Procreate Fertility Center of Virginia

We have officially had one consult with Dr. Perez but I frequently see him while I am at the clinic for appointments. He is very friendly and appears to recognize me and say hello, even if I am not scheduled to meet with him.

As with any clinic, be prepared with questions and ideas on how you want to proceed. So far, Dr. Perez has been very open to discussing possible treatment plans and different options.

I used a Lupron-flair protocol for my last retrieval. He also had me use Omnitrope. I have had 5 egg retrievals (only one under his care) and I had mature follicles and was triggering by day 8, which is the earliest I have ever triggered. However, out of the 3 large follicles, they only retrieved one.

We paid a little over $19,00 to Procreate. This includes 1 egg retrieval and 2 transfers. Anesthesia for the egg retrieval was not included and it cost $500. We also had to pay for meds, which was around $5,000.

We haven’t reached this step yet with this clinic but given my age and low number of eggs retrieved, it will likely be recommended that I only do a single embryo transfer.

There isn't much I can say because I only spoke to him for 10 minutes during my initial consultation. I have never spoken to him since. he did not perform any of my in clinic visits or IUI's or ultrasounds, etc.

Ask as many questions as you want and don't be afraid to say you don't understand.

At the time of my consultation with Dr. Perez, we had what was called "unexplained, secondary infertility." Every test had pointed us in that direction so he agreed with my OBGYN that the next step would be IUI. He said that based on everything it should result in a pregnancy because we had no other indicators as to why we hadn't been able to get pregnant over the last 6 years. Kat ended up being our Dr. (she was not an option to choose when doing this review) We never saw or spoke to Dr. Perez after the initial consult. Kat agreed with the course of IUI and we went through 2 rounds with her, both failed. Because we were paying for these out of pocket (roughly $2k a round) we decided we could not continue to put money into a procedure that clearly was not working. After our 2nd failed IUI, Kat suggested we go back to my OB and see if I can have the surgery to be tested for endometriosis. I had no symptoms or signs that led to this but she said it couldn't hurt to check so we can mark that off of our list. I had my consult with my OBGYN and she agreed that it couldn't hurt and we proceeded with the surgery. It was then that she found 4 small spots of endometriosis and ablated them. I am grateful to Kat for pushing me towards that and we meet again next week to discuss next steps.

The initial consultation was $225, and after my first failed IUI, it was another $225 to consult again. They made sure to call me before my call to collect. Each round of IUI was $1800. The supplements I was asked to purchase and take was roughly $300 for a 2 month supply and the trigger shots were $60 a piece.

The entire time I was a patient at Procreate, I only saw Dr. Perez three times. Besides that, I was handed off to Kat, the NP. I felt very pushed off and it took me nearly having a ruptured ectopic pregnancy in order for him to be at one of my ultrasounds. I spent a year at this clinic, and got a giant run around about my care.

Be prepared for any clinic changes to not be provided to you, and that they will assume you will cover all additional costs, even if it was not discussed with you, or you were told conflicting information. And that you will have to advocate for yourself as insurance pre-authorizations are often late or never filed.

I was only given gonal-f after femara did not work.

Insurance paid for most care.

Dr. Zaret was warm and welcoming from the first time I met her. She explained everything to me in great detail and helped me feel at ease. She is compassionate and caring. She offers her opinion and expertise in a perfect balance.

Ask any and all the questions you have. Dr. Zaret will make sure you have answers and if she cannot provide them she will find them. She is willing to listen and answer to make sure you understand.

My first IUI- Dr Z had me on letrozole which resulted in good follicle growth but no pregnancy. My second IUI Dr Z added a steroid and my results improved. No pregnancy. Our diagnosis is primarily MFI. After the second failed IUI Dr. Z put my husband on CoQ10 and Motility Support. We have seen improved numbers in his semen analysis after these supplements were added. We have a plan set for IVF when we can financially move forward.

IUI was 2100

N/A we have not started IVF

I have really enjoyed working with Dr. Perez. He is current with all the medical studies and treatments. He listens and always make sure we understood where we were coming from and where we were going next. He personally called me to discuss our day 3 embryo results and the next steps. And when our cycle failed he sat down with us and gave us plenty of time to discuss why it failed and what the plan was going forward. Most times he answered my questions before I could even ask them. I have never felt like I had a stupid question or felt belittled or that he didn't have time for me. I have always felt confident in his care.

Be persistent to get what you need but be patient as well.

We came to Dr. Perez with the thought that we were dealing with a male factor infertility issue, which was correct. But being as thorough as he is, he had me go though a bunch of tests as well to rule out any female issues. After those were complete, he sat down with us and said that there were a couple options in varying degrees of intensity starting with IUI and moving up to IVF to deal with MFI. He felt an IUI would fit the bill for our needs based on the sperm numbers and that we had a pretty good chance it would work. He put both of us on over the counter vitamin supplements such as Coq10, multivitamins, and Vit D3. I did Letrozole and a HCG trigger shot as part of the IUI cycle. On the day of the IUI however, my husbands numbers were significantly lower than they had ever been. So much so that the subject of IVF with ICSI was raised. In the end the IUI didn't work, which wasn't much of a surprise. We then had a consult to discuss IVF with ICSI, which we all agreed was the logical next step. I was put on birth control for 1 month until I could get in with their next available cycle. My protocol was an antagonist protocol. I did stims for 8 days before triggering and had my retrieval on the 10th day. 16 eggs were collected, 14 of which were mature. Unfortunately my husbands sperm counts were even worse than before, which resulted in only 3 eggs fertilizing. Day 3, all 3 embryos looked great but by day 5 they had all arrested in development. So going forward they will be doing some hormone therapy with my husband using clomid and hcg and we will be doing another IVF cycle in a month.

My husband has excellent insurance so everything was covered other than the co-pay. Everything was covered for our testing and all but $300 was covered for our IUI. We were quoted $1800/out of pocket for the entire IUI minus meds if our insurance wouldn't cover it. The lady that handles the insurance in the office is seriously skilled in insurance matters. She was on top of every little change and frequently called me with updates. She worked very hard to make sure our insurance covered as much as possible. Our IVF cycle was quoted to be around $16k just for the retrieval cycle with ICSI minus meds but we only had to pay the out of pocket and deductible totaling $4500. We did learn however, after our first cycle failed, that our insurance would not cover any of my husbands procedures or tests besides a Semen analysis. So we end we ended up paying roughly an additional $2000 for them to cryopreserve 3 semen samples, do additional blood work for him, and put him on medication to ensure our second IVF cycle didn't fail.

Dr. Perez highly prefers to only transfer 1 embryo at a time, especially when they are strong healthy embryos, to decrease the risk of multiples and the complications that come with it. He did say it was up to us in the end and he would work with us in this regard. I appreciated his straight forwardness and the educational aspect yet he gave us the ability to make the decision.

I would say that if you are sensitive than be prepared because he does not sugar coat anything. My first few appointments with him he was not shy to repeatedly bring up my age and my weight. I left in tears a few times. We had to postpone a transfer because I started my period out of the blue and he was very matter of fact about it- there was no comforting. With that said both me and my husband never felt as though we did not know what to expect or what was going on. He remembered conversations and concerns from previous appointments.

To be prepared to hear the straight truth. He is going to tell you exactly how it is the good, the bad and the ugly.

For the egg retrieval I am not sure of everything that was used but I remember that the first retrieval I used 500mg of Metformin and had no issues and the second retrieval that was changed to 1000mg of Metformin and I developed an allergy- I had hives and itched all the time. I went to my primary care doctor twice before the Metformin was found to be the cause- I had a meeting with Dr. Perez about stopping it and I was a little disappointed at how not a concern it was to just stop it even though it had been explained to me that it was important for egg quality. While on the 500 mg 11 eggs were retrieved and on the second go when I was not taken the metformin only 5 eggs were retrieved. I am not sure if that was the only cause. The first transfer was 2 embryos and neither took. The second transfer was only 1 embryo and embryo glue was used this time and that one did not take either.

I believe we paid around 14,000.00 a cycle not including mediciation

Dr. Perez offered an opinion on the first transfer but he did not push us either way. The second time there was only one so there was no discussion.

He diagnosed me and put me into surgery within one week of my first visit. He knew exactly what my issue was and a course of treatment, after I had spent three years with someone else told I was "unexplained" and throwing me to the side. He was caring, and down to earth.

Listen to him. It isn't always what you want to hear but it is the truth. You need to know the good and the bad to get the best outcome.

I was given surgery for endometriosis for the best chance. I decided to do iui vs ivf that was suggested because I couldn't afford the latter. He gave me ovulation stimulation (I think menopur), trigger shot (novarel), and then progesterone shots after the iui itself.

I think the cost for our iui was $2700. Plus the cost of medication. They worked to find us a good price on that.

Dr. Perez has an acccent so initially I was nervous that there would be things I wouldn’t understand about the process due to misunderstandings due to language, however, after our consultation with him those worries were put to bed because he makes sure you are understanding the process step by step. He also utilizes pictures (both on the computer and hand drawn) to make sure everyone is on the same page. I really appreciate the patience he has as my wife and I had a million questions about the procedure. He laid out our options and explained everything to us about IUI, IVF, and Reciprocal IVF. We selected reciprocal IVF using my wife’s eggs and my uterus and we are planning on doing the November cycle.

If you have questions, don’t hesitate to ask. He will answer them no matter how “silly” you think they may be. He also likes to jump right in the testing process. We went to the consultation and the very same day I had my ultrasound and blood work.

We have completed the testing phase of the process and we are about to enter the protocol phase. We are currently waiting on my wife to start her period so she can begin the birth control. Once we report her period to the office, they will give us the rest of the information about when we need to do what. As far as vitamins so far, they have me taking Ovasitol (2x a day), 4000 mg of vitamin D, prenatal vitamin, and birth control. My wife is taking Ovasitol (once a day), CoQ10 ( I don’t remember the mg).

Our initial consultation with Dr. Perez was free due to winning a drawing from a pride festival in our area. For my wife’s testing, it was $50/appointment due to her insurance covering the fertility testing minus the “specialist” copay. My insurance covered very little due to me not meeting my deductible so my fees were as follows: Ultrasound: $140 HSG: $329.29 Sono: $352.69 I’m not sure about how much the blood work costs due to lab corp citing the reasoning for the blood work incorrectly so my insurance declined it. I am currently in the process of trying to get this resolved

From the conversations we have had with Dr. Perez, he as left it up to us as to how many embryos we will transfer. It is our plan to transfer 2 embreyos, which is basically what we told him at our consultation.

There was never a plan put in place, it was just do this and then we’ll discuss, but the discussion was never had. Throughout my treatment I only saw Dr. Perez two times, initial consult and a random follicle check ultrasound. He was blunt with his information, which is okay.

Demand to see the same provider each visit, plan to be there a while, as they’re rarely on time.

We did a medicated cycle with injections for IUI. It was successful, though I had to significantly advocate for myself. The providers were content to continue trying the same medications/strategies we’d tried in the past with no success.

He was thorough and to the point with his explanations. It was a quick process from when I set my first appointment to putting a plan together, about a week. I really appreciated that he knew the urgency in us starting a family and did not waste our time.

ask questions! He has a way of answering questions and showing pictures to make you understand everything so much better!!

We found out I had PCOS, a small uterus, male factor motility, and a vitamin D deficiency. He made sure to go over everything we would do to fix the issues! He put me on a vitamin d supplement, Ovasitol supplement and Metformin and put my husband on supplements as well! We are now in our first IUI cycle. I took Femara and will do trigger shot and insemmination soon!

So far we have spent $3500 with consultation, work ups, and our first IUI cycle

Dr. Perez is very knowledgeable and great at transferring that knowledge in a way that is easy to follow and understand. He is incredibly patient and genuine. He showed many pictures and made drawings and diagrams to explain the procedures to us. He provides his email address and phone number so we can reach out if we have questions. He is very positive and optimistic, and has made the process very enjoyable.

Bring a notebook and take notes. You will get a lot of information to digest.

We are awaiting our exact protocol for retrieval and transfer in November.

RIVF is just over $12,000 including transfer.

He thoroughly explains all angles every time. In addition, he isn’t taking failure as an option. He is always willing to work with us and help us get the cycle done. Dr. Perez is genuinely rooting for us and has helped diagnose many issues in my fertility journey.

Ask questions and don’t leave until you understand fully. Ask to take home the pictures he draws.

First cycle - menopur, gonal F, estrogen and trigger shot. Take COQ10, metformin (for PCOS), thyroid medication, baby aspirin and prenatal vitamins. Invocell capsule used and 8 embryos went into arrest and did not make it to “day5 embryos.” Second cycle - same regimine. Freeze all delayed FET transfer. 3 embryos and 2 FETs.

Invocell - appeoximately $10k Ivf - approximately $14k

Extremely knowledgeable, came highly recommended by my gynecologist. Very respected doctor in this field. Interaction were always positive and provided insight with what was going on. His will not shy way from a challenging case. Very invested, weekend appointments are standard and Sunday night phone calls happen as well. Whatever it takes.

Trust the process

Two cycles around 32,000/33,000 with medication

Singleton transfers are standard, Mother's safety is a priority

Dr. Perez is very straight forward and informative. He is to the point and does not sugar coat anything. I left feeling very informed and that I understood my options moving forward. My husband and I were very appreciative of this frankness but not everyone would.

Don't be afraid to ask questions, he will spend as much time as you need answering questions You can always call back with more questions. He wants to make sure you really understand your options.

We have not started treatment yet.

So far I have only had testing and my insurance will cover. I had one claim declined and the staff is working with me to fight that and get the claim accepted.

Dr Perez is very informative regarding explaining medical procedures and terminology so you understand. I felt comfortable to discuss any concerns or frustrations and I felt heard. He was also available I'd I had other questions and gave me All my options not just what he felt was my best.

I would ask questions for making sure you know all your options so you don't feel like you missed an opportunity that you may have considered regarding your protocol.

2310 for iui, hsg 990, ultrasound 330, labs 385,

Dr. Perez reviewed my entire health history and listened to my concerns. He was patient in answering all my questions about diagnostic tests, treatment, and chance of success. He suggested some additional diagnostic tests and was open to trying new things. We were able to start treatment quickly.

Ask lots of questions

Diagnostic tests, then IVF with ICSI

Honest, trust-worthy and efficient, she encouraged me to ask questions about my condition and treatment plans and has been very prompt at responding to all my queries. She is very knowledgeable, compassionate and accurate in her treatment plans.

IUI with injectables after a surgery that had a positive prognosis for conception and HSG result that concluded that the fallopian tubes were open.

~$800 per IUI cycle excluding cost of medications (~$500)

Dr. Perez gave me his cell phone to communicate with him after hours if needed. He called on weekends when I had emergencies to check on me. He let me watch everything he was doing and showed me while telling me what was going on.

He has an accent that you need to get used to but he is there for you and will make your experience as easy as possible.

Dr. Perez is kind and courteous. He is a fantastic surgeon. He truly cares for his patients and has an exemplary bedside manner. He takes his time to explain and answer questions in a way that is understandable. He is also up-to-date on the latest science and technology in the field.

Trust his schedule and protocol.

Dr. Perez and his team always recommended that only one embryo at a time be transferred, however, they were willing to transfer two if that is what the patient wanted. We were given information on the pros and cons of both scenarios.

At every visit I saw Dr Perez or his NP. The team works well together and give me the attention needed as an individual patient. The response time is quick and Kay’s energy is infectious. They are a wonderful practice.

I have no complaints with this office. We only switched specialists because of financial concerns. Procreate is wonderful.

The cost was expensive and needed to be paid in advance. Payment arrangements could be made for IUI, but retrieval’s and transfers are paid upfront.

Dr. Perez was very thorough in the initial consultation and explained to us both what to expect at our next several appointments. He used drawings and diagrams to help us further understand and had answers to our questions.

Be patient- it’s a little bit of a process getting started

One round of IUI for MFI with femara and trigger shot. 3 follicles were present at time of IUI. Negative cycle.

Between the consultation, testing for my husband and I, and the IUI procedure- costs incurred to date $5000

N/A