen's judgment.

We used the CCRM mini protocol - omnitrope, clomid, lower doses of gonal and menopur, dual trigger. We ended up retrieving more oocytes than expected but ran into hurdles with abnormal fertilization and poor blast rates despite the excellent lab.

I believe Dr. Owen is a strong proponent of eSET.

Dr. Owen truly cares. She loves her work and is also just a good human. Being the best at what she does is important to her, and when she calls with good or bad results, it feels like she is going through it with you. You see her at almost every monitoring appointment where she herself does the ultrasound (very different than most places). She tries to do the retrievals and transfers for her patients as well.

Trust her and enjoy getting with work with her on your journey! My husband loves her, too.

Menopur+Gonal-F, Cetrotide, Lupon Trigger. Dosage and length of stims adjusted for later cycles.

We were self-pay; each retrieval was roughly $13,000 plus meds.

Dr. Payson is humble, funny, and a brilliant doctor. He is also realistic and will give you the facts, though I think he tires of my endless demand for statistics. I always feel like I am in very good hands, medically, and he puts up with my endless questions. He always responded to my emails in a timely fashion (with a phone call) and took his time during our consults and phone calls to fully explain everything and answer our questions.

Go to him!

I have PCOS and a history of an idiopathic case of Asherman's syndrome. For my retrieval I did the antagonist protocol and over-responded, so he reduced the drugs as we went. Because my estrogen was so high, I triggered a day before he might have triggered based on follicle size. He still retrieved a record 64 eggs, 54 of which were mature and 37 of which fertilized. Of those, 23 made it to blast and 13 were genetically normal. For my transfer, which no one ever thought would work since I have such a thin uterine lining, I took 3 estradiol pills per day, one as a suppository. My lining got to 5.5mm if he squinted hard enough. It was a big shock when the pregnancy test came back positive!

We are lucky to have really wonderful insurance, so the cost to us is very minimal.

Dr. Payson is a big proponent of single embryo transfer, which was what we wanted anyway.

She is very knowledgeable about the fertility process, has a kind manner and way of presenting information. While all the information has not been exactly what I was hoping to or wanted to hear I appreciate her honest but kind approach

Have all of your records and radiology studies ahead of time and bring them to your consultation appointment

I do not remember, it is still early I my treatment and I am only just getting started with s high risk counselor. The next step is to start the process with my frozen eggs

My insurance covers most fees, I have only been responsible copays thus far

We have not yet reached that stage in my fertility journey

After switching from another local RE clinic in the northern Virginia area, CCRM and Dr. Payson were a breath of fresh air. The clinic is comfortable, the staff is kind and personal. Dr. Payson is smart, keeps up to date with research, is conservative in his treatment approaches and presents a realistic picture of what to expect. Unlike other area clinics, Dr. Payson was always there for my appointments and treated me kindly and like a person rather than a number.

To bring all the questions you may have, he can sometimes be a bit quick as he is very busy but he will always take the time to answer all of your questions and concerns honestly.

I switched to Dr Payson after 4 failed IUIs with Letrozole at a different clinic. We quickly decided to do IVF with standard treatment protocols. I did Gonal F and Menopur followed by the addition of Ganirellex. Doses were adjusted as my blood work and ultrasounds showed needing. Dr Payson was always the one to call with treatment updates and saw me for all of my ultrasounds through the retrieval. We retrieved 11 eggs, all were mature but unfortunately only 1 made it to Day 6 blastocyst. He is concerned I may have an egg quality issue and we have reviewed changes we may make in future cycles because of this. We currently have the 1 embryo frozen and will attempt to transfer when deemed safe due to Covid-19.

I am a self-pay patient and opted to do the CCRM Assure program which if you meet certain parameters allows you up to 6 retrievals and transfers and holds a money-back guarantee if you do not have a live birth within 2 years. Because of this the cost without medications is 24,500.

Dr Payson is VERY conservative and only does single embryo transfers except for extreme cases. We felt comfortable with this after talking with him and his reasoning (risk of miscarriage, risk of multiples, etc).

Dr. Payson, overall, is a very knowledgable doctor. As the director of the practice, you can tell his time is constrained and sometimes rushed. He does a good job of discussing the statistics and potential outcomes of each option. I do think he needs to do a better job of acknowledging all fertility options and not just actively steer people toward the IVF option - the more expensive option. IUI is a totally viable option for some, and a good first-line treatment, he made it seem like a waste of money. Which may be true, but it's worth a shot for couples with unexplained infertility.

Let patients be the ultimate decision, provide the information and recommendation. You need to honor the patient's decision.

Clomid, Trigger, IUI - that's the basic treatment protocol. We were unsuccessful after two attempts. I do think there needs to be more of a debrief and what could be done differently between each cycle. It seemed like a treadmill you just got back on with no conversation about what could be done differently to hopefully get a different outcome.

IUI - $2,200 per cycle + medicine

My husband and I started trying for a baby in October of 2016. We had several loses and felt defeated. In 2018 we sought out fertility treatment at a clinic near our home in Maryland. We went through several failed treatments and lots of tears. In September of 2019 we had our initial consultation with Dr. Moragianni. After meeting with Dr. Moragianni and hearing everything she had to say, we left our appointment smiling and knew we had just met the doctor who would do everything she could to get us our baby. I had my egg retrieval in December of 2019. We had fantastic results. Better than we could have imagined. We yielded 4 chromosomally normal embryos. 2 girls and 2 boys. On February 12th 2020 we had our top graded embryo transfered. It was successful. I'm currently 13.5 weeks pregnant with a girl. We are so grateful for Dr. Moragianni. She always met us with a smile and her sense of humor was fantastic! I never left with unanswered questions or doubt. My husband and I are forever grateful for Dr. Moragianni.

Trust her completely! She knows exactly what she is doing!

Rosa was our financial coordinator. She was fantastic. She was very organized and efficient.

I traveled across a few states to see Dr. Moragianni because I had 2 failed transfers at a previous clinic and I had read reviews that indicated that she had helped people with failed transfers. I appreciated that she had fully reviewed our case when we met with her for the first time. She had ideas of what to do differently and that gave me hope. While she had her own opinions on what we should do, she did allow me to direct my own treatment in certain ways (ex: to forgo ICSI).

Trust her. She knows what she's doing.

For the egg retrieval I believe we just used a standard protocol. I do remember that she did not have me use Omnitrope as I had at a previous clinic. We had 2 failed transfers with medicated cycles and Dr. M suggested transferring in a natural cycle since I have unexplained infertility and my cycles were regular. We used a trigger shot.

I went for monitoring at a different clinic (local to me) since I traveled to go to CCRM.

I believe she strongly recommends single embryo transfer.

We came to Dr. Payson almost ready to give up after 3 failed IUIs, and 3 IVF cycles which produced 1 failed transfer at another local clinic. We noticed a huge difference immediately in how we were treated at our consultation- our situation was reviewed and we were given hope that despite our "unexplained" diagnosis and challenges producing quality embryos, Dr. Payson was confident he could get us there, and asked us to "trust his labs". I also appreciated his sense of empathy about how taxing the process can be. Our first round with Dr. Payson produced the worst retrieval we had had yet, but he was open to hearing me out about what protocol worked better for me previously and completely switched things up in the second round. From there, we had a very successful retrieval which ultimately resulted in a successful transfer and resulting pregnancy.

He can be dry and blunt, but he is very smart and provides excellent care. He is not "warm and fuzzy" (or really every laughed at my jokes!), but know going into it that he has your best interests at heart.

My first protocol was the "modern" shorter protocol used in most common IVF cycles. I had a terrible response. He was open to switching me up to the "old school" Lupron Long protocol which ultimately gave me the results I was looking for. He said he was stumped as to why it worked for me, but I appreciated that he was open to trying it.

$12,800 out of pocket for an IVF round. There were cheaper "packages" if you agree to buy 3 rounds up front. Not sure what a transfer costs as it was covered by my insurance. They do accept Progyny which is a special supplemental coverage some employers offer (I had to pay out of pocket after my Progyny coverage was exhausted).

Yes, Dr. Payson would only transfer one genetically normal embryo at a time for me given my age (36). He would not entertain putting in more due to the risk of multiples.

He always kept me well informed on the procedures. Realistic expectations were discussed in great detail. He gave the impression that he truly does care. My husband loves him. They would joke around and I think that helped my husband a lot to see the human side of the doc.

Relax and know you are in good hands.

I was suppressed with birth control for a few weeks, then I started 225 Gonal-f and150 Monupur. 250 Ganirelex was used for 5 days prior to the trigger shots of Lupron. 22 eggs retrieved, 16 eggs matured, and 9 eggs fertilized.

My insurance is going to cover $5000 but the rest is out of pocket. Meds were around $7000. $6000 for my husband's semen aspiration. So far, $6000 out of pocket and expecting at least $12000 more out of pocket expenses before I'm done with the first IVF round.

I haven't got there yet.

Dr. Moragianni is very personable and I have felt very well taken care of during my treatment with her. She brings some lighthearted humor to the whole process, which helps with stress. I have never had difficulty in setting up consultations to see her during my treatment cycles when I needed them. She is patient in listening to my questions about the current state of research, medication, or voodoo supplements that could apply to/help my condition, and always gives candid but kind responses. She also does a great job of explaining the details if you are like me, and want to see and (try to) understand the numbers. She is also nearly always available to call me back quickly when I have questions, even if she is not in my office location that day. She also has always made sure to call me with the results of my pregnancy tests and embryo CCS results, which I appreciated.

Don't be afraid to ask any questions. Dr. Moragianni will take the time to kindly explain things to you if you want the details.

I suffer from lean PCOS, so Dr. Moragianni started me on Letrozole with Ovidrel trigger shots for several TI cycles. These cycles all produced appropriate follicles, but I unfortunately did not conceive. I requested to move straight to IVF, and have completed two eggs retrievals. Dr. Moragianni used an antagonist protocol using Gonal-F and Menopur, with Cetrotide, and a Lupron trigger. Both cycles produced many mature eggs, and I had good fertilization rates with ICSI. Even though there was a steep drop-off in testable blastocysts, I did end up with CCS-normal embryos.

CCRM is slightly more expensive than another, large clinic I considered in the DC area. We have used health insurance benefits for our treatments thus far, however we had to pay out of pocket for the surgery center for egg retrievals and CCS testing. As I understand it, CCRM has slightly lower rates for self-pay patients, with an IVF cycle package with CCS testing (not including transfer and meds) costing a flat fee of about $10K.

I have not yet done an FET, but my understanding is that CCRM's policy for women my age is to transfer only a single CCS-normal embryo.

Dr. Payson can sometimes need a minute to "reset" and remember my exact case when he comes in the exam room, but once he does he's fully engaged and on top of every detail. His initial projections for me were slightly optimistic - it took us two cycles to reach what he hoped to accomplish in the first cycle - but he's been open about his thinking/planning/adjusting for my cycles throughout and willing to take my personal weighing of risks/benefits into account when making decisions about how aggressive to be in the treatment protocols. When I miscarried after my initial transfer he was very empathetic and talked me through all of my options for resolving the pregnancy and how each option might impact the timing and possible success of my next transfer.

Ask questions - he's better at providing information in response to questions than in proactively offering the information. He's always given me full, respectful answers to any question I ask, but if I didn't ask him anything I might know almost nothing about my treatment or what's coming next.

I don't remember enough of the terminology to describe the protocols accurately. I know that I did a more classic protocol in prepping for my first egg retrieval and then moved to a protocol more typically used for poor responders for my second retrieval. The second retrieval produced almost twice as many mature eggs as the first.

I paid out of pocket - zero insurance coverage. The clinic uses a global fee for cash patients. My egg retrieval cycles were approximately $14,000 each. Each transfer was $4,600. My medications (I was a poor responder) ran approximately $6-7000 per cycle.

My doctor (and the practice as a whole) have a very strong preference for eSET. To bypass biopsy/testing or to transfer multiple embryos you need to sign specific consents saying that you're going against their recommendations.

For a year, I struggled with trying to conceive, a friend of mine told me to use pre-seed and when I did, I miscarried a few weeks later. I told my OB dr my concerns and she told me that miscarrying was normal. After my second miscarriage, I went to see Dr. Moragianni and told her everything. She listened and told me what she was going to do to help me. I had bloodwork done on my first visit, she called me immediately to tell me everything was fine, but my thyroid levels were off and she wanted to prescribe me .075mg levothyroxine. Dr. Moragianni performed numerous tests, lots of bloodwork and when the results were in, both my husband and I were very pleased to hear the results and learn everything was fine. Thank god. The only thing that was off was my thyroid levels. I was referred to an endocrinologist who is currently taking good care of me. They told me to give my body 4-6 weeks to adjust to the meds and then try again. I waited 4 weeks, tried again, and got pregnant on the first try. I will be forever thankful for Dr. Moragianni and her team.

Be patient.

My insurance covered 90% of diagnostics and free consultation. After all of the tests my husband and I went through, I think we roughly paid $400 total out of pocket.

My wife and I had an extremely long, and tough struggle with IVF. After and during multiple rounds at other institutions, we found Dr. Moragianni when we were doing remote monitoring. We were surprised to found that CCRM had opened a local branch. During the local monitoring, my wife was really touched by how empathetic and kind Dr. Moragianni was during our process. My wife ultimately chose to do a “final closure” round with Dr. Moragianni, and even though it was not successful, we both really appreciated her empathy, care, and attention to detail. We ended going the donor route, and had our donor cycle at CCRM VA with Dr. M. We were fortunate that we were successful on the first transfer. Dr. M was very empathetic and scientific with her approach. We wondered about doing an ERA during our cycles, and Dr. M presented the evidence behind it and why she didn’t think it was right in our case, which we really appreciated. She was available, and attentive to our questions throughout the whole process. We strongly recommend Dr. Moragianni and CCRM for IVF care.

She is to the point, and she knows what she is doing

She prefers using the least number of eggs with transfer as possible