Conceptions Reproductive Associates

This clinic is amazing. The Littleton office feels like my home since I spent so many years there. Parking is close. Elevators are available when walking the stairs wasn't recommended. Easy access to blood draw area and waiting room always had something for me or my son (first IVF baby of ours) to do.

He was ready to fight for me to get the best care I could get. His protocol was personalized to my unique needs.

So amazing. They supported me through happy days and sad. Whether they we're greeting me in passing, drawing my blood, explaining test results, reviewing medication, or grieving with me, they all provided perfect care.

He was straight forward, yet took the time to explain all the ins and outs, acronyms, processes, possibilities with us. He knows his areas of strength and has intelligently filled his team with people who can support patients in other ways. He isn't just after the nest numbers (though his numbers are very good) because he sincerely wants the best for his patients. He is very good at what he does and is able to tackle tough situations and conversations with ease.

Be ready. Know that you are in for an in depth conversation, very specific to your body and it's needs. Come with knowledge of the process and common IVF acronyms. It will help expedite the consultation and provide opportunity for you to ask questions.

Tried IUI with estradiol, letrozole and luteal HCG because we hadn't tried IUI yet and infertility was unexplained. When that didn't work (twice), we began egg retrieval stimulation using follistem, menopur and saizen (saizen due to suspected poor egg quality). We froze all embryos for PGD since we didn't know why I couldn't get pregnant, nor why I miscarried. Around retrieval time, I also took doxycycline, nexium and a novarel trigger. The trigger was a half dose due to my high estradiol results. I needed ganirilex injections as I was very close to ovarian hyperstimulation. The next month, I started birth control pills to calm my own hormones and allow doc to control them with meds. For the transfer, I was on lupron, estradiol, and progesterone in oil with medrol right around transfer. After being diagnosed with ashermans and having multiple surgeries to resect the scar tissue, I was on hormone therapy using estradiol 2 mg pills twice a day and del estrogen injections to rebuild the lining. We tried a couple different protocols, using Viagra or Cialis with pentoxy to help encourage uterine lining growth. The final successful cycle involved Viagra, estradiol 2mg, pentoxy, del estrogen and HCG (new study released Dec 2017). I used acupuncture during all if my treatments and it was an integral part of our success and highly recommended by Dr. Bush.

In seven years, one egg retrieval, four transfers and four surgeries, and lots of medication, we spent around $50,000. All things considered, very reasonable.

He was open to our decision but encouraged us to transfer one at a time when we asked him what he would do if he were in our position.

I think the biggest concern I have with this clinic is associated with a couple of paperwork related issues. For any new patients - make sure you stay on top of everything and feel free to call them with questions. The staff responds really well to any questions you may have and the nurses are easy to talk to. Just make sure you are an advocate for yourself!

He cared about how many kids we want and tailors our therapy to what is best for us. He focused on our personal needs as a couple. He was also compassionate and seems to really care a lot.

The nurses are wonderful. I like the fact that they perform the IUIs because they are all very gentle and I feel comfortable with them. They are good about responding to my frantic emails or calls. Sometimes some medication related things aren't done on time but if I call the office they respond right away. I really appreciate how compassionate they are. They have a lot of responsibility at this office and if you are a patient here you will get to know them well, which is great because I enjoy seeing them!

He is on top of the most recent research which is important to me. He has a personal email that he told us we can email him at any time. He even has a blog although does not update it frequently. I have only seen him twice but he is very friendly and intelligent. He seems very passionate about his career and I feel like I can absolutely trust him.

Come prepared with a list of questions.

He looks at bloodwork and other tests before deciding anything. He looks at HSG, if you are able to ovulate normally, AMH, and as well as male factor. He doesn't jump into performing a biopsy to diagnose endometriosis and recommends pine bark extract which has one study stating it can help. He recommends removal of polyps and performs the surgery himself. His nurses perform the IUI procedure. There has been a lot of waiting which is frustrating but it seems to me that he follows protocols by the book.

My IUI costs are about $400-500 a month plus a $600 COBRA payment. Not sure what IVF will be.

He strongly recommends single embryo transplant which is something I have done research on and agree with.

I think any new patient would love to work with this clinic. I would definitely recommend them to a friend. Even though my transfer was unsuccessful I know the nursing staff , Dr, embryologist, etc did everything they could to make it successful

I felt like he was to he point and gave us the facts. I appreciated that he told us the likelihood of getting pregnant and how he could help.

I loved everyone that I worked with and thought they were very compassionate and understood the anxieties and hardships that come with fertility struggles

He doesn’t have the best bed Side manner but that didn’t really matter to us because we know that he knows what he’s doing and gets the job done. Our conversations with him were very quick but again it didn’t really matter because we were always taken care of very diligently by his nurses and staff and could ask them any question. We knew Dr Bush was very busy and couldn’t sit and chat for hours and that was fine. He just needed to be there for the transfer and consultations and that was good with us.

To not be discouraged by his lack of bed side manner. He isn’t meaning to be rude or dismissive.

Uterine testing, blood work, and mock transfer before moving forward with a FET cycle. Once all that was clear and good to go I got on birth control. When my period started and we were ready for the actual transfer part I got on several medications such as Lupron, estrogen patches, estrogen pills, estrogen suppositories, progesterone in oil , HCG injection , baby aspirin, vitamin D, prenatal. I’m probably forgetting a couple but there were a lot to remember.

We did an embryo adoption so there were a few thousand dollars for lawyer fees and genetic parents blood work. Then a couple more thousand for uterine testing, mock transfer, and blood work. Medication was about $1,800 and the actual transfer was $5,610

Everyone was very friendly and warm. It seemed like most staff there knew and understood what you were going through. I would have liked a bit more explanation and communication from staff though so I knew exactly what to expect at every stage.... even as small as checking in upstairs for ultrasounds and downstairs for blood work.

Shew as very frank and forthcoming with me, and she took the time to see me when I didn't have an appointment.

The nursing staff was wonderful. They answered all my questions and called me every day to give me instructions. The were able to calm my nerves and reassure me. As I am in my second round, the nurses have been more forthcoming with information regarding my progress (I.e. egg count, egg size, etc.), and I would have preferred to have had this information during my first round.

I would have liked to see her more before and during my treatment just to have her check in with me and reassure me on any of my hesitations or concerns. I spoke directly with the nurses who were the middlemen for any questions I had.

You should expect to be someone who has a basic knowledge of the egg freezing process as she does not give an introductory overview of how your body functions and what the full process is like. Expect to be the one who initiates the questions to fully understand everything.

I am currently in my second round of egg freezing and the doctor recommended I do a short stint of estrogen before my cycle started. She wanted to try a new approach to get me to produce more eggs. It seems to be working so far as I am producing more eggs this round than my first round.

I only compared the costs of Conceptions with one other clinic and Conceptions was less expensive. They also offered me a discount with my second round of egg freezing, and ordered my drugs from a different pharmacy that was providing the lowest costs.

My doctor stressed to me the importance of doing a single embryo transfer as opposed to a multiple embryo transfer. I asked if it was still possible to do a multiple embryo transfer, and she responded that they really only encourage a single embryo transfer. When and if the time comes for me to do an embryo transfer, I believe I will request a multiple embryo transfer.

They were quick to respond to emails, and I prefer to communicate through email. Their phone response time is terrible. Multiple nurses told me to not even bother calling the nurse line. They should have someone assigned to get these calls to the appropriate place within the same day. The staff is so friendly when you are in the office and make you feel like they really care.

I cannot express enough how different Conceptions was different to every other fertility doctor I have gone to. I have long been diagnosed as having PCOS. The doctors at other Denver infertility offices (like CCRM) stated my infertility issues were caused by weight and refused to administer any IVF medication. ( I weighed 177 lbs.) Dr. Bush did not bring up my weight ONCE during my journey with him. He treated me like a human with a legitimate medical issue causing infertility. He started me on the IVF process immediately after initial testing. After FIVE years of trying to get other infertility offices to help me I got pregnant after my first run of IVF with Dr. Bush. My baby is due in August of this year and I will always be grateful to Dr. Bush and the entire Conceptions staff.

Veronica Morris was my pre egg retrieval nurse. Jessica Rico was my post egg retrieval nurse. Jessica was so kind and showed such excitement for me every time I succeeded in a part of the IVF. She was a very good communicator, and made herself very available. Veronica was also nice, but sometimes my husband and I felt like she was annoyed with our questions.

I cannot express enough how different Conceptions was different to every other fertility doctor I have gone to. I have long been diagnosed as having PCOS. The doctors at other Denver infertility offices (like CCRM) stated my infertility issues were caused by weight and refused to administer any IVF medication. ( I weighed 177 lbs.) Dr. Bush did not bring up my weight ONCE during my journey with him. He treated me like a human with a legitimate medical issue causing infertility. He started me on the IVF process immediately after initial testing. After FIVE years of trying to get other infertility offices to help me I got pregnant after my first run of IVF with Dr. Bush. My baby is due in August of this year and I will always be grateful to Dr. Bush and the entire Conceptions staff.

Trust Dr. Bush and his staff. Don't be afraid to ask questions. Be patient. IVF can be a long process.

Dr Bush went straight to IVF which was refreshing because other Denver infertility offices (Albrecht Women's Care). Made me do three IUI attempts and refused to do IVF on me which was a huge waste of money. Dr Bush did more detailed testing of my hormone levels than any other infertility Dr did. I have PCOS so weekly testing of my hormone levels was necessary which no other Dr's did. I never made near enough Progesterone on my own, even after becoming pregnant, so Dr Bush had me take Progesterone injections until my fourth month of pregnancy when the placenta finally starting making enough Progesterone to keep the pregnancy. I'm confident that with any other Dr I would have lost the pregnancy.

The ultrasound technician at the Sky Ridge location was one of my favorite people to visit during the process. She was so sweet and knowledgeable. The ultrasounds were quick and painless. I even got to do my first pregnancy ultrasound at their offices. Their ultrasound machines were top of the line and showed amazing detail.

The billing department was very good about working with my insurance and making sure I was fully aware of any co-pays before they were due.

My insurance would only pay for IVF if I did a single transfer so I never had to have the multiples conversation with Dr Bush.

For me, I felt that the staff was very knowledgeable and organized. I just had to trust that they knew what they were doing, and they did. The one thing that was difficult for me was transferring my care to multiple different nurses depending on the cycle. It made sense that certain nurses were experts on different parts of the treatment, but it was a challenge transferring care so many times.

Dr. Greene kept it real with me throughout treatment. In the beginning I was not willing to accept IVF as the appropriate treatment for my diagnosis. Dr. Greene told me the facts and let me take the time to do any additional research that I needed to ultimately make my desicion. He was very warm and positive throughout!

The nurses were always very compassionate and made sure to communicate next steps with me. If I was confused they were very helpful in answering my questions.

Although I didn’t see him often, he was very warm and friendly. He kept me optimistic and positive. He also was sure to share information and make sure I understood my treatment. Dr. Greene was honest with treatment and what we should expect in our situation. I am very thankful that he kept it real, but still knew how to present the information in an appropriate manner.

Listen to what he has to say! He might not tell you what you want to hear, but he is giving you the appropriate information.

We went straight to IVF after the infertility diagnosis. My Fallopian tubes are occluded bilaterally and the only option for treatment was IVF. He explained that surgery could happen for me, but most insurance doesn’t cover it, I would have to wait to see if the surgery was even successful, and most women have to do IVF anyway. I did research and he was right. I don’t remember the exact protocols used, but during egg retrieval Dr. Greene monitored my follicle growth throughout and did have to make adjustments to my meds. This was successful as 19 follicles were retrieved. As for FET, we only had to transfer one embryo one time for a successful live birth.

It was extremely expensive, but it is expensive at any clinic. My IVF treatment including genetic testing was over $19,000 and the medication was around $7,000. I do wish the clinic was more helpful in “shopping” for medication vs using the expensive specialty pharmacies.

Dr. Greene explained the rationale for transferring a single embryo, but he still let us make that decision for ourselves. He presented us with facts and let us discuss what we felt was right for our family.

Clinics strengths are that they do accept military insurance for workups. Additionally, they offer military discount which is great for disabled veteran like myself. Clinics main weakness is that they are soo wrapped up in trying to compete with Ccrm that they lose the real focus of why they are her, to get us pregnant. It is disappointing to be at a clinic whom always makes mention to another clinic, it makes the treatment inefficient, they lose out on the focus of making sure that the patient is taken care of and it is for that reason that I decided to leave conceptions and am now at Ccrm.

I only met with Dr.Bush once, during consultation. After that, all of the care or lack there of was managed by his nurse, who was always out of office, always on vacation and had no idea of who I was or what was going on at all with me, just another paycheck, no real service. Just passed around and along

Nurse Erika wa just all over the place and disorganized in general. She would leave for vacation, fail to put in orders, fail to put in prescriptions and fail to make appointments. What really frustrates me most was that it felt as if Erika was handling me care, for instance, I asked her about the high dosage of medication, her response, just add a little more, we’ll figure it out, were “very casual here”.

Dr. Bush put me in the mindset of a pit boss at the casino. With that, I mean that he was thee to make sure you were going to spend/lose your money with him and only him! During my one and only consultation, all he spoke about was money and other clinics, he really did not discuss with me how his clinic was better and/or how he was going to help get us pregnant. Which is all we care about. We do t care about his feelings toward other clinics and why we should not use other clinics, but tell me why you’re clinic is the best choice. Additionally, Dr.Bush misled me with stats where he boasted that his clinic was the best, after things didn’t make sense, I looked on SART only to realize that his clinic was not even listed on SART, so how can he state that his clinic has best stats in Colorado if he is not a member of SART? Just very disappointed with him and his practice.

If I were going to advise a prospective patient, I would tell them to find a clinic that is SART certified. I would let them know that Dr. Bush will not meet with you because he is too busy, he is too busy to do a regroup, his one nurse sometimes takes days to get a response from him and more importantly that Dr.Bush will not adjust any treatment, he pretty much will just keep going and hope it turns out good which makes for ineffective treatment.

Dr.Bush suggested doing a standard protocol with injectables, however, when his nurse was out of town and no one returned my call, Dr.Bush attempted to rush my treatment by just starting just to start. To be quite honest, I can not tell you what his rationale is/was because his nurse handles everything and appears to be making decisions on dosage and such. The results were failed cycle because no one was really handling my care.

I don’t recall. He did accept military insurance and did offer military discount for service.

Strengths: Everyone is friendly and on your side. When I felt scared and alone, I had the nurses who comforted me. Weaknesses: Althoufh not terrible, I think the communication and organization could improve. Maybe the nurse to patient ratio is too high.

While Dr. Bush is excellent at what he does and provides positive results, his bedside manner is not exactly genuine - making you feel a little more like a number. However, the nurses make up for the lack of bedside manner and therefore wouldn’t have it any other way. I appreciate that he is blunt and does not sugar coat things, he gave us our beautiful baby girl.

Dr. Bush is excellent at what he does - helping families grow. He is confident and makes you as a patient feel confident. We put all our trust into him and without him we would not have our beautiful 6 week old baby girl. I will continue to refer him to my friends who struggle trying to conceive.

Don’t expect a great bedside manner from him, but you can from the nurses (who you primarily communicate with anyway). Also, don’t let that interfere with your trust in him - he is brilliant and knows what he is doing. He is on your side and wants a positive outcome also.

Having PCOS (and being an over producer of eggs) his strategy for the egg retrieval was to grow “low and slow” - small increments of hormone dosages that gradually increased until trigger. Because I had so many follicles, some grew much quicker than others so he adjusted the dosages so the larger ones basically stopped growing and the smaller ones continued to grow. I then had a successful retrieval.

I rarely had to wait. I typically tried to get there early, but it was never overwhelming.

Due to my age and health, he recommended a single transfer. He only recommends a multiple embryo transfer (2 max) dependent on age group and diagnoses.

I always felt like I was well taken care of by the entire staff in Littleton. Infertility is scary, so it is nice to have a team on your side! With strengths like knowledge, experience, and innovation, they are the best of the best.

We had been told not to expect a really human feeling with Dr Bush and that he isn't good at bedside manner. I completely disagreed with that assessment. He was very straight forward with what was going on after all our tests came back and he was honest with our options and gave us statistics of success with each given diagnosis. He gave us all medicated and unmedicated options and left the path up to us, as it should be.

The coordination staff (nurses, techs, etc) are the ones that run this office from day to day and who are "in tune" to your cycle at every point. They always knew what day I was on and what I should be doing on that day. If I had a question that I sent by email or phone, it was always answered the same day. I always felt like they had it under control. They had, and continue to have, my complete trust.

Dr Bush is by far and wide one of the best REs in Colorado, if not the entire country. He knows what he's talking about and his track record speaks volumes. My experience as a patient has always been very positive. I never felt like a number, he always knew where we have been and where we were headed next. He also always seemed to remember names of our kids, after we had gone back for subsequent transfers. He never talked down to us and he was more than happy to explain anything I asked about.

Iui was around $7k per cycle. IVF was around $20k to include 1 transfer (fresh or frozen). Each subsequent transfer was $5k without medication costs.

Dr Bush was always very upfront that he wanted to transfer only 1 embryo at a time. He didnt want a high risk pregnancy for me and I didn't either. It wasn't an issue for me - aligned with my prior decision.

I love that if you call this clinic (the Denver office) someone answers the phone and there is no automated messaging! It is so nice and refreshing. The facilities (Denver and Littleton) were both very nice and clean. My biggest frustrations had to do with the billing office. There was a scenario where they overcharged me for a HSG by $560 after months of waiting on the bill from my insurance. I wasn't able to make a new cycle appointment unless it was paid which I did reluctantly even though I told them I could see on my insurance side that I owed less than what they stated. After I sent my EOB after our phone call, I was told I had a credit on my account and I could either wait for the statement to cut once that month and get a check or use to pay future bills. I also just had a really hard time following their billing statements and the personnel I spoke with were often sassy or annoyed with me.

Dr. O read our chart and knew our specific information, stats, etc., however, she was very concerned with best medical practice and putting us into a treatment routine. We fell outside the norm due to our convictions as Christians and we were challenged regularly such as genetic testing. In addition, there was a lack of directness about diagnosing me with PCOS. The first meeting after our testing she said I had similarities but not a diagnosis then later on the nurse told me I had PCOS. During our last meeting, I asked her pointedly and she finally confirmed that I did in fact have PCOS after skirting around the topic slightly.

My assigned nurse was very nice and seemed very organized. My main issues with the nursing staff came from when my nurse (who works PT) was out of the office and I worked with Channing. She is very nice but not very organized. With my 1st IUI, Kelsey had preliminary told me that she would trigger me the day of my ultrasound if I had a follicle at 20 mm but she was out of the office the day of this ultrasound and Channing recommended I trigger that evening with two 18 mm follicles. In addition, my lining was slightly thin and no one mentioned this until after the cycle. After a failed 1st IUI, Kelsey said she would have done a few things differently and would have triggered me one day later and potentially put me on estrace to thicken my lining. Every cycle is so differnt so the next cycle I was put on estrace the day of my ultrasound but I had one follicle at 22 mm and my acupuncturist immediately thought that I should have done an IUI within 12-24 hours because I probably ovulated sooner, which was apparent because my pregnancy test date was 13 days post IUI. There were a few times I needed something and Kelsey was out of the office (she is PT) and Channing was supposed to call me back and either didn't or would at the very end of the day. I just felt like I was getting conflicting answers from the nurses or if Kelsey was out then I wasn't a priority to the other nurses. They are all very nice in conversation. There were several times where I took notes and had to remind them of certain things (like re-testing my husband's semen and vitamin D after taking supplements). It just felt like they weren't as detail oriented and these tests are expensive and very important to patients even if it is not IVF.

Dr. O is very smart and that is apparent in the initial meeting with her. She has a lot of experience in her field. My husband and I appreciate this aspect of her and that she gives you information bluntly and will answer all your questions. The reason for my negative ranking is as follows: She is very opinionated, knows what she is thinks is best and wants to stick to that plan only. Some examples of scenarios where we disagreed and we were met with opposition are the following. 1. We denied karyotype genetic testing during our initial testing because as believers in Jesus we would not change our plans to try to conceive naturally or transfer an embryo based on a positive result of having a higher chance of having a child with multiple sclerosis, cystic fibrosis, or other perceived "genetic abnormalities" (Dr. O was very aggressive in pushing back and challenging this decision and that there are options to test embryos so that we wouldn't have a child with CF - which entails testing an embryo and then throwing it away if it is positive with one of the "genetic abnormalities" 2. Similar to #1 we do not want to do PGS testing in a potential IVF round for similar reasons that relate to our strong beliefs about the value of life and Dr. O's views on this are very apparent from the beginning (She wants to create and transfer ONE genetically perfect embryo for highest chances of success) 3. She is very strict about only doing a frozen transfer and only transferring one embryo at a time (we would prefer to transfer 2 embryos at a time due to the desire to not do PGS testing and we do understand that there is a high likelihood that 50% of embryos will be abnormal and either miscarry or not implant altogether but we are committed to transferring all potential embryos at some point in our life). I mainly feel that my personal faith based beliefs are not respected by Dr. O. I do understand she has gone through a lot of education and is aware of all the statistics and best practices but as Christians I care about more than just the "best practice" and want to move forward in a way that honors what I know is true about the value and gift of life. I don't mind that she presents all the facts but I do wish we were treated differently with regards to our views. For all these reasons, I would caution my best friend of going to Dr. O due to her aggressive, and sometimes hostile nature, regarding anything that does not align with the "medical best practices" of genetic testing and selective embryo transfers. As previously mentioned, there was some confusion around if I was truly diagnosed with PCOS or not and I dot not understand why she wasn't blunt about this from the beginning like she is with all of her other information that she delivers.

Be prepared with a list of questions to ask her and be well researched. She really appreciated that I knew the language and had done preliminary research on testing and treatments. When she walks you through an IUI or IVF process she talks quickly and matter of factually so you could get lost in all the details if you haven't at least read about it or discussed it with someone before. Also you can be blunt back to her and hold your ground if you have strong opinion or convictions about any part of this process. I strongly recommend researching the moral and ethical implications that accompany certain fertility treatments so that you know what you are agreeing to.

My husband's SA came back with low morphology at 1% (everything else was great!) and he started using Theralogix's conception XR as prescribed. Dr. O recommended using Letrozole instead of Clomid for medicated IUIs because I have a high resting follicle count (later officially diagnosed as PCOS) and they believed I would easily hyper stimulate. IUI Cycle #1: 5 mg of Letrozole (or Femara), CD 12 sonogram - L ovary: 18 mm R ovary: 18 mm, triggered at 9:30 pm, IUI 36 hours later on CD 14, sperm (post wash): 34.7 million, motility 89%, prometrium CD 16 through pregnancy test 14 days post IUI. Negative pregnancy test. IUI Cycle #2: 5 mg of Letrozole (or Femara) CD 12 sonogram - L ovary: 16 mm, 15 mm. 12 mm R ovary: 22 mm, triggered at 9:30 pm, IUI 36 hours later on CD 14, sperm (post wash): 18.4 million, motility 88%, prometrium CD 16 through pregnancy test 14 days post IUI. Negative pregnancy test. IUI Cycle #3: 5 mg of Letrozole (or Femara) CD 11 sonogram - L ovary: 17 mm, 12 mm R ovary: 19 mm, 15mm and 13 mm triggered at 9:30 pm on CD12, IUI 36 hours later on CD 14, sperm (post wash): 25.8 million, motility 92%, prometrium CD 16 through pregnancy test 14 days post IUI. Negative pregnancy test.

Initial fertility testing (with some insurance coverage): $1,100 Each IUI cycle: CD1-3 ultrasound and bloodwork (out of pocket): $402.16 Letrozole: $10 (with Good RX coupon) CD12 ultrasound (out of pocket): $167.20 Trigger shot: $92 (Mandell's specialty pharmacy) IUI (out of pocket): $353.76 Prometrium: $30ish (With Good RX coupon)

I have not decided yet if we will move forward with IVF at this clinic or at all, however, see previous comments regarding initial discussions regarding genetic testing and selective embryos.

The clinic strength is its nursing staff and coordinators. The phlebotomist are amazing. The receptionists are wonderful and prompt. The IVF Financial Consultants are extremely helpful. The weaknesses would be the billing department. It took us calling them five times for them to get back to us. I am not into the fact that there are ultrasound techs. I would prefer that my doctor be the one doing my ultrasounds because then they could immediately decide my course of action instead of me needing to wait to hear from a nurse and then possibly having to start the next day because I usually need to go pick up a prescription. I just wish that the doctors were a little bit more Hands-On. it seems like the clinic is run on everybody but the doctors and the doctors can't be bothered with you unless you're going to be doing IVF.

Dr. O'Shaughnessy is extremely blunt. From our very first meeting she seemed extremely annoyed with any questions that myself or my husband had. I felt like my previous treatment and diagnosis from my first fertility doctor in California, was brushed aside and my medical history didn't really matter to her. She made a comment during our consultation that alluded to do my PCOS diagnosis as false and that she didn't trust my first doctor's diagnosis and would be coming to her own conclusions. I have only seen her in person three times in almost a year.all of my correspondence regarding my treatment is done through a nurse. My ultrasounds are all done by an ultrasound tech. Dr. O'Shaughnessy immediately wanted to jump into IVF without trying any other options and I had to be the one to ask for other options first. When we last met with her she thought that I had asked if I could try another round of time to intercourse and slightly chuckled at that idea because she said my only options are IVF at this point. It just felt like we were in annoyance to her and she had better things you could be doing with her time.

The nursing staff at conceptions Littleton is amazing. They've all shown compassion and understanding. They respond to phone calls and emails within a few hours or at least by the end of the day. They never hesitate to answer any questions and if they can't provide an immediate answer they reach out to the doctor. The nursing / ultrasound staff has been what has kept me at the clinic.

My experience as a patient of Dr. O'Shaughnessy has not been ideal. The entire group / Clinic is very cold when it comes to their doctors. I feel like it's missing a personal element. I'm thinking about finding a new doctor.

I would go into any consultation or interaction with her knowing that it's going to be straight and to the point. There isn't really any comfort or hand-holding. Not a ton of compassion. She comes off just very direct and a little bit brass.

after my consultation I did blood work and found out that I had a chemical pregnancy, it was not a result of anything to do with conceptions. They induced a menstrual cycle when my HCG levels dropped below 5, which means you're no longer pregnant. After that I did several rounds of timed intercourse with letrozole and clomid. During each of those Cycles I was on estrogen and prometrium. Everything was monitored via ultrasound. Trigger injections (ovidrel) were done it home. They all resulted in negative pregnancy tests. Dr. O'Shaughnessy wanted to try an IUI because my endometrial lining was so thin, but that never happened. We tried to grow my eggs with injectables instead of an oral medication and my eggs never grew past 9 mm, but my estrogen levels were through the roof so Dr. O'Shaughnessy said that it was unsafe to proceed or up the dosage of injectables because I would grow too many eggs at once and she wouldn't be able to trigger me. During the course of the injectables my lining was the perfect thickness. After that my husband and I took a 2 month break of trying and we regrouped was Dr. O'Shaughnessy and she suggested IVF. We have yet to pull the trigger on that because the cost is so high.

My insurance only covers $1,200 of diagnostic tests. Everything else is Bill to insurance and then I am given a bill when I show up for my next appointment for it comes in the mail. Basically, we're paying for everything out of pocket. Insurance doesn't cover a whole lot. My average visit is $200 and sometimes that several times a week.

In our meeting where we discussed the possibility of IVF she told us that the clinic has a policy where they only transfer one embryo at a time. She said if I really really begged her she would consider putting in 2 embryos, but she would extremely advise against it because a multiple pregnancy is a high risk for mother and child and my health is the most important thing.

I liked that there was more than one clinic and I could go to whichever one was most convenient for all the testing. The staff was also very friendly. Conceptions was all very organized and always running on time which is nice when you go to so many appointments.

Dr Greene was very thorough in answering questions and explaining all steps of all processes to us. He was understanding when things didn't go the way we wanted them to and was sympathetic to that and was able to provide explanations. I really like his willingness to answer questions and to be available to answer questions outside of consultations.

The nurse was quick to respond and very good at setting expectations.

Doctor Greene was amazing. He was always willing to cover treatment options and plans in as much detail as we wanted. He also provided material on extra supplements and research that has been show to help with fertility. He never had me do something in my treatment without providing an explanation about why I was doing it.

Come prepared with questions and feel free to ask them.

I had 2 rounds of treatment, after the first round we discovered an egg health issue that we did not know about previous to having embryos PGS tested. The first round did not include any extra medications, They retrieved 18 eggs, 13 were mature, 12 were fertilized. Only 3 made it to day 5 (previously unknown egg quality issue) and 3 were sent for PGS testing, 1 was deemed "normal" Grade AB. The second round of IVF protocol was similar with the addition of Omnitrope. They retrieved 13 eggs, 9 were mature, 8 were fertilized, 4 made it to day 5 and were frozen and sent for PGS testing, 3 came back "normal".

We have insurance coverage and paid around $20,000 for all testing and procedures.

The clinic recommends eSET because of all of the testing done on the embryo and uterus before hand the live birth rate is very high and the goal is for a healthy baby and a single embryo transfer has a higher chance of a healthy live birth. But they have it as an open topic of discussion.

The facility is very nice, conveniently located, and fully staffed. Everything you need is located in the same building. The lab techs are very friendly. The equipment is up to date... I know this because they were using a brand new ultrasound machine on me, with the ultrasound salesperson showing features to my caregiver during my procedure (they asked if this was okay with me first).

My heart is very tender with the topic of infertility and her cold, factual, and transactional bedside manner makes it harder. I feel like I am just another case for her.

I received care from two coordinators. The first was a very poor communicator and over complicated all of the details for my next steps in treatment. The second coordinator was an excellent communicator and clearly outlined next steps. She showed compassion and made me feel like she was on my team.

Dr. O'Shaughnessey has proven success rates and is very knowledgeable. She knows her stuff and will communicate all of the options to you. However, she seems to treat every case as a factual puzzle to solve and struggles to show compassion for how emotionally difficult infertility can be. I feel like I am just another chart to look over and not a person with real-life broken dreams.

Check your heart at the door. Meetings with her are about the facts.

Dr. O's strategy is to share all of the information about the options with you and then let you choose what to do next, without a specific recommendation. It makes it feel like we have to figure it out all on our own.

All diagnostics tests and medications were covered by insurance and I only had to provide co-pays.

We love everything about this clinic except for billing. We have run into issues with them. We recommend that you keep records of everything, ask lots of questions, and keep all of the emails!!! Please note that we LOVE the nursing staff and doctor. Our gestational carrier even loves the office!

I have a rare medical condition that could be complicated if I was to provide my own eggs or become pregnant. While the complication was not a guarantee, the risk was too great, so we decided to move forward using an egg donor and gestational carrier. Dr. Grindler was very understanding and felt that I was no different than an intended parent who was infertile. We were turned away from other clinics, so it was nice to be treated with respect and understanding.

The nursing staff is AMAZING. Christina, Tasha, and Cori have been a god send. They are so organized and on top of everything. They respond in a timely manner and genuinely care about you. I couldn't have asked for a better nursing staff!!

Dr. Grindler is a very compassionate person. While I am not infertile, I have a rare medical condition that could be exacerbated by pregnancy and possibly result in major surgery post pregnancy. I was turned away from a clinic since I was not infertile. Dr. Grindler treated me no different and explained that her goal is to help every family that wants a baby to have one. She was very clear when outlining the process and made herself available if we had any questions. As of now, she has helped us to create 7 exceptional frozen embryos. Her plan for the egg donor - amounts of medications, timing, etc -was phenomenal, resulting in 7 frozen genetically exceptional embryos. We couldn't be more thrilled!! Our gestational carrier will soon be starting medications for the FET, and we can't wait!

Don't hesitate to ask any questions. She is more than happy to answer!

We don't know the exact treatment strategies as of now since she has only worked with our anonymous egg donor. Thus, we were not informed of any of the specifics of the treatment.

$38,000 included egg retrieval, their own anonymous egg donor fee, IVF, and FET.

Strengths: Compassionate, knowledgeable nurses. Appointments easy to make, usually did not have to wait long (except to see doctor). Weaknesses: Communication; organization; did not like that finances were kept mostly secret, you had to leave a message with their business office and likely wouldn't hear back for a day; costs were communicated verbally, not in writing. They tried to charge me a $3,500 cycle cancellation fee when my cycle was canceled after 5 days of stimulation. I disputed this, and they only charged me for services used ($1,500, plus the $1k coordination fee). This seems like a very high cancellation fee.

The doctor did not seem to know me personally or to create an individualized protocol for me. Instead, I felt that I was treated like a number, and that the doctor expected me to have the same results as someone without DOR, when I now understand that she should have been aiming for very different results.

Sarah was great! She showed great compassion and always responded to my questions. My only complaints have to do with weekends/scheduled days off. My first monitoring appointment was on a Saturday. I was told I would get a call with medication instructions by that afternoon, but didn't receive it. I finally called the after-hours number, and got a response from the on-call nurse a few hours later that I didn't need to adjust anything. She did not provide me any details on how my follicles or labs were looking. This seemed very disorganized. I also did not like that every assigned nurse is out of the office one weekday per week (plus weekends), so on those days my questions would not be answered until the next day. I'm not sure why the nurses do not work 5 days per week.

I only met with the doctor during my initial consultation and then during my re-group after the canceled cycle. Every other appointment and call was with a nurse. Several times, I asked to speak with the doctor about her instructions, and instead received communications back from the nurse who said she had spoken with the doctor. Dr. O put me on a priming protocol that was questionable for someone with DOR (estrogen and birth control). I only had 2 follices during my AFC, and was put on a maximum (very expensive) dose of medications (450 follistim/150 menopur/.7 cc omnitrope). Even though I started with only 2 follicles, my cycle was canceled 5 days later due to not growing more than 2. This did not make sense to me, and wasted thousands of dollars on medications. After my canceled cycle, Dr. O basically did not have any alternative protocols to try, and wanted me to go directly to donor egg. I have since received second opinions that this suggestion makes no sense, given my relatively young age and the fact that someone with DOR should not be expected to produce a lot of eggs in the first place.

If you are in Denver, it is worth spending a bit more money to go to CCRM.

Primed with estrace for 7 days , starting 7 DPO. Birth control pill for 5 days to delay start of stimulation medications. 450 iu follistim, 150 iu menopur, and .7 cc omnitrop for 4 days; increased to 300 iu menopur on 5th day. Canceled after that.

Initial consult: $325 IVF coordination of care: $986 IVF with ICSI and PGS testing, including 1 FET: $17,354 (most of this was refunded due to canceled cycle) PGS for greater than 8 embryos: $250/extra embryo (did not actually incur this) Anesthesia: $400 (did not actually incur this) Mock transfer/hysteroscopy/doppler: $870 (did not actually incur this) Subsequent transfer: $5,100 (did not actually incur this) Additional rounds of IVF: $9,895 (including ICSI & PGS, but not transfer) (did not actually incur this) Drugs (paid to MDR pharmacy): $6,378.76 (this did not include all drugs, but cylce was canceled before ordering all) Cycle cancellation fee: $3,350 (did not actually incur this; instead, paid $1,475 for services rendered)

Strengths are the staff really cares about you, very friendly, family atmosphere. Weakness is there are a few clinics with different hours so sometimes it can get a bit confusing but once you realize that most procedures and all transfers are at the Littleton location it's easier. I wish there was an appointment reminder.

From the moment I sat down not only did he refer to us as Mr. & Mrs he then asked what we preferred to be called. He also asked us about our journey and what we would like to do next.

They are so SWEET and KIND! I walked in there and everyone from the receptionist to the techs say hello and remember your name. They sat down and explained everything in detail and don't get upset when I call back with more questions. They care about me as a person and are invested in my life. Even asked about my best friend's wedding I was in. They really want you to succeed.

He speaks a bit fast and for a Southern woman it was a bit hard to keep up. We hit the ground running that day and was able to do a few different things as I was about to do an IUI with my OB and he made alterations to the sperm wash for my husband. He was genuine and kind.

Take notes and ask him to slow down if he's going to fast.

We have medications in place if my lining is not thick enough and a game plan for what will happen if things look good or not. Lots of detailed communication and waiting on results as my treatment with him is still inprogress

Cost are high but they include a lot more than other places. Also they work with income and really want everyone to have a chance to conceive

N/A

Conceptions have a wonderful team of administrators and nursing staff. We can email our nurses and the business office and we always get a response by end of business. I have noticed that within the past 2 years, they have had a lot of changes of Doctors. Everyone except Dr. Bush are new. If you want more of a personal experience with your nursing staff I would go to Conceptions.

I came to Dr. Bush to see if I would be able to do a FET with myself and whether I could build a lining. My previous doctor had recommended a surrogate to carry our embryos. Dr. Bush actually reviewed my oncology medical records, and came up with a plan to see if I could build a lining. In his words, he wanted to see if I had a fighting chance before we went through surrogacy. Even though he knows a surrogate will be our best chance to give our embryos, he knew that is was also important to see if I could transfer myself. He has first hand reviewed my case and came up with a 3 month plan to see if I respond to estrogen. He is giving me my chance to see what my body can do.

The staff at Conceptions is amazing! The entire nursing staff always responds to emails and voice messages within a few hours or by end of business. I have never had to wait long for a response, and my nurse (Cori) orders all my medications correctly. Cori (donor nurse) is very understanding, listens and relies my concerns to Dr. Bush. I was nervous about taking a injectable due to my previous cancer history, and she was very comforting and understanding. Cori and the rest of the nursing team are wonderful. From the blood draws to ultrasound techs, they are all nice.

I was surprised that Dr. Bush was up to speed on my case during my initial consult with him. He listened to me and gave me his thoughts. We were able to create a plan that I was happy with, and I felt that he saw me as a person and not another patient at his clinic. He responds to all my questions that I ask my nurse to ask him by the end of the day. He also was knowledgeable about IVIG during FET, which was wonderful!

Dr. Bush was blunt and up front with his concerns and thoughts. If you want a doctor who is soft and comforts you, I don't think Dr. Bush is for you. He was straight and to the point, which is what I was looking for. Our in person consult was short, less than 15 mins.

Before our consult, Dr. Bush already had an idea of what plan he wanted to take with me, and we both agreed during our consult. Our plan was to see if I could build a lining for a FET with my previous frozen embryos, and if not, we would use a surrogate. We decided to do three months of estrogen orally and vaginally and if I am responding well to add injectable estrogen in my third month trial. He wanted to try this 3 month trial to see what my body can do, so that we are not wasting one of our frozen embryos.

We already had frozen embryos when we met with Dr. Bush. So far we are in the initial process and are paying out of pocket for consults, ultrasounds and bloodwork. So far we have probably spent just under $1,000 in 4 months on bloodwork and ultrasounds, and our initial consult.

Dr. Bush highly recommended we only to a eSET, because our embryos are CCS tested.

Conceptions has very high success rates and a great staff. We've been quite happy overall! The only way to reach a member of the nursing team is via email or you can call and request to be called back. My previous clinic gave me a direct number for my nurse, which I preferred. That said, they are always quite fast about getting back to me and there is always an on-call nurse should you need anything immediate during stim-time.

While Dr. Bush is known for being very direct, I felt like a human because he knew my case inside and out by the time I sat down for a consultation. He knew what our end goal was (biological children) and kept the conversation focused on that.

I can't say enough great things about my nurse, Erika! She is incredibly experienced, knowledgeable, and very much "on my team." This journey would have been so much harder without her in my court. She's come to know my husband and I and has helped simplify this process. She has laughed with us, cried with us, and I'm sure will celebrate with us when we get out of this process!

Dr. Bush is very innovative and quite brilliant. While it's known he is the doctor at Conceptions that is the "most direct" we really appreciated this. He spoke to us like we were intelligent (rather than dumbing anything down for us) and gave us an aggressive protocol suggestion. He knew our case very well and kept the conversation focused on our end goal, which is biological children.

Come with a list of questions and don't expect small talk. You'll meet with a nurse following your meeting to process everything that was discussed.

My third retrieval next month will be with Dr. Bush. We are going to try some new approaches to increase my egg quality, if possible. I am priming with testosterone, estrogen, and HGH. My stim cycle will be with Menopur-only and I will be doing a triple trigger.

$20,000 - round 1 of IVF (with Conceptions but with Dr. Greene) $12,000 - round 2 (with Conceptions but with Dr. Greene) $5,300 - round 3 (upcoming in October)

This clinic's success rates are very high so they rarely transfer multiple embryos, in hopes to lower the chance of high-risk pregnancies.

I would highly recommend visiting the Littleton or Lafayette office. The rose office did not treat me as I thought I should have been treated, from the front desk to the doctor, I was handed off and dismissed. Fertility is so stressful and so scary, we need reassurance that things are going the way they are supposed to be going and I absolutely did not receive that at the Rose location.

Dr. O'Shaughnessy treated my husband and I like a number. Our labs were never gone over with us thoroughly, we were never explained what was happening or what was going to happen in the future. She would throw her hands up, raise her eyebrows and said "I just don't know" every visit.

Liz D was a wonderful nurse. Unfortunately during the middle of my IUI cycle, she was let go and nobody called me to let me know. I called the office asking for my results and was told she no longer worked there as of today. My care was sent to a different office to the "monitoring nurses" which was a complete nightmare all together.

I had a very bad experience with Dr. O'Shaughnessy. I came to the clinic and opted to go to the Rose office for a quicker visit to see the doctor versus waiting for the clinic closer to me and another doctor. On our first visit, we were explained that we would have a lot of testing and come back to regroup with her. We had ultrasound, labs and a semen analysis. When we met with her to regroup, we were told "everything looks fine" and that my resting follicle count was over 20. Come to find out from seeing another doctor, all of this information was false, there was in fact something very wrong and my resting follicle wound was 7, not over 20. We did two IUI's with Dr. O'Shaughnessy and should have never even attempted this due to my lab results showing I have premature ovarian failure. I feel as though we were treated as a number, she was not compassionate and didn't care about her patients. I came in to my second followup after a miscarriage after an IUI and was absolutely hysterical and she just stared at me and got very angry when I asked for an ultrasound. It was overall a horrible experience and I do not recommend this doctor to anyone.

Don't see her unless you enjoy being treated poorly and essentially laughed at. There was no compassion when I was upset over a pregnancy loss, no explanation or further attempt, I felt as though she was simply after my money. Go see another doctor in her practice.

Two IUI's, one with Letrozole which resulted in a chemical pregnancy and another IUI with follistim which was negative.

I had no contact with billing office at the Rose location.

No.

The benefits of a larger practice are that there are a lot of resources and you get results back incredibly quickly. Challenges are that you don't see the doctor too much and it can at times feel like you are one of many. For me that wasn't an issue since I just wanted to get pregnant and they did that twice for me successfully, but if you are looking for very personalized care and hand holding, you might not get that with a larger practice and should look to a smaller practice.

Hands down, the best part about our experience was Jessica and the nursing staff. Infertility/IVF was one of the scariest/nerve wracking experiences and Jessica was an angel. She always responded to my emails within a few hours and even some within a few mins and would call me anytime I needed to talk. She explained the treatment and didn't hesitate to give me good/bad/ugly with what it was and was honest in her answers. Additionally, you can tell that she is very knowledgeable herself and knows exactly what to do! I genuinely believe she is the absolute best in what she does.

Dr. Bush is extremely knowledgeable and even though he isn't the warmest personality, he knows what he is doing and is committed to the best course of treatment for a successful outcome. Our previous doctor at Conceptions left to start a practice in another location and he had done a fresh transfer that resulted in our son. It wasn't even a tough decision on who would take over treatment for our frozen transfer for baby number 2 as we knew Dr. Bush was the best and would get us pregnant. Even though we only met with Dr. Bush in the initial meeting to plan the frozen transfer and the transfer itself, I knew he was managing care behind the scenes and trusted the decisions he was making. If you are looking for hand holding throughout the process, Dr. Bush might not be for you, but he certainly will do everything he can to get you pregnant.

Ask questions! He might not be as forthcoming with your treatment but will answers questions that you have so be prepared when you meet with him.

I am incredibly lucky to have great insurance coverage for infertility so I only spent about $1,200 for my frozen transfer including medications

Dr. Bush felt strongly that we only transfer one single embryo which was absolutely the best medical course of action and in the best interest of myself and a pregnancy.

Conceptions has great reviews and great results. I was referred there by a family member who had a successful IVF experience. A few times, we felt a little rushed in and out of the office. Overall, the staff takes every case very seriously and genuinely wishes to see success for the patients they treat.

Dr. Greene explained the option thoroughly after evaluating our test results. He told us that he was more inclined to start the IVF process, but that IUI was also an option. When we decided to give IUI a shot, he never made us second guess ourselves. He is very personable and positive.

The nursing staff is overall very compassionate and personable at Conceptions. You end up there so often, they start to recognize and remember details about you. The nurses are quick to respond to inquiries. Calisse is very professional and optimistic, but a little pushy about IVF.

Dr. Greene is very knowledgable and kind. He clearly explained our options, and once we chose an option, he delved into the details of the chosen path. He is very easy to contact via email and responds quickly. One weakness I experienced was a lack of detail when it came to lab and test results.

Come ready with questions. Sometimes visits fly by, and you realized you left with more questions than answers. He is more than willing to answer questions, however!

With a less-than-cookie-cutter PCOS diagnosis, Dr. Green suggested IUI as intervention for our infertility. He prescribed Letrozole at 50mg for days 3-7, an hcg shot after a follicle was confirmed 18mm or larger, and progesterone taken twice a day after the IUI. The Letrozole was used to ensure ovulation, and I did successfully ovulate, a little earlier every month over 3 months of IUI treatment. My progesterone was tested after one week of use and Dr. Greene was satisfied with the levels. While the circumstances seemed favorable, the IUI was never successful.

Each IUI, including medication, ultrasounds, and the procedure, was around $1000.

Overall the clinic is great, I feel like they are there to serve people. Sometimes when I have gone in early for blood draws and ultrasounds, they didn't give me that feeling, and I felt like I was an inconvenience for showing up 10 minutes early to my appointment. This was never the case at Sky Ridge, only Littleton.

I feel like I am more of a human here. They know my name, they answer questions, and they give tons of information up front. There is no secrecy in things, it is all laid out for you.

Erika is amazing. She works hard and gives me all the information I need. She calls me to celebrate the ups and is there to help me with downs. I will say, there was a nurse who called me one, I don't remember her name, but she didn't look at my protocol first, and that was annoying, it was right before starting priming, but otherwise, Erika has cleared everything up and has been super helpful.

Dr. Bush is not super warm and fuzzy, but he is honest. He gives examples of what he things and why and gave me a ton of information from the get go. He was very blunt about my AMH level and that continuing with IUIs would be wasting my time and my eggs. I liked that. We have a follow up on Thursday to discuss the egg retrieval. I know he is very confident in his ability and he wants to keep up his success rates, so I know he will continue to work hard to get me pregnant.

Be blunt, and ask questions. He talks very fast, but wants to be informative.

He had me start a ton of vitamins, including CoQ10, Acai Berry, Myo-Inositol, Vitamin D, Vitamin E, L-Arginine, and DHA. Started those in December and then started priming in January. Due to my low AMH, they didn't prime me with birth control, instead after ovulation, I did 3 Cetrotide injections. Then started stims on Day 3 of my next cycle. Started with 3 vials of menopur and 0.7 iu of omnitrope in the morning and 225 of gonal at night. Increased Gonal to 375 on CD7. Then on cycle day 8 added a vial of menopur at night. By CD 10 they added a 2nd vial of menopur at night.

The great thing about Dr. Bush's office is that all costs are on the website and they are all up front and honest. You don't have to jump through any hoops to get information. It is $19,411 for a full IVF cycle with PGS testing and ICSI included. This does not include medications, but is well priced overall.

We only have one embryo to transfer... But I believe Dr. Bush prefers to transfer only one, since it is less risky as far as pregnancy goes.

Strengths: Ease of appointment scheduling with reminder phone calls. Pleasant and polite staff. Weakness: Patient Portal needs improving. Providers are frequently booked out weeks and may have to wait for consultations and follow ups.

Dr. Bush made a point to review all pertinent history and acknowledged/ validated feelings during difficult treatment outcomes.

I had different nurses for IVF coordination and FET coordination. Each nurse was knowledgeable in specific protocols used and the rational for why. Email was the easiest and fasted way to communicate. Phone calls required a voicemail left and calls may take a few hours to be returned

Dr Bush is a very intelligent man with a strong knowledge base. He practices reproductive therapy with an evidence based approach. He makes changes appropriately with poor or unexpected cycle outcomes. He sometimes speaks using a lot of difficult to understand medical terminology but uses illustrations and graphics to help explain in a more understandable way.

Expect a lot of information to be given by Dr. Bush and don't be afraid to ask for clarification if you don't understand something.

IVF #1 Antagonist protocol using GonalF, Menopur and Cetrotide. Dual HcG and Lupron trigger. Freeze all. Rational: PCOS Diagnosis, high risk for OHSS. Results: poor responder: 3 eggs, 2 Mature, 1 fertilized did not make it to blast. IVf #2 Long Lupron with Menopur only. HCG trigger. ICSI/CCS freeze all. rational: risk for OHSS, Probable poor egg quality. Results: 14 retrieved, 11 Mature, 9 Fertilized, 6 Blastocysts- 2 euploid.

Costs were affordable and inline with the national average.

Follows appropriate recommendations for known diploid eSET.