Missouri Center for Reproductive Medicine & Fertility

Available Resources

Genetic counseling: Offered
Genetic counseling
Acupuncture: Offered
Acupuncture
Mental health counseling is not offered: Not Offered
Mental health counseling
is not offered
Nutrition counseling is not offered: Not Offered
Nutrition counseling
is not offered
Administration of shots: Offered
Administration of shots
Coordinating at-home nursing is not offered: Not Offered
Coordinating at-home nursing
is not offered
Selling medication is not offered: Not Offered
Selling medication
is not offered
Providing backup medication is not offered: Not Offered
Providing backup medication
is not offered
Columbia
500 N. Keene Street
Columbia, MO 65201
(573) 817-3101
On a scale from 0-10, how likely are you to recommend Missouri Center for Reproductive Medicine & Fertility to a friend?
Strongly recommend: 73%Don't recommend: 27%8.2
6 assessments
  • 73% Strongly recommend (9-10)
  • 0% Neutral (7-8)
  • 27% Don't recommend (0-6)
Operations
Poorly operated
Operated well
8.5
Operations

Ratings of 1 indicate that a clinic was poorly operated.

Ratings of 10 indicate that a clinic operated very well.

Scheduling
Difficult scheduling
Easy scheduling
8.8
Scheduling

Ratings of 1 mean it was difficult to schedule appointments with this clinic.

Ratings of 10 mean it was easy to schedule appointments.

Billing Department
Incompetent billing dept.
Competent billing dept.
7.3
Billing Department

Ratings of 1 indicate an unsatisfactory billing department.

Ratings of 10 indicate an excellent billing department.

Nursing Team
Poor nursing team
Excellent nursing team
9.4
Nursing Team

Ratings of 1 indicate an unsatisfactory nursing team.

Ratings of 10 indicate an excellent nursing team.

Attention to Detail
Low attention to detail
High attention to detail
7
Attention to Detail

Attention to detail is on a 1 - 10 scale, and is scored based on the rate, and severity, of errors committed by the clinic according to the patients.

For example, a severe error might be failing to inform a patient of critical information, while a small error might be failing to call a patient with results.

CDC Success Rates

This is the most recent data from the CDC. The CDC cautions that it should not be used to compare doctors and clinics.

For more information please see our FAQs.

Where you see a “?” on the chart, a clinic has done fewer than 20 cycles in this category and age range, so the CDC says showing percentages from this small data set would be misleading and unreliable.

Live births per fresh IVF cycle by age range
10%
20%
30%
40%
50%
60%
<35
35-37
38-40
41-42
>42
This Clinic
National Average
Annual Cycles for this Clinic
?
Annual Cycles National Avg.
635
6 assessments
10
Age
33
Treated
2018
Success with this Doc
Yes
Treatment
5 IUI
Diagnosis
Recurrent Pregnancy Loss, Endometriosis, PCOS
10
There was a newer front desk person, Vanessa maybe, that didn't seem to have any answers whenever I called to check in [at MO Center for Reproductive Med]. Maybe that has since improved. I preferred to email the nurses directly. They have expanded their providers, which is great, due to the need for this medical experience in the area. They were usually very punctual and the clinic was clean and comfortable.
+ Read more
Age
33
Treated
2018
Success with this Doc
Yes
Race
European
Income
$100K - $199K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
1st of 2 Docs
Treatment
5 IUI
Diagnosis
Recurrent Pregnancy Loss, Endometriosis, PCOS
10
Describe your experience with Missouri Center for Reproductive Medicine & Fertility.
There was a newer front desk person, Vanessa maybe, that didn't seem to have any answers whenever I called to check in. Maybe that has since improved. I preferred to email the nurses directly. They have expanded their providers, which is great, due to the need for this medical experience in the area. They were usually very punctual and the clinic was clean and comfortable.
During treatment, were you treated like a number or a human with Danny Schust at Missouri Center for Reproductive Medicine & Fertility?
Dr. Schust was not only very intelligent and knew all of the most current research based evidence, but he spent so much time with us on our initial visit and I never felt rushed at any appointment. He drew diagrams, he answered all questions, and he even made it a point to help me feel less guilt over my miscarriages. His calm demeanor and bedside manner were top-notch and I felt like he had a true passion for his job.
Describe your experience with the nursing staff.
Christy was awesome, very compassionate and a good communicator. Deanna was an amazing US tech.
How was your experience with Danny Schust at Missouri Center for Reproductive Medicine & Fertility?
Dr. Schust got information back to me from lab results/pathology on days that I knew he wasn't even in his office. He spent over an hour with us at our consultation and helped me to understand every test we would be performing due to my recurrent pregnancy losses. He was kind and understanding and he had an answer to every question I had. I've read research papers of his and the man is extremely intelligent. It's pretty amazing to come across that type of intelligence along with a wonderful personality. I can't even imagine working in this field as the common (for good reason) anxiety from patients would be overwhelming to me. I truly hope that Dr. Schust is training doctors and residents in this field so his knowledge is shared and everyone can strive to be as good as he is. I only wish he could be my OB, too, as I was not ready to leave his care.
What's one piece of advice would you give a prospective patient of Danny Schust at Missouri Center for Reproductive Medicine & Fertility?
Go to him, you won't regret it.
Describe the protocols Danny Schust used in your cycles at Missouri Center for Reproductive Medicine & Fertility and their degree of success.
I saw him more for RPL than infertility. We did several blood tests, a hysteroscopy, a total of 3 endometrial biopsies and I was treated for 30 days with antibiotics for chronic endometritis. I then took clomid, Started progesterone around day 18 of my cycle (or 3 days after positive ovulation predictor kit), and continued vaginal progesterone for about 12 weeks. I was fortunate enough to become pregnant with twins on the first try. He also stated that the biopsies were similar to endometrial scratching, which was shown to help the chance of pregnancy. Maybe it did.
Describe the costs associated with your care under Danny Schust at Missouri Center for Reproductive Medicine & Fertility.
Costly for testing for RPL ($2000), but this was not a surprise to us.
10
Doctor
Danny Schust
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Missouri Center for Reproductive Medicine & Fertility
Columbia
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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6
Age
33
Treated
2017
Success with this Doc
No
Treatment
1 IUI, 1 IVF
Diagnosis
Male Factor, PCOS
6
When we called to reschedule our retrieval time [at MCRM], Rachel was very rude - I have not spoken to her directly since as I began communicating with a different coordinator after that exchange....here were a few routine business office matters that were pretty frustrating, including issues with insurance...The discounts are OK - but very limited. I would personally like to see a needs based discount for couples with low income to allow those of us with a subsistence income to have the chance to have a baby too.
+ Read more
Age
33
Treated
2017
Success with this Doc
No
Race
European, Native American
Income
$0 - $49K
Occupation
Teacher
Order & Number of Docs Seen
2nd of 2 Docs
Treatment
1 IUI, 1 IVF
Diagnosis
Male Factor, PCOS
6
Describe your experience with Missouri Center for Reproductive Medicine & Fertility.
Overall, MCRM is a marketing machine that is attempting to grow their clinic and attract new patients. They do offer relatively low prices and are interested in using newer technologies to improve success. I do think they believe they are doing good for people, however, it is hard to understand how any clinic can excuse charging such high prices to cash pay patients while giving huge discounts to insuranced patients (through their agreements with the insurance companies) but this is an industry-wide issue not specific to MCRM. Dr. Ahlering is knowledgable and wants a good outcome for his patients. Even so, they are actively building on to their facility with new construction, etc. The discounts are OK - but very limited. I would personally like to see a needs based discount for couples with low income to allow those of us with a subsistence income to have the chance to have a baby too.
During treatment, were you treated like a number or a human with Peter Ahlering at Missouri Center for Reproductive Medicine & Fertility?
We had specifically requested a later retrieval because my husband has had a demonstrably lower count/quality in the mornings. We had also discussed a Sunday retrieval with Dr. Aubuchon (we saw her for our pre-retrieval appointment instead of Dr. Ahlering because he was busy). After this appointment we were scheduled for the very first 7 am appointment on Saturday. When we called in to ask why and how to get this changed, we were basically told that they could not and would not change it - like it or lump it! - and that they had 70 other patients and were too busy to accommodate our needs... even if we had spent $10000+ in patients to MCRM specifically for the treatment.
Describe your experience with your nurse at Missouri Center for Reproductive Medicine & Fertility. (Assigned nurse: Rachel)
When we called to reschedule our retrieval time, Rachel was very rude - I have not spoken to her directly since as I began communicating with a different coordinator after that exchange. Overall, she did a good job before that and the decision to just squeeze us in was not hers. So, although we had a very heated exchange, overall she did an acceptable job.
What specific things went wrong at Missouri Center for Reproductive Medicine & Fertility?
  • Lost paperwork
  • Failed to inform you of changes in protocol
  • Provided conflicting information
  • Scheduled the wrong procedure
How was your experience with Peter Ahlering at Missouri Center for Reproductive Medicine & Fertility?
Dr. Ahlering was very friendly and seemed genuinely concerned about us. However, he underplayed the risks of being unsuccessful, even going so far as to say that with our numbers we were looking at at least one and maybe two live births. Needless to say, when I ended up with dramatically fewer eggs (10 not 20), embryos (2) and no live births, I was very disappointed/heartbroken and angry at myself for spending our life savings on something we were lead to believe was a pretty sure thing.
What's one piece of advice would you give a prospective patient of Peter Ahlering at Missouri Center for Reproductive Medicine & Fertility?
Take his enthusiasm for your chances of success with a grain of salt. At the end of the day, he is selling a very expensive service.
Describe the protocols Peter Ahlering used in your cycles at Missouri Center for Reproductive Medicine & Fertility and their degree of success.
I purchased the IVF Gold package. Dr. Ahlering likes to say that his protocols are individualized but they really aren't. My nurse mentioned that it was the "___" protocol - essentially one of a dozen options and one commonly used for people with PCOS. When my results were OK, but not stellar, during monitoring visits, Dr. Ahlering did very little to increase my dosages or change the path we were on which ultimately led to failure.
Describe the costs associated with your care under Peter Ahlering at Missouri Center for Reproductive Medicine & Fertility.
$10,000 for the Gold package with discounts $3500 for medication $2200 for PGS testing (we ultimately decided not to do this when we only had 2 embryos, we had been told we were likely to have 8+ when we started the process)
Describe Peter Ahlering's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Missouri Center for Reproductive Medicine & Fertility.
We had two embryos and he was more than happy to transfer two embyros. From what I have heard, he is willing to transfer more embryos if that means a successful pregnancy, regardless of risk of multiples. The clinic seems to have a relatively high number of multiples.
2
Doctor
Peter Ahlering
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
6
Clinic
Missouri Center for Reproductive Medicine & Fertility
Columbia
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

10
Age
33
Treated
2015
Success with this Doc
Yes
Treatment
1 IVF, 1 Egg Freezing
Diagnosis
Endometriosis, Male Factor
10
She [my nurse] was so quick on responding and making me feel like everything is going to be ok. When we met in person I felt like I knew her forever. I appreciated her knowledge and that she maintained unemotional yet compassionate
+ Read more
Age
33
Treated
2015
Success with this Doc
Yes
Race
Latino
Income
$500K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IVF, 1 Egg Freezing
Diagnosis
Endometriosis, Male Factor
10
Describe your experience with Missouri Center for Reproductive Medicine & Fertility.
Nothing too fancy. It's in Chesterfield, MO. He could use a interior designer but unthinking hey are so busy making dreams come true to worry about decor
During treatment, were you treated like a number or a human with Peter Ahlering at Missouri Center for Reproductive Medicine & Fertility?
The doctor performed an ultrasound to count my follicles and give me positive affirmations instead of a nurse. He took time to ask questions to make a personal connection and his staff was incredibly knowledgeable
Describe your experience with your nurse at Missouri Center for Reproductive Medicine & Fertility. (Assigned nurse: Rachel Lowrie)
She was so quick on responding and making me feel like everything is going to be ok. When we met in person I felt like I knew her forever. I appreciated her knowledge and that she maintained unemotional yet compassionate
How was your experience with Peter Ahlering at Missouri Center for Reproductive Medicine & Fertility?
Not getting to meet the doctor in person was difficult but we trusted him from his reputation. He seemed to care about us and was positive he could help us get pregnant. Once we met in person I was thrilled. He is ridiculously smart but so personal. He was funny and confident. He earned my respect within in 5 minutes and that help ease my stress and panic since this was my first time with IVF.
What's one piece of advice would you give a prospective patient of Peter Ahlering at Missouri Center for Reproductive Medicine & Fertility?
If you have the financial means go meet him in person first so that you can be at ease. Do your research on his clinic and ground breaking technology he has created. His staff will help you via phone and email.
Describe the protocols Peter Ahlering used in your cycles at Missouri Center for Reproductive Medicine & Fertility and their degree of success.
My husband took the hcg shot twice and I was on Lupron to prevent ovulation. Prenatal vitamins had begun. Birth control was first step the first day I started my cycle again to control my cycle. Then follistim was used to start to grow the follicles. Menopur was taken twice to help with ovarian quality. Hgh was also take twice to help mature the eggs and of course the HCG trigger shot was given 72 hours prior to retrieval. When the doctor did my ultrasound he wanted the follicles to be bigger so he added two more days of follistim. I went to see if the follicles had grown and they had to the perfect range he wanted. He scheduled my egg retrieval on a Sunday. He wanted to wait for 5 day fresh transfer be said he felt like my egg reserve was good and it was our 1st attempt. We transferred two embryos which was a mutual agreement given my age of 33 years old. One embryo stuck and we are now 12 weeks pregnant
Describe the costs associated with your care under Peter Ahlering at Missouri Center for Reproductive Medicine & Fertility.
Around $15k from A to Z Due to our income we didn't qualify for any prescription discounts and our insurance paid zero.
10
Doctor
Peter Ahlering
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Missouri Center for Reproductive Medicine & Fertility
Columbia
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.

10
Age
28
Treated
2019
Success with this Doc
?
Treatment
Fertility Medications
Diagnosis
PCOS, Other
10
From what I’ve experienced so far, I have no complaints. The clinic [MO Ctr for Repro Med & Fertility] is organized, communicative, and treats me like a human being. It feels private, and has a calm environment. I would recommend this clinic to others....The nursing staff is great. They call to communicate anything that needs communicating, and are kind and compassionate in their care!... We have just begun, but when speaking about the costs, it seemed like the costs were around average.
+ Read more
Age
28
Treated
2019
Success with this Doc
?
Race
Prefer not to answer
Income
$0 - $49K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
Fertility Medications
Diagnosis
PCOS, Other
10
Describe your experience with Missouri Center for Reproductive Medicine & Fertility.
From what I’ve experienced so far, I have no complaints. The clinic is organized, communicative, and treats me like a human being. It feels private, and has a calm environment. I would recommend this clinic to others.
During treatment, were you treated like a number or a human with Shvetha Zarek at Missouri Center for Reproductive Medicine & Fertility?
Dr. Zarek really takes the time to explain everything—the procedures, the diagnosis, the process. She made sure that we can reach her at any time—she literally gave us her personal cell #. And also: you can really tell that she actually cares. I can honestly say that I’ve never had a doctor that is this personal! I was nervous going into this journey, but Dr. Zarek really put us at ease!
Describe your experience with the nursing staff.
The nursing staff is great. They call to communicate anything that needs communicating, and are kind and compassionate in their care!
How was your experience with Shvetha Zarek at Missouri Center for Reproductive Medicine & Fertility?
I have had a great experience with Dr. Zarek. 1. She is very knowledgeable—and is truly an educator at heart. She is great at explaining everything in a way that is easy to understand without making you feel stupid. 2. Honest and compassionate —she is very frank, but compassionate about what is going on and I really appreciate that. 3. Personal—I have never had a doctor who is as invested in me as Dr. Zarek. When she gave us her cell # at our first appointment, I was BLOWN AWAY.
What's one piece of advice would you give a prospective patient of Shvetha Zarek at Missouri Center for Reproductive Medicine & Fertility?
If you haven’t set up an appointment...just do it! Dr. Zarek is the best!
Describe the protocols Shvetha Zarek used in your cycles at Missouri Center for Reproductive Medicine & Fertility and their degree of success.
We are still in the testing phase.
Describe the costs associated with your care under Shvetha Zarek at Missouri Center for Reproductive Medicine & Fertility.
We have just begun, but when speaking about the costs, it seemed like the costs were around average.
Describe Shvetha Zarek's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Missouri Center for Reproductive Medicine & Fertility.
Dr. Zarek believes that it is best to transfer only one embryo at a time because multiples pose a greater risk for the health of mom and babies—and transferring multiple only increases your chances by a little bit, statistically. This also gives you the opportunity to save extra embryos for another transfer if the first doesn’t take. We haven’t gotten to that point in treatment, but I tend to agree with her rationale.
10
Doctor
Shvetha Zarek
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Missouri Center for Reproductive Medicine & Fertility
Columbia
Nursing
Operations
Scheduling
Clinic Atmosphere
Educational Resources
– Read less
Verified

This patient has provided documentation of treatment at this clinic.

10
Age
31 - 32
Treated
2016 - 2017
Success with this Doc
?
Treatment
1 IUI
Diagnosis
Diminished Ovarian Reserve, Male Factor
10
MCRM has many packages available to make things more affordable. He also works with a pharmacy program that offers discounts...MCRM has many packages available to make things more affordable. He also works with a pharmacy program that offers discounts...Everyone on the staff has been kind in returning emails the same day and calling as needed as we don't live in Missouri.
+ Read more
Age
31 - 32
Treated
2016 - 2017
Success with this Doc
?
Race
Other
Income
$50K - $99K
Occupation
Teacher
Order & Number of Docs Seen
4th of 4 Docs
Treatment
1 IUI
Diagnosis
Diminished Ovarian Reserve, Male Factor
10
Describe your experience with Missouri Center for Reproductive Medicine & Fertility.
We haven't yet visited the clinic as we don't live in Missouri. Everything has been done remotely.
During treatment, were you treated like a number or a human with Peter Ahlering at Missouri Center for Reproductive Medicine & Fertility?
From the start he has made us feel like our best interest is his priority and he wants to help us. He has even called us after hours to set up our appointment.
Describe your experience with your nurse at Missouri Center for Reproductive Medicine & Fertility. (Assigned nurse: Jennifer A)
Everyone on the staff has been kind in returning emails the same day and calling as needed as we don't live in Missouri.
How was your experience with Peter Ahlering at Missouri Center for Reproductive Medicine & Fertility?
This doctor genuinely cares and has tried everything to help our male factor infertility as well as making sure that we are ready. The clinic is half of the past clinic we have worked with and their success rates are much higher. We are very hopeful.
What's one piece of advice would you give a prospective patient of Peter Ahlering at Missouri Center for Reproductive Medicine & Fertility?
Don't be afraid to ask questions and make sure you give them all the k formation they need.
Describe the protocols Peter Ahlering used in your cycles at Missouri Center for Reproductive Medicine & Fertility and their degree of success.
We are currently preparing for an IVF cycle. My husband is taking clomid and ovidrel injections to help count and I am taking birth control to prepare for our medicated cycle next month.
Describe the costs associated with your care under Peter Ahlering at Missouri Center for Reproductive Medicine & Fertility.
MCRM has many packages available to make things more affordable. He also works with a pharmacy program that offers discounts.
9
Doctor
Peter Ahlering
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Missouri Center for Reproductive Medicine & Fertility
Columbia
Nursing
Operations
Scheduling
Billing
Educational Resources
– Read less
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Ask this reviewer a question about their experience with Peter Ahlering at Missouri Center for Reproductive Medicine & Fertility.

0
Age
22 - 23
Treated
2013 - 2014
Success with this Doc
No
Treatment
3 IUI
Diagnosis
PCOS, Unexplained
0
The nurses [at Missouri Center for Reproductive Medicine & Fertility] were very helpful and caring and we're always willing to answer questions...The clinic never told use prices, and I always had to call about test results....The clinic not very good at going over insurance or cost.
+ Read more
Age
22 - 23
Treated
2013 - 2014
Success with this Doc
No
Race
Other
Income
$0 - $49K
Occupation
Nurse or HC Services
Order & Number of Docs Seen
1 Doc Seen
Treatment
3 IUI
Diagnosis
PCOS, Unexplained
0
Describe your experience with Missouri Center for Reproductive Medicine & Fertility.
The clinic not very good at going over insurance or cost.
During treatment, were you treated like a number or a human with Mira Aubuchon at Missouri Center for Reproductive Medicine & Fertility?
The doctor always seemed rushed and we never felt like we got full and complete answers
Describe your experience with the nursing staff.
The nurses were very helpful and caring and we're always willing to answer questions
What specific things went wrong at Missouri Center for Reproductive Medicine & Fertility?
  • Failed to call in prescriptions to pharmacy
  • Failed to call with results
  • Failed to inform you of changes in protocol
How was your experience with Mira Aubuchon at Missouri Center for Reproductive Medicine & Fertility?
We felt like if she had explain all our option and what was best we would have a baby. She just kept send us through the same clomid cycle and iui never mentioned trying any other drugs. It was either try iui with clomid or IVF. She didn't ever recommend sending my husband for test until we had already failed a couple times.
What's one piece of advice would you give a prospective patient of Mira Aubuchon at Missouri Center for Reproductive Medicine & Fertility?
Don't go
Describe the protocols Mira Aubuchon used in your cycles at Missouri Center for Reproductive Medicine & Fertility and their degree of success.
She started me at a low does of clomid and I would track my cycle and then come in for an iui and after each failure I would get my clomid bumped up.
Describe the costs associated with your care under Mira Aubuchon at Missouri Center for Reproductive Medicine & Fertility.
Each cycle was 500. Blood work if done at the hospital were very expensive so I went elsewhere
0
Doctor
Mira Aubuchon
Communication
Compassion
Explained risks
Adaptability
Frequency seen during appointments
0
Clinic
Missouri Center for Reproductive Medicine & Fertility
Columbia
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
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Verified

This patient has provided documentation of treatment at this clinic.