Fora Fertility

Dr. Crawford has a very educational podcast/youtube channel. I researched and learned a lot of great information before choosing her as my doctor. As a patient, I do not feel I have gotten the degree of detail and education on every step of the process I expected. I still utilize the education she provides on her podcast, but do not expect that she will make you feel as informed if you are a patient and do not listen to her podcasts seperately. As a patient, she is very kind but our encounters are very brief. I get the feeling that she will answer any questions I have, but the answers are brief, and our encounters feel a bit rushed. Ultimately, I feel I am in good hands. I got a good result from my retrieval and I trust that we will achieve our goals with her as our doctor.

She is building a new practice and building her online presence. She does not give the same attention to you that she does her other endeavors. That being said, she is available and approachable and, as with most doctors, you must advocate for yourself and be sure you are asking lots of questions as the process unfolds.

I don't remember the name of the protocol, but for our retrieval, we used Follistim and menopur for stims and ganirelix to prevent premature ovulation. We triggered with pregnyl/lupron. Rationale for this protocol was because they predicted I would be a high responder due to my AFC of 20. The retrieval was successful with 27 eggs retrieved, 22 fertilized, 11 embryos, 6 of which were PGT normal achieved. My thyroid was tested and I was started on Synthroid during this time after retrieval to prep for transfer. Additionally, vitamin D levels were checked. For our FET, we did a modified natural cycle with letrozole, frequent monitoring appointments, IM injections of Progesterone in oil, doxycyline, and methylprednisolone. The rationale for this protocol was my preference and the fact that I ovulated regularly/normally prior to fertility treatments. Although my lining was 7.5 mm, this ended in a chemical pregnancy. The next step for us is an ERA cycle to ensure my endometrial receptivity is properly timed with progesterone exposure. For this cycle, we will utilize a controlled cycle; this means I will not ovulate at all. Lupron injections are used to keep my ovaries "quiet". Estrace is used to build my endometrial lining. Methylprednisolone and doxycyline/ PIO injections are used just as with an FET but instead of transferring an embryo at the end of the cycle, they will do two endometrial biopsies, 2 days apart, to determine receptivity. Because we are utilizing a controlled cycle for the ERA, we will do a controlled cycle for the next transfer to reduce as many variables as possible.

Your investment of $15,500 includes the following: Patient Education/IVF Class, Focused Office Visits, Monitoring Ultrasounds, Venipuncture with hormone levels, Cycle management and coordination, Emotional Wellness Session, Anesthesia for Oocyte Retrieval, Oocyte Retrieval, Ultrasound Guide for Retrieval, Intracytoplasmic Sperm Injection (ICSI), Assisted Hatching of Embryos, Culture of Oocytes/Embryos, PGT-A (Genetic Screening of embryos), Embryo Cryopreservation and Storage (1 year) *Medications are additional, estimated to be $4,000-$8,000 and paid directly to pharmacy *Cycle investment collected prior to receiving treatment calendar*Optional concierge injection package available. Frozen Embryo Tranfer: Your investment of $3,590 includes the following: Patient Education/IVF Class, Mock Embryo Transfer, Focused Office Visits, Monitoring Ultrasounds, Venipuncture with hormone levels, Cycle management and coordination, Thawing of cryopreserved embryos, Preparation of embryo for transfer, Embryo Transfer, Ultrasound guidance for embryo transfer, First pregnancy test *Medications are additional, estimated to be $1,500-$3,000 and paid directly to pharmacy *Cycle investment collected prior to receiving calendar *Optional concierge injection package available. ENDOMETRIAL RECEPTIVITY ASSAY (ERA) Your investment of $1660 includes the following: Cycle management and coordination, Focused office visits, Monitoring Ultrasounds, Venipuncture with hormone levels, Endometrial biopsy procedure x 2, Genetic company biopsy processing and results *Medications are additional, estimated to be $1500-3000 and paid directly to pharmacy *Cycle investment collected prior to receiving calendar*Optional concierge injection package available

My doctor only gave the option for 1 PGT normal embryo to be transfered at a time.