Fertility Center of San Antonio

Absolutely enjoy Dr. Neal, however, the only downside I have had is that we have only dealt with him once. After that it was either the other Dr.'s or nurses in the practice. Dr. Neal did make sure we were taken care or and over saw our course of treatment. We were successful at getting pregnant with our first IUI but unfortunately the pregnancy just didn't want to stay.

Ask up front if he will be doing all visits or if he would be passing on to others. This hasn't bothered me as much because we still received great care. But if you are someone that wants the exact dr every time make sure you say something.

Prior to coming to the clinic we went through 2 rounds of clomid that were unsuccessful. So, once we were referred to the clinic and informed him of the outcome from clomid he went with his course of action. The First 2 months were a lot of blood test, follicular sonograms, and a sonohysterograph. All the different blood test checked for AMH, Sperm Antibody (IGA, IGG), Varicella-Zoster V Ab, TSH, Rubella Antibodies, RPR, Prolactin, HIV, HCV, HBsAg Screen, CCDC, Antibody Screen, ABO Grouping, FSH, and Estradiol. Had to take 1 month of birth control to do a saline sono. He also placed my husband on clomid to help with low T. For our first IUI I was place on 2.5mg Letrozole and then triggered the night before IUI with Ovidrel 250mcg. We had 2 very nice follicles one on each side that were for sure large enough to release. Unfortunately, I miscarried and then had an ectopic as well.

The IUI itself was around (estimated) $1,020. Medication was a little under $200. Each visit was $6 then plus any lab fees.

Dr Retzloff was very warm and easy to talk to. He seemed to try to always find a personal connection and was well versed on my chart and previous transfer. The only negative I would have to mention is that I would occasionally have to wait a long time to see him or he would just not make it by to see me at some appointments and I would just be seen my the US technician or nurse, depending on what was being done that day.

Educate yourself. If there is something you have read about or are wanting to find out more about, you need to advocate for yourself. Not unless I had read about and pursued a natural FET cycle would it have been presented as an option to me.

Our IVF with ICSI and EVA was due to male factor infertility. I was put in stimulating drugs and the same day I underwent my egg retrieval my husband also had the TESE in the fertility clinic performed by a urologist. We then placed back two embryos and both took. We heard two heartbeats but then one stopped growing at 10 weeks and that pregnancy resulted in one healthy baby boy in 2016. We began the consultation process for a natural cycle FET, by my request, in April of 2018. I was placed on a 3 week birth control cycle followed by Letrozole for 5 days and then a single embryo transfer a few days after. My progesterone level was not going up so I was placed on a progesterone supplement for the first 10 weeks of pregnancy. That pregnancy resulted in a healthy baby boy 12 days ago on January 25th 2019. We still have 7 remaining frozen embryos and plan on going through the natural FET cycle again.

Our fresh cycle, nothing was covered by insistence and our total costs were somewhere around $15,000 not including the long term storage of our embryos needed after.

My doctor highly recommended that we only transfer one. However, he did transfer two upon our request the first transfer but would only do one high graded and one medium graded embryo.

Dr Retzloff is a very kind and compassionate man. He has fantastic bedside manner. Even on our hardest days of fertility treatments he was gentle and understanding. He is very straightforward and explains everything in a way that is easy to understand. I can’t say enough great things about Dr Retzloff. My husband and I would like to move closer to home but have made the decision to stay in San Antonio until we are done having children so that we can keep Dr. Retzloff as our fertility doctor.

Our treatment started with a semen analysis that came back fairly normal (slightly low mobility). Next I had an HSG. This showed a uterine septum that Dr Retzloff recommended be surgically corrected. After the surgery IUI was recommended. We did three IUIs which all failed. After the 3rd failed IUI, Dr. Retzloff recommended we consider IVF. We did the egg retrieval and had 9 eggs. Since we had unexplained infertility Dr Retzloff recommended we do partial ICSI. We did ICSI on 5 eggs and left the other 4 to fertilize on their own. The 5 ICSI eggs fertilizer successfully and the other 4 did not. We did a fresh embryo transfer with one embryo on day 3. Only one of our remaining four embryo made it to be frozen. Our first embryo transfer resulted in pregnancy, but ended in miscarriage due to Trisomy 16 at 9 weeks. We completed our second embryo transfer a few months later that resulted in a successful pregnancy.

Since I am young and healthy Dr Retzloff recommended we only transfer one embryo but allowed us to make the decision to transfer one or two. He talked with us about risk of multiples and we elected to only transfer one.

Dr. Retzloff has great bedside manner, he did not treat just the patient he treated the individual. I have PCOS, but do not “fit the mold” of the syndrome so he adjusted my treatments accordingly. I appreciated that he was interested in getting to know my husband and I on a personal level before we discussed any medical history or treatments. The only negative I have to say is that I did not see him every time I went in, I often saw other doctors in the practice.

Do not be intimidated to ask questions or question his reasoning for his treatments. He is very patient and will break everything down step by step.

Being that I only have one ovary and PCOS (with regular cycles) he suggested IUI or medicated times intercourse would be best for us. The protocols each month were set in stone. Day 2-4 initial follicle scan, letrozole days 5-9, follicle scan day 12 and ovidrel trigger shot depending on day 12 results. He also took blood work within the cycle to monitor my progesterone and estradiol levels.

Infertility is not covered by our insurance so most services were paid for out of pocket. My husbands semen analysis was $40, our IUI was $400, my blood work was anywhere from $7-$18, and follicle scans were actually covered by insurance.

He works extremely well with you. My husband and I are military, so he let us go to the base to get some of our lab work done. He also was the surgeon for my surgery and he did an amazing job and kept my husband informed during it as well.

To be open and honest with him about all your medical information and he will be honest about what needs to be done to help you have a baby.

In my HSG, it showed tubal disease and something wrong with my uterus. I had an MRI, which led to surgery. We went in knowing I would use donor eggs since I have diminished ovarian reserve. We transferred one embryo which didn’t implant. We are currently in another cycle. Hoping that these two embryos will implant.

Cost for consultations, ultrasounds, the IVF procedure, blood work, ICSI, assistant laser hatching, “little” charges here and there for appointments during your cycle. We’ve spent over $30,000 trying to have a baby.

He approaches that topic based on your medical history. The first time, we transferred one and this cycle we are transferring two.

Dr. Martin held my initial phone consultation. He worked with me, long distance, every step of the way. He was patient, kind, knowledgeable, warm, and reassuring. They never made promises to me about the results and let me know that they were always there to help.

If I could advise every struggling women in San Antonio to go to a clinic, it would be this one!

My protocol was menopur (75 unit the morning) and follistim (175 units in the evening). After the first 7 day, they lowered my dose of follistim because I was reacting too well. After retrial, I was on estradiol patches and crinone.

The price of the IVF was $9,975. Medications were about $4000. We had ICSI and that was $1050 for up to 10 eggs.

At the time of my transfer, the lab was not sure how many embryos we would be able to freeze. Because of their uncertainty, we elected to transfer 2.

My husband and I have an extremely difficult case, I have diminished ovarian reserve and my husband has male factor. Dr. Retzloff is kind, fun, intelligent, and one of favorite doctors I have ever worked with! I know I bring down the office's overall ratings since I have a tough case, but he has told me he won't give up on us and for that we are eternally grateful. He has changed up my treatment all three times and each time we've had better results. I truly believe he is doing his best to professional help us achieve a family. We trust him completely. I believe he was put in our lives to help get us through this difficult time. I would recommend him to anyone struggling with infertility. Although I don't want him to fill up with new patients for selfish reasons, because I still need him ;-) Although he is the best, along with Dr. Martin and Dr. Neal at the Fertility Center of San Antonio, so if you need assistance in your fertility journey, they are amazing! You can't go wrong by going here.

I'm probably their most annoying patient since I ask so many questions and take up so much of their time, but Dr. Retzloff and the rest of the office has sat with me answering every single question I may have. So if you are new to this, it is scary and you probably have tons of questions, so feel free to ask your questions so you feel as comfortable as possible during this challenging period in your life. Dr. Retzloff will listen to your questions and gives you knowledgeable and professional answers.

I think we tried a standard, mini, and then max cycles, with ICSI and Assisted Hatching. I received 5, 4, then 6 eggs. The 1st time we tried growing our 1 embryo out to day 5, but it stopped growing on Day 4. We could have put it in on Day 3, but my husband and I hadn't prepared for that since our initial goal was to bank our embryos and do PGS. We then realized that was not in the cards for us. So IVF2 we got 4 eggs and transferred our 1 embryo in on Day 3, no implantation. Then IVF3 we got 6 eggs and transferred our 2 embryos and had a Biochemical Pregnancy. Now we will see what IVF4 does.

3 IVFs... received a discount 2nd and 3rd times. I don't have the cost in front of me right now, but think it is about $12,000 per IVF.

We had a Biochemical Pregnancy when we transferred 2 embryos.

Dr Retzloff is truly the best doctor I’ve ever had the pleasure of being a patient of! As frustrating as my diagnosis was, he was always so positive and determined. I felt he went above and beyond for me as he probably does with all of his patients. He got on the phone with me a few times to go over the results or make sure I was OK. He really is the best!

Just talking to him and setting a “game plan” will make anyone feel better!

Dr Retzloff was careful not to overstimulate my follicles. He would only slightly increase my medication and watched the follicles carefully.

Yes, Dr Retzloff highly suggested only implanting one at a time. After the 4th fail, he suggested doing 2. Of course, both took and I delivered twins.

Dr. Martin is extremely knowledgeable and compassionate. He is thorough to explain procedures and treatments and does his very best to ensure that I have an understanding of my options. He is a very caring person and it shows in how he treats me and all in his clinic. My husband and I have appreciated his kindness and expertise in our time there. After receiving an upsetting diagnosis, He provided me with a cell phone number I can contact him at if I have questions out of office hours. He has invested in my “story” and truly exhibits care and concern. I would recommend his care and his clinic 1000 times over.

Don’t be afraid to ask questions or mention something you don’t understand. Dr. Martin is extremely thorough and does not make you feel dumb for asking questions you don’t have an understanding of. Unlike most doctors, he is “like you” when consulting with you or regrouping for options. He is extremely knowledgeable and gives you facts and information clearly. Ask what’s on your heart and mind!

I started my fertility treatments at a different clinic. My first consultation with Dr. Martin was different than most because I had already come with 5 clomid cycles and surgery in my history. We were shopping for the best IVF doctor and landed in Dr. Martin’s Office. Because our intention was to try IVF next, we specifically began working towards that. After a very successful first fresh cycle, we decided to continue with a fresh transfer. Unfortunately the transfer did not result in pregnancy, but with 5 frozen embryos left over, it was easy to keep moving forward. In our re-consultation after my first failed transfer, Dr. Martin recommended genetic testing and chromosome karyotype as next tests to run. My husband and I had been very against genetic testing and through a 2 hour consultation, Dr. Martin gave us a perspective that we hadn’t considered. I never thought these genetic tests would tell me why I wasn’t conceiving. A few weeks after receiving our results, I found out that I am a Balanced Translocation carrier. When I received the call, Dr. Martin informed me that he was not comfortable proceeding with my FET hat was to occur in 3 days. He wanted another reconsult with him and the clinics embryologist so we could know what our options were. In our next Re-consult, we discussed the need for PGT. My husband and I agreed that a fresh cycle and PGT on fresh eggs would be more worthwhile for the overall cost of the genetic test. Because of the time frame to receive genetic results on embryos we did not plan a transfer for the second fresh cycle. Our genetic results on 9 embryos came back and only 1 was normal. At our next Re-consult, We decided to try one last fresh cycle with PGT. We agreed to send fresh eggs from cycle 3 and our 5 frozen from cycle 1. After the treatment, we decided to transfer my 1 normal from cycle 2 as well. In the end, we sent 12 blasts for genetic testing and had 2 normal embryos. Unfortunately, this transfer was not a positive pregnancy. At another re-consult, Dr. Martin gave us the information to consider an ERA, biopsy of the endometrial lining, to test chemistry and window of implantation so we can best predict the transfer window. Currently I am working towards an ERA cycle that mimics FET stimulation and hormones.

My insurance covered my first fresh cycle. Each fresh cycle after that costs $7500 with my insurance maximum. FET was $3000. The medications were most costly expense, but was processed through out of office pharmacy. Same with genetic testing.

My doctor has been supportive of our decisions to transfer our embryos - we have not had the opportunity to transfer more than 1 at a time. When discussing transferring 2 in my next FET, he gave me facts and support for both positions of transferring 2 or 1. Overall supports what my husband and I decide.

Dr. Neal was extremely kind and informative. He took the time to answer all of our questions thoroughly. He never rushed us or made us feel like a number. He was very gracious and understanding of our needs and expectations. It was heartwarming that he was willing to help us and understood the struggles we had dealt with.

Ask all of the questions you want. No question is a bad question. It is important for you to feel comfortable and Dr. Neal will help with that!

My protocol was very mild since my issue was tube related. It worked well and my cycle went very smoothly. I received a good number of eggs retrieved and ended up with embryos left to freeze.

We won a grant through Resolve/FCSA that provided us with an IVF cycle. We were responsible for the medications, sperm freezing, and embryo freezing. Overall, it was roughly $5K.

Yes, due to my age and fertility issues they wanted to transfer one embryo. They explained all of the reasons and rational behind it so we were confident in their decision.

My first time going to the clinic, I was scared, I didn't know what to expect. It has been a challenge for me because of the language barrier. And a soon Dr. Retzloff came into the room, I said What am I going to do? He just smiled and gave us confidence. He understood everything we told him, he is a super human being, he is extraordinary, trustworthy, patience, funny, good listener. Every time I talked to him he give the answers all of my doubts. He is awesome!

That he is going to do everything in his power to find answers. He will give you the time you need.

My husband and I had been trying for almost 3 years to have a second baby. I had been through pills, clomid, injections, 3 IUI in Mexico. We decided o go for a second opinion. Dr Retzloff is taking step by step, the first thing he explained to us that we have secondary fertility,then we done is HSG and the conclusion was tube blockage. He has recommended several treatments, we are on hold because the insurance doesn't cover infertility.

They have accessible costs.

Dr Retzloff has been wonderful! Even the staff at the hospital where he removed my fiberoid commented that he was so personable! He makes us feel important and like we matter. He takes time with us and never makes us feel rushed or silly. He is very down-to-earth and we know he is rooting for us!

Be prepared that with IVF you won’t just start immediately, they are going to do the best they can to make sure you’re getting the best chance of a successful pregnancy and that often takes months, but weeks to accomplish.

We haven’t begun IVF yet but we just completed an open myomectomy to remove a fibroid that was in the uterine wall. Dr Retzloff selected us to undergo the Accessa laser procedure but our insurance wouldn’t cover any of it. After Dr Retzloff fought with them and went through 3 appeals with them we decided to proceed with the open myomectomy. We had zero complications.

Dr. Retzloff is super down to earth. If I have question he will take the time at my appointment or call me on the phone. He is also a straight shooter and tells me what is expected. He can joke around and if you get confused he doesn’t mind reexplaining things.

If you are confused on something ask. He will assume you understood him the first time but if your like me I sometimes need to hear it more than once. He never minds talking it through a second time. Till you feel comfortable.

I don’t remember everything but I’m super grateful that him and his team were super responsive after my second miscarriage. They ran every test in the book. And after my MRI discovered stuff in my uterus. I’m glad he added that on. I now feel more confident going into my 3 rd cycle.

Ok doc. Didnt feel however he is fighting to get our baby our of Gods waiting room. And i really wish he did. We live very far from the clinic (2,5h) and majority of the times dis sono, blood work and communicated with his nurse on treatment adjustments. I also think that the clinic has very unclear billing policies. They quoted different prices every time we came

Hard to give advise. Situation is different for each patient. I felt however that he offeres similar treatment to patients not very individualized

My schedule is very tough and they had to place me on birth control to control timing of stimulation. Besides absolutely unbearable emotion side effects that noone warned us about, we would stop birth control about 3 days prior to stimulating, do bloodwork and sono to see if any cysts formed, then stimulate with blood work and sonograms in between. We were only able to stimulate and retrieve once. The rest of the times (3-4) i kept forming cysts on ovaries after a month of birth control. Then he would take me off for ine month and restart again. The hopes, the time, the emotional component was very hard to handle. Eventually we were told by the nurse that they CANT HELP US anymore

We spend about 20k

I wish i would have gone for growinh to 5 day and PGSing with following cryo. I wish if they come back good chromosomally we would prepare my endometrial lining. Majority of tbe faild fresh transfers are due to asynchrony between lining and the embrio. I regret agreed on fresh transfer

When I did get to see Dr. Retzloff it was great. He was informative and did not rush. I felt he really knew what he was doing. I just wish he would have been more available at monitoring appointments for questions. It would have also been great if he did the monitoring ultrasounds.

Be prepared with questions. He will take the time to answer in an understanding way.

I used an antagonist protocol that included a freeze all for all embryos. We also used ICSI which I believe is standard for the genetic testing we did. I used birth control before starting stims. The goal with our cycle was to genetically test embryos because of a chromosome issue I had. We then transferred one PGD normal embryo to hopefully avoid another miscarriage. It ended in a chemical pregnancy.

It was about 15k for everything up to a frozen transfer.

I did a eSET because the embryos were genetically normal and should have given us better odds at a successful pregnancy.

Dr. Retzloff is actively involved in his patient's treatment plans. He was there for nearly all of our procedures and the one he couldn't make it to (he was assisting another patient) he sent his colleague who also did a great job. I love Dr. Retzloff because his listens to what his patients want and he give great advice. We wanted children and we weren't afraid of having multiples. Dr. Retzloff didn't tell us we can't transfer two embryos, but he did explain the extra risks and discouraged us from desiring triplets. We now are the proud parents of twins. I appreciate that Dr. Retzloff was so candid about explaining all of the risks that could potentially happen, but still supported us in our desired treatment plan. I also appreciated that he was there for all of our major procedures. He takes great care of his patients and I would encourage anyone struggling with infertility to go meet with him! It takes about 2 mins to see just how genuine and caring he is.

I would encourage you to ask questions. Dr. Retzloff is great at explaining hard concepts and he is more than willing to take the time to explain them. There is no question he will find unworthy of his time. I'd know because I must have asked him dozens!

We did 4 IUIS with a previous clinic. When we came to the Fertility Center of San Antonio, we did 2 more IUIS because our insurance required it before covering any costs of IVF. One of the cons of unexplained infertility. Dr. Retzloff didn't make me repeat costly tests I had done previously at my old clinic. He did switch me to Femara. I did the first 4 IUIS on clomid, and the 2 with Dr. Retzloff on Femara. All 6 ended in a negative pregnancy test. For IVF they put me on menopur, gonal-F and centrotide. I did a combination of those three injectable hormones until a trigger shot and the egg retrieval. After the egg retrival I did Crinone progesterone suppositories (and I think another oral medicine that I don't remember). We did a fresh day 3 transfer with two embroys, the rest we had PGS (genetic screening) done. We have 6 normal embryos left over and they are now frozen. We had our twins in October of 2016.

I can't remember the IUIs, but they were far less expensive in TX than in CA. I think IVF ended up being around $12k (we had to pay for ICSI), then we paid about $5k more for the genetic testing and $3200 for medications. Half of the genetic testing money went to the clinic that did the genetic testing. Plus you'll need to store your embryos if you have some afterward. That's about $400 a year with the Fairfax Cryobank.

I mentioned this previously, but we told Dr. Retzloff that we would love twins. He explained the risks to us and made sure we were educated on what we would be signing up for, but overall he supported us in our decision. I really appreciated that he didn't try to talk us out of transferring two embryos. We even thought about transferring three, but that is where he strongly discouraged doing so because triplets are almost always born early. That's too much of a risk for the babies and for the mother. He explained that even transferring two embryos put us at risk of having triplets. He was just really respectful of our desires, yet making sure we didn't do something that would put us at risk.

He allowed me to express frustration and then laid out a plan to move forward with my infertility journey. He was honest about treatment especially during transplantation of the embryo, he was willing to have honest candid conversation about the quality (not good) of my one surviving 3day embryo. He was very knowledgeable in his practice.

Multiple doctors work in conjunction in this clinic so be prepared to see multiple doctors.

Used 2weeks birth control to suppress the natural cycle and allow ovaries to get as small as they can, then started injectable medications twice per day to create multiple dominate follicles. This continued for two weeks with frequent lab draws and ultrasounds. Once lab levels got high enough a third injectable was started to delay ovulation. Two weeks and two days after stopping birth control I went in for retrieval. They retrieved 6 follicles. 3 fertilized with ICSI. Only 1 embryo made it to day 3 to be reimplanted. The embryo was a five cell and not of a high grade. Negative pregnancy text two weeks post transfer.

Very knowledgeable and professional. Kind and caring. Very evidence based. Friendly and reassuring. Definitely working hard for his patient’s success. He loves what he does and has many many babies that have been born that are thanks to his expertise.

Be patient with the process.

We did three retrieval’s with him and each one I got a lot of follicles on fairly low doses of medication. I was 29. I’m not sure if it was my husband’s sperm (he did take supplements!) or my eggs but even after retrieving 22 eggs or around there most times, we ended up with 4 embryos, 1 embryo, and 2 embryos. This doesn’t count the one three day embryo transfer and one 5 day blast we transferred. Because of my uterus shape, he would only transfer one embryo and I think that’s part of why it didn’t work. I also think an FET was the best course for me because I always had negatives with fresh transfers but I at least got a chemical with the FET.

Our insurance covered most of everything (Starbucks!) But our deductible or meds or something ended up costing I think about $1500 a cycle.

Due to my uterus shape he would only transfer one which I think was smart as far as the risks for twins with my uterus (bicornuate uterus). But we didn’t have success with one embryo and we did have two positive pregnancy tests in later years (though they were FET) when another doctor put in two embryos.

Dr Retzloff is an awesome person. He made us feel like home, like we were friends. He always took the time to explain every little detail, it doesn't matter that he had to repeat it several times until we understood everything. He even made phone calls to make sure we were okay. He is a very great super human.

You would love how patient he is.

They are reasonable prices, but unfortunately my insurance doesn't help much.

He’s kind caring and compassionate. He also thinks through each thing according to my medical history not just the same as everyone else. He stays positive always hoping with us for our desired outcome!

Na

We used icsi due to my husbands low count. Now with FET we’ve adjusted my progesterone each time in hopes of achieving a healthy full term pregnancy. I also have gone from a natural cycle to a medicated cycle because I didn’t get pregnant with two tries on the natural protocol

First IVF - 20k with meds 1st FET - 2500 2nd FET - 2500 3rd FET - 4000 4th FET - 4000

Dr. Neal is the best around. He took time to talk with me in detail every visit and explains things very well. He is so nice and comforting in this hard time of trying to get pregnant! I can’t wait to get back and try my IUI treatment for the 3rd time before moving to IVF! I would never trust another doctor with my fertility journey.

Go see him right away! He will change your life and is the best!

I got the IUI done and took meds and a shot to push along ovulation.

I paid a very small cost compared to what a IUI treatment would cost. They really have great prices I feel comfortable paying.

I haven’t had any embryo transfers yet.

Dr. J. Martin is a very knowledgeable doctor who reviewed my medical charts with his team and explained in detail my risks. He explained to my husband and I our options due to my situation and once we decided the route we would be taking Dr. Martin prepared us for all turnouts. He always made us feel safe and explained in detail or a different way if we didn't seem to understand the results of my tests.

Always stay positive and have an open mind to receive your results.

I must have spent $3,000. Due to that the insurances covered the IUI procedure, sonograms and my lab work.

Great experience! We got in quickly and got to speak with Dr. Neal when we requested. He got to know us on a personal level also. He made us feel comfortable and able to ask questions. We truly enjoyed working with Dr. Neal, he is a great doctor.

Go to him with lists of questions, he will answer them.

agonist protocal

$20,000