Oregon Fertility Institute

I saw Dr. Chang at every visit. She was always very candid and honest with me when I asked questions. I passed out during a blood drawl (not uncommon for me) and she allowed me to go to the hospital for future blood drawls because it made me feel more comfortable. I felt like she was genuinely trying to do what was best for me without pushing my body too far, and that she was just as excited as I was when I got my positive test after our first transfer. I really appreciated that she didn't push my body too far with the egg retrieval meds and I didn't develop OHSS. When I went in for my first beta blood drawl she popped her head into the office to ask personally if I had taken an out home test, and that just made me feel really valued. The whole infertility business is really impersonal, and after talking to people who went other places I realized just how lucky I was to have a doctor who actually knew who I was and cared about me.

Be patient with her staff. I thought about changing clinics because I didn't think her staff knew what they were doing at first. Turns out they do! They just don't carry themselves with confidence. But if you have questions call them and be annoying and get your answers.

We did a medicated cycle with clomid that was unsuccessful and we decided to move onto IUI. Before we did the IUI we did a semen sample that came back zero. At this point Dr. Chang recommended IVF which broke my heart. I was not mentally ready to go down that path and asked if we could please try to do the IUI. Dr. Change understood my needs and we did another semen analysis to double check things, the second one came back more positive and we moved forward with the IUI. That was also unsuccessful. We then did our IVF consult and got put on the schedule. We did IVF with ISCI due to sperm being a factor in our infertility. We decided to transfer one embryo to reduce the risk of multiples and were successful. All of our timing and dates were dependent on my bloodwork and hormone levels. I really appreciated the attention to detail and the constant adjustment of meds based on my bloodwork. After we found out we were pregnant we had a scare with a large subchorionic hematoma. Dr. Chang told us we had a 50/50 chance of having a successful pregnancy, which was really hard to hear. She increased our monitoring and saw me every week for ultrasounds. I am really happy to say that my hematoma resolved itself and I am almost to our 3rd trimester!

I think for IVF it cost us around $30k, for our IUI it was around $3k

She is more conservative and will probably only recommend one embryo transfer unless there is a specific reason to do 2 (like previous failed transfer, etc)

Dr. Chang is very compassionate and understanding. She has wonderful bedside manners and I would recommend her. She uses OHSU lab for her IVF treatments. The downside is that she is the only doctor and I was not impressed with her office staff. They were inexperienced clinical techs. Also, there are no nurses at her clinic.

Dr. Chang is a great Dr., I would recommend to try her for at least one treatment.

I am 45 years old so she advised us that a donor would be best. We in the middle of synchronizing our cycles.

We decided to got with a donor, Dr. Changs cost is apprx 10k, donor cost 20k, and OHSU lab will be apprx. 10k.

Since we have decided to move forward with a donor and because I am 45, Dr. Chang strongly recommended a SET however, we did let her know that we would decide after the retrieval.

She is a scientist not an OB, so once you understand as a doctor she's there to help diagnose and troubleshoot your situation, her approach makes a lot of sense. Her demeanor was calm and she was always sensitive to making sure I was okay with the process and adjusted the process when necessary for me. I loved that her practice was just her, so I wasn't shuffled to other doctors depending on scheduling. She was always available and never missed an appointment and was only late on one occasion (maybe 15 minutes late if that!). She listened to any concerns I had and allowed me to very a very active part of the process understanding what options were available depending on how aggressive I wanted to be in the process (ICSI, PGS, etc).

There are some other 'big name' fertility groups in Portland, which are fantastic. What Dr. Chang has is the same results as those groups, but you never get shuffled around to other doctors (which is what happens at the big practices). Chang is the one you see for everything, and if you are looking for a personal relationship she is a good fit.

Don't recall exactly, I did some IUIs with and without follistim (none at all successful but could easily mature eggs) and then moved to IVF. It was a pretty traditional protocol using lupron, menopur, follistim, HCG among a few others. I produced a plethora of eggs my first fresh round (almost 30) but only a small percentage (even with ICSI) fertilized and matured to good embryos (maybe 8 total). Ended up with a chemical pregnancy that didn't pass on its own and had to have a D&C. Second round of IVF (fresh round again) was the same protocol but produced around 15 eggs and ended with 4 viable embryos (with ICSI and tested with PGS which ruled out two other embryos that were abnormal). I have 3 year old twins from that IVF.

Insurance covered a lot of things but we burned through our insurance's 5K max of meds coverage, so out of pocket for meds of an IVF cycle were around 2.5K as I recall. Overall for two fresh IVF cycles (second including the PGS testing) we spent around 15K out of pocket after insurance (and things insurance didn't cover, such as 'experimental treatments').

Dr. Chang is knowledgeable and listens well. We feel that she is great at offering suggestions and her professional opinion, then leaving the decision up to us. I tend to pass out when I have my blood drawn and she always offers me candy and plenty of time to get my bearings before moving on with an appointment. She never makes me feel like it's an inconvenience.

She does an ultrasound and blood draw at the beginning of each cycle to see where my body's at and monitor how the medication is working. I then call when I have a positive ovulation and we schedule a time for IUI. She does an ultrasound to check my follicles.

Consultation cost, prescription costs, cost for IUI procedure and ultrasounds, charges for blood work

She truly cares about her patients & takes time to do appropriate tests & talk through options. She runs a small practice and uses OHSU labs, & uses her own judgement which clearly comes from both science & her gut instinct. The most kind & caring doctor I’ve written with. I’m writing this review 7 years after our last appointment.... that’s how much I was impressed by her.

Know that it is a small practice using outside labs. If you want an in house donor pool go elsewhere.

I do not recall specific dosage but when I did IUI with donor sperm she was willing to push my ovaries to the max to rule out the need for egg donor. She also respected my reluctance to spend $ on own egg IVF when I was deciding to move on to DE.

About $12,000 for 3 DS IUIs & several consults / monitoring outside DE cycle

She’s friendly, intelligent, sympathetic, and kind. I haven’t gotten pregnant yet and each time she’s been comforting and optimistic. She answers all of my questions and never rushes me. I feel heard when I’m in her care. I trust her.

I’m not sure. I haven’t had any problems. I would tell them she’s really nice and is on your side.

We tired Clomid with timed intercourse twice, Clomid with a trigger shot and an IUI and then Letrozole with a tigger shot and IUI. I also took estrogen throughout each cycle. I’m taking a month off right now because the medicine made me pretty depressed.

I think each IUI is around $300. They also do the sperm washing for about $100. The trigger shot was $100. Clomid, Letrozole and the estrogen pills were very cheap.

No

I loved my doctor for how invested she was in getting me pregnant. When I first saw her, I had no intention of ever doing IVF, I just wanted to some answers to why I wasn't conceiving, but she convinced me to try it just once, especially given my great insurance.

Aimee Chang will strongly advise you to follow all the protocols generally accepted in the field right now (PGS, ICSI etc). If you, for whatever reason, do not feel like you need or want all that, be prepared to stand your ground.

Ganirelix antagonist protocol for stimulation (for egg retrieval). 2 Menopurs 275 Follistim IU, dropped to 225 as my E2 level was going up, dropped to 75 towards the end Doxycycline AM + PM Dexamethasone PM Aspirine 81 mg Before trigger, E2 level was 7369.05, so I triggered with Lupron 4mg AND 1,000 HCG 10,000 IU. Because of high E2 levels and number of eggs retrieved, I was put on Cabergoline post retrieval.

I have to say that I was given a sheet with exact costs before the treatments, which I really appreciated. It was almost 5K for the stimulation+retrival+ fertilization, meds not included.

Because we chose not to PGS and ended up with so many frozen embryos (15), Dr Chang advised i transfer 2 embryos at a time. She acknowledged that it might possibly result in multiples, but said I was very healthy and likely wouldn't have issues carrying. First FET resulted in an anembryonic pregnancy (blighted ovum) followed by a miscarriage, but second FET did result in twins. I am happy with the result but will only transfer one embryo if we decide to try for another.

Dr. Chang is soft spoken but very kind and compassionate. You can tell she has great knowledge and experience in her field. I felt like she was willing to try any option in order for us to have success.

Trust her judgement!

We tried a mini stim for me and it was clear my body was not going to respond. I ended up needing an egg donor, and Dr Chang was wonderful and patient with her. Getting my body ready for the transfer, Dr Chang made a couple of adjustments to the protocol, as I didn't respond right away. After the first transfer, I am now 16 weeks pregnant.

I don't remember exact costs, but things were broken down via lab or clinic charges.

For me, Dr. Chang wanted a single embryo transfer. I had a proven uterus and no issues. With my sister, she used two embryos, as she had a history of endometriosis and had never been pregnant. My sister is now 8 weeks pregnant with one.

I enjoyed working with Dr. Chang. We were successful with both transfers that were performed. Both Dr. Chang and her staff were very responsive to both phone and email and resolved issues like lab results and refill requests very quickly. Dr. Chang went out of her way to make sure our treatment was affordable as possible by collaborating with our primary insurance the was not accepted at her clinic.

No major advice to be given. We had a great experience with Dr. Chang over the last 4 years.

All costs were plainly spelled out prior to procedures. Dr. Chang and her team agreed to coordinate with multiple pharmacies to minimize drug cost.

Aimee Chang is an extremely experienced, knowledgeable, trustworthy and thorough person. Her goal was always to find the best treatment plan for us. She listened to our concerns and questions and responded with care at all times.

She carefully explained both procedures and potential risks. I extremely appreciated her honest recommendation and advice on how to move on.