Gago Center for Fertility

They are very understanding of differing family types, never making me feel uncomfortable being a SMC. You don’t see Dr Gago often, but her staff is extremely capable and knowledgeable. Everyone is very nice and willing to work with insurances too.

They always called back as promised and answered all my questions, no matter how strange. They always seemed concerned with how I was doing and explained everything so I could understand.

They are super nice and patient. Always willing to answer questions and make sure I completely understand what is going on.

I most often worked with the office staff. I only saw Dr Gago at my original consultation and my mom-IUI procedures (sonohysterogram and polypectomy). The office staff were very knowledgeable and kind. I am happy knowing the staff is so capable. I understand I don’t have to see the doctor for every thing so I appreciate the ease at getting my questions answered by the office staff, rather than waiting for doctor availability.

They are there for you so don’t hesitate to ask questions.

We are using donor sperm for IUI as I do not have a partner. We are doing medicated IUI because of my PCOS and irregular cycles. We even switched to hybrid medicated IUI due to the first two being unsuccessful.

I am using my insurance, but they did provide the out of pocket costs without insurance and I remember thinking they were very good.

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The clinic is very comfortable, staff is all very friendly. The only complaint I would have is that we have to wait quite a long time, we are understanding though as fertility is a pretty complex issue and appts probably take longer.

She knows what goals my husband and I have. I have a lot of questions and she never hesitates to answer them. The only complaint I have is that I fainted during a tubal saline injection and she helped me immediately after but didn't come back to check on me before we left, just felt like she was too busy for me, which she may have been, I just felt rushed to get out the door.

Nursing staff are all very polite and made my husband feel comfortable.

Dr. Gago is a quite warm and informative . She is very knowledgeable about my condition and the best course of action for us. I typically ask a lot of questions and she doesn't hesitate to answer them all completely.

Don't be afraid to ask questions, she is very willing to answer.

Dr. Gago was aware that one of the my tubes was blocked and fused to my uterus, so her first plan of action was to do a saline injection to see if fluids could make its way through my tubes. We discussed that IVF might be our only option but we wanted to try IUI first as we can't afford IVF at this time. I did a 3 month course of Lupron with my OBGYN and Dr. Gago believes that this is the best time to proceed with the IUI/IVF.

The only cost we have come across so far is for teaching of injections for IUI. The injections themselves cost about $400 but that is to the pharmacy.

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The great strength of this clinic is Dr. Gago and the atmosphere of warmth, caring, and trust she fosters. Her staff are for the most part excellent as well. The clinic does at times seem to have communication issues, and they are often running behind and sometimes our visits can feel rushed. Make sure to plan for more time than you think you'll need for your visits. The ability to do monitoring in multiple locations is really convenient.

Dr. Gago has a warm bedside manner, and most of her staff have excellent bedside manner as well. Dr. Gago personally performs all of my major procedures (D&C, ERA biopsy, egg retrieval, transfer). She takes the time to talk with us and patiently answer all our questions even when she is clearly busy or running behind. She personally called us with our PGS results.

Overall the nursing staff is excellent. Sometimes things seem a little disorganized or delayed, and some nurses have a more distant bedside manner than others. But for the most part, we have been very pleased with our interactions with the nursing staff. Many of them take a personal interest and truly seem to care.

Dr. Gago is very warm and caring, and takes the time to patiently answer our many questions. She performs all major procedures (except our IUIs). She personally called us with our PGS results and I anticipate she will call with our beta results after my upcoming transfer. My only bad experience was during a recent hysteroscopy when we waited in the waiting room for a long time, and then the doctor and five other staff rushed in and hurriedly went about the procedure. It felt very frantic and was stressful. Every other time, Dr. Gago has been very calm.

Take the time to get to know the nurses. You will primarily be communicating with them.

Retrieval: 2 days Cetrotide followed by approx 1 week Gonal F 150iu, LDHCG 20iu, and Femara 2.5mg. Restart Cetrotide 2-3 days before trigger shot. Ovidrel trigger. Bromocriptine and Prometrium after retrieval. Results: 18 eggs retrieved, 11 fertilized, 11 embryos frozen and biopsied; 4 PGS normal embryos. -Transfer #1 (ongoing): Lupron 20iu daily. Estrace 1 tab vaginal for 2 days, increase to 1 oral/1 vaginal for 3 days, increase to 2 oral/1 vaginal for rest of cycle. Progesterone in oil 2cc beginning 6 days before transfer (earlier due to ERA results) and through end of cycle. Transfer is scheduled for next week.

IUIs were around $500 each; we paid about $350 after insurance covered the semen sample prep. Not including medications. We paid ~$23,000 for a multi-cycle IVF package with ICSI - includes two egg retrievals and unlimited transfers until viable pregnancy achieved. We paid an additional ~$2,000 to a lab for PGS. These costs do not include medications or monitoring, which fortunately were covered by our insurance with co-pays.

Dr. Gago strongly recommended PGS so we could confidently transfer one embryo at a time. She said her policy is never to transfer more than two embryos.

Nice ambiance, You’ll definitely get a call back if you have questions. Prepare to wait when consulting or you are in for procedure. Me and my husband waited for 3 hrs for a 10 min conversation with doctor.

Nurses manage everything and quiet often there’s huge miscommunication. Dr. Gago is always busy even to talk after a negative results

They lack communication among themselves. Staff kept changing and they don’t know my history with the clinic. One of the nurses did a terrible ultrasound.They mailed some other patients reports to my address. We were so concerned as it’s a breach of privacy and were worried since then.

She has great understanding towards the procedures. But twice she did transfer with thin lining and they failed. Her explanation is that for some patients it worked even with thin lining. We always feel that we lost precious embryos due to this but we had no other go except to believe her. We felt that we spent way too much time waiting for her during consultations than have a meeting that respects my husband’s work time. My husband is the only bread earner and taking a leave will cost us more.

Unless you plan for multiple IVF cycles and have that kind of money to spend and have plenty of time to spend in their waiting room don’t go there

It’s always ganirelix and follistim with retrievals and lupron for frozen transfer.I don’t know if there’s any strategy there

Monitoring is very good and nurses at Lansing office are an asset when it comes to personal touch

~11500 for IVF ICSI ~3250 for FET Doesn’t include monitoring or medications

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In general, the Brighton spacious and clean. I loved that they used actual sheets and plush robes, not hospital style paper sheets and thin open back robes. There is a strangely loud and intense water fountain/waterfall in the waiting room that I distinctly remember... The Ann Arbor clinic is much smaller but very conveniently located and gets the job done.

Whenever we were finally in a room with Dr. Gago we always felt like her most important patient. But always leading up to that, we were dealing with nurses or ultrasound technicians (who are pleasant but not very caring), then waiting for excruciatingly long times in our patient room for Dr. Gago to come in and explain things to us. This was our experience. The amount of waiting involved with visits, phone calls and call backs, and the lack of face time with Dr Gago remains a bitter memory for me.

I don’t have any good memories of them, and didn’t really enjoy interacting with them. Only on the day of my surgery did the nurses really seem attentive, and yet I still don’t feel like we connected.

Dr. Gago is very put together and she genuinely shares the same goal as her patients. She will make you feel like you have someone you can rely on to help you have a healthy baby. She is good at explaining complicated matters. She has excellent bedside manner. She is confident and you will feel safe in the operating room with her. And in general she has set up her clinic to feel comfortable yet clean.

Be patient and prepared. You will not get much time with Dr. Gago.

Our fertility issue is recurrent pregnancy loss and not a lack of ovulation, but she recommended a very low dose of Femera (2.5mg) for 5 days from cycle day 3 to 7. She explained that this could help control egg maturation and therefore quality. Then, with monitoring I was told when to self-administer Ovidrel and had timed-intercourse. This resulted in a pregnancy but did not result in a live birth. Our baby had a random chromosomal abnormality (like the previous two). At our six week scan the baby was measuring 5 days smaller and his heartrate was 114. Since we knew exactly when he was conceived, the size variance was very concerning. Ten days later we went back in to confirm, either way, and his size was only a few days older and his heart was no longer beating. His genetic test results came back Trisomy 16, XY.

We had University of Michigan GradCare/Premier Care BCBSM insurance and it covered practically 100% of our treatments.

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Strengths: professional, knowledgeable, compassionate, good online patient portal, wonderful nursing staff, even the waiting room is nice Weakness: cost with IVF, to be a little better about communicating official diangonisis in person (versus on paper)

I felt like we were treated as a human, because the nurses were always so sweet. Everyone was professional.

Super professional and compassionate. They were amazing. I always felt supported.

Dr. Gago was compassionate and talked with us about our situation. We had multiple consults with her. Sometimes we would have to adjust treatment. We tried IUI two times and were not successful so we were more aggressive with the third IUI trial. I also had surgery to remove scar tissue twice. The first time I really didn’t know why I had it and would’ve wished she talked to me about it. The second time I knew more and when she updated her technique and it was much smoother! Also during my hesterosocpy I was nervous and she was compassionate and we took a break during it and she got me a cold compress. Overall I was pleased to be Dr. Gago’s patient.

Have questions to ask beforehand so that you are ready for the appointment. For any prospective fertility patient in general just know that it’s a journey and a process. Ask if you need a break it’s no big deal if you need to take time away from treatment and let them know when you are ready again.

I started yoga, prenatal vitamins, co q 10, folic acid, vitamin c, vitamin d, and added mor fruit and veggies into my diet. Dr. Gago said it was good to be holistic and include modern medicine together. I had a hesteroscopy and it discovered scar tissue so I had surgery to remove it. I had two IUI cycles with Ovidril. The second one I had to take progesterone after, because my level was low. The third IUI cycle was a hybrid cycle so I had different medications/shots and ovidril. It was unsuccessful. I had another hysersocopy and it discovered more scar tissue so I had it removed. She said with our numbers it would make more sense to do IVF versus more IUIs but we were still welcome to keep trying if we wanted. Then we were going to start IVF, but it was so far out of our budget that we decided to have a consult with another clinic.

With Dr. Gago our insurance helped cover IUI we were about $250 out of pocket costs for each try. For the surgery I had a co pay of $100. All very reasonable, until IVF then our insurance wouldn’t cover it. They would be $21,000 for one cycle or $24,000 to try two cycles (or just one if the first was successful) .

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Clinic is disorganized, not readily available to patients, office setting is very comfortable, multiple locations increase your appointment options, early morning appointments are available, ultrasounds, bloodwork and procedures are able to be completed in house.

Dr. Gago always treated me kindly but there is very little interaction with her and there are always parts about my medical journey she seems to forget, including my husband who has been with me at every appointment I’ve seen her except one.

Staff was never available to contact by phone only by voicemail or email, most return calls would take hours, billing was always disorganized, my assigned IVF nurse never followed through with care or concerns, I did have 3 staff members; Erin, Brittany and Jenny, that were consistently following through and addressing my needs that had been dropped by others, caring and making up my experience at this office.

Dr. Gago is great at conveying intention, care, knowledge, recommended treatment. She sees a lot of patients and most times runs behind or isn’t available to communicate with. At times procedures seem rushed but when you get her she will listen and respond to as many questions as you need.

She’s a very caring doctor and fights for your pontential baby! She is conservative of life.

Due to my surgeons recommendation IVF was my only recommended option due to lack of time for fibroids growth and my age. Set up egg retrieval, 5 day frozen with genetic testing, transfer, ERA biopsy after first failed transfer and adjusted meds for second FET which has failed, plans to move forward and recommendations will be discussed next week.

Our out of pocket medical exspense were somewhere around 28,000.00

Due to my surgical history single embryo transfer was my only recommended option

Strengths: Early morning monitoring, two different sites, phone call times were pretty predictable in the afternoon after monitoring to go over results. Beautiful, calming facility. Weaknesses: Some disorganization with financing and scheduling, a couple of wrong appointment times, and we waited quite a bit for monitoring.

At our first appointment, Dr. Gago spent a lot of time with us which we appreciated. After our first appointment, the rest of our care seemed rushed.

I worked with quite a few nurses. A couple of them were WONDERFUL. Compassionate, great communicators, and so helpful. A couple were not as helpful with information and coordinating communication with Dr. Gago. One nurse provided us with extra meds which was so appreciated.

Strengths: Dr. Gago was very compassionate, straightforward, and thorough at our first appointment when we were deciding to proceed with IVF or not. I appreciated her candidness. She also seemed very warm. However, in future appointments, she seemed very rushed, and less able to spend time answering all of our questions. She did a great job figuring out what was wrong with me, and explaining what she recommended for our next steps after two failed/cancelled cycles.

You will not see Dr. Gago very much, so make sure you advocate for yourself and be persistent if you want/need to talk to her. I found if I did this, she did get back with me.

Two IVF Cycles: 1. Ganirelix, but I ovulated and cycle was canceled. 2. Birth control to regulate my cycle, then stim meds. I only had one good follicle so the cycle was cancelled. 3. Dr. Gago removed polyps from my uterus after

Approximately, $15,000 for an IVF cycle with PGS testing.

Dr. Gago and I both agreed on transferring one embryo because of a connective tissue disease I have.

Very organized, but they do seem to have more patients than one Dr. can handle. If you go in at the end of the day, you'll be waiting 2 hours or more for your appt. time.

I saw Dr. Gago THREE times throughout our treatment. Two of those were surgery settings. One was to talk about the plan. She seemed to not remember much about our specific case most times due to this. Her nurses knew us by name and knew about us. Many people glowed about how wonderful she is and how caring and hands on of a Dr. she is. That was not what we experienced.

Most of the nursing staff was awesome. Very knowledgable and kind.

The clinic seems to be in a current state of having way too many patients than what they can handle. Dr. Gago needs to add another Dr if she wants to continue. We hardly saw her, had no idea about what was going on through the course of treatment, and only spoke with nurses. We went from 8 embryos on day 3 to 1 on day 5 (they gave one extra day and we had 3 total.) and were given no reasoning as to why. We then had them tested and were not told why we were only given results of two embryos. 5 minutes before the transfer we were told we only had one embryo left. Hardly enough time to decide if we wanted to continue at that point. The after care after the failed cycle has been the WORST. I was called by Dr. Gago 5 days after we found out the pregnancy test was negative. I asked her about further testing to find out what went wrong and was told "we don't want to point fingers." No further testing has been done and none was ordered. I have tried to reach the clinic to get a receipt for insurance purposes and have not heard back 11 days later. (Despite 1 phone call and 2 emails.) Overall, I'm very disappointed in not only how our cycle went, but the level of care we were given. It was the opposite of what many people who had so highly recommended her had experienced. Save yourself the extra money she charges and go to another clinic.

Save your money and find another clinic that doesn't charge the ridiculously high prices she does.

We were never told what our treatment cycle would be. Just given the list of medications to order. No rationale was given either.

For the cycle with ICSI it was around 13,500. We had additional testing done with tacked on an additional 5,000. On top of medications that were near 5,000.

The waiting room is very tranquil and puts you at ease. The aura of the facility was peaceful. There was complementary coffees, waters, and teas. Overall a good experience. The experience was one we won't forget. The staff was really thorough and honest with such a personal matter.

Dr. Gago spent time with us on most visits, and was very professional and personal. During the last visit, when we were given the news of the cancellation of the cycle, I felt a little rushed out of the office.

They were pretty organized and thorough and would respond when messaged out of office.

Every visit we were given thorough information. we always left knowing what the plan was, and the office was always accessible with out of office communication. We were overall pleased with the care and plan, but disappointed with the results. Dr. Gago was pretty busy the day the cycle was cancelled, and we felt a bit rushed through with questions after we were given news of the cancellation.

Make sure you have all questions answered before leaving.

The treatment was the standard medication protocol, and it was cancelled before the retrieval.

The total was about 18,000 dollars.

We trusted her and treatment plan.

Warm, friendly atmosphere. Full service. Dr. Gago has everything you need as far as lab, surgery, testing, diagnostics.

They keep me up to date on results. They do care and can only do so much. It is not easy because emotions are so high and it would be easy to blame them. They are always patient and kind.

They are the front line. They always tell me is next and when they will call me. They always call me when they say. They are in communication with Dr. Gago every step of the way.

She is highly knowledgeable and forthright. When it was important she made time to see me.

Patience.

I am in the very early stages. I have had a spontaneous pregnancy that ended at 6 weeks so it set my treatment back. I received one month of ovidral just to see what happen. It was not the month I got pregnant. I will have hystosonogram this week before final recommendation but she says IVF is the way for now

So far I have been covered and pay my copays. IVF is not covered but they have financing and someone to speak with about those options when you get to that point

Strengths: great communication, timelessness, and multiple locations. Early morning and weekend hours Very clean and nice rooms at clinics. Weakness: Most things have to be done in the Brighton office and not the Ann Arbor.

Dr. Ayers always gives me a warm welcome. He always explains things in terms I can understand and he is always wanting to make sure I am ok with treatment or if I want to do or try anything different!

They were great! Very caring and compassionate!

My experiences as a patient of Dr. Ayers had been nothing but excellent. I never have to wait ungodly amounts of time to see him and once I do see him he takes his time communicates very well and always takes my feelings, thoughts, and wants into consideration.

I’d highly recommend going to see Dr. Ayers because he has practiced for many years and will treat you well he will personalize your treatment plan and work with you every step of the way!

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I only paid out of pocket for my medication co pays

Very organized, they return calls promptly and answer any questions, thre nurses are compassionate and personable. I really can't think of any weaknesses. I would recommend them to anyone in the area.

Staff was very friendly and personable. Dr Gago was very warm and even have me a hug at one visit

She was very compassionate and honest. She understood our finical situation and was very helpful when we were determining the best treatment and what we could afford. I had some significant discomfort after my iui. They made sure nothing was wrong and Dr Gago even gave me hug wussing me good luck

Don't be afraid to ask questions

We have make factor infertility. I completed tests she wanted done to make sure there was nothing wrong, other than our sperm count. We opted to try iui. I was placed on Femara and ovidrel to induce ovulation.

5,000 for blood work, medications, iui, semen analysis and wash