HRC Fertility

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. Boostanfar is direct. I am an educated, self-advocating patient and he took that into account when explaining why he chose a particular protocol for retrieval and transfer. He was very compassionate when I miscarried and is determined to get me to my goal.

I would say meet him and let his expertise guide you.

My cycle before finding Dr. B was a complete failure where I made no blasts. I was a low responder. Instead of jacking up my FSH, Dr. B suggested micro dose Lupron and HGH. I had 5 embryos sent off for testing and 2 came back normal. For my transfer, he tried an out of the box protocol including an HCG injection, Neupogen uterine wash, vaginal viagra, intrilipids. It worked in terms of getting me pregnant.

Due to travel and additional testing needed, I've likely spent $30K

Initially she was thorough and supportive but we found out that despite Pgd testing I had an embryo with dmd because apparently both my X chromosomes were affected which we didn’t know before so eventually had to abort. After this we felt her attitude changed and practically refused to do another transfer. This made us feel like a failed statistic which was disappointing after the great treatment before that. She has very limited knowledge and understanding of genetics. These days she has completely changed her tone with us which has really brought my hopes down about being able to have a baby.

I don’t have any since each case is different

I can’t remember all the technicals but dr peck put me on the pill and then regulated the timings and medications accordingly. During this period I came in for regular blood tests and had a few acupuncture sessions. She checked my uterus regularly. The general treatment was good. I had the karyotype testing done.

Lots of different costs that you don’t get clarity on and extra costs that apparently are out of pocket that you get surprised with. Billing Dept always seemed to be confused.

Dr a Boostanfar is a well respected Dr and treats you like he cares. He works closely to his nurse who is very easy to contact and answers every question. He explains things throughly and doesn’t rush through anything.

I feel that Sr Boostanfar is a great Dr and it is great knowing that if you go to the clinic to see him then that’s who your going to see not just a different dr e wry time

Don’t protocols were Lipton and menopur for the egg retrieval and progesterone and endometrin prepping for the transfer. We also did an era

The first transfer since it was covered mostly through the clinical trial was $4000 For the 2nd cycle we paid 2300 for the era and 410” for the fet

I was in a clinical trial on the first transfers so one embryo was transferred but for the second transfer he doesn’t mind transferring 2 embryos which was my suggestion

During our consultation Dr. Feinman told us there was nothing you could do to affect the quality of your eggs, they are what they are and nothing will change that not even drinking and smoking! He also had a coffee mug that said his medical degree trumps your google search. I should have gone with my gut but I just wanted to get started. He was nice enough during the visits if not seemingly little annoyed if I asked questions. The end result was that there were no normal embryos. He had no intention of changing protocol. I wasn't allowed to speak to the lab. I was given no information as to their grading or what abnormalities.

If you are young and have plenty of healthy eggs you will probably be fine but his one size fits all approach is not a fit for older women or women with special circumstances.

Clomid, Follistim, Ganerelix and Menopur. I was given no insight as to how or why.

Acupuncture is 100 a visit. The IVF cycle came to around 25,000

My first cycle in 2012 that resulted in my son, Dr. T was amazing, attentive, listened. We g above and beyond to help me achieve pregnancy. In 2018, I don’t know if it was because I was a returning patient. I didn’t feel like he was giving me 100%. Sometimes we would talk about a plan, then next time we meet he would say something totally different. I still think he is a great doctor I just didn’t feel confident this last time. Made me more disappointed when it didn’t work.

Ask a lot of questions. Take notes. He forgets what we talk about.

2012- follistim, menopur, ganerelix, progesterone. 2018- gonal-f, cetrotide, menopur, progesterone

Monitoring is throughout the day. Dr. T was not there all day. But there is another doctor that will do it.

2012- 15k 2018-13k We had utilize their military discount which was offered in 2018

My choice if I wanted it or not. Always transfer 2. In 2012 after 4 cycles didn’t work he did transfer 3 embryos when I was 24 years told.

He is warm and friendly, but on the move. He gives you the essential information and answers any questions, but doesn't spend a lot of time explaining why he's choosing the protocol he's choosing or going over what to expect. Unless you know what to ask, I feel like it would be easy to leave without some information. The nurse that is helping me fills that role instead.

Have a list of questions ready. He is very knowledgable but gives the impression of also being quite busy, and unless you ask questions the appointment will go very quickly and you may not get all the info you want. Overall, though, I think he knows what he is doing and is very good at what he does.

Microdose lupron, follistim and menopur. I don't know WHY these were chosen, other than I think my fibroids were taken into account with the lupron. I did not respond well, however, so we're changing the protocol next time.

Medication, monitoring, and the actual retrieval costs (anesthesia, etc), as well as the cost of freezing the eggs.

Dr Peck took time to ensure I received the care I needed and received the answers for the questions I asked. She was candid about our results and helpful with recommendations. She also took the time to qualify us for an IVF study, which may be helpful for us.

Don’t be afraid to ask questions. Dr. Peck is very sweet, but honest.

Dr. Peck originally recommended medicated cycles for anovulation. She also urged a semen sample and HSG prior to treatment. I’m so grateful that she did because I also have a blocked tube/my husband has poor morphology, motility, and DNA fragminatation. Knowing these results, she recommended IVF to save us time and money. Moreso, she recommended us to an IVF clinical trial, which will hopefully save us more money.

300/ultrasound 80/bloodwork IUI/2,100

Dr. Boostanfar has good bedside manners. He is comforting and empathetic. He gave me confidence when I was nervous for egg retrieval. Shares success stories of women with similar conditions to give me confidence and boost my optimism.

Ask questions and why he's doing certain protocols.

After 2 HSG tests my results for my right ovary was still unclear. I mentioned that my childhood gynecologist believed I had endometriosis. Dr. Boostanfar recommended that I take care of my endometriosis before starting IVF. He was insistent about laparoscopic surgery with robotics. At that time there were no qualified doctors in Los Angeles to perform that procedure and he referred me to Dr. Nazaht in San Francisco. Dr. Nazaht removed my stage 2 & 3 endo from my uterus and colon. He also repaired my uterus that was beginning to become bicornuate. Dr. Nazaht also diagnosed me with one ovary (lost right side due to torsion). Then started IVF. Did PGS testing and ERA. ERA identified that my lining was inflamed possibly due to endometriosis and therefore began depot lupron procedures.

They told me the IVF cycle was going to cost about $20K-25K not including medications. Including medications, I will be spending around $35k for this IVF cycle.

My doctor scared me about multiple embryo transfer and the potential health risks.

Dr. Boostanfar is knowledgeable in his field and direct/to the point, which I appreciate. He runs a busy practice, and although at times it may seem like he is in a hurry, he takes the time to answer all of my questions. His nurse is extremely competent and effective as well.

Express your goals and concerns with him. He is open to exploring options and making a decision with you as a doctor/patient team.

For one fresh cycle, including transfer and medications, the total is roughly $15,000.

The first time in 2013 he was godsend. Everything was just amazing. When I recently saw him this year I didn’t feel the same. I felt like everything was vague. Maybe because I already went through s cycle and he knew me he didn’t need to be more attentive as I was a returning patient.

Just make sure you are aware of everything. Ask lots of questions and he is ok with your opinions too.

First cycle I had follistim with more eggs and second time we used gonal f and less eggs. Not sure if it made a difference but also I aged. 5 years from 24 to 30. I wasn’t confident with medication change.

Dr.T is there in the afternoons sometimes it was hard to get an early appointment which made my appointment last the entire day including drive time.

Sometimes they billed my insurance differently and in turn the insurance said I was responsible instead of them covering.

He believes that 2 is a good number to transfer for under 35.

When we first met Dr. boostanfar we had no idea what we were getting ourselves into when it came to the infertility world. He thoroughly explained everything, went over tests that needed to be done, and after these tests we all sat down and went over options. My results were given to me right away with every test. Dr.Boostanfar let me decide what I wanted to do, even though I trusted his judgment and allowed him to help me make decisions. He also saw me for every appointment, which I thought was amazing.

Dr. B is so thoughtful and considerate of what we’re going through. I’d talk to him about what your feeling as much as possible and be open with him about everything, he does the best he can to help you feel at ease.

Both of my IUIs has different treatments. The first IUI I was on femara and the second I was on femara and injections. Both had negative outcomes, but I only have one tube working (the other was taken out due to blockage). When we decided to do IVF, dr boostanfar made specific plans for my case and adjusted the medication throughout the entire IVF process. After every ultrasound he made adjustments accordingly and we got 32 eggs out of it! 22 fertilized and 16 were sent off for biopsies.

The appointments I made have always been on time regardless of the time of day. I never had to wait too long to see the doctor or nurse.

Not sure

We are going through this process right now but I believe he likes single embryo transfers due to the risk of the embryo splitting, which apparently happens frequently.

He does a lot of IVF cycles. Appointments were always very quick - he would answer questions if I asked but I always got the feeling I was bothering him with my questions since he was very busy and ready to go to his next patient. I don't feel that the treatment was explained to me very well and I had to spend a lot of time on forums/google to better understand what was going on.

Be your own advocate or be okay to just go along with the standard program and not question it (I know some people don't want to know).

Overstimmed resulting in poor quality embryos (Follistim/Menopur/Ganirelix) but were lucky enough to have a few that were PGS normal. Negative frozen elective single transfer a few months after my retrieval.

It's standard for what I've seen. It's still expensive and the add-ons really add extra costs but I don't think it was very different than other clinics in the area.

It was suggested to transfer two PGS normals and the mention of risks was very brief and lasted perhaps 5 seconds of are you okay with twins even though I've read a lot that two PGS normals for someone less than 35 but brief explanations were par on course for everything else so this was not surprising.

He was kind and direct. Sometimes he seemed impatient or quick to move things along which can be perceived as impatient. He explained things well but sometimes seemed disconnected to the experience....like he couldn't directly relate. Overall he felt very experienced however, I wish we had done some things differently. Like testing for my progesterone level before the transfers.

Go as prepared and researched as possible. Write your questions down and maybe email them so that he's had time to look over them first.

we did only 3 day transfers. The last cycle we tried for a 5 day blastocyst. the embryo died between day 3 and 5. i don't remember specific medications but I remember that he said they were aggressive however in my Facebook support groups other women had more aggressive protocols so I do question that. Also, after my last cycle I suggested we test for the progesterone level only to find out that my progesterone level was short for a transfer. I wish we had done this before.

i don't remember specific. i know i've spent well over 30k during the cycles. probably closer to 50k

Dr Peck felt like family to us throughout the course of our treatments. We are a female/female couple and that was never an issue. My wife has no inclination to be a gestational carrier; we mentioned that at our initial meeting and even though I had a few health issues, she never brought it up as an option. (Small back story: We had a meeting with another RE before we found Dr Peck and without getting any health history from either of us, he look at us and said he chose my wife to be the carrier. We mentioned that she was not comfortable with that and was a carrier for a genetic issue. He just said he would use my eggs but she would carry. Needless to say, we didn't see him again.) This experience made my wife extremely uncomfortable but Dr Peck was very respectful and we never felt pressured to do anything we were not comfortable doing. She treated my wife as an equal partner in our fertility journey. We were with Dr Peck through 4 IUIs (the first 2 negative, 3rd miscarriage, 4th was an ectopic pregnancy) and our successful IVF cycle. She was the one that gave us updates (good and bad) and we saw her at every appointment. She was patient with us and answered all our questions. She gave us options in our treatment and explained both the positive and negative of pursuing different plans. Throughout the whole process, she was supportive and caring. I cried the day I "graduated" from the fertility clinic because I really felt like they were my family during the time we were there.

If you don't understand something or have additional questions, speak up and ask her about it. She's really good at explaining how different meds work and the pros and cons of different techniques. She's also realistic with presenting your chance of conceiving. I never felt like we were doing treatments that were unnecessary or wouldn't help us increase our chances of conception.

It was comparable to other clinic's costs for fertility treatment in the Los Angeles area. They also provided discounted programs if you qualify (refund program, purchase of multiple ivf rounds for a discount, etc). They let you know about the programs but don't pressure you to use them.

Dr Peck preferred to do a single embryo transfer but was open to transferring more. We just wanted a healthy pregnancy so pre-transfer day we decided a single transfer would be our approach. On the day of the transfer, we only had 2 embryos that were viable that had tested fine through pgs. We were going to transfer just one but the other one's quality wasn't high enough to survive the freezing process. After talking with Dr Peck, we decided to transfer both. Our end result was a single healthy baby.

Dr. Robert Boostanfar: There are no words to express my gratitude for this man and his staff. After 9 years of marriage without contraception, 5 years of trying to conceive, multiple specialists, 7 failed IUIs, and 1 failed IVF cycle we decided to seek out the best fertility doctor in the country regardless of proximity to our home. Dr. Boostanfar was that guy and thank god we found him. He is decisive and has great bedside manner. He explains things well, but doesn't speak to you like an idiot. His technique and skill is impeccable. Every step of the way was focused on me and my responses. He didn't just have a default protocol which he stuck to, he came up with something different for me and tweaked it along the way depending on what he saw during our visits. The best part of this story is that he got me pregnant on my first cycle with him AND we have 3 more frozen embryos waiting!! I can say with all honesty that Dr. Boostanfar is the best fertility doctor in the country.

GO SEE HIM IMMEDIATELY! I wish we saw him sooner.

Birth control, Lupron, Menopur. 400 x more successful then my last cycle.

As stated previously, Dr Boostanfar was very empathetic and I can tell he truly cared. He gave me a hug on egg retrieval day. He was a ray of sunshine during a very dark time in my life. He was very flexible with my circumstances as I had to travel almost 1200 miles from home.

Trust in his knowledge. Take a deep breath and let him take care of it all. Sometimes too much knowledge can cause anxiety and I wish I would've sit back a little bit more without worrying about Every. Single. Step. Impossible, right?

I did a round of IVF/ICSI with 5 day transfer of 3 embryos. I was on the Ganirelix protocol, which scared me because I had ovulated prior to retrieval during a cycle with a different RE. He was very sensitive to my concerns and explained why he thought this was still an appropriate choice and monitored me closely. I did successfully make it to retrieval under his care with 18 eggs retrieved.

I don't remember costs, but they were significantly lower than the cost at clinics closer to my hometown.

We had 3 decent embryos and elected to transfer them all. He felt they would not be strong enough to store and it may have increased my success rate. I agreed. I did not get pregnant.

Dr Boostanfar was very optimistic, which encouraged us, especially having struggled along this journey for 5 years. He was confident. He was also very careful with my known blood clotting disorder and took every precaution necessary.

Don't be afraid to ask ANY question.

I was on Menopur, Follistim, and lovenox injections during peak estrogen levels for my Factor V Leiden. I was also given Ganirelix and Pregnyl at certain points during the retrieval.

I had my egg retrieval over the holidays and they found times and dates to fit me in around office closures.

My egg retrieval was approximately $22,000 and medications were approximately $7000. Nothing was covered by my personal medical insurance.

He is conservative and prefers not to transfer more than one embryo.

Dr. Boostanfar has had excellent statistics and other people I know have had successful IVF with him. I was warned that he did not have a compassionate bedside manner but I did not expect it to be as direct and harsh as it was.

If you decide to see Dr. Boostenfar be prepared to be rushed, do not expect answers to questions, and do not expect a gentle demeanor.

I saw Dr. Boostanfar twice for consultations. He was very negative both times. He was also brusque and did not make me feel comfortable. He was not particularly interested in having me as a patient. I believe it was because I am not a cookie cutter case and he did not want to take me on because I was too challenging.

Since I did not proceed with my IVF using Dr. Boostanfar I only paid for initial genetics counseling which was quite expensive, and for office visits and ultrasounds. His costs seem to be on par with other in fertility doctors in the area.

Dr. B has the BEST bedside manner. He is friendly and kind, but also to the point. He will explain the risks in a calm and gentle way. He knows this is YOUR life and he wants to do the best for you in a way that works for you.

Trust him.

I was put on a short injectable IVF cycle: 8 days of Follistim, 7 days of Menopur, 3 days of Ganirelix, and an HCG trigger shot (Pregnyl). Even with my low AMH, 18 eggs were retrieved at Egg Retrieval. Unfortunately, only 4 embryos made it to day 5 blastocysts. We transferred two and froze two and I am currently 8 weeks pregnant with a singleton.

At this point, all in, with medication (injectables and other), we have just crossed the 20K mark. It's definitely an expensive process but it WORKS!

Dr. B recommends single transfers for people my age (26), but was totally fine with us asking for two.

Natalie has not done a good job staying ahead of my plan for treatment. I have had to pull teeth to get any information from her, deadlines may have been missed if I had not taken the lead on many things such as calling in prescriptions and getting authorization from my insurance. When the schedule changed due to the doctor being out of the country, I was not informed until I sent multiple emails demanding to know what the plan was.

Be on top of your own care and do your research. Do not expect the nurses to lead you through details. Get on forums with other women doing IVF so you can ask them questions and figure out how best to work with your nurse. For me, it means sending multiple emails and being annoying. But whatever gets the job done right? This is my body and my life and I need to know what to expect.

I have good insurance, so this was not a problem