Fertility Center of Dallas

As a patient, I couldn’t be more pleased. My husband and I prayed before searching physicians and we found Dr. Putman. Since I was a teenager, ive suffered from endometriosis and it’s symptoms. Dr.Putman did my surgery in 2018 and This is the best I’ve felt in over 15 years. No pain or nausea medications!! I’m truly grateful for being under his care.

Ask questions if you don’t understand, but trust his judgment because he has your best outcome in mind.

We are in the process of IVF. We’ve used so far.. Gonal F, Menopur, estrogen and progesterone ... all were for egg retrieval . We had to postpone our embryo transfer due to my uterine lining not being thick enough. So we will begin lupron in a week.

over 15,000 out of pocket with surgery and IVF

My experience is a little different than most. I am apart of Baylor Scott and Whites Uterine Transplant Study. I was born with MRKH. Which in the easiest way to explain is that I was born with out a uterus. I had a Uterine Transplant in October of 2018. The way I found Dr.Putman is because he is actually the IVF doctor that is apart of the clinical trial, but I wouldn’t have chosen any one else. Like the rest of the Uterine Transplant team he is amazing and caring and an amazing doctor.

I would tell them to just be honest. I feel like he is honest with us and you need to be honest with him so he can get to the bottom of things to help you start your family.

Because I am apart of a study my protocol may be different than the others. I did my egg retrieval before my transplant so I had my frozen embryos waiting for me for after surgery and recovery time. I’m 21 years old so for my husband and I our fertility journey although is very different, the egg retrieval and sperm count were good because we are so young. In February we had our first embryo transfer and I am 10 weeks today.

Medications costs around $10,000 + Egg retrieval/Embryo Transfer -$9,000 PGS testing - $2,500 Visits ( per ) - ( with no insurance ) $150-$250 or more depending on the visit

Because of the study/trial we were only allowed to do a single embryo transfer. My husband and I are strong in our faith and believe that if that one embryo is meant to take then it will take. So we had no concerns with only transferring one embryo.

He is an older guy and a bit on the quirky side. He isn't one to chit chat but you can tell he really cares about your progress and wants his patients to do the best they can. The staff was always adjusting my medicine based on my visits to match with my hormone levels so my body could respond in the best way possible. The staff overall was very great and worked well together. They were always aware of my progress and checked in almost everyday.

The transvaginal ultrasounds are the worst in the beginning but get a bit easier over time as you know what to expect. I was totally surprised by the way they monitor the ovaries at my first visit but it's just so they can get a closer sonogram of the ovaries.

I did the egg retrieval for IVF process. It was a 6 week period where I started with birth control for roughly 15 days, and then moved onto the Lupron (daily evening shot) for roughly 10 days, and them moved onto a series of 3 other medicines that were given by shots. I counted 73 shots by the end of it. It gets easier over time but I remember feeling foggy and tired a lot of the time. By the end, I felt so swollen and bloated from my ovaries growing so much.

I paid around $9,000 for the medicine and another $10,000 for the office fees.

Dr. Putman seems to be a very knowledgeable and experienced doctor who knows his field well. He's not the warm and fuzzy type and can be somewhat abrupt, but I never doubted his medical abilities. If you need a doctor to walk you through step by step and give you lots of sensitivity this may not be the one for you, but if you want someone who has lots of experience and will do what needs to be done, he can do that.

Be prepared to ask questions--research ahead of time and know what you want to ask.

Frozen transfer cycles using birth control, lupron, then estrogen and progesterone injections.

A frozen embryo transfer is about $2,500, but that doesn't include medications or some other pre-transfer procedures and appointments. All together I think one FET cycle is between $5000 and $6000 depending on meds.

Dr.Putman we very thorough with me and didn’t want us to risk or worry about anything. He worked with our geographical issues and answered all our questions and treated us like family. Though only one attempt was successful, I plan on going back for another try because I respect him and know I will receive the best care under him.

Don’t hesitate to ask him questions. He is there for that and will help you through all your concerns!

First, Dr. Putman wanted to rid me of my Endometriosis. After a long surgery, he sent us home to try to get pregnant naturally for 6 months. Once that failed, he brought us in and we did a fresh cycle. I made 54 eggs and put if that, 18 were viable. He did half normal half ICSI and only 6 of the ICSI made to blast. None of them were maturing but at day 5, we put in 2. He left the other out for 2 more days and froze those. My first did not take and a year later we did a frozen transfer. One took of those and we have a beautiful, smart little man. We tried another frozen 2 years later but the embryos didn’t make it past thaw so we could not transfer.

Very reasonable! Fresh is around $10k and frozen is around $2

I’m so glad he did two at a time. It is such an emotional process and if we didn’t put two in, I may not have my son, now.

I think the he has a very good bedside manner. He also is very compassionate and has a very thought out treatment plan. My only complaint is that he can be overly aggressive. He only wants me to try using his techniques for 3 months before starting IVF. I have had endocrine issues since I was a child. After three months of trying we were immediately sent to him. We have only been trying for 7 months. It seems overly aggressive to try for 3 months using his techniques and then throw in the towel and commit to costly IVF. He is also very eager to cut me open to examine my uterus etc. First was to see if my tubes were blocked which turned out not to be. This time if I don’t get pregnant he wants to do exploratory surgery to see if I have endometriosis. I have no symptoms of endometriosis. I wish he would adjust his aggressiveness to suit each patient. That is my only complaint. Overall he seems knowledgeable and compassionate.

Adjust your aggressive treatment plan to suit patients needs. Also, be more conscious and aware of the finiancial cost of treatment especially when your insurance doesn’t cover any infertility.

I had to HSG tests because the first one was inconclusive. If they had given me Valium I wouldn’t of had to pay an additional $2,000 for a second HSG. He now has me on Femara starting day 3 of my cycle till day 8. Then using a Novarel to trigger ovulation. Then we try naturally to get pregnant. He wants me to try this for 3 months. If I don’t get pregnant then we do surgery to see if I have endometriosis, and if I don’t then IVF.

The initial base testing for one cycle cost me $5,000. Each ultrasound is $220-$250. The first appointment inscluding consult and ultrasound was $470. One HSG was $900 and the second was $2,000

He is very kind and smart and very good at what he does. He does not give false hope but states facts in a gentle way. He won’t promise anything he can’t deliver but would always tell me he would do his best.

Dr Putman is the best person to see for really anyone but especially if you are not a good responder to treatment. I had no success for a year at another clinic but was pregnant with twins within 4 months of seeing Dr Putman. Honestly I love him and I thank God for him.

I have severe DOR and had failed cycles at another clinic. He put me on back to back AACEP cycles to bank embryos. We did low dose Lupron then started cetrotide and then started Gonal-F (high dose!) then added menopur. Estrogen priming was part of my protocol too. We got 3 embryos the first cycle and froze, then 1 embryo the second cycle. We transferred the best 2 and I’m having twins (currently 21 weeks pregnant).

It was comparable to other clinics in my area. Actually we seemed to save a little paying for two back to back cycles compared to what we had paid for one cycle eksewhere

Well I don’t know, I have only had one transfer and we decided on 2 because neither of them were perfect looking, so they thought it would give us the best chance of pregnancy.

Dr. Putman is highly regarded by his peers. I went to him because he is supposed to the best. He was very thorough in his explanations of what was going to happen but wasn’t clear about the success rate. I researched that all on my own. He did do the egg retrieval and transfer but he was not always available during my multiple check ups. I just wish I had more time with him and that some of my concerns were addressed.

Do research on your own. Be very prepared and ask lots of questions.

I was taking the OCP/Cetrotide /Babking cycle with Gonal, Menopur, and Cetrotide. My eggs weren’t being stimulated quick enough and I was on the protocol longer than normal. It ended up not working.

Dr. Putman was not available for almost all of my monitoring appointments so the other dr in the office did them.

Upfront payment was over $9000. That is not counting any copays for visits before I paid the large amount.

I only had 2 eggs available to transfer and he did both.

Dr. Putman is a kind and gentle care provider. I have always felt that he takes the time, never rushing us through appointments. He is someone who doesn’t mess around with treatment options, yet, we never felt pressured to pursue more invasive interventions, such as IVF. Initially, my husband and I did not think IVF was right for us. Dr. Putman, suggested we start with other interventions first. When those were unsuccessful, he used that information to inform his next recommendations, and eventually, I underwent one round of IVF, producing two embryos. Dr. Putman, along with is Embryologist, Dr. Zhang, both felt like we could do better and changed my protocol accordingly for the second round, which I am getting ready to start. In addition, I felt that he was aware of my labs and results at all stages of the IVF process even changing protocol decisions along the way, including the type of trigger shot to use. Overall, I have had a very positive experience. However, I would have liked to have seen more alternative approaches incorporated into my treatment plan, including acupuncture, a review of harmful toxins, etc.

Don’t expect him to force your hand and tell you what to do. He will make recommendations, but you will also need to have voice and advocate for yourself.

DIAGNOSTIC STAGE After initial consultation with Dr. Putman, he ran all the standard tests plus additional testing he recommended after IUI #2. The HSG revealed I have a possible blocked tube. Other tests indicate good reserves and AMH and FSH levels for my age. Once we started the IUIs and before we moved forward with IVF, we ran additional testing, including genetic testing via Horizon and natural killer cell testing. All were “normal.” My husband has some morphology issues and I have slight issues with hormone levels. IUI TREATMENTS 4 IUIs: 3 with natural ovulation (no trigger); 1 with an HCG trigger; all with Letrozole - IUI #1 (September 2016): Letrozole, no trigger shot, BFN. Ultrasounds starting around CD 10. IUI around CD15, one day after positive OPK. - IUI #2 (October 2016: Letrozole, no trigger shot, BFP, chemical pregnancy. We used OPKs and started monitoring with ultrasounds around CD 9 or 10 every two days or so. IUI happened on CD 14 or 15. It produced a positive pregnancy test with an HPT and beta on CD 28. Dr. Putman ran blood work every two days. HCG increased (12, 20 +/-), but did not double and by the fifth day after the initial beta test, HCG levels started to drop. I began to bleed 8 days after first beta. - IUI #3 (November 2016): Letrozole, no trigger shot, BFP, chemical pregnancy. We used OPKs and started monitoring with ultrasounds around CD 9 or 10 every two days or so. IUI happened on CD 14 or 15. It produced a very faint positive HPT for a couple of days (over 4 tests), but I was out of town for Thanksgiving and unable to run a beta. I started bleeding CD 32, four days after anticipated cycle start day. - IUI #4 (December 2016): Letrozole, HCG trigger shot, BFN. After the last IUI, we had a follow-up consultation with Dr. Putman. He had advised us that we would try three IUIs before moving on to next steps. There is no need to continue to try something that is not successful. However, we opted for one more IUI since I couldn’t start IVF until after the New Year anyway. He also presented the option of going in surgically to see if he notices anything else going on, specifically related to the blocked tube. Ultimately, we opted for the general work-around and started on the IVF journey. IVF TREATMENT IVF Cycle 1 (February 2017): OCP/Cetrotide Protocol (Antagonist) with ICSI and PGS - Doxycycline- 10 days - Lo-Ovral Cryselle OCPs for 21 days, no sugar pills - Menses: 4 days (didn’t start until day 4 and started stimulation the next day. - Stimulation for 11 days o Day 1-Day 3: 225 IU Gonal-F in AM; 75 IU Gonal-F in PM; 2 vials of Menopur (75 IU each) in PM • Estrogen spiked significantly so Dr. Putman removed second Gonal-F injection (75 IU) o Day 4: 225 IU Gonal-F in AM; 2 vials of menopur (75 IU each) in PM o Day 5-Day 9: 225 IU Gonal-F in AM; 2 vials of menopur (75 IU each) in PM; .25 mg Cetrotide in PM o Day 10: 225 IU Gonal-F in AM; 1 vials of menopur (75 IU each) in PM; .25 mg Cetrotide in PM; changed to Lupron trigger from Novarel to prevent OHSS o Day 11: 225 IU Gonal-F in AM; Lupron trigger in evening o Day 12: Nothing o Day 13: Egg retrieval Retrieval, Fertilization, and Embryo Results • Retrieved 17 eggs; • 2 that were mature were immediately identified as abnormal; • 2 were immature; • 13 looked viable and they attempted fertilization; • Of the 13 that they attempted to fertilize, 9 fertilized normally when they checked a day later resulting in 9 embryos incubating. • The embryologist doesn't really do three-day checks or let his patients know figures until the end of the process. They just wait it out with the philosophy that the best place for those little dudes is safe and sound in that incubator. At this point, the embryologist let me know that "normally" about half will make it to the blastocyst stage to be biopsied for pre-implantation genetic screening. Could be less, could be more. • A week later…. • Of the 9, 3 almost made it to blastocyst, but the third stopped growing on Day 6. • We have 2 embryos officially frozen. One is good quality. The other is questionable because it grew very late, was frozen on day 7, and is subpar quality. • Although they didn't sound too hopeful about the second, they were able to biopsy both for genetic testing (PGS). • They are keeping the PGS culture “on ice” for a while before we they have to send it off for testing with the hopes that we will bank another round and have more embryos to send. • The embryologist believes this process verified that egg quality is very likely the issue and explains the many early miscarriages. Of course that isn’t definitive, but I can role with hypotheticals. • I am giving my body a break from March though May and will start another round in June, which will be a different protocol with the hopes to get better results with a slower growing process. • The next round will be a 4.5-week stimulation (AACEP Protocol) process as compared to a 2-week stimulation process.

Dr. Putman processed all that hey could via insurance; however, I do not have fertility treatment coverage. Therefore, we have spent around $25,000 thus far (IUS and one round of IVF with PGS).

We have discussed this vaguely with Dr. Putman and determined that we would have to wait and see what the final embryo results are from both rounds before making decisions about transfers.

Very nice and informative. But I feel like his consults and conversations are rehearsed and told many times over. Don't see him other than consults and the actual procedures. Definitely don't feel like I'm the focus.

Ask questions. Tell him how you feel.

Only thing my husband and I have done is consultations, multiple sono's to follow follicle growth, IUI's and one booster shot.

No insurance coverage so everything was VERY expensive. Every follicle sono was almost $75. Consults were over $100. IUI was $500 and sperm wash was $95.

N/A

Dr. Tarnawa was thorough and patient. He explained things well and never seemed to be rushing us out the door. He seems to be a genuine person who cares about his patients. His greatest weakness is that he left my clinic and moved to another state!

I'd encourage any patient of any doctor to learn as much about their own situation as possible and ask any questions you have. Once you feel comfortable that you have all the information you need, trust Dr. Tarnawa to do the best he can to help you.

We did a freeze-all IVF cycle using Bravelle, Menopur, and Ganirelix injections. After egg retrieval, we did ICSI followed later by PGS testing of the embryos. This was all done because we were "unexplained" and didn't know where our problem was so we decided to do as much as we could to ensure this was the only retrieval cycle we'd have to do. When we did the frozen transfer I was on birth control, lupron injections, estrogen patches and PIO injections followed by suppositories. Our first and only cycle with Dr. Tarnawa was successful and resulted in the birth of our daughter.

I don't recall specifics, but I believe that the total of everything from the egg retrieval, PGS, transfer, and medications came in around $25,000. We were completely out of pocket.

Dr. Putman and his nurses and clinic are exceptional. Dr. Putman's concerns didn't always match what other REs had said, and Dr. Putman always turned out to be the one that was right. We are so thankful we went there. Although Dr. Putman was not very vocal and did not provide a lot of information during our visits, he was always very calm and made me feel reassured which helped minimize stress for me. I just decided to relax and trust his judgment without worrying over the details. If I had asked more questions, I'm sure he would have responded.

Good clinic with good personal attention. Would not recommend if you want a very talkative doctor.

We just did a standard protocol as there were no concerns other than MFI.

It ended up being around $9,000 with insurance covering some monitoring and bloodwork.

I have been impressed with Dr Putman from day 1. He has always explained everything very well. Never seemed rushed. Has great bedside manner. Right after my 2nd transfer during the holidays he was available on his emergency line to answer a question about my medication. The instructions were clear but they were different than my 1st transfer, so paranoid me wanted confirmation. Dr Putman didn't seem irritated that I interrupted his personal time and he was very familiar with our situation.

Advice I would give anyone going through ivf - take it one step at a time.

Dr Putman ordered alot of diagnostic testing to include HSG xray. He also did alot tests through blood work for both me and my husband. Dr Putnam did my egg retrieval and 2 transfers.

Insurance covered diagnostic tests and ultrasounds. But for the most part all other costs were out of pocket. What wasn't very clear from the start was how much medication would cost.

Dr Putman encouraged 1 embryos transfer due to possible complications with carrying multiples.

Dr Putman was extremely honest with every procedure. He walked through what medications I would take, side effects and expectations. Amazing doctor!! He had a list of probabilities and marked each one off as we walked through our journey. We now have a almost 6month old boy because of his guidance.

Dr Putman is honest! He will not sit and tell you what you want to hear every time! He wants the same outcome you want and will work extremely hard to make sure you are holding a baby in your arms!

I really do not remember protocols. I took Gonal-f, Follistem, Menapur, Clomid, Femara, Lupron, Novarel, Ovidrel and Prometrium. Once diagnosed with Abnormal Natural Killer Cells we started Intralipid Infusions.

Our services were covered under our health insurance with United Health Care. It covered $10k for medications and $10k for IVF.

Dr Putman is very personable and explains things well. He is a very compassionate doctor that seems to care more than any I have been to. He know every detail of our personal situation every time we see him.

Relax, he’s great!!!

Overall cost reasonable, but may be out of range for many. Has cost several thousands out of pocket due to insurance not covering fertility.

Dr Putman chooses single embryo for the reduced risk of pregnancy complications.

Dr. Putman is very knowledgeable about the procedures and try to explain in full detail of what is expected...beside side manor very humble...he is very thorough. He is very respectful to the patient and guest making sure each process is completely understandable. The feeling in the office is warm and welcoming. My only concern is the cost for services. My insurance covers medical cost but not infertility cost and I will have to cover 6-8k in medication cost then an additional cost of 10k for IVF.

He is a great doctor

So far I am 6wk post op from uterine fibroids, he explained the next steps that will be taken; hormone test and great possibility that IVF will be needed because of my age

9800 +1600 medical cost billed to my insurance for uterine fibroid surgery and my out of pocket cost for the procedure 3200

Dr Putman was very good at explaining every step of the cycle. He made us feel very comfortable. Even after the pregnancy was unsuccessful, he was very compassionate and Empathetic. Dr. Putman is very good at making you feel that your situation is the only one he is helping. We are seeing him for our second cycle for frozen transfer. Looking forward to Dr. Putman help.

Trust Dr. Putman completely. He has your well-being in his best interest.

We meet with the nurse to give us our calendar. The calendar explain to us each step up to the transfer. My first cycle was done in 2015 so I don’t remember all specifics. I do know I had to call the nurse when I started my cycle so that she could fill in the dates. I ordered the medication before the start on my cycle to have all medications ready. From the start of my cycle to the transfer took about two months.

The cost we paid was $13,000. Not including the medications.

He is very conservative- you start with IUIs then once completed you go to Ivf. It’s about the process timeline, for transfer was only once you had enough embryos . But all cases are different . He Is older and very educated, person who listens to you and allows your questions to be answered.

Ask questions- if you are old- still insist on the tube cleaning and check of your uterus.

Timed and calendar natural intercourse a year, 3 months of iui, maybe more- then more months of trying to plan cycles for ivf with meds. Then freezing embryos and doing a cycle after mult collection phases.

Embryo mgt yearly- 1000 /yr Meds- 3k per cycle 10k ivf- per cycle

Putman froze our together. I was not happy about that. Because I did want to risk a high risk pregnancy.

I have been to his office for three appointments now and every single appoinment he was behind. I know its frustrating for me to be waiting but then I think he is taking his time with each and every patient to make sure they are taken care of. Then the frustration of being behind is okay.

Make sure you schedule for your appointments to go longer than expected. Just know that you are getting the best treatment in all of Dallas he is for sure worth the wait.

My insurance does not cover anything. Consulation was $560, Each Sonogram is $210(Ive had three done so far), I had blood work done for $144. Follow up consultaion is $85

Dr Putman is an amazing doctor. He explained everything in deep detail and answered any questions we had. He made us feel very comfortable while going through this process. I never felt awkward around him. I like how he does a full consultation before and after the process.

Listen to everything he has to say. He for sure knows his knowledge.

Total for both cycles and including medication was about $23000

Since we have male infertility Dr Putman recommended during our first transfer to only transfer one embryo. When that didn’t work the second transfer he recommended transferring 2 embryos but did not push us to make that decision.

I was very lucky to have Dr. Putman. He suspected I had endometriosis in addition to uterine fibroids, so we opted for an exploratory surgery. I ended up having severe endometriosis, which he was able to completely remove and I quickly got pregnant on my own after the procedure. This is a very thorough doctor. There are lots of tests and Dr. Putman will leave no stone unturned during your journey. This is so comforting once you are pregnant, as you can rest assured that all the boxes have been checked by a brilliant man. Dr. Putman is a pioneer in his field, but has a humble good-ole-boy attitude that’s very relatable. He’s an excellent doctor and is dedicated to his patient’s success.

DO THE SURGERY! If Putman says he thinks you have endometriosis, he’s probably right. He is the best surgeon in DFW for fibroid & endo removal, and ranks among the best in the nation. The staff at the surgery center remarked that Putman has folks come from all over the world to sit on his operating table. Trust the process. This surgery changed my life. I have no pain during my cycles and I am now pregnant with my miracle baby.

My insurance paid for my surgery and labs after I paid my deductible. It was painless.

Dr. Putman is “on it”. The first day he met with us he had a plan. Testing began and treatment plan initiated. That really put my husband and I at ease as no other Dr had ever done any testing for us. He really explained his suggested plan and also gave other options in case we wanted to try another route of treatment.

Relax- there is a lot of information coming at you on day 1 and can be a little overwhelming. Try to relax and breathe.

I have only really had diagnostic testing done so far but we are getting ready to start IVF

He was the only dr with staff that made me feel really good and important. We got negative cycles back to back because we were only avoiding spending extra money but in the end it worked out. They were always on top of things and explained everything so well.

Look into payment plan options for your clinic. It would help you out a lot and give you more patients. There’s a lot of people seeking to get pregnant and they can’t because they can’t afford it. This would help you and us as well

It was expensive