CCRM Minneapolis

Dr. B is very kind and caring about her patients. She is knowledgeable about the various developments and innovations in IVF treatment, and I felt like she allowed us to be part of the decision-making process. When our first FET resulted in chemical pregnancy, we reviewed some unique symptoms I presented with and she listened to my ideas on how to adjust treatment, gave us the scientific reality of those ideas, and we made a joint decision to try an anti-histamine approach. Dr. B also is understanding that since we were paying for everything out-of-pocket, we should skip some tests for the immune theories, and just treat me as though I had tested positive. Overall, even though we still haven't had a successful pregnancy, I feel Dr. B cares for and is passionate about her patients. My only concern now, is with two failed transfers, she had initially told us she expected a 60% chance of success. My only criticism is that her optimism can be a bit misleading or insensitive. It's nice to have that hope when you first meet and are nervous, anxious, or uneasy about the whole process. But I think I would have rather she not so confidently given us a percentage of success when I asked for it, or tempered her optimism when she said, "Let's talk about your options!" after our first FET resulted in chemical pregnancy. I'm sure in this line of work, you have to be a positive person to stay in it, but a touch more compassion isn't a bad thing either.

Just know that Dr. B is super positive and optimistic. I think she presented the risks of anti-histamine protocol well, but also dismissed the one birth defect she's seen with the protocol she's done it to something else... so, again, she's very optimistic about what she does. If you are in in a bad place, and need that boost to come back to, she's great. But if you prefer a very realistic and honest assessment, I felt like things were maybe presented a little more positive and confident than I would have liked in hindsight.

Our stim phase was "Luteal Patch (Protocol 3 with Patches)" in CCRM categories. We worked with my natural cycle at my request due to some bad experiences with BCPs. I was instructed to use ovulation kits to catch an LH surge, and then begin cetrotide and patches post-surge. The next cycle, we started stim with Menopur and Follistim on CD2. We upped the Follistim from 150 to 225 on the 4th day of stim since my eggs were going a little slow, and after that, things progressed nicely. After 10 days of stimming, Dr. B cancelled our fresh transfer because my progesterone levels were higher than they wanted. We triggered after 10 days of stimming as well. My US on that day showed at least 8 eggs on each ovary between 17.5 and 20 mm in additional to many smaller eggs. Retrieval was two days after trigger shot. They retrieved 25 eggs, 15 were mature and had ICSI, 11 successfully fertilized, and 7 were frozen for transfer. For our first FET we used my natural cycle again. Used Lupron to suppress cycle before using patches and endometrium vaginal inserts to build up lining. Had to add 1mL of PIO every other day 4 days before transfer due to low P4 levels. After transferring they upped PIO to 1mL every day due to low P4 levels. My lining grew perfectly, and once it reached 8 mm, they scheduled a transfer for 8 days later. (It’s my understanding CCRM will not transfer if the lining is not at least 8 mm.) Our transfers went perfectly, although, we requested last minute to thaw two embryos for transfer, and one did not survive. They thawed a third one in order to still transfer two. (When I asked at our pre-transfer nurse meeting about embyos not surviving the thaw, a nurse told us she had never heard of that happening at CCRM. If they would have asked us what to do when the first embryo did not survive, I would have told them not to thaw a third one. That was frustrating and I expressed that to Dr. B at our regroup. She said CCRM only has 2% of embryos that fail to survive the thaw.) 9 days after transfer, Beta #1 was over 180 and the nurse indicated a number that high (they like it to be over 50) could mean both embryos implanted. Beta #2 did not double, it was just over 200. No changes in protocol. Beta #3 was in the low 30's, and the cycle was deemed a chemical pregnancy. One frustrating part was that Dr. B insisted I get a fourth HCG test 4 days after the Beta #3 to confirm the pregnancy was over, even though I had started a heavy period three days after Beta #3. That was both a hassle and frankly, somewhat traumatizing to experience in the aftermath of things. I didn't see any reason I couldn't have waited out the period and tested afterwards to give me time and space to grieve. After discussing some symptoms I had in FET #1 (two instances of severe nausea, cramping and sweats/fever for 20-30 minutes several days after transfer) we decided to try an anti-histamine protocol in case I was having immunological issues. We also did a long-Lupron cycle due to a previous diagnosis of endometriosis in case that left me with a specific type of cell that can affect implantation. Our initial attempt at a second FET was cancelled when my lining failed to thicken, even after adding estradiol tabs, and eventually developed fluid in the lining. We induced a period with 2mL of PIO in each hip. I never really got a clear reason why might have caused the fluid, but the nurse said unless it happens again, they sort of chalk it up to a fluke and try again. FET #2- Natural cycle again, this time with low-dose meds. Instead of steadily increasing from 1 to 4 patches every other day to help grow the lining, we let it grow on its own. My lining grew a little more slowly than they like, but no fluid and it had the trilaminar layers they want to see. Once my lining was an 8 on it’s own, we added 2 patches every other day for the entire transfer, along with endometrium vaginal inserts three times a day. Anti-histamine protocol was Claritin and Prednisone once a day and Pepcid AC twice a day, beginning 2 days before transfer. Again, transfer went perfectly, we only did one embryo this time. I also didn't need PIO shots every day and could stick with every other day. However, when I presented the same symptoms of nausea, cramping, and fever/sweats, Dr. B didn't have anything specific to change initially. She did suggest we could up the PIO to every day after the second instance occurred in case the fluctuation of Progesterone was causing the symptoms. I declined since we had been doing PIO every day in our first transfer and I still had the same symptoms. Beta #1 was less than 1 and the cycle failed.

Specifically: Initial consult: $205 Communicable/Vitamin D, TSH: $300 LH Check: $115 Progesterone Check: $115 IVF Costs (Stim appointments and clinic surgery) $13,510.00 BETA: $70 Baseline ultrasound and Hysteroscopy: $1,795.00 Regroup (phone) $112.00 FET transfer is in the range of $7,000 Overall, we've spent $24,702 at CCRM with both the consult, stim, retrieval, two transfers, and two re-groups, one in person and one on the phone.

I specifically asked Dr. B about the risks of double embryo transfer a few days before our first transfer. I had to ask, because it was never offered to me. I think CCRM assumes eSET unless they are told otherwise. Dr. B said for our situation, if we transferred two, we had a 65% chance of twins. She explained there is a slight increase in HBP and Diabetes risks, but those exist anyway. The bigger risk is a 25% chance of pre-term labor and bed rest for some portion of pregnancy. However, Dr. B was comfortable with doing 2 for us.

Strengths that I see in Dr. B are communication, empathy, hard work and doesn’t tell you what you want to here, tells you what you need to hear in a kind and caring way. Both my husband and I were immediately impressed and when our cycle did not go as planned she delivered the news to us and made time to see us right away. She never gave up and came up with a great option. She also explains things in a way that we could understand. I have yet to find something I don’t like. She’s trustworthy, dependable and willing to think outside the box.

Tell her exactly what you didn’t like about your RE before. She listens!

We started with protocol 3 and that didn’t work for us. All of our eggs were immature and she sat down with us going through every stim day step by step and came to a conclusion of what went wrong. I didnt respond to one medication and the next cycle we used a different medication to trigger with, but she was very careful as I had previously had OHSS and she was trying to make sure it didn’t get worse. We ended up stimming one day less, but getting 7 mature eggs.

Total cost so far about $25,000.

Dr. B prefers one healthy mom and one healthy baby, but if we have more than 2 to transfer she is open to twins.

At first, we were really pleased with our interactions with Dr. Batcheller and felt more optimistic and positive than we had with our previous clinic. We felt like she had the expertise and experience to help us, and she has a warm and empathetic personality, which really helped. However, I feel like she was not completely realistic regarding our chances. She was always more optimistic than I felt. We know that IVF is unpredictable and there are no guarantees. We just wish she had been more realistic with us, as ultimately our cycle was a total fail.

4-week priming cycle with estrogen, testosterone, progesterone, and Lupron, followed by 10 days of stims with Follistim (300 IU), Menopur (4 vials per day), Lupron, growth hormone, and dexamethasone. I had great lab results with this protocol and had eggs retrieved. We had a low fertilization rate (60% fertilized with ICSI) and none made it to blastocyst.

Approximately $16,000 (maybe more?) for workup, egg retrieval, anesthesia, embryology fees, and CCS.

Dr. Batcheller was 100% in favor of eSET with a PGS-tested euploid embryo, and we were very much in agreement with her. Unfortunately, we did not have any blastocysts to transfer.

April Batcheller is a great doctor who is passionate about what she does. She was always thoroughly prepared and has options for us. She always had an answer for my questions. She isn't afraid to change a protocol or think outside the box to get you the results you want. I don't feel like i am a number or a statistic in the column with her, she has your families interest at heart, and that shows with alot of the cases she takes on, that others will not. I felt very well cared for and trusted her judgment.

Come with all your questions and don't be afraid to ask them. She is a wealth of information and you should understand your situation and treatment completely. (this is not saying she didn't do a good job laying out the treatment, I just had pages full of questions and she was more then happy to answer and explain)

My protocol was considered "the kitchen sink" protocol :) Menopur 150, clomid, dex, gonal f 300, saizen the first five days of Stims and triggered with 5,000 novarel and a double Lupron trigger. This resulted in 5 eggs retreived/5mature/5fertilized, three made it to blast with one normal ccs tested embryo. Second cycle was same protocol, 15 eggs retreived/10 mature/7 fertilized, two made it to blast and now waiting on ccs testing to come back currently. (this egg retreival was actually done by Dr. Salem, Dr B was unavailable) I will very shortly be starting my FET Blast BCPs/Lupron/suppository/P4 in oil QOD protocol for our first transfer with Dr B. I am extremely happy with the outcome of our two retreivals since our last doc wouldn't try anything but DE after a failed cycle with him.

We needed to schedule our monitoring appointments before 1130 I think it was. I had an hour and a half trip to the clinic so that was inconvenient for me on work days, but couldn't do anything about it. I was always called in an appropriate time and the ultrasound techs were great. One thing I do wish is that CCRM would have a payment option to not include the monitoring, so that you could do it at your local clinics when available. If I would have chose to monitor at my local clinic they would not have taken out the price of labs and ultrasounds from our package price. And we would have been paying for the labs and ultrasounds twice if we decided to monitor at our local clinic.

First cycle of IVF with CCS testing was $14,884. Second cycle was $13,419 due to a discount for banking cycles. With around $5,000 in medication cost each round. Labs that were not included in package were expensive, Vit D was $225, I elected to do that at my local clinic, along with my initial labs since that was where they were drawn for the past two years and I wanted the consistency. The price per item or procedure was more than at my previous clinics and I had no insurance coverage for any of it at CCRM

We don't have the opportunity yet to have to worry or think about how many to transfer, we only have one ccs tested embryo currently but waiting on two more to result. Hopefully those can change our thought process. But I agree with her idea of only putting one in at a time, if you only have two, because you can make changes if the first FET was unsuccessful and still have something to work with. And she is not opposed to transferring two embroys but you case will be evaluated and pros and cons will be weighed. I would love the ability to put two in at a time, but I do not think that will be our course of action.

Dr. Batcheller was the second physician I've seen while undergoing treatments. She is warm and friendly and very understanding of my situation. I had 3 miscarriages prior to seeing her when I was undergoing IUI and IVF the year prior and she definitely understood that I had been through alot with no clear explanation. I think she is very intelligent and adjusted my meds during the stimulation cycles to get the best quantity and quality eggs.

I would say ask any question if you aren't understanding the protocol and meds, it can be alot to understand. Always take notes!

I have done two egg retrievals. The first cycle I did a vivelle patch and ganirelex prior to stim meds, stim meds I used Menopor, Follistem, Dexamethasone and added in Clomid after first ultrasound check as I'm a poor responder to meds. We retrieved 9eggs and 6 mature by day 5 only had one and did CCS testing which came back aneuploid. I just finished a second cycle and primed with Estrace pills and then for stim meds Menopor, Follistem, Clomid, Dexamethasone and did Saizen for first 5 days. Retrieved 18 eggs, 15 were mature, and then after ICSI 3 made it to day 5 blasto and still awaiting CCS results.

My insurance only covered the workup labs and baseline ultrasound nothing related to IVF. Which was a sticker shock coming from Boston where everything was covered. My meds for a retrieval were roughly $6k and then the retrieval which included everything was $15k plus another $450 for anesthesia. Honestly it might be expensive but I think it's the best clinic/MD in the Twin Cities and I don't think you can put a price on that.

I haven't done a transfer but will probably do a single embryo but will be based on quality of egg.

Dr Batcheller has been great. She was involved in all parts of the process and all of the procedures. She wants to make sure that you understand all of the numbers and will give you honest advice to help you with the most likely outcome to produce the results you're looking for.

I'd like to know more details about why which protocol was chosen and why my initial IVF protocol most likely failed. I feel like that information wouldn't have had me looking for information online and I would have had more confidence going into IVF cycle #2.

I started with low ovarian reserve and some male factor infertility. Our initial plan was to try 3 IUIs and then move to IVF. After one round of IUI on clomid we discovered my husbands sperm wasn't "washing" well and diminished his count to unusable numbers. Dr Batcheller then told us that future IUIs would probably have similar results and that we should look at IVF next. Because of low ovarian reserve I was started on a Micro-dose Lupron Protocol (lupron twice a day with 2 vials of Menopur and 300 Gonal F). After about 8 days it was determined my follicles weren't responding correctly to the stim drugs and our cycle was cancelled. We're currently in a modified protocol that has the same 2 vials of Menopur and 300 Gonal F with 5 days of Saizen (HGH).

My insurance covered CCRM for basic testing and screening. IVF was not covered except for a $5K lifetime max that didn't include meds. I believe an IVF cycle is about $15k without meds through CCRM.

We haven't gotten to this point yet. However, due to my low ovarian reserve and difficulty growing follicles Dr Batcheller recommended doing multiple embroys if given the opportunity.

She was very nice when we saw her, but almost all of our communication was through her nurses who often didn't understand what Dr. Batcheller wanted for me. We had a hard time reaching her directly and often felt she failed to explain treatment risks, benefits and rationale to us. In the end, most of my treatment was determined by bringing my own research to her.

Be assertive about what you need.

High dose of Menopur (8 vials per day) for 13 days for egg retrieval. Break for CCS testing, beta 3 integrin biopsy and ERA biopsy (done only at my request and all showing abnormalities). Two months depot lupron for suspected endometriosis. Will do FET with a single day 6 normal embryo, with one extra day of progesterone following ERA test. Will do antihistamine protocol and lovenox for possible autoimmune or clotting issues.

Medications were over $10,000. We spent about $5000 on tests and additional appointments. Retrieval with testing was $16,000 and transfer will be over $4000.

She recommended single embryo transfer due to risks associated with multiples. No further explanation was given.

Dr Batcheller herself will tell you that she specializes in caring for those who have had multiple failed cycles. When we came to her we were broken, we had done 9 IUI's and 2 IVF's with zero success. We went to her just to get a second opinion to see if we should stop and move onto adoption. Dr Batcheller had new ideas, was way more aggressive gave us the confidence to try again. While it still took her 2 rounds of IVF to get us pregnant, we didn't hesitate to do that second round as she had new ideas and was so confident in them. As a result I'm pregnant with twin boys and have 9 more embryos in the freezer waiting for us to expand in the future. I trust her implicitly with my care- she is a brilliant doctor on the cutting edge of research!

Dr Batcheller is a straight shooter yet compassionate so you will love her from the start. Once your treatment has started however you don't see Dr Batcheller personally each visit but know that she is the only one creating your care plan and that she is constantly monitoring and adjusting your cycle if need be to get the best results! She will likely push you for a freeze all cycle...it's hard to be patient but it was so worth it in the end! This approach allows her to be more aggressive with your meds and will ultimately be a huge benefit to you in the end!

My husband and I had a lot of obstacles to overcome so we were on a very aggressive protocol. We used lupron each cycle as I produce a lot of eggs...55 my last cycle her clinic record :) For my cycle we used a combination of saizen which is a med to help egg quality- cetrotide, vivelle patches, menopur and follistim which was about 15 days of injectable meds. I was in for monitoring 5 times during that period which was always quick and easy. Dr Batcheller favors freeze all cycles because she swims very hard typically and there was no way my body could handle a transfer at that point. My last cycle I produced 55 eggs (with previous clinics I was lucky to get 20), 37 were mature, 32 fertilized and 10 top grade embryos were frozen. We then went on to do a frozen embryo transfer 3 months later (we could have done it sooner but opted to wait). Because of my previous failed transfers again Dr Batcheller made sure we did everything possible for success. I went on Depot Lupron injections for 2 months leading up to the transfer. I then did a combination of Vivelle patches, progesterone shots and suppositories 3 times daily and she added an anti-hystimine protocol of meds to be absolutely sure my body wasn't attacking the babies. We transferred two 5 day top grade embryos that resulted in a successful twin pregnancy!

Our freeze all IVF cycle for just treatment was around $11,000 plus medications that were about $7,000. Our embryo transfer was around $3,500 and then the OB care after we were pregnant was $1,200. The meds for the transfer through the first 3 months of pregnancy were about $4,000. Dr Batcheller is very picky about using certain brands of drugs vs generics which did add to the price a bit, however her reasoning made sense and was worth the extra in the end.

CCRM Minneapolis does favor single embryo transfers as their success rates are so high and it does lower the risk. In my case we had so many failures Dr Batcheller agreed that transferring two was the best approach but she did caution me that it would likely result in twins...and it did :) In future transfers I will likely only be transferring 1 at a time as we such great quality embryos as a result of their amazing embryologist and lab!

Dr. Batcheller put all of the risks and downsides to everything before we decided to do anything. We were torn about doing the genetic testing and she gave us reasons to do it and reasons why it’s not always necessary rather than just telling us to do it.

You will be treated by such an intelligent, warm, and positive person who honestly has your best interest in you.

I was unfortunately overstimulated after my egg retrieval but they took such good care and sent me to ER and followed up constantly.

We wanted to do multiple embryo transfer but the clinic and dr advised to do one bc their goal was for us to have a single healthy baby and they said the chances of both eggs holding were almost just as successful as a singleton transfer. They weren’t even telling me it was just about putting in two eggs but how hard it will be to carry twins, deliver, and take care or aftRewards. We still wanted to do 2 and they said they would let us but wanted to make sure we knew that we would probably have twins, which we did!

She seemed so human. She was warm, caring, and smart. She was always there...even though I didn't see her every visit (not needed either) she was there for all the important things and even sometimes just there to touch base. For those that might want hand holding of the Dr at every appointment that probably isn't what Dr B will do but I never once felt like she was unreachable or wasn't guiding the process. She was great from consult to stims to retrieval to transfer to releasing us to our OB.

(OCP Antagonist - BCP) CCRM - Minneapolis 10/14 Consult and CD 3 testing, 10/14 started (OCP Antagonist - BCP) BCP, 10/21 1 day work up, Doxycycline 100mg 10 days, 10/24 stop bcp, Bloodwork US 10/29, 10/30-11/8 Stims 2 vials of Menopur, Dexamethasone, 225 of Gonal-F daily (dropped to 120). CCRM Vitamin Cocktail (like 20 of them), Monitoring (11/2, 11/4, 11/5, 11/6, 11/7, 11/8), Retrieval 11/10 (38 eggs, 30 mature, 16 fertilized ICSI), 11/16 8 Blasts that were day 5's 11/30 CCS testing results 3 Normal 5aa's (2 boys and 1 girl- We didn't learn this until after we had already transferred as CCRM's policy changed) 1 Unknown 4 Abnormal (All girls)

Overall we paid roughly 35k (including IVF/Frozen Transfer, Acupuncture day of transfer, stim meds, transfer meds, post transfer meds, meds for the first 8 + weeks of pregnancy, some monitoring off site) plus (lodging/travel) 2016 Estimate of charges for: In Vitro Fertilization with CCS Testing PACKAGE PRICE CANNOT BE BROKEN APART Ultrasounds for Monitoring 76857 $800 Nursing Time Coordination (Retrieval) 98960 $750 Nursing Time Coordination (FET) 98960 $350 Retrieval of Oocyte 58970 $1,000 Transfer of Embryo 58974 $800 Ultrasound for Retrieval 76948 $180 Ultrasound for Transfer 76856 $180 Surgical Suite for Retrieval UB-92 $1,250 Surgical Suite for Transfer UB-92 $350 Clinical Lab Package $1,500 Includes Estradiol, Progesterone, LH, HCG, Blood Draw Sperm Isolation with Semen Analysis 89261 $300 Oocyte Identification 89254 $700 Culture and Fertilization 89250 $1,200 Embryo Transfer Prep 89255 $400 Assisted Hatching 89253 $500 Extended Culture 89272 $450 Embryo Cryopreservation 89258 $1,000 ICSI 89280 $1,500 Embryo Thaw 89352 $400 Embryo Biopsy 89290 $1,500 CCS Testing (Fertility Genetics) Includes 4 to 6 embryos $1,700 CCS Shipping Fees $250 Initial Pregnancy test HCG, Estradiol, Progesterone and lab draw fee $325 Total $17,385 **ADDITIONAL SERVICES NOT INCLUDED IN PACKAGE PRICE** Anesthesia/Paid to Allied Anesthesia $475 check only Medication paid to Pharmacy Varies Cyst Aspiration $400 Annual embryo storage fee $400 Back-up sperm freeze $250 Sperm Thaw $200 Oocyte Activation $400 PICSI (used with ICSI) (Not billable to insurance) $400 MESA, Testes Biopsy, PESA, microdissection Varies

She seemed willing to let us do 1 or 2 but recommended 1. We also agreed to 1 (though did a lot of thinking on it) as we live far from a hospital that could provide care for infants/children with needs. Also the delivery hospital would be 2 hours away. I was also concerned about my ability to really give a quality life experience to my child and also for me and my husband if we had more than 1 child at a time. After all the time of trying to make family I really wanted to enjoy the experience as best as we all could. Also I was concerned about additional medical issues that I might have if carrying 2. EVEN with just the 1 transferred our first ultrasound showed 2 sacs (only 1 with a pole in it). So even when transferring just 1 it is possible to get twins etc.

She did a great job explaining everything, Was completely approachable, and made you feel at ease. She made us feel valued and that we (and what we were going through) mattered. At one point we needed to adjust our treatment from an iui to ivf and we felt completely comfortable under her direction.

Don’t hesitate, just go for it. It’s all worth it.

We started seeing dr batcheller for unexplained infertility. We started with injections for an iui. After the iui was unsuccessful, we started another round of injections (slightly increasing dosages) as we planned on another iui. After one of our ultrasounds we realized that I was making too many follicles for an iui. We ultimately switched to an ivf cycle and ended up with 16 eggs, 5 fertilized embryos, 4 viable (after genetic testing), 2 were transferred (we have 2 left), and (after all that) 1 baby!

I believe the total cost for both the iui and ivf was just under $30000

N/a

She was wonderful, very knowledgeable, explained all our options and very honest. She had a large case load so she could be slow to respond to questions through the nurse portal. She was encouraging yet very realistic. She had facts to back up her thoughts and treatment plans. Her bedside manner was impeccable, always caring and patient. I never felt rushed or uneasy in anyway. We could tell she felt the importance of each case. She lighted the mood with just her smile. After meeting with her one time I knew with out a doubt she was going to be able to help us finally have a family! Best decision I’ve ever made!

Ask lots of questions!

We used a very standard protocol. She did lots of tests first to each all hormone levels etc, I felt she had a good understanding of my body and what would work best.

Super easy to schedule, always had openings early in the morning.

$20,000

She told me specifically in my case, transferring more then one embryo wouldn’t increase my chance of getting pregnant it would only increase my chance of multiples. We went with a single transfer.

I credit Dr Batchelor's focus on embryo screening and newer technology to my successful treatment. She is professional, personable and so hard working. I was amazed at the personal treatment I received from the very start as a patient in a brand new practice.

Her practice is focused on your success and not just their statistics. You are in great hands with a Dr that has clearly dedicated themselves to helping others in such an amazing way.

I do not recall a lot of specifics of the treatment protocol. I chose to spend the extra investment on CCS or PGS and I'm quite certain that is what I can accredit my success with one cycle, single embryo transfer. Additionally her clinic treated me with a high BMI, without hesitation where other clinics have BMI cut offs that seemingly only serve to protect their success rates.

$18,000 package covered retrieval, transfer, ultrasounds ,PGS/CCS etc. drugs were separate.

Dr. Batchellor was a strong proponent of set, but she was able to offer technology and success rates to compensate justify the approach.

I can't say enough about Dr. Batcheller! She knew that this was our "last chance" cycle and put her heart into fighting for us. She was familiar with us at every visit, coming in on weekends to do ultrasounds and personally stepping in to do even the "small tasks" like taking a blood pressure or making copies of forms for us. She left no stone unturned and wanted this for us as much as we did. She was compassionate, kind, caring, funny, and incredibly personable, yet professional. We had seen other doctors up to this point, but had never received the type of care as we did with Dr. Batcheller. She validated concerns I had from prior cycles even before I had mentioned them. I was incredibly impressed with how she handled my questions. She has solid reasoning for what she does and why, but is willing to take your thoughts and opinions into consideration and compromise if you feel strongly about an issue. Dr. Batcheller is a truly fantastic doctor.

Make the appointment! Bring your questions - you will never feel rushed as she answers your questions.

Retrieval. PGD tested and then a frozen cycle to transfer 2 embryos.

Costs were competitive within the Twin Cities. About $16,000 for a freeze all, PGD tested cycle, not including medication.

This was our 5th transfer total, 1st with her, and 1st using PGD tested embryos. We decided to transfer two due to having had 7 embryos fail in the past and being unsure if it was an embryo issue or uterine issue. Both stuck and we welcomed our twins in May 2017.

Dr Batcheller is young and the clinic was still fairly new (<1 year at this location). She is extremely passionate both about the science and the human side of infertility treatments. She never shied away from explaining treatments, options and limits, as well as expressing her recommendations (which might not have been what we would have picked, but turned out for the best).

ask ALL your questions. she will answer everything. NO DUMB QUESTION !

Since i was responding well to injectables (from failed IUIs at another clinic), I was set on the following: vivelle patches, then cetrotide; then gonal F / follistim + menopur; Lupron for the egg retrieval. then day 5 embryo frozen transfer after genetic testing (6 weeks later)

total with medication + clinic + follow ups about USD 23k

Dr wouldn't do multiple embryo transfer, as in her mind they carry higher risks (both for transfer and pregnancy, as well as increased risk of multiples) we only had one viable embryo, so we didn't have any decision/ arguments on it.

Our initial consultation was a lot to digest and process, but she was understanding and willing to answer all of our questions. After our first consultation we knew we were going to be in great hands. CCRM has a great reputation in the industry with very high standards. Dr. Batcheller and her staff in Edina also have very high standards that can be seen and felt. You can feel her dedication and passion for what she does. One thing we did have an issue with was understanding is why we didn't qualify for the asure program. It took a lot of digging and phone calls to understand the reasoning which could have been easily communicated the beginning of our treatment (in our case male factor excluded us from qualifying). We attributed this to the growing pains of a new office and staff. We chose to go straight to IVF because of a morphology issue with my husband. After discussing our issue with becoming pregnant on our own, we were told CCRM Edina clinics' IVF success rate is/was 88% (which is very high). We also chose to do ICIS, genetic screening, acupuncture, and a frozen transfer. So technically our success rate should have been slightly higher than 88%. When our first frozen transfer failed we were devastated and felt almost like we were a little misled in realizing that it can also fail. We almost had a false sense of security that it would work. We felt like there was little discussion about the possibility of it not working. Looking back it was also us being a little naïve as well. Dr. Batcheller was honest and open after it failed (it's difficult when a reason can't be pinpointed) and suggested we do an antihistamine wash next time and said it's not an approach she would have taken the first time. When all said and done We doctored with Dr. Batcheller from Jan. 16 - Dec. 16 with the result of a current pregnancy. We could physically see the growth within the clinic. She and her staff are doing great things! We hands down felt like we had the best care possible. If we should need to do IVF again in the future we will be Seeing Dr. Batcheller.

Take your time with the staff and Dr. batcheller, they are there to answer all question and concerns that you and you partner may have. Know that Dr. Batcheller has your best interest in mind. Going through IVF is difficult emotionally and physically.

We chose to do a frozen IVF cycle (higher success rate). We had our embryo transfer in May '16 and had our 1st frozen transfer in Sep. '16 which resulted in a failure. Our 2nd transfer was Oct. '16 which resulted in a successfully pregnancy. The retrieval was fairly typical medications consisted of doxycycline, estrace, ganirelix, menopur, follistim, dexamethasone, clinics, novarel, and leuprolide. 1st frozen transfer medications: birth control, leuprolide, vivelle, aspirin, endometrin, and progesterone in oil. I also did acupunture day of transfer at clinic 2nd frozen transfer medications: birth control, leuprolide, vivelle, aspirin, endometrin, medrol, doxycycline, progesterone in oil, prednisone, pepcid, and claritin. I also did acupunture for six weeks leading up to transfer including day of transfer and after transfer. Second transfer resulted in a successful pregnancy.

26K plus meds and 6k for a 2nd frozen transfer. I was fortunate that my health insurance coverd my IVF.

Dr. Batcheller my husband and I discussed what would be best for us. My husband and I wanted to try for one baby rather than twins. considering our infertility issue sat with my husband we all agreed transferring one embryo would be our best option.

She's compassionate, trustworthy, and obviously extremely smart. After our first meeting with her I walked out of the clinic completely trusting her.

She's going to give you a lot of information so take notes, and ask as many questions as you need.

No bcp priming (too suppressive). We ended up skipping the usual estrogen patches/cetrotide priming because my period came early. Started stims with 150 menopur, 300 gonal f, and she added clomid after my first follicle check. Cetrotide after follicles reached 12mm, and a dual hcg/lupron trigger. I had six mature eggs, three fertilized, two made it to blast (4aa and 4bb) and one (the 4aa) was CCS normal.

18k which included retrieval, CCS testing, and one frozen transfer.

She did all but 2 of my ultrasounds for 2 retrievals. My first retrieval was good. My 2nd resulted in 0 embryos. She sat with me for an hour to discuss my results and listen to my frustration and even said she was sorry for things I didn't understand, although she did nothing wrong. She's competent, compassionate, science-based, with an incredible bedside manner.

The clinic is new, so they're still figuring some things out. But take your chances on them - they're worth it. I did find that they're on the more expensive side. However, they specialize in helping older women get pregnant.

About $27,000 per retrieval, including meds. $6000 for transfer including meds. I also elected to do embryo chromosome screening which added $5000.

I am really pleased with my care. It's a small clinic, and you have to be your own advocate, but I feel like out of all the clinics in town, this is the only one that I even have a chance of getting pregnant with.

I am not sure if this is doctor specific, but I always think it's a good idea to have an understanding of your diagnosis, be your own advocate. You know you better than anyone else. Bring up things. Ask questions. They are really strict on things like not drinking caffeine, but they won't let you know unless you ask. So ask questions.

I did two different types of priming. The first did not work so well, so we adjusted. We also adjusted my stim protocol.

it's expensive.

Dr. Salem was kind, real, and thoughtful. He communicated effectively and we never felt talked down to nor did we feel like he was looking as us as numbers or a bank account. He asked us questions and clearly had looked over our information prior to the appointment.

Ask questions. He is very open and approachable.

We had a consult with Dr. Salem in January. We chose to keep trying naturally for a few more months. We will now be going back to begin IUI.

Our consult was around $200. They only work with one insurance company. but they do send you the detailed bill to send into your insurance for reimbursement if your insurance covers it (ours doesn't).

You communicate more with the nurses but when I did see or talk to Dr. B., I always felt she cared and knew my story and could even anticipate some of my questions. She was real and down-to-earth yet so caring. I trusted her completely.

You may not see her in person a lot but when you do you will feel how much she cares about you and helping you have a baby!

Protocol 5 with CCRM, which I believe is one of their heavy-hitting protocols for DOR. No HGH. One retrieval produced 13 eggs and 5 Day 5 embryos. Two tested PGS-normal.

Probably around $20,000 total

She was impersonal, lacked compassion, inaccessible, exaggerated success rates, and was inflexible when I wanted to alter my care base on initial outcomes and response to medication. She is the worst doctor I've ever worked with.

Don't waste your time or money.

CCRM puts you on a standard protocol depending on your labs. The protocol is not individualized or altered based on your unique response to meds.

Slightly more expensive than other MN clinics. Tried to "sell" certain things that once you agreed to them, you weren't allowed to cancel (genetic testing)

CCRM will not do multiple embryo transfers.

Dr. Batcheller was very warm and I always felt like she really cared about our outcome. She seemed knowledeable with current protocols, she didn't just choose a cookie cutter approach. Before we met with her, we were ready to move onto 3rd party reproduction, but after our consult we decided on one more cycle with her. While we didn't get the outcome we wanted, i.e. a baby, I'd still highly recommend her over any other RE's in MN.

My go to advice for anyone doing IVF is to always be your own advocate. Don't be afraid to question things. Go with your gut.

A antagonist protocol was used, along with hgh, which resulted in two embryos, one blast and one morula. Unfortunately neither took.

The 2015 pricing for IVF including ICSI was $11,935. Anesthesia was a separate charge of $430.

She was fantastic. Energetic, caring, and really took the time to explain things to me and answer all of my stupid questions. She's an all-around fantastic person and a very talented doctor.

Don't be afraid to ask lots of questions- I never felt judged or silly.

Since I have PCOS, we followed a special regimen to accommodate. She was also careful to give me lupron as a trigger to help eliminate the risk of OHSS. She was very knowledgeable about the latest and greatest info and was okay tweaking my schedule when I wasn't responding as anticipated. It felt personalized for my specific concerns/issues.

More expensive than other local options, but I feel it was 100% worth it. Our entire IVF FET cycle ended up costing around $26k (including meds).

I have only met with Dr. Batcheller a couple of times, most communication is done through the nurses. The times I have met with April, I thought she was very nice and knowledgeable and I felt comfortable moving forward.

Be your own advocate! The clinic is very busy, and if anything feels "off" do not hesitate to ask questions and get better explanations.

For IUIs it was letrozol with a very small dose (50) of gonal-f. These were used to help not only grow my follicles, but to attempt to thicken my lining.

Approximately $4500 per round of IUI including meds. Have not paid for IVF yet.

Have not discussed this yet.