Pearl Mini-IVF

Dr. Davis oversaw my monitoring appointments for my out-of-town doctor. I ended up spending more time with her than I did at my actual home clinic. She was engaged in my care and the plan and willing to give her input when asked. I appreciated how she had ideas about how to incorporate lifestyle adjustments (supplements, acupuncture etc) into my treatment plan. She clearly cares for the well-being of her patients and it shows!

Take advantage of the fact that she is excellent at explaining the little details of treatment, and ask lots of questions!

Dr. Davis is very kind and reassuring, especially during the initial consult. She’s also candid about your recommended treatment plan and possible success rate. After a failed cycle my husband and I had to push to get answers or ask for a change in the procedure (by scheduling a consult). But once we started talking Dr. Davis was always open to new ideas and made sure our voices were heard. I do love her practice but unfortunately haven’t seen the results I wanted yet. We are planning on staying with her to do our first round of IVF this June 2022.

Express all your concerns, be open and honest, ask questions. She is a very good listener and will truly hear what you want and act thoughtfully.

My first IUI, I took 100 mg of Clomid for days 3-7 then took an HCG trigger shot about 34 hours before my IUI. When I had my transvaginal ultrasound before the trigger my lining was ~9 and I had 1-3 large follicles. She had me on progesterone suppositories (vaginally- Endometrin), 100 mg once daily after taking a progesterone test and because of my history of spotting during my literal phase. I had a negative beta 12 DPO. My second IUI we switched to 7.5 mg of letrozole days 3-7. During my lining check I had 1-3 good sized follicles but my lining was measuring low (I think close to 6). We still triggered and I had the IUI about 32 hours later. Progesterone supplemented again, this time 100mg twice a day after a low progesterone result from a blood draw. Negative beta 12 DPO. Third IUI was the same protocol as the second one but my lining was slightly better, I think closer to 7. Similar amount of follicles. I triggered 4 hours after my lining check and went in for the IUI about 28 hours later. Same progesterone protocol. Negative beta at 12 DPO. After that Dr. Davis had my AMH tested again and it dropped from 1.2 to .87. She recommended moving onto IVF. I started working at Starbucks for their fertility benefits and quit teaching so we could afford IVF June of 2022. After hearing about Endometritis and connecting those symptoms to mine I asked Dr. Davis for her opinion and she encouraged me to try 100mg of Doxycycline twice a day for 14 days to see if that takes away the spotting. I also have the option to get a biopsy but we are waiting to do that next month because it’s about $1000 out of pocket since my current insurance doesn’t cover anything infertility related.

It was about $1,500 for each IUI, out of pocket/without insurance. So we spent a total of $4,500 on IUIs plus an additional ~$1000 of other tests (genetic, bloodwork). Making the total around $5,500.

During our initial consult Dr. Davis said that she prefers to only do single embryo transfers because of the risk of multiples with doing more than one. We haven’t started our IVF process with her yet but I would assume that she would only do a single embryo transfer with us at least for the first round. I understand the risks that come with multiples but I would hope that our doctor would take this protocol case by case, especially with someone with a low implantation rate. My husband and I have been trying for 2+ years, 28 cycles and have o my had one chemical pregnancy.