Conceptions Reproductive Associates

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.

Dr. Greene has been very open about his and his wife struggles and the IVF journey they had to take. He is a big believer of research from all over the world and open minded to suggestions. He tailors the treatment to you, no one treatment fits all. i had many setbacks due to my DOR and my age but he pushed me to believe that everything is possible and he wont give up on me.

He has a direct line to him (emails are the best and he always response) use it, ask all the questions in world and listen to him.

IUI was a strait forward cycle, clomid with prenatal and estrogen/progeterone pills and ovidrel trigger shot. My FET: Lupron, Estrogen patches, PIO, Estrace, Synthroid (to control thyroids due to meds), Metformin (to control sugar levels and proven to help implantation) Prenatal with extra vit D (I have vit D deficiency), and pregnyl trigger shot. Although i had a miscarriage is was due to embryo not developing not me so dr. Greene believes next cycle will be the same.

FET cycle $9330 and meds costs around $1300, Miscellaneous $500, Embryo adoptions $400 for storage for a year (legal cost are not with the clinic)

He recommends at my age (45) to transfer 1

Hands down, the most insane moment we had with Dr. O'Shaughnessy was when she flat out refused to answer my question of "if this transfer doesn't work, what is the next course of action?" I asked three times and by the third, it got awkward and I finally let it go. Her answers were all along the line of "don't worry, it will work!" Well, it didn't and not only were we devastated, we didn't know what was next. Another time, I mentioned to her that a procedure I had just had was terribly painful and maybe they should look at options to make patients more comfortable. Her response was that there was nothing they could do. Upon switching physicians at the same clinic, I learned there was a LOT they could do to make it a more pleasant experience and, frankly, it was for me when I had to have the procedure again. We only met with her twice during the entire treatment plan. Both times, we found ourselves apologizing for taking up her time as she seemed annoyed that we were in her office. Only after did we realized how messed up that is! Lastly, I've read feedback that she is condescending to her patients and I would 100% agree with that. She made condescending remarks to my husband and myself after we had asked her to clarify dosing protocols since she wasn't making any sense.

Don't be a patient of hers! This process is too expensive, stressful and demanding to be seen by a bad doctor.

Dr. O recommended a single transfer for me based on my size and that it was our first transfer. There was no reason to doubt this course of action and we were in full support/alignment.

Dr. Grindler comes off as very smart, educated and competent. I think those are her strengths. She is also quite thorough and provides info in a calm and objective manner. What she lacks in warmth, she makes up for in comprehensiveness. I never left her office without fully understanding a diagnosis, procedure, or with any open questions.

A little warmth goes a long way. This process is so emotional for a newcomer to infertility. Initially, maybe acknowledge that fear, trepidation and nervousness about the process before delving into the specifics of the consultation.

Dr. Grindler did bloodwork and ultrasound to determine my baseline strategy. She took my age and health factors into consideration. I have Hashimoto's so she was looking for specific thyroid factors in the bloodwork. After that came back, she then suggested we do an HSG to determine if my anatomy was a factor in my infertility. The HSG showed a blocked tube, so essentially she gave me the option of IUI or IVF. My chances of conceiving naturally she determined were about 1-2% a month, given my age and hydrosalpinx. She gave the IUI a 10% chance of success and IVF a 70-75% chance of success. She agreed that IVF would be the best bang for our buck, so we started right away. She had me do more blood work and determined that I would prime with estrogen. on Cycle Day 2, we started with injections: 4 vials Menopur & 0.7 cc of Omnitrope AM and 300 IU Gonal-F PM. We slowly increased the Gonal-F throughout the cycle from 300 to 375 and then finally to 450. On cycle day 8, I started with Cetrotide and continued with the protocol until we triggered on Day 12. Overall I came away with 12 follicles. We retrieved 9 eggs, 5 were mature and 5 fertilized. Of those 5 embryos, 4 made it to blastocyst on day 5 and day 6, respectively. We biopsied all 4 and sent them to Natera for PGS testing. 3 came back abnormal with trisomy 16, 21 and deletion of chromosome 7. One came back PGS "normal" with an 85% confidence on chromosome 13. That embryo is currently frozen. Because of the confidence, Dr. Grindler agreed with my decision to do a second retrieval cycle to try to get more healthier embryos to potentially transfer. She is changing my second retrieval to prime with Estrogen, Cetrotide and Omnitrope and will start my Gonal-F at 450 IU from the start. She will also have my take the Omnitrope for longer. Unfortunately, my insurance company denied my second cycle and wants me to transfer my 85% confidence embryo first before they approve a second cycle. That is currently where I am with my protocol.

I believe my insurance has covered about $38k to date. I have a $55k lifetime fertility benefit. Out of pocket I have paid just under $10k for medications not covered and the PGS genetic testing that is not covered.

Dr. Grindler said that the clinic does practice multiple embryo transfer and that the decision to do that is up to the patient. Dr. Grindler is very good at managing expectations to just focus on the step at hand. Because so much of this process is beyond control and results driven, she doesn't like to get ahead in the process of planning next steps. She redirected conversations about transfer back to the retrieval process. She knows that patients can get ahead of themselves and therefore their expectations can be shattered. She is very good about having patients temper their expectations and focus on the present task. As such, we never had an in depth conversation about multiple embryo transfer other than what I stated above.

Dr. Greene is extremely knowledgeable about infertility treatments. He was very honest and open when discussing what steps need to be taken. He was proactive and wanted the big picture first. He loads of test and procedures on both my husband and I. When reviewing test results he broke it down so it was easily understood. He was honest and hopeful. When we had a missed miscarriage and had to have a review appointment he was a bit too blunt and seemed a bit aggravated. My husband chocked it up to just being upset about the loss too. He referred to our loss as a failed pregnancy. He did give us a plan and what we needed to do before getting the green light to try again. He was very kind when we had to have a surgery done and did not hesitate to let us try again after that. We did have to have another meeting with him after two cycles of no response. That appointment was had as he really pushed IVF, which we did not feel ready for. He did refer to our loss again as a failed attempt. Which still hurt for me and the chemical pregnancy was not even recognized. He was kind enough to let us take as much time as we need to figure out what we wanted to do. He did let us try another IUI while we were still deciding. He is very proactive when it comes to care but can be very blunt during sensitive times.

You are in good hands. He will proactively order all the testing so he has a better understanding of you when you come back to review. He is diligent, honest and can be blunt.

For our first IUI We started with the lowest does of letrozole at the CD12 scan there was no follicle growth so instead of wasting the cycle he offered we stair step. So he upped my doseage to 75mg of letrozole. At the new CD12 scan I had responded and we proceeded to trigger that night for a CD14 IUI. He prescribed progesterone suppositories and order me to take them two days after the IUI. After our MMC he ordered for weekly blood draws until beta was zero. Once zero he ordered an SIS. After that procedure based on the results he ordered a hysteroscopy which found scar tissue and a uterine polyp which he removed. He ordered 3 weeks of healing. He kept the same letrozole dose for the next 3 IUIs. He cancelled two cycles due to poor response but did offer extra injectables that I declined.

Each ultrasound was $185, each IUI was $402, each meeting appointment was $225, bloodwork varied between $25 for the Ventipuncture to $200 for blood test, sperm analysis was $75, HSG was $250, SIS was $200. Hysterscopy was $950

Dr. O is wonderful with providing the hard facts but still making you feel like she cares. She has been so patient with my husband and I and the long list of questions we've had at every visit. At times when I've been upset, she has shown compassion. And at times when we've needed it, she hasn't sugar coated the details. I've always felt like I was in expert hands at each visit. And at every visit, she always makes sure I have her contact information and take a business card, just in case we have more questions or need anything. Are there maybe more personable Doctors out there, I'm sure there are. But she is a great balance and I respect that about her and would recommend her to anyone.

Don't expect bubbly, sugar coated. Expect the facts, expect to be told the truth, and know that there will still be compassion when necessary. Ask any and all questions that come to mind, she will answer them thoroughly.

I am just at the beginning of our protocol (stims starts this week), but was told that we are approaching my protocol strong due to my age and endometriosis. I am on an Antagonist protocol which unfortunately, i don't understand but intend to ask my nurse tomorrow. Since being told this is our protocol, I have not seen Dr. O so I haven't not had the opportunity to understand the rationale, nor do i know the potential results.

Thus far, we are expecting a total of just over $18,000 for our Conceptions care, plus medication.

Dr. O has communicated that due to my age, she only recommends single embryo transfer due to the impending risks of multiples. She explained the potential risks of 2 babies as well as the extreme risk of transferring 2 embryos and should those embryos split. My husband and I trust her opinion and expertise and will absolutely follow her recommendations.

I have appreciated Dr. Bush's willingness to work with us and his confidence to make our dreams of parenthood possible. We aren't there yet, but we're closer than we've ever been, and it wouldn't be without Dr. Bush.

Don't expect to hire a best friend. You're hiring an expert who you're paying to do a job. My first interaction with him left me wishing for a more "touchy-feely" doctor, but the reality is that he's known for his success and we needed that on our team.

The first step was having Dr. Bush diagnose our infertility problems (PCOS). After many years of fighting with my general doctors, me being certain that I had PCOS (and being told no), Dr. Bush did the diagnosis swiftly. We started with IUI. Dr. Bush said that there was a decent chance of success- and we could try up to three times. Our insurance had partial coverage, so that was our clear first choice. We did two IUI cycles fully, with negative pregnancy tests. The third cycle was not successful and we never completed insemination because my follicles had vanished. I took some time to grieve and consider options, then got an appointment with Dr. Bush to discuss next options. IVF was the clear next step and he provided confidence again that this was a good bet for us. Since then, I've had little interaction with him (he did do my egg retrieval, but I never saw him while awake). His team is fantastic and we are very hopeful for a successful embryo transfer in November.

Cycle total was $19K plus medication, but Dr. Bush gave me a slight discount (about 10%) due to my complete lack of health insurance coverage. Medication estimate was $4-10K, with the nurse suggesting I'd be on the "low end" and it was about $4500. Some testing was extra-- but nominal. I had one round of status tests that were coded/billed wrong and my nurse and the billing coordinator made quick effort to reassign the charges so there was not an extra $500 out of pocket required.

We haven't transferred yet, but understand that due to my age, Dr. Bush will only allow a single embryo transfer.

I only met Dr Bush in person at the time of egg retrieval. But it was very clear that he was personally directing the day to day management of my cycle. He is meticulous. I never felt like I was being pushed off to a nurse or secretary.

He’s not super warm and fuzzy from what I understand, so if this is something you need then he’s not for you. But he works miracles and I know he will help me have my baby.

Started with Birth control and added growth hormone after. Then did antagonist protocol (menopur/follistim/ganerelix). Daily blood and US once I arrived in CO. Trigger with lupron and pregnyl and ovidrel.

Initial consult was 175$. IVF cycle with PGS was about 16K. Nurse coordination fee around 1000. Plane tickets to Denver and back 250$ 8 nights hotel 900$ (they had discount agreements). Rental car 300$. Transfer of donor sperm vial from old clinic to new clinic 750$.

Have not transferred yet. Waiting for PGS results.

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.

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

She was very blunt and to the point, did not sugar coat anything and was a little cold coming off. However I did appreciate that as it is the kind of info I would rather have opposed to having someone beat around the bush.

Don’t be offended by her confidence and strait forwardness.

Estrogen priming cycle before start. High dose menopur 2 vials in the am with omnitrope 0.7ml for 9 days and high dose gonal f 450 in the pm. Cetrotide toward the end. Stimmed for 14 days total 7 follicles at my last us 8 eggs retrieved 7 mature 3 fertilized 2 look good still on day 3.

I was lucky enough to have bits and pieces covered by insurance, but even with that we paid a lot more then we had thought. I do feel like dealing with insurance coverage and getting credits was a bit difficult to figure out as we had several credits and I had to specifically ask and remind people about them.

As far as I remember dr didn’t have a strong opinion either way. But we will only do 1 frozen when the time comes.

Dr. Bush exhibited a great balance of compassion and intelligence. Once under his care I had a renewed hope that we would successfully conceive. He made me feel like our case was a priority and he was very adamant that the staff working with us treated us in the same manner. All of the tweaks that he made to our protocol were thoughtful and made sense.

Dr. Bush has vast experience in fertility. He talks fast and often explains things at a high level. If you have any questions at all about what he's explaining or why he wants you to do a certain test or take a certain medication be sure to ask him to elaborate further and in simpler terms if necessary. He is a Dr. that uses a more scientific approach rather than a holistic one.

Before scheduling my embryo transfer Dr. Bush performed a hysteroscopy and saw that there was a build of scar tissue in my uterus. He performed surgery to remove that scar tissue and then used estrogen to thicken my uterine lining for a couple of months prior to transfer. He also used Viagra to raise the volume of blood flow to the uterus. It was very important to him that my uterus lining was thick enough to allow for successful implantation

IVF is expensive but they do take most insurances. If you don't have insurance coverage one IVF cycle will be 25-35K depending on your specific protocol.

Dr. Bush will only allow up to two embryos to be transferred at one time. Typically, only one is recommended but in some cases they will support implantation of two depending on the case. In my situation we transferred two embryos and had one healthy implantation.

I didn't see Dr. Greene as much as I would have liked, but the consultations and treatment plan meetings were very useful. He never seemed rush and always took the time to explain things in detail and answer all of my questions. I always walked away feeling very armed with knowledge about what was next. He was also very responsive to email, but I found his in person responses most thorough. I most appreciated his EXTREMELY thorough understanding of the science and literature behind his treatment plans. He was very up to date on the most recent studies and always had something new to implement to improve his course of action. The one thing I would say that was frustrating about my experience was that Dr. Greene was extremely optimistic to the point where I felt like a freak case/failure when I didn't fall into the great success rates of the clinic. For example, he asked us how many children we would like to have (2-3) and he told us that he was very confident we would have at least 2 babies from one IVF cycle and each embryo transfer was about an 80% success rate. So, when I had 2 PGS tested embryos from round 1 fail, I felt like something was very wrong with me because I wasn't as successful as he made me feel like I would or should be be. On the other hand, in the midst of the treatment, his optimism was helpful and I always left his office excited and enthusiastic about the plan, so the optimism wasn't all bad!

Know that even if Dr. Greene is very optimistic about the success rates of the clinic, failure does happen. Prepare your questions ahead of time to make sure you are able to remember what to ask in the limited meeting times.

2 IUIs with letrazole- he used letrazole instead of clomid because he found better success rates for PCOS patients. (I had 3 failed clomid cycles at CCRM prior to coming to Conceptions). 1st IVF: antagonist protocol with menopur, gonalF, cetrotide, etc. 21 eggs resulting in 2PGS normal embryos. FET 1: hormone replacement cycle (PIO, estrodial pills and patches, lupron). Intralipid infusion, resulted in chemical pregnancy FET2: hormone replacement cycle as above with human growth hormone (omnitrope) added, resulted in negative 2nd IVF: antagonist, similar to first with increased doses of menopur and gonal F, added human growth hormone, 19 eggs retrieved, resulted in 5 PGS normal embryos! ERA biopsy cycle with protocol from FET1, result was pre-receptive Waiting for FET3

IUIs: <$1000 per cycle if I remember correctly IVF 1 including 1 FET and PGS testing of all embryos: about $19,500 + $5000+ medications, additional $ for anesthesia, doppler ultrasound, hysteroscopy FET2: $5100 + about $2500 in medications IVF2 including 1 FET: about $16,000 + $8000+ medications + $2200 PGS embryo testing and ERA biopsy

Dr. Greene was adamant about single embryo transfer and he explained the risk of multiple pregnancies. He also reiterated the clinic's high success rates with single embryo transfers and said the large majority of patients use PGS testing. He did say if we really wanted to have twins, then we could talk and consider transferring 2.

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.

If you were young and have a very straightforward case, then he might be able to help you. If yours is more complicated like mine was, go to CCRM or a mini IVF clinic. After two failed cycles where I had 25% of my eggs mature on both cycles at retrieval, I never had any embryos make it to freeze.Dr. Greene told me that at 38 with secondary infertility my eggs were “dysmature” and suggested donor eggs. We were devastated. A friend suggested CCRM. At 39, a year later, CCRM managed to get 100% of my eggs mature at retrieval by letting me follicles go larger than what Dr. Greene considers ideal and changing my protocol. We had success on our first transfer with CCRM and have three more embryos in the freezer.

Realize he has a cookie cutter approach. If you don’t fit it, they will blame your eggs. If you are a complex case or need to go outside the box, go elsewhere. We have trouble making blastocyst, and asked for a three day transfer. Dr. Green said no and told me that if my embryos wouldn’t make it in the lab, they would not make it in my uterus. My next clinic made blastocysts but then actually suggested freezing at day three for my final cycle. I’m currently pregnant with a day three embryo.

We did antagonist twice. If he had let me stim a day longer each time, we would have had more than 3 mature eggs between 2 cycles. At CCRM I had 19 mature eggs from 3 cycles. And I was a year older. Switching to microdose lupron flare at my next clinic was key for my body to produce lots of mature eggs.

We spent $20k+ for the first retrieval and about $10k on the second retrieval plus $20k total on meds.

He is very knowledgeable and acts like he truly cares. But the big weakness is. In order to get you to your goal he pushes IVF which is 30k through his practice. Spend money is his main push. No alternatives or different solutions. Just push that high dollar procedure. Even though a IUI worked just as well.

Just be prepared to spend money if your insurance doesn't cover fertility. Conceptions are not cheap.

He started off by ordering test to find out what we need to do. Analysis of my sperm and wife's area. By doing test, ultra sounds and scans, blood work. Looking for how many eggs and follicle health and size. Monitors the process from before IUI and after and during pregnancy. Then a year of half he starred with the IUI once my wife's tubes were not blocked as initially found in test. Unblocked by natural supplements that were not used by Dr Greene. Finally got pregnant on IUI 2 lost baby 7 weeks in. Dr Greene pushed for IVF from there.

Test and blood worked varied by insurance coverage. But alot of it wasn't covered by insurance so in rough 10k just on blood work and scans. IUI's cost 700 each time. Ovarian drilling polyp removal and hospital times was 15k. My wife was told weight loss would help and recommended gastric bypass. Which wasn't fertility but recommended by the Dr. Was additional 20k since alot of it wasn't covered by insurance. Fertility right around 30k not including IVF. Additional work recommended added another 25k totaling cost 55k.

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.

We were and continue to be in the unexplained category. We asked about all the diagnostic tests we would need to do, but he didn't recommend some because if there was an issue, he would just recommend IVF anyway. However, we would prefer to have the entire workup done first to make that decision. Thus, we didn't get a full diagnostic workup before we did our first IUI and then almost started IVF at this clinic. Luckily, before starting IVF, we moved to a different clinic, who did a full workup which showed a couple minor issues. I really feel you need the entire picture before you waste your time and money on IUI or IVF, but that wasn't done here. I felt pressure to go the IVF route from the very first meeting, although I am young and have no major hurdles we are aware of yet.

Ask for all possible diagnostics tests to be done before doing any procedures. I had two polyps that had to be removed, but that was found by my second doctor before my second IUI. If there is a possibility that these issues are lingering, why spend money and time on treatments without having a full picture of what could be an issue?

We did one IUI under Dr. Greene with letrozole. It did not yield a positive pregnancy test.

I was devastated to learn at 33-years-old, I had diminished ovarian reserve. When my husband and I didn't get any good embryos after our first round of IVF (due to my poor egg quality), Dr. Grindler didn't throw out the word "donor eggs", as most fertility doctors quickly would. She believed in my body, at a time when I wasn't sure I entirely did. She prescribed me a steroid and we ended up getting two perfect embryos :-) When it came time for transfer, Dr. Grindler knew how bumpy of a road it was to get our embryos and made sure the stars aligned perfectly, so I could be pregnant. I've heard at other fertility clinics, they just transfer all the embryos back in you and "hope for the best" - not at Conceptions. When polyps were found in my uterus, Dr. Grindler made sure they were removed, so the embryo wouldn't implant on one. When my thyroid level elevated, she pushed back my transfer to make sure our baby would have the perfect environment and that I wouldn't miscarry. We trusted Dr. Grindler every step of the way and so glad we did! It took a lot of patience, but then the big day for transfer finally came! Dr. Grindler couldn't do my transfer, as the date got pushed back a few days to give my uterine lining more time to grow, but she made sure I was in good hands. Now, my husband and I are beyond ecstatic to welcome a baby girl later this summer!

Trust her! I know you wish you could've had a baby yesterday, but she truly wants you to have the best result - a perfect, healthy baby.

My first IVF cycle was tricky, as no one knew how my body would react to the medications. My husband and I didn't receive any good embryos from our first round (due to my poor egg quality), but this helped Dr. Grindler get a better idea of how to approach round 2. This time, she put me on Estrogen pills instead of birth control, as the birth control shut my body down, and I wasn't making the necessary hormones. Then she added Omnitrope to the mix to improve my egg quality. She also increased my dosage of Menopur and Follistom. It all worked, as we ended up getting two perfect embryos!

My husband's insurance covered $10,000 lifetime for IVF, but we still paid tens of thousands of dollars, as we did the package that includes chromosome testing.

Conceptions always recommends one embryo, as their success rates are so high and multiple pregnancies are complicated.

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.

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.

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.

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.