Dallas-Fort Worth Fertility Associates

Dr. Lawrence is extremely knowledgable and talkative. She answered my questions thoughtfully and made recommendations based on evidence and research. She did leave the final decisions up to me, such as when I asked if I might need an ERA to check receptivity, or if I needed to add or change my protocol after a failed cycle and a chemical pregnancy. I am appreciative for her guidance and thoughts through this process. I would definitely return to Dr. Lawrence!

Ask for details and explanations as needed. Expect to go in for frequent quick appointments during treatment cycles - most of my visits were before work and during lunch. I only needed to take time off for the egg retrieval and a couple embryo transfers. Also, ask about support groups and counseling referrals as needed - I'm so happy to have found the Resolve support group! I was hoping to connect with others experiencing fertility issues, and I discovered a group of strong women with stories just like me.

I started with 3 IUIs with Femara and an Ovidrel trigger shot. I produced several eggs each time but all cycles were unsuccessful. I prepped for an egg retrieval with Follistim and Menopur for ~9 days before the trigger shot. Ganirelix was introduced after several days in to prevent natural ovulation. For the frozen transfers (I had 2 each transferring 1 embryo, and 1 transferring 2 embryos), I took birth control to suppress my hormones, and when starting a cycle began Estrace 2x per day (increased incrementally from 1x to 3x per day in the 3rd cycle to build a thicker lining), followed by progesterone in oil injections ~5 days prior to transfer. Regular bloodwork and ultrasound monitoring determined when to transfer the embryo(s).

Monitoring and labs were billed to my insurance Each IUI was about ~600 including the procedure, sperm prep, and Rxs Stimulation meds for egg retrieval & transfer meds ~4400 Egg retrieval, IVF, & blastocyst cryopreservation ~7000 Additional Oocyte cryopreservation (I chose to freeze eggs beyond the first 10 retrieved) ~800 Frozen Transfer ~3200 each

Dr. Lawrence strongly recommended 1 embryo at the first transfer. She limited the second transfer to 1 embryo due to my uterine lining not being at an optimal thickness. The third transfer she approved our request to transfer 2 embryos.

Dr. Chantilis is clearly very knowledgeable, though his bedside manner is not the warmest. He is thorough - he performed multiple tests before starting treatment to ensure every box was checked first. While I trust his expertise, I often had a hard time truly understanding what he was telling me or explaining to me because he is very technical - sometimes it can be a little intimidating to push for further clarification when you don't understand the medical lingo. He clearly sees a lot of patients, so a few times I felt like I had to remind him of my particular situation. I have had a few tests where my results were on the border of being normal vs. concerning (likely not causing my issues, but still a slight possibility). In both cases, he preferred to go the route of treating for each issue.

Don't be afraid to ask a lot of questions and push for better explanation if you can't understand what is being described.

I have experienced multiple early miscarriages - 3 before seeing Dr. Chantilis and 1 while under his care. After multiple tests upfront to check for any possible explanations for my miscarriages, we started a cycle of Clomid. The first cycle we used Clomid + a shot of Ovidrel and timed intercourse but did not get pregnant. The second cycle we used Clomid + Ovidrel + IUI and got pregnant. Unfortunately HCG levels fluctuated irregularly and I miscarried around 6 weeks.

My insurance covered everything (I pay a co-pay at visits) except for semen prep fee ($160) for IUIs because the IVF lab is not covered by my insurance.

Dr. Gada had the unfortunate task of being the first doctor we saw and delivering the awful news about our prognosis for pregnancy without major medical assistance. He was compassionate, but brutally honest and I appreciated that and still do. He gave us a clear picture of what we were facing. However, as we went through multiple transfers without success, he refused to adjust the protocol or try different procedures or medicines.

You will need to be your own advocate.

For our FETs, we used oral estrogen (2X/day), POI injections. After our miscarriage, he added a regimen of baby aspirin and vaginal estrogen to the protocol.

There were multiple snafus with our insurance filings and we went back and forth so much that I cannot completely recall. I do recall that an FET cycle runs about $1800 in lab fees - we paid that in cash so that sticks in my brain.

Given my advanced maternal age, he would only transfer one embryo, which I understood and appreciated.

Dr. Gada gave us a wonderful IVF experience. We were confident with his experience, information provided, and bedside manner. We couldn't have asked for a better doctor! We will be back to use him again and recommend him to all of our friends.

He can figure out problems and treatment plans very quickly based on limited information, which might make some people unsure but he definitely knows what he's doing.

I did shots to prepare for an egg retrieval cycle, after the retrieval I was kept informed of the status of my embryos and was then able to schedule a transfer. I was monitored constantly after transfer to ensure things were progressing as they should.

Medication was through Freedom Pharmacy, the office did everything I just called to pay and verify address (I paid $425 out of pocket, I have BCBS). I paid co-pays at visits and then $4,000 total for the retrieval and transfer, as the anesthesiologist was out of network.

Since I did not have any female related issues (we were male factor), they did recommend a single embryo transfer for my first try, but would have let me do 2 if I wanted.

She listens well and considered all of my questions and concerns. I do feel like even though the clinic is busy and she has a lot of patients, she reviewed my case and my history specifically when deciding best options for me.

Ask questions. She’s going to give you high level information, but if you want to know about other options or question why she does one method over another, ask. She will always answer your questions and consider your concerns on treatment.

We did IVF using gonal f, menopur, and cetrotide with a dual trigger at the end. Because of previous miscarriages we did a freeze all to biopsy for PGT-A testing.

We paid for the medications out of pocket because it ended up being a better deal than using insurance. We also paid for genetic testing out of pocket because it wasn’t covered by insurance. We paid up front deposits to both the lab and clinic. Everything else was filed through insurance. All in all, it’s a pricy procedure but on par with other clinics.

Because we are doing PGT-A testing, the policy is to transfer only one embryo at a time.

She talks very fast and it’s not always clear what she’s talking about. She can use a lot of medicinal terms and then try and explain all of them which can get confusing. I trust her knowledge and capabilities.

Ask her to repeat herself if needed or slow down when talking. Also I found it helpful to also consult with the nurses.

I am currently in the middle of my first IVF cycle. Using cloned, Omni trope, follistim, Ganirelix, and Ovidrel. Using low doses of each given my age, low AMH (.95), and high FSH (13).

Luckily our insurance covers most of our cost. But the IVF lab isn’t under contract so we had to pay $5300 for those costs. Additional $400 for doctor fees and $2000 for PGTA testing. Meds were about $1000

We both agreed on single transfer which we are very happy about.

Dr. Thomas was very sensitive in her delivery when she told me she thinks I have borderline DOR. I’ve always suspected egg quality was the issue why we aren’t conceiving, and she suspects the same. Reading my health history, she also called in a mammogram since it’s been 2 years since my last one. This is in my records for every dr. I see, but she’s the only one to action an updated test.

Send your test results in beforehand so she knows what she’s working with. Come prepared with questions, and take lots of notes.

I’m just starting my first IUI cycle, and Dr. Thomas has me on 5mg Letrozole CD3-7, 75 units of gonal F CD5-8, and ultrasound on CD9 to determine if I need more stimulation or am ready to trigger.

Dr. Thomas personally went to the front desk and asked for my insurance coverage benefits. I was not even charged a specialist visit copay for my initial consultation and ultrasound. I asked if that was a mistake, and the front desk receptionist said I would owe at my CD9 ultrasound.

He’s a pretty awkward guy with not the best bedside manners. He is very well known in the RE field as he has been practicing for 25 years. That’s the reason why he’s very busy and also the reason why I went to see him. He performed a laparoscopy and hysteroscopy procedure on me for an endometrial polyp removal and I was told that the polyp was removed and so we proceeded with IVF 2 months after the surgery and he assured me that the rest of the uterus looked great and my success rate with IVF is very high. A little info about me- amh 3.3, age 32, husband sperm is normal and we did conventional IVF. I had unsynchronized follicular growth on day 6 of stim with one dominant follicle measuring 17mm. I was told to continue my stim dosage and proceeded with egg retrieval. 12 eggs were retrieved but only 5 were mature- only one day 5 blastocyst formed and that was ET and failed to implant. After this devastating outcome I consulted with 3 other RE and all of them informed me that it was caused by a poor stimulation protocol: chantilis should have cancelled your cycle due to unsynchronized growth and also he triggered you too early. One month after the failed IVF, I went to see another RE and we proceeded with another cycle of IVF. 28 eggs retrieved and resulted in 15 d5 and d6 blastocysts. When you compare the two results- 1 d5 blastocyst vs 15 d5/d6 blastocyst within a 2 months window you know it was NOT your body/egg reserve that caused the drastic results. I did SIS with the second RE doctor and was told that I have an endometrial polyp (same location and size as the previous one) that needed to be removed before FET. This news obviously was not taken well by me and my husband as I went through a hysteroscopy 6 months ago with chantilis. My husband reached out to chantilis and we were told that the polyp was indeed removed according to his clinical note and that he’s not sure why it came back. I remember before the surgery with chantilis I was told that the reoccurrence rate of polyp is at least 18 months. So now I’ve to undergo another hysteroscopy to remove something that should have been removed in the first place! On top of the poor stimulation protocol, he failed to remove a polyp and that has caused so many unnecessary heartaches and stress for me and my husband. IVF is already a difficult journey for couples and he has made this process 100x difficult for us emotionally, physically and financially.

Make sure he puts you on an individualized stimulation protocol for IVF!!!

For me like I mentioned earlier it was a poor stimulation protocol that resulted in a failed IVF cycle. He should have cancelled my cycle after seeing unsynchronized follicular growth. He triggered me when my E2 was 1700. For someone with a 3.3 AMH and AFC 30-35 you want to be triggered at a higher E2 which will yield a high number of mature eggs and thus embryos. I was told by 3 other REs after the failed cycle that this result was completely caused by a poor stimulation protocol by the doctor and that I’m a straightforward IVF case bc of my robust eggs.

Cash patient 1500 lap and hysteroscopy 3000 for GA and 3000 for facility fee 8400 IVF with fresh transfer 3000 IVF meds ( not included) 800 cryopreservation IVF lab Pgs- 2000-2500 for the IVF lab and 300/embryo for coopergeomics

I did not consider multiple embryo transfer bc of my age

Dr. Gada is incredibly knowledgeable in the field and debunked a bunch of infertility myths for us. He was a happy medium between being honest but also sensitive to how this process can be difficult on people emotionally. I felt that I was getting very trusting answers from him.

He has a large patient load. Your follow up visits may not feel as boutique as the first appointment.

We were diagnosed with unexplained infertility. He laid both options out for us of IUI or IVF and gave realistic statistics of success for both. After being presented with all information, we have chosen to first pursue IUI. We are currently in our first round of IUI treatment. The office has educated with each step on what appointments and financial responsibility will be.

Initial diagnostic appointments amount to slightly over $1000 cash pay. Each IUI round ranges from $1200-$1500 cash pay.

N/A

As stated before, Dr. Gada walked this path when he and his wife were trying to conceive. He made me feel validated and like every concern I’ve ever had since I was diagnosed at 16 was absolutely normal. Being 27 years old, skipping straight to IVF seems extreme to others but he truly does not want us wasting time, emotions, and financial resources on the typical fertility progressions, which was my biggest fear and in our initial consultation I said I did not want to do IVF, he quickly reassured me that he did not take years to turn to IVF, but months instead. Tears come to my eyes as I type this out, I’m so grateful for his mindset and guidance on this journey.

Go in with an open mind and don’t try to cling to what google tells you. He will take each case individually and adjust timelines to your diagnosis, severity, and finances.

Personally I can’t answer this fully because my husband and I are in the savings stage for IVF. We have done two rounds of clomid with ovidrel injections. We did not HAVE to do these, but we felt we should try something in the mean time while savings the 17,000 needed to start IVF.

As you probably know, fertility is expensive and insurance is null and void. The clinic staff works very hard to try and find every workaround to get things charged through insurance. If you can’t pay everything, they will work it out with you. They know that you are in the office under stressful circumstances and try to do their best to help you in every way.

Going through this process despite numerous dr.google searches, there is still way too much information to digest at once. We immediately told her IVF was not of interest to us and she respected it 100% no "can I ask why" guilty nonsense. She respected our decision and said let's make sure the iui works perfectly! That made both my husband and me a lot more comfortable and at ease.

Don't be afraid to ask questions. She can go through everything a little too quickly but has no problem going back and repeating herself or going into more detail.

I have unexplained infertility. I have a great egg reserve and my husband's sperm is good. We did 50mg clomid for 5 days and then used ovidrel to release my eggs, which I had plenty of that were large in size. We then did our iui with a good semen sample. Now I'm waiting to see if it worked!

All said and done for my iui, I'll be sitting around $1,000.

N/A

I can be described as very impatient. I was positive we would be successful on our first try and once we were on our third IUI, I was pretty upset. She quickly met with me to discuss my concerns and offered alternative supplements to take. She always made I was comfortable during the IUI and always had a positive attitude.

Speak up with questions

Our infertility was male factor and we were using donor sperm, there was nothing to indicate I'd have issues getting pregnant. We started with an HSG and blood test and everything came back normal. First treatment was Clomid only. I had great follicle growth and progesterone levels after the IUI. After my period came three days early, she added progesterone suppositories after each IUI. Second IUI was also clomid only with progesterone after ovulation. Third IUI was Clomid with Gonal F and progesterone after ovulation. Fourth IUI was Clomid with Gonal F. When I had slow follicle growth, she added days of Gonal and then progesterone after ovulation. Fourth IUI was successful.

Procedures, donor sperm thawing, follicular ultrasounds, bloodwork

NA

Dr. Lawrence has been amazing with us. Our first doctor was very pushy and dismissive about our emotions about this crazy journey. Moving our care to Dr. Lawrence has been the best decision for us. We drive 1.5 hours to see her and it’s always worth it. Our first consultation with she spent almost 2 hours going over history and recommendations. We knew after that appointment that we were in the right hands. She has always been very open with us about expectations which I really appreciate. I wouldn’t want her to fill our heads with dreams when it might not become reality. When our first round IVF did not result in any embryos Dr. Lawrence seemed to be just as disappointed as we were. She called and made sure my husband was available for the bad news. She was compassionate and said she already has a plan whenever we want to sit down and talk. She told us to take our time and call when we are ready to talk about next steps. I love that she has encouraged us to never rush into a decision when everything is finically and emotional draining. We love Dr. Lawrence!

She cares about this process just as much as you do. She is going to be honest with you about expectations and will recommend the best plan in order to achieve the goal of pregnancy.

IVF recommended due to diminished ovarian reserve and low follicle antral count. We requested a more reserved plan because of regilious reasons and she honored that. Plan was Cycle day 3- baseline blood work, sono, and desogen (birth control) x 10 days After completed, sonogram followed by 5 day break. Stim started with clomid 100mg x 5 days, ominitrope 33 units until retrieval Stim day 3 added Gonal F 150 units until retrieval Stim days 5 ganrelix every night until reterival and blood work/ sonogram every other day until reterival.

$2800 to the lab for storage and cyropreservarion $7,250 for Dr. Lawrence IVF fee $500 anesthesia

She recommended single embryo transfer based on my age but we have not reached the point of a transfer yet.

She’s an incredible doctor. She is passionate about what she does and truly wants the best for her patients. If one protocol doesn’t work she is will try something else for a better result. She understands that many decisions in infertility made based on finances and not desires and that this process is a huge emotional and financial burden. She has given me a son and a daughter and when my son passed away she was at his bedside. I recommend her to anyone who is having trouble conceiving. She is incredible and I am very grateful for her guidance

She will do everything she can to get you pregnant! She will be your biggest cheerleader!

To be honest, even though I am a nurse, I did not pay attention to the specific drugs and doses. I trust my doctor and assume she knows best. I know she did make changes throughout my 4 retrievals to maximize the results but I did not obsess over the specifics.

IVF with meds is about $12000 per round

Due to my age, my Dr was willing to transfer 3 non tested, day 3 embryos. We ended with one healthy boy.

Dr. Gada and his staff are great. Infertility is hard and they are compassionate and sensitive to the emotions their patients face during this time. During my last IUI (we will find out in a few days if it was successful or not) I cried throughout the entire procedure because I knew it was our last shot and I was just emotional. Nancy, a nurse in the clinic, was very kind and supportive. While I didn’t feel as though they provided a lot of education, they did always answer my questions. Sometimes I didn’t know what to ask and I would have appreciated for them to be more proactive in teaching me about what to expect or what’s happening next. Overall, they were wonderful to work with and I would recommend them to anyone in the DFW area.

Call and schedule your appointment NOW! It took us nearly 3 months to get our new patient appointment. He is in high demand.

I completed 3 IUI cycles using donor sperm (my husband has azoospermia). I would go in for a baseline ultrasound on cycle day 3 and begin clomid that night (first two rounds were 50mg and third was 100mg). I experienced quite a few side effects from this medication like irritability, changes in appetite, and hot flashes. This medication is taken for 5 days. I’d return to do a mid-cycle ultrasound on cycle day 12; I responded to the clomid about the same each cycle and was triggered using ovidrel on cycle day 13 (an injection you do at home the exact day and time they tell you to). I’d then go in for the IUI on cycle day 15. They write these instructions and appointments out for you in the office. Apparently you are supposed to have a full bladder when you arrive for the IUI, which no one told me about until I arrived for my first procedure. It wasn’t a big deal but hopefully this will help someone reading this. Having a full bladder helps the doctor or nurse with visibility during the IUI and also, in my experience, was less painful than the first time when my bladder wasn’t so full. In regards to the donor sperm, there is paperwork my husband and I had to have notarized for each cycle. I’d call the cryobank and schedule delivery for the week of the IUI. They would deliver it to the Dallas office, then the Southlake office would arrange to have it transported to Southlake. There were never any problems with this protocol.

$950- fee per IUI cycle- included 2 ultrasounds, labwork, and IUI procedure. $160- on the day of the IUI for the “sperm wash”. $700- Each vial of sperm (Cryobank America). $40- Cost of medications per cycle.

Dr. Lee is very intelligent and knows what she is doing. She is an expert in the field and is aggressive with doing treatments, especially when you express a need or desire to do a next step. However, she lacks a bit with the bed side manner and seems like she doesn’t love the social part of the treatment process.

Ask questions and tell her what you want. Know that she might not be the mushy lovey dovey doctor that doubles as a therapist. She is only there to treat you.

We did 1 cycle times intercourse and clomid, 3 cycles of TI, with clomid and gonal F. I am unexplained, so there is no known reason so she started “small”. Then we moved in to iuI with clomid and gonal F. Three times. Then Ivf with birth control, then freeze all, then first FeT ended chemical. Did ERA test after between FET 1 and 2. All good. FET worked, saw the heartbeat. Heartbeat stopped for no known reason when I saw my OB.l at 8+5. 3rd FET she added in lovenox and baby aspirin I’m thinking there may be an unknown clotting disorder, but all loss panels were negative. She did RPL blood work after 1st chemical. I’m currently 4 weeks pregnant.

She was very adamant about transferring one.

I was very thankful that Dr. Gada was willing to do a phone consultation as I was an out of state patient. He was upfront about everything I should expect. Dr. Gada even worked with my local OB/GYN on some tests so I didn't have to travel. I felt very comfortable under his care. He always answered my questions even the difficult ones with compassion and honesty. I would certainly recommend him to anyone looking for a fertility specialist.

It has nothing to do with Dr. Gada but rather the experience itself. Be prepared as much as you can for an undesired outcome. I wasn't mentally prepared for getting eggs and then not have any viable embryos to transfer.

I would have to look back at all of the meds I took, but I reacted very well to the treatment protocol. Dr. Gada retrieved 17 eggs during my cycle. He said we would do the same treatment if we chose to do a second cycle which we intend to do.

One cycle with meds, pre-genetic testing, lab, anesthesia, doctor fees and egg retrieval cost about $12,500

From what I recall, Dr. Gada advocates for single embryo transfer.

Mika Thomas looks at the big picture and also the granular details associated with IVF and the gestational carrier component my husband and I encountered. After two failed FET with the same GC at Dr. Thomas' practice and my husband and I making the decision to switch clinics, I still visit her office to have her review my current GC and any cycle questions that I have. She treats me with the same compassion, care, concern and courtesy as if I was still her patient. In each scenario where my husband and I to make a big decision, Dr. Thomas always provided two to three options. When asked, she always told me what she would advise her sister to do. This heartfelt and compassionate nature of Dr. Thomas allowed us to continually trust her. Dr. Thomas was always available for a brief (or extended) chat. Often times I'd be getting blood drawn at a separate station and she would peek her head in to check on me. She always asked about my husband when he couldn't attend appointments and constantly asked about my best friend's pregnancies and now children after I referred her as a consult. I know without a doubt that Dr. Thomas is rooting for my husband and I to have a biological child through IVF and surrogacy.

Ask as many questions as you feel necessary! Dr. Thomas always was patient with the abundance of questions I brought into her office. Even if I repeated questions, she answered and summarized what was important and what I couldn't control and/or worry about.

I came to Dr. Thomas without a uterus. My ovaries responded very quickly to the protocol she provided. Cycle 1: 2 weeks BC, menopur and gonal-f and lupron trigger Cycle 2: Lupron priming, BC, menopur & FSH and then Ganirelix mid STIM

2016 fees Consult fee $225 - portion covered by insurance Semen analysis - $90 Semen specimen and sperm cryo - $475 IVF cycle (freeze) including all blood & u/s - $4,250 Lab fees including ICSI ($1,340) - $6,940 total Separate: Meds - $6,500 approx Genetic testing (outside of clinic) - $2,125

He was completely realistic with me. He told me what the chances were of a successful IVF given my situation. He wanted to make sure all of the boxes were checked before moving to each next step to ensure those “checked boxes” were ruled out if something went wrong. He took the time to answer all of my question and truly cared about the success of my pregnancy.

Ask all of the questions. Do your own research so that you feel comfortable with your decision. Choosing Dr. Gada was the best decision I made with my fertility.

We did one retrieval which resulted in two abnormal embryos. Afterwards we chose to move forward with a fibroid removal surgery. I had 11 fibroids removed including a very large fibroid that Dr. Gada wanted to make sure wasn’t effecting my fertility. They next atom cycle and retrieval resulted in 2 normal embryos. We transferred one beautiful embryo that I am currently carrying successfully. His team squeezed me in at any moment I had an issue I wanted to talk with them about. Dr. Gada didn’t keep me on meds longer than I needed to be on them. I had a friend transfer 5 days after me and her doctor had her on progesterone shots for weeks after mine ended. I appreciated that he didn’t have me continue unnecessary medication.

I paid $15,000 for my first stim cycle. My second was less because they help me order medication taking into consideration the leftover medication I had.

I was strongly advised to only transfer one embryo. I am glad I listened because my embryo initially split. The second didn’t turn out to be viable. If I implanted two, I could have ended up with 4 and been extremely high risk.

Overall, I feel like Dr Gada seemed to care about his patients. He was not overly tied to 'policies' and had flexibility in treating you as he would like. He seemed to become even more personable as we progressed through treatment and got to know him. He did show sympathy and I believe he is a talented doctor in skill. He isn't involved in all aspects of the treatment, ie a nurse will do your ultrasounds, but it seems he always reviews your records and gives recommendations. Dr Gada himself has gone through IVF with his wife. One of my own hesitations was that I didn't feel like we we're looking to turn over enough stones or consider other alternatives when our first cycle failed.

Meet with him and make your own decision. Different doctors match perfectly with different people and different personalities.

Did a saline sonogram and day baseline blood work. Started off on birth control pills and lupron. Then stopped bcp and had a bleed. Started stims of menopur, gonal f, and lowered lupron dose. Triggered with ovidrel.

Retrieval cycle was around 7k, then about 2k for associated costs regarding fertilization and storage, and then about 3k for frozen embryo transfer--they will not do fresh transfer.

He was willing to do either but encouraged single embryo transfer.

He seems to have a wealth of experience which we appreciate. But it doesn’t feel like he knows us well or is interested in getting to know us. After our first cycle failed, he did give us a generous discount which we greatly appreciated. Overall, he seems very busy and rushed during the few office appointments we’ve had with him.

Expect chaos and unorganization from the front office and billing team.

First cycle was Menopur, Gonal F and Cetrotide and we only retrieved 2 eggs. None of the eggs made it to Day 5 and it was a failed cycle. Second cycle was Menopur, Gonal F and Lupron and 11 eggs were retrieved. We had 5 embryos on Day 5 but only 1 was normal after PGS testing.

Our first cycle was $20K. Our second cycle was closer to $10K because we received a generous discount because our first cycle failed and we didn’t retrieve nearly as many eggs as expected. The doctor wasn’t sure why that happened and an answer was never provided.

I’m happy with single embryo transfer. No issues or concerns with that.

Dr. Thomas is very honest, which can be a good thing. She sees things from a science perspective, which I guess she is trained to do. During my first cycle, she tried letrozole, it didn't work well, so we added more and changed my treatment each cycle. I felt like we were always trying something new, which was nice on one hand but why didn't we try that in the beginning? I am frustrated 'new' ideas were coming out every month, but nothing about my cycles really ever changed.

Do your own research. Ask about trying things you've read about or heard your friends try. Challenge her to mix up the treatment cycles.

I only taken letrozole for oral meds, first starting with 2.5 mg then up to 5 mg. I only grew one follicle with letrozole each cycle (5). After insisting we try something more aggressive to get more than one follicle, she added gonal-f. My first cycle on gonal-f +letrozole was pretty low dose, and again resulted in one follicle. My second cycle on gonal-f +letrozole was more than double the dosage than the first but again resulted in one follicle.

My office visits and procedures were covered by insurance. I paid for shots out of pocket.

Dr. Gada was caring and informative. From the initial consult I trusted him and was happy to put my care in his hands. He wasn't always there to do my procedures or ultrasounds but it wasn't necessary. They don't do HSG's at the office and when an outside facility was unable to do it he moved his schedule around and did it at the Dallas office for me.

Dr. Gada is great. I would keep track of everything initially though so nothing is missed.

3 IUI cycles. The first two were with Clomid and a trigger. The estrogen I took for my lining afterwards made me a bit sick so we switched to Letrazole with the last with a trigger.

Insurance covered IUI's. Semen analysis was ~$100 each IUI and 2-3 ultrasounds a cycle we're $50 Co pay. Monitoring and testing is coded as ovulatory dysfunction though so it saved a ton of money.

N/A, did not do IVF with this clinic.