IVF Phoenix

our experience with IVF Phoenix was so bad, I don't have and kind things to say about them. I wish I did, but I don't and that is why we are so happy to be with our new physician. Their billing person is so hard to communicate with and get straight answers from, you are not assigned to a specific coordinator, ultrasounds are performed by a different person everytime.

This office was never honest with us about their pricing. They gave me "cash" prices and then billed my insurance three times as much. an egg retrieval should have cost us around $8,000 and it ended up costing over $15,000. It's been five months since my egg retrieval we are still dealing with incorrect filing of claims because we were billed for procedures that were not performed. Total nightmare dealing with this office and their staff.

There are so many patients at the office per day that the staff just treated you like a number.

Dr Couvaras is a very outside of the box thinker which is not necessarily bad but he is not great at breaking down the theories behind his protocols and why he wants you to take medications he prescribes. I was taking a cholesterol medication and Reglan and had no idea why he wanted me to take them for IVF.

Review your billing with a fine tooth comb and make sure you have the quoted pricing agreed upon and signed before paying anything to them.

I was on growth hormone, Gonal-F, menopur, provera, ganirelix, lupron, heparin, and hcg for my egg retrieval stim cycle. Prior to that my prep protocol was vitamin D3, vitamin B6, GABA, antiviral 1-3 times daily, plaquinel, heparin twice a day, and multi vitamin, folinic acid, l-arginine, decreased carbs, increased protein.

Never given a cost estimate. cash price for egg retrieval cycle was $6750. My insurance paid out at 100% and they attempted to bill my insurance over $30,000 just for an egg retrieval, as an insurance patient. This completely wiped out my $15,000 lifetime max infertility benefit. They are completely unethical and will charge insurance patients way more than cash patients so they can collect as much money as they can ans sometime more money than a person paying cash.

If you have PGS testing done and the embryo is normal he will transfer 1 or 2, he gives you a choice. if the embryos are not PGS tested he prefers to transfer 2

Infertility is very complex, sensitive, and stressful as it is, but having a clinic where we felt lost, unheard, and unimportant just added to the stress. The lack of communication and organization was a huge red flag for us. I could tell Dr. Couvaras is smart, but his protocols for every patient that walked in the door were the same, and he wasn't willing to listen to our concerns. I think he works with a very particular demographic of patients, and I know he has helped patients in the past. However, I feel like in the world of fertility and growing your family it is important to have a doctor who is willing to be a guide and work WITH you to understand the full picture rather than treating you like every other patient.

The office was often chaotic and interactions with him felt like a rehearsed speech. After several months of treatments and talking with other patients, I realized that we were all being given the exact same protocol regardless of medical history, diagnosis, weight, age, etc. I felt like I wasn't heard and my questions were brushed off.

Every time we came in for an appointment, we saw someone different. The communication within the office as well as over the phone or email was inconsistent, and I felt like I was constantly starting over and having to catch people up to where we were in our treatment. During one appointment, I went in for an ultrasound and then we were going to receive updated protocol. Not only did the ultrasound tech admit that she didn't know what she was looking for, but after the fact, she said she didn't know what doses of medication I was supposed to be on moving forward. Dr. Couvaras was "busy" and couldn't see us. She said she would give us what she thought was the right protocol sheet, and then we should call later and figure it out. Given the time sensitive nature of fertility drugs, I said I was willing to wait until someone could make sure we were taking the right medications. When another nurse finally came in, she gave us a completely different protocol sheet and told us the one the other nurse had given us was incorrect. Imagine if I would have gone home and not questioned, I don't think they would have corrected the problem. Another instance was when they started diagnosing and prescribing medications, and I felt something was off, when I questioned it, they then realized they had the wrong chart! That was very typical of how we felt about the communication, and was ultimately the reason we stopped pursuing treatment there.

I felt like Dr. Couvaras is an extremely intelligent person. However, that created a false sense of hope in the beginning because he talked so confidently, but the follow-up in treatments did not mirror that confidence. There was an overall lack of empathy and consideration for patient questions and emotions. I felt like he gave us the same speech every time, and he wasn't willing to answer questions. After years of trying to conceive, doing several rounds of medicated cycles, and having experienced several early miscarriages, I knew there was more going on than what he was willing to explore. He absolutely refused to do any testing on my husband, and just continued to medicate me. When we switched doctors we found out that my husband not only had extremely low morphology, but also has a balanced chromosomal translocation. As you can imagine, this was extremely frustrating and heartbreaking for us, and we felt that we had been completely misguided and mistreated, and it was an issue that could have been handled very differently.

Do not allow him to make you feel like your questions are invalid. You as the patient, and as a woman, know your body. If you feel like you're not being heard, and like what he is telling you is not working, do not be afraid to get a second opinion. Nobody can advocate for your journey better than you can!

When we first met with him, he told us that his "typical" protocol was a "cocktail" of antivirals, anti-inflammatories, and the stimming medications. He prescribed Losartan, Heparin, Plaquenil (which is an anti-malarial drug), Femara, FSH, Acyclovir (antiviral), Lovastatin. We did home OPKs and came in for occasional ultrasounds to monitor follicles before doing hCG trigger and timed intercourse. He then tried a protocol with FSH medication: I was instructed to do home ovulation tests, and to begin protocol which came on a sheet that looked like this: Omnitrope am (30), Heparin am/pm (32), Prednisone am (10), and FSH pm (150iu). Come in for U/S and bloodwork. Instructions were vague at best, there were rarely nurses to answer questions, which left us feeling very confused and on our own to connect the dots. I was given a different nurse every time I called or went in for appointments, so there wasn't much continuity of care. One thing I was also very concerned about was the high doses of Heparin he prescribed to his patients. For several months of my treatments with him, I was giving myself Heparin injections 3 times a day. When I switched doctors, they ran all of the clotting factor labs and told me that there was no reason for me to have ever been on Heparin in the first place.

In total we spent around $8,000 during our 9 months with Dr. Couvaras. That doesn't include all of the outsourced labs or prescriptions. We are really fortunate to have pretty good insurance that covered partial costs of office visits and prescriptions, however, most of what we did treatment wise through him wasn't fully covered.

Strengths - the doctors knowledge is amazing. Our IVF coordinator is on top of everything. Weaknesses - the staff could be a little more friendly. I feel a big disconnect when there during an office visit. It would be nice to build a relationship with the team as a whole.

He takes the time to break things down for you, explain the what/why/how’s and the next steps. We feel confident going into IVF with him!

On top of it, explains things thoroughly and reassures us that she will help guide us along this journey

We finally found a doctor that wanted to take the time to figure out answers and not just push another procedure. We met with him and knew right away he was the doctor for us and our search was over. He may be a bit abrasive but he wants you to know he is taking the time to tailor a plan for you and to TRUST him. We are doing just that. I believe that’s how it should be - you shouldn’t have to keep second guessing yourself or wondering if there are things being missed because they don’t take the time to properly diagnose you. Couvaras likes to think outside the box.

Be patient. He doesn’t jump right into things as fertility treatments aren’t a one size fits all. We did months of testing and waiting. It’s worth it to know you are headed down the right path with a doctor who took the time to figure out your diagnosis.

We are currently in the process of doing IVF. Gonal, menopur, omnitrope, Lupron. We are waiting for my next cycle to start then it is go time. However I know from a few friends that have or are currently seeing Couvaras, if a cycle fails he changes protocol or dives deeper into finding out why it could have failed.

11k for IVF excluding medications (includes ICSI) $180 each SA for husband. Copays fun about $40 after insurance.

He explained why it’s best to transfer 1. If the cycle fails - you want to figure out what needs adjusting, therefore you don’t want to waste two good embryo’s. Plus success rates don’t go up the more you transfer. We are confident in his choice to do one at a time.

I think they are a great clinic. Rhoda is the sweetest and is there when you need her. The Doctor is brilliant and the staff is pretty good at getting you in and out and keeping things updated. I think you have to know they aren't the most compassionate bedside type people and that although they are great, you can't forget to be your own advocate too, that's with any clinic.

The staff and doctor really don't show much of a personality or smile. They are straight to the point and very business like. The bedside manner isn't the greatest and I used to care a lot about that (of course would still like a good bedside manner) but it's not the most important thing to me anymore. I really just want results and this team is a results driven team.

The staff could be more friendly/compassionate but they do a pretty good job keeping things updated and letting you know your plan. I have a type A personality though so I always follow up anyway.

This doctor was the first one to get me pregnant with treatment ever and although I miscarried I am confident his techniques will get us a full term pregnancy. He thinks outside of the box and tries things I only read about online but never saw put into practice before. I think they are really the next steps to being successful.

He's brilliant and thinks outside of the box but don't expect a warm fuzzy feeling every time you see him. He's not there to hold your hand or make you feel good so if you are looking for that then I would go somewhere else. If you are looking for someone that will do alternative methods and test for everything, this is your guy.

I have been on prednisone, vitamin D, antiviral 3x day, DHEA 2x day, Fish oil 2x day, Vitamins B6 and B12, Lovenox 40mg and 60 mg 12 hours apart, intralipids before IUI and after positive test, PRP wash before IUI, and we used Clomid and injectable Menopur for the stimulation of eggs.

Insured covered testing, lab, and some visits. The IUI I believe was $375, the Intralipids around $3-400, and PRP was about $400.

I haven't done a transfer with Dr. Couvarus but with the other doctor he suggested 1 embryo, and 2 embryos for the next two transfers.

In person, they are all very kind and personable. However, most communication goes through the portal and/or text. It is helpful at times, but there are other times that I wish it was more personal. However, Dr Couvaras is extremely knowledgeable and he is worth it all. I have not found any other clinic or dr that does the studies he does or takes the time to figure out the root of the problem rather than just rushing into another cycle. I’m so glad we chose this clinic and will stay with them no matter what.

Dr Couvaras is extremely thorough in his assessment. He really takes his time to learn everything about your history and with the exam to pinpoint what the issues are.

Most communication is through the portal and text, which is fine. I don’t mind the dr being blunt because we are using him for his knowledge and studies on our specific issue, but I guess I wish the nurses showed more compassion. We are going through the hardest time in our lives and spending many thousands of dollars. Sometimes they are amazing, and sometimes it feels like they don’t remember everything we’re going through. I think part of it is that it’s mostly written communication. In person and on the phone, they are very kind. Also, to be fair, I don’t know if everyone I communicate with in the portal/text are nurses or other staff.

We chose Dr Couvaras specifically because of his studies on low AMH and his protocol to help raise it. He has done studies that I’ve never seen any other dr do in regards to still getting good eggs/embryos from women with low AMH. We are still in the middle of this protocol, but he has been very helpful and adjusts it weekly based on blood test results. I truly believe he is a genius, and honestly, he talks like one. There are times that I need to ask him to dumb it down a little so we can understand. He is blunt when talking to us, which I personally appreciate. I don’t need him to be extra nice or delicate, I just need his knowledge so we can try to use my eggs one last time. However, when we had a minor setback and I had a little meltdown, he was very kind and helped me to understand the issue.

Don’t be afraid to ask him to explain things in different terms. He talks fast and uses terms I had never heard, even after we had already been through a full IVF cycle with another dr. He wants you to understand and will gladly explain it differently for you.

We are still in the middle of his FSH suppression protocol in an attempt to raise my AMH. It is much more intense than I thought it would be, but it’s not so bad once you get used to it. He adjusts the hormones and meds weekly based on blood test results to get and keep the levels where he wants them. My specific protocol is a combination of 17 different supplements and medications, combined with a high protein/low carb diet, and daily exercise. I imagine it is similar for most of his patients, but I know he tailors it to each patient based on their specific needs.

The total (without meds) for IVF with ICSI and PGS is around $10k. He also offers other services for addtl cost, such as embryo glue and supplements.

Not sure yet.

Strengths: Excellent care and communication. Tons of package pricing options. Very responsive to questions via phone and text. Clear instructions. Weaknesses: two separate offices that you have to drive to

Dr. Couvaras has a very personalized approach and listened to me very closely each appointment. I feel like he is a brilliant doctor who helped me understand more than just my fertility but my overall health. We did a ton of testing before we jumped to any conclusions and treatments.

They were a few ladies who would explain the treatment plans and next steps and were always willing to assist with questions any day/time.

I had seen two fertility doctors prior to dr. Couvaras and didn’t feel comfortable with them at all. Dr. Couvaras team is so responsive to my many questions and are just a text or phone call away. He listens carefully and transcribes each appt in front of you. As he examines you he educates you on what he is looking at. Dr. C even personalized my diet/exercise routine.

Listen and ask any question you have. Trust and follow Dr. C’s recommendations.

Dr. Couvaras is a very smart man and wants to prevent miscarriage or any problems before any treatment is done. I was told to follow a low histamine diet to clean up inflammation I had. We did a intralipid infusion a few days before my procedure since I had high killer cells. With each recommendation in his treatment he had a very good explanation of how it would beneficial.

There are a ton of package pricing that are very competitive with other clinics out in Arizona.

The clinic is always clean well cared for. There is always water and granola bars for you which is a nice touch. They have TVs in the waiting room and plenty of magazines. Having 2 locations has saved us 100s of miles!

Dr. C. is very "to the point", which in some cases is nice. My husband and I dont want to waste anymore time trying to get pregnant, so his straight forward approach and demeanor is appreciated. There are also the days when I am overly emotional and just want a little emotional support as well, and that is a little more hard to find, from any doctor I think.

The staff was great at explaining what the next steps were in our plan. They were always great about explaining and demonstrating how to use a new drug or injection. They were always helpful about planning appointments and working around our schedule. The billing and financial side of the clinic is a little frustrating. The last thing any women in there wants is to have to worry about paying her bill or wondering if insurance will cover anything (let's be serious, it won't). I wish there was a way to separate the financial part of all this. When I go in to get a procedure done, I am stressed enough.

Dr. C. is the best at what he does, trying to figure out the underlying problem. He doesn't just pump you full of hormones and assume you'll get pregnant. He first looks at you and your history to understand what it going on. We have gone through 2 iui cycles with Dr. C. Haven't had any luck yet but he still seems hopeful. We are taking some time off to save up for IVF, our last option before surrogacy.

Be as mentally prepared as you can be. There wont be much emotional or mental support. Have a strong support system outside of the medical field. Follow exactly what doc says, with diet, exercise and supplements. It all adds up.

Dr. C. first focused on getting my hormones and levels balanced. This was simply taking his suggested supplements and doing frequent blood tests. That was the east part. We then moved into an iui cycle with clomid, menopur and heprin. This cycle resulted in what appeared to be a fertilized embryo but failed to implant. We then tried another iui cycle but with more menopur. This cycle had no results. Our next step will be ivf with pgs.

The cost for the actual iui procedure were about $350, which is nothing compared to all the labs, medications, and shots. Office visits were around $100 which also was not bad as we only saw the doctor for the actual procedure and a consultation after the iuis failed.

They are great at scheduling and you always leave with your visit notes in your hand that have your plan. At the end of the visit the nurse sits down and goes back over the plan with you ( so you hear it twice before you leave the office ). They all totally get everyone is at a different point in the journey. Some people come in after 6 months of ttc and some people wait years or like us we waited 4 years and tried several other treatment plans before going to Dr Couvaras.

The office and Dr Couvaras is so great at communicating threw calling, texting, their portal and just in general when your at the office. your always able to schedule an appt quickly. After doing an HSG in their office the nurse was so kind and of course Dr Couvaras is always so great and making sense of what is going on and explaining it.

First I adore that his sweet wife works with him, and the rest of the staff is sweet but sometimes a little unorganized. The Dr does quite a bit himself it seams but it feels like he almost prefers it, it feels like he is taking care of you.

We weren’t sure what to expect but Dr Couvaras is a genius in my book, he is so knowledgeable. He was so willing to do an extra ultra sound even when it wasnt planned to see how close I was to ovulation. I love that he, himself does the ultrasound with us, in the past at other offices we’ve had poor experiences with ultrasound technicians. I love that his sweet wife works in the office with him. I have been beyond blown away by his care these last 3 months.

Dont be afraid to ask questions! Sometimes he will explain using medical terms I don’t recognize even with my medical experience. He is so willing to explain, just ask!

We are still in progress. The acyclovir I am still taking and the plaquenil was short term. Dr Couvaras focuses a lot on inflammation especially with me. He instructed me to read and learn about SIGHI diet, also to take Vitamin D, Gaba, B6 and Methyl Folate. i hadn’t had a period in 18 months trying so many other things (metformin, clomid and holistic medicine) and this worked within 20 days!!!!! It blew us away. Now we’ve had two cycles. We have planned for this next cycle to do haprin shots/clomid and IUI. Dr Couvaras immediately recommended that we do the genetic carrier tests, which I was grateful for. I just want to do things right, we feel we’ve had too many doctors try to shortcut out of seeing me. Dr Couvaras gets that and is willing to go at our pace to get that baby into our arms.

Mostly Co pays we haven’t gotten the visits back from both insurances. The genetic testing was cash and the supplements was cash. It has not been as bad as I expected. IUI will be about $400 with the lipids another few hundred then with mediations and another month of supplements. I bet it will be about $1,500 by the end of March.

i haven’t had an experience with this yet. Maybe it won’t be necessary but maybe it will.

It’s a busy clinic but over all runs very smooth. I’ve hardly ever had to wait to be seen for blood work, IVs, ultrasound etc. it is very clean and welcoming. I think a weakness would also be how busy it is, sometimes it’s a tad over overwhelming how many people are going in a out while you are waiting for info.

This lastbcucle I haven’t even seen him, I’ve only had encounters with the nurses and sometimes when the nurses text me they have the wrong information about what I’m suppose to be doing in this cycle.

One nurse is very friendly and sweet and the other not so much. Sometimes when Dr is out of town I feel like they can’t get it together. They text me the wrong info on occasion or asking me questions that don’t pertain to my treatment at that time. For instance I did a trigger shot last Sunday and then on Thursday one nurse text me to ask what my OPKs were looking like. It was irrelevant after the shot and kind of freaked me out that maybe they had me do something wrong.

After seeing another fertility dr that treated everyone as a one size fits all, Dr. Couvaras was a breath of fresh air. He had testing done on me that I had never even heard of and put me on a diet and supplements along with medication. I really felt as though he was fixing the problem from the inside out, instead of attempting to get an unhealthy person pregnant. I had just had my third miscarriage when I went to see him and I needed to feel like my body was being fixed to carry a baby.

He’s a little crazy, but there is a method to his madness d he gets results. I’ve had friends who were told they would need IVF with others drs end up being able to conceive naturally after doing Couvaras course.

First round I did acyclovir to reduce virus that I carry, heparin for blood clotting and tons of vitamins including high doses of vitamin D. That cycle we also did a trigger shot. Unfortunately that round wasn’t successful. This round (in two week wait) we did the same as above and added chlomid on days 3 to 7 of my cycle. Did that followed by a trigger shot with timed intercourse again. During this cycle we had a semen analysis done on my husband, had the first one done with first fertility dr and his results came back normal, Couvaras does different in house testing and my husbands did come back low this time. We opted to try naturally one more time and if unsuccessful this round we will try IUI.

So far I believe we are at about 5000$. Mostly just for testing, HSG, sono with oil, and the intralipid IVs. If we move to IUI next cycle the cost will increase significantly.

The clinic has two locations which is convenient. You are able to text them if you have a simple question and they reply promptly. The clinic is nice and feels professional yet welcoming. For the initial consultation the wait was a little bit, but following appointments I only waited about 10 minutes at the most.

He took the time to talk about me individually and not generalize my infertility. He sat down and went over my history from when I started my cycle. He really got to know me to see what was causing ME infertility

They are good in person, but struggle to explain everything in depth. Sometimes I wasn’t supposed to be taking a medication anymore yet I was never told until I had to ask. They didn’t tell me to bring the mix for my trigger shot so I had to mix it on my own and hope I did it correctly.

Dr Couvaras is very helpful and looking for underlying issues that are causing infertility. He tested many different deficiencies, genetics, and problems that could be affecting my ability to get pregnant. He did this before starting any treatments, making me feel like I didn’t have a cookie cutter plan for me. Once test results were back he sat down with my husband and I and explained everything at a level we could understand. He used metaphors to explain how the ovulation process works and why mine wasn’t. He truly treats you individually! We don’t have results from our first TIC with clomid yet, but we feel positive.

Clomid-50 mg for 3 days and 25 mg for 2 days. Heparin injections twice a day from day 3 to ovulation. Vitamin D, Folic Acid, B6, L-arginine Steroid medication after trigger shot Trigger shot on day 15 with a low dose of trigger 2 days leading up to trigger

$175 for doctors visit Original consultation cost? Blood work? $375 intralipid infusion

It's too soon in process for me to give any detail here. We have not started the process of ivf yet have just started compettign the tests required before ivf procedure. So far what we have experienced is good. Everyone seems knowledgeable and friendly

Dr kavouras took the time to dig in and ask pertinent questions that the other doctor did not ask. My first meeting at IVF Phoenix was with the actual doctor at dr. Troche that was not the case. Dr kaporis took time and explaining why this system could or could not work but also gave us some hope for the future. he spent a considerable amount of time with us at our first consultation which we had not received with the doctor prior.

She has been good at getting everything scheduled.however I do feel and sometimes with her email she could be a little bit more detailed

Dr kavouris definitely speaks more medically than he does in layman's terms but only seems confused he had a good way of explaining it. He's very straightforward and to the point. Was very detailed in his questions starting from back to when I received my very first period.we were very surprised to have met with dr. Kavouras himself on our very first consultation and the amount of time that he spent with us was incredible. he really felt like he was trying to get to know our particular situation instead of just treating us like he would treat every other IVF patient.we feel he's very revolutionary and his approach to IVF and his understanding of endocrinology and the woman's body made us feel extremely comfortable. when trying to have a baby you want your IVF doctor to be compassionate and understanding of the struggle.this is not the type of doctor you want to go to that is not compassionate considering the type of medical issue this is.this type of treatment is very emotional and personal to each and every family and to have a doctor that understands that and truly cares makes a huge difference. And in the same respect you want a doctor that really knows his stuff. The amount of knowledge he had was great

if you've been struggling and looking for that second option someone to actually give you hope and not just shut the door on you as if you don't matter then Dr kavouras Who you want to see

Extremely reasonable compared to other doctors

I haven't noticed any weaknesses with the clinic since arriving to IVF Phoenix. The staff is very welcoming, professional, and timely. They make sure my husband and I are comfortable, aware if there is any wait time and will double check on any concerns, or questions I have for Dr. Couvaras

At each appointment we are warmly welcomed by Dr C, and he gives us as much time as we need to discuss our plan. We never feel rushed and we certainly don't feel like a number.

The nursing staff seems to be very sweet, organized and knowledable.

Dr Couvaras is the most knowledgeable doctor I have ever met. He doesn't immediately jump to IVF, he is determined to find the underlying problem and fix our issue before wasting our time and finances. We enjoy each appointment we have with him, he's straightforward and hopeful, we can hear the hope in his voice that he has for us.

Give him your time. Dr Couvaras thinks outside of the box and runs any and all necessary tests to find the underlying problem as to why you're not conceiving naturally. He will not toss IUI/IVF your way if he believes there's a chance you will conceive naturally with his help.

Pirmella 1/35 vagionally cycle day 3 thru 10. Prenatal with DHA Vitamin D 20,000IU for 30 days then 15,000IU for 30 days then 5,000IU for 30 days L-Arginine 500mg Vitamin B6 50mg GABA 1800mg Folinic Acid 800mcg Acyclovir 800mg three times per day Heparin 20,000 IU (line 41) two times per day My growth hormone is under producing and he would like to try and correct naturally, my Vitamin D level was only okay, that he would like to increase, and my D-Dimer was very high. Before starting his plan he wants to see my clotting time regulated and has prescribed an antiviral to clear out any toxins that may be in my uterus.

We have not gotten that far in our process. Currently our insurance covers speciality visits with a copay. We will then pay out of pocket for medications and procedures.

IVF Phoenix is full of kind, caring and helpful people. They do their best to accommodate all of your needs and answer all of your questions. I felt extremely comfortable every time I went to an appointment. I think it's encouraging to know that Dr. Couvaras and his team are dedicated to getting to the root of the cause of why you aren't getting pregnant. I would recommend any of my friends and family to see him when they are trying to conceive.

I never felt rushed or like my questions were stupid. Dr. Couvaras took the time to explain everything in detail to us.

Everyone I encountered at IVF Phoenix was helpful and compassionate.

Dr. Couvaras was always kind and courteous. We also answered our questions and we never felt rushed when we were in the office. He always made sure to ask us if we had any other questions before we left.

Be patient but know that Dr. Couvaras has your best interest at heart.

I had a low white blood cell count and Dr. Couvaras put me on a cleanse of vitamins, medications and Heparin shots to increase my count. I was on it for a month and my number went up drastically after the cleanse. All of my other tests came back normal but unfortunately, my husband suffers from male factor infertility and we were told that IVF is our only option.

My co-pay for each visit was $60 through my insurance. The HSG test I had done was around $300. My husband's semen analysis tests were each around $180. All of the expenses added up which is why we haven't started IVF yet since we simply can't afford it. We're trying, by the grace of God, to start a family naturally while we save money to afford IVF.

I love how Dr. Couvaras gets to the root of the cause. The only complaint I would ever have, if any, is that I wish he could do more to help my husband's male factor.

They have 2 offices to help work around your schedule and theirs. Very clean and quiet. There is definitely privacy during your appointments. There is room for your spouse/SO and yourself in each room I've been in. I never felt uncomfortable at either office.

Dr. C spends a lot of time working with his patients as individuals and developing specific treatment plans for specific problems. He tries to find the underlying issue instead of masking the symptoms of the issues.

The nursing staff is very patient and knowledgeable. They try to work with you as much as the schedule allows and help walk you thru the process when you're struggling. I was impressed by their knowledge and skills.

Dr. C spends a lot of time working with his patients as individuals and developing specific treatment plans for specific problems. He tries to find the underlying issue instead of masking the symptoms of the issues. When things didn't go the way we had hoped he spend his valuable time researching a solution to the problem and offered it as something to try. He is VERY knowledgeable in his field of work and makes sure you understand everything he has you doing before you even leave the office and start treatment. By far the best fertility specialist I have worked with.

Be patient. Follow his advice and don't get frustrated right off the bat. Give time for the treatments to work. Have faith in the process.

Dr. C performs lots of blood work and diagnostics to find root causes of fertility issues. He uses supplements based on blood levels and then rechecks to make sure you're in the proper range. He digs deep into your medical history to put the whole picture together. Not just pieces here and there.

For IVF cycle we paid $6750. This does not include FET, medications, or emergency weekend appointments. However it does include the first year of storage for frozen embryos.

The clinic is very caring and Dr. Couvaras and his wife are dedicated to helping others achieve their dream of a baby in their arms. The clinic does struggle with detail and some organization, but it is a very nice office and then do respond in a timely manner.

The initial consultation was almost an hour. Dr Couvaras was very detailed in our initial consultation. Since the first consultation there have been some mistakes that have made us feel less human and like we didn’t matter as much because we are not doing IVF right away.

The staff have all been very nice; however, I did notice that after the one month of treatment when we were preparing for our IUI mistakes were made. I was told to take several medications when I needed to stop them. Another big example is a prior authorization that was supposed to be started so I could take medication on a specific date after our IUI. It was never started and there were no answers as to why.

Dr. Couvaras is very detailed and looks into way more then just the basics my other RE looked at. He looks at inflammation and immune response for a well rounded approach. I do feel like he could have more of a warm bedside manner especially when explaining set backs.

Be prepared for a detailed regimen including exercise and diet and do everything he tells you to a T.

Dr. Couvaras initially started me on Heaparin injections twice daily do to a small clotting factor he found. I also showed a marker for HSV6 virus that he was concerned about so I was taking high doses of Acyclovir in addition to lovestatin and other vitamin supplements. He believed that my immune system was trying to fight something off. I was also out on an anti-histamine diet and specific excercise regimen (between 3-7pm heat rate 140’s). This was for two months leading up to our IUI. We are still pending IUI results.

Our insurance is contracted with this office so after we hit our deductible it was covered by 95%!

I’ve never had a single issue. They are very prompt to respond and I can typically make my apt early in the day so it doesn’t interfere with work. They can be very busy because it’s a small office and has one ultrasound room so there is a wait sometimes. Never more than maybe 10 minuets but they have water and snack so I never mind!

Dr.C is truly amazing. He actually spent the time to understand my history and reassure me I still had options. He is incredibly passionate about his clinic and make sure his staff is the same way. They k is you by name and are just as invested in this process as you.

The nursing staff is so caring you feel like they are there just for you! They have a dedicated number you can text including after hours. I had an issue with a medication and working a few minuets the pharmacy had a call and it was all straightened out. That was 7pm and I never had to worry because I k ew they were there to help. After my retrieval I had daily texts and calls to see how I was doing. This process even for someone experienced can be stressful and overwhelming but the nursing h staff was so amazing I’ve never been so relaxed during a cycle.

Dr.C is just a fountain of knowledge! He makes sure you fully understand all the medical parts. I leave every appointment with a written care summary and plan so I can always look back at what we discussed and what my next step is. Dr.C takes an individual approach to every patient and is willing to try new procedures or approaches based on your need. I have a particularly difficult diagnosis and he reassured me that even though this might be a rough road he believes he will be able to help me have my dream baby. He never makes you feel like you are out of options and will keep trying new things as long as you are willing. That is what what really makes him so amazing!

It took me a few months to get ready for my first IVF cycle with Dr.C I have immune issues so we spent the time to ensure that every thing was as good as can be before we proceeded. He used heparin and antiviral meds to get my immune system in check and increase the blood flow to help with egg quality. That resulted in my best round yet with 17 egg retrieved and 15 mature! Before my transfer we continued with blood thinners, antivirals and intralipids to help calm my immune system.

Dr.C has some of the most reasonable prices around! He know not everybody has unlimited funds or Medicsl coverage. In totalmeds cost about $1700 and the rest of the cycle including ICSI, testing and transfer was about $8,000.

The clinic has two separate locations which is great to be able to accommodate many women in the Phoenix area. There was a time when there were quite a few new nurses on staff which made it frustrating seeing as though I would get incorrect answers to my questions or no answer at all. I'm hoping this is no longer the case and that they have grown their knowledge to help answer simple questions that don't require the Drs input.

I feel like he took the time to help me understand the process of fertility treatments, but with unexplained infertility diagnosis it's hard to feel like he truly knows what will get us pregnant but that's due to the unknown.

Courtney is absolutely amazing to work with and no matter how busy the office is she would always be on top of her game and make you feel comfortable with all the ultrasounds and next steps you might have. Even after taking months off from treatments she remembered me the moment I called back in. Fertility treatments are one of the most stressful things to go through and having someone like Courtney gave me the confidence and courage that I was on the right path to conceiving.

Dr Couvaras is very open to trying new things and keeping updated with new fertility treatments. Before putting me on clomid he tried to naturally get all my levels on track with supplements and a light carb diet. It did help to get many things back to normal, but when it didn't lead to pregnancy he had me start clomid with timed intercourse. That didn't lead to pregnancy so my next cycle we will try clomid with IUI before moving on to IVF.

To give the process time and even though all the check ups and blood work seems like too much to handle, it's all worth it for them to have further knowledge on what might work better the next cycle.

I was on 50mg of clomid days 3-7 along with shots of heparin twice a day from cycle day 1 up to ovulation to increase blood flow to my uterus. I had 2-3 vaginal ultrasounds the first two weeks of my cycle to check follicular development and once 1 or 2 follicles were large enough they would have me do an HCG trigger shot and have intercourse twice that day and once the next day, we had done timed intercourse rather than IUI as my husband SA came back with flying colors . I had done that protocol for 3 cycles which none resulted in a pregnancy.

I had lipids every cycle with clomid which was around $375. I don't recall any other specifics other than spending roughly $8k in total with supplements, appointments, prescriptions and injectables in about 6 months.

We have not gone through IVF at this point, but with my age of 31 he highly suggested just one embryo transfer.

Strengths are clinical expertise, affordability, and flexibility with scheduling. Weaknesses include patient/detail volume management and providing more published/structured whole-person wellness strategies for families going through infertility.

I loved the personal attention I got from Dr. Couvaras, my cycle coordinator, and everyone in the office. I answered neutral to this due to the frustration of not understanding the full picture in language I understood, and getting two different stories on two different occasions about my prescription dosage/orders. It was confusing, frustrating, and I'll never know if my pregnancy outcome would have been different if I'd had more clear instructions.

The nursing staff at IVF Phoenix are very knowledgeable and helpful. I believe the office was experiencing a high-growth phase, and there were staffing limitations. I'm sensitive to people who are overwhelmed or who may be juggling many things - especially when my tendency was to slow down to understand more about the processes and medications. Towards the end of my care, an online portal was rolled out, and I believe it was moving staff organization in the right direction.

Dr. Couvaras is so enthusiastic about the field and the innovations out there - this was inspiring for someone in my position facing DOR. He was knowledgeable, careful, compassionate and thorough. The procedures went smoothly and were painless. I appreciated all that he has done to expand his practice.

Ask for clear instructions in writing all the time, don't be afraid to call and ask for clarification when needed. There's too much on the line.

Dr. Couvaras expressed the importance of ovulation suppression while I took care of other immunology and health issues. I was facing severe depression, and this prohibited progress on my case due to some health markers that would not go up. I was on Lovenox for 18 months, estrace, and supplemented with Vitamin D, EPA, and DHEA.

The egg retrieval and transfer were under $10K.

I only had one embryo to transfer.

Never saw a weakness. Education is evident in the ENTIRE staff. Compassion and empathy are present as well. They knew my name when I arrived. Not many offices do. They were personable, friendly and always had a smile on their faces

He knew me, knew my name, always knew my history and made me feel confident in him, his team and the decisions in my care.

Educated, alert, compassionate, available.

From the first visit and consultation, I knew he would figure out why I could not get pregnant. He was very thorough, and put me at ease. His bedside manner is amazing and his staff was equally wonderful. His communications are detailed and I always left my appointments knowing what was going on. Our result was not what we wanted, but I fully understand why and know that there is a plan going forward. He treated me like a human being when everyone else treated my like a patient. There is a difference and not many doctors know it.

Give him the chance to make things happen. There is a method to his madness and you will be so grateful you did.

I suffer from inflammatory issues, immune issues and severe respiratory disease. His treatment was specifically tailored to me. I was on vitamins and supplements that had me feeling the best I had felt in years. I had great communications if there were any developments or changes in me or the way I was feeling. I was on an anti-inflammatory course to help settle my body down and see if I could get my follicles to develop.

Our costs were off set by some insurance coverage. We paid copays and then additional monies for "non-covered" medications and services. Our first round of injectables was about $1500.00 and I would say we spent about $7000.00 over the course of my treatment.

Dr. Couvaras and his staff were readily available and happy to answer all of our questions. We never felt like an inconvenience.

Everyone at IVF Phoenix is a pleasure to work with. Always friendly, helpful, and available.

I cannot say enough good things about Dr. Couvaras. Before seeing him, our infertility was not linked to any of the common problems (low sperm count or morphology, endometriosis, PCOS, etc.). My husband's analysis was normal, I seemed to be ovulating regularly, and had no obvious issues. I conceived once unassisted but miscarried early on. We then moved on to IUI and underwent 6 unsuccessful IUI treatments. When none of those treatments worked, we decided to consult with Dr. Couvaras. Dr. Couvaras performed a whole battery of tests and determined that we were likely having repeated implantation failures. Dr. Couvaras takes a holistic and more non-traditional view of infertility. I could only find a few doctors around the country who even address similar issues. He started me on a protocol which addressed many issues including high histamine levels, issues in the methylation pathway, low vitamin D, and others, which may have been affecting my ability to implant. I went on a low histamine diet, began daily doses of heparin, and took various supplements and medications. We completed the protocol in 7-8 months. On the second month after completing the protocol we conceived with the use of clomid and timed intercourse alone. I firmly believe that if we had gone to a different specialist, we would have been advised to proceed to IVF without further research. I also believe that since most doctors are not looking at the same immunological and metabolic processes that Dr. Couvaras addresses, that IVF would have been unsuccessful and we would have been left thinking that there were no other options. I am grateful that we ended up under his care and I am 28 weeks along right now thanks entirely up to his groundbreaking research in this field.

Sometimes the protocol doesn't make sense. Sometimes you cannot find a ton of backing for the protocol online. And many times, other specialists will brush off this type of treatment. But those specialists are wrong. Just stick with the protocol exactly, because it works.

Fantastic, personalized attention that is untraditional and outside the box in terms of identifying and treating a patients underlying conditions, so that they can get pregnant on their own.

Dr Couvaras created a customized treatment plan for us. He was very thorough during my evaluation and testing, and identifying all underlying health issues.

The staff was good but could be better. Dr C and his wife are fantastic. I felt at times the staff was not very patient with all my questions on dosing and were short with me during some of my visits. The nurse confused some important info in my chart and had difficulty getting my infusion done. She seemed to be in a hurry to get me out as soon as possible.

From the first consulation, Dr Couvaras spent a lot of time reviewing my health history and creating a custom treatment plan. He uncovered several underlying health concerns and adjusted my treatment accordingly. I did not follow his exact protocol and as a result, we did not get pregnant on our first IUI. However, I committed to the protocol and meds and we were able to get pregnant on our own under his care.

I never went to any other fertility specialists. I spent a lot of time researching infertility doctors and wanted to see the best doctor in AZ. Dr Couvaras is an exceptional doctor that is able to identify underlying health issues that complicate and prevent women's ability to get pregnant. Instead of using a cookie cutter, one size fits all approach, he customizes a treatment plan specific to the individual and does not insist on aggressive treatments like IVF from day one.

I was diagnosed with unexplained infertility and my husbands sperm was normal in count and morphology. He suspected a vasospasm issue; therefore, I wasn't getting proper blood flow to my reproductive organs. I was started on supplementation for that, as well as low-dose lovenox injections twice daily. He suspected activated NK cells and had me do IVIL infusions prior to my medicated IUI. I had low growth hormone levels, so supplementation was added to my therapy. Dr. Couvaras also had me on a strict diet and exercise routine. I also tested positive for some viral and immunological issues, and as put on an antiviral therapy. Due to my age (over 35) my drug treatment protocol was aggressive. I took growth hormone injections, clomid, FSH and then a trigger shot. After the IUI I was on progesterone supplements. The first IUI did not work. The second cycle I cancelled half way through due to a job change. We decided to try Dr Couvaras antiviral protocol, strict diet and exercise, and consistency with vitamins, arginine, and lovenox injections for 3 months and I got pregnant on my own. I strongly believe I would not have been able to get pregnant on my own without his guidance and protocol.

Everything was covered under my insurance until I was diagnosed with infertility. Then almost everything was cash pay until we got pregnant

Amazing clinic! Can't recommend it enough. Compassionate doctor who truly knows infertility and how to tailor his program to each patient. I never felt like I was a number while going there.

Dr. Couvaras and Rhoda his wife are very involved. They both took time to listen to my concerns throughout the process. They were also very good at explaining everything and following up. Dr. Couvaras is definitely a doctor with compassion that takes interest in his patients.

Amazing doctor, he identified the shortcomings in my body that other fertility endcrinokogista never found after years of working with other fertility doctors. His immune balancing protocol helped me conceive my first and seemed to help trigger something within my body that helped me become pregnant with my second child, even though I wasn't under his care for the second child. Both pregnancies he followed me through my first trimester and put me on a special protocol since my condition makes me more likely to conceive. My daughter is extremely healthy, and with my second pregnancy and being over 35, everything looks great and I will be delivering soon.

Just see him!!! Follow the protocol, he will talk about things you have never heard of in the infertility community...but trust him, he really knows his stuff.

The immune balancing protocol that was tailored to my body, I followed it and found out I was pregnant immediately after following the protocol for two months. (Spontaneous pregnancy, we weren't even trying and were about to do an IUI when I discovered I was actually pregnant.). With the second child I followed his immune balancing protocol for several month but did not get pregnant. While on a fertility break but still following most of his recommendations I became pregnant.

As our infertility procedures were 18 years ago, I cannot speak to the current operation of the clinic. When we saw dr. John, he ran a pretty shoestring operation and had a fair amount of turnover amongst the staff.

Dr. Couvaras built a custom plan just for us, based on our medical conditions and our desire for a child.

As our infertility treatments or 18 years ago, I cannot speak to the specifics of the nursing staff.

I have been known to describe John Guevara says that used car salesman of infertility doctors. He is extremely Cocky and Confident, and unafraid to try crazy and untested things in his pursuit of your pregnancy. He's a little unconventional, but he gets results.

Dr. Couvares will recommend you use Heparin to build better uterine lining using this blood thinner. Be aware that it is a calcium robber and we ended up with 22% bone loss at the end of two years of treatment. So in my early 30s, I had osteopenia at a time when I should have had the highest bone density a young person should have.

I remember being treated for antisperm antibodies and using another man's DNA to desensitize me in what I thought was a crazy scheme. We completed 3 fresh Cycles in a year. All or IVF with ICSI. He threw a lot of spaghetti at the wall trying various techniques after our first cycle was unsuccessful. we were able to freeze a number of embryos from the star cycle, but because we had purchased a package plan, we continued with the remaining two fresh Cycles before attempting any Frozen's.The next two Fresh Cycles resulted in a miscarriage and negative pregnancy test. What worked for us was the Frozen transfer of the embryos left over from the first successful retrieval.

18 years ago, we bought a package of three fresh cycles and all the frozen's we could complete until our frozen embryos were used up. The catch was the three fresh Cycles had to be used in the first 12 months. My recollection is we spent about $25, 000.

Small office and you learn the staffs names. I think he puts every patient on heparin daily so don’t be surprised if you get it too. This office will assess issues no one else will and is closest to seeing a reproductive immunologist.

Always saw and spoke with the doctor. The office staff knows your name and is willing to talk to you.