Institute for Reproductive Health

This process is hard, and I would go back to IRH in a heartbeat if the funds ever allow for it. I felt comfortable at all times and I think they truly want the best for all patients- a happy, healthy pregnancy.

Dr. Burwinkle was very down to earth and was up-front and honest with us. Although our cycle was unsuccessful, Dr. Burwinkle made sure to call me personally the day of the results to ensure I was doing okay and to answer any questions we may have at that point. He knew he would be out of town the following week and wanted to be the one to talk to us about our treatment and concerns. I thought that was really nice.

My favorite nurse, Katie, was wonderful. She was the nurse who educated me on my last visit before egg retrieval and on the day of retrieval as well. She made me feel so comfortable and safe during the whole process. As a nurse myself, I hope to make my patients feel as cared for as she did for me. The nursing staff is extremely busy but always did a good job returning phone calls, even if you feel like you call their office 100 times a day.

Dr. Burwinkle was down to earth and to the point. He communicated well about our treatment plan and was very kind after our failed cycle. He might have even used a light-hearted curse word once which made my husband feel at ease (haha). Although our results were not what we had hoped for, doctors are humans, and we know it’s a risky business anyway. I truly feel like Dr. Burwinkle had our best at heart to achieve a healthy pregnancy.

Dr. Burwinkle does have a good bedside manor but a slightly dry sense of humor so don’t expect him to paint a pretty picture- he is going to be honest (in a kind way) with you.

I have never been diagnosed with PCOS but my AMH level at the time of treatment was high. Because of that, we used a fairly low dose of injectable medications (Gonal F @ 125, a couple of doses of Cetrotide and Ovidrel). I produced approximately 8 follicles with 7 mature eggs of 4 fertilized. Unfortunately only one of them were able to be transferred and none left to freeze. Dr. Burwinkle stated after that he would increase the dose of medications in future cycles.

One full cycle including ICSI, medications, the whole nine yards, cost approximately $15,000.00.

Our clinic prefers to transfer single embryos which I was fine with at the time. Knowing what I know now, I wish we would have transferred more but hindsight is 50/50. No one to blame for that. I understand and respect the reasoning behind only transferring one embryo at a time based on a fairly healthy and hopeful scenario.

Nursing staff is fantastic, doctors are knowledgeable and ahead on all current and future technology. The laboratory is best in class. I never had trouble getting in for any appointments and never had to wait for an extended period. They also have great access to resolve resource groups as well as girls night in support groups.

The battle to conceive was long and hard but Dr A kept fighting. He never gave up hope which gave us continued hope for success. He performed two D&C’svand a tubal pregnancy removal and always showed compassion. He was very candid that he thought my egg quality was the issue but gave me time and space to work through those thoughts. Ultimately he was 100% correctvand got us to the donor coordinator for further information. We gave two beautiful little girls now and are family is complete. Rainbows do come after storms.

He is an amazing doctor. Sometimes he can be a bit blunt but that’s just because he is trying to get you the results you are trying to achieve. Trust him he’s brilliant.

PGD was prescribed with IVF after multiple IUI miscarriages with chromosome abnormalities. With PGD we discovered that 80-90% of our embryo is had issues. When healthy embryos were unsuccessful. He recommended egg donor cycle. Once we went that route we only had one cycle and now gave one fresh baby and one frozen

IVF with ICSI and PGD was around 12-15k and donor cycle was 20-25k. Donor cycle charges in Clyde freezing of embroyos and frozen transfer. Cycle resulted in two Singleton pregnancies.

I think the clinic is wonderful. I feel like I was treated as a human being. I think they have great pricing in comparison to most of the clinics in this area. They truly want you to have success. I feel like they care more about you than their profit. I had no issues with billing or the nurse staff. The lab they work with Ovation is good too and treated my husband well for his analysis. The only thing I did not care for was the fact that they didn't notify me that I would be awake for egg retrieval. They don't use an anesthesiologist and the nurse administers your anesthesia. This wasn't how things were done at my previous clinic so I was taken off guard on retrieval day.

I felt like the clinic had our best interest at heart. I did not feel rushed in the appointments and they answered our questions thoroughly. They showed sincerity and empathy for what I have been through on this journey.

I primarily dealt with Katie and I loved her. She was very sweet and quick to respond to my emails and phone calls. IRH does NOT use a patient portal although Katie told me they were working on that and I still didnt feel a lack in communication there.

I felt that he was thorough when discussing my protocol and I understood everything. I feel like the retrieval caught me off guard because it was a light twilight sedation so I was awake during the surgery. I was never awake with my 3 previous retrievals at another RE so I was not expecting this. I was not informed beforehand that I would be awake. It was not pleasant. Transfer went smoothly. When I got the negative BETA I feel like the news was said to me in a gentle manner.

Same with all doctors and that is to ask a LOT of questions!

We prepped with birth control and lupron beforehand to suppress everything before I started. I am a high responder so he chose to use a menopur only cycle 225iu per night. We continued lupron though stims to prevent ovulation. For transfer only crinone vaginal cream twice daily.

8200 self pay for IVF cycle which included a fresh transfer PGS, ICSI, FET was additional

I only had two embryos from this fresh cycle and I had two failed transfers previously so he recommended that we transfer both to increase our chances.

Weaknesses: Organization skills (Outdated paperwork and forms), Statistical knowledge for individual's situations, Compassion Strengths: Doctors are professional, Nurse Katie is amazing, Institute's stats are high

I feel like a number at IRH. Not necessarily or specifically from Dr. Scheiber, but from everyone as a whole. I feel rushed throughout my ultrasounds and doctor's visits. No one truly understands how they need to treat patients in that field at this institute.

I included this information in previous answers.

I feel as if IRH does not care to educate their patients or provide individualized information. They repeat the same responses over and over and don't seem to want to deviate from their "recommendation." If I don't come up with the question myself, there's no way the doctors, nurses, or billing will voluntarily give me any extra information I need or let me know what's going on with my body. I would hear one thing from Dr. Scheiber and something different from the nurses - Which happened on multiple occasions. I feel like since day one the lack of organization, incompetency, inconsistency in knowledge of anything in general (mostly from particular nurses) has been a negative experience. My biggest issue at the moment is my husband and I were thinking about if we should have genetic testing done. We don't want to keep transferring embryos if they're not good embryos. (I personally think this should be part of the IVF process in general, at least to transfer the best one's first, but that's just me.) Anyways, no one discussed the option of testing and the pros/cons of doing so during the IVF process and fresh transfer (yet we found out they advise testing on fresh rather than frozen). We were told by Dr.Scheiber "There's no reason to test unless you have multiple failed transfers." Well we've had one fail and just started researching the idea of screening the other frozen embryos. At my ultrasound on Monday, we asked what Dr.Scheiber thought about testing. He said, the same as before, "let's wait." Well, we called the day after my ultrasound and left a voicemail. A nurse called us back and said, "We don't do genetic testing on frozen embryos." I cannot believe they're just now telling me this. I've asked about testing my embryos multiple times and no mention of this. After a frustrating conversation, she got off the phone, talked to Dr.Scheiber and called me back saying, "Well, we can test them, but it's not advised." Moral of this particular story and situation is the inconsistent information from doctor to patient, to nurse to patient, and so on. This is a huge deal. Testing embryos is a newer procedure, so if that decision should've been made earlier on, they need to make sure that's a heavy conversation and discuss the options with their patients. Last week I spoke to the nurse manager and her answer to a question about my period was, "Well, that's like looking into a crystal ball." Are you kidding me? That's how an infertility clinic is talking to patients? It's already an emotional time, they are supposed to be the experts and professionals. Compassionate and knowledgeable. I'm having a very hard time processing my present situation. This grant could help me start my journey at a new facility and I would be over the moon to receive such a gift.

I would advise a new patient to ask him as many questions as possible and do not leave the appointment until he's answered everything as clear as possible and in as much detail as you need. Also, write everything down!

I was on birth control for a couple weeks to stop my ovulation, then moved on to my injections to stimulate my ovaries, follicles and eggs. I was on Gonal-F 175 and Menopur 1 vial for 10 days. I added Cetrotide halfway through that, and my trigger shot Oviderel 26 hours or so before my egg retrieval. I didn't have to increase or decrease my dosages and my hormone levels adjusted as they were supposed to. We retrieved 17 eggs, 13 fertilized, 8 developed into embryos. I started vaginal progesterone supplements 3 times/day on the day of my egg retrieval. My fresh transfer was on day 5 blastocysts. I transferred 1 blast but received a negative pregnancy test two weeks later. Fast forward a couple months and I'm now scheduled for a frozen embryo transfer in two weeks! I'm on estrogen 3 times a day and I start Progesterone again 6 days before my FET.

Ultrasounds ran smoothly. I was always able to get in and out.

We've gone through IVF with ICSI and have a FET scheduled and we've spent around $15,000.

Dr.Scheiber and every other doctor at IRH recommends and highly suggests 1 single embryo transfer for patients first and second transfer. I thought about transferring 2 on my first fresh transfer, but then decided to go with 1. I believe they allow it, but you must sign consent forms. I'm 75% sure I'm going to transfer 2 on my next transfer.

They are very thorough, professional, and personable. They give you price lists for treatment ahead of time so you are prepared. Never a long wait for appointments. I have not experienced any weaknesses that stick out at this time other than distance I have to travel but that is out of their control.

He is very thorough but sometimes consults and appointments are quick and leave you with questions but he is always happy to deal with those if they arise.

They have always been quick to return my calls, answer questions, and are very personable. Always pleasant and understanding.

During my initial consult he was very thorough and detailed about our medical history and our plan. He can sometimes talk quickly leaving me with questions and not quite understanding everything. However, anytime this has happened I have had my questions answered promptly. I do feel that he is extremely knowledgeable and caring, especially in these situations.

Come prepared. Think of questions you may have and have any tests results or medical history available. This helps you get the most from your consult and future appointments.

So far I have done three rounds of Femara, to help with follicle formulation and growth. From there I had follicle scans to determine when they were adequate size and mature enough to release the egg. After follicles were appropriate size I was given a trigger shit called Ovidrel to release the egg and cause me to ovulate. Approximately 36 hours later I would go in to have my IUI. We started with IUI due to months of trying with timed intercourse and husbands low sperm account.

Each IUI cycle has been approximately $1200 for me and then the cost of my husbands sperm washing which was $250

No comment at this time

The clinic is very organized and has great practices set into place. The atmosphere is updated and nice and everything is done on site so the experience is easy. They call back quickly and are great at making sure your feel comfortable. The wait times for appointments are pretty much non existent. They are always ready for me at my appointment time.

Dr. Scheiber has always given me any information I needed and has always taken the time to listen and answer any questions or concerns I might have.

The nursing staff is amazing and knowledgeable. They take their time to answer any questions and return call quickly.

I feel that Dr Scheiber has a great deal of experience and is very knowledgeable. He tends to be more on the business side with the right amount of compassion. He is very detailed and I felt as if he gave me all my options at each step and made sure I knew what would be happening.

I would suggest to have a list of questions ready and now be afraid to ask all of them. Doctors are busy but don’t feel rushed. It’s your appointment.

The reason my husband and I needed IVF was because of a failed vasectomy reversal and there was no signs that I had an fertility issues so our protocol was pretty simple. Low dosages and we were able to have a great egg retrieval. After the first fresh transfer I miscarried and knew of was semi normal for that to happen since we didn’t do any embryo testing. Now that I have miscarriage twice, Dr Scheiber plans on doing more in depth testing to see if there is potentially something wrong with me.

Ivf cycle with fresh transfer and medication roughly $14,000 (cash only) Frozen transfer with medication $5000 (cash only)

Good: Free parking, early appointments, multiple locations around the city, affiliated lab right next door. Financial people are AWESOME and really know their stuff. Bad: Always felt a little rushed - they crank through a lot of people in one day.

I always felt a little rushed in the office. He doesn't do much explanation and leaves that to the nurses. He always seems very confident and is realistic about what his recommendations are, but I never felt like I had enough time with him.

Some of the nurses were better than others. The nurse I had on the day of my retrieval (Stephanie) was amazing. The nurse who did my "IVF Education Day" gave a lot of information but I felt like it was very rushed. In general, I think the nurses are very compassionate but they deal with this all day every day, so there's not a very personal touch.

Dr. Awadalla seems like a true expert and was very professional. I couldn't always see him because he doesn't work everyday and my cycles didn't work out that way, but he was there for the two biggest days (egg retrieval and embryo transfer).

Do your research ahead of time and make sure that you come in with questions because otherwise you will get hustled out of there. He'll answer questions but he doesn't chat through everything in detail otherwise.

After doing a round of clomid+intercourse with my OB-GYN, Dr. Awadalla did a round of IUI (femara+IUI). Because I have PCOS, we moved to IVF for the next step. We did birth control for 3 weeks so that I could go on a vacation, then 10 days of injections at a very low dose (150). We triggered with lupron and a normal trigger at a lower dose. They retrieved 33 eggs, 31 of which were mature, and 29 fertilized (no ISCI). We ended up with 23 embryos (19 day 5 blasts, 4 day 6 blasts). We did not do PGS. Just yesterday, we did a single embryo transfer after freezing for a month because I developed OHSS.

I was fortunate enough to have most of my costs covered by Fertility insurance. I did pay about $500 for medications/injections and about $250/appointment.

The doctor strongly recommended eSET based on the quality of our embryos and my age. We agreed with this recommendation based on the risks to mother and child(ren) associated with multiples.

Everyone here has been very welcoming and warm to us. Their greatest strength has been communication. They are quick to return phone calls, or answer any questions you may have. The only weakness that I have experienced so far is that the location is a little busy. I drive over an hour to get there, and it is in a very busy area so plan for extra time if traveling from a distance.

At my first appointment with Dr. Scheiber we sat down and he listened to my husband and I talk about the doctors we have been to, the miscarriages we have went through, the joy of finding out we were pregnant with our daughter, our pleads to help us conceive again, every emotion we were feeling he listened to. Dr. Scheiber wasn't in a rush to get to his next appointment, he really listened to us and helped us to feel better about the next stages for us to be able to conceive again.

The nursing staff is great! Everytime I call with questions or concerns they always call me back quickly. They have communicated with the doctor when I had concerns that needed addressed.

Dr. Scheiber has been a great doctor for us! Before coming to Dr. Scheiber we had honestly almost given up on being able to have another child. We will be starting IVF with Dr. Scheiber next week, and though we know there isn't a guarantee that everything will work out, he has taught us that we have so many options and different ways for us to be able to have another child.

I will be starting IVF next week so I haven't started injections yet. Dr. Scheiber has had me taking birth control until my baseline appointment because I have PCOS, the birth control is being used to shrink any follicles before starting the injections.

I rarely waited for any long length of time. Even when I was taken to a room the doctor was always in pretty quickly. In order to call in to a nurse you had to leave a message but the call was always returned in a timely manner.

He always answered any questions I had. Dr. Awadalla made sure to be gentle, and he personally would call me after treatments to find out how I was and or our next steps.

One nurse in particular was amazing. She comforted me when I needed it and gave me the information when I needed it. She was always understanding and even when I had what I thought was a silly request she was fine with what I needed.

I immediately felt like Dr. Awadalla was incredibly knowledgeable. I was put at ease because in my opinion he was trustworthy. My husband and I could always ask him any question. This was also how the other doctors in the office were.

I would say to trust Dr. Awadalla’s knowledge and process and know that he will do what is best for you.

The first time he had me on birth control before starting injection medication. I didn’t have as many eggs as he would like to have so he adjusted and took away the birth control. Then the third time he decided to add Femara. We did ICSI each time because we had male factor infertility and each time we put back 2 embryos.

We did a money back guarantee. After we found out we qualified we did the guarantee that said if after 3 IVF fresh cycles and 3 frozen cycles we still didn’t have a baby we would get a percentage of our money back.

Dr. Awadalla made it clear it was our choice about how many embryos we transferred.

There are three locations and one is close to me. This one does not do procedures, but is there for blood work, ultrasounds, and follow ups. The clinic is small, but it is nice and clean and organized. The nurses who greet you are very welcoming and discreet.

He performed emergency surgery for an ovarian torsion caused by OHSS from the fertility drugs. He was kind and caring before surgery and at my follow up.

Dr Burwinkel is more dry and matter of fact, but seems to be very caring. He is very open to answering all of your questions and talking through steps. We are just now starting the IVF process, but I have heard nothing but good things about him as a doctor from others who have successfully gone through IVF.

Know that he is very dry and matter of fact, but does seem to care for his patients and their success!

I have lean PCOS and am very healthy and active. I had previously taken five rounds of unmonitored clomid with my gynecologist, and they did not show ovulation when looking at my basal body temperature. Dr. Burwinkel suggested trying Letrozole and then Ovidrel to trigger ovulation along with timed intercourse for three months before moving on to IUI or IVF. During this first cycle with these drugs, he performed an emergency laparoscopy on me due to an ovarian torsion. He believes it was caused from the combination of infertility meds. He managed to save the ovary (it was twisted three times). He has me waiting two full cycles and then we are looking at IVF to hopefully be able to retrieve eggs from the ovary that was twisted and then remove it if it causes another torsion.

Each ultrasound cost me $50 due to being coded as PCOS. Lab work for one cycle was $255 (not covered). My genetic test was covered due to meeting my deductible, but it would have cost me several hundred dollars. My emergency surgery is costing me around 2000.

The communication there is so so sometimes I feel like we have been not on her priority list which plays with your emotions. Once again you need to be the person that asks lots of questions in order to get to the person you need to speak to to get things done it’s like every other person you feel is on your side and the other person is just doing their job. It would be nice if you worked with one nurse or even two throughout your procedures

I feel like it takes a minute for him to get to know you but he really does care and want you to succeed and having a child

Never had the same nurse so really can’t describe them but as a whole seeing someone different each time is a little discouraging. Also the whole you have to call the nurses line leave a message and hope that you’re able to answer their call when they call back or else it’s like a game of tag for the rest of the day which is very nerve-racking at a time when your nerves are supposed to be not nerve-racking.

Although it might not seem that always is the case he really does want to do everything for you to have an outcome of a child. Remember to always ask questions he can be in and out and short but if you ask he’s definitely going to be straight with you. I feel that the more questions you ask the better you’ll feel about everything and it helps keep your nerves calm during a very anxious roller coaster time in your life!

Ask lots of questions all avenues that you could possibly explore

Gosh it’s hard to remember we’ve been at this for so long but we started off with pills then shots in each are you why it got more aggressive with stronger doses more shots and we are now in the process of our first IVF treatment staying positive keeping fingers crossed

Expensive! Unfortunately we did six rounds rounds of our UI is equaling three to $4000 each adds up very quickly sometimes I wish that we would’ve stopped with so many rounds and put that money toward her an IVF cycle

IRH is a great clinic with an excellent success rate! The offices are beautiful, clean, and very comfortable. The equipment also seems to be very up to date. The biggest negative about IRH is that when you call the IVF nurse line, you have to leave a message and wait for a call back. I understand that the volume of people they serve is huge and its impossible for them to take all the calls as they come in, but its VERY frustrating to have to wait for a call back for EVERY question. It would be nice if they could also provide an email or online chat for quick questions or verification.

Dr. Scheiber is really a fantastic doctor. He's incredibly kind, thoughtful, and careful with his exams and through the whole process. He somehow always remembers past conversations, and manages to smile and be encouraging even when things aren't going our way. He's also really great at giving you the full picture. He will tell you fairly clearly if there is a treatment that he doesn't like, or doesn't think you need.

The nurses at IRH are wonderful! They fully take the time to answer questions, or just listen to you talk if you need to. They are all on your team so much and it really shows

I think that Dr. Scheiber is really a great doctor. There isn't much negative to say at all. He seems to share in our frustration that the process isn't working and we don't know why. He's also been very upfront with his recommendations. I really appreciate that he also gives levels of treatment. Everything from "the gold standard" to something a little less expensive but he still fully backs. Also - he understands my need to try to do every little thing to try to help the process along - so he was ready with recommendations for acupuncturists and supplements. I always feel like he's one step ahead.

Ask a LOT of questions and don't be worried if you think your question is stupid. He's had almost every question asked before and there isn't anything stupid you can ask. He is VERY patient and will say the same thing a few times if you need that.

This cycle is fairly similar to all my other cycles. He started me off with 14ish days of birth control ( to get control of the cycle), then a baseline scan, Then a few days of just gonal-f ( 200 units) and Menopur (one vial). After my second scan, cetrotide was added. I've had a couple scans since the addition of my cetrotide, and my gonal-f was bumped to 250 to try to encourage a bit more growth. I'm taking ovidrel for my trigger shot

I know the cost of medicine for my full ivf cycle is around $4,000. I don't remember the exact cost of the procedure as they are now covered by insurance. But I believe around $15,000

Usually Dr. Scheiber only does single embryo at a time. Mostly this is because a singleton pregnancy has fewer complications then multiples. If you are older or - like me- have had several unsuccessful cycles and/or chemical pregnancies etc...there is a case to be made for doing multiple. It seems like he's trying to make sure that as far as can be controlled - everything is smooth as can be

The clinic is very organized. The whole staff is understanding and always in a pleasant mood. It’s a comfortable and inviting atmosphere. You can tell everyone enjoys their jobs and making a difference in people’s lives. The main negative with IRH to me was the fact that my doctor I was referred to, I only saw two-three times of the many appointments I had. I feel I’m not able to have as good of a relationship with one doctor because you don’t know which doctor you’re going to get that day for your visit or procedure (IUI in my case). I even had a nurse practitioner a couple of times because the clinic was double booked. I wasn’t happy I couldn’t build a closer relationship with the doctors since it feels like you’re always getting passed around.

Dr. Burwinkle always seemed to be able pick up right where we had left off from previous meetings and appointments. I never had to refresh his memory about previous discussions or treatments.

The nurses were very compassionate and understand of situations. They know why we’re there and they seem to care very much in making you comfortable and helping with your success in any way they can.

Dr. Burwinkel is one of the best doctors that I have ever had. He actually listens to what you have to say, and he doesn’t belittle or make you feel you’re questions or feelings are silly, stupid, or unimportant. He’s optimistic and has a great bedside manner and attitude. I was diagnosed with PCOS (before Dr. Burwinkel) and my weight is a problem resulting from my diagnosis. I know a lot of clinics want you at a specific BMI or weight before they even consider tresteing you, and I was worried about that the most before meeting Dr. Burwinkel but that definitely wasn’t the case! He had a game plan and we started treatment right away! I have nothing bad to say about Dr. Burwinkel! Every meeting I’ve had with him has been as perfect as I could imagine.

Don’t be afraid to ask your questions, no matter how silly or stupid you may think it is! He knows this is hard, he gets it and he understands. He will hear you out and give you the answers you need!

With Dr. Burwinkle I was prescribed 1400mg of metformin daily. He then prescribed me to take 5mg (two pills) of letrozole on days 3-7 of my cycle. We then would schedule a scan to check follicle progress on day 11-13 of my cycle. Depending on the progress and maturation of the follicles, I was told when to take my ovidrel trigger shot to induce ovulation. 36 hours after the trigger shot we had our IUI. The first cycle I had one mature follicle and I took my trigger shot approx day 16-18 of my cycle. The second cycle I had to be prescribed more letrozole in the middle of my cycle due to my follicles not being as mature when the doctor wanted. I had to come back for a second scan and was given my trigger shot around day 18-19. The third cycle I had one good mature follicle, and a second one that may or may not have been mature by ovulation day. None of my cycles resulted in any type of pregnancy or success.

Copay for appointments: $35 Sperm wash: $225 IUI procedure: $250 Ovidrel trigger shot: $95 Letrozole: $15

The staff is amazing! They are always so caring and seem to truly want to make our dream of having a family a reality. They are always so helpful with any questions we have. The only weakness I can think of is contacting them. When you call the office you are sent to a voicemail where you are to leave a message and then they call back. They usually return my call quickly though.

I felt like he treated me like a human. I feel like he is truly doing everything he can to help us start a family. His bedside manner is great and talks to us like friends, not patients. I received not so great news from him over the phone after our first IUI and he told me he was praying for us. It really made me feel like he truly cared.

The nurses are great with answering any questions I have and returning my calls promptly. They always seem so caring and compassionate.

Dr. Burwinkel is great! He is very kind but also does not sugar-coat things which I like. I feel like he gives us his honest opinion of our treatment options. He speaks to us like actual humans, not just a number or patient. My husband has no medical background or experience and Dr. Burwinkel speaks to us in terms that he understands. He treats us in a way that makes us feel like he truly cares about us and is doing everything he can to help us start a family. I highly recommend Dr Burwinkel!

Have questions ready to ask before your appointment. He has been great at answering any questions we have. I feel like he gives us his honest opinion of our treatment options.

We started with using Letrozole, Ovidrel, and timed intercourse. I had taken Letrozole with my regular OB doctor and knew it worked but Dr. Burwinkel increased the dose and also continued Metformin I had previously been prescribed for PCOS. After 3 rounds of timed intercourse we moved on to IUI.

I was surprised by the cost in a good way! Much more affordable than most clinics I have heard of which is important because my health insurance does not cover fertility treatment.

They should have a mental health person/social worker, feels kind of like a fertility factory in ways. Definitely need to have someone be able to answer the phone it creates more stress constantly playing phone tag and waiting for call backs.

Dr. Scheiber made us feel like humans by using our names, asking how we were, shaking our hands, and being consistent through our our treatment. The only way we felt like a number is based on the short amount of time of each appointment.

They got my preferred name wrong several times, they also didn’t notify me of having a nurse practitioner instead of doctor Scheiber for one of my ultrasounds which I was surprised and caught off guard. You also cannot reach someone directly you are required to leave a message and then wait for a call back.

It’s hard to trust someone in this very sensitive process. However, Dr. Scheiber was kind, consistent and confident in his manner when meeting with us. He also was always warm and understanding when we displayed strong emotions just providing us with all the information his recommendation but allowed for us to feel like we were making the decisions. Having him as our doctor makes me feel more calm in a setting that I naturally feel very anxious.

I wish we had discussed having a diagnostic procedure done such as an HSG before moving forward with donor sperm due to the cost of donor sperm. We did an HSG after 4 unsuccessful medicated IUI’s. It made me feel like we wasted vials and had to switch donors to move forward.

I am 28 in good health with no known fertility issues, after 3 medicated IUIs femara and ovidrel, an HSG was recommended to explore reason for not being successful, the diagnostic procedure found no concerns with my Fallopian tubes or uterus, we then tried a fourth unsuccessful attempt medicated IUI with femara and ovidrel. We were then recommended for IVF, we were offered to do double IUI with injectibles but our doctor expressed concern about high risk for multiples and IVF being safer for my body. Based on cost comparison, percentage of success; we decided to do IVF. We have male factor because of donor sperm female couple but other than that I at this point have unexplained infertility.

125 for a consult, 300 per unltrasound, 250 per IUI, 92 per ovidrel shot, 275 per Sperm wash, we did four cycles that way. It may cost us 2200 for the HSG we are waiting on the bill currently we have also spent 7,000 in donor sperm so far.

I don’t have any experience with this. We talked about transferring the most of 2 embryos if we make it to that stage with IVF.

We had great experiences at IRH, but we did have some troubles getting timely test results and figuring out how to pay our bills. I understand that my husband and I are different people and we have separate files, but it was like our files weren’t referenced with the other. It took a few days to get any answers about my husband’s SA. They didn’t call him. We called them and they couldn’t find anything to tell us. I found that part of the process to be a bit exhausting. It was a lot of back and forth with the office to get the answers that they said they were going to call us with several days earlier. I do understand that they’re busy and all we needed was for someone to give us a realistic timeline and we would’ve been less frustrated. Other than that, we had a solid “10” experience.

Dr. Burwinkel was always extremely patient. It didn’t matter how many questions we had or how many times we may have asked the same questions, he was always willing to answer them honestly and break down the answer to help us understand the process better, if necessary.

The nursing staff was always very friendly and efficient. They were always helpful in the office and always available for a chat over the phone if we had questions. I never felt like I was being ignored or put off in person or over the phone. Knowing that every patient is a priority put my mind at ease.

Dr. Burwinkel was always available for whatever we needed. He never rushed our visits, he was kind and patient, he was always thorough in explanation of drugs, procedures, next steps, risks, and outcome probability. I had to have a surgery at a local hospital and Dr. Burwinkel was right there updating my husband and performing the surgery before going into the clinic for the day. We couldn’t have had better care.

Don’t be afraid to ask questions and express your concerns. He will address any concern you have as many times as you need.

We started with a routine clomid cycle with an ovidrel trigger because my cycles were normal and everything seemed to be “okay” with us. After that cycle failed, I had a hysteroscopy which showed some uterine polyps. Not long after I had a polypectomy and D&C to remove the polyps and thin out my uterine lining. Once that healed, we went back for another clomid cycle + IUI and that also failed. By this time, we had spent a lot of money out of pocket and had to take a break to recover.

I honestly can’t remember. We spent a lot of money in a short period of time, but I can’t remember any specifics.

Efficiency - They're a big clinic but they've got the process down to a science. Follow the process and you'll get what you need Compassion - The staff are extraordinarily compassionate. They care about your outcomes as much as you do. Knowledge/Expertise - IRH knows their stuff and does what they believe is in your best interest medically. Rotating Doctors: Don't go here and expect to have the same doctor every appointment. It's not possible. However, I will say that I have not had a bad experience with any doctor in the clinic. I feel 100% confident in the care and treatment I have gotten from each doctor there. Dr. Awadalla is my assigned doctor and he is wonderful. I have a particular soft spot for Dr. Burwinkle though as he's had to deal with some tough things with me through my treatment and he's a little more direct than Dr. A, which is good for my style. The other doctors are great too. Call System: Don't expect to get a live person on the phone when you call. Leave a detailed message with what you need and if you have time restrictions on when you can take their return call let them know. They call you back within 24 hours 99% of the time. Just follow the system.

Due to the size of the clinic and volume of patients, there are always going to be aspects where you are a number, such as scheduling, but they've done an excellent job setting up a system and as long as you understand the system, they will meet your expectations. Dr. Awadalla does an excellent job making you feel like a human. He takes his time to talk to you and answers any questions you have in a compassionate and educated manner.

The vast majority of the nurses are extremely well educated, compassionate, and very good with the patients. They've always taken time to answer my questions and they show tons of empathy in the difficult times. The head IVF Nurse Penny is absolutely incredible. I don't have enough words for how much she has helped in every aspect of our IVF process form ensuring we weren't billed too much to making sure the schedule works and answering every single question I had (or getting the answer from someone else if she didn't know). Believe me, I had a ton. There are a couple nurses (I don't know names) who I haven't meshed with all that well. I didn't necessarily take it as a reflection of their abilities, but rather that my communication style didn't mix well with theirs creating some confusion and anxiety on my end. However, overall that hasn't taken away from my experience in any way as there are tons of nurses there and they've always been awesome about referring me to another nurse if I had more questions or was worried about something. Don't be afraid to ask to talk to someone else!

Dr. Awadalla has taken extremely good care of me during my treatment at IRH. He has always maintained a positive outlook for our eventual outcomes and is proactive in adjusting treatments based on the results of our previous cycles. His strengths lie in his knowledge and expertise in the fertility practice as well as his bedside manner. At times I did feel like he was trying to protect my feelings a little too much, which I appreciate, but being a person who requires lots of details and direct communication, it did sometimes leave me uncertain or with questions. However, once I was able to gather all of my questions, I was always able to get the answers and clarity I needed. I would most certainly recommend Dr. Awadalla to any patient as I feel like we are getting the best care possible with him and IRH.

Make sure to educate yourself and do not be afraid to ask questions, even if you call back after your appointment. They process a lot of patients at IRH but they are really great about taking the necessary time with you if you ask for it.

Cycle 1 - Femara, Ovidrel, Timed Intercourse - Negative Pregnancy Test Cycle 2 - Femara, Ovidrel,Timed Intercourse - Negative Pregnancy Test Cycle 3 - Femara, Ovidrel,Timed Intercourse - Negative Pregnancy Test Cycle 4 - Femara, Ovidrel, IUI - Negative Pregnancy Test Cycle 5 - Femara, Gonal F (Doses of 75iu to 150 iu), Ovidrel,IUI - Miscarriage, D&C, Genetic Testing showed Trisomy 22 Cycle 6 - Femara, Gonal F (Doses of 75iu to 150 iu), Ovidrel,IUI - Negative Prenancy Test Cycle 7 - Femara, Gonal F (Doses of 75iu to 150 iu), Ovidrel,IUI - Miscarriage, Cytotec Cycle 8 - Birth Control, Gonal F (Doses of 175iu), Cetrotide 25iu - Terminated Cycle due to poor follicle response Cycle 9 - CoQ10 & DHEA Supplements, Gonal F (Doses of 225 iu), Menopur 75iu, Cetrotide 25iu, Ovidrel - 6 Follicles, 3 Eggs Retrieved, 3 Eggs Mature, 3 Eggs Fertilized, 2 Embryos made it to Day 5 Blast and tested with PGS, 2 Abnormal Embryos (Trisomy 6, Trisomy 9) Cycle 10 - CoQ10, DHEA & Vitamin D Supplements, Gonal F (Doses of 250 iu), Menopur 75iu, Cetrotide 25iu, Ovidrel - TBD. Will do PGS Testing again if we have embryos to test.

Femara - Covered by insurance Ultrasound Scans about $300 per scan, covered by insurance IUI $250 plus cost of sperm washing (covered by husband's insurance) IUI Medications - Ordered through SMP Pharmacy $500 to $1.5K for Gonal F & Ovidrel IVF with PGS - $15,900.00 is their discounted rate and does not include medications or the PGS Testing Lab Fees (Ovation) PGS Testing Lab Fees - about $1,200 for a single cycle with 2 embryos tested, about $2200 for multi-cycle plan for up to 8 embryos tested IVF Medications - $2-5K for Gonal F, Cetrotide & Menopur per cycle

Dr. Awadalla is very pro-single embryo transfer and anti-multi embryo transfer except in special circumstances.

You may not see "your" doctor for everything but it is okay. I saw all 4 doctors at different points and liked them all. Dr. Schrieber did most of my scans, Dr. Adawalla did my retrieval and Dr. O'Leary did my transfer. All were really nice and good at what they do.

The appointments were always on time but were also very fast, albeit effective. Sometimes if I didn't ask a question I didn't have things explained, but they knew what they were doing and were ALWAYS polite and the important bits made sure to make you aware.

They were always quick to respond to messages no matter how silly I thought they were. They were very positive and the nurses all seem to be in the right specialty. Each one told me good luck. One even made sure that my progesterone was no red pills because no one needed the additional stress of the pink. It was the little details.

He was always polite to us, and prior to treatment after my baseline he was extra nice getting me ready for my injections. I went into it more than feeling prepared for the cycle to begin. I had my options already laid out and decided.

Do it. The office is a great place. I love all the doctors.

Took the pill for about 2 weeks. Then had a suppression check. Got my initial doses, which were updated at my first scan and adjusted from there. Adjusted again at my next two, and ended up with 100% fertilized from mature eggs!

They offer global billing with my insurance so the pricing was great. Even without insurance it was a fraction of the cost of a normal cycle.

At first I was hesitant but then I understood. If the cycle isn't successful I will approach the issue of transferring two.

Huge clinic with many locations and years of experience. The only weakness is that the physician who did my transfer did not follow Dr. Awadalla’s plan in how many embryos to transfer, so i feel that consistency in situations that you must see multiple MDs is imperative.

Dr Awadalla is amazing! He is funny and kind, honest, and really takes the time to get to know his patients on a personal level.

Penny is incredibly kind and knowledgeable. Her bedside manner is great. Our educator, i can’t remember her name, but she was an ARNP, was equally as incredible. She was excited to teach, patient, and very knowledgeable. You can tell she loves her job.

He made my husband and I feel comfortable immediately. He made sure both myself and my husband understood everything, and made us feel comfortable asking questions. He is honest and to the point, and has incredible bedside manner. We did one round of ivf with no eggs that survived to freeze and did not get a positive pregnancy test. He was so kind and called to check on us and offered an updated treatment plan. He is amazing.

He is great and they will love him.

After 4 failed IUIs his recommendation was to go straight to IVF with ICSI. His plan was to transfer 2 embryos however we went in over the weekend and another physician was on call and only transferred one. Unfortunately it did not result in a positive pregnancy and our other 2 embryos degraded before they were able to be frozen. Dr. Awadalla called and discussed a plan for higher stim with drugs next cycle to hopefully get more embryos and with a plan to do assisted hatching as well.

One cycle with ICSI that included a self pay discount was around $10,000 not including meds. My insurance covered visits and labs.

Due to my age, he wanted to transfer two.

The biggest strength is the people - everyone is so friendly that it really puts my mind at ease. But the biggest weakness is the telephone system. Being basic therapy and never being able to get through to an actual person is irritating. Running late for an appointment? There's no way to let the staff know. Trying to decide if you need to go to urgent care/ER or if you might be overreacting? Leave a message and they'll call back "sometime". Both of these are situations I've experienced and it has been incredibly frustrating each time. Being a non-IVF patient is like being a second class citizen - you're not really important in their grand scheme of things.

Dr. Burwinkel has typically made a lot of time to answer all of my questions, but sometimes is busy and clearly trying to get through his patient list as quickly as possible.

Nursing staff actually seem to care about patients. I don't feel like "just another number" when I talk to them. They give the easiest and most painless blood draws I've ever experienced, and they actually seem interested in getting to know patients beyond what's on the chart.

Dr. Burwinkel is definitely a straight shooter. He's not one for false promises of success or sugar coating a point. However, this doesn't mean he's without empathy. He's provided wonderful care through my unsuccessful pregnancies and has always given me clear next steps for things we'll try next time. In 2018, we had success with his treatment and welcomed our daughter into the world.

Be completely honest about your history and situation in your consultation. He can't help to the best of his abilities without full and complete information.

Metformin for PCOS, folic acid/COQ-10 supplements for healthy eggs, Letrozole to boost egg health at time of ovulation, Ovidrel to stimulate ovulation. (RPL, basic therapy only)

Do not remember all costs.

The clinic is organized, clean and runs well. The low-tech billing seems to happen very rapidly. The IVF billing seems to be delayed, which means a longer delay before I can check the claims status online with my insurance company.

Dr Awadalla was honest with me and my situation at every step. He was compassionate when he delivered the news that I had miscarried.

Most of the nurses that I have dealt with have been wonderful. They are familiar with the treatment regimens and able to answer questions. When I did call to report a Day 1 and ask if we should continue with the same approach, the nurse I spoke to told me it was up to me. When I counted that I would like a recommendation from the experts, she continued to tell me that it was up to me. I had to push to have Dr Awadalla contacted to give input. When he called me, he actually had a different recommendation, so I felt validated in pushing. That has been the only interaction that I was not satisfied with, however.

Dr Awadalla determined why I could not conceive (missed by my GYN) and recommended surgery, which he performed. I conceived naturally in 3 cycles after that. For TTC#2, I was older and he shared his concerns with the likelihood of success. Early IUIs were successful, but did not result in live births. After 10 total IUIs, my course of treatment was only adjusted because I asked if it made sense to continue or to look at other options. We have moved on to IVF, but it is still early in the first cycle. I find Dr A to be very accurate in his assessments and knowledgeable. I trust that I am in good hands, for as much as medical science can help me at my age.

Ask a lot of questions. Dr Awadalla is happy to explain the details to patients who are interested. Also ask at what point you should have a consult to evaluate the plans, so you know what to expect.

TTC #1 (age 38): Dx: uterine fibroids, blocked Fallopian tube. Tx: Myomectomy, salpingectomy (tube could not be saved and was removed). Resulted in live birth, conceived naturally in 3 cycles. TTC #2 (age 41): DX: unexplained infertility (age). Tx: IUI with 5mg Femara CD 3-7. IUIs 1 and 4 resulted in pregnancy, but not live birth. Likely due to poor egg quality. Repeated for IUI 5-8 because successful getting pregnant, but waiting for a better quality egg. For IUI 9 and 10, added Follistim (IUI 9: CD 7-10, 50IU; IUI 10: CD 7-11, 100IU). BFN. Given option to select surgery to recheck remaining Fallopian tube or IVF. Started IVF. Currently on CD 9: 5mg Femara CD 3-7, Gonal-F 300IU CD5-10, Cetritide CD10, rest of days/dosage TBD.

With insurance (assuming deductible was paid and yearly maximum for benefits not met), an IUI cycle was roughly $75 out of pocket, not including medications.

The clinic is very clean and professional. The front desk person was always friendly and helpful! The donor coordinator was so helpful during the whole process, making me feel very comfortable. The main drawback was feeling like a number in the clinic without getting any further testing that was requested.

explanations of treatments were never given. Monitoring visits were always very rushed, and when I asked questions during he would refer me to the nursing staff as if he couldn’t be bothered to answer.

The nurses were very knowledgeable and answered questions very thoroughly.

Appointments always felt very rushed. If I had questions during the appointment, he didn’t answer, but referred me to the nursing staff. When asking for further testing after an early loss, I felt treated as a child asking for a second piece of cake. Treatment plans never changed, nor were any further tests recommended after several failed transfers. The only solution seemed to be to throw another complete round of donor egg ivf at us.

Be very knowledgeable about treatment options and advocate for yourself! Be very blunt in asking for answers to any questions you may have!

For frozen embryo transfers 1-3, estrace was started at day 1, 3X per day. Progesterone was started 5 days before transfer. 1 early loss and 2 negatives. FET 4 was a “natural cycle” with with follicle monitoring. Once follicle was big enough, we did the trigger shot to release the egg. FET was then a week later. Progesterone was started 5 days before the transfer. Transfer resulted in a negative beta.

Overall, I think the clinic is great. However, it would be nice to have a specific nurse in the clinic assigned to your case. Given the size of their practice this would be hard. Regardless, the nurses I saw from education days, IUIs, retrievals, and transfers were wonderful.

We felt like a number because information after our first failed IVF retrieval and transfer, completely changed from our chemical pregnancy FET a year later. After the chemical pregnancy only, it was mentioned that we needed to consider donor eggs, yet went on two months later to conceive naturally.

The nursing staff was great. They were a big part of the reason we stayed there for 2.5 years.

Dr. Burwinkel's strengths are he is very kind, his bedside manner is great. His cons are not taking time to explain why decisions would change so quickly. He did well in explaining the course of treatment, but when the course of treatment didn't work, we felt as if the course of treatment was never changed. MFI wasn't deeply explored or even suggested we should see a reproductive urologist, we took that initiative on our own. After the chemical pregnancy, we went back to our obgyn and she found that I had FVL and MTHFR as reasons why we could be miscarrying.

Ask lots of questions. Be educated on what options are available to you with all scenarios.

IUIs- Femara with Ovidrel trigger shot Retrieval #1- BCPs, Gonal F, cetrotide, ovidrel trigger Retrieval #1- Gonal F, Cetrotide, Menopur, Ovidrel trigger FET- Estradiol orally, prometrium vaginally

Our first two cycles we were blessed with insurance coverage, however our copay on each cycle was 1,000. Medications for the two cycles ran us 7,000. FET cost us 4,500, medications were covered under insurance.

IVF #1- single embryo transfer at age 29 IVF #2- double embryo transfer at age 30 FET- single embryo transfer, only had one embryo left