Center for Reproductive Medicine Orlando

From the first moment we meet Dr. Patel we felt that we were on a journey together. With using a GC its like reading a training manual. You start with part 1 then move to part 2 and so on. The best part is that we were guided along the way and never had to worry about what the next step was. Checking off each step was satisfying and made us feel that we were flipping to the next page.

Be patience...its a lot to take on with fertility...just take each experience as a new step in the process. Sometimes you have to back-flip a page, other times you get to skip a whole chapter. Just know in the end you absolutely deserve this!

We started off with a medicine controlled transfer. That treatment did stick with the GC. We tried one more routine with it being controlled with medicine, but ended up with too much liquid and had to cancel the transfer. The third attempt we did natural, no medicine. It was a much easier task to undergo. We are now 12 weeks pregnant and have to pinch myself everyday!

We are using a GC agency so the costs are run through that agency. There were small out of pocket for blood tests, screening etc.

Dr. Patel highly recommended the eSET as both parties didn't have any issues with getting pregnant and worried both embryo's would take. The risks of multiple embryo's is not worth the potential of loosing both embryo's.

Dr. Jaffe and I have had a long standing relationship. She helped me conceive my son in 2017. She is a great human being. She does not put herself on a pedestal and treat you like you are any different from her. The 2nd time around, She fully explained what little Hope I had conceiving again with my own eggs at my age but fully understood I wanted to try before moving on .

If you’re looking for a “sweetheart everything is going to work all in your favor and this is going to work for you no doubt”...you are going to the wrong doctor . She is a realist and won’t set you up to be disappointed.

Injectable mess first time IUI ever and it worked! Now she told me I need to move on from my own eggs but I was too stubborn. In the end, she was right.

20k for IVF 450.00 for IUI

He’s clearly very knowledgeable in his field. This is comforting to work with someone who seems to know every in and out. But at times he was almost too clinical and did not have much of a bedside manner. He is compassionate in terms of cancelled/failed cycles but not overly so. He takes time to acknowledge how difficult it is to go through this but he doesn’t linger on it and moves right into next protocol. Our first transfer with donor egg resulted in pregnancy but ended up having trisomy 21. We were obviously devastated and having a hard time wrapping our heads around payment for another cycle and potential PGS testing costs and he did work with us to offer a small discount which we greatly appreciated. Overall he is kind but it’s clear he has too much on his plate/too many patients. As mentioned before I’ve had to remind him on a few things that we would need to do or not do based on my situation.Also in the beginning he told us he thought there was 95% chance Ivf would work with our own eggs- we turned out to be the 5%. I think communication could also be better. For example we went through 3 weeks of one cycle (doing Lupron injections and estrogen) and it ended up being cancelled because I wasn’t responding. It wasn’t until our follow up with him that he told us estrogen was rising, but slowly and on the low side. This is something we would have liked to know during the cycle to brace ourselves for the possibility of cancellation. We were totally blindsided when it was cancelled. We also made it to transfer on another cycle, and on it the day of we experienced some confusion. For one, he was not the doctor performing the transfer. They tell you that other doctors may do your surgeries but you are usually told who at the pre-op. He didn’t say anything about it being anyone else so i didn’t think to ask. This threw us because our transfers tend to be complicated due to my cervix passage and uterus position. I was also to be under anesthesia for my transfer which you can’t drink water for. And the doctor on call that day seemed to be confused why I didn’t have a full bladder and why I was getting fluids through IV. He ended up making me drink water and the anesthesiologist understandably had to wait until the water moved from my stomach to do the transfer, which was a 2 hour delay. It’s obvious Dr. Loy did not leave clear notes or talk to this doctor beforehand. Or the doctor did not pay attention to any notes left by him, so either way communication is an issue.

Do not be afraid to ask questions and advocate for yourself. If you don’t understand something try to ask in that moment. It can be intimidating to question a doctor on his protocols or have them breakdown something in simpler terms for you but that is why you’re all there! So that you’re all on the same page and all feel confident in next steps. You shouldn’t leave an appointment not understanding your plan or having doubts about it. He can read your chart all day but nobody knows you better than you.

Don’t remember exactly the protocol for retrieving with my own eggs. I know there was cetrotide, gonal f, tigger shot and something else I can’t remember. This resulted in 3 eggs, 2 fertilized, 0 blastocyst. He said it was the strongest protocol he would give to someone like me (small frame, diminished ovarian reserve) and next step would have to be donor eggs. With donor eggs we used Lupron and estrogen and progesterone and I responded “textbook” to these and transfer was a success but ultimately had to terminate for chromosomal issues. Next cycle we did same protocol because it had previously worked but i did not respond as well. Third try we did letrazole protocol which had good results but transfer did not result in pregnancy. Our next try we are doing estrogen protocol. He was going to do Lupron again but I had to remind that though this did work once it didn’t the second time so we’re trying something new.

Approx $13k for egg retrieval $17.5k for donor eggs (lot of 6 with one embryo guarantee) $2.2k for FET Does not include meds, hysteroscopies (3), biopsies

He strongly recommends single embryo transfer for me as I have a pretty small frame and he believes multiples will be difficult for me to carry.

When speaking with Dr. Patel I felt like she was championing my journey. I wish I could see more of her throughout the process. She made my husband and I feel comfortable with her and she truly gained our trust, which is usually difficult for my husband. She made us feel like she was just as invested as we were to help us become parents.

Tell her everything you expect from the process so she can adjust to you. You don't have to adjust to the craziness of the office.

At first we did one round of Letrozole (5 days) with a trigger shot and relations. We then moved on to two rounds of IUI with Letrozole (5 days), trigger shot, and IUI. Our final round of IUI we came to the conclusion to do a more aggressive form of IUI with Letrozole (5 days) plus Gonal F shots (5-6 days) to help my follicles grow, trigger shot, and IUI.

Luckily for us our IUI's were covered under my insurance. However, as we move onto IVF we've seen that our out of pocket cost will be about $14K.

Dr. Patel was patient and friendly and knowledgeable. I remember thinking she was the best doctor I’d ever had. I believe now she has taken on too many patients, or she is taking more time off because I haven’t seen her in over a year.

Know that you will be seeing her PA and partner doctors for most of your appointments.

I used Letrizole for one cycle to see how i was ovulating. Then I used Letrizole + a trigger shot + IUI, which resulted in a healthy baby. She diagnosed me with PCOS and said that sometimes I ovulate and sometimes I don’t. She thought and trigger shot and IUI was the best fit for me.

Diagnostic testing was covered under insurance, so only small copays. Once diagnosed, everything else came to approximately $1300.

Dr. Jaffe was present at our first initial consultations as we learned about the IVF treatment plan I would be experiencing. When I began treatment and went to the office for blood work and ultrasounds, these were done by 5he nurses or techs. Dr. Jaffe has 2-3 nurses that work directly with her that would review my test results and call me that afternoon with results. If I had a question or concern I could call the nurses or send an email through the portal. Dr. Jaffe did perform 1 ultrasound on me as I got closer to egg retrieval. She performed my second egg retrieval.

She is very knowledgeable about infertility, but sometimes talks very fast and throws alot of information at you during your initial diagnosis/ consultation. Ask her to slow down and take notes. Write down any questions you have beforehand so you don't forget.

I did 2 Egg Retrieval cycles, antagonist protocol. The first cycle only achieved 8 eggs. The second cycle achieved 15 eggs. The difference between the two cycles was that Dr. Jaffe allowed me to stim 2 more days the second time therefore allowing more follicles to grow. I was happy about this adjustment in my treatment.

Our insurance doesn't cover anything related to infertility, therefore we were offered a "package" through Attain Fertility. We signed up for the 2 cycle IVF program, for $25, 700. However this doesn't cover any of the egg retrieval procedures, or the anesthesia used. It doesn't cover any medications or PGS (genetic testing). We also pay $60 a month for the storage of our eggs. There are a few other things along the way that are also not covered. Altogether we have paid about $50, 000 and we haven't even gotten to transfer yet.

Because of my age (40) I was told we would only be transferring a single embryo, when the time comes in May or June.

Dr. Loy took the time to review my entire medical history and any concerns I have ever had related to my reproductive health. He always gave me a positive view and motivated me to stay positive and trust the process. I never felt rushed during an appointment with him. He was very thorough and loved drawing pictures to help my husband and I understand the anatomy and physiology of the fertility processes. He made me feel like I was his only patient!

If you are hesitant about scheduling an appointment, don’t be! I wish I would have started this process with him sooner.

I had unexplained infertility. My cervix also required dilation. I did letrozole in preparation for IUI and used pregnyl trigger shots. After IUI I took progester400mg at bedtime. After 4 unsuccessful IUI’s we chose to start IVF. I did stims and ovidrel trigger. I had 10 eggs retrieved, 6 mature, 5 fertilized, and 1 made it to blastocyte stage. The embryo was transferred on day 5 as a FET. I started endometrin 100mg 3 times a day.

My insurance covered most of the monitoring appointments. The remaining costs I felt were fair and aligned with state averages.

I agree with eSET due to my age and the risks associated with multiple births.

She can be very dry and intimidating sometimes. She is very straight forward though and confident in her skills. Sometimes I did have to argue with my clinic to get her as my doctor even though we went to that clinic for her services only.

Prepare for long office waits and to be prepared with questions if you have them ahead of time.

We used lupron depot and birth control to start. Gonal F, centrotide and menopur for stimulation. We used progesterone and estrogen for and after transfer until the pregnancy test.

We spent about $40,000 this year for 3 stims cycles and one transfer. That’s with the cost of medications.

Dr. Randall Loy is a very experienced and knowledge reproductive endocrinologist. He explains everything in a comprehensible manner. However, I felt at times that he forgot about my diagnosis; nevertheless, he finally paid more attention to my case due to thick uterine lining which caused several delays of the embryo transfer. At the moment, he has proposed alternate protocols for me, which are in process, in order to see if it changes my situation.

Dr. Randall Loy is a very knowledgable and has good bedside manner. However, you must be prepared to remind him about your diagnosis/situation because he will forgot about your case. Patients must write questions in advance to ask him so he can inform you about your protocol.

I was on Enskye (a birth control pill) and I also took Estrace and Progesterone. I was successful in obtaining menses due to taking Enskye; however, the Estrace pills caused me to have liquid in my uterus which delayed several of my transfer cycles. I have undergone three hysteroscopies and two cervical dialition to investigate why I still had blood and liquid in my uterus.

I found an egg donor through Circle Surrogacy agency. The retrieval was down at the clinic. I have undergone more than 5 failed cycles and out-patient procedures due to my uterine lining. Therefore, I have compiled about $10,000 of bills and expenses at this clinic.

My doctor had a strong preference for single embryo transfer.

She is truthful but with compassion. She is very intelligent and explains things well. It is a large clinic but with major procedures she tries to do them herself. My wife thought she could have been more personable but I liked her. She is not simply going to tell you what you want to hear which I think is important.

Make an appointment with Dr Jaffe for a consultation if you start to feel lost in the system of the big clinic.

So far I have done 3 IUIs with clomid and a trigger shot. I ovulate on my own but we added clomid to possibly give me two eggs release instead of just one. I should be starting IVF within the week. The plan is antagonist protocol with no birth control. We will freeze all embryos and do genetic testing. Dr Jaffe recommends genetic testing for anyone over 35.

IUIs were approximately $1000 each with monitoring and procedure.

She strongly prefers one embryo but told me she would do 2 if not genetically tested because I am 36 with low reserve.

As of now we have only seen Dr. Jaffe for a consultation appointment. She did perform my very first egg retrieval since there are 5 doctors within the practice. Our friends had success with Dr. Jaffe's intense treatment plan, and they preferred her direct approach, and "tell it how it is" but with compassion. During our consultation she was honest with us in saying that our quality of eggs needs to improve if we are going to be successful in this process, and have embryos that come back pgs normal. She put us on a strict diet, and multiple supplements, not only for myself but my husband too. He is now fully immersed in this process besides being my rock and my emotional support. We look forward to our next IVF cycle in June with her, this is our 4th and probably last cycle due to no insurance coverage. Dr. Jaffe is aware of that, and wants to align us in every way possible.

You need to be prepared to have an honest and direct doctor. If you are looking for a doctor more aggressive, she is for you. She will tell you what you should be doing, if IVF won't work; she will tell you. She is compassionate even though she is direct, and I appreciate that in a doctor especially during a journey that is extremely emotional and financially taxing.

Since we have just started seeing Dr. Jaffe we haven't discussed exact protocol. She wants us on the supplements and vitamins for a few months prior to starting treatment. She did mention for myself doing a testosterone primer leading into injectables. This is different for me as I have not done a primer before. My very first protocol was an antagonist, and my body did not respond well to that, so we will not be doing that again. We look forward to learning the protocol that she sets for us, and embracing it!

Under Dr. Jaffe we have only been seen for a consultation and bloodwork (AMH level, Vitamin D) My past treatments include 3 rounds of IVF, all leading to egg retreival (all 3 cycles 16,000 - had insurance) PGS testing (all 3 cycles 5,100, not included in insurance) Medication (all 3 cycles 11,000, split between self-pay and used insurance) Payed for a FET, but cancelled (4200, insurance depleted, self-pay)

We have not broached this subject yet with Dr. Jaffe, but my prior doctor was against doing anything but a eSET. Dr. Jaffe just wants to do what is best in the safest, and most successful approach.

He is very knowledgeable, kind, good bedside manner, and very patient with numerous questions. We built a report from the begining. He made me feel comfortable by explaining things thoroughly. He also knew my obgyn, and had the same diagnosis as him, which made me feel very comfortable. He was also one of the founding physicians at CRM. I did only see him 3 times during my course of treatment. All my other appointments I saw the lab tech ir ultrasound tech. The last appointment was to discuss changing my treatment plan because of the 4 failed cycles.This was upsetting to us, but not Dr Loys fault.

Prior to being seen I highly recomend that you compile a list of questions. Make sure he has all of your medical records and you know all of your diagnosis.

I have PCOS and stage 4 Endometriosis, so its a double whammy. Originally, they stated that I should go straight to IVF, but would be willing for me to try stimulation medication with times intercourse. I took a course of letrozole followed by a trigger shot ovidrel. This was not sucessful due to the PCOS. Staying helathy with diet and exercise, and reducing stress is key.

My insurance company covered a lot, so my out of poocket expense was about $200 per cycle. I have United Healthcare.

Dr. Rigall came highly recommended from my OB. His experience shows in everything he does. There are two examples that come to mind. We were in our second IUI cycle, and the ultrasound tech could not find any follicles on any ovary. We saw the tech twice for an ultrasound check, back to back days. Their protocol is that your doctor will do your next scan before canceling a cycle. Dr. Rigall performed this third scan, and he found a large follicle right away. He was very compassionate and apologetic that I had to go through that rollercoaster of emotions. He then explained the issues that may have prevented the tech from seeing anything on her scans. That then was communicated to the techs for future scans and put in my file. I also learned so much, I never knew that my left ovary hides and can be difficult to see regularly. It was helpful for everyone involved. The second example is after leaving the doctor getting ready for my first IUI, I went to drop off medication at the pharmacy. The pharmacist saw Frank Rigall on the prescription and talked to me and told me that him and his wife saw him over twenty years ago. He went on for close to five minutes of how wonderful he is, and how he cared so much about them and they wouldn’t have their family without him.

This journey can be very emotional, and challenging at times. Trust in Dr.Rigall, he is here for you and wants you to succeed. Ask questions that you have, he will be happy to answer them. Don’t be afraid to question him, he wants to make the best treatment plan for you, and make you feel comfortable during the entire process. It is hard trusting someone with so much of your heart since this is ultimately how you will become a parent, but do trust him and embrace the process. Make it your own personal journey.

During my treatments we started out with IUIs. I’ve been diagnosed with unexplained infertility so we wanted to start out with an assisted and medicated cycle. All of the IUIs were the same protocol of clomid for 5 days and then a trigger shot. This was timed with scanning and determining follicle sizes. My first IVF cycle was antoginst. This cycle was almost cancelled at my treatment day 5 scan, but we stayed in at and on our treatment day 7 scan everything looked very positive. This ivf round resulted in 4 eggs retrieved. 2 were mature and fertilized. Only 1 made it to biopsy and freeze, and this embryo cane back abnormal from pgs testing. When we determined that we were going to do another cycle, I questioned the protocol that we were using. Dr.Rigall already planned on changing the protocol. The second round we fidna Lupron flare protocol. We had great results this round from start to finish. We had 7 eggs retrieved, 4 were mature and fertilized. 2 made it to biopsy and freeze. This protocol has gotten us out one and only pgs tested normal embryo that is waiting for us now. Our third ivf round was also the same protocol, the lupron flare. We didn’t have as much success this round, but still worth every minute. We had 4 eggs retrieved with only one being mature, fertilized, biopsied and frozen. Unfortunately it came back with abnormal pgs test results. After each retrieval before we started another round we talked with Dr.Rigall and he went into depth about the protocol and the choice. He was happy to answer any of my questions, and hear my concerns.

Since I am working full time during all of my treatments I was a little worried about all of the monitoring appointments that I would need. However, they worked with me and my work schedule. I worked 5am-4pm so I would always ask for the masters possible appointment that I could get but still be able to get results when needed. They would always schedule me for a 2:30 appointment so then I would only miss the last 2 hours of my work day. They were very easy to work with, and I never had an issue.

The costs seemed average as to compared to friends that were going through treatments in another state. Dr. Rigall has his own financial/billing consultant so during each step of the way I have only been communicating with one person which has been amazing. The IUIs were very reasonable. IVF is a costly treatment, but affordable with insurance. To date we have paid close to $10,000 out of pocket for clinic treatments just for ivf. This doesn’t include surgery facility fees, or medication fertility injectables are very expensive. To date we have paid close to $8,000 on medicine. We just ordered the medication that goes along with our transfer protocol as well. Moving forward though, we will have no insurance coverage. My fertility coverage is capped at $11,000. We have reached that max so everything moving forward will be out of pocket which is a little daunting, but the clinic has been wonderful working with us for making payments.

We haven’t done the transfer yet, we are actually in a holding pattern waiting on endometrial biopsy results before we start our transfer protocol. We only have one embryo so this question is a moot point for us. However, in our initial consultation Dr.Rigall did state that he would only transfer one embryo at a time. I didn’t question this because I was on board with one at a time as well. We are having complications getting pregnant, so I wanted to set our future child and myself up for success during a pregnancy.

He took enough time to explain everything to us. He ordered few tests and we received follow ups call. He did not rush us, wasn't short and tried to explain everything with details. As soon as he walked to the room he started with personal questions and it felt like he tried to know us before anything else

Don't afraid to ask questions

We haven't started any treatment yet! My husband is taking antibiotics to check to see if it will change his numbers. Dr Loy first wanted to make sure he has all the results he needs. He advised that we might not get presaging naturally but he will give us options to consider.

Seems most of the tests are not covered by my insurance, which is not their fault however it seems if testing done in this facility the price is much higher

Dr. Loy is absolutely great at explaining his recommendations, making sure you understand how your body works, and making sure you are comfortable with the course of treatment. There was a time where I felt I was in a hamster will with no real evaluation of what may have gone wrong. However, if you take the initiative to say I need to see him and speak to him, he will do so.

Do not get stuck in the cycle of just going through the cycle. Make sure that you request an appointment to take to Dr. Loy himself, not his nurses, about what his thoughts are about your treatment. Follow all the directions. If he says take certain type of vitamins and change you diet, then do it.

At first we tried Letrozole and eventually went to clomid. I used both with and without IUI treatments. I started treatment at 34 years old, my egg reserve was not the greatest, and I had endometriosis. So we wanted to try to be aggressive after surgery.

I definitely spent thousands.

Not applicable.

I thoroughly appreciate my treatment experience with Dr. Jaffe. If I could go back I would have seen her sooner and would choose her 10 times over. When it comes to treatment, she is highly qualified. If you're looking for a therapist, see a therapist. Dr. Jaffe isn't there to consult your emotional concerns with infertility, she is there to address the medical side. I highly appreciated her swift approach to treatment that was entirely medical based, and the fact that she considered my requests and recognized my ability to research aspects of my treatment on my own.

If you need a highly emotionally available doctor, she isn't for you. If you want a highly efficient and practical doctor, she's great. See her.

For IUI cycles, it was letrozole + ovidrel trigger (failed cycles). For IVF retrieval, I think it was agonist. GonalF, Cetrotide, and Lupron trigger. I was highly responsive and we froze 13 embryos (freeze all cycle). For frozen transfers, I took daily estrogen, then progesterone in oil injections. First frozen transfer failed. Second was a success.

She recommended eSET for me (under 35) but was open to transferring two upon my request (we talked about the option). Had I wanted it, she would have done two, but considering my chance of success she felt the risk of multiples was too high (and I elected for one).

I have had a bad experience with a previous doctor. I had a miscarriage under this other doctor and he was very unclear about what was going on. When I started going to doctor Patel she was very understanding and was able to explain what was going on in much detail. She helped me walk through what could have happened with my miscarriage and start the next steps to try and get pregnant again. I am grateful for the hope she gave me and for the wonderful experience I have had with her.

A piece of advice I would give would be to ask as many questions you can to best understand your treatment.

My treatment strategies were to use Femara as well as a trigger shot (I don’t know the name of the medication). As mention before I had a miscarriage through a previous doctor and was on clomid. Because I was able to get pregnant on clomid when I started going to Dr. Patel she decided to try femara with a trigger shot for 3 months. Currently I am on my second round right now with hope. If it doesn’t work after three rounds then we will move to IUI/IVF.

I previously had a miscarriage with some complications. Which resulted in me hitting my maximum out of pocket and quite a few not covered medical bills. So based on that I haven’t had any medical bills through Dr. Patel yet.

Dr. Loy is a great doctor. He is extremely knowledgeable. He explains everything very clearly, with a picture to help his verbal explanation. Also, he doesn’t push unnecessary treatments. However, I did not see Dr. Loy at every visit. In fact, his PA performed my first and only IUI. I do wish I could see Dr. Loy more often.

Definitely ask many questions. He is very knowledgeable and willing to answer all questions.

Following the testing of my hormone levels, I was diagnosed with hyperprolactemia. I was placed on Bromocriptin. Once that hormone leveled out, I was set for IUI #1. I took Letrozol 2.5 mg, twice a day, cycle day 3-7. Then, on cycle day 12, I injected the trigger shot, Ovidrel. Finally, on cycle day 14, I had the IUI done. One week after IUI, I had my estrogen and progesterone checked. Both normal. Two weeks after IUI, a home pregnancy test was positive. Ultrasounds at 6.5 weeks and 8.5 weeks. As 8.5 weeks, my twins had passed. Missed miscarriage. I had the fetuses tested. Trisomy 22.

I don’t know. I’m a veteran. The VA is currently paying for my IUI procedures (up to 6 IUIs). Unfortunately, the VA will not pay for IVF.

N/A

Dr. Loy is a very experienced and well equip man in what he does. He knows all the up to date studies and other important statistics to help understanding. When you do consult with him he will take the time to explain things to you. He is well mannered. He is not very emotional/relational. He is more to the point. If you need someone who is very empathetic and readily available he may not be the one. Their practice is very large and successful but they focus more on their numbers and success rates than the patient specifically themselves.

Know going in that they are very effective, experienced, and successful at what they do, but they are not always on top of everything and you can feel like a Number many times. You also may not have your own doctor for the procedures depending on who is working that day.

For two of the prosecutes we did the very structured and co trolled injectibles as the protocol. The third treatment we used a pill form medicine to naturally create the eggs with the body doing its own thing which I preferred!

I believe it was about $2,500-3000 for each frozen transfer. I believe it was around10-15k for egg retrieval with everything. Do not fully remember off hand.

I was thankful for only putting one embryo with tragedy from my future that came with multiples. I also appreciated doing only frozen verses fresh to give my body a break.

I highly recommend Dr. Jaffe. I had a horrible experience 3 years ago when I first visited a specialist on south Florida. My husband and I were misdiagnosed and told we would never be able to have kids. Thanks to Dr. Jaffe our very first IVF cycle was successful. From first visit, I felt at ease. The facility is great. Everything is done on site. The nursing staff is wonderful too. Everyone is extremely knowledable, prompt when returning messages and pleasant to deal with. I'm extremely grateful to have found CRM and Dr. Jaffe.

For my egg retreival we used Gonal F, Lupron and Centrotide. I had 1 retreival resulting in 26 eggs retrieved. For my transfer I started Lurpon and Estrace prior to transfer (not at the exact same time) and PIO injections prior to transfer. Our first transfer was successful.

I was extremely lucky and have insurance coverage so my cost were reasonable.

They only wanted to transfer 1 embryo (which I was fine with) as risk factors increase with multiples.

Dr. Jaffe is an amazing doctor! I would highly recommend her to anyone I know and don’t know. My partner even recommends her to people as well. She is every kind and warm. She is very through in her explanations and never makes us feel stupid for asking a question. She’s never in a rush and always make sure she has done her best to help us understand our delicate situation. She does her best to make us feel comfortable. It’s not all serious, she will joke with us and talk about other things to lighten the mood. We love and appreciate that so much. My partner can get nervous and I can be very anxious, her joking with us helps calm our nerves. We definitely apperciate her in so many ways. She always has our best interest at heart. She recommends different plans that will work for us and whats will be in our best interest financially. We always feel calm and at ease after we leave an appointment with her. We would hands down recommend her to anyone we know. She truly has the best bedside manner of any doctor I’ve seen.

Relax and be calm. Dr. Jaffe will take care of your needs and listen you.

I started with an ultrasound on day 3 of my cycle. Then I started with taking letrozol 20mg twice a day, day 3-7 of my cycle. On day 10 I would go back for another ultrasound to look at the size of the follicles. Depending on the size I would return on the day in which they told me to for a follicle size of 18-20mm. Then they would tell me when to give myself the 10,000 units of HCG. They would then explain to me when to have relations. Then 2 weeks later they would have me come in for a blood pregnancy test to see if I was pregnant. After 3 cycles of this treatment we went on to IUI. We did 2 cycles of IUI everything being the same as the treatment before expect when I gave myself the 10,000 units of HCG we have to be in the office 36hrs later to give a semen sample and have them to place that sample higher in my uterus. They had me return in 12 days to see if I was pregnant.

It varies every month

Dr. Patel answered all of questions whenever I had any. When my first cycle of timed intercourse with letrozole and ovidrel injection didn't work, she moved me on to IUI. Her warmth and personality in our meetings have made me feel comfortable. And her confidence that I would get pregnant has made me hopeful!

Dr. Patel is popular so book your first appointment as soon as you know you need it because it may take a while to get in to see her at first.

I had one Timed Intercourse cycle. I went in for monitoring on cd 3, took 2.5 mg Letrozole from cd 3-7 then went back for monitoring at cd11. My numbers were where they needed to be so I did a trigger shot of Ovidrel that night with intercourse that night and the next two nights. I also used Prometrium during my luteal phase. Sadly, I did not get pregnant. I had to wait to be on my husband's insurance so we are now in the middle of our first IUI cycle. Again, I went in for monitoring on cd 3 and took 2.5 mg of Letrozole from cd 3-7. I went in for monitoring on cd 11 but my numbers were not where they needed to be. I went in again on cd 13 and they were still not high enough and my lining was thin so she put me on estrace and I will go back for another ultrasound and bloodwork on cd 15.

The 2 times I have actually SEEN Dr. Patel she has always been warm and caring and answered all of my questions. I only saw her for my initial infertility consultation and then my second consult after surgery to start IUI's.

First we did labs and an ultrasound to get a good baseline. Then we moved on to IUI. Baseline scan CD1-3, letrozole 5 mg CD 3-7, follicle scan CD11 and trigger to follow. IUI 36 hours after trigger. Progesterone level draw CD 21 (mine was on the lower end so I started suppositories CD21 until 28). Take home pregnancy test 14 days after IUI.

Insemination and washing $450