Kutteh Ke Fertility Associates

The clinic issuper busy but they are the best at what they do. They don't mess around with payments and know exactly how much your costs are at each visit and collect them upon your arrival. You can always get someone on the phone. When it comes to lab and ultrasound, you are usually in and out quickly. Only issue is scheduling options for appointments since they are so busy.

Dr. Brezina is so knowledgeable and discussed every step of his plan of care. He is empathetic and welcomed questions and input on plan.

Nurses are friendly but super busy. They always returned calls in timely manner.

He is incredibly smart, on top of the latest technology in reproductive medicine. He was caring and thoroughly explained all of his reasoning when developing plan of care. He also welcomed all questions and input.

Never be afraid to ask questions. He explains well and leaves few questions to be asked but he definitely will "shoot you straight" with the most caring bedside manner if you have more questions.

He utilized every effort to try to keep us pregnant, including heparin which was not clearly indicated. His diagnostic process and workup for recurrent pregnancy loss is thorough.

Our insurance covered 80% of our workup for recurrent miscarriage. We have yet to discuss the specifics of IVF cost, but we are anticipating self pay costs at upward of $15k.

The staff at the front desk are all extremely nice. When you call to setup an appointment or ask questions, they are very helpful. They make sure to tell you up front how much things will cost and what/if your insurance will cover. The office space is very neat,clean, and organized.

Dr.Brezina explained everything to you and made sure that you understood it before leaving his office. He also made you feel like he could relate to your situation by saying things like if my wife and I were in this situation we would do the same thing.

Most of the nursing staff are nice, compassionate, and friendly. There are 1-2 that aren’t as friendly or pretty quiet but that is going to be anywhere you go.

Dr. Brezina is very nice and has a wonderful bedside manor. He can talk fast at times, but he will make sure you understand everything before leaving his office. He answers any questions you may have as best as possible.

Go prepared with any questions you have because he will answer them.

He started our treatments with blood work, ultrasounds, and a semen analysis. I was not having regular cycles at this time. Then when everything was okay with those tests other than a diagnosis of PCOS, we moved on to an SHG and HSG to make sure that my tubes were open. My HSG showed a blocked tube so then we scheduled a laproscopy which showed I had endometriosis blocking my tube that he burned off during surgery and we took a 6 month period of trying timed intercourse because he thought that I should be able to get pregnant on my own after my tube was unblocked. After 6 months and I still wasn’t pregnant, we discussed trying an ovulation induction IUI cycle. We tried the highest dosage of Letrozole/Femara 7.5 mg and after 5-6 ultrasounds, it was determined that my follicles wouldn’t get big enough to do a trigger shot and make me ovulate so the cycle was cancelled. We had a follow-up appointment where we discussed the next steps would likely be IVF but since I had lost twenty pounds and my cycles had started coming back on their own to try for 6 months before considering IVF. We have a couple months before we go back, but so far no positive pregnancy tests yet.

An IUI treatment is roughly $1,000 per cycle.

The entire staff is patient and kind. They each go out of their way to make your experience with them as easy as possible. The receptionists are amazing! They are definitely friendly faces that I look forward to seeing each visit.

Dr. Brezina is a very caring doctor. While he doesn't sugar coat anything, he shows empathy and truly cares about his patients.

The nursing staff always had a smile on their faces and were very helpful during my journey.

Dr. Brezina is very thorough with his patients. He never made me feel rushed or made me feel ridiculous asking questions (and I had a lot of them). He drew pictures and showed me concrete numbers to help my husband and I make difficult decisions. Also, he provided me with every possible option and explained each one so I would understand the risks and benefits of each. Dr. Brezina would laugh and smile with me during our joyous times, and provide empathy during the difficult times in our journey. While the amount of information about the IVF process can be overwhelming, I have never left his office feeling confused about the information he provided. He gave me an adequate amount of time to pray and consider my options before making important decisions. The infertility journey is a difficult and sometimes lonely journey, but having a doctor who you can trust and who cares about you makes the journey bearable. While my journey has not yet ended, I would not consider using anyone else besides Dr. Brezina. I look forward to celebrating with him and his amazing staff in the future with my miracle baby in my arms.

I would tell them that Dr. Brezina is direct but compassionate. He will make you feel safe to based your decisions on the information he has provided.

We started with 2 weeks of Birth control. After the birth control, a blood test, and ultrasound, we began 2 estrace orally. We then increased to 2 estrace orally and 2 vaginally. After another blood test and ultrasound, we began 3/4ml of progesterone shots a day. We also took a steroid and antibiotic prior to the transfer. We added claritin and pepcid a few days before the transfer.

Since I had many surgeries on my uterus, Dr. Brezina suggest that I only have a single embryo transfer.

The biggest weakness at this clinic is BILLING! oh my word. It's a nightmare. They don't return phone calls, they don't get the prior authorizations that are needed. It's truly the downfall of the entire clinic. They need some major help in this department..... second weakness for me would be not really having a particular nurse to go to. Our first nurse who had been there awhile quit, and her replacement is still getting the groove of everything. It's nice to talk to someone who knows your history and story and knows you on a personal level. There has been several instances where I have to mention things that have been a concern in a previous cycle and they have to speak to the doctor again and return the call later. If someone was familiar with your case, it would run a lot smoother.

You don't see Dr. Bailey very often so it's hard to create a real connection with her. You see her at your consultation, after 3 failed iuis, we did a phone consult or IVF since we had just had the meeting about failed iuis, ERA, and mock transfer were the only times I saw her in the 50+ trips.

The nursing staff changes quite a bit. Our nurse, Patrice, was awesome! She kept me level headed and would respectfully put me in my place when my hormones got the best of me (I needed that). She quit following our retrieval and we were without a "nurse" for several months. Ronda the head nurse did the majority of calls during this time. She was good, but you could tell she had too much on her plate. Our current nurse is new to the field, so that's a hard transition for both of us. I have had another doctor's nurse, Don, is AMAZING!!!! Not having one specific person to go to with concerns is very difficult though. It definitely raised my nerves when Patrice left, but I know things like that aren't controllable.

Dr. Bailey is extremely intelligent. She always went over the risks and her recommendations based on research. She followed my insurances requirements for coverage, 6 iuis. She started me at a middle dosage of clomid due my history and changed medications when it wasn't working as well as anticipated. She put me on a protocol to prevent overstimulation or retrieval. Dr. Bailey highly recommended a frozen transfer with a single embryo. I wish she would have told me that the trigger shot used, lupron, made it to where we could not do a fresh transfer if issues had arose and a fresh was needed. Dr. Bailey did listen to my concerns about wanting to transfer two. I appreciated all the visits we had with Dr. Bailey.

To take notes. Dr. Bailey is not available very often, so I wish I would have made notes of everything we talked about and had a list of questions to asks. I would often times leave and think of something and really had no way of asking Dr. Bailey. The nurses seemed irritated when you would ask them questions.

100 mg clomid- triple layer lining but only 6.? mm did not ovulate per progesterone draw, 2 follicles 150 mg clomid- triple layer lining but only 6.? 4 follicles, ovulated per progesterone draw, cycle cancelled d/t risks of multiples 5 mg letrozole 3x- triple layer lining between 6.5-7.9 for three cycles. between 3-5 follicles each round, one cycle cancelled d/t risks of multiples, ovulated all 3 rounds per prog. draw Trial transfer completed inbetween IUI/Retrieval Retrieval: Birth control 9 days prior, fonal f 150 and menopur 75 used added ganirelex after 6 days to prevent ovulation, triggered with lupron 80 units after stimming for 8 days I showed 23/34 follicles at each ultrasound. They retrieve 23 eggs, 19 mature, 16 fertilized, 10 embryos (5A, 2A-, 2B+, 1B-) 7 were 5 day, 3 were 6 day

Everyone gets there during a window of time for ultrasounds/blood work. It's pretty smoothly ran, first come first serve. There's often times a line waiting to enter the building and 20+ patients there at one time. They get you in pretty quickly, but based on how many people are infront of you it may take 20 minutes or 90+

I was quoted 15,000 out of pocket + medications. We had insurance luckily; however, it was a nightmare with their billing department. The billing department told me I could expect 75% back of $6,200. I received $200 from insurance.

Dr. Bailey was very upfront about suggesting eSET. She also suggested a freeze all cycle d/t risks of overstimulation and chances being higher with FET.

Because Memphis Fertility Associates is one of the only fertility clinics in the city, it is very busy, and wait times are long. Getting an appointment is difficult, and It can often be difficult to fit visits into our busy work days. The administrative staff are very friendly and welcoming. They learned my wife's name early on, and greet her warmly by name at every visit. This may seem like a small thing, but this kindness goes a long way, especially as we have found this human touch to be lacking with our doctor and his nurse.

Dr. Kutteh is clearly very knowledgeable, yet his focus is very much on statistics and cutting-edge research. He spends the better part of our consultations citing numbers, calculating probabilities, and sketching graphs to illustrate the stakes and likely outcomes of our treatment. (My wife jokes that during our sessions, he's looking at her and seeing numbers and symbols.) Of course, we understand that this is a necessary part of managing expectations. However, some acknowledgement of the emotional and psychological toll that this process can take would not be misplaced. Ultimately, we've come to accept his lack of warmth, because we have faith in his expertise and the quality of his clinic and lab.

Dr. Kutteh's nurse, Michelle, is always very prompt about returning calls. She has also administered both our IUIs. Her demeanor is professional, although not particularly warm.

Dr. Kutteh is very knowledgeable, and he shares that knowledge (including detailed statistics) with his patients. He is candid and, during each of our three appointments with him, he has given us a good deal of his time (approximately one hour per visit). He is realistic about expectations, and frank about when and why to proceed with specific treatments. Our only complaint is that he does not have a particularly warm "bedside manner"--not strictly necessary, though it would be nice.

If you want / need a no-nonsense, direct doctor, William Kutteh is your man. Dr. Kutteh's research and theory backs up his successful practice. However, if you prefer a warmer approach, then one of the other doctors at Memphis Fertility Associates might be a better fit (Drs. Ke, Bailey, and Brezina).

Full blood panel, after which Dr. Kutteh put my wife on daily Levothyroxin and vitamin D supplement. 1 cycle with 2.5mg of Letrozole on days 3-7, and trying naturally. 2 cycles with 2.5mg of Letrozole on days 3-7, and IUI administered by a nurse. We are now moving to IVF.

IUI cycles are about $550, plus medications and scans, if your insurance doesn't cover them (around $200). The cost of IVF is approximately $15,000 (including medications, procedures, and lab work). If you want extras, like genetic screening of embryos, it can add about $5,000 extra.

Just like most doctor’s offices, the wait time is a little long. We get called back immediately, but we are sometimes waiting for the doctor for 30-45 minutes. We don’t mind waiting for Dr. Brezina, but it is quite lengthy.

Dr. Brezina is so very kind. He has explained every step of the process. He gives us his honest opinion and lets us decide what is best for us. I feel like he actually cares about us as patients and as normal human beings.

The nurses I had for my SHG were so kind and helpful.

Dr. Brezina is very compassionate and knowledgeable. He understands exactly what we are going though and is reassuring that all of our feelings and concerns are valid. He has gone through every process or next step thoroughly and doesn’t mind answering any and every question we have.

Don’t be afraid to tell him your concerns or questions! He has never made me feel like a bother or uneducated.

I came to Dr. Brezina for a second opinion on surgery. He had me do all bloodwork, shg, and a hsg. I indeed had PCOS. He had my husband give a sperm sample, and we found out his numbers were low (400,000). He referred us to an urologist. Dr. Brezina prescribed my husband with 25mg of Clomid 5x a week for 3 months. We came back for a follow up and the numbers improved to 1.9 million. Motility and morphology were also not great. With our urologist, we had the option do have a varicolecetomy to try and raise numbers up. We consulted with Dr. Brezina who made it clear it was our choice what we wanted to do. We talked all the details about IUI (if the surgery worked) or moving straight to IVF. He told us to come back in a week and we could talk more or make a decision. We came back and made the decision to start IVF. Dr. Brezina was very helpful in making a very tough decision! We will be starting in March 2019.

Last year, my deductible had been met, so I do not have costs for the SHG. My copay is $50. We have been given estimates for IVF without insurance. The treatment is $10,126. The transfer is $1,400. Medication is estimated $3500-$5000.

N/A

Billing is a nightmare. If you have insurance beware!!!!!! They run very effiencently and timely. It’s difficult if you ever have procedures they are not planned but should occur on weekend. I couldn’t get a script for Valium before egg retrieval because they wouldn’t call doctor on the weekend (this was suppose to already be done prior)

There were times when you were almost in a cattle line for ultrasounds and bloodwork; however, they are very efficient. There were times when i didn’t get the greatest news, that i wish my doctor or at least my own nurse would’ve contacted me about.

The nursing staff changed consistently during the time i was there. When they would call, most of the time they had no clue as to what was going on other than the information they were suppose to report so it was difficult for them to answer any questions or give advice. It made it really difficult to feel comfortable in the process

She is very intelligent. At times, i felt like i was pushed along without seeing her or having feedback from her. I wish on cycles with bad news or set backs, that i would have had better explanations on how we would change the plan of treatment.

Ask lots of questions when you see her because it’s not very often.

We did several iuis- i did produce good amounts of follicles but they were unsuccessful. Moved on to ivf- used birth control, menopur, gonal f, and ganirelex

7:30-8:30 everyone arrives for ultrasounds and bloodwork. There’s often a line, but they do work fast and it’s first come first serve

Around 12-15,000 with insurance plus meds.

She is very strong on single embryo transfer but she was willing to hear our opinions.

When going to this clinic be prepared to feel like a number and an ATM. Every appointment you have to pay upfront costs and if you have insurance, you will be overcharged at every appointment and have to wait until the end to get any of your money back.

The office is large and doesn't hundreds of cycles a year which means you jump in line and hope the ride ends like you expect. Don't expect to have them alter or tailor protocols to meet your individual needs.

Attention to detail was not a strength of the nursing staff, which is kind of a requirement for a fertility clinic. I had to call multiple times to make sure they received my medical. I asked repeated for my treatment calendar, which I finally got from Dr. Bailey. The nurses would give me scripts for drugs that I was allergic to and noted in my chart. The nurses would only call in medication at the last minute so I would sometimes have to miss a dose because I couldn't get it in time. The nurse failed to give me test results on-time so I had to call my OB to get testing done on-time.

Dr. Bailey met my expectations when returning to the clinic for insurances purposes, but it wasn't done without a lot of push back and headaches. My first consultation and subsequent meetings made it obvious that I was just another patient, as she rarely remember anything from one meeting to the next and never received my medical history before my appointments, which made our meetings pointless.

You may feel hopeless after meeting with any doctor at Fertility Associates of Memphis. Just remember, there is another clinic in town -- Regional One Reproductive Medicine. Always get a second opinion.

My cycle was straightforward since it was a Frozen Embryo Transfer. I started BCP a month before the cycle and then took estrogen pills for two weeks before the transfer. Progesterone injections were added 5 days before transfer.

Our insurance covered our treatment so our out-of-pocket was minimal.

I'm sure Dr. Bailey would have preferred to do a eSET with me having twins my last IVF cycle (and she seems to what to keep that statistic a low as possible), however, our embryos were frozen in pairs and I didn't want to choose which one to implant and which one to refreeze, so we transferred both.

They are very fast, efficient, and the costs are given to you up front. The one complaint is that I see the nursing staff more than the actual doctor. Perhaps that is different for people going through more complicated procedures, like IVF.

During my first few visits with Dr. Ke, he was very straightforward and gave me the facts about the IUI procedure and probability of its success. After my second failed IUI, he once again went into the facts and probability of continued treatment, but he really took the time to listen to my frustrations and give me advice about how to handle living with infertility. I was the last patient of the day and he spent over 45 minutes with me, letting me talk about my frustrations, answering all my questions, and giving medical advice. He also gave personal advice like not feeling guilty about skipping baby showers and offered to recommend a therapist. He really listened to me and saw me as a person with a problem, not an unexplained diagnosis. Though he may have seemed blunt at first, it was clear how much he cares about his patients.

The nursing staff is very kind, compassionate, and personable. They tend to sugar coat things. For instance, my husband's motility numbers were within range but not very high, the nurse told me they were "great" but Dr. Ke told me they were "okay" in my follow-up. I feel like I was given kind of false sense of high hopes for my treatment from the nursing staff, but if the treatment had worked, I probably would have been happy they had been so encouraging. It's a hard balance, but they are kind and encouraging.

Dr. Ke is direct and to-the-point. He explains things well, using facts and figures. He doesn't sugarcoat things or overexaggerate the chance of something working. If a treatment has an 18% chance of working, he will tell you. But, he is also very compassionate. He is willing to answer any and all questions honestly. He also talks to - and more importantly - listens to his patients like we are humans, which is amazing. I guess the one downside is that most of the interactions are with the nurses and staff, but he does review your chart and know who you are when you meet with him for consultation.

Be honest with him and he will be honest back. Also, ask all your questions. He will provide as much information as you ask for.

For my first IUI, we used femara to increase my number of eggs and ovidrel to induce ovulation. We attempted a second IUI with an increase in my femara dose, but I ovulated too early. The next month, we kept the femara increase, moved the ultrasound up in the cycle, and used ovidrel. I was given estrogen after ovulation. Both IUIs resulted in negative pregnancy tests.

The IUI itself was about $600. The ovidrel shot was about $100. A follow-up ultrasound not covered by insurance was $100.

Not relevant to my current treatment

The person that is supposed to help with finances could never answer my questions and left me frustrated. I also have been waiting for almost a year for a consent form to be made for me so we can decide what to do with my extra eggs. I honestly don’t know what she actually does there. Ultrasonography has an outstanding group of ladies as well as front office staff and phlebotomy

Every meeting was as long as we needed it to be. She would call me if I needed to talk to her

I couldn’t have made it through everything without Patrice. She was there to figure out answers to any questions I had and never seemed annoyed. She cried when she gave me my positive pregnancy test news and cried when I lost my baby.

I loved how much she cared. She didn’t let me give up when I felt like I couldn’t take anymore. She was very encouraging. After multiple transfers were cancelled because of lining issues I wish she had listened to me about changing up medications because that is what ultimately ended up happening. It would have saved months and months of heartbreak and frustration.

Come with any questions you have because she will make the time to talk with you.

After cancelled transfers she had me wear 8 estrogen patches at a time and change them out every 3 days to try to get my lining to thicken. After that didn’t work she did 2 ERA biopsies and found what would work for me and we ended up being able to do a transfer.

$23,500 for egg retrieval, embryo transfer, labs, ultrasounds covered until a positive pregnancy (1 cycle)

The only weakness I can think of is not notifying me of my copay prior to my apppintment for my first consultation. However I was scheduled last minute due to a cancellation so this could be why I was not notified. This is an excellent clinic. From check in to check out they have it all together! I couldn’t have asked for better care.

He was very thorough and addressed all of my questions and concerns in a genuine, caring, but honest manner.

They were very knowledgeable and informative. They were very thorough and answered any questions I had. They explained procedures thoroughly. Very pleased with the nursing staff.

He is an amazing doctor. He has a good bedside manner and is very knowledgeable. He was very honest about options and potential outcomes. He was patient and answered all of my questions. He is very thorough. At one point he was concerned I could have ovarian cancer, he immediately repeated an ultrasound in office and referred me to a gynecologic oncologist for work up. He called the physician’s office himself while I was still in office to set up my appointment. Most physicians would not do this. I would highly recommend him. I am confident in his care and know he will give me the best care possible.

You are in excellent hands from the clinical staff to the doctor. They genuinely care about you and will do everything they can to help you. Make sure you call the office prior to consultation so you won’t be surprised by your copay when you check in for your first appointment.

We completed our work up to determine if we are candidates for IVF. We are unable to start IVF at this time for financial reasons so we are saving money and fundraising. All of my cycles with Femara, Metformin, Pregnyl, and IUI were completed at my first doctor’s office.

Consultation was about $300. All of our testing to determine if we were candidates for IVF was less than $1000.

He prefers to transfer one embryo at a time especially for the first transfer due to the health risks that accompany pregnancy with multiples.

I have been satisfied with Fertility Associates. My only suggestion (which I don't think they could do because of space) would be to have a larger waiting area after the ultrasound. When we had hard ultrasounds, it was not fun to be sitting right next to the couple that was oohing and ahhing over their baby's pictures on the sonogram pictures. Some space to spread out would be nice.

Amelia is a fabulous doctor who makes you feel like you are her only patient. She is the doctor that had to deliver the news that I would likely no longer be able to carry. She did this with such compassion and understanding. I was also in the ICU step down unit prior to the operation that she preformed to remove my cornual ectopic pregnancy. She checked on me many time. After the surgery and throughout our surrogacy journey, it has not been uncommon for her to call or text with me encouragements. Her nurse, Patrice, is also fabulous and does an excellent job of answering voicemails quickly.

Patrice is very quick to return calls, answer questions, etc.

Amelia has the perfect balance of compassion while still explaining all of the risks. She makes sure that you fully understand the next steps and is very patient when explaining procedures etc. As her patient, I never doubt whether I am receiving the best care and attention. I fully trust her judgement.

What are you waiting for? Book your appointment now.. she can take a little while to get into.

I came to Dr. Bailey after experiencing 3 ectopic pregnancies. The first resulting in the loss of my right tube, the second being a ruptured ectopic pregnancy, and the third being a diagnosed cornual ectopic pregnancy. My regular OBGYN diagnosed it and referred me right over to Dr. Bailey (I had done IVF out of town at a different clinic). Dr. Bailey was honest about what to expect and tried to treat with methotrexate. I was closely monitored and then when it was determined that the methotrexate was unsuccessful, I was admitted to the hospital for open surgery to remove the pregnancy and the upper right corner of my uterus. Post surgery, Dr. Bailey recommended to move forward with surrogacy. We are preparing for our first transfer at the end of October.

While my surgery was covered by insurance, all of our surrogacy bills will be out of pocket.

For our case, she recommended a SET.

I think that the dr staff is very qualified and knowledgeable. I think my biggest concern was the cost. There were no discounts for multiple treatments. Also the billing staff took very long to get back to us. I don’t like how they don’t refund credits on the accounts automatically when you aren’t in a cycle. I also think they overbook. Patients’ time is valuable also.

I felt like a human because Dr Brezina seemed genuinely concerned about our care. Sometimes I felt like a number with his staff and with him not giving us his true opinion of what we should do. He let us make the decision but I felt like maybe it wasn’t always the right decision. Almost like he wanted us to do a cycle just for the money.

I understand that the nurses see dozens of patients every day but some could be a little more compassionate. Some days I felt like I was on an assembly like. Also, I don’t understand why they didn’t do a guided IUI to make sure the sperm was being injected at a good spot in my uterus.

We felt like he was a very compassionate doctor. Like he truly wanted to help. He could see that we really wanted to conceive. And think this may have been the down side. Him knowing how we really wanted this, I think maybe we shouldn’t have done some of the cycles but he did them anyway.

Just make sure to ask him for his honest opinion even if it is against your desires.

If I remember correctly the first cycle was a luteal lupron protocol and the second was antagonist. Some of the medicines I took were birth control, ganirelex, menopur, clomid, crinone, prednisone, and pregnyl, along with fertility vitamins and estradiol.

It was a cattle-call, but it was early in the morning and more convenient for me. Even being open on weekends was helpful.

There was no specific breakdown of what each procedure costs. That’s one thing I didn’t like. It was like a packaged deal. The cost is the frozen transfer was not clear and a lot more than I expected. After 4 IUIs, 2 IVF retrievals and 3 transfers, you’d think that some discounted rates would be offered. I know for a fact that some patients are given discounted package prices because a couple I know was given a 50% discount after the first cycle failed. We were never given such a huge discount. The cost is so expensive it seems that there is more the doctors could do financially to help patients

Each transfer except the last was multiple embryo transfers. On the second transfer I think we should have transferred all three embryos instead of two and then coming back and transferring a single embryo. This is because the first cycle was unsuccessful and the doctor was already concerned about the egg quality. So why not just transfer all three on the second transfer instead of doing a third transfer that costs us more money.

I think the clinic itself is lovely, in terms of its aesthetics. It runs relatively smoothly, and we rarely wait for long periods of time. The layout is convenient, so that you can easily go from clinic room to US room to labs, which are all close together in the same space. The front desk staff are hit or miss - some are terrific, and some come across as disorganized and disengaged.

Dr. Brezina is an extraordinary physician, and an even better person. He has treated my husband and myself as if we were his family. He makes us feel like he cares genuinely about us, and he spends as much time as we need to help us understand and process difficult information and make difficult decisions. He personally calls us to explain complicated test results, and he has corresponded with us over email to ensure optimal transfer of information. We had a very complicated situation with our last cycle, in which we transferred our last remaining embryo, and it actually split on its own and we had identical twins implant. We were ecstatic, but then I had an intrauterine hemorrhage and one of the twins died, and we were devastated. Dr. Brezina suffered along with us, and his compassion and bedside manner were outstanding. In the spirit of full disclosure, my husband and I are both physicians, and I do research in the field of physician-patient communication - so for us, communication is a very important aspect of medical care. Dr. Brezina has exceeded our expectations in this area, and for this we are very grateful to him.

We have had mixed experiences with Dr. Brezina's nursing staff. Some have been organized, kind, and competent, and others have been quite the opposite. We caught a number of errors in several of the nurses' instructions to us (e.g., doses, protocols for administration of medications, when to schedule visits, etc), which resulted in fracturing of our trust in the overall nursing staff. However, I will say that, when we shared these experiences with Dr. Brezina, he was incredibly receptive to constructive feedback and he took it very seriously. Our comments were discussed with all of the physicians and nurses in the clinic, with policies implemented in an effort to improve the system. So I give Dr. Brezina a lot of credit for his proactive efforts to identify issues and improve the overall care provided by the practice.

In my prior response, I have already shared details with regards to our high estimation of Dr. Brezina as an outstanding communicator. We have faced a number of sad situations, including the loss of one of our babies, and Dr. Brezina has always responded with deep and genuine empathy and presence. I think it is also important to share how much we respect and admire Dr. Brezina's fund of knowledge and his clinical acumen. Since I and my husband are both physicians, we have high expectations for the physicians in whom we entrust our medical care. Dr. Brezina trained at Johns Hopkins, and his knowledge and clinical judgment are outstanding. He never appears to be following an algorithm by rote; rather, he takes the time to familiarize himself with the details of each case, thinks outside of the box, and is willing to share his honest reflections and recommendations with you. He has mastered the art of active listening, and he remains self-confident while also humble and open about what he knows and what he does not know. I could not admire Dr. Brezina more; he is the best physician with whom I have ever entrusted my own medical care, and one of the best physicians whom I have ever known.

Trust him.

I am embarrassed that I know few details; I made an intentional choice to remove myself from these details, because I worried that I would try to micromanage my own medical care in the context of my medical degree, while having zero actual expertise in RI. But this is what I remember. We had a failed IVF with a prior doctor, which was a truly horrific experience. When we switched to Dr. Brezina, we decided to start with an IUI. However, when my husband gave the sperm sample right before the procedure, we learned that his sperm had no motility, which was attributed to cross-linking of the tails secondary to an anti-sperm antibody (based on gross microscopy assessment). We went ahead and did the IUI procedure anyway, since we had already paid for it and I had already done the whole hormonal prep - but it was a failure, unsurprisingly. We then did an IVF (ICSI), and we opted to do a frozen cycle, because this would allow for higher doses of hormones in an effort to get more embryos to freeze (this decision was based off the fact that we had fewer eggs than expected retrieved during the first IVF cycle). They had expected to retrieve 15-20 eggs, but we ended up only with 9. We had 5 that fertilized, and only 2 that matured to 5-day embryos and were frozen. Dr. Brezina strongly advises using 5-day embryos, and we agree with his rationale for a variety of reasons. The first frozen transfer resulted in a chemical miscarriage. The second frozen transfer ended up splitting into 2 embryos (seriously, what are the odds?! Actually, I know that the odds are <<1%...it was an extremely rare event). I had an intrauterine hemorrhage at around 6 weeks, and we lost 1 of the twins, which was heartbreaking. But we were so blessed with the birth of our daughter in 2016, after years of trying to conceive. We are now hoping to do another IVF cycle next month. Unfortunately, my repeat labs show decreasing ovarian reserve, so there is urgency to proceed with this cycle, as well as poorer odds of success projected...but we are still trying to be hopeful. We are planning to do another frozen cycle, followed by transfer.

This is a painful topic...I have tried to block it out. When we did our first IVF cycle, although it was a horrible experience, it was largely paid for by insurance because we lived in a state in which IVF was mandated for coverage. In our current state, however, IVF is not covered at all by insurance. So we have done IUI, a frozen IVF cycle (retrieval), ICSI x5 embryos, storing 2 embryos, and 2 frozen transfers, all out of pocket. I honestly don't know exactly how much that all cost...probably $25,000. Possibly more. And are about to do it all again, which is a huge financial burden that we cannot afford, since we have a total of ~$500,000 in student loans between my and my husband's medical training. Thankfully, my parents are so kind and are helping us, otherwise it wouldn't be possible.

Dr. Brezina is supportive of single or double embryo transfer, but he recommends eSET. I am a pediatrician, and I have years of experience caring for preterm infants in the NICU, which has significantly informed my preference for eSET. As much as I would so so love to have twins, I do not think I could live with a decision that increases the risk of premature delivery and its associated morbidity and mortality risks.

There is typically a short wait time, the waiting room is clean and the front staff courteous and helpful. It is very organized—the lab, nurses, sonographers, front desk, and MDS all seem to communicate and work together well getting pts seen

Our doctor often calls us personally to explain things and if he doesn’t feel he can adequately explain over the phone he will have us come in free of charge to make sure my husband and I understand what our plan of care is

The staff is very knowledgeable even the sonographers can answer any of my questions which is helpful because I see them more than I see the nurses due to frequent ultrasounds

He is very smart but is able to explain things in such a way that my husband and I can understand these intricate processes taking place. He doesn’t keep us waiting during appts and is methodical in his process of planning our course of treatment

Be honest, if you don’t understand something ask him to repeat it or explain it in another way

Our first cycle we planned to do IUI but the transfer date fell on thanksgiving and the office was closed so we timed intercourse and fell pregnant—i had unusual bleeding and he followed me very closely until it was discovered to be an ectopic pregnancy. He gave us the option of taking methotrexate or having the tube removed—explaining the pros and cons of each. We elected to remove the tube. We tried IUI again a few months later which was unsuccessful and we make the desicion to move onto IVF; assuming that our best tube was the one that had been removed. We worked through the routine protocol for IVF which yielded 12 follicles/6 eggs/3 five day blasts. We froze those to let my body recover prior to transferring them. He also told us he typically sees a slightly higher success rate with FET vs fresh. We elected to transfer one embryo (to avoid the risks associated with multiples). That cycle failed and our next cycle he added Lupron and changes from oral estrogen to vaginally estrogen, telling us that it is typically absorbed better vaginally also Lupron was to keep me even more suppressed than I had been to eliminate that variable. Everything looked “perfect” the week before transfer but I contracted C-diff and we decided to cancel the cycle rather than risk my embryos. We are currently waiting to start another cycle but our plan is to repeat the protocol from our previous canceled cycle

It is very efficient. They have some women getting lab work while others are getting ultrasounds to keep people moving and get us out quickly

Egg retrieval was about $15000 including ultrasounds and lab work. Meds were about $5000

He advised us to only transfer 1 embryo our first cycle as there are several risk factors for mom and babies with muptiples. Our last two embryos were of average quality and we were advised to transfer them both together to increase our odds

A strength is definitely the wait time. It’s basically nonexistent. They are very efficient. I have had to wait a time or two when meeting with the doctor in person but for any other reason it’s very quick. As a new patient it’s important to know blood work can be done anywhere! I live over an hour away from my clinic so I hated going just for blood work. I wish I had known upfront it was an option to do it at my regular doctors office.

Dr. Bailey made me feel like her best friend from the moment I met her. After each treatment she called to leave me a message of congratulations and good luck. It’s the little things that she does. She also made herself very relatable by sharing her experiences.

My nurse was Patrice. She is one of the nicest people I have met. She answers all my questions and returns every phone call. She even walked me through how to set up my first injections over the phone. The women who preform ultrasounds are also very caring. I see them more than most people due to the number of ultrasounds I require. They are discreet when performing the ultrasounds and gentle. Very appreciated! I have yet to come into contact with an unfriendly nurse.

One of the things I appreciate most about Dr. Bailey is that she understands I am a self pay patient. Therefore there are no nonsense meetings. We only meet when it’s to discuss more aggressive treatment options. The first time I met Dr. Bailey I was coming from a clinic where the Doctor didn’t know what to do next. Dr. Bailey had a game plan with multiple options and prices. She advised and let me choose which direction to go. She also shared personal experiences and made herself very relatable. After my first IUI she called to congratulate me and wish me good luck since we had a hard time getting my periods and then eggs to cooperate. It was a process and she was genuinely happy for me. It’s a phone call she didn’t have to make with her busy schedule. I have never felt misguided by her and I always leave complete informed.

Go in ready to take notes and ask questions. She will give you a lot of information and likes open discussion.

Each ultrasound was around $130. My IUI cost just under $600 (not including medicine). My husbands sperm wash was around $500.

The clinic will call ahead most of the time to let you know how much you owe at your next appointment. You will set up everything else through your nurse or at your appointment. You will have to wait to see the doctor for a while, but if you’re just there to get bloodwork or an ultrasound, then they will get you in and out quickly.

Dr. Kutteh, his nurse, and the ultrasound techs knew our case, our concerns, and were very thorough in making sure we felt heard and were informed about each decision we made.

My nurse ALWAYS called me back within an hour if I called her. She also always called to inform me of my next steps at every stage of our treatments.

Dr. Kutteh is very knowledgeable and experienced. I appreciated his candidness at each stage of our fertility treatments. He was also willing to give us options and let us decide what treatment we wanted to do next. While he did not have the most comforting bedside manner, he was compassionate and understanding of my fears and feelings. I always appreciated his expertise in the field of recurrent pregnancy loss and infertility, so I felt like I was in good hands simply because of his vast knowledge.

He is very factual and will thoroughly review your file at every visit. If there is anything that concerns you, just bring it up and he’ll listen and address it.

IUI #1 - 2.5 mg Letrazole IUI #2 - 5 mg Letrazole IUI #3 - 5 mg Letrazole Egg Retrieval - 250ml Gonal-F, Cetratide, Lupron trigger shot, doxycycline, steroid Transfer - 75ml Progesterone in oil, 2 pills of Estradiol then up to 3, progesterone suppositories (all taken until 10 weeks of pregnancy), Valium (morning of transfer), “couch”rest for 24 hours

The overall cost for an IUI was $497, but that did not include ultrasounds. The cost for the entire IVF procedure was laid out in very clear terms. With the ultrasounds, procedures, doctor’s fees, and meds, ours cost around $15,000.

Dr. Kutteh advised us to use one embryo based on my age (31) and the quality and number of our day 5 blastocysts. We trusted him and didn’t want to have multiples.

Overall their staff is great. I’m not a huge fan of their front desk people but it’s not the end of the world. The people who draw your blood in the back are amazing and don’t seem to hurt at all. Their ultrasound techs are good too.

I believe in looking at numbers and sometimes myself I get caught up in the numbers because I am a nurse and you do spend so much time using numbers to help determine a plan of care but I also believe that doctors and nurses should be an advocate for your patient. I have a low amh and slightly high fsh and I believe they want to push donor eggs on me more than me trying to use my own eggs. I want a doctor who will tell me not to give up on having a baby with my own eggs until we exhausted all options. I am learning through this journey I have to be my own advocate.

My nurse is nice and I have spoken to one other nurse when mine was gone already and she was very nice too.

I believe Dr. Kutteh is very smart and compassionate about his work and helping patients achieve their goal of getting pregnant. I was disappointed that when my 1st ivf cycle was canceled and changed to an IUI that he didn’t want to meet with myself and my husband to discuss a new plan and protocol. He did call me on the phone and we discussed it but I think that is something that needs to be done in person.

You have to be your own advocate. Do your own research as well.

My first ivf cycle I did 75 or menopur and 275 of gonol f. I made it to day 6 of stims when my cycle was changed to an IUI. They only found one follicle on my right ovary and the ultrasound tech said she couldn’t find my left ovary. (Which I have, it had never been removed). On day 6 my estrogen dropped and the said my progesterone was over one so they knew I would ovulate that follicle. I took the trigger shot at 5pm that night and the next day we went in for the IUI. When I finally talked to Dr. Kutteh over a week later he said he knew this was a possibility because of my numbers. We all knew going in to this I might not respond well. So this time we will be doing the Schoolcraft protocol with Lupron.

I think we paid them close to 10,000 for our first cycle not including meds or what we would have paid for the retrieval or transfer since we didn’t get that far. The money we didnt use we have as a credit for our next cycle.

We haven’t made it to an egg retrieval yet but I do believe if the patient wants you to transfer two embryos then they should. The patient should be able to have a say in that decision.

The clinic is very clean and organized. The clinic was very quiet and peaceful. The only complaint we had about going to the clinic is that we were not informed at the time we booked the visit that the fee of the consult would be $300 expected to be paid before the visit. This was not a problem for us but for many families I feel this is something that you should know ahead of time.

He was awesome. He came in and was very helpful. He made sure all of our questions were answered and that we understood everything he said. He shared that he and his wife also had to do IVF and was very supportive of our case and very enthusiastic about our chances.

The nursing staff was so friendly and compassionate. I am a nurse and know how hard it can be to always have a smile on your face but you can tell this staff loves there jobs. They were awesome.

Dr. Brezina was amazing he helped calm our nerves immediately. He shared that he also went through IVF with his wife and showed that he knew the road we were on. He explained everything in ways we understood and was happy to answer. All of our questions. He asked multiple times if we had any questions during our initial visit and made sure that we understood the things we were told.

Go in ready to answer all questions. He will ask several about your past experiences and you should be prepared for the next steps as he wants to know what you are looking for.

The initial visit was $300 which was ok. The prices qouted to us by Dr. Brezina were around the national average and what we expected.

The clinic is warm and I like the idea that there is a small partition in the waiting area for patients which prefer privacy. The clinic is very welcoming in general and the equipment and furniture is not warm. I am not aware of any weaknesses. The facility is in a well maintained building and the clinic is clean. New patients should go online to complete the new patient forms in advance because there are quite a few of them so, completing them during an office visit could be time consuming.

I felt like a human because Dr. Kutteh was very through in explaining my case and he was open for questions which could arise. During each visit, he always inquired as to whether I understood the information which he provided.

The entire support staff was great including the phlebotomist. They were patient and empathetic as well.

Dr. Kutteh performed two procedures on me including a myomectomy prior to beginning my reproductive attempts. I felt confident with him as a doctor because of his years of experience as well as his knowledge. He was very blunt in providing information to both my husband and I so that we would be aware of a best course of action to take.

I would advise the prospective patient that they are in good hands with him and to remain positive throughout their treatment.

During treatment I think that I was on protocol 5 whereas I would take 2.5mg of Letrozole of cycle days 3, 5, and 7. In addition I took 75 mg of Follistim on cycle days 5, 7, and 9. Ultrasound was on day 10 and the nurse called me the same day as the ultrasound with instructions on when to take the trigger shot and the appointment time for IUI.

I do not recall the exact cost of each IUI cycle because I used donor sperm so additional fees were required to store it and count the sperm.

I have not had an IVF cycle.

They have a long waiting list because they are popular and very good at what they do, but they do return phone calls in a timely manner, even after hour phone calls on the weekend if you have an emergency. No question is too dumb for any of the staff, I really love their supportive manner. I would not go anywhere else.

He is fair but thorough, and does not give you false hope. If something doesn't work the first time, he moves on to the next best option in order to get the results you want. Because my IUI failed, we will be pursuing IVF as it is unlikely that IUI will ever be successful because of endometriosis/unexplained infertility.

During my IUI cycle, Dawn could not have been more compassionate and encouraging or hopeful. She also made sure to go over specific numbers or values and what they mean in relation to your reproductive health as well as your partner's reproductive health. That really helps me to understand a large part of this process and have a calmer head on my shoulders.

I was referred by a friend to see Dr. Brezina and couldn't be happier. After years of depression and sadness from infertility, I feel like I am finally on my way to getting some answers and possibly adding to my family. I wouldn't use any other doctor.

He is fair, but he doesn't sugarcoat things. He is honest and wants to ultimately make there that you thoroughly understand everything going on with your treatment.

Because of unexplained infertility and suspected and endometriosis, first we proceed with caution, but with a sense of reality because we knew that there were other underlying an unknown causes accompanying the infertility. If the IUI did not work, we thoroughly discussed other options which included birth-control leading up to IVF and possible removal of endometriomas if indicated after three months of birth control. I am so glad that there is a specific plan lined up for me, he seems to be a great ally in getting the results that you want.

My IUI cycle was about $600, but now because we know IUI will be unsuccessful and we are pursuing IVF, there is no telling how much that will cost, and I do not want to be hit with sticker shock.

Fertility Associates of Memphis is a busy clinic but I never felt like a number. They treated me and my spouse as the individuals we are. Even when I was tired of going in or not looking forward to a test, I enjoyed going there. We were there to be successful and the gajillions of baby pictures prove that.

Dr. Brezina was considerate and caring. He presented information in a clear and easy to understand way.

The nurses are caring and professional. They answers my questions quickly and guided me through a confusing mishmash of terms and procedures and drugs with grace.

While I didn’t see Dr Brezina very often (because he took over from another doctor who went out on leave), he was a great doctor. He was warm and caring and always answered my questions. He’s exactly what you would want in a fertility doctor-caring, competent and dedicated to helping you have a baby.

Bring a notebook to make notes and keep track of questions that arise.

We tried for three cycles with just drugs and got no results. I was ovulating (a big part of the challenge with my PCOS) but I had what was called “unexplained infertility”. Dr Brezina explained that we could go on with more drug-only cycles but if it hadn’t worked in three cycles, the odds just decreased from there. So I continued with a regiment of letrozole days 3-7 and a trigger shot of ovidrel when I had a mature egg while trying the new-to-me IUI. I got pregnant on my first IUI cycle.

The cost for the IUI was between $500-$700 including the initial ultrasound, the trigger shot, processing of the sperm and the IUI itself.

There are not many options in Memphis, so you have to deal with the clinic. Dr. Bailey is worth dealing with the staff. The front clerks were always very friendly, but nurses and people in the lab weren’t so great. One ultrasound tech was great, but the other was so rude and cold.

Dr. Bailey always took the time to answer our questions and made us feel at ease. I really felt her compassion for our situation.

I did not have very good experiences with her nurses. She had several in the two years that I received treatment. They seemed inexperienced or not very compassionate - almost robotic. This was a very sensitive and stressful situtation and they at times seemed too robotic. I complained to her directly several times.

She was amazing. I hope we don’t have trouble conceiving another child, but if we do, I feel comforted knowing that we could go back to her. She followed up with her with personal phone calls, had a great sense of humor and explained everything so we could understand it.

Trust what she tells you. She is the doctor with experience. Don’t listen to “Dr. Google”.

We ended up doing 4 IUIs and then moved on to IVF. We had two frozen transfers. The first transfer resulted in a chemical pregnancy. The second resulted with out beautiful daughter. We had typical protocols - we did have a break in between one of our IUI cycles due to my uterine lining not thickening up enough, but she adjusted the medication. Every IUI cycle always looked “text book”, but we didn’t get pregnant. With PCOS, I think “typical” protocols were used.

IUIs were about $1,000 each, egg retrieval was about $15K and each transfer was about $3K. Not to mention all of the medication.

Dr. Bailey said that due to my age and diagnosis she recommended single embryo transfer. I wish I would have pushed to transfer multiples, but I trust her and would have listened to her again.