Center for Reproductive Medicine Orlando

In my first consultation Dr. Patel was extremely thorough in my work up and miscarriage history. At my “results” visit she went over every result and what the treatment plan for it was. Unfortunately my second cycle ended in a miscarriage at 10 weeks for unknown reasons. Dr.Patel acted quickly to preserve the pregnancy for a D&C to obtain genetic test. She has since been working with Dr. Kliman at Yale for his endometrial function test on the D&C products as well as an EFT within an IVF cycle. She has been warm, empathetic and thorough throughout my journey

Be very clear with her nursing staff. It is easier to get a response through their portal messages than calling

The first two cycles were times intercourse with trigger injections. We used clomid day 3-7 after ovary check, then checked day 14 for tigger injection with low dose steroids, followed by progesterone suppository until pregnancy testing. This was coupled with daily baby aspirin, prenantal vitamins, metformin 1500 a day, and vitamin D

I don’t recall exact costs. A biopsy was roughly 500$ medications ranged from 8-60$ and my hysteroscopy with anesthesia was 2000$

Dr. Patel’s preference is single to minimize risk to both mother and babies

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. 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

He is a wonderful person. He always has a smile on his face and is a very relatable in conversation. He is a family man and is easy to talk to. He was always there when we had questions and personally called us back if we requested a call back. He is a wonderful doctor.

To listen to what he has to say, ask him whatever you want. He is a brilliant man!

We did an atognist protcol if I remember. We did menopur, gonal f, and cetrotide I think. We were on bcp prior to stims, we stimmed 9 days had 18 eggs, 14 retrieved by the on day surgeon not Dr. Ashante because it was not his day. Only two made it to blast and only one came back Pgs normal. We also did lupron and progesterone prior to transfer and progesterone during the tww. Unfortunately it didn’t take and we didn’t get above a 0 on my beta. We are now prepping for the 2nd cycle with new supplants for about 3 months prior to retrieval. Hoping for better quality eggs this time.

$29,000

Every time I talked to Dr Patel I wanted to hug her. She never made me feel stupid for being upset and always calmly explained anything I needed explaining. She always responded to my questions through the nurses most of the time, but my questions were answered.

Come to appointment with questions. Dr Patel will answer anything you need to know, but she doesn't know what you do and do. It know. You have to ask.

We started with 2 cycles of medicated cycles with letrozle, orebyl trigger and progesterone. Then we moved to iui with the same protocol. Then the third iui we added estradiol. After the third failed iui we decided to take a break from treatment and also to use that opportunity to try to lose weight to improve fertility. We will resume treatment in May 2017, 30 pounds light. We will likely try two more iui before IVF.

Monitoring appointments were covered by insurance. Rate for IUIs was approx $500

She had wonderful bedside manor and addressed a very delicate situation as such. I never felt like she didn’t understand my struggles or the pain associed with them. I would recommend her to anyone in central Florida that needs an RE

I would recommend that they avoid letting the nurses make a decision without consulting Dr. Patel 1st.

I had 3 failed rounds of Clomid and 3 failed rounds of Letrozol at the highest dose that could be prescribed by an OB/GYN. She did all of the prerequisite tests to make sure I could become pregnant and stay pregnant, and then she raised the dosage of Letrozol for me. We continued with ultrasounds to check follicle size and then did a forced ovulation trigger shot. It technically worked the 1st time but resulted in a chemical pregnancy. We tried again immediately (counting the chemical pregnancy as a period bc I don’t have them on my own) and we were successful

Dr. Patel was very friendly from the beginning and always listened to my concerns. She was always very professional, yet established a great relationship with me. She wanted me to feel comfortable; it was not hard to open up to her and build trust. She was an amazing doctor!

Be open and always speak your concerns and worries. Do not be afraid to ask questions.

For Egg retrieval: menopur injections (morning) Bravelle (evening) Cetrotide Lupron For egg Transfer: Birth Control pills Lupron (10 units) in the morning Estrace 1mg and then progesterone

close to $13,000-$14,000

Because they retrieved 31 eggs, 21 eggs fertilized and only 7 eggs made it to to final freezing stage...Doctor was okay with me transferring two embryos because she wanted me to have better chances of me conceiving....(my lining was also not looking ideal; instead of canceling cycle, she wanted to transfer either one or two and see if they would "stick"----luckily, they both did!

He was very nice and went through extensive details of why me and my husband might not be conceiving- we had my former OB who I did my Clomid and Letrozole treatments with and husbands sperm analysis send over her paper work. He went through each page with us, reading carefully. He checked my tubes during a office visit and then went up my cervix with a camera to check to see if there was any scar tissue blocking me from getting pregnant from my c-section. Next step was 3 IUIs, then to IVF. He thought there might be a blockage where the sperm cannot reach the egg. We didn’t continue treatment because of the out of pocket costs and traveling out of town missing work.

Nothing- he takes care of everything for you.

I included this in a previous answer. He decided I had a possible blockage and needed to send the sperm closer to the egg try 3 cycles of IUI, then IVF. The mounting costs of all these procedures weighted heavy on our shoulders ontop of the drive to the clinics (45 minutes away) and missing work. My insurance doesn’t cover anything with fertility treatments

Copays for diagnostic treatment. Then when I started rounds of IUI it was completely out of pocket and had to be paid before treatment was given. I would have to pay for medications, sonograms, sperm washing and handling and the actual treatment itself.

It was refreshing to have a doctor who was so positive and gave us hope again. She gave us hope and got us excited for round two! She also helped guide us to eating right and vitamins which makes me feel more in control. I real like working with her.

Go as soon as possible. She will work with you and really help you feel comfortable! Don’t wait because you are afraid or embarrassed! She will find a way to make it work for you.

We actually had to pause because of the pandemic. But we were referred to a urologist for the MI issues, I have been on the Mediterranean diet and on a course of vitamins.

I only paid for the testing so far but they have many options, including some financing options.

Dr Asante is my second fertility doctor and I have only been working with him a short time but my experience has been wonderful. Dr Asante has great knowledge on the process and is very through with al areas of treatment. After my embry transfer, positive pregnancy results, and miscarriage, Dr Asante was very empathetic and compassionate

You are able to trust him with your care

Dr Asante followed the clinics protocols and is resulted in a successful thaw transfer, however I later miscarried

My medications (progesterone and estrogen) were around 60 per week. 2,900$ for the FET. My ultrasounds and blood work were billed to my insurance, and I paid a 65 dollar co pay per office visit

Dr Asante tansfered a single embryo, however due to my recurrent miscarriages stated he would approve transferring more than one embryo at my next transfer if that is the decision I make

Dr. Patel took her time in explaining things and didn't assume that we knew anything. The only miscommunication that I believe we had was us thinking that doing the IUI meant an automatic pregnancy and when we tried once, then twice, to no avail, we decided to "give up" in a sense. Every time we've returned to CRM, we like working with Dr. Patel because she has been there from the beginning and she is working hard at helping us reach our dreams for our family.

Be open in what you are looking for and expect her to be candid and honest with you in a empathetic way.

My doctor was not for multiples, no more than two, because of the health risks that come along with that.

Dr. Silva made me feel comfortable wen meeting with him. I didn't feel too rushed. He gave me tissues and time to cry when I became emotional. He did a pretty good job of explaining things. The only thing I didn't appreciate was always hearing about the IVF option. I knew it was an option but I wanted to try other methods first. He did not in any way pressure me to have IVF. However it was usually mentioned as an option in our meetings.

Be comfortable to ask as many questions as you want. Seek clarification and understanding regarding any information givento you.

HSG Blood work Semen analysis for husband Prep body/ovaries, etc for IUI Vitamins for husband and I Ultrasounds to check ovaries, etc 1 round of IUI with negative for pregnancy.

Don't remember exactly but I believe it was reasonable. We paid mostly out of pocket.

N/A

Dt. Patel is very informative. She's kind and caring and very much loves her job. She explaind everything and really listens to what I want in my treatment. Other doctors diagnosed me with unexplained infertility and acted like I was too young to even bother yet. She never made me feel that way and always validated my feelings. She also does a great job of being clear and to the point which I enjoy. Overall my favorite infertility doctor I've seen yet.

Relax, and let Dr. Patel take over

3 IUIs with a trigger show if no baby then IVF

it was about 1,000 per IUI with meds and all monitoring.

He is very honest and let's me have some control over my treatment. The staff is always friendly and supportive.

Go to him if you want someone to be honest. He is considerate but tells the truth

Usually they try something 3 cycles in a row. They don't force unnecessary procedures and I can elect further testing

She was understanding, enjoyed being challenged with educated questions. She treated me like an educated medical professional (which I am) and didn't mind me asking tough questions. She was helpful in suggestions given and was very thorough in making sure sure had all of her bases covered with me.

She rocks! She explains everything to me in normal people terminology meaning not doctors words. She is hands on and really cares about her patients! I travel over 2 1/2 hours to go to her center to see her even though I have an IVF center here where I live.

Be patient, listen to her because she knows her craft and stay positive

On my second attempt I used a natural approach. Meaning less meds and less doctors visits. She looked over my last treatment and seen that I did get pregnant but the baby didn’t stay due to my hormones dropping. This time around she gave me less meds and allowed my body to feel it on its own. I’m not pregnant and grateful.

I’m just starting, however I am confident that I chose the right office and doctor. Dr Patel is attentive and her Nurse Practitioner was a pleasure to meet as well. She’s a fantastic educator. She took the time out to explain everything so that my husband And I were comfortable and understood all the information provided.

Ask questions and be open about what you want.

The costs are ridiculous for IVF however I don’t believe the doctor can change that. Our insurance doesn’t help either.

It was originally made to sound like I was just "doing it wrong" and I was required to repeat costly tests not covered by insurance when my OBGYN had sent all the previous tests to her office. We knew the issue was low sperm count but I got tested for everything under the sun while my husband was asked for one sample. Afterwards, she made it seem too easy and that I'd be pregnant right away without explaining that it would be months of testing.

Ask "how long do you anticipate my treatment plan to take?" and go prepaired with facts. They might do good work (it didn't work for me) but it's all a form of sales.

We did 1 IUI "blind to see what happens" which was upsetting because it was costly and we had been trying for 4 years at that point and this wasn't explained up front. Again, it was as if we just didn't "get" how to achieve pregnancy. The 2nd IUI consisted of "sperm washing" to ensure viable sperm and the 3rd with sperm washing, drugs to force ovulation (I had no issue ovilating) and at home fertility injections into my belly.

Each IUI cost a minimum of $700 but that is without any drugs, initial testing, or office visits. Over all, after testing, drugs, and our 3 (failed) IUIs; we spend about $4000 before we decided to take a break for treatments.

I would recommend her to anyone and I have. She's very knowledgable and answered all my questions. She completed my surgery and took the time to review the results and next steps.

If you want someone to sit down and cry with you I don't think she's it. She's straight to the point and wants to get you pregnant. She is compassionate but in her own way. Her job is to give you a baby and that's what she focuses on

Ultimately she tells you the best option for your situation but as the patient and the done paying she leaves it up to you. I had to have surgery. She recommended two options, surgery first or try fertility meds first. I wanted to do the cheaper route however my husband figured it would be a waste of money and to go straight to surgery. We chose that route and then after sat down with her to review our next options, fertility meds, IUI and then IVF if needed

My insurance covered a lot of the surgery. Ultrasounds were over $100 each time but they monitor my account with my insurance and I always have credits to pay for things

Although my first IUI was not successful, I still love Dr. Asante and how he makes me feel as a patient. He is kind and very knowledgeable. He is positive about treatment but also realistic about what steps may need to be taken.

Started with lab work for me to determine my hormones and amh levels, then checked my ovaries for cysts. I started clomid cycle day 3, had a follicle scan cycle day 12 and scheduled the IUI for 2 days later.

IUI was $450, ultrasounds $225 and progesterone was $75, estrogen checks were $125

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.