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. 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.

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.

Dr. Greene was so knowledgable, he is very thorough and always answered all of my questions without hesitation. If I asked him something or for something and his answer was no, he provided me with concrete evidence as to why the answer is no. I often emailed him and asked for his opinion or advice on something and he got back to me very quickly

You're making the right choice. He is in my opinion the best doctor out there for infertility treatment.

My first egg retrieval left us with zero embryos due to poor egg quality. He was able to convince me to try again and changed my protocol to higher doses of stimulating medications and also primed me with estrogen and human growth hormone which was a total game changer. We walked away with three embryos, two euploid and I am currently pregnant.

$28,000

I never asked to transfer two embryos. It was recommended that I transfer one and that is what we did.

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.

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.

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.

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 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.

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.

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.

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.

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.