IVF Florida

Dr Hoffman, from day one, made us feel that he would help us create our family. He was open about which tests he wanted to run and which medical procedures we should start with. He was open about the odds of success and gave us a full understanding of the entire IVF process at the beginning as well as went over each step as we reached it. He met with us at the office that worked best for us and he always told us to call or he would call us to follow up.

Listen to him! Dr Hoffman knows what he's talking about and will be upfront and honest with you about what he feels your next steps are.

Dr Hoffman felt that with my PCOS there was no reason to try IUI, since we agreed, we to go straight to IVF. I took Menupor and Gobal-F, 75 units if each 2 times a day for about 10 days. After 6 days we were told to take Cetrotide at .25mg. Lupron was given as my trigger for both retrievals, 40 units each time. We did 3 FETs with 2 ERAs. One before the second and third FET. Our FET protocol was 10 days of Lupron followed by Estrogen patches and then PIO (progesterone in (sesame) oil). We did the ERA because after our first FET we miscarried around 6 weeks. After our first ERA we found I needed 12 extra hours of PIO which resulted in our first IVF miracle, a healthy son! After our second ERS we found I needed 12 less hours of PIO and that resulted in a healthy daughter! We asked to be surprised by the gender and let the clinic chose the healthiest embryo to try at each FET.

We went with one of the Attain programs and were able to cut costs by doing so. We paid just over $28,000. The whole package included 2 retrievals, unlimited FETs (frozen embryo transfer), ICSY (if needed), PGS testing, and all the monitoring associated.

IVF Florida has a 1 embryo policy. They prefer to transfer only 1 embryo since it is the safest for both the woman carrying (Mom or surrogate) and for the baby.

Dr Gualteieri is very thorough. Very good at listening to your concerns, addressing any uncertainties and having a over all understanding of what the current situation is when it comes to planning for a family. He makes you feel welcome and worthy not just like you are another number. During my experience I have been under the care of him for two surgeries and during both he made me feel very comfortable. His bed side manor is impeccable! He continues to see me and is pushing for us to find out more or at least have as best of an understanding of what is going on for my current situation. I truly believe I will be successful in having a baby while being under his care.

Trust him, listen to him and be patient.

First Miscarriage - I was not under Dr Gualtieri's care and actually got pregnant naturally on my own. I miscarried at 8 weeks naturally. I began care with Dr G when my normal OBGYN would not conduct specific tests on me since I only experienced one loss. I visited Dr G and explained my concerns and request for additional testing. He ordered almost all of the testing I requested and I have been under his care since. We determined in my first set of blood work that I was O- and had become in contact with the D antibodies at some point in my life and my blood was now whats called sensitized. My husbands blood was tested as well and was determined he has O+ blood and we also found out that he is homozygous meaning he has identical alleles on both homologous chromosomes. So what does that mean? Our baby no matter what will have his blood type and be RH+. In turn my body will see those antigens in the baby’s blood and attacks them in utero. If enough of the baby’s blood cells are killed off, the baby can quickly become severely anemic and we could lose him/her. 1st medicated cycle - Clomid. I was prescribed this and took the pills on day 3 - 6 of my cycle followed by timed intercourse. I was monitored at the Dr's office and both my blood and ultrasounds were done. I did not become pregnant this cycle. 2nd medicated cycle - Letrozole. I was prescribed this just as I was with the Clomid they switched me to this since my lining wasn't getting as thick as it needed to be on my first cycle with Clomid. The letrozole was taken on days 3-7 of my cycle and I was not monitored this cycle. I did become pregnant after this round of medications. I went on to miscarry at week 8 again and ended up having a D&C performed by Dr G.

$35.00 initial copay for consultation. $35.00 for blood draws, $300.00 per ultrasound (not covered by insurance) when being monitored for medical cycle $250.00 outpatient hospital copay for Hysteroscopy surgery and D&C surgery

I personally am not going thru an IVF cycle yet but they do have information posted up in the office stressing the importance of transferring one vs two to eliminate any health concerns and problems that can occur.

Dr. Weitzman's communication style is very compassionate. She takes her time to ensure that all questions are addressed; and encouraged us to call and ask to speak with her directly, if we had questions or concerns. From the first visit, she took the time to get to know me and connect with me.

Don't be afraid to ask questions.

I underwent 3-4 Clomid and 4-5 Femara cycles with my OB/GYN between July 2017 and July 2018. IVF Cycle started October 2018. This protocol was used due to my age (42). My husband's sperm is within normal limits. Antagonist Protocol with Oral Contraceptives: Doxycycline 100mg by mouth twice a day (hubby and I) for 10 days Menopur 150IU Q AM & 75 IU Q PM Gonal F 75 IU Q AM & 150IU Q PM Cetrotide 0.25mg Q PM HCG 10,000 IU IM Retrieved 4 eggs, but none of them fertilized; despite ICSI being performed.

Approximately $18,000 w/ meds

IVF of Florida only performs single embryo transfers due to the high risk nature of twin pregnancies for the mother and the babies.

I was so happy with Dr Manko with my 1st IUI and resulting pregnancy, they had to give me a date had to have an OBGYN by once I was pregnant because I didn’t want to stop going to his office. My second attempts at a child really showed what a wonderful doctor he is. I also wanted someone who was honest with me and wouldn’t sugarcoat the bad things and he was that while still be compassionate.

Listen to your options and be sure you know what he suggests you go with.

For all 3 of my IUI cycles over the course of my treatment I used Clomid and a trigger shot and I did 2 Back to back IUI’s each cycle. I was 32 with my 1 st pregnancy and 37 with my second attempts but 1 of my Fallopian tubes is completely blocked so the Clomid was so I would ovulate on both sides each cycle.

I think when I did an IUI cycle in 2018 the expenses were around $3500 ( that was for 2 IUI’s in one cycle and doesn’t include the $1500 for the sperm purchase).

He was very passionate. After my first failed transfer, I was so upset but he talked me through it and made me feel so much better. He knew what the next steps we were going to take was. He Communicated very well. I followed all of his instructions on what to come next and I’m now 32 weeks pregnant. If it weren’t for him, I wouldn’t be where I am today.

Follow everything he tells you to do. That’s what I did and I’m pregnant!!!

He put me on the lowest dose of stimulation medications because he knew I would respond quickly. I did respond quickly. We had to increase the medications halfway through and I responded even faster. He was VERY impressed with how many eggs were retrieved and how many made it to be frozen. He gave us the option to start with IUI but told us the success rates of IUI vs IVF for us. We chose IVF with him as he thought that was the better option. I wish he could deliver my baby.

They were typically in the mornings. I, being a teacher, could only go in the afternoons and they were more than willing to work with me. Dr. Hoffman did my ultrasounds in the afternoons.

It was $22,500 but with my husband being law enforcement, we got a discount. Paid $20,000.

He only wanted to transfer 1 embryo because of my age. I am 25 years old. He knew it would work and I had 6 embryos. He said the risks with multiple babies isn’t worth transferring 2 embryos as some embryos can split once transferred.

Dr. Hoffman is very warm and caring. He has a great bedside manner and I find him to be very patient and reassuring. I think his greatest strength is his experience and how long he's been doing this. He will tell you he is "old school," which I was worried at first would be a weakness and that he'd be stuck in his ways, but he is very current on all the research that's out there, and I truly feel he wants to see us succeed and become pregnant.

I have two: 1) Ask all of the questions you can think of and make sure you understand everything - he will definitely take the time to explain. 2) Trust what he tells you. We're still in the middle of treatment, but so far he's been accurate in his assessments and I feel good about our treatment plan.

I have low AMH and my husband has abnormal morphology. He put my husband on Conception XR with motility support, which helped his sperm a great deal. We did two rounds of IUI with clomid, gonal F and trigger. Dr. Hoffman is not a huge fan of IUI and he will tell you that. But he has not once pushed us in any one direction. He likes to give you all the options and let you make the decision you're most comfortable with. Both our IUIs failed and we are starting our first round of IVF next month on the microdose protocol.

I believe each IUI came out to a little under $2,000 with meds and visits. IVF will be $20k+

IVF Florida only does single embryo transfer to avoid the risk of multiples and that fit with what we wanted.

He is very caring and knowledgeable. The nurses he works with are on the ball and great at answering questions. I lost our baby at close to 9 weeks and am trying again hoping to have a second chance at having a healthy baby and he has never given up on my body and it's ability to conceive despite all of my reservations and self doubt. He came in on his day off to do my second egg retrieval because he knew I felt more comfortable with him there.

If you have questions, make sure to ask them when you meet with him because he is not a mind reader, and he will answer them for you.

He modified and canceled my recent frozen embryo transfer because my lining wouldn't grow. He said it's safer to do an ERA on me now and I appreciate how he modified his plan based on my body's poor response to medication.

It was pretty routine. I'd arrive early around 730am and be seen for bloodwork and ultrasound back to back. Sometimes the clinic was backed up with more patients and it took longer (over 2 hours) and other times I was in and out within 30 minutes.

Each egg retrieval was close to $10,000 and we did two egg retrievals. Each frozen embryo transfer was close to $5000 and we have one done transfer. We also pgd and Pgs tested the embryos for the breast and ovarian cancer gene that I have (brca) which was close to $8000 and the medications were over $5000 each cycle. Our insurance didn't cover any of our egg retrieval or transfer costs and only covered progesterone and birth control pills but none of the other ivf stimulation meds or the estrogen patches or the Luperon. We've spent about $50,000 so far on ivf.

He will only transfer a single embryo into me and is concerned about the increased risk of multiples even though I'd love to have twins. He said it could affect their health and I respect his rationale.

Dr. Hoffman came recommended due to his success rate. However, I ended up switching treatment to another doctor because of his lack of communication. Dr Hoffman has terrible communication, never had time to discuss treatment or options and never listened. I had blocked tubes and surgery corrected the issue. Right after dr. Hoffman continuously pushed me to do IVF even though my insurance covered most of the IUI process. I insisted on 1 IUI which resulted in an ectopic pregnancy and I lost my tube. We then got pregnant on our own which was another ectopic and I lost my other tube. Then IVF was our only option so we refinanced our house to come up with the money. After 2 retrievals we only has 3 viable eggs. Dr. Hoffman made us feel that the egg retrieval numbers would be higher with our 2nd cycle, we were worried of low egg count and wanted to cancel the cycle but we're reassured we'd get more than the 2 we got with the 1st round. We got 3 eggs out of our 2nd cycle. Only 2 fertilized and so we asked if 1 or both were not looking great we wanted to fresh transfer on day 5. It was all set up and I started progesterone and estrogen just in case then on day 5 (a Saturday) no one called me or would call me back until a nurse called at 1pm and said everyone had gone home for the day. I called repeatedly on Sunday, spoke to another doctor who told me we lost 1 egg overnight Saturday and froze 1. That somehow there must have been miscommunication with Dr Hoffman and I about doing a fresh transfer. I immediately switched care to another doctor. I now believe communication during this is more important that the doctors success rate and wish I had seen another doctor.

If you feel communication is important, I'd suggest Dr. G with this practice. If you don't care about communication or getting as much information as possible during this practice then go with Dr. Hoffman

Split protocol with birth control suppression. 75 iu gonal-f and 75 menopur for 1st cycle. I was considered a low responder to the meds to we increased to 150iu gonal-f and 150iu menopur for the 2nd cycle However we retrieval 3 eggs in both cycles.

They had a 2 cycle package that we got which was 27k, it included monitoring, retrieval, icsi if needed and cryo storage for 6 months. We had to pay for the 1st monitoring visit which was $350, anesthesia for retrieval which was $500 and all meds which were 5k first cycle and 9k 2nd cycle

My Dr strongly recommend that we only transfer 1 embryo and that frozen was a better option. We tried fresh the 1st cycle which failed then the frozen took however resulted in miscarriage due to chromosomal abnormalities. I agree with single transfers however. My goal was to have one healthy baby and i felt the risks associated with twins was too high.

Dr. Maxson is absolutely wonderful. He is caring, compassionate and extremely knowledgeable. He speaks to me at my level and is blunt but still empathetic. I like to receive information and don't want it sugar-coated, he is great at doing this. He has been there every step of the way and told me on my first appointment that I have been doing a great job of keeping the "car on the road" but now it is time to let him take the wheel. He could see that I had been stressed about this process for a long time and after that initial visit, I think I took the first deep breath for over a year. Could not give him a higher rating, strongly recommend.

Do your own research before going in and come with questions. Dr. Maxson will never rush you and will answer any and everything you may be curious about. Just remember, he is the expert and to trust him and not try to struggle for control. At this point, he is joining you on your journey to becoming a parent.

Dr. Maxson has a strong preference to only transfer one embryo. He feels that transferring more than one puts the mother as well as the baby (babies) at an unnecessarily high risk.

Dr. Ory's strengths: He explains everything to you and step by step. He is very caring about your situation and helps you feel comfortable with his protocol. Dr. Dr. Ory's weaknesses: Runs a little behind for appointments. I have waited close to a hour at one visit to just meet with him. Overall, Dr. Ory is a fantastic doctor who knows what he is doing.

Listen and ask questions. Dr. Ory will not explain above and beyond. He will tell you textbook wise what is going on and what his plan is. But research and ask questions...anything. He will answer them on the spot.

In 2014 I had a small fibroid preventing me from getting pregnant. Dr. Ory suggested 3 months of depot lupron shots to shrink it to avoid surgery. Unfortunately they did not work and ended up having laparoscopic surgery with Dr. Christie (Dr. Ory does not perform lap). The fibroid was removed and I became pregnant. Fast forward to 2016. I became pregnant but unfortunately miscarried. After 5 months of not getting pregnant again I returned to Dr. Ory. We ran a number of tests and determined diminishing ovarian reserve / poor egg quality was an assumption. We tried a few rounds of 50mg clomid to produce more eggs with timed intercourse, no luck. In January, February, and March I completed 3 IUI's, each with two days of insemination. I was given 50mg of clomid with ovidrel trigger shot. Each IUI was unsuccessful. We took a break for a few months and then tried 3 months of 2.5mg of letrozole with trigger shot and timed intercourse. Again no luck. We have stepped back from treatments for a while, but still keep in touch with IVF for questions, blood work etc.

For visits I had a $30 copay each time. My insurance covered 60% of my IUI treatments. I had to pay approximately $1500 for 3 IUIs. Most medications were covered, expect for the ovidrel injection.

The first time meeting Dr.Maxson my husband and I knew right of the bat that he was the Doctor that we wanted and that we were going to be in great hands. He explained everything in detail and answered every question we had. Dr. Maxson had a vision for my husband and I and started right away. I wouldn’t go anywhere else.

If I could give any advise it would be to never give up on your dream to become parents. When you think you have hit rock bottom to get back up again and try harder for what you want to achieve and that is a baby!

The first thing Dr. Maxson said was to loose 5% of your weight. Even a small amount is beneficial to conceive. He started me on metformin starting at 100mg and working my way up to 1000mg. With having pcos it is suppose to balance my blood sugar and even out my hormones. From there it was weekly apt to check my follicles. Once my follicles got to a certain size Dr.Maxson told me to trigger and to trigger at a certain time. We would trigger and then the next morning we would go in for iui.

For the iui treatments I spent $1,700 per iui. I did 2 iui and I am working on my 3rd now

Dr. Christie is extremely professional. He has always made himself available to us to answer questions or concerns. He is very knowledge and recommend a different procedure in our last cycle that allowed us to have 8 more embryos to complete PGS testing on. One of which is now our little popsicle.

Don't keep wasting time. Go see Dr. Christie or any of this partners at IVF Florida. They are amazing.

In round 1, we went the "normal" way of fertilizing the eggs. On round 2 they were hand fertilized and we got 8 more embryos over the previous cycle (18 total). 8 in total made it to day 5 and after pgs one of those is now our popsicle. We couldn't be happier. We are now going to do an ERA to improve our chances of a successful transfer.

I purchased a 2 ivf cycle plan via Attain. I believe the cost was around $25k plus PGS testing $3k, medication $2k per round, and PGS testing was $3,600 per 8 embryos. ERA should be around $1k. In addition I have about $500 for anesthesiologist and another $2500 for the removal of a fibroid. I think that covers it.

They do not allow multiple transfers and I'm not sure about eSet (not interested)

Dr. Gualtieri would always take the time to explain the risks and benefits of each treatment for each cycle. He was always polite and took the time to explain everything in an easy to understand manner. He would take our concerns and financial situation into consideration and adjust the treatment accordingly (i.e. increase the dosage of pills/injectables). He was successful at getting me pregnant in May of 2017 and now I am currently 2 months pregnant again thanks to his medical care.

Have an open mind but also have your own plan of action and he be prepared to convey that plan to Dr. Gualtieri- he will listen.

I have PCOS so for my first pregnancy I needed to be on the highest dosage of Metformin to help with my levels. I was on Letrozal/Femara starting with 2.5 mg and only having success with ovulating on 7.5 mg. I also took 75 & 150 iu of GonalF injectables and Ovidrel (“trigger shot”). For my first pregnancy we did an IUI with 7.5 mg of Letrozal and injectables for my second pregnancy we did the same medication but with timed intercourse.

Between both pregnancy we spent roughly $20,000

Dr. Gualtieri would also warn us about the chances and risks of multiples but that was never a concern of ours.

Dr. Weitzman knew she was my last hope. We were on the waiting list for adoption when we met Dr. Weitzman. She did not push us one way or the other but encouraged us to make the decision that we felt best with. She did not waste our time with unnecessary tests and was honest with each answer. For example when I struggled to get my trigger shot correctly, she personally called me back at 11pm to talk me through it. When she’d see me in the hallway for my monitoring appointments she always updated me and hugged me. She got how important this was and what doing IVF meant to us.

Listen to her. She knows exactly what she’s talking about. But also be prepared to make the decisions for yourself. She won’t push you to do something you’re not comfortable with.

I was on birth control pills for 19 days. 4 days prior to birth control stopping I started 20 units of Lupron each night up until I triggered. I took 225 units of menopur daily and 225 units of gonal f daily. She put me on high doses to make sure I would stimulate.

For the total package of 2 IVF cycles with medicines it is about $ 35,000

My doctor prefers to do single embryo transfer. I trusts her judgement.

Dr Gene Manko was very friendly and listened to all my concerns. He went over all of our testing in detail. My only concern is I wish I would have heard from him after our first failed IUI. I spoke to the nurses who then spoke to him. My meds were only adjusted because I asked for them to be.

Ask questions and advocate for yourself. I would say that about any doc/patient relationship.

1st IUI 75units if Gonal-F Triggered on day 9 of Injections with 10,000 units of HCG. One follicle which was 17.3mm IUI #1 12 hrs after trigger and IUI #2 36 hrs after trigger Lining was within normal limits. Progesterone suppository until period arrived. First IUI unsuccessful. This cycle I started with 150units if Gonal-F for two days and then 75units for two days with a monitoring US on the 5th day in the morning which is tomorrow.

Our diagnostics were covered by our insurance but the IUI including meds were not. Our first IUI was $4,000 including meds and all US.

NA

Overall, Dr. B is amazing, and I’m glad to have found him. He shows compassion, and doesn’t make you feel silly for asking the simplest/irrational questions. He treats his patients with care. He explains everything in absolute detail. When delivering bad news, he shows empathy and brings an action plan.

Ask all the questions. Sometimes doctors don’t know that we don’t know, and that’s okay! They do this all day. But he will answer all your questions with loving care.

During the egg retrieval cycle, we down-regulated with birth control. Once cleared, we started stims. Due to my young age and no apparent issues, I was placed on the lowest dose of Menopur and Follistim. I was monitored almost every other day with bloods and U/S. Once cleared, 48 hours before egg retrieval, I was told to trigger with an intramuscular injection of HCG. For my FET prep, I also began with BC. I then down regulated with Lupron injections. Once cleared, I was given my calendar and told to begin estrogen patches to build up my lining. A week before my scheduled transfer, I came in to ensure my lining was thick enough for transfer. 5 days before transfer, I began PIO injections. After that transfer failed, I followed the same protocol for an ERA to ensure that I had the correct amount of PIO to be receptive to an embryo. I am now currently on my second FET prep, and since my ERA came back “receptive,” I am following the same protocol.

Thankfully I had insurance. Without insurance, each FET would have cost about $10,000, not including medications. The Egg Retrival would have cost $6000.

My clinic is very against transferring more than one embryo, especially if the patients are under the age of 40 and have good quality embryos. I disagree with this mentality, but trust my doctor and am going with the flow. When a patient has gone through multiple heartbreaks, and is also financially unable to follow through with multiple transfers, sometimes transferring multiples is their final chance - emotionally, physically, and financially.

One of the things I like the best about Dr. Maxson is that He stays educated on up to date research and procedures and educates us as well. He doesn't hold back when offering "out of the box" thinking. I know that Dr. Maxson has several patients. However, that doesn't alter him from knowing every little detail about me and our journey to parenthood. He is blunt when He needs to be and He is cautious of our feelings when He needs to be as well. Recently we have hit a bump in the road financially and we are almost at the end of our journey and have no baby to show for our journey. To see the emotion on Dr. Maxson speaks volumes. This man genuinely cares about us. About our Marriage. About our Hopes and Dreams. And most of all about our desire to become parents.

When seeing Dr Maxson I would recommend that you remain open and honest with him. Be upfront about your plans and where you are at financially. Be open to suggestions--- even the ones that are hard to hear. Be ready to hear things you may not want to hear but be open to what He has to say regarding this and follow through with his plans.

We tried Clomid and Letrozole with IUI first. I stopped responding to both. We then moved to IVF with Menopur, Gonal F , Centrotide and HCG trigger shot. We retrieved 10 eggs and 6 made it to day 5. Sadly, these embryos resulted in 2 chemical pregnancies and a miscarriage around 12 weeks when referred to my OB. Our Second Retrieval we did Lupron for several weeks, Menopur and Gonal F with HCG trigger. We retrieved 17 eggs and 4 made it to blast. This was a freeze all cycle. We did an ERA test to make sure that we were transferring at the right time and that my uterus was receptive to the Progesterone shots. We found out that I was pre receptive by 24 hours and needed an additional day of Progesterone. We did two more transfers after this which resulted in negative pregnancy tests. We have two more embroys on ice and will be transferring again in 2019.

We used Attian, IVF

Dr. Maxson is very amendment about single embryo transfers. His first priority is always the health of his patient and his goal is always "one healthy baby".

Dr G, is very well educated and highly skilled on what methods work for each individuals case. He always explains everything to me in lamen terms & I always walk out like I get it. I am a bit over weight and he has never made me feel any less deserving of having a baby like my previous doctor. He suggested eating better & integrating exercise just to stay healthy & get my sugar levels under control. He can relate to me and that is impressive!

Trust him!

Well I have not had my actual IUI. I am in progress. So my husband & I were given a work up and consulted regarding results. We both did really well & the few areas of concern like my blood sugar which was also addressed by placing me on metformin. I’ve been on metformin for 4 months. Next phase of treatment includes ovulation induction medications including injectables & ultrasounds to monitor the effectiveness of the OI. Once final ultrasound and blood work is completed ovidrel will be prescribed & I’ll be scheduled for IUI.

$1300-2500

Dr. Gualtieri is qualified and knowledgeable in the field of IVF and female reproduction. He even helped me when I had a question about being induced, well after I had "graduated" from IVF to my regular Obstetrician. I feel like he truly cares about his patients, in them achieving their goals of parenthood, and he is willing to listen and allow you to take agency over your own care.

Make a list of questions before your appointment so you don't forget.

We were diagnosed with unexplained infertility and tried several IUIs for budgetary reasons. When he finally recommended that we move to IVF, he explained the whole process and what the statistical odds were. My stim cycle was 75 of Menopur and 150 Gonal F in the morning and 75 Menopur with 75 Gonal F in the evening and wasn't changed during the cycle based on my follicular response. I then used Crinone after transfer. Our first cycle was successful.

The monitoring appointments were pretty well run. You would start in the initial waiting room, then get called back to a smaller room outside of the ultrasound room, then be called in as the patient ahead of you was finished. I don't remember waiting more than an hour or so to finish a full monitoring appointment. Those appointments were always in the morning which was convenient for me but may cause an issue for others.

I think each IUI was around $1,500.00 and the total cost for the IVF was about $15,000.00.

When we first met for our consultation we discussed implanting 2 embryos due to my age (37 at the time) but by the time I had my fresh egg transfer the protocol had changed and only 1 was authorized. We had a discussion prior to the transfer (I was emotional because, you know, hormones) and he allowed us to implant two embryos based on our initial understanding and my acceptance of the risk of multiples. I don't know that he could even do this today due to the protocol change but the fact that he was open to my concerns and listened was most important.

He was professional, knowledgeable and kind. After my initial appointment, I was nervous but confident that he could help me become a mother. He explained the process and procedures, and was positive I would achieve pregnancy.

Conduct your own research beforehand and be prepared to ask questions because he doesn't give you all the information you need unless you prompt him with questions. Prepare for a long wait time.

During the initial testing, it was determined I have diminished ovarian reserve. He performed an HSG which resulted in one blocked Fallopian tube. Despite these results, his protocol was 3 IUI cycles with no medications and no monitoring (i.e. blood work and ultrasounds). I was instructed to take a OPK at home and to make an appointment for the day after I received a positive. I felt the timing was off and was not confident considering my test results and no monitoring. After 3 failed attempts, I am taking a break and getting a second opinion.

3 IUI cycles at $278.00 each. My insurance covered the consultation, blood work, and ultrasound so I paid my co-pay for those visits. Total cost – approximately $5,000.

Dr. Ory is soft spoken and doesn't show much emotion. Overall he seems like a nice man that wants patients to achieve success. Although I underwent treatment with his facility for over one year, I only met with him a few times as the nurses handled most of the treatment. I didn't see him unless I had a scheduled appointment for him specifically. For those appointments, he had me waiting for an hour or more, and I felt rushed when I finally met with him.

Seek a second opinion.

I first met with Dr. Ory during my consultation. He led me to believe that my only issue was lack of sperm (I'm married to a woman). After standard blood work, ultrasound and HSG, he explained my ovarian reserve was "low for my age," but he was confident I would achieve pregnancy within my first 3 IUI cycles. Based on his recommendation, we proceeded with 3 "natural" IUI cycles (no meds and no monitoring), which all failed. Next, he prescribed 50 mg Clomid for the 4th IUI cycle - failed. For the 5th, 6th and 7th IUI cycles he increased the Clomid dose to 100 mg and added Gonal-F 150iu with Ovidrel 250 trigger shot - failed, failed, failed. He remained confident that I would achieve success, but it never happened. He suggested a Laparascopy (possible endometriosis) and IVF treatment. I decided to seek another opinion. After numerous failed attempts, the process was taking a toll on my marriage, finances, and emotions. I lost my trust in Dr. Ory. After transferring my records to another RE, it was immediately determined that I have Hypothyroidism. This was based on the review of my initial blood work taken by Dr. Ory prior to his treatment! If your thyroid is off even slightly, then it could cause infertility. Dr. Ory failed to diagnosis my thyroid issue.

My insurance does not cover anything fertility related so I paid out-of-pocket for everything. Each IUI is $278, ultrasounds are $300 each, blood work (i.e. progesterone, estradiol) is about $100 each time, HSG is $700, initial consultation and follow-up visit(s) with doctor are $300 each, frozen sperm storage at clinic $100 per month with $50 processing fee each time they receive donor sperm vials. I spent over $20,000 for 7 IUI cycles (5 cycles were back-to-back = 12 IUIs total).

Dr. Ory is definitely more of a straight-forward, to the point type of person which I didn’t mind. If you need a lot of hand holding or someone who will be very gentle or careful with what they say he may not be the person for you. I prefer the blunt approach and to go in knowing all the facts beforehand. He does not always go into a lot of detail but will answer any questions you have so just have your questions ready. I would have probably liked to see my doctor more. At this clinic the doctors do the initial consults then you mostly see the nurses after that until the end. I also did not have my doctor for my retrieval or transfer but I understand that the doctors work on a shift system.

Research ahead of time and have a list of questions prepared.

I was on microdose Lupron protocol due to low ovarian reserve. I was on Lupron, Menopur and Gonal F. I also did 3 weeks of birth control pills before my starting stims and before my transfer. For my transfer I did Lupron then estrogen patches then added vaginal progesterone just before transfer.

IVF cycle with retrieval and fresh transfer is about $12000 FET is about $4000 Embryo freezing and storage is about $1500 plus $100 per month Meds totaled about $5000

It was explained to me in detail and I was given hand-outs about how they decide how many embryos to transfer. Based on the odds I was given, I felt comfortable transferring one embryo.

Dr. Hoffman was my doctor and he is amazing. He will not sugar coat anything and will tell you how it is. He is very upfront with you and does not want there to be any surprises, and he will not get your hopes up unnecessarily. I really appreciated his honesty.

Do not let his "to the point" take on things fool you. He cares a lot and only wants you to succeed. Once you get to know him a bit better he ends up feeling like family.

My ovarian reserve looked good and our main issue was male factor. We used the agonist protocol using Ganirelix to supress ovulation. Dr. Hoffman also had me trigger using Lupron to reduce the changes that I would have OHSS. The protocol worked beautifully. I have 9 eggs retrieved, 8 were mature, 6 fertilized and all 6 made it to freeze. We did an all freeze cycle because I had to have surgery to remove a uterine fibroid.

SIS costs $975.00, HSG cost $595. I don't remember specifically the other costs. IVF is not cheap though (no matter where you go)

Dr. Hoffman was very adamant that we should only transfer 1 embryo. Due to my age and the fact that I had never been pregnant or miscarried he said my chances didn't change with multiple embryos, only my chances of having multiples. IVF Florida is very careful - their main goal is to get your pregnant with 1 baby.