RBA

We were very happy with Dr. Toledo. He was caring, knowledgeable, and compassionate. He was thorough in our treatments and explained everything to us each step of the way. In instances when things didn't go how we had hoped, he always gave us the courtesy to call us and explain/give feedback/or just listen to our fears/disappointment.

Be patient with the process. Ask for lots of testing up front - especially the MTHFR test which is such a common genetic "disorder" but can be easily "cured"

There are Dr. Toledo groups that meet and talk about how wonderful he is (seriously) his bedside manner is excellent, his staff is attentive, the follow up is fast. The lab is in the office- results same day most of the time. He never makes you feel paranoid, silly, or hormonal with your thoughts or questions (or need to have an ultrasound because you don't "feel" right) I have recommended many friends to Dr. Toledo. He's "the baby maker" and I'm forever grateful to him. I had history of miscarriages and he followed me through my successful pregnancy.

Trust your doctor

I am a physician so I like directness. She is OK in bedside manner (she is not real touchy-feely) so that is OK with me. But she is EXTREMELY honest about your chances.

She is not touchy feeling but you are getting the best clinic in Atlanta. I can say this since I am a physician and know that they have been doing this the longest. I got pregnant with my own eggs at 43 and almost 45 yo.

He always finds a way to connect with me. He uses humor to lighten the mood and make things more personable. He is very knowledgeable about updated research and protocols. He recommended supplements for me to start taking to increase egg quality right away. And he is always open to hearing others’ opinions, my opinions and suggestions from my own research, and he encourages me to get second and third opinions if I feel that I need to. He has instilled a lot of confidence and hope in me and my situation.

Ask questions and do your own research. Don’t be afraid to get other opinions!

I started taking CoQ10 and DHEA for low AMH levels following my first appointment with him and he also had me do an HSG test. I have one open tube and one blocked tube. He suggested 3 rounds of IUI before proceeding to IVF, but my husband and I decided to jump right to IVF because of the success rates of the two and because of my good insurance coverage. I completed my first round of IVF this past March. I started the cycle with Lupron on day 1 of my cycle. I then did 300 units of Follistim am and pm in addition to the Lupron starting on day 2 continuing through day 12. I did an HCG trigger shot on day 13 and I had my egg retrieval on day 15. 10 eggs were retrieved, 8 of those being mature. 6 fertilized and 2 made it to blast. We sent the 2 off for PGS testing and both of them came back abnormal (chromosomes). We did not do a transfer. Both are still frozen but we will not be transferring them. I am gearing up for round 2 of IVF soon.

My insurance covered most everything. I had to pay $900 out of pocket for my medication through Avella. And then I had to pay $1000 to meet my out of pocket deductible and then another $2000 for PGS testing. My insurance did not cover that.

We didn’t have any embryos to transfer but we were planning to transfer 1 because of my age (34). He said he entertains transferring multiple starting at the age of 35.

He is very nice. Kind be kind of awkward, but that's good personality. He's very smart and has a great deal of knowledge about MFI. We trust him completely to give us our miracle. He has won many awards in urology. He is one of the top doctors in the country!!

Take notes!!! He talks a lot. Take all the notes you can. And ask for your record so you can look things over.

My husband had to have several semen analysis done. Dr. Witt wanted to run several different tests. He also needed ultrasounds completed, which shown stage 2 varicocele. Dr. Witt conducted surgery. After 3 months, we went back and my husband is now on medication and supplements perscribed by Dr. Witt

I don't like the "office fee" every time we come. Esp when we have to due to a follow up. But infertility is expensive. At least they take some of our insurance.

Good doctor but tends to assume one knows all terms and numbers and doesnt explain unless specifically asked. Given this is such an overwhelming thing already. I feel putting everything as simple as possible is best way to reassure the patient that it is a team effort and they really are on your side.

Do your research about potential course of treatment before committing to it. It may push plans a month but it is better to know what you should expect, look out and hope for throughout the treatment protocol chosen.

Standard ivf process, egg retrieval, procedure of fertilization and PGD/S discussed realistic probabilities of success. 12 eggs, 7 embryos at day 3, 3 made it to day 5, 1 was normal

He said, he wouldn't want to do multiple transfers to avoid multiple pregnancies problems and end with healthy babies instead of premature risky births

Please see above. Dr. Shapiro is smart, compassionate, and direct. He gave me as much time as I needed with him and explained things to me as an intelligent woman who could read and reason and research for myself.

Start with him!

This really doesn't seem relevant, although I have the details. His strategy: be aggressive. At 40+, get as many eggs as you can. IT WORKED.

This is the only clinic I used that reduced rates for each cycle.

No comments. I went the safest route: one at a time.

Wonderful, caring trustworthy doctor who is funny and straightforward as well. I felt very comfortable in his office and under his care. He didn't try to rush our meetings/ appointments; he understands the sensitive nature of what each patient is going through, and devotes his time, energy and patience to making them feel very care for.

You are in very good hands.

I've only had to pay my copay because I have yet to unergo any procedure.

Dr. Shapiro explains everything in detail from a clinical perspective with pros and cons of each treatment and lets the patient make the ultimate decision. This is the approach I prefer, but I understand it may not be for everyone. While very clinical, he’s also very compassionate. While we would have preferred to not need the assistance of a reproductive endocrinologist, we enjoyed our experience with Dr. Shapiro and RBA and wouldn’t hesitate to recommend him to anyone.

Do your homework before your initial appointment. Know some of the general terminology for treatments and come prepared with specific questions. Bring a notebook!

Antagonist protocol with an hcg primer Medicated frozen transfer cycle

Preference for eset, especially upon first transfer.

She was very easy to talk. She explained how fertility and infertility works. She helped us to understand the tests and processes we would go through. She included diagrams to visually show how it all works! We arrived at our appointment and was seen right away.

Be open-minded

i have only done the tests - covid19 put a pause to our progress.

Funny guy , makes the process easier with his humor and ease . He is willing to try anything and really listened to all my suggestions . I felt like we were a team . He made all our dreams come true by giving us 2 beautiful babies

Never give up

I do not remember

Average

The one eset worked for me . All my other multiple embryo transfers failed