Reproductive Care Center

After a successful cycle resulting in a missed miscarriage, when I had a follow up scan with Dr. Blauer, he just went through all the questions and paperwork like I wasnt sitting on the table balling. Knowing I'd be seeing an empty womb when just weeks before we went to hear our baby's heartbeat. This was my first actual appointment with him/meeting him. My husband was furious. Since then, he has also cancelled 2 cycles and put me on birth control for a month... which we're obviously more eager to conceive now than before. We were diagnosed with unexplained infertility, so the fact weve had a successful cycle with IUI, it's hard to say let's move to IVF. But he's already dropped that hint to us as well while cancelling a cycle. It's been a hard year with Dr. Blauer to say the very least Certainly not the bedside manner the doctor we originally started working with at the clinic had. Not impressed. And currently talking with other clinics about future treatments!

Drive to the Sandy office to see the other doctors there

For all my injection cycles, I have done Femara 7.5 days 3-7 and Gonal-f 115 units 7, 9, 11 then trigger. I always have 3 mature follicles over 18mm, then a few right behind. And had a successful cycle with this dosage. In January, I had my first follicle scan with Dr. Blauer and not our nursing team. He counted my 3 follicles over 18mm, then also my 2 or 3 under 15mm... which put me in a position of him cancelling my cycle that month. I am still livid about it because the nurses have never counted those smaller ones nor had I had a cancelled cycle till seeing him. My next cycle they lowered my Femara to 5mg and Gonal-f to 75 units which I had 2 follicles, but have been unsuccessful with the lower dosage.

IUI used to cost $850 (billed to insurance cost) but went up to $892 at the beginning of 2020. I believe out of pocket cost for IUI was around $510 before the cost increase this year. Every follicle scan is billed to my insurance at a completely different cost so not even sure where to start on that. Usually just pay my copay then at my next appointment pay the balance on my account that truly cant really even be explained in detail to me

He has been so amazing with us. Always so concerned for my well being during visits. He also listens to all of my concerns and responds to them. He also helps us to know which next steps would be best for our situation.

Make an appointment now!

First he did all the testing to see what was wrong with us since we didn’t really know. We did a semen analysis, an HSG, and bloodwork and an ultrasound. He sent my husband to a great doctor after his not so great semen analysis where he was diagnosed with a varicocele and it was removed. Dr. Gililland then diagnosed me with PCOS but I really like the way he describes it because it gives me a lot of hope. He just says I have a little trouble ovulating but with help I should be fine. We have done two cycles of letrozole and did a trigger shot with one so far and they have not been successful yet. We are going to reevaluate my husbands sperm after his operation and then maybe do another round before starting IUI.

It is expensive but that’s how fertility treatments are! It’s hard because my insurance doesn’t cover anything. 6 months of visits was about 900 dollars if I remember right

Dr. Giliand was very upfront and respectful of our situation. We had just gotten married 3 months to our consultation and actually did not start taking oral medications and tracking ovulation for 13 months after our consultation. When we went back in after those 13 months for our testing (it took that much time to let my husband come to terms with possibly having confirmation he couldn't have babies as he had always been told) it was as if our consultation was the month before. Dr. Giliand was completely up on our charts recognized it had been a while and that we were ready to move forward to figure out our treatment plan. THAT appointment was the comfort my husband needed and I am so grateful he felt that as it helped us keep moving forward to testing and treatment the last 9 months!

Be completely open to all possibilities. Dr. Giliand is reaching for the same goal you are, for you to conceive! Ask questions, as many questions as you have (even uncomfortable ones like my husband asking the best positions to help our chances!)

Since we are in the unexplained category, we decided to try 3 months with oral medication to help improve ovulation as we had not been tracking ovulation in the past. This was a good stepping stone and light way to start our infertility journey. The 4th month we did the oral medication and an IUI, which was unsuccessful. Our original plan included 3 IUI's before thinking about IVF as he was pretty confident we shouldnt need IVF. For our 3rd IUI cycle, we started injections along with the oral medication. Fingers crossed as we go in for our 3rd IUI within the next week or so. As we dont want to completely burn through insurance coverage with IUI's ans ultrasounds, we will move to IVF if we don't get our lucky, 3rd times a charm IUI positive!

It's always so crazy to me insurance costs are always more than out of pocket. Our IUI out of pocket cost was $510 while they billed our insurance about $830. We dont quite have IVF costs as we are doing one more IUI cycle before an IVF consultation for costs and to determine a plan with our doctor.

We have not yet had IVF consultation in depth. No feedback on transfers just yet!

The first time my husband and I went in for a consultation I was very nervous. Dr. Gililland could tell and was there to reassure me that he would do everything to get me pregnant. We did lots of testing and blood work and were set to do IUI my next cycle. I went in for an ultrasound the start of my next cycle and they found an endometromia. Of course not the news I wanted but what I got. Dr. Gililland decided the next best thing would be surgery to remove my endometromia. I agreed and we proceeded. While I was very disappointed and was super excited to try IUI I knew this was the best think for me. He did the surgery and found a lot more then he was expecting but was able to get it all out. I had some complications after and dr. Gililland worked through them with me never dismissing me and always there to help with my concerns. He even called me from his home phone to make sure I was doing okay. We are now starting to do testing and things to get ready for IVF. I would recommend Dr. Gililland

Be open to what he has to say and make sure to ask as many questions as you have. He gives very detailed answers and will give you all the information you need.

The first treatment I did was femara (a pill like clomid). It didn't give the results we wanted, so we did further testing. The next thing we were going to try was IUI, however the nurse found an endometromia and so surgery was the next thing we did to remove the endometrioma. And finally we are currently working towards IVF. Hoping that it gives successful results.

The costs differ for sure but they are the best prices I have found. Testing, ultrasounds, and blood work cost about $1000. When we do IVF we will be paying around $9000 for one round.

The first time Dr. Gililland told me he did eSET it was very hard for me to hear. I was hoping to transfer more embryos and hopefully have a higher chance of getting pregnant. I am now on board with it and understand his logic.

I had a miscarriage with the first treatment. Understandable that things happen. But when I went in for a follow after I had passed everything I felt very heartbroken and was hoping to feel some comfort from the staff. Nope. Nothing. I was called into the back, had my blood drawn, and the nurse said “K, you know what to do.” Meaning strip from the waist down to do an ultrasound. Umm yeah. Very unprofessional. I was so mad. The last 3 appointments with Dr. G he has rushed me to billing without first wanting to answer all my questions. We were VERY discouraged after he required me to get ANOTHER hysteroscopy surgery before doing IVF after the fact I just had it done 6 months prior which also included laparoscopic surgery. Then telling us he won’t let me do IVF at all until he does the surgery. We feel like he is in it for the money. I will never go back to RCC. I don’t like a doctor laughing in my face for honest questions I have.

Don’t let him get up and send you away until you have all your questions answered. Know your rights as a patient.

First cycle. Low dose femara with gonal f injections and times intercourse. Pregnant with a miscarriage. Same doses for second cycle. Not pregnant. Third high dose of injectables and femara and iui Not pregnant. Femara and iui not pregnant.

HSG $300 SHG $300 in office hysteroscopy $400 consult $200 Ultrasounds $250 injections $400-$600

I asked if I could transfer more than one embryo with IVF. He said no. I asked well isn’t it my choice as the patient. He said no... well I mean yeah it is. And that’s where he proceeded to laugh in my face and make me feel stupid. Then, quickly off to billing! I wish he would tactfully explain all the reasons he advised only one embryo

Dr. Gilliland did first assessments & an interview type appointment and I felt that he had a clear view of what our issues were and what tests and treatments would benefit those. He did our first iui and popped his head in to say hi and good luck for the other 3. He did seem like he puts most of his face to face time towards IVF patients.

If you want to see him specifically, just tell the scheduler and they will accommodate you. You just won't have as many options for times. Take advantage of the nurses knowledge

Because I had diagnosed PCOS and was very irregular with my periods, we started first with three months of femara and timed intercourse. On the third month he added in injectable gonadotropins due to the fact that I was not yet pregnant but was having some follicle growth on my scans. He discussed that we could continue this conservative treatment for as long as we wanted to, but his recommendation after 3 cycles of this was to move to IUI. The next four Cycles we did femara, the injectables, twice monthly scanning, and IUI. During my treatments I never had a positive pregnancy test

For all the medication plus Dr Gillilands cost, each IUI cost around 1200.

Na

He was a great listener and explainer from the very beginning. He was willing to go at my pace and ensure I had all the information along the way. He never once made me feel judged or shamed. Through different procedures and diagnostic studies he could tell I was nervous for some of them and made sure I was confident and ready before he proceeded. He helped me feel relaxed and understood.

What are you waiting for?! :)

We did a good amount of dx studies at first , labs, X-ray, follicular studies, ovulation tests, more labs. When my prolactin levels resulted in high levels, he order an MRI to rule out a pituitary tumor. Knowing this was causing me some concern he made sure to get the results and treatment plan to me soon after the MRI. I take bromocriptine for my prolactin and have tried ovulation enhancing drugs a couple of cycles now. We’re in the process of now deciding to try IUI or other options.

I do t recall exactly but when I was doing research they were the most affordable clinic I found. And we’re good about telling me costs of things. I was double covered for the first little while and don’t remember paying much if anything for diagnostic testing (besides the MRI) but even after that it’s been affordable so far

Dr. G seemed very knowledgable on paper and the one time we met. However, I have only ever spent 40 or so minutes with him in the time (5 months) I have been in his care. The one time he passed us in the hall on our way to our IUI and he didn't even say hi or check on us. I feel like my husband and I are the ones in charge of our treatment. We are new to seeking treatment, so we were really hoping for a doctor that could guide us in what is the best course of action for our secondary infertility, but it almost seems like our case is "boring" so not worth his time.

Be vocal. Make sure to write down all of your questions before meeting with the doctor so you make the most of the consult.

When I first met with Dr. G, we have been on Clomid for 6 months. Immediately after our consult we received a semen analysis and egg examination. We started injections (114 mg)and a trigger shot with timed intercourse. It was told that we shouldn't have a problem getting pregnant. The first cycle resulted in a negative test. The second cycle we upped the meds to 132 mg and timed intercourse. The last cycle was increased to 175 mg and I ovulated on my own with IUI. One week later the nurses called to inform me that Dr. G had yet to ask for Progesterone test one week after ovulation. It was suggested I get one done. This cycle has also resulted in a negative test. I am unsure of the rationale, as I was the one who asked to do an IUI. Again, I haven't spoken to Dr. G since the consult so I am not sure why the treatment is the course he went with.

The consult was reduced if you had a referring friend. A round of shots cost $497 shipped overnight. My IUI cost 417 out of pocket. Each ultrasound was $250

He was extremely kind and polite. He was very soft spoken. He was very thorough when assessing me and my medical history. When I first met him he was not what I expected though. He was typing very slowly, making lots of typos and needing to correct them. In the middle of our first appointment his cell phone rang and he answered it right in front of me. It just seemed strange. But overall I left feeling very comfortable and confident in his abilities and his care plan.

Be upfront, and a little bit bold, about your expectations and what you want or need from him and his office. Ask lots of questions.

I have unexplained secondary Infertility but considering my age, my health, and medical history he didn't see any reason why we couldn't find success. He did a thorough ultrasound to examine my reproductive system and egg supply. He did a full blood panel to check for complications with thyroid, hormones, or other issues. He suspected my follicles weren't stimulating enough. He started me out on the lowest dose of Clomid, along with injections of Gonal-F to increase my follicle quality. Then we did ultrasounds after completion of medications to check for my body's response, and then did an HCG shot. My ovaries and follicles responded well, but we were never successful.

It cost us about $1,000 each cycle for medications and a complete IUI. A consultation with him was $50 in person, and $90 on the phone.

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I know Dr. Gililland is very smart and has been doing this a long time. I feel like he follows his heart and his patients heart and does not just follow what he learned in a textbook step by step. I appreciate that he takes the time to listen to your concerns, however, there have been times when i have not felt "heard". After i had told an RE before him and then him that my pain and bleeding kept getting heavier and longer every cycle, it kind of got brushed aside since i've already done every test possible at that clinic without many answers. His suggestion was to move on to IUI. I followed his advice and did 2 IUIs unsuccessfully. I finally decided to talk to a regular OBGYN (not Dr. Gililland) at another clinic for ANOTHER opinion on my pain and bleeding and he suggested surgery, which he then performed, and found stage 4 endometriosis...so bad that my ovaries were completely covered and stuck to my uterine wall...finally, a much clearer answer to my problem! I can't fault Dr. Gililland completely, i was seeing a different RE for almost 2 years at the same clinic until he moved and my care was then transferred to Dr. Gililland, so i know Dr. Gililland was going off of the previous doctor's notes and hadn't done any of my tests himself except for one HSG when the other doctor was my doctor. That is a great story in and of itself: when Dr. Gililland was performing my HSG for the other doctor, he couldn't get the dye through one of my Fallopian tubes and suggested i have surgery to see if there is endometriosis. When my actual doctor at the time saw the images and heard what Dr. Gililland had to say he decided that he wanted me to do another HSG so he could perform it himself and when he did he said he pushed the dye through so hard that he think he cleared that tube of mine that previously looked blocked. At the time, i think i did fault Dr. Gililland a little bit because i didn't now him and thought he was just trying to get me to do an expensive unnecessary surgery when my doctor was able to get it unblocked (little did i or the doctors know that wasn't really the problem), but after going through what i've been through with that 3rd doctor (the OBGYN) i realize Dr. Gililland suspected endometriosis all along and had he been my actual doctor at the time i would've had surgery much sooner, had relief much sooner, and maybe even got pregnant back then. Like i said in the beginning, Dr. Gililland follows his best instincts and i appreciate his willingness to lead by those instincts.

Try to stick with one doctor as much as you can unless you feel deep down that you need another opinion. In my case, my first doctor moved away and it forced me to see Dr. Gililland. In the long run I have been happy about the change, but it did cause some stress feeling like I was starting over. If i would've had the chance and known what i know now, I would've started with Dr. Gililland.

I have done 2 IUIs with Dr. Gililland using Letrozole before the procedure to help ovulate. I never had problems on the medication, i ovulated as i should and the IUIs, although unsuccessful from not knowing i had endometriosis, went smoothly.

I've been through so much treatment that i don't remember what everything cost but i do remember the consult was approximately $75 for an hour of the Doctor's time, a semen analysis was approximately $350, and an IUI cycle was just over $400. These prices are all self-pay prices, if your insurance covers anything for infertility then your prices would be better than that. The thing i like about this clinic is i don't recall them charging anything if i needed to come give a blood sample real quick, whereas i was charged a hefty fee at a completely different clinic to give them a urine sample to find out if i was pregnant when i knew for a fact i wasn't and also to give me a shot, which took all of 3 minutes so i like that RCC doesn't charge you for doing nothing.

He answers your questions and makes sure you understand. Doesn’t feel like he is in a hurry. Honest and warm bedside manners. He talked about different testing and prices, which I really appreciated. Wanted to change my protocol since the first didn’t work, I really am excited about.

The doctor I had previously had me on Gonal-F for egg retrieval and a trigger shot of Lupron. I ended with three embryos of good and fair quality. So Dr Gililland wants to change the protocol with a mix of Gonal-F and Menopur and a trigger shot mix of HCG and Lupron. And he left me with options of Embryo Glue that he suggested. Gave us other options if we wanted to do other tests before another IVF cycle.

$7,900 fresh transfer, $300 anesthetist fee, $303 hyper stem insurance, $1,900 ICSI, $275 Embryo Glue

I was educated that transferring two enhances success a little bit, but multiples is very common. He still left it up to us.

Dr Gilliland is very nice and attentive. He asked the right questions and listened carefully to our requests. The only thing I would change is moving at a quicker pace with the process, but maybe we could have communicated that more clearly on our end. Dr Gilliland is kind and honest with the facts about your personal infertility.

Be upfront and honest in what exactly you want to be done. Trust his advice but ask plenty of questions, because he will answer them.

Dr Gilliland had me taking bromocriptine and listened to my request when I told him it made me feel sick, so he took me off of it. He helped to diagnose my husband with male- factor infertility and had us see a urologist. He gave us options for how to treat our specific situation, I appreciated that.

I felt costs here were resonable compared to other fertility clinics. They were upfront with costs and conveyed them clearly.

We were told we would only have 1 embryo transfered per cycle because I am so young and have a great chance of getting pregnant with 1. I would be interested in transferring more than that if needed, and would love twins, so I would hope that they would do that if I requested it.

HE is a very thorough doctor who retested blood levels other doctors had already checked and got me on correct dosage of medications. He is very welcoming and very knowledgeable!! He always listens and answers every questions I’ve ever had. And I’ve never felt rushed even when I’m taking more time then I probably should he will always make sure I’m comfortable with the next step in our treatment.

We started on blood tests to make sure levels were where they needed to be. Put me on medications re tested blood, instantly put me on Femara. I had been asking my previous dr to put me on this and they refused. With little to no explanation. Currently going in for surgery tomorrow next step is another IUI.

I feel like infertility is expensive where ever you go. However, they really really try to be sure that my ins will cover the max amount. And if there is a significant cash pay price I’m always informed.

We have discussed this for future, 2 embryos.

Dr Gililand was very nice and personable. He was very knowledgeable in woman infertility but had to refer us out for male infertility, which took a lot longer for us to even get started on treatments.

Pray you don’t also have male infertility to deal with.

I had elevated prolactin levels so he put me on bromocriptine the entire treatment timeframe, which made me very dizzy all the time. We started with femara, I took two pills days 3-7 of my cycle. This resulted in two failed IUIs with if I remember correctly only one follicle per cycle, and I got a positive ovulation test both times. Next we switched to clomid, two pills days 3-7. I had more follicles and still had a positive ovulation test but the 3rd IUI was unsuccessful. So we stuck with clomid but added in FSH injections which I don’t remember the dose or when I took it in my cycle, this combo resulted in 3 great looking follicles (if there were anymore they wouldn’t have followed through with IUI, but instead would do IVF at half cost if there were more than 4) and I had a positive ovulation test and finally a successful IUI

We paid out of pocket for the genetic testing, my FSH injections ($200/cycle), and each IUI ($200/cycle). Everything else such as clomid, femara, my husbands clomid and HCG injections, our ultrasounds, the HSG procedure, our doctor consults, our insurance covered.

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I loved Dr. Gililland. His style of interacting is different from what I would have originally thought I would prefer, but I was surprised with how much it helped with my anxiety throughout the whole process. He was very warm and caring and attentive, and always seemed optimistic that we would be successful. Sometimes he would use physical touch to reassure me (e.g. touching my arm or shoulder). He was very knowledgeable and (in our case) was usually right on target with treatment decisions and estimates. At some point he gave me an email address. I only used it a few times since most questions can be answered by the nurses and he appeared to answer email on his own time (early in the mornings), but it was reassuring to know I could reach him directly if I really needed to. He always answered within a day.

You might not see him very often depending on the treatment you need. He did my initial testing (ultrasound, HSG, etc.) but I didn't see him at all during three IUI cycles. All IUI monitoring and procedures were done by nurses. When we moved on to IVF, Dr. Gililland did all but one of the monitoring ultrasounds himself, including one on a Saturday, as well as the retrieval and the embryo transfer.

When my blood testing came back with FSH 12 and AMH .9, he recommended that our first treatment be IUI with Femara and Gonal F. We did three cycles of this treatment with the nurses. I used OPKs and got a positive the day of the ultrasound (day 12) each time, as well as my usual ovulation symptoms, so we never did a trigger shot. I responded well to the medication and the nurses kept telling us everything looked "ideal", but none of the cycles resulted in a pregnancy. After three failed IUIs they had us follow up with Dr. G. He gave us a choice between more IUIs with the same medications or IVF. He didn't pressure us either way but just said to consider the success rates of each (while being mindful of cost, risks, etc.). We decided to proceed with IVF. Our first attempt was cancelled due to an estrogen-producing cyst, which was gone by the second attempt. I was on stims for nine days and the dosage never changed. They had me take a lower dose of the trigger shot to reduce my risk of OHSS. We got 14 eggs, 9 mature. Dr. Gililland had said he didn't think we needed ICSI, so we didn't use it and 8 out of the 9 eggs fertilized without it. He had also said he thought we could get 4 or 5 embryos and we ended up with 3 on day 5 and 1 more on day 6 for a total of 4. Our first fresh transfer of one embryo was successful and the other 3 embryos have been frozen.

IUIs were $400 for the IUI and $400 for the medication (I did injections). Our IVF cycle ended up costing about $10,000 after paying for anesthesia and embryo storage, with medication being an additional $3,000 or so. They tried to sell us on their multiple cycle discount package, but we felt our chance of success was high enough that we didn't want to risk paying for cycles we might not need, and would rather take the risk of paying for cycles individually. This ended up being a good decision for us.

Dr. Gililland very strongly encouraged us to do a single embryo transfer, which ended up being the right choice for us. I was 30 and it was our first transfer.

Dr. Gililland was very nice, knowledgeable, and seemed very invested in helping us have a baby. He listened to my history and made accommodations in my treatment based on it. He kept a record of notes to keep track of all plans. I don't have any complaints working with Dr. Gililland. Luckily, our treatment went smoothly so I don't have any experience with having to deal with any complications with him.

Be as detailed as possible. The more the doctor knows, the better the treatment can be.

The IUIs followed similar protocol to the earlier ones. Fermara with Gonal-F injections. Then an HCG trigger shot followed by the IUI. Both of these ended with a negative pregnancy test. For the IVF cycle, I straight stimmed (no BC) because of health issues.. We did Gonal-F and Menopur injections for about a week. Along with Estradiol (orally). Testing and monitoring were done every 2-3 days. We did a lower doses because I have PCOS and they we trying not to have me overstimulate. I used Lupron for the trigger shot. They we counting about 40 follicles. Egg retrieval produced 20 eggs. 14 fertilized and 8 made it to day 5 for PGS testing. The following month I began taking Estradiol and compounded gel Progesterone. We transferred one embryo which resulted in a positive pregnancy. Currently, 20 weeks in March 2018.

IUI for us was covered mostly by insurance. So ultrasound were around $85 and he IUI was about $150. The IVF was around $25,000 (which included 2 cycles). The anesthesiologist was $400. The PGS testing cost around $2300 for up to 8 embryos. I needed insurance to cover OHSS since I had an AMH over 3. That cost was $$350.

Two main reasons on why we transferred one embryo. First, to reduce the risk of multiples. Past medical history was taken into consideration when making this decision. Second, transferring a single normal PGS tested embryo is recommended.

Dr. Gililland was always willing to explain every detail. I always have so many questions and he never rushed me or dismissed my questions. He would even break out charts, pictures, and diagrams to help my husband and I understand what is happening, what the next step will be, and every detail in between.

Stay relaxed. He is a very mellow doctor, and I was so tense and emotional my first time meeting him that I wasn't even able to remember everything that happened! You'll be emotional and tense just because you're in this situation but Dr. Gililland will try to make you smile and laugh, and that helps so much.

When we first were referred to Dr. Gililland it was for a Semen Analysis for my husband. I had just had a laparoscopy and it dismissed the endometriosis idea, so it was our next idea as to why we could not conceive. Results came back and they were low and we found our problem. Once we met with the doctor to go over these results he ordered blood tests to determine where these results were coming from. He also ordered me an ultra sound and a HSG (an x-ray of the fallopian tubes) just to make sure everything was healthy on my end. My husbands hormone levels showed on his blood test, very low, and out of sorts. He was then placed on Clomid to help raise the levels, and it did just that! His hormones raised significantly and he feels better with more energy, although it did not help his sperm count and motility. The doctor has now suggested we move on to IVF, my husbands numbers are too low to consider any other treatment course. They plan to just work with the numbers that my husband can produce since they are unable to help anymore.

The billing director sat my husband and I down and went over every single cost, specific to our treatment plan. Some couples need need things that others don't, and we would have never been able to tell what we needed on our own. She answered all of our questions, they even personally called our insurances to determine coverages. They broke down the cost of each item, from the anesthesiologist, embryo freezing, and the medications.

My doctor had a very strong preference to do a single embryo transfer. However, I am young and healthy, therefore I can see where he is coming from. It depends on the patient and he said that it is ultimately up to the couple how many they would like to transfer.

Dr Gilliland is very caring and kind. He is also very knowledgeable. He takes the time to answer questions and treats us with great consideration. He is willing to listen to concerns and adjust treatment. Some things were not well communicated by him in the course of treatments and he tends to be dismissive of most alternative or supplemental treatments (I.e. Most vitamins and other supplements). He will go out of his way to help us and weekend morning emails and phone calls are not uncommon during a cycle.

Educate yourself well before going in so you know the right questions to ask.

We have done 4 IVF cycles with Dr G. The first ended in a freeze all and then a frozen transfer due to a polyp found by the Dr mid cycle. It was a straight Follistim cycle with Ganirelix as the antagonist. We transferred both of the resulting embryos in a frozen cycle that resulted in a negative beta. Being new to IVF at the time, I'm unsure of the rationale. The second cycle used a mixture of Follistim and Menopur, also with a Ganirelix antagonist. This resulted in 3 day transfer of the only 2 remaining blastocysts due to poor embryo quality and a positive beta that ended in a miscarriage at 9 weeks. The next cycle was an identical protocol to the second with the addition of Omnitrope and ended in a 5 day transfer of the only fair quality embryo and resulted in a negative beta. The 4th cycle was a no suppression cycle with identical protocol to the second with the addition of letrozole during a few days of the cycle. This cycle ended with no transfer due to my and my husbands decision not to do a recommended 3 day transfer. By day 5, all embryos were gone. We're just now beginning a 5th cycle and based on our requests, we are going a Menopur only stimulation with a Microdose Lupron antagonist, a 3 day transfer and transferring up to 4 embryos if available.

We have insurance coverage, so most costs went to the insurance company. There is an anesthesiologist of 300$ not billed to insurance, and we have a high deductible plan so we paid out of pocket for that amount.

Based on my age and apparent egg quality, my Dr has always recommended transferring two, with the exception of a cycle where one embryo was well ahead of the others in development. Our upcoming cycle he is in agreement with transferring more than 2 as long as we are well informed of the risks of possibly carrying multiples.

Dr Swelstad was very honest and open through the entire course of treatment. Despite the variables that couldn’t be controlled, he continually updated us on the direction of treatment and answered all of our questions very clearly. Dr Swelstad was sensitive to the needs of our family and was helpful in directing us with our choices to have a healthy successful cycle. He wasn’t shy about conveying the risks of treatments but also allowed us autonomy to decide which was to proceed. He was accessible and very friendly. I would definitely recommend him to anyone looking for treatment.

Don’t be afraid to voice your opinions, fears and dreams. He is very willing to work as a team and they will be very well received.

We used an antagonist protocol for our IVF Cycle. We were successful with a 28 egg retrieval. Our fertilization didn’t go well and we ended up with 3 eggs for transfer at day 3. We transferred the two with the best quality and had a successful Singleton pregnancy and birth.

There were many options of IVF treatment with RCC. We opted for a single "fresh cycle". The cost including medication was just under $14,000.

Dr Swelstad did encourage us to transfer only 1 or 2 embryo. He did explain the risks of high order multiple pregnancies and births.

My experience was unique...we ran into one problem after another and had many set backs. In the end I felt like he avoided doing additonal testing that could have diagnosed my issues sooner and saved me a great deal of greif simply because I didn't fit the standard age or weight for certain issues to be likely. I would have gladly undergone and paid for more testing upfront. I was not diagnosed with endometeiosis until AFTER an ectopic pregnancy AND a heterotopic pregnancy due to the issue. I really think that is something that should have been found and looked for instead of finding PCOS and thinking that was the answer to all my problems. I was also diagnosed with endometeial hyperplasia but not nearly as soon as I think a more througho eval would have found it.

Ask for more testing if you feel its nessacary. Be your own adovate.

3 cycles on any one thing was recommended before moving on. I did Femara for 2 with trigger shots due to still not ovulating. Next 3 rounds of clomid, surgery, found hyperplasia, northendrone, biopsy problem not solved, was sent to oncologist, put on m- something as last resort, biopsy all clear, 3 more rounds of clomid, 3 rounds of clomid plus shots 3rd was ectopic pregnancy, wait, another 3 rounds of clomid plus shots, after third planned IVF. 3rd round was heterotopic pregnancy, tube burst lost tube but baby in uterus survived. I dont remember doses now but I way over reacted to the clomid plus shots and kept going down in amounts month after month. The lowest # of mature eggs I ever recall was 4 and I was advised to cancel cycles each time.

A lot, particularly when it came to shots and having to order them from another state. $7000 plus for each surgery Swelsted did.

Swelstad left the clinic right before we were going to start IVF so I dont recall discussing that with him.

Dr Swelstad is a very knowledgeable doctor. He really knew what he was talking about. He talked in a very clinical way and I understood all he was saying because I have a medical background, however it was hard for my husband to follow everything he was saying. He was not very compassionate. More just to the point about treatment.

If going to Dr Swelstad just know that he is very straight to the point and not overly compassionate.

We were only under Dr Swelstad's care for a few months. He ran a few blood tests on myself and a sperm analysis on my husband. He dismissed some of my concerns about pelvic pain and other cyclical symptoms. My next fertility doctor dug a little deeper and found that I had endometriosis. He also told us that my husbands sperm analysis was great even though his morphology was low. He told us that should matter because he had a high enough count. After switching doctors we have found out that the low morphology could be a major cause of our infertility. Dr. Swelstad performed an HSG in which everything appeared to be clear. He then had me take Femara for 3 months since my OB had me on Clomid for 3 months previously and it was not successful. None of the cycles with Dr. Swelstad were successful and we left with an Unexplained diagnosis.

I had costs related to mostly the office visits and blood work. The most substantial cost was for the HSG.

This was not applicable for us.

I have only seen him for a consult so far, but I feel like he was very kind, understanding, and willing to work hard to get things working. However I did feel that because my next step was surgery I wasn't sure when we would begin the next steps in treatment.

Ask your questions and just make sure that you understand what to do next.

He was very good at explaining why we will probably do another round of IUI even though we have done 5, and why he feels like that is the best next course of action. He explained how we would do things differently and with FSH injections to make sure we are getting mature eggs before spending the money on IVF.

My consult was billed for about $200, we paid about $50. We were told monitored IUI with FSH injections would be about $1600. And a cycle of IVF would be about $8000 plus medication.

Dr G is so kind! He genuinely wants things to work out for you. I have wondered with him though if we have tried everything we can or done every test needed before suggesting ivf. When the nurses have questions or when I have questions for home he always takes the time to talk to me and answer my questions.

Write down questions before your appointments so you know what to ask when you are there. I would think of things before appointments and forget to ask while there.

We did 3 iui’s because I have unexplained infertility he thought that would be a good starting point. We did try injections along with iui to get more eggs. No successful iuis

About $500 per iui with medications $75 per office visit copay