Florida Institute for Reproductive Medicine

Dr. Winslow is a very blunt person. I know many couples can be sensitive when it comes to fertility treatments. This type of personality may not work for all couples. However, my husband and I appreciate his bluntness. He is not going to sugarcoat anything for you, which I think is important so you don't develop false hope. He will answer any and all questions you may have as simply and to-the-point as he can.

Don't be afraid to ask questions. He may not give you a ton of information outright. I think he does this so not to overwhelm you. However, he will answer any question you throw at him.

We struggled at our OBGYN to find a diagnosis for our infertility for about a year. Dr. Winslow found it in the first month. My husband actually has low sperm morphology. Therefore, Dr. Winslow suggested three to four rounds of medicated (Letrozole) IUI. In our first round, I produced one egg, but the IUI was unsuccessful. Therefore, Dr. Winslow increased the dosage of the Letrozole. I'm in the midst of my second IUI cycle, but have produced two eggs this time. In both rounds, I received a trigger shot as well.

For a medicated IUI with a trigger shot, I believe the cost was close to $1,000. However, we were offered 20% off on our first round of IUI because it was canceled due to COVID-19. We received an IVF estimate from the clinic. They estimated $13,000 to the facility and high-balled the medicine estimate to be $5,000.

Dr Erb is simply the best. She was always patient with us and answered all of our questions- we never felt rushed. She explained every medication, every procedure- and all the reasons why- that really helped to satisfy and put at ease my Type A mind.

Trust her.The news isn’t always going to be what you want to hear but I absolutely believe that she 100% wants what you want- and she knows how to get it for you. I have a beautiful baby boy, and another one kicking away inside me because of her and I will be forever grateful.

I don’t remember the names of the protocols- but because of my chromosomal abnormality the goal was to retrieve the most amount of eggs so that the odds of having some good eggs was better. I’m also a large person- 5’9” and 200lbs so I was on the max doses of endometrin and o Other meds I took. Round one- 16 eggs retrieved, 7 made it to day 5, 2 tested as normal - currently pregnant with one, the other is still on ice. Round two- 13 eggs retrieved, 6 made it to day 2 5, 1 tested as normal- my beautiful, perfect, amazing little boy ❤️

I think each retrieval was around $12,000- plus the cost of medications. Each FET was $3000 plus the cost of medications Embryo storage was $400 after the finest two years. The medications will get you. During our first retrieval nothing was covered by insurance, for the second retrieval some was. I was on the highest doses because of the size and wanting to get the most eggs possible. During our first FET a study had been released - something about the progesterone shots being very effective- so we added that to the protocol. At our second FET consult we discussed the studies about the progesterone injection effectiveness and ultimately decided with De. Erbs guidance to exclusively do the shots - and it was a huge $$$ savings. And it worked 👍🏻

The risks of multiple births were explained to us. As ‘fun’ and ‘exciting’ as twins sound- we wanted the best possible outcome for an uncomplicated pregnancy and a healthy baby. That being said- we implanted one and conceived mo/di twins. At 12 weeks we saw MFM and learned that one of our twins didn’t have a heartbeat. Dr Erb got the report and called me- even after I was no longer under her care. She made sure I understood the prognosis from the other doctor (which was favorable for the surviving twin). That moment really stuck with me. The second embryo we implanted already had two inner cellar masses at the time of freezing. While we were hoping for the best- Dr. Erb still referred us to a geneticist before the transfer just so that we were prepared for all the possible outcomes. Given our over-achieving embryos’ desire to divide we’re thankful that we did not implant two.

Dr. Sproul von Goeben was invaluable to us as we went through donor egg IVF. Her understanding and knowledgeability about my diagnosis, the medications and protocol she placed me on, and her referral to an endocrinologist to help manage my thyroid issues, I believe, is the reason for our successful transfer!

I would highly recommend Dr. Sproul von Goeben. She (and the staff at FIRM) are very helpful and responsive. When we try for a second child in another year or two, there is no doubt that we will return to see Dr. Sproul von Goeben!

For the transfer cycle, I was told the clinic’s typical protocol is Estradiol pills (Estrogen support), Endometrin vaginal suppositories, and injectable progesterone in oil (Progesterone support). I started estradiol pills 4 days after stopping birth control pills and then the Endometrin and injectable progesterone in oil the day our eggs were thawed & fertilized. So just those 3 medications unless Dr. Von Goeben specifically states otherwise. 1. Last birth control pill on ____ (date) 2. Start Estradiol 1mg taking 3 pills twice a day Four days later 3. Cryo Monitoring appointment was about 12 days after I started Estradiol. 4. Thawed and fertilized eggs the next day. And started progesterone support 5. Our transfer was 5 days later! Of our 6 frozen eggs, all six made the thaw, 5 fertilized, and 3 made it to day 5 blastocysts.

This clinic was very upfront about fees for cycles. Also recommended a pharmacy with decent prices for fertility medication. We paid over $30,000 to the clinic as part of the guarantee cycle (plus office visits + ultrasounds)

For us, Dr. Sproul von Goeben recommended single embryo transfer. She explained how getting two babies for one cycle can seem like a good idea, but oftentimes pregnancy with multiples can come with extra risks for mother & babies, and that twins can be delivered early and need time in the NICU, etc. I was comfortable with the decision. I had a failed embryo transfer with another doctor years ago (fresh cycle) and transferred 2 embryos, and neither implanted. I won’t dive into issues with the other doctor/clinic here. I will just reiterate that Dr. Sproul von Goeben and the FIRM have my full trust in taking care of my health and helping us to achieve a healthy pregnancy.

Dr. Duffy is a brilliant fertility doctor. He stays up to date with the current research and applies it to his treatment. He was often rushed with appointments and late, but would take the time to stay and answer all my questions. He sometimes forgot the plan we discussed previously, so I would find myself having to remind him of things we previously discussed more than once. He was mostly receptive to any additional testing I wanted, even if he didn’t completely recommend it.

Be prepared for your appointments to take a long time since he is often late. Be prepared for him to talk fast and seem rushed, but jump in and ask all your questions and he will take the time to answer them. Do your research and advocate for yourself and you’ll have a great working relationship.

For egg stimulation, we used menopur, gonal F and cetrotide. Due to my lower AMH levels, we only retrieved 9 eggs, 3 of which made it to day 5 blast and only 1 was pgs normal. Before transfer, I did a ERA cycle with the receptiva dx biopsy with a protocol of estrogen, endometrin suppositories, and progesterone in oil.

We were lucky enough to have fertility benefits through our insurance, but I was surprised by the amount of tests and procedures not covered by insurance. We ended up spending tens of thousands of dollars on medications and testing, equal the the same amount that people pay for IVF out of pocket.

Dr. Winslow is compassionate, knowledgeable, and honest. He has realistic expectations and truly gets to know each patient. His years of expertise is unbeatable. After each visit, I felt like Dr. Winslow was making the best decisions for my body and future baby. He explains each procedure and step thoroughly.

I would tell a prospective patient to simply trust him, and let him do what’s best for your body!

After reviewing our test results, Dr. Winslow was proactive in planning our treatments but he didn’t want us to spend too much money without having to. Due to our unexplained infertility, he was compassionate and hopeful. He started with one round of oral medicines and timed intercourse. Later, we did 3 IUI procedures with oral medications and injections. After failed attempts, we moved onto IVF. Dr. Winslow retrieved 15 eggs, and only 2 made it to the day 5 blastocyst stage. According to the genetic testing results, one was abnormal and one was considered “no result”. We transferred the no result embryo only a couple days before the corona virus shut down the fertility world. We found out last week the embryo implanted!! We’re beyond excited and thankful for Dr. Winslow! My HCG numbers have been great this past week and we hope they continue to increase!

$25,000 total including 3 IUIs and 1 IVF round.

Dr. Winslow suggested I only transfer one embryo, and I’ve always trusted him so that’s what we did!

Dr. Erb has been the best doctor for me. She is thorough and would answer all of my questions, even when I thought maybe I was asking too many. As someone who works in the medical field, I felt like I had a more in depth understanding of certain treatments and processes, and she perfectly walked the line of talking medical to me (which I appreciated), while explaining the things I was less familiar with. We had a long road to our first baby including multiple IUIs, 2 retrievals, 3 transfers, and 3 losses and never once did I feel like I was not in good hands. The circumstances were awful and completely unexpected, but Dr. Erb reassured me with plans along the way that eventually led to our beautiful daughter. I appreciate her unwavering support, honesty, and perseverance through the entire process.

Ask any and all questions you can think of and trust your gut

Standard protocol for first retrieval which yielded only 1 genetically normal embryo, added growth hormone for 2nd retrieval and that yielded 8 euploid embryos that we know of 2 failed transfers prior to adding immune protocol for 3rd transfer (aspirin, Claritin, Pepcid lovenox)

Winslow is minimalistic. I chose him from a previous review about immune support protocol, but he doesn't do this or any other preventative measures. Nor an ERA unless you lose more than 2 embryos. His mock transfer is included as a part of the SHG so the surgical portion of the SHG won't be covered by insurance. But in the mock, he only ensures the catheter goes past the cervix. There's no study of the uterus to determine optimal placement. He was obviously competent in embryo placement but I felt rushed with him, even immediately after embryo was placed, I was told to get up. He also doesn't want to write your restrictions in employer required situations. The nurse stated he doesn't even allow them to have restrictions such as not lifting, etc.

Double check their work, advocate for yourself, send emails rather than calls for tracking, they don't use a portal so you'll have to advocate to see your own blood work. Most of all, insist on asking questions if you feel rushed. Insurance covers medications once you're pregnant, they don't tell you this, but it helps reduce cost.

All patients recieve same protocol which is birth control, withdrawal bleed, estrogen, lining check 1 week before transfer then progesterone until 12 weeks of pregnancy.

$3500 for transfer plus cost of blood and SHG

What was alarming is Winslow checked my lining 1 week before transfer and commented that they'll just use the next best embryo. He presented it as if we couldn't choose gender or numbers until I asked him if that wasn't the case. It was only 7 days before that anyone had even brought it up. If I hadn't asked, we wouldn't have been given the choice since I also had to ask to meet my nurse that day.

Dr. Winslow always made it a point to remember things about my husband and I. I always heard he wasn’t empathetic or had the best bedside manner but we experienced the exact opposite. He always cracked jokes with us and made us laugh. He was always very kind and super knowledgeable

He’s so knowledgeable and has been doing this for many many years! Just trust him! He’s truly the best.

We are 24 & 25 with unexplained infertility. When we had our consult with dr Winslow we had already done all of our infertility testing and 3 medicated cycles with no luck, so he recommend iuis with a trigger shot, we tried 3 iuis, and none of them worked. Dr Winslow recommended moving on to IVF. We had 11 eggs retrieved, 10 mature and 9 fertilized which yielded 7 embryos. We opted out of genetically testing because of our age, and after one transfer I’m currently 8 weeks and 1 day pregnant.

I had IVF coverage so I paid about $900 for my egg retrieval, meds and my transfer

He actually left the decision up to us, we opted to transfer one embryo but made a note to possibly transfer two in the future if our transfer didn’t work out.

FIRM IS THE BEST!!!! We had our 1st daughter via IVF at a local Orlando clinic in 2019. We then had 3 IVF miscarriages and was told we’d need a surrogate. In my bones I knew that wasn’t true. I insisted on testing our remaining embryos along w ones from a new cycle (may 2021) and they were all abnormal except 1 from the new cycle. I heard that FIRM in Jacksonville was using HGH and getting great results. I drove 4 hours round trip to consult w Dr Duffy. He was fantastic, listened to my concerns, and had a plan for me right away. He actually suggested the 1 cycle plan, but I insisted on the 3 cycle one (as more of a guarantee for myself that I could get at least 1 more baby). The next week Dr Duffy announced he was leaving and I was crushed. I did a re-consult with Dr Winslow that week and went over the treatment plan and he was very reassuring and agreed with what Dr Duffy had in place. I had a couple of normal bumps in the road (cysts, ovulating through Bc) but ultimately we got SIX normal embryos from my 1st cycle. We did extra testing that wasn’t recommended but I requested and they followed my wishes which I really appreciated since we were out of pocket. It made me feel heard for the 1st time in this IVF process. Ultimately the tests came back normal but it was so reassuring to me that we left no stone unturned. Dr Winslow was my doctor but Dr Erb did my retrieval and my transfer and she was so compassionate and caring, My 1st transfer at firm resulted in our beautiful baby girl. She was the answer to our prayers. Dr Winslow was so great and even got me in for an extra reassurance ultrasound until I was released to my OB. He always knew my husband and daughters name and my history when he walked into the room. He’s fabulous. Pam the nurse is a GODSEND. I called non stop (hello, anxiety!) and she never made me feel rushed or badly for calling. She also held my hand during my transfer since my husband had my daughter in the waiting room. Office staff: I always got a call back the same day. This was such a breath of fresh air coming from a clinic who didn’t call back or sent a portal message instead (so if you had further questions you were out of luck.) Billing: the billing dept was rocky at first bc they were going through some changes but any error was fixed quickly. They have since gotten so much better. Ultimately we drove 4 hours round trip to every appointment and it was 100% worth it. I HIGHLY recommend FIRM. I couldn’t be happier.

Do your research and write your questions down beforehand. Your doctor primarily sees you and all his patients so sometimes the schedule is tight.

Did an ERA and receptiva (at my request) bc I have recurrent loss Did autoimmune protocol due to my repeat loss and antiphospholipid syndrome SET with a pgs tested embryo- 1st time success after 3 years of loss at another clinic

25,000 for 3 cycle plan (only needed 1) with testing of 17 embryos

They encourage SET but said it was my choice. Ultimately I went for a single transfer as my goal is 1 healthy baby at a time. My next transfer I MAY choose 2 as I have a mosaic and a normal of low quality.

I really appreciate how caring and nice Dr. Erb is. She was able to help us establish a plan and gave us hope. We struggle with male infertility and she was very reassuring through the not so great test results that we still had options to try. After almost a year on medications my husbands sperm have improved from 0 to a normal range but are abnormal in shape. She was very kind in explaining exactly what that meant and told us our possible next steps; we scheduled an HSG procedure for Monday then will start IUI. I appreciate how thorough she is with directions and information. Her calm demeanor helps me feel at ease during an otherwise stressful time.

If you have questions write them down because she will definitely answer them all for you.

To help treat my husbands lack of sperm, he had to do Pregnyl injections every other day and his testosterone levels were monitored by an Endocrinologist we were referred to by Dr. Erb. She also prescribed me Vitamin d3 after our initial visit when my bloodwork showed my levels were low. We are now on a vitamin regime she recommended as we prep for IUI after my HSG procedure.

We've had a copay for our check up visits but have paid 85$ for semen analysis and will be paying 95$ for the HSG procedure (copay plus a 60$ fee the hospital is charging). The Pregnyl medication was extremely costly at almost 500$ a month which we used for close to a year.

At this time we haven't discussed either of these with Dr. Erb

As a patient of Dr. Winslow, I have been treated with respect. He is gentle but to the point and knows how to get things done. He has a lot of patients but he always seems to remember me and cares for me when I am in his care. He has never been rude or dismissive.

To understand that if you want someone to hold your hand and sugarcoat your journey, then he is not the doctor for you. But if you want to get pregnant and understand why you’re having to go through this, then he is the one!

I was placed on a normal agonist protocol from my previous doctor. Once she moved, I chose to be with Winslow. I did not have my egg retrieval with him but he has done all of my transfers. When my first transfer ended in a miscarriage, I was placed on the same protocol but the next one didn’t end up working. I am now doing testing to determine if there’s any issues with receptivity or immune issues. Once I have results from that, then Dr Winslow will adjust my protocol as needed.

My full cycle with medicine was around $18,000. Each transfer is close to $3,300 excluding medicines.

I felt as if I was just another patient for him, he was unfamiliar with my treatment. He didn't take the time to get to know my husband and I, unlike the other doctors we had. While reviewing genetic results, he misread them and I had to keep explaining that I was already provided results for one test that he said weren't available. They were on the next page of the report I realized once I left my rushed 15 minute consultation. The worst part is he showed me the documents with the gender of the embryos which I did not want to see.

If you're looking for someone who doesn't rush you and throughly explains things, I would not recommend.

$5K and change for first cycle and $1K and change for second, due to deductible being met. Paid $1K and change for the transfer.

Dr. Erb approaches you with a calm and compassionate demeanor. She fully listens and never makes you feel rushed. She takes questions and emotions in stride and was able to talk me through and explain fully a subchorionic hematoma. A wonderful calming guide on an emotional journey.

We had an IUI procedure. We used letrozole for egg growth and did a trigger shot at home. My husband then produced a fresh semen sample through a retrieval process used for retrograde ejaculation (enzyme inserted in to bladder with a catheter and then retrieval through urine sample). After the sperm was cleaned we had the IUI procedure and I remained laying down for 10 minutes. 2 weeks later we had our positive pregnancy test. I carried to 38 weeks when I had a cesarean.

All was covered by insurance.

He was very kind and we enjoyed having him I would highly recommend him I wish he had not left the practice we wanted to use him again. He always took his time and talked and explained things. I did not feel rushed with him or like we were just a number.

He’s awesome I wish he had stayed at the Firm because we would like to use him again in the future. He was my favorite doctor there!

Medicine first- negative 3 IUIs with clomid and last one with clomid and menopur. The last one resulted in twins, but one was lost at 9 weeks. 1st IUI resulted in ectopic pregnancy.

About $1000 per IuI

N/a

From day one Dr. Winslow treated us like we were important. I was using another doctors office before being referred and when it was found I would need to see a fertility doctor, the office I was using was very rude and nonchalant about my diagnosis. It was a horrible experience. After meeting with Dr. Winslow and his team I knew without a doubt in this world we were in the right place. I literally can not say one bad thing or “weakness” about anyone at the FIRM.

Ask questions but be ready for the answers. It may not be what you want to hear but Dr. Winslow makes sure to give you the best and worst case scenario in whatever situation you may be in. He makes sure you understand any risks that there may be but he doesn’t do it in a negative way. He says it with respect and from a medical professionals point of view because he cares about his patients and wants the best for them.

We honestly lost count of how much we ended up spending. It was definitely a lot of money but compared to other clinics, it was reasonably priced and they were always willing to work with us on making payments when things got a little pricey.

We had a great experience with Dr. Winslow. Both my husband and I trusted him and felt that he took the right amount of time with us as patients. He never brushed us off, he took our questions & concerns seriously and he was very kind. I always felt that he truly cared for me as a patient.

If your meeting with him is only a few minutes long or the clinic takes a couple days to get back to you, don't take it personally. Dr. Winslow is at the top of his game and while they have A LOT of patients—he truly cares for you as an individual. I have several friends who have successfully had babies after severe infertility issues. He is absolutely the best. You may only get a few minutes, but Dr. Winslow cares.

Entire IVF egg retrieval + ICSI + freezing + first transfer = about $12k. Plus genetic testing = about $3k. Plus medications = about $4.5k. Entire process for first round of embryo creation, freezing and transfer, about $18k total.

Dr. Duffy is kind, compassionate and extremely caring. He takes his to time answer any questions you may have and is very thorough in explaining everything. You can tell he is very passionate about helping his patients.

Ask questions and trust him. He knows what he’s doing.

Dr. Duffy believes I was misdiagnosed with PCOS by my previous doctor after going over my test results. Being that my AMH levels are very high, he said I had time so he suggested to do 1 or 2 cycles of IUI’s before going down the IVF route. The day of the IUI, he examined my husband’s sperm and it came back very low. Which was a surprised because my husband has had 2 sperm analysts that not came back normal in the past. He suggested we move forward with the IUI because even though count was extremely low(200k), a small chance of pregnancy is better than no chance at all. We moved forward and Dr. Duffy scheduled another semen analysis for my husband the following week. Those results came in higher but are still a little low(10million). Dr. Duffy requested blood tests on my husband to see if their are any other issues and we are waiting on those. Meanwhile the IUI was unsuccessful but we are moving forward with a second round of IUI because we don’t want to waste a cycle. By the time, of my cycle day 12 ovulation ultrasound, my husband’s test results will come back and we’ll know if he has any hormonal issues that’s causing his low sperm count. If on the day of our IUI, the sperm count comes in extremely low again, Dr. Duffy will go over our options then.

I believe the cost is very reasonable. It’s been less expensive than the last doctor I saw but with a far better experience.

From our first appointment and beginning steps, Doctor VonGoeben was kind and compassionate. She made sure both me and my husband understood everything and would always answer all our questions. She gave us facts and statistics, and allowed us to make our own informed decisions. I was able to advocate for myself if there was something I disagreed with, and always felt in charge and in the know with my treatment and protocols. We started with an IUI and moved to IVF. We have gone back for another transfer and plan to go back again when the time is right for another.

Trust her. Ask your questions, she will never make you feel stupid for asking something or wanting to fully understand more.

We started in 2017 with all the fertility diagnostic testing. We then had a Clomid cycle and IUI which did not result in a pregnancy. We decided to wait a while before going back and moving forward with IVF. In 2018, we had our first egg retrieval and created 6 embryos, after PGS testing we had 2 normal embryos. We transferred both, and did not get pregnant. We immediately did another egg retrieval but added the drug Omnitrope to our protocol, this resulted in 11 embryos. After PGS testing, we had 3 healthy embryos, and 1 that needs retesting. We did a frozen embryo transfer in March of 2019 that gave us our daughter. We did another frozen embryo transfer in January of 2021 and are currently pregnant with our son.

We had partial coverage with insurance but we typically paid between $6,000-$10,000 (including medications) per egg retrieval

Doctor VonGoben is an advocate for single embryo transfers. During our first transfer, we elected to put both our embryos in, and unfortunately we did not get pregnant. For our second and third transfer, we went with a single embryo like she recommended and got pregnant both times.

I was told my friends how uncomfortable/painful the HSG would be but when Dr. Duffy did the procedure he was very attentive on how I was feeling and what I was experiencing, the catheter placement was completely painless & he talked to though every step, he showed me the images and made sure I had no pain the entire time. During our weekly ultrasounds he is very attentive and communicates everything he sees and all his concerns and any potential risks that may arise in my treatment plan. I feel very comfortable asking questions and I know I will get an answer I understand. His bedside manner is superb! I’m very happy with my experience at the Firm!

Don’t wait schedule your appointment but save, it’s expensive. I did not realize how often I would be in the office and I love it because I feel like every week I get to be updated and informed on the process but those weekly visits add up and it gets expensive quick. But the experience is worth it! I have only positive experiences so far! We waited 2 months to make our first appointment because we were nervous and didn’t know what to expect, I regret waiting! This has been great so far!

I had bloodwork which included hormone levels, metabolic panels, vitamin levels, standard genetic testing and specific genetic testing because I was born with a birth defect, . My husband had a semen analysis and genetic testing/labs. I had an HSG. My labs showed I am not a carrier for any major genetic abnormalities, my vitamin D level was very low & confirmed I do have PCOS. My HSG showed my tubs were open and not blocked. My husband’s labs came back normal and so did his semen analysis. My weekly ultrasounds showed my follicles we’re not matured until about the 3/4th round of clomid then I had two mature follicles and was given a trigger shot to ovulate. Unfortunately timed intercourse was unsuccessful.

It’s expensive but realistic, all their prices are available on their website. An ultrasound costs $125, that’s fairly cheap, the same ultrasound in a outpatient setting is around $1000+. The worst part is that many health insurances do not cover infertility, like my insurance. Unfortunately it’s all out of pocket expenses.

I have many tiny follicles and Dr. Duffy is concerned about high order multiples, he would like me to consider IVF so he can control the amount of embryos. He shared that I can choose one embryo transfer or two. Anything else is unethical and not worth the risk of high order multiples.

I felt like he treated me like a human. He was so matter of fact and no beating around the bush on what he wanted to do and what we were going to try. He seemed optimistic but didn’t over exaggerate chances for complications. His staff was so amazing they were all so upbeat and cheerful. And trust me when you have been trying for a baby for 7 years with no luck, another doctors office is NEVER something you enjoy going to. When you walk In their doors though, you just feel so relaxed it gives you confidence in him and his team.... I only was able to try 1 injections therapy before we were unable to continue to pay out of pocket....

Go. Go to him. If you have questions don’t be afraid to ask because he’ll be one of the most straight up physicians you’ll ever meet. And he’ll answer all the questions that have burned over and o er into your brain.

Letrozole and metformin. I had dye injected through my tubes, laparoscopy surgery to clean tubes I don’t remember the injection he gave me

Unfortunately most insurance companies do not cover infertility treatments and it was very expensive for us. So much so, that we were only able to go to him for 3 visits. Approximately 400$ per visit

Update: I have now had a failed FET with Dr. von Goeben - she's still a very compassionate Doctor and I'll be moving forward trying for our baby again with her despite our failure. Dr. Sproul von Goeben has provided great bedside manner and answered all questions thoroughly. She seems to genuinely care and I hope to see her for IVF one day. While I haven't yet become pregnant I have hypothalamic amenorrhea and lean PCOS so I think that it may be a tougher diagnosis to tackle than some.

Since I work 40 hours a week I can't be as selective with my appointment times but if there is flexibility then I would try to see Dr. Sproul von Goeben in this office. I had to see another doctor a couple of times and didn't find that he was as good a fit for me.

Updated review: Failed FET with low dose (I have a AMH of 15 but low egg quality so OHSS is a huge concern) Gonal-F, Menopur, Lupron trigger as retrieval meds and oral estradiol and PIO / endometrin suppositories as transfer meds. If we can manage to afford another retrieval she suggested even lower doses of Gonal-F (I had 56 eggs retrieved but I only had 2 PGS normal 5-day blastocysts and 1 PGS normal 7-day blast which may have a likelihood to miscarry). I did not get OHSS from my retrieval so the Lupron only trigger definitely avoided it. My concern is that I had so many immature eggs so I think perhaps a higher dose Lupron trigger would have matured them (I have a 16 BMI hence the low dose). I also had a long length of stims which I've read can cause some egg quality deterioration. Previous review: I used Letrozole and trigger shots 6 times (one with Clomid combined) but have yet to become pregnant (I'm 29 with hypothalamic/anovulation/lean PCOS)

Updated review: I've now spent about $35K for 6 timed intercourse cycles and one failed FET plus some early testing. We're preparing for an ERA currently. I imagine we'll have to do another retrieval so financially a hurdle in the near future. Previous review: I would estimate that every cycle of ovulation induction cost me about $600 all OOP not including the testing before beginning treatment

She highly prefers eSET which I agree with

Dr Freeman is a straight shooter. He tells you like it is and isn’t going to sugar coat anything. Which for me, was refreshing and what I needed. I didn’t want false hope. He is very knowledgeable and will take the time to explain things to you in a way you will understand.

My one piece of advise would be to do your research. Be knowledgeable about your own fertility and come with questions that he will answer for you so you are involved and understand the treatment plan.

I don’t remember the specific protocols used but I do know they were specific to me and my husbands situation. We were not just another number with the same protocol as everyone else. Everything was individualized

I remember each IUI round cost about 800 dollars including the procedure, medications and ultrasounds.

I was sufficiently educated on single embryo vs multiple embryo transfer. I don’t know my physicians take on single vs multiple for all of his patients but I know his take for me was that given my past medical history it was safest to do single transfer.

We came to Dr. Duffy after 3 attempts at another clinic. We had already been through 4 untested embryos, resulting in a chemical and a missed miscarriage. Dr. Duffy recommended PGS screening and the ERA for us immediately. We ended up miscarrying at 8 weeks with our one normal embryo from that cycle with no reason why. Dr. Duffy proceeded by performing a D&C surgery on me the first week of April. We mourned our loss but wanted to remain positive and move forward to try again. We went through two more IVF egg retrievals with the clinic over the summer, neither of them resulting in a normal embryo. One of the cycles was a mini-IVF and the other was a lupron-flare cycle, both were new protocols to us and looking back, not the best protocols for an endometriosis patient. At this time, we asked Dr. Duffy if we should try the ReceptivaDX biopsy to rule out endometriosis. Having no closure from our 3 previous losses, we were willing to try any test possible for an answer. Dr. Duffy did not think we needed to do the test and did not think that was the cause of my issues. He kept circling back to an egg quality issue. Therefore, he felt moving to donor eggs would be the next best protocol. This was a heavy pill to swallow. I am only 31 years old and have normal AMH, FSH, estrogen, progesterone, and every other level. The Recurrent Loss Panel also showed no discrepancies in my bloodwork. However, with the idea of a baby in mind, we proceeded with the donor egg route. We moved on to transfer the two blastocysts created with donor eggs. Once again, we remained positive and hopeful. Dr. Duffy completed the transfer and one week later I had a positive at home pregnancy test. We were very excited and did not take another test until beta day. However, my beta had dropped to show a chemical pregnancy. We did not understand why my body rejected these two embryos. Dr. Duffy even had me on the antihistamine protocol for this transfer with a series of blood thinner shots, antihistamine medication, estrogen and an increased dose of progesterone. We went back to the drawing board and had our re-consult with Dr. Duffy (again). Now, he wanted to perform the ReceptivaDX biopsy and thought I may actually have endometriosis. From the literature in the brochure and on the ReceptivaDX website, it sounded like I would fit the bill. I was unexplained and had a history of 4 miscarriages now within a 2 year span. This is not a normal diagnosis for a 31 year old healthy female. I was a bit frustrated, as I had requested to do the biopsy before diving into donor eggs and was told it was not necessary. We were glad to see Dr. Duffy had warmed to the idea though. We proceeded with the biopsy in November. Three days later my results came back and much to Dr. Duffy's surprise, I had a level of 3.6, indicating that endometriosis was most likely present in my body. Dr. Duffy was shocked and I believe some of his staff were also surprised. We immediately moved to discuss laproscopic surgery to remove the endometriosis. Dr. Duffy explained he would not know what stage it was until he went in for surgery. The lupron depot protocol was not necessary, as we had no embryos left to transfer. I also was very ready to get to the root of the problem and remove it. I was ready to fight whatever was standing in the way of us and our long-awaited baby. Dr. Duffy performed the surgery on December 12th and diagnosed me as stage 2 endometriosis. The photos were appalling. We cannot believe how long I went undiagnosed. We are happy to have removed it by a talented doctor such as Dr. Duffy but we are also frustrated that it took so long to get here and that we lost so much in the process.

Dr. Duffy frequently runs behind for appointments. Better time management overall is needed in his office. Be your own advocate, because sometimes the doctors are not aggressive enough in treatment protocols.

For the first round, we used birth control followed by gonal f and menopur with our stims cycle. Dr. Duffy had us add in human growth hormone to help with egg quality. After the miscarriage, we tried a lupron-flare round (which did not end up producing any normal embryos) followed by a mini-ivf (which produced 2 eggs and 0 embryos).

Since we have been with dr. Duffy, our insurance coverage has kicked in and has substantially helped with costs.

Although we have only been with Dr. Freeman for just under a year, I can confidently say that we made the right choice when choosing him and the F.I.R.M.! He has been so incredibly honest and thorough in our appointments, our consultation lasted well over an hour and he constantly reassured us that we could ask as many questions as we want and not to feel rushed. Leaving our consultation, I was sent home with extensive lab orders, some tests I had previously done with my OBGYN, but he wanted to retest those levels to have a full reading done, which I appreciate that he wanted to “see what he was working with” instead of taking previous results and using those! Following my bloodwork, we had a reconsideration that also lasted nearly an hour. This was when he diagnosed me with PCOS and explained that I was no longer immune to varicella. Due to this, we had to rework our timeline, but he constantly reassured us that we would have a baby at the end of this! It’s natural for any couple battling infertility to breakdown from time to time, and he makes me feel so comfortable even when I’m crying! As nervous as I am to go through treatment (I have a very low pain tolerance), he has reassured us that he will be there for us and if he is at another one of their offices, we are absolutely able to go to that office if we would like. He easily relates things back to layman’s terms and doesn’t leave us feeling like we need to google anything! A great example was during our consultation, I questioned the catheter used for and IUI and he said, “next time you see spaghetti, take a good look, it’s about that size!” We’ve been through 5 IUIs (4 failures and currently in the TWW of our 5th), and with each and everyone, Dr. Freeman continues to be so optimistic. He always greets us with “Who is ready to get pregnant today!?” This May sound like such a small thing, but to us, it’s so much more than that. And with all of our failures, he has been right there to pick up the pieces and explain how we will move forward. He has even gone out of his way to call me personally after I’ve had scans with different REs in the practice (due to weekend rotation scheduling), he always wants to make sure we are comfortable and know that he is right there with us, even if he isn’t on call that weekend! All in all, we couldn’t have chosen a better doctor than Dr. Freeman and we are so happy to have him guiding us through this hard battle!

Ask absolutely any questions you can think of! He will always explain everything as simple as possible to make sure you fully understand. He wants to answer all possible questions to make you more comfortable!

During our consultation, Dr. Freeman discussed what he though his plan of action may be, pending lab results. Then, he said we would do letrozole and possibly a trigger shot (depending on lab results to see if Inovulate on my own) and then 4 or 5 IUI’s if need be before moving on. At the point of our consultation, I didn’t have an HSG done but due to no pain or symptoms, he said we could do 2 IUI’s and if they don’t take then we would do an HSG before continuing with IUI’s. Once my lab results came back, we went through each test, good and bad! He tested 21 levels, so it was quite an extensive appointment - which was great! From my labs, he diagnosed me with PCOS due to my insulin resistance and also found that I was not immune to varicella. He explained how both of these impact things and the plan of action. I was to receive both varicella vaccinations, I was to start of Metformin, and should go as low carb, sugar and dairy free as possible. I expressed that I had read some not so pleasant reviews on Metformin and he took about 10 minutes alone to explain how and why it works. The goal was to work my way up to 2,000mg a day of Extended Release MF but to start low and increase each week. I know this helped as I didn’t always have the negative side effects and even when I have had them, I stuck with it because I know he put me on it for a reason. Once I became immune to varicella, it was time to start our first IUI. After doing some debating, I decided I wanted to have my HSG prior to our first IUI because I didn’t want to hold onto the “what if”. That in itself was not comfortable at all, but I am so glad it’s behind me and that I have open tubes. We started our IUI just as he had explained, Letrozole and a trigger shot. I was incredibly nervous to give myself a shot, so for the first two IUIs it worked out that I was able to have our nurse, Crystal, do them. But by IUI number three, I had to suck it up and learn to do it myself. Dr. Freeman gave me a full lesson and made me so comfortable doing the shots on my own. This is just another example of how wonderful of a doctor he is!

So far, we have paid a $25 copay for each appointment and $40 for each of our consultation and reconsideration. For our first IUI, we paid $110 for each ultrasound, but once I asked for them to be submitted through my insurance, we haven’t paid. We also pay $95 for each trigger shot. My HSG went fully covered and was done t a local imaging center as the Daytona office doesn’t have the necessary equipment, so we paid about $200 total for that. In totally, our insurance is billed for about $1200 for a three appointment IUI schedule, which we end up paying $75 of plus medications, bringing each IUI to just under $200. However, I know that my company will not offer any converse if we have to move on to IVF. Bloodwork, Metformin and the two varicella vaccinations I’ve received so far have all been done outside of the F.I.R.M. The total for these treatments has been $685.

She speaks pretty fast but is willing to explain i details any questions we had. She was warm and compassionate to our situation. Since I have diminished ovarian reserve, she gave me percentage about using my own eggs, known donor or unknown donor. Our chances were higher with a donor egg.

Be active participant with your appointments. Ask questions and write down answers as it’s hard to process all information and retain it. Be in your own time line.

The protocol was to be on endometrim, pio shots, and estrogen pills before and after embryo transfer. It took 8 days to get a positive result and wouldn’t trade it all for anything. I stopped treatments at 12 weeks and was supported by firm and dr van goeben until the very last day. Overall great experience.

In the beginning I was being quoted more than I was prompted to. But with a simple phone call, we were able to settle the price well. Since they had recently moved to a different billing place, I do have a balance with them I’m still disputing.

We weren’t given the option but I would still stick with single set. There’s always a chance of splitting and I’d rather have the chance of knowing 1 embryo was placed.