Jacksonville Center for Reproductive Medicine

Timeliness is an opportunity with all medical offices. Jcrm is no different. For the most part they’re on time but occasionally you’ll wait 30-45 mins after your appointment time to be seen. They offer different approaches... not necessarily in their treatment methods but in their doctors personalities. They are all equally brilliant but Dr Fox is more direct and decisive and Dr Lipari is more empathetic and relatable.

Dr Lipari is smart but balances his intelligence with empathy. We have never felt rushed or pressured to take a specific approach.

The nursing staff is top notch. Sabrina and Nicole are outstanding.

Dr Lipari is kind and knowledgeable. Occasionally I feel that he can be indecisive about the direction of our treatment if there are multiple options. On one hand, it is refreshing because he allows you to guide your treatment based on your comfort level... however in times of frustration, I wanted him to allow his expertise to take control and decide for us.

Be open minded to their treatment plans.. i.e. diet and single embryo transfer approach. They have great success rates... unfortunately those rates haven’t been our experience.

JCRP is passionate about regulating sugar in PCOS patients and thus ask you to follow a relatively strict diet. They also approach IVF cycles with single embryos unless you request otherwise. We have tried absolutely everything. From medication and scheduled intercourse to full IVF cycles and everything in between. After 2 years we were successful on our first IVF cycle and gave birth to a baby boy. Since then, we have struggled immensley through miscarriage and negative pregnancy tests but never have we doubted the treatment approach.

Our situation isn’t typical because we’ve been seeking treatment for 6 years. We have received cheaper rates because we’ve had so many unsuccessful cycles. All in we’ve spent over $40K with everything. The IVF cycle we’re about to start costs about $1400 with drugs etc.

We recently did a cycle with 2 embryos after many unsuccessful single transfers in a row. The clinic does not recommend this due to complications with multiples, but will also share that the success rate does not increase enough to warrant doing so. They will however support you regardless of your choice.

I would recommend (and have recommended) anyone to see Dr. Paschall or Dr. Lipari. However, I would not recommend someone to see Dr. Fox. While Dr. Fox is an excellent doctor and surgeon, his bedside manner is awful, and I left his office crying many times. So, I would overall recommend their office with the caveat of only seeing Dr. Paschall or Lipari as your primary doctors. They are a group practice though, and you will have one primary doctor. Throughout your cycle, you will mostly see the nurse practitioners for progress checks. Then the egg retrieval and embryo transfer is left to whoever is on call that day. Again, Dr. Fox is an excellent doctor, and he is the one that trained Dr. Paschall and Dr. Lipari, so he is certainly more than capable, but his bedside manner is not the best. So, something to be prepared for.

She's incredible. She's compassionate, and she really takes the time to connect with you as a patient. After my miscarriage, she held me and cried with me while I sobbed on the floor. I will never forget her kindness.

The nursing staff is overall very good about responding in a timely matter to emails, which is nice. The nursing staff does seem to have a high turnover though.

I love her. She has seen me through so much over the years. My chart is three volumes, so I am no stranger in their clinic. She always spends a lot of time with me, although that does mean I often wait a long time to see her. But she always answers all of my questions. She's so compassionate and really makes sure her patients feel cared for.

Prepare to wait a while to see her for each visit, particularly if you go to the Southpoint office. I have found that she runs more on time at the Fleming Island office.

JCRM as a whole promotes a low carb diet for all of their patients. She doesn't push it quite as hard as Dr. Fox, but she does encourage it.

Monitoring appointments were scheduled first thing in the morning, typically with the nurse practitioners. They were pretty quick appointments, and I was usually in and out within 30 minutes.

They did push me towards eSETs for each one of my transfers (three separate transfers). They explained that their goal was one healthy live birth, not a multiples pregnancy with complications.

The clinic is very clean/pretty. I have been with them since 2014 and their time management has improved SO much in that time! I never wait more than 15-20 minutes total (name called, U/S, etc.). The staff is so friendly and welcoming. I believe they could get more up to date in the latest tests/treatments and even embryology techniques. They seem to be doing the same techniques (besides cryo) they were doing 10 years+ ago. Most clinics have more innovative teams.

He was the first doctor to relate to us. He was willing to try new things even though there aren't many studies behind said treatments/tests.

She would call to let me know results of blood test but didn't put said results in my file, so I had to ask for follow up tests to make sure levels have improved. I had the follow labs done but haven't heard back.

We are in the middle of a frozen embryo transfer cycle (donor egg). He recommended doing an ERA because we had 2 failed transfers with other doctors. We found out we've been transferring 1 day too early! Our previous doctor claimed the ERA to be a bogus test and guessed maybe we now had a sperm issue.

Be honest with him and your concerns. He will be honest in return. Do not be afraid to take his time... he will sit with your for as long as you need.

He recommended an ERA after others didn't. We found out that a Day 5 transfer was too early. We've had 2 failed transfers before. We are currently in the middle of a frozen embryo cycle (donor egg). He also discovered I had a minor case of hypothyroidism, so he put me on Synthroid. My levels are now in normal range, which could help this cycle. None of my previous doctors mentioned this and my levels have always been in the high 2's. I was on Lupron and Estradiol. I am starting PIO tonight for 6 days before transfer and will continue that and Estradiol until told otherwise.

Dr. Lipari recommended the ERA and he let us know the clinical part of the test would be covered by insurance since it is diagnostic. Our previous doctor (same clinic) told us it would be completely out of pocket. We have spent over $70, 000 on treatments since 2013. This cycle with Dr. Lipari has by far been the cheapest at $2,000 since it is a frozen embryo transfer.

I haven't had this experience with him yet.

This clinic was very nice and patient friendly except the nurse Imelda. Every appt that I had everyone there was very nice and helpful even the front staff was nice and polite. They need to make sure that all of the nurses are patient friendly and show compassion. It is already a hard time dealing with infertility but when the nurse shows you she doesn't care, that's when you know you chose the wrong place to spend your money at.

Dr Lipari was a great Doctor and i respect him a lot. I had many issues with his nurse Imelda. She wasn't very patient friendly and she made me feel like we wasted our money. We live 7 hours away and would travel back and forth but she always stated that it is very hard to treat an out of state patient. I feel I did not receive the proper care. It was already stressful going through all of this and she made this the worst experience of my life. She wasn't caring or showing any compassion towards my husband and I. Every time I spoke with her I always ended up frustrated and she never explained anything correctly or where we could understand.

Imelda the nurse there showed no compassion and wasn't really concerned about how I was feeling going through this. She knew I was having a hard time during this process and I was very emotional but she did not care. She also made me know that it was hard to treat a patient out of state.

Dr. Lipari was very awesome, well spoken, and clear on what the plan was for ivf. He answered all questions and was very clear on everything. He showed compassion and was very understanding. My husband and I really liked him a lot.

Make sure when you schedule your appt ask for any nurse but Imelda.

I started one cycle of ivf but the injectables were not helping me produce any eggs but he switched me to a higher dosage and different type of injectable. It helped some but no pregnancy.

N/A

ivf medication $4900.00, ivf insemination $6800.00

Dr. Lipari explained the risks and he also told us he would not transfer more than 3 embryos due to the risks of carrying multiples.

The only thing that is hard is the financial part of the deal. If the staff wasn't so amazing it would be even harder to go back and spend all the money we have each time. I miss them when I'm not in the middle of a cycle. I never ran into a nurse or doctor there that wasn't compassionate or supportive about our cycles.

I always felt like I was their number one concern. Dr. Lipari is very personable and wants to do whatever it takes to get the outcome you came to receive. I feel like he genuinely cares for us and comforted us when we didn't get the outcome we hoped for.

The nurses are extremely friendly and have became like family to me. They would greet me with smiles and hugs which meant the world to me. They would carry on conversations with me and get to know me more.

Dr. Lipari is very friendly, personable, and compassionate. I can tell he really strives to do whats best for the patient and looks out for their health above all. For example our first cycle I had extreme OHSS and he wanted me to get well first before transferring my embryos to give us the best chance at our pregnancy. I'm so thankful he did that because the FET resulted in our son. :)

To ask for him. Tell him what you want and trust him. He is truly an amazing Doctor.

My husband did a sperm analysis and had zero at first. He put him on HCG shots for a year, injecting twice a week. They would check the sperm count every so often and they did go up but not enough to get pregnant on our own. I also don't have regular cycles. We did IVF but then I over stimulated to the meds after retrieving 32 eggs so we did a FET with 2 embryos and Bentley was born in 2014. :) We froze the other 6.In Jan 2017 we went back to try again. They transferred 2 embryos which resulted in a positive test but my levels were low. On March 21, 2017 I went for my first ultrasound to see an empty sac. I was devastated and my nurse held me and cried with me. Both cycles I took: prenatal vitamins, aspirin, metformin, Leuprolide, estradiol, Progesterone, Doxycycline, and Methylprednisolone

They had certain morning hours they did the monitoring. I absolutely LOVE my nurse Nicole so I looked forward to seeing her and didn't care what time my appointment had to be. She would have me in and out with all the information I needed.

IVF Cycle- 6,800 (we did one of those) FET Cycle-1,375 (we did two of those) Meds varied both times because we were on two different insurances each time. The first time we spent maybe $300 for meds and this year we spent around $600 on meds.

My doctor will transfer up to two embryos at a time. I am happy that they do that because we transferred two with my first cycle which we resulted in a singleton birth. They said transferring more than two can have more risks.

I would say ask a lot of questions. Research things on your own, too. Don't be afraid to speak up or clarify something you're not sure abt. Timeliness is sometimes an issue when see Dr Lipari. His ARNP will generally see you before he comes in.

I felt that Sr Lipari really empathized with our situation and my test results. He has very patient and honest feedback and truly took his time to answer all of out questions. He explained everything in great detail.

Marty was very blunt and lacked compassion, in the few times I spoke with her. There also seemed to be a disconnect from what the physicians/providers were telling me and what she was telling me. The new nurse that took her place is much more compassionate and encouraging.

I am extremely confident in Dr Lipari's knowledge and experience. Although he tends to run behind in clinic, he took his time with my husband and me when we saw him. He was very honest, yet encouraging about my diagnosis.

Be prepared to spend a couple of hours at each visit. Also, my personal experience with the staff and nurses/MAs was a little frustrbeen on multiple occasions because I felt like there were several things not communbecause in advance, that should have been. There were also several times in which certain labs tests were not completed when they should have been. It was almost like there was a breakdown in communication between providers and nursing staff. In addition, be prepared to see a lot of different providers throughout your cycle.

I followed same protocol and used the same meds with both mini-stim cycles. Initially I took 10 days of birth control pills starting on Day 1 of my cycle. This was followed by Menopur injections on days ----- and-----. I had ultrasounds during the cycle and triggered with Pregnyl on day ----. The reason there were no changes in cycle therapy for second round is bc I responded well (with ovulation) during first round, but unfortunately did not conceive.

We paid about $11,000 (for surgery, cycle care and medications). My surgery and work up was covered by insurance, but my cycles and fertility treatment was not. My HRA and FHA helped with these costs.

N/A, as we have only completed 2 mini-stim cycles. We are saving for our next step (IVF)

Dr.Lipari is amazing & has helped us move forward with our journey. We love how he handles our stress & questions & don't want him to change! My only complaint about him is his availability. The billing and check out staff need to be more organize and hire more people to handle the work load they have because they are very stressed and don't always seem willing to resolve our questions or concerns. (I've checked out at the front desk & was told nothing was de and when I got to my car they called saying I owed $400.00!! They have horrible communication skills). The billing /front desk staff also needs to be more understanding. Going through infertility treatments can be extremely difficult & stressful. They shouldn't treat their patients like a number & like we don't have any feelings.

Since the first day we met Dr. Lipari (which was at a seminar held at his facility) we felt as if he truly cared about our concerns/feelings & overall care. Everytime we see him he takes time to explain things out to us & makes us feel like we are his only patients of the day. As if we have his undivided attention. He's very patient & kind & has always explained our test results clearly without getting frustrated or annoyed. He's is the first Doctor I've ever met that made me feel as if I truly mattered to his practice. We have gone through a lot in the last few years but we keep moving forward because we know we are taken care of with Dr. Lipari. There are never any surprises and he is always consistent. He follows through.

My nurse, Traci, has been the best nurse I've had at this facility since we started seeing Dr. Lipari. She does her best to get back to us on appts/procedures etc. There have been a few mishaps due to poor communication but eventually got resolved after a few phone calls to the office. Nurce Candace is also very helpful & kind. Only once did she treat me as if I was annoying her & I feel that it was due to how busy they were at the start of the morning. Most of the staff is helpful & polite but it can quickly turn ugly when they get busy/backed up. Which happens often. The billing and check out department is my least favorite area of this practice. The billing/check out staff have given us incorrect information more times than I can count on two hands. Communication is lacking in this dept & has made this infertility journey a nightmare. Some of the staff have been rude & did not get back to us in a timely manner.

He's the first Doctor I've ever met that didn't rush me out the door or forget to answer my questions or address my concerns. He is always very patient & kind. Not just with us but everytime I see him interacting with other patients, he is always very kind. He always gives my husband & I his undivided attention & throughly explains the plans and processes we have to go through. We've had several negative experiences with other staff members including another Doctor at this practice but Keep coming back because of him. He is an amazing Doctor & ive so glad we found him!

None. He is a great Doctor.

We've had several IUI's with other Doctors. We are going to start our first IVF cycle in the next few months. I've been put on many different medications but don't remember all of them by name/dosage etc. (I'm at lunch at work & don't have the information with me).

Insurance didn't cover any ivf meds or treatments. Our appts were covered and we have to pay copays.

The doctor has a multiple offices to help the many patients out there because his main office is Jacksonville but not always a good choice if you live to far away. I think that with the different locations you can go closer to your home and work well with one of the nurses or doctors and you can always see the doctor at the clinic to

I felt like a human because she listen to what I had to say and what I went though with others doctors before I came to see her.

When I would have a question they would answer the question and you can always get a hold of someone when you called the office.

She is very understanding. She listen to what you have to say. Her colleagues would talk to her about how the treatment was going and what needed to be changed in the plan of action. I have learned that they listen to each other because I have seen her when I go to Jacksonville and when I go to Gainesville I see her colleagues who tells the doctor how everything is going and when the doctor comes to Gainesville they talk about what the next treatment plan will be.

That she is a good doctor and that she will listen to you and not treat you like a number and is very understanding.

Some of the treatment was where I took 10 bills of letzole and 75ml of menopur for five days and see the doctor to see how everything was going and we have been doing that for a year now and now the next course of action is to have surgery done.

My insurance paid for most of the tests but the bad thing is that the doctor would have to ask for more days so that I didn't end up paying for anything.

I felt like a human. There's not one person in this office that doesn't greet you with a smile and treats you with respect and dignity.

My nurse Tracy is a rock star! She is very good about responding quickly to my e-mails and will even call me to check on me throughout my cycle. She works very hard and has many patients to handle but once again, I never feel like a number. She always has a smile on her face when I see her. When things don't go as planned in a cycle, she is offering a kind word and reminding me to stay postive and not to get discouraged.

You never know when you meet a new doctor how they will be. If they will have good bedside manner, if they will show compassion or even if they will be relatable. Dr. Lipari meets all of these for me. From the first time we met him he was warm and welcoming. This journey is very hard and can mentally and physically wear you down. Dr. Lipari cares for his patients as human beings and not as a number or statistic and this shows in his great work. There have been times where the cycle has not turned out they way we wanted and every time he sits down with my husband and myself and talks us through what went wrong what went right and reassures us that there is always a different approach. He has to be a busy man but never once do I get the impression he is being rushed or needs to leave us quickly to get to another patient. I really can't say enough great things about dr. Lipari!

The reason you are seeking his help will most likely be for fertility reasons. Just know that sometimes these issues aren't a quick fix, it may take some time.

I did 3 cycles of low stimulation of femara 7.5mg 10 tablets on day 3/4 of cycle with menopur injections of 75 iui for 3 days followed by trigger shot for timed intercourse. We then moved on to the same protocol for an iui cycle that was cancelled due to low sperm count. They would like post-wash of a count of 2 million my husband initial count was only 1 million and once it is wash they said they will get 1/3rd of that. We decided to cancel and move on to Ivf. I did birth control pills for 12 days then stopped received my period 3 days later took 10 tablets of femara. Started taking gonal f 225 iui with menopur 75 iui for 5 days with ceterocide for 4 of those days. We had our egg retrieval and got 6 eggs, 3 fertilized and 2 arrested after fertilization and the other one only made it to 4 cell embryo.

I was working full time when I first started at this clinic. They do have "monitoring hours" and for the most part I would schedule my appointment in that time. However, they were flexible with scheduling afternoon appointments with me when I needed them. It just depends on what is going on that day in the clinic if your going to have to wait long or not wait at all.

Minimal Ivf cycle - $5250 for cycles 1-2 , medicines not included Iui- $1200

The strength is that they are very good in what they do. The weakness is sometimes it can be a really long wait to see the doctor if you need to get in right away, because they are in high demand.

After experience a traumatic loss due to a miscarriage at 5 months, (which is rare). I called to schedule an appointment with JCRM and they were able to get me in right away with the first available doctor whom happened to be Dr. Lipari. Upon my first visit/consultation I was treated with so much respect. From the receptionist to the nurse everyone was so caring and understanding. I didn't feel as if I was alone. I was giving hope that by attending this practice I would one day get my miracle baby. No matter what day or time, the staff is always so helpful and hopeful and willing to go above an beyond to whatever necessary for their patients.

I see the nurses majority of the time, however they are very skilled in what they do, and most if not all have had some fertility treatment done in order to conceive a baby. They are very understanding and willing to listen to the patients.

The experience was inspiring and provided hope. After explaining my situation that my miscarriage was claimed to be due to incompetent cervix he immediately did an evaluation and had test scheduled. Due to my husband being in the military and prepping for deployment we were on a time crunch. Dr. Lipari was so understanding he was able to schedule the appointments within that same week. He didn't provide false hope but rather a sense of understanding. Providing with my diagnoses of PCOS he immediately put me on a low carb diet as well as did a polyp removal surgery. He remembers his patients name and situations, and is very patient and understanding.

To have patience. Each and every person is different. We can't go off what someone else has done or is in the process of doing. Listen to the doctors recommendation.

The very first thing that I had to do was a test cycle run, which once I started my period I had to fall the office so they could schedule and HSG test on day 5. I had to take doxycycline up until the day of testing. Once the HSG was done and there was no blockage I had a test hysteroscopy in which they used to examine the uterus with a camera. Inside that is where they found 6 polyps and I was put back on doxycycline and scheduled for surgery removal on another day of my cycle. Upon removing the polyps I immediately went into BirthControl and took that for two additional weeks to surpress my ovaries for the next cycle. Once we started the cycle I was put on prenatal vitamins and aspirin. Day 7 I took letorzole which helps with follicles maturity. A week later I was administered the HCG shot which helped with ovulation induction. One week later after ovulation induction I was tested to ensure that in fact I did ovulate. One week after that I did a pregnancy test in house. Although it was negative we took the same approach to conduct IUI for the 2nd cycle since my husband was gone.

Majority of my care is covered under the Tri-Care network. However for the IUI I did end up coming out of pocket and that cost was 750 because Tri-Care only covers Natural Intercourse to conceive

This doctor office is very strong believer in natural courses before invasive.

They work with you scheduling very well. I had problems with getting time from work and they were awesome. They worked with us if we had billing questions and tried to get as much coverage as possible by insurance.

Never once did I feel like I was think to benefit his practice. He always took all the time I needed and wanted with me and never pushed me away

Dr Poe was so caring. She took so much time to explain in detail everything we were doing and if there was better ways of it was the best. Why it was, and that we fully understood everything

He took time to go every how everything would work. Why we are were we are today and the things we can do to help. Never made me feel uncomfortable. If I was confused on what he was saying he would break it down for me step my step and explain definition of any words we didn't understand who how they fit into our treatments. When I explained that I was scared or nervous he took time to assure me of the risks and benefits to make sure I was comfortable with everything. When I had extra questions after I was able to call and get the answers I needed.

Have patience and an open mind because if you don't you will not get what you need.

We used about 3 different methods. One or two of them before I had a procedure to help and then after was well.

In the end it can be costly but each fee and procedure did seem to be affordable. We definatly didn't have money set aside but we were able to get what we needed up to the point of my body was not working for us and I have no other treatment options but IVF which we cant afford at this time

I didn't use these services

He has satellite offices so you can do all your monitoring close to home. His prices are very competitive. He does all procedures out of Pensacola. His procedure team is very thoughtful and informative.

Dr Ripps, is very thoughtful and detailed oriented. He goes through your test results with you and gives you all the options you have. He only uses evidence based medicine. He personally calls you when you request it or have questions.

Dr Ripps has a few satellite offices where the do consultations and monitoring. He does all procedures out of his Pensacola office. He has an IVF coordinator, Linda, who is wonderful. All of his office staff are very friendly, helpful and get back with you promptly.

Dr Ripps is very evidence based in his practice. He explained everything ever step of the way. He uses graphs and power points and makes everything very easy to understand. He is also very thoughtful.

He likes to get into the details of every diagnosis and procedure, so if you are a less is more person let him know at the onset of appointment. I could see were some people may be in information overload after an appointment with him :-)

After going through all my test results with me, he was very honest and told me it was going to be very difficult for me to get pregnant with my own eggs. He said to get the most out of our treatments for the money we should go straight to IVF. We did a traditional cycle on maxed out doses of menopure and folostem, we did not get any viable eggs. We then went to an antigonist cycle where I got 5 eggs, 4 fertilized, 1 made it to day 5 that resulted in a chemical pregnancy. I then chose to move to donor eggs. I am currently 5 weeks pregnant.

They are extremely flexible!

He was a good bit cheaper than other clinics in my area

The clinic offered step by step support from financial aid, help in finding hotel rooms for out of state travelers, and convenient appointment times. The staff was always friendly and helpful. The clinic is incredibly efficient and well run.

Dr. Lipari took the time to explain the entire procedure and process of IVF to both my husband and myself, and also included my young daughter in the conversation. He made sure we both understood every aspect of the treatment and took the time to answer all of our questions, even the smallest ones! He was engaging, personable and professional.

Dr. Lipari was incredibly thorough and professional at every interaction. My case was especially difficult since I was being managed from four hours away. I also had recently suffered an ectopic pregnancy loss, so he was especially sensitive to my husband and me during our first IVF experience. He explained every step of the process in great detail, and was incredibly helpful. During the transfer, I was at high risk for OHSS, and was devastated to find out that I couldn't transfer both of my embryos, Dr. Lipari was so supportive and explained that I was such a perfect candidate for an ESET, and my odds were favorable for a successful pregnancy. He made me feel so much better during a particularly difficult day.

Trust Dr. Lipari, his experience and his training. Follow his advice, his wisdom and his staff. He truly has your best interest at heart.

My estimated costs for total minimal stimulation IVF was 6900.

Dr. Lipari favored the ESET for me, in particular, due to my risk of Ovarian hyperstimulation syndrome risks with multiple pregnancies.

the Nurses were very nice and friendly. They have a coffee pot (that is never filled) in the waiting room. We showed up to an appointment on time and their wasn’t anyone there and there were ropes blocking g off the exit from the elevator to the waiting area. All other appointments we waited all long time to be seen. At one appointment we waited over two hours.

We waited hours for our appointment. Sometimes we would be scheduled for an appointment and they would t have our records reviewed. Was never called back to review test results and was charged for a procedure when I was told I wouldn’t be.

Very unorganized. On multiple occasions the nurses and offices staff mixed up our appointments. They also charged the insurance under infertility so the insurance company wouldn’t cover my procedure.

Was late to take our appointment multiple times. He didn’t have accurate knowledge of cost. He acted like we didn’t matter. I felt like we werent given specific communications about procedures for surgeries. We were then charged for a procedure after we were told all diagnostic testing was covered by insurance.

Read all reviews and get multiple options from other doctors.

All we did was diagnostic testing. He flooded my tubes to check for blue cling and we fitted the catheter for the egg transfer. We also did blood tests for hormone levels.

2300.00

N/A

Despite my negative experience with my nurse, I think JCRM is great clinic and would highly recommend it to a friend. Not only is the care really fantastic, but their prices are very competitive and I appreciate that a lot.

I never had to remind him of my situation; he always remembered.

I was not happy with the care that I received from Katrina. I decline to comment further as she is no longer working with this clinic.

Very compassionate and ethical, holding my health higher than other outcomes. For example, insisting on single embryo transfers because of the possibility that my cervix was compromised, which we found out later it was.

Insist on MTHFR screening if given RPL panel, not just homocysteine levels.

We used donor eggs from the very start, knowing from previous bloodwork and failed IVF cycle that donor eggs were my best chance of pregnancy. I followed a Lupron suppression protocol with birth-control pills to prepare for the transfers. Five out of six transfers implanted successfully. I Experienced four losses, the first three likely due to a clotting disorder, possibly related to MTHFR. The fourth being due to an incompetent cervix. Finally upon my six embryo transfer I had a live birth.

An embryo transfer cost roughly $1800, before being prorated for offsite cycle monitoring by around $900. Fresh IVF cycle was about $6000.

Recent research indicates that eSETs are almost successful as multiple embryo transfers. It is definitely the safest way to go. I fully support Dr. Lipari’s practice of eSATs.

The clinic is pretty and well kept. The staff is amazingly friendly. As much as I hate going there I'm never uncomfortable or ignored. Everyone remembers my name! Not sure that's a good thing. The nurses like to learn and I don't mind them using me as an example/teaching moment if it just betters the staff.

I feel he treated me the same way he treated the woman before me and the woman after me. I did not feel like an individual.

I love Traci. Answered messages/emails by end of day if not sooner. She was knowledgeable and answered all my questions. She kept up with Rx refills and follow ups.

Dr. Fox is a nice man, but he is old school. He isn't open to discuss new/trending/innovative treatments or tests. He is all about numbers and statistics and not about taking risks. I just felt that I didn't get the best care for MY BODY and issues.

Don't be afraid to ask questions. Do not assume he knows all.

2 IUIs... 3rd IUI converted to mini-IVF (less meds) due to too many stimulated follicles. This resulted in OHSS and 0 embryos. Mini-IVF #2 (less meds) resulted in 8 eggs and 2 Day 5 embryos... transferred both. BFN. IVF#3 resulted in 13 eggs but no embryos. (also under care of 3rd doctor) IVF#4 donor egg cycle. 16 eggs and 5 Day 5 embryos... transferred 1 (due to age and quality of embryo). Only 1 of remaining made it to freeze. Switched doctors after he claimed "maybe" there's a chromosomal issue with sperm.

It's 99% out of pocket, so basically a year's salary.

If all embryos are high quality he doesn't recommend transferring more than 1 (if under 40) BUT it is up to the couple/female.

I would recommend a better prit ed out literature on everything.

Dr yates was very personable, and felt she genuinely cared about my outcome vs looking at me like a paycheck.She was so excited when more follicles were retrieved than our last count. She called me herself several times with instructions, results, and checking up on me.

Everyone was great.....I felt bad that I was constantly calling them with questions that I had forgotten after being told....and they didn't make me feel bad and we're ALWAYS upbeat

I choose dr yates due to that fact that I genuinely trusted her when she informed us on our success rates vs another clinic that assured me a nearly 70% success. She went over all our obstacles n test results, even though she stated our success rate was a bare minimum ...SHE WAS HONEST AND JUST DIDN'T WANT my $15,000+

In my case it was such a overload of info, once I left I forgot most of it....I would recommend writing it down while shes talking

I was on a antagonist protocol...I believe at the highest doses of gonal 300ui/ menopur 150ui/centricide .she did have to adjust my meds and actually my egg retrieval happend 2 days before schd. Due to my age and low reserve n extreme male infertility. ...her intial thoughts on the cycle were spot on.

10,000 for up to the egg retrieval including anesthesia, pgs, icsi....5,000 meds.

My dr due to knowing I will have little to no eggs choose to transfer 2 eggs.

Strengths, work as a team to get the best outcomes. Give many seminars to help educate the community on many issues causing infertility. Weakness, I haven't had any issues that they were not more than happy to fix and quickly.

Dr Lapari always takes his time with me. He relates to me and my struggle with his own past experiences he doesn't mind sharing. He stayed after the office was closed, after a failed round to talk it through with me. Shows so much compassion.

Imelda treats me like family. I have also cried on her shoulder. She calls me back in a very timely manner. Is always compassionate with me. Handles my crazy mood swings from emotions and hormones very well. We ate getting ready to hear up for another round of ivf and she is already hitting the pavement hard.

He really knows what he is doing and takes his time to make sure you really understand it yourself. Very compassionate. Warm and friendly at all times. Very easy to talk to and has let me cry on his shoulder more than once. Feels like family.

Trust him. Be open, he really cares and you will never feel judged for your feelings.

He used ingectables for both my iui rounds with gangrilex. My low ovarian reserve required that they get my eggs to keep growing. I usually only get 1 or 2 in each round.

Including meds about $6,000 per round. Ivf was with Dr fox same office about $15,000. Meds were a bunch of that. My body takes extra time and meds to respond.

Were you able to get me in quickly. Clean had almost everything I needed at the same facilities. Provided free samples when medications weren't available quickly. Were understanding of my work schedule and we're willing to meet very early or very late. A weakness is it that the Gainesville office is a satellite office for what appears to be the main office or main offices in Jacksonville and Orlando. Any major treatment would happen in one of those locations at least an hour and a half from Gainesville.

Nursing staff was phenomenal. They were available at all hours and came in on weekends to perform treatments without complaint or disagreement. Were very nice to my four year old. Appeared to be almost as sad as I was when I got negative test results.

Has no children of her own. Was annoyed with my 4 year old when he had to visit. Did not seem interested in children. In many cases left me with no hope. Had no idea about cost or options for financing. Did not direct me to someone who could help me with financing.

Don't look for sympathy. Don't look for a counselor. Expect clinical honesty.

Dr. Yates suggested ivi for 3 Cycles and while happy with my egg production did not result in positive test result. Suggested IVF but we have been unable to obtain the finances.

$3000 iui per cycle

The entire team is great! They all know what you're there for and are kind and compassionate!

Dr. Lipari was careful to explain what the course of action was and what he expected of me during treatment. He was kind and extremely compassionate.

Sabrina is very thorough in explanations. I understand she is extremely busy but wish I could receive communication more quickly from her.

Dr. Lipari was compassionate and extemely understanding in what I was going through, including the financial burden of trying to conceive. He's walked the infertility road and so he's able to relate to how you're feeling. He made sure I understood the plan and how to carry it out. He is very adamant about consuming a healthy diet which can seem unimportant but once you start doing things his way, your body responds in amazing ways! His advice and professional opinion have been spot on!

Go in with all your questions, no matter how silly you think they are, he'll answer them all patiently and clearly!

We did letrozole with timed intercourse and a trigger shot to initiate ovulation. He was very clear about instructions and open to any and all questions.

My insurance did not cover anything for my treatment but what I did pay was extremely fair! This office strives to be affordable while not skimping on anything necessary!

Dr Fox seems to prescribe the same treatment to all patients starting with his low carb diet. When I wasn't getting success from IVF, he never even blinked at changing the protocol, which led to more failure.

My nurse was nice and seemed to have good intentions. She was usually available if I had questions or needed something clarified. However, after my third IVF at this clinic, and another negative test, I didn't hear from them at all asking how I was doing or if I wanted to start another treatment. It's almost as if THEY gave up on me. That is when I knew it was time to look for a new doctor.

He does not have very good bedside manner. He will remember you but not what your treatment has been and the results. During appointments with him, he is constantly flipping through my chart to see what was going on, it didn't seem like he reviewed the chart beforehand at all. Appointments with him were consistently hours late.

Be your own advocate and stand up for yourself. If something is not working, demand that a change be made.

They would schedule multiple appointments at the same time (3 people for each 30 minute window). If you weren't the first one at 8am to sign in, you would definitely not be seen until 8:30.

It was cheaper than most. Around $4000 for our first IVF mini cycle. Around $6000 for the second and third cycles. Medications not included and depends on the coverage you have.

Staff have always been friendly on the phone and in person. Clean facility Weaknesses: long wait time, typically there two hours or more. Difficult to get an appointment with a doctor. Unresponsive billing department. Late surgery times. Long waiting time for testing and surgeries. Not enough informed time before appointments to fox insurance issues and renewals.

We were always treated on a personal level looking at our own situation.

They always seem to be available for any questions I have had, quick response, sensitive at appointments and phone calls.

Each visit we would leave the conversation feeling very positive. However there seems to be too much positivity to where we believed medicated cycles would be a sure thing and result in a pregnancy. Dr is very sensitive but does not go over the realistic chance of treatment not working. Once treatment started I did not feel like the doctor prepared us well.

Ask for straightforward answers and diagnosis.

Treatment protocol I responded well to, letrozole, menopur, HCG injection

Insurance has covered treatment so far

N/a

Wait times can be long, but when you are in there they treat you like you are the only patient. The staff is all very friendly and knowledgeable. They were very compassionate through my experience. I love that they treat the whole patient to find out what is causing infertility rather than just producing a baby.

I feel that he has always been honest and forthcoming with info. He takes his time as needed.

She has been available anytime I need her. I can reach her by email or phone and she is always able to answer my questions.

Dr Fox is very straightforward. He is knowledgeable and opinionated based on his research and experience. He is a big believer in treating the whole patient rather than a quick fix. He won’t just jump to IVF unless he deems it medically necessary.

Be prepared to hear about making lifestyle and dietary changes. He won’t be warm and fuzzy.

He did an HSG and hysteroscopy along with a lot of blood work. He then performed laparoscopic surgery to remove endometriosis and a septum in my uterus. While in there he removed fibroids and diagnosed a hernia.

The Jacksonville office is very large. Sometimes, it can feel a little overwhelming. I preferred the Gainesville location.

He always remembered me and treated me and my husband with respect.

The nursing staff at JCRM is very compassionate and caring. They will make sure you understand everything, and if they need to, consult your doctor for further clarification.

Dr. Fox is a very straightforward guy. He tells you the facts without emotion, which can be very valuable in this process (because it can also be horribly emotional for you), but can also be kind of jarring if you don't go into your visits prepared for whatever news might be coming.

Take notes when he's talking to you about treatment, and try not to go alone, is at all possible. That way, if you happen to miss something (as the fertility process can be very confusing) the person with you can help you disseminate the info later.

He prescribed a low carb diet, surgery for the endo, and suggested IVF. His rationale for the IVF was my age and the fact that my endo had gone untreated for so long.

My costs were very high (which is why we were unable to pursue IVF) because of my insurance. I don't believe his clinic charges outrageous prices.

N/A

Strengths - not pushy, will listen to your desires, begin with least invasive procedure, flexible hours, doctors are excellent. Weakness - cost, nurse changes

Great bedside manner, listened to our concerns, never felt rushed

During our year and a half at JCRM I had several nurses covering my case. I was not happy with the nurse instability at the time.

Very informative. Very kind. Discovered endometriosis and removed with excision surgery. I had another abdominal surgery 5 years later and it had not returned. Only complaint would be that we didn't see a doctor at every sonogram, but nurse practitioners were great as well.

N/a

Began with Letrozole - wasn't working so injections were added. Tried 4 IUIs - all unsuccessful. Dr. Lipari suggested Laparoscopy surgery for endometriosis after third IUI. Stage 2 endo discovered and removed with excision surgery. Tried one more IUI - unsuccessful. Moved onto IVF. First attempt failed. Second attempt (with ICSI) successful.

IUIs were about $1500 IVFs were about $10,000 with medications

We all agreed to transfer the 2 embryos that survived to Day 5 due to the embryo quality.