Procreate Fertility Center of Virginia

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.

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.

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

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

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 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.

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.