HRC Fertility

At our first consultation Dr. Feinman was very straightforward, no nonsense, and felt a little rough around the edges. He was blunt about our situation and didn't offer a lot of compassion but he also seemed very confident and sure of himself and his suggested course of treatment. He answered all the questions we had very directly and matter of factly. The thing that stood out the most to us in our initial consultation was his suggestion to try FSH for my husband's NOA. We had asked previous doctors about FSH after doing our own research, but they each had told us we didn't need it. We decided that successful treatment was more important than a warm and fuzzy physician and moved forward with Dr. Feinman. Dr. Feinman was able to get my husband's sperm count up by 40x within 30 days, something we had been unable to accomplish with 3 previous doctors. After this achievement we were candidates for IVF. Feinman had standard diagnostic procedures he wanted to do prior to IVF starting. I was a bit hesitant because we knew we had male factor and I didn't want to spend unnecessary money on procedures for myself however Feinman insisted that we rule out any other unknown issues. I am so thankful for his insistence because we ended up finding I had a partial septum during and HSG procedure. Feinman performed the HSG as well as the hysteroscopy to remove my septum, the recovery was flawless and everything went smoothly. We moved forward with injections for egg retrieval but I didn't respond well enough and the cycle was cancelled/converted to timed intercourse. TI failed and the following cycle we started again for egg retrieval with a slightly different medication protocol. Dr. Feinman was present for every monitoring appointment, performed every ultrasound, and also performed the egg retrieval. This time it was successful and we got 23 eggs! We ended up with 11 embryos which we PGS tested - leaving us with 7 normal embryos which we froze. Our first frozen embryo transfer was also performed by Dr. Feinman but it failed. Following the failure Dr. Feinman performed an ERA which showed that my body needed to transfer an embryo slightly later than most women. After the ERA Feinman performed another FET which was successful and we are now pregnant with our little miracle. Overall, Dr. Feinman is an excellent doctor that is very knowledgeable in the field of Reproductive Endocrinology. he has a no-nonsense approach that may feel compassionless but as we got to know him we learned that he cared very much about us and our outcome.

Ask lots of questions. Dr. Feinman doesn't explain the reasoning or science behind many of the procedures or protocols he implements, however if you ask him questions he will answer them and explain to you what you want to know.

For my first egg retrieval Dr. Feinman put me on 225mg Gonal-F and 5mg HCG daily, after about 8 days we added in a Ganirelix injection nightly. After 10 days I wasn't responding well and only had 3-4 follicles developing appropriately. So on night 10 we triggered with a large HCG injection and had timed intercourse 48 hrs later. This attempt did not result in pregnancy. The second egg retrieval cycle we upped the Gonal-F to 300 mg daily and continued with the 5 mg HCG, we also added in 5 mg daily of clomid for the first 5 days then after about 12 of stims we added in Ganirelix daily. This resulted in an egg retrieval where we got 23 eggs retrieved. Of the 23 retrieved 17 were mature, 16 fertilized through ICSI, 11 made it to day 5 blasts, and 7 tested PGS normal. For our first transfer the protocol was 3 2mg estrogen pills a day for 3 weeks (I was travelling in Europe so I was taking estrogen the whole time until I could get back home for the transfer). After baseline blood work I took a .5cc injection of Progesterone in Oil in the morning and a 400 mg progesterone vaginal insert at night for 5 days. On the 6th day we did our frozen embryo transfer and continued with the progesterone until blood work on day 14 which showed I wasn't pregnant and the transfer had failed. After our failed transfer Dr. Feinman recommended we do an ERA. The Progesterone inserts had irritated my vagina so I was permitted to do a 1cc injection of Progesterone in OIl daily instead. For the ERA I took 3 pills of 2 mg of estrogen a day for 14 days, then after blood work I started the 1cc PIO injections. PIO went on for 5 days and on the 6th day the ERA biopsy was performed. The ERA showed that I needed an extra day of injections before transfer. For our second transfer we used the same protocol as the ERA andand transferred after 6 days of PIO instead of 5. The transfer was successful! I took the estrogen pills 3x a day until I was 8 weeks pregnant and continued the PIO injections until I was 10 weeks pregnant. I went in for weekly ultrasounds and bloodwork with Dr. Feinman until I was 10 weeks pregnant when I "graduated" to my regular OB.

Traditional IVF (office visits, ultrasounds, labs, egg retrieval, creation of embryos): $9600 Military IVF Pricing: $5600 Natural/Mini IVF Cycle: $6400 ICSI: $1700 Frozen Embryo Transfer (w/ Assisted Hatching): $3800 PGD/PGS Embryo Testing - up to 12 embryos: $5300 PGD/PGS for each embryo after 12: $250 Embryo Freezing: $800/year

Before transfer I had read extensively about the outcomes of single transfers vs. multiple embryo transfers on Fertility IQ. We had PGS tested our embryos. Dr. Feinman agreed with the information on Fertility IQ, that someone my age (30) with PGS normal embryos had no reason to transfer more than one at a time. He felt that transferring multiple would only increase our odds of having multiples and wouldn't significantly increase our odds for successful transfer.

Dr. Kolb has a great deal of experience and is a calm hand through a difficult process. He is very sensitive to our emotional well-being and has shown concern for our individual journey. He was the practitioner who identified the third miscarriage and I witnessed the moment he realized what had occurred. He briefly was surprised but shifted into a comforting role in the blink of an eye. His own shock was hidden from us and he was present for our heart break. I will always respect him for putting aside his own disappointment in order to care for us as people.

Don't be fooled by the aloof-seeming nature he presents. He takes a bit to open up and is genuinely a good guy. He cares and takes the time to learn about you. He may seem robotic at first but he's a good doctor. Very gentle as well.

Honestly, as the male partner, I wasn't subject to the program my female partner went through. I do know that, after the first egg retrieval (which utilized both oral and injectables), he adjusted his calibrations for the second round which improved the egg quality and quantity for the second retrieval. Additionally, by being our Doctor during the latest miscarriage, he has already proposed a sweeping new plan for the next pregnancy, including blood thinners, immuno-suppressants, and hormone regimes.

The egg retrievals were $2500 a piece, medication (for stimulation) was $2100 per stimulation cycle, and DNC following miscarriage was $500 or so after co-pay.

Dr. Kolb prefers a safe, conservative approach and suggests single transfers. He is open to dual transfers but that would be his upper limit. He was rather blunt on the idea of 3+ transfers.

The first meeting with Dr. Frederick she was really knowledgeable and asked us to get genetic testing. As soon as we got results it actually changed our plans. We then started IVF and she was there doing everything with us. She would answer emails very quickly and was very responsive even outside business hours. We will be starting another round soon and she has been very helpful with explaining what will change and what we can do on top of the meds.

She is a bit blunt but I am a fan of that when it comes to medical. I want someone to tell me how it is. If you need something a bit more sugar coated then she may not be for you.

Retreival $21,500 +$3,000 retreival medicine (we had the embryos tested PGD and PGS) Transfer $3,800 + $1,000 transfer meds

I asked about transfering 2 embryos however she was very specific based on my age and previous miscarriage she would only transfer one.

I believe Dr. Wilcox is an exceptional, knowledgeable doctor with years of experience. He has a calm, supportive and reassuring demeanor, however, he is a bit too confident in his abilities and unwilling to change or adjust his protocol. We have had two failed transfers with pgs normal embryos and he only suggested one test (ERA) but does not believe in changing our protocol at all. He also does not do follow up appointments and after two failed transfers, I had to push our clinic to demand a meeting with Dr. Wilcox. I believe it is unconscionable that a doctor does not provide follow up care with failed treatments and that I had to demand follow up meetings.

I would not recommend HRC or Dr. Wilcox if you are seeking personalized, one-on-one care with a provider who has the time to respond to your concerns. However, if this is not a priority for you, then HRC and Dr. Wilcox are very capable and should hopefully get you success. They are not a good clinic for patients that have more difficult cases and need more specialized care.

I did one egg retrieval with Dr. Wilcox which yielded 34 eggs, of which 28 were mature. All 28 were fertilized with ICSI and we ended up with 14 blastocysts. We sent the 14 embryos to be PGS tested and 6 came back PGS normal. He gave us a protocol of menopur and follistim and Lupron trigger. For FET #1, we did delestrogen injections every 3 days and then progesterone suppositories and sublingual progesterone 3 times a day. This resulted in a negative beta test (implantation failure) with our best PGS embryo. FET #2 I took 10mg daily of prednisone, delestrogen injections every 3 days and progesterone suppositories twice a day and progesterone injections once a day. This also resulted in a negative beta test (implantation failure) with our second best PGS embryo. Dr. Wilcox suggested ERA to determine if the timing is accurate but does not recommend any further immune testing or testing for endometritis or endometriosis. With each transfer, my lining has been perfect (10mm a week before the transfer, trilaminar stripe), my hysteroscopy showed a great uterine cavity. Dr Wilcox believes it is just a matter of time until we get pregnant and does not suggest any other testing so we will be switching doctors.

We paid around $16,000 for egg retrieval, ICSI, and pgs testing on 14 embryos (including ultrasounds, blood tests, and one beta test and transfer). Our next FET cycle cost $3260 which includes a Kaiser discount. The medications were extra and varied in price.

N/A

We didn't know much about fertility treatment when we began our fertility journey. Upon consultation, we were told that we should have started our treatment years ago, which was discouraging considering we had just gotten married and there was nothing we could do about that. We began with all diagnostics to make sure that everything in my body was working as it should, which was Dr. Nelson's suggestion. We were never told that anything wasn't "good." HRC Pasadena in general had many miscommunications and directions given to us that were not clear, from both the medical assistant assigned to our case to the financial coordinator. As we began our treatments with Dr. Nelson, which was close to our home and convenient, he began conservatively. We appreciated this because I came in believing, and was under the impression even after all the labs, that I was fertile Myrtle. We were NEVER told that my AMH was under 1 when we began trying to get pregnant. It wasn't until we were out of funds in 2017 where we were just paying our OBGYN to do IUIs that we consulted with another fertility doctor who went over our labs from 2015 and said that she would have started with IVF immediately back in 2015 to retrieve the eggs I had! I have been so so so so so disappointed in the fact that 2 years and over $50,000 have been spent without us knowing the proper information. We have taken time off to build up our financials so we can try retrievals once again AND here we are in 2019 now with nothing. I'm SO angry, upset, resentful and frustrated that my bloodwork and personal lab results were withheld and not given to me clearly in 2015 when I was 34 as they would have changed our plan and how we proceed. I also know now that if someone says something to you like, "you should have started your fertility journey years ago," they are NOT the person you should trust to guide you on your way to making a baby.

Don't expect a physician to objectively explain your lab work or the process. Get educated and ask for all of your information and labs to be printed for you so you can get educated on your own.

Dr. Nelson wanted to start with bloodwork and diagnostics to make sure that my body was functioning properly. He suggested we start with an ICI, which was very conservative and in hindsight, we have no idea why he would start there if he knew that my AMH was below 1. We asked about using Clomid, which he didn't offer immediately. Going into our first insemination, we did use Clomid, per our own request, and we did request an IUI. After the first insemination, he thought the Clomid was pointless and he didn't suggest any other meds except the HCG trigger shot. We continued with 3 more IUIs using HCG trigger shots, none of them resulting in pregnancy. It was after our 4th insemination that the nurse practitioner, who we'd just met, said, "you should just do IVF." At that point we were done with this office and never received a call or follow up from Dr. Nelson.

Each time we did a round of IUI, it was $2000 for the procedure + the cost of meds + the cost of sperm = $3500-$4000 each round of IUI.

We never go to this point with Dr. Nelson.

Dr. Tourgeman is the best doctor I have had the pleasure to know - and I am happy to report that I am pregnant after two rounds of IVF and our first embryo implant. Dr. Tourgeman has the best bedside manner - the absolute best. I trust him to be honest and direct, but in a way that calms anxiety and brings focus to the path ahead. I looked forward to seeing him multiple times a week during the IVF cycles. He wasn't just my doctor, but a key member of my support team helping me to navigate what became an emotionally and physically taxing process. He never seemed rushed, always taking time to discuss my questions and concerns. He presents his perspective with experience and facts, but also an open-mindedness that is often missing from the fertility/pregnancy space. Honestly, he makes me feel like I am his favorite patient, even though I am sure that many of us share this feeling given his exceptional care.

To those of you considering fertility treatment, or maybe thinking about it for the future - DON'T WAIT. I walked into Dr. T's office at 27, without ever having tried to become pregnant naturally, but with a gut feeling that something was off for my body. After a few tests, Dr. T confirmed that my fertility didn't match my age and IVF was a wise course of action. Now, we are expecting our first child and feel much more in control of our family planning and path forward.

Our two rounds of IVF lead to two strong embryos and three okay embryos. He suggested we start with implanting just one of the strong embryos and I agreed. We are now 8 weeks pregnant.

He was the first doctor to get a positive result. During our treatment we had to cancel and start another protocol. While I was upset at first about this he took the time to explain the why behind the decision. He did give me he choice as a patient to continue the treatment without change but made sure I knew why he recommended the new protocol. His bedside manner was nothing but great. I truly believe he treated me on an individual case. There was noting cookie cutter about his treatment plan. I’ve never felt that way with previous doctors.

Dr. Norian has a large client base and it can take some time to be seen. Allow yourself extra time when visiting the clinic.

Unsure

About $1500 out of pocket because of insurance coverage.

Because of our prior IVF’s he was comfortable doing a multiple embryo transfer. He did explain that isn’t the norm for him but he does take in account your age and prior treatments.

He took my word as gospel and didn't think to test me himself to verify my case or situation. His reasoning was that he was trying to save me money, however he put me on a protocol which was very promising but completely unrealistic, causing me to spend $5000 on medication that just compromised my health and served no purpose. He then measured my FSH levels after taking copious amounts of Menopur which is essentially FSH, and proceeded to tell me my FSH was too high and that we had to stop the whole process. He said I would need an egg donor and that his wife who worked at an agency could help me. I was in tears and it emotionally has scarred me. When I relayed what the doctor told me to my husband, my husband asked to speak to him over the phone. The doctor then proceeded to tell my husband, that perhaps measuring my FSH levels after taking Menopur wasn't the most accurate indicator after all, but that he "Suspected" they wouldn't change much. However, when my new doctor after him measured my levels of FSH, it showed that they were really low. Dr. Hubert wasted my time and a lot of money and has emotionally damaged me so much, not to mention he was rude and dismissive each time I saw him.

Stay clear!

Menopur in the hope that I could do timed intercourse, for a period of 6 months, to see if I could fall pregnant without the need for an IUI or IVF procedure. It was a waste of time. Didn't understand my personal situation and nor did he bother to check for himself.

$1,210.00 for Blood-Work and Ultrasound as we were aiming for Fertility Medication and timed intercourse.

Dr. Coffler does not seem like he is open to the newest research or to customizing his protocols for each patient. He is very kind and optimistic (overly so), but he does not want to be questioned about the protocol even when the research did not indicate it as right for me. He has his one protocol that he uses for everyone (microdose lupron) even though that is only indicated for poor responders. I received my protocol and questioned it once I began researching what it was. When I tried to get him on the phone to discuss, the front desk kept saying they might charge me over a hundred dollars for a phone consultation. In the end they did not charge me and I only took 5 minutes of his time. He said this protocol is just what they use to get good results for everyone. I trusted in the CDC statistics and didn’t question it further, but it didn’t work well for us in the end.

Don’t see Dr. Coffler. Aside from the problems I had with him as a Dr., the clinic is horrible to deal with in many ways and you can’t see him without dealing with HRC policies.

Microdose lupron protocol, with birth control pill priming in order to schedule all the patients for certain retrieval dates per month. They put everyone on birth control for scheduling, but it turns out this can suppress the number of follicles that respond and you can get fewer eggs than you might without birth control pills. We got fewer eggs than my antral follicle count. This protocol wasn’t great for me. We only got 1 PGS normal embryo that was mediocre quality.

Total cycle cost was just over $17k not including medication, but including $5050 lump sum for PGS testing. I spent just under $2k on medications ordered from overseas.

Dr. Coffler only transfers 1 embryo except in select circumstance which have to be justified, like older patients with poor quality embryos.

Dr. Nelson is good at what he does. I liked him a lot, and if I do this again I would choose him again. His team is great at keeping in constant contact and answering questions. They are also genuinely excited to see you make progress in this crazy process.

I'm sorry you need fertility treatments. HRC is a peaceful place to go deal with hell and Dr Nelson a steady guide through.

For egg retrieval we did one cycle. Treatment was 375 ml(?) follistim and 1 vial menapour. This resulted in 25 eggs, so the planned trigger was changed to a lupron trigger (unknown dose) to prevent OHSS. I did not get OHSS but it was still rough. By collection, follicles are about marble sized and stretching the uterus a lot. Currently in the beginning of the FET cycle.

Full IVF cycle, plus genetic testing (generic and specific) and freezing for a year $18k. Drugs is another 4-5k. Not finished yet, so not totally sure of final tally there.

Dr Nelson is open to transferring two embryos at a time since we are open to the possibility of twins. No more because the risk of high multiples is to great and the chance of pregnancy not increased enough.

Dr Nelson is a great doctor and very kind throughout the process. I found that sometimes I had to do some research and bring it to him vs. him proactively recommending protocols. The area of improvement is largely with the admin staff - the financial team certainly has much room for improvement as messaging is inconsistent and they do not have the detail orientation and follow through that I would prefer when spending this amount of money.

Do your homework and go in with questions. He will listen and address your questions.

I underwent 3 unsuccessful IUIs, followed by 3 egg retrievals. My first transfer was a fresh transfer that resulted in a successful pregnancy but ultimately went into pre-term labor at 5 months which resulted in the loss of our daughter. In our subsequent transfers - we did the endometrial biopsy, hysteroscopy and proceeded with FETs, the current cycle is a long cycle using Depot Lupron for 2 doses rather than the daily Lupron shot.

Each FET cycle is $3800, Embryo storage is $750, meds per cycle are $500-$1500 per cycle, Egg Retrieval was $10,000

Each transfer has been 2 embryos implanted each time

Dr. Norian from my experience would usually say like over all I’m pleased with the result when he checked my blood works, follicles. I also had a couple of blood work results that were a bit abnormal and he would point it out to me and prescribed me a medication and coach me on lifestyle changes that I needed to do. He would give feedbacks like that. Sometimes or some tests he failed to give me feedback so that’s when I have to initiate and ask him things like what do you think of my husband’s sperm analysis result, how are my follicles responding to the treatment. I am still half way through my IVF process but I am pleased in general with how Dr. Noraian is managing my treatment.

Do your research in advance if you can because Dr. Norian or even most doctors I think, don’t really give a detailed explanation of everything in the process and if they do you will most probably be overwhelmed while in the clinic. Also make make a list of the questions you might have for Dr. Norian and his team.

Birth control pills for about 2 weeks, then injections for about 10 days. Follistim, menopur. Ganirelix was added in the last few days. Trigger shot was lupron. Mood swings, fatigue and mild OHSS towards egg retrieval day and after were the side effects that I experienced.

Their monitoring is in the mornings. Weekend monitoring is in another branch about about 30 miles away

$17,000+ including PGS ,ICSI but not including meds and mock IVF

Dr. Wilcox is straight to the point and gets amazing results. While we didn't have our hands held along the way, we always felt like we were in good hands under his direction. I wish we had a bit more interaction with him but have had amazing results to date. Of the 34 eggs retrieved, we had 11 come back healthy post PGS testing.

If you want someone to dry your tears or hold your hand along the way, I would recommend a different doctor. But you have the trust him, as he gets amazing results and his support staff is wonderful.

We started with IUI, as it is much cheaper and an easy process. He said to try IUI 4-5 times but we could move forward with IVF whenever we wanted. We had two failed IUI's with clomid and then switched to IVF. The injectables we used were Follistim, low dose HCG Pregnyl, Ganirelix Acetate and Doxycycline. I had an incredible response... 34 eggs retrieved, 30 were ICSIED by the sperm and 25 were normally fertilized. We had 16 get to the blastacyst stage and 11 were genetically normal after the PGS testing. We are waiting to do the first transfer, as we have some upcoming travel and Wilcox recommends to not fly until 6 weeks pregnant.

IVF: $9,600 ICSI: $1,700 PGS of 12 Embryos: $5,300 Medication: $3,455 Anesthesia: $600 Embryo Freezing: $800 Transfers: $3,800 + medication

Because I am still pretty young (30), Dr. Wilcox recommends single embryo transfer, which is what my husband and I prefer.

The moment we met him during our consultation, we were already very at ease with him. He's very well-mannered and sympathizes with his patients. He shows compassion with the way he treats me as a patient and also the way he treats my husband. He makes an effort to get to know us and always clarifies everything to make sure we understand the process. He makes us part of the team and provides more than enough information so we make the right decision.

Be open and ask questions. Always be positive and take the advice, but if you're not comfortable let him know. Avoid miscommunication or misunderstanding by asking questions. Whatever bothers you address it because it helps more than it will hurt.

Since, I was diagnosed with PCOS, Dr. Kolb put me on Menopur and Gonal-F for egg stimulation and Cetrotide as well. Also, Leuprolide for trigger. I was in medication for about 12 days and we did egg retrieval.

It was a very efficient process. When you check-in, you wait for reasonable time and gets called for blood work and then head to a exam room. The restrooms are conveniently located near the exam rooms and the actual ultrasound happens within 15 minutes. After than, we head to a conference room to go over results and next steps with the nurse and Dr. Kolb. Always so efficient.

Almost $17,000 the first round and the second cycle cost us $14,540.

We decided on switching fertility doctors and ultimately commit with Dr. Kolb because he was willing to put two embryos, if possible, to give us higher chance of at least one of the embryos to implant.

Upon first meeting Dr. Nelson he was a soft spoken doctor yet presented himself very honestly. Being novice in the IVF world I felt my husband and I were very fortunate cross paths with him. Not knowing a lot about IVF, I truly was unaware of what this journey would take. Dr. Nelson sat down with my husband and I discussed everything that was presented in our case he approached the good the and and ugly. He explained some factors that he could see through testing yet kept reminding us the IVF is no guarantee and it can be a long process. Even though he presented the reality of what could come he was compassionate and brought hope to the issue and assured us he would work through all issues. I was diagnosed with a cyst that all my previous doctors had missed which unfortunately lead to me losing one of my ovaries further compromising the opportunity of having a child due to limited egg availability. Dr. Nelson presented his finding and then made sure I was referred to one of the highest ranked surgeon's in the area in hope I might be able to save my ovary (which was not the case in the end). Dr. Nelson's attention to care and keeping our future goals in mind throughout his treatment and our care. Finding the specialist to treatment my cyst was not the only time Dr. Nelson went lengths to try to help us. During my second year of treatment and after 3 failed transfers, Dr Nelson suggested doing a procedure that would be working with a doctor at Yale University to determine if I had something else going on in the tissue. He truly was vested in a positive outcome! Being that Dr. Nelson was softer spoken, he still made you feel hope even when you felt all things were lost. Going through many transfers that failed, each time he would take the time and speak with us and answer all questions without making us feel his time was limited or he had another patient.

Be patient even if you do not get the results you want in the beginning. That was the most trying part for my husband and I. IVF is truly a journey where patience grows and grace is extended to yourself and team around you.

My IVF journey started not using Lupron in the beginning yet after the first failed transfer it was quickly added. My journey began with a retrieval intended to freeze thr embryos at day 3. The retrieval cycle began with taking Birth control for a few weeks after my period, then I would begin stimulation drugs (Gonal F, Menupur) for a couple weeks and then 36 hours before the retrieval I took Pregnl. During the stimulation cycle I would have blood draws to monitor my levels and ultrasounds to monitor the follicle growth/development. The decision on what stipulation drugs prescribed was decided by Dr. Nelson based on what my case presented. During the transfers, each one after the begin after being on birth control was a 3-week Lupron cycle (daily injections) and then at the last week of Lupron the dosage would be stepped down and Estradiol would begin. Ultrasounds and blood work would be taken to monitor estrogen and progesterone levels. As we got closer to the transfer date (I believe 2.5 weeks prior) progesterone dosing was started. My first 2 transfer cycles I was on oral and vaginal progesterone dosing and intramuscular injection after the transfer due to low levels of progesterone. Upon transfer 3-5 I was changed to micro dosage of vaginal progesterone which was slowing increased (25mg in the beginning) through the transfer date to 200mg along with IM injections of progesterone oil. This protocol was actually determined through the testing with Yale University and Dr. Nelson.

An IVF complete cycle with retrieval and frozen transfer to include ICSI and assisted hatching was approximately $18,000 which include a year of freezing of embryos. The medication was approximately ($5,000 for the egg stimulation cycle and $3500 for the transfer cycle).

Dr. Nelson allowed my husband and I to determine how many embryos we transferred. He gave us medical opinion and discussed the potential risks of transferring multiple embroyos. Dr. Nelson did select the embroyos to be transferred however would always as if we had a preference of which embroyos we wanted, yet we deferred that decision as we respected his medical decision.

Dr. Norian is very honest and will definitely let you know how things are going. During my cycle leading to a retrieval I had to call him on weekends and at night and he was always there to pick up the phone. After I was confirmed pregnant, I called him for a concern I had at 8pm on his vacation and he was quick to answer the phone and help. I would say one of his weaknesses is running late in the office. He has started to get more popular and the office seems more busy now, which causes him to run late with appointments. I still think it’s a good thing, because that means he doesn’t just rush you out of his office when you have questions or concerns.

Ask a lot of questions. Make sure to write down answers if you need it or have them email you information so that it is in writing.

Dosages were adjusted as I went through the retrieval process. He was very careful not to over stimulate. I expressed my concerns regarding that matter. A previous doctor had over stimulated and then cancelled my treatment. He knew I was very worried about this happening and he always kept me up to date with dosages and provided reasoning as to why he was decreasing or increasing meds.

Scheduling was a bit of a nightmare because you had to go in before 11:00 am to get blood results that afternoon. Ultrasounds were all done around the same time. If the time wasn’t available in afternoon you have to take off work and come during not so favorable hours.

I went in months before my treatment and prices were going to go up. I ended up paying for treatment 3 months before. I paid a total of 18,800 to the clinic. Then another 3,200 for medication. Now the prices have been raised. I will be going back for more treatments.

Dr. Norian is not a fan of transferring more than one embryo. He will of course do what you want, but does provide you with information why transferring more than one embryo is considered a high risk.

He was very calm and neutral. He did not talk about other topics and stuck to the important things, like my fertility concerns. I don't like mindless chatter and he definitely did not do that. Even though I felt like he was repeating a few things, it was better than if he went off on tangents.

Be ready to get serious. Dr. Kolb is logical like a vulcan. Which I like very much.

Dr Kolb used Follistim 100 IU for my IUI treatment. I had 5 follicles growing and we did inseminations two days in a row.

the IUI cost $2,200 but the medication was another $1,500.

he is for eSET but he is also very empathetic to the person's needs/wants.

Dr. Boostanfar is a genuine and I am glad he was my first experience as a fertility doctor. As previously said, he treats you as his partner in the treatment and goes the extra mile with his RN Brandy to meet your fertility/emotional need. If you feel you don’t fully understand his motivation he will address that. He is up to date with his knowledge of expertise and the fact that he suggested mini ivf at my age only proves that, since it is the quality and not the quantity that matters.

Dr. Boostanfar is busy but he will take his time to make sure all is clear. However it is better to have your questions ready for him. Fertility is seen as very personal hence some topics remained unspoken, but they should be discussable and he is the right person for it.

As mentioned I underwent the mini ivf, as it has become more and more clear that full blown high dosages of fertility hormones increase the number but not necessarily the quality of the eggs. I had a gentle cycle with injectables and low dose of everything. I had barely any side effects and experienced a pregnancy from the first cycle. Unfortunately ended in miscarriage due to genetic defect. So specifics: a mini ivf including the egg retrieval (my own), since only 3 eggs available, opted for ICSI to ascertain feryilization, topped it up with endometrial scratching which in peer reviewed journals has shown to be somewhat beneficial in some.

Mini ivf with additional anesthésia and the medication around 13500

Dr. Boostanfar tailors his treatment to his individual patients. There is no “one fits all” principle and I can only express an opinion about my case, older age, max 2 to transfer since you don’t want add risk to mother and baby in case of multiples of higher number would be added. I had only 2 embryos but even if I had 3 still 2 would be transferred.

Dr. March used real life analogies like baseball and even war to help my husband understand our fertility better. He has a wonderful sense of humor while also exuding the utmost confidence in treatment that is specialized and tailored to ME. For example, he says things like "I like Lupron and Lupron is fine for an FET but I don't like it for YOU." It is things like this that make me trust that he is individualizing my care, unlike other REs who have used a one size fits all protocol at times.

If you have Asherman's or thin lining contact him! If I lived in LA I would use him for IVF and I have even considered moving my embryos to him if my local REs don't agree on a protocol for me.

Hysteroscopy - with 3 weeks of the balloon placed along with estrogen before and after. He likes to use estrogen prior to the procedure so he can map your uterus. I wouldn't have a hysteroscopy without the estrogen prep! He is also saying No lupron or BCP prior to a FET for those with thin lining. Instead, start estrogen on Day 2!

My insurance covered the hysteroscopy. Not sure for IVF.

He likes PGS with Day 5 embryos and 1 transferred.

From the beginning of our process with Dr. Peck she has always taken the time to explain all information, including risks, and encouraged us to make our decisions regarding our treatment based on the information she provided. I liked that she never pushed for a particular agenda with our treatment, she always provided information and let us (my husband and I) consult with each other and make our choices. I like that Dr. Peck is so patient, compassionate, and shares our triumphs us with which makes us feel like we are a team, instead feeling like it's us vs doctors. I've been very happy with her level of care during out IVF process which we are still in the middle of, we look forward to the next steps in our journey with Dr. Peck as our guide.

Share any concerns you may have about treatment or your process with Dr. Peck so that she may provide you with information and knowledge to make the possible decision for you and your partner.

During our egg retrieval Dr. Peck adjusted possible dates and dosages of medications based on the growth of our follicles during the time I was taking stimulation medication. Towards the end of our cycle Dr. Peck monitored our progress very closely by having me do daily ultrasounds and blood draws. She took the time to explain the reason for my feeling so much discomfort and overall pain (high number of follicles developing), she explained the reasons for the delay during my egg retrieval and explained the benefits of waiting longer for egg retrieval (waiting until most of the follicles reached full maturity). We appreciated the close attention paid to our progress during our egg retrieval. During the day of our egg retrieval she came in and spoke to me and told me what to expect and even after the procedure she came in and provided us with our results and I truly appreciated her answering questions despite being very busy and treating multiple patients including ourselves.

Embryo testing, PICSI, genetic counseling, and stimulation medications.

We have not completed a transfer cycle yet.

Dr. Coffler sits down one-on-one with you and your partner during the initial consult. We had about 45 minutes with him to explain our fertility history and ask many questions. He did not rush us at all. He addressed our questions. He does not typically go into detail when communicating, so sometimes I felt like I had to ask more questions to understand at the level that I preferred. He wants to help and will answer any question, but he does seem busy and juggling a lot of things. Also Dr. Coffler is well respected in the community. When I had an HSG, I mentioned his name to the radiologist and she confidently said, "Oh, you'll get pregnant! You're in good hands."

If you need more information, just ask and tell him that. Email is an easy way to communicate with the staff and you can expect quick responses (usually within the same day).

We did medicated timed intercourse with monitoring. We started with the highest dose of Letrozole (which I had used in my previous cycle with another doctor) but I did not respond, so then Dr. Coffler prescribed Clomid at the lowest dose (which was my first time using). I responded to the Clomid and had a Ovidrel trigger shot. I ovulated (for the first time out of my 3 total cycles, two of which with another fertility specialist) but did not get pregnant.

With TRICARE Standard, my copay for a monitoring ultrasound and blood work was $100. Most everything else with my medicated timed intercourse was covered.

If you want a laissez faire experience, Dr. Potter is great. You have 1 initial consult with him and never hear from him directly again - not even after 2 failed transfer cycles. He asked me a couple of questions, asked me what questions I had for him, and then told my nurse the next day what additional tests he wanted from me: Vitamin D and prolactin, mammogram, etc. I suppose that's more efficient, but it's better to talk to your patient about why you want those tests done. I went and had labs drawn as requested, but I was taking 5000 IUs of Vitamin D, and had told someone on his staff before - thus, it was in my chart.

Talk to your patients. Customize treatments to get the best results. When you're dealing with donor eggs, understand the bulk of your clientele aren't young. Consider that when conceiving of your new standard protocols. Consider industry best practice (elective single embryo transfers) before handing out orders through your nurses. 2 embryos just has a greater chance of multiple births, it's no longer considered an industry best practice.

20cc of lupron starting on Day 3 of birth control pills. Early follicle recruitment, failed. 20cc of lupron starting after confirmed ovulation; Cut down to 10cc on day 10 Day 10, start estradiol valorate .2cc every 3 days Result: uterine lining too thick on day 14 to see feathering effect. cycle canceled. 10 days of progesterone to "reboot".

$6500 for embryo transfer cycle - had to pay all up front, regardless of in-network insurance benefits.

Was told that if I didn't pay >$2000 out-of-pocket for genetic testing, Dr. Potter would want to transfer multiple embryos as "part of his standard protocol". I said no.