Reproductive Medicine & Infertility Associates

Dr. Jensen is wonderful at explaining every step of the process and what to expect. She is great at setting expectations and coming up with a treatment plan that is right for you, making sure to always listen to your thoughts and ideas and take them into consideration as well. She always made time during our appointments to answer any questions and I never felt rushed to leave or like she didn’t have time for us.

Never be afraid to ask questions, she’s great at answering any questions you have. Also if you have ideas for treatment share them with her, she’s more then willing to take them into consideration and will thoroughly explain why she’s picking the treatment plan that she has for you to have the best possible outcome.

I was diagnosed with diminished ovarian reserve so we knew that I may not have many eggs left. At my day 3 ultrasound we saw an AFC of 11, so we were hopeful to get more eggs than expected. I was on birth control to regulate my cycle before starting IVF meds and then started wearing Testosterone patches for 5 days. After that I started with 75mg Menopur and 150 Follistim. Throughout this cycle only 2 eggs were responding. On day 7 we upped the Menopur to 150mg to see if we could get more eggs to respond. On day 10 only 2 were still responding, but went into retrieval getting a 23mm and a 13mm follicle.

Monitoring appointments were generally on a specific day/time frame. You knew well in advance, which was nice to work around my work schedule.

Egg Retrieval, Anesthesia, Fertilization, and Fresh Embryo Transfer- $8750 ICSI$ 1200 Assisted Hatching-$400 Extended Culture (if needed)-$300 Embryo Cryopreservation (if applicable)-$1200 Embryo Storage (if applicable)-$60/month Frozen Embryo Transfer (Frozen Embryo Transfer after unsuccessful attempt $3,200)-$4000 Additional: Prescreening-$1500 Program Start Appointment-$2000 Monitoring ($2,500 retainer)**-$300-$3000 Medications – Fresh-$3,000-$5,000 Pregnancy Tests and Ultrasounds-sent through insurance By the end of it with medication costs we spent around $16,000

Dr. Jensen left this decision up to us knowing that we had DOR and this might be our only chance at having children with this IVF cycle. We decided that if we were to retrieve more than 2 follicles then we would transfer 2 and she was completely okay with this decision.

Dr. Jensen is very bubbly and a very positive person, which is a good thing to have in the room when you're dealing with so much unknown. She makes sure to explain things so they make sense to someone who is just starting on this journey.

Sometimes it feels like she may be rushing the conversation, but in reality she loves what she does and just wants to spill out everything she's thinking as quickly as possible.

We qualified for a warranty plan which includes three retrievals and as many transfers as embryos we got. The cost for this was $15,000 not including medicine. We also received a first responder discount, because my husband is a police officer.

Dr. Jensen informed us that the different success rates for 1 or 2 embryo transfers. She stated that two embryos a transfer is her max.

I truly only have positive things to say about my fertility experience with Dr. Jansen. I want to also preface that even though, as of today, we have not had the intended outcome we are hoping for, pregnancy - she has always given me the support, courage, hope and information I need to continue trying to achieve pregnancy. I believe she is progressive in her thinking without leading me into false hope. Every treatment or test she would share with us what she learned about me, and my body and would using that (along with her medical expertise) to inform the next move. Each next move we have gotten closer and closer to what we are hoping for. Prior to coming to Dr. Jansen, I was told after one cancelled IUI at another clinic, I would never be able to produce any mature eggs. With Dr. Jansen, she did not give up - she said that we may not get a lot, but we will get some. 2 of the 3 IVF cycles (one was cancelled due poor response to medication) I yielded 3 mature eggs in the second cycle and three the third. For me, that was a huge success because can produce mature eggs.

She will be honest with you while at the same time hugging you with kindness and compassion as you make some of the hardest decisions of your life.

First cycle...started with Folistim 150 and Lupron. Continued to increase Folistim amount. but stimulation day 12 my follicles started to perk up, but not to the extend to what she wanted. What she learned or shared with us is, if we wanted to move forward we would do, I believe flare protocol and that it might be a long protocol too. That next cycle gave us 3 mature eggs, all fertilized, one fresh transfer and one FET, the last embryo didn't make it to freeze. Our second cycle, for the FET we did have a chemical pregnancy. That was my first ever positive pregnancy test - I was so happy, even though it didn't yield our intended result. I am currently in my TWW of the 3rd cycle where we did the same at cycle two only we added estrogen priming. We transferred on day three and currently in our TWW.

monitoring appointments for me were flexible they would give a range of times that worked. On a few occasions the times were a bummer, but that was because i'm not really a morning person. Haha

It was 11,000 for IVF without the drug. They worked really well with my insurance. I would get my Menopur from the clinic which was nice. I spent a lot on meds about 500$ a day given I was a poor responder.

I know this was based on how many eggs would be retrieved and knowing that I wasn't going to come out with a lot I knew that if is was a good quality embryo we would transfer one and 2 of lesser quality if those options were available.

He was very thorough with all parts of the process. Very kind and explained everything as it was being done. He also made sure that not only I, but my husband, felt comfortable at all times. He is very gentle when he needs to be but very direct when he needs to be.

If you don’t agree with his advice, please let him know and/or take it. He knows what he is doing and only has your best interest in mind.

Started with birth control and other oral medications to prevent infection. Then after my baseline appointment I was able to stop birth control and started on menopur shots. Two days after starting, my body didn’t react as expected so my dose was upped from 3 to 5 vials. This STINGS by the way. After I got where I needed to be and eggies were looking good, we were able to take the lupron to prevent me from ovulating until I could take my trigger shot. I went down for my egg retrieval on a Thursday which worked out perfectly. I needed the weekend to recover as I got HOSS. We ended up doing an unplanned freeze all which was devastating at the time. I’m glad that he had us go that route though. Having pcos made my body over react to the medication and recovery time was pretty brutal for me. It took about a week and a half for my body to feel normal and my ovaries to get back to normal size. I was put on birth control and Now we are just waiting to hear from the doctor on when we can start our frozen transfer. I’m so thankful that we got 11 little embabies because I don’t think I could go through the retrieval procedure again. SO excited to start our frozen transfer and many prayers that the first one sticks!!!

They actually allowed me to do monitoring at an approved clinic a lot closer to where I lived. RMIA is 3.5 hours from my house and with the 8 monitoring sessions I needed, it was wonderful that they allowed me to use a clinic just 30 minutes from my house

The clinic offers multiple plans including financing for certain plans. It’s unfortunate that IVF is so expensive and Minnesota is a state that doesn’t offer infertility insurance coverage at all. That leaves no options or help for people that are/weren’t expecting to have such an unexpected expense that. especially one that can’t be controlled such as blocked tubes.

My experience with Dr. Jensen has been great so far. She is always ready with a smile, which is helpful on the bad days. She explains medical theories with lay man terms for our understanding, and she gives great illustrations. She has been very accommodating of our situation; we are having my sister be our egg donor, my sister lives in a different country and Dr. Jensen has been able to re-arrange her schedule to meet with us, she availed is with medication specifications such that my sister could get her meds wherever she is, we definitely don’t feel like she is pushing us to or away from a specific angle with medication, as we have felt with other doctors. We are able to do our research on the treatments she recommends and when we discuss our concerns with her, she is very knowledgeable and isn’t caught offguard by any questions. I’ve had doctors in the past have to pull up a google page to look up what am asking and that’s not right. I feel that Dr. Jensen has taken the time to know us, she remembers that my sister is out of the country, that my sister has kids, and she makes us feel like she’s taken interest in our life generally, that’s very helpful because it portrays that she cares and isn’t coming in to see us with another patient’s history or accidentally referring to us as someone else...it’s happened at another clinic before. So yes, so far, happy with our doctor.

Do your research, have questions ready, because she will answer them all. Don’t feel intimidated by the process, be sure to bring up everything that’s going on because she will try her best to work around your circumstances, and make things work out. So be honest and put all your cards out there.

Our journey has just started with Dr. Jensen, so far my sister is on Yazmin the oral contraceptive, since she will be our egg donor, and I am taking my prenatals, and I am wearing an estrogen patch. We start on an actual cycle next month and I can be sure to update my review then.

There has been a 1000$ administrative cost We have talked to a psychologist for about 300$ We have had blood work done for myself, my husband and sister, which costs we haven’t gotten yet. My husband has had a demented analysis which cost we haven’t got. My sister’s Yazmin, and altrasounds too have some costs associated that we haven’t yet got. So far that’s all we have done.

We haven’t discussed this in detail yet, again, I shall update my review once we have gone through the full IVF cycle.

As I said before, Dr. Stassart went out of his way to check on my well being even when I wasn’t planning to see him. My retrieval wasn’t with him but he came and found me after to make sure I was okay even though he was so busy. He calls on vacations and reassures you every step of the way. He is so well versed in IVF and his success rates are outstanding. He is the founder of RMIA but doesn’t act like a JUST the founder—he is really passionate about his patients. Not just about the money and success rates. What other doctor would take the time to call on his vacation and talk with a patient for an hour!

To understand that even though he may be part of the older generation of doctors, he is still up to date on all the research and customize the protocol to you and your partner.

I was on a menopur only protocol and started ganerilix halfway through my stimulation. I was on a high dose of menopur to start but my estrogen sky rocketed because I was a great responder so I went down to half the amount of menopur. I stimmes for 9 days and had a retrieval where we retrieved 42 eggs. 29 mature eggs and 27 fertilized. 15 blastocysts frozen. We switched to a freeze all before the retrieval so that my estrogen could come down and to avoid OHSS.

I am under the warranty program with Dr. Stassart. It is a cost of 15,000 dollars for the three cycle package. The monitoring wasn’t covered because I did that locally and the medicine wasn’t covered except for menopur which I bought for 4,000 dollars at RMIA.

Dr. Stassart really insisted I do a single embryo transfer because of my age. He wants to keep me safe before trying to push the envelope with two embryos. You don’t know how well someone can carry one baby let alone two. He picks safety first, even though that’s not always what we want!

Jani is a very positive person and balances that well with being candid and not artificially inflating our chances of success. She has been much better at relating to us and the frustrations associated with infertility than our previous doctor.

I would be sure to talk through all of the additional costs for the various medications - on top of the IVF or IUI fees. We weren't prepared for exactly how many drugs and how expensive they were.

We did one round of IUI using Menopur and a few other drugs along with timed intercourse. Since we had already tried IUI 4 times at our previous clinic, we were ready to move on to IVF. We used a combination of Menopur, Gonal-F and a few oral medications. We only were able to get one usable egg from the retrieval and we implanted it after 3 days. Still waiting to see if it takes.

$23,000 for a warranty program that allowed up to 3 IVF cycles and an 80% refund if not successful. This did not include all drugs and a program start fee of $2,000.

She gave us the statistics regarding eSET or transferring 2 embryos and we were hoping to transfer 2, but only had 1 usable egg from the retrieval.

Dr. Leonard was always open to communication. She was aware of our financial situation and being in a LGBTQ+ relationship she was very competent and aware of resources and procedures available. She also works closely with our primary OB/GYN and they both would answer questions in regards to our treatments. Dr. Leonard was also compassionate when we had pregnancy loss and never pressured us to start trying again. She always let us pick our timelines of our procedures with what we felt comfortable with.

Ask lots of questions. She’s brilliant but at times I wasn’t sure if she already expected patients to have fertility 101 knowledge under their belt because sometimes I’d have to go back because I didn’t understand everything. She wants her patients to get pregnant and use a method that fits within your means. Although we had pregnancy loss she never pressured IVF because she knows our financial barriers.

Due to my age and previous chemical pregnancy, Dr. Leonard didn’t waste time and prescribed Clomid right way for our first IUI. I would go back for blood work occasionally to monitor my progesterone levels and she also prescribed progesterone for my low levels. My first IUI was a negative pregnancy test. So the second IUI she increased the Clomid because I wasn’t producing enough follicles that she wanted. Then again with progesterone. This resulted in a positive pregnancy but unfortunately had a D&C because due to miscarriage around week 9.

$3,000 each round of IUI (ultrasounds, blood work, monitoring, etc) $30 copay for Clomid each round $200 out of pocket for Ovidrel shot $10 copay for progesterone

We did not use this procedure, so no comment.

Dr. Leonard tries to get to know us as individuals, not just another patient. She went through fertility treatment herself, so she is able to relate to her patients. She encouraged us to start treatment with IUI and didn't push IVF. She listens and is open to our thoughts and preferences. She is practical and doesn't seem to order a lot of unnecessary tests. She explains things thoroughly.

Don't be afraid to ask questions and make sure you understand everything

Clomid (5-7 days?, can't recall dose), Ovidrel to induce ovulation, then IUI with partner specimen. Clomid thinned my uterus too much. Only 1 follicle developed. Sperm count in specimen was also very low. Cycle was unsuccessful.

Our health insurance doesn't cover fertility treatment so most costs are incurred by us. Part of the office visits and part of some labs were covered, otherwise nothing else associated with IUI. Per the pricing sheet provided by the clinic, these are some of the costs of an IUI (not factoring in any insurance): Baseline ultrasound $255 Follicle study ultrasound $510/each Clinic visits $160 Insemination $437 Sperm prep $100 LH $83 Estradiol $375

Dr. Leonard was very patient in answering all of my questions and with dealing with my extreme anxiety when it comes to medical procedures. She really broke down what I needed to understand about my body and my PCOS and what I needed to change in order to have the best chance of having a baby. She was frank in informing us that nothing was guaranteed but she was going to do her best at helping us get there. Again, we have only met with her the first couple of appointments for setting up the plan but they nurses are always informing me she reviews every time I am there and every step of the process.

Go into your meeting with her knowing she is going to be straight forward and honest and won’t sugar coat and get your hopes up. She very honest which I really appreciated.

I had a natural pregnancy previously that unfortunately ended in a miscarriage so Dr. Leonard wanted us to start with letrozole (preferred that over clomid for me due to my PCOS) and since I haven’t been ovulating on my own, did a ovidrel injection to induced ovulation. Along the way I had multiple ultrasounds to monitor the growth of my follicles. We did timed intercourse at home only for these three cycles. I did that for three cycles but they all ended with negative pregnancy tests. We moved on the the next phase of treatment which all starts the same way but instead of timed intercourse at home we just did our first IUI, too soon to know if it worked or not yet! She also had me do baby aspirin daily and increased folic acid supplement with my prenatal.

My insurance doesn’t cover my visits at RMIA so everything is out of pocket. I called around and did research and their costs are right in line with other clinics.

N/a

Jani Jensen is a compassionate and intelligent doctor. She was open with us after each procedure did not go as planned, or failed completely. Having done 3 cycles of IVF without good results, I wish that the clinic would be more upfront ahead of time on some of the things that could go wrong. I appreciate the optimism, but it was so much more difficult when things did not go as planned.

Ask questions, she will tell you the answers. She will not make you feel uncomfortable for asking. She is caring.

The first 2 protocols used were the usual. I did not respond well to stims, and they needed to be increased greatly. After my second cycle it was noted that I have poor egg quality and another protocol was tried to increase the quality of my eggs. I cannot recall the name. Though it required more prep time. That cycle caused more eggs to be retrieved, but I got OHSS and my lining was not ready so we have to do a freeze all on day one in November, 2018 and wait to transfer January, 2019. Sadly, this did not seem to increase the quality of the eggs and we lost the majority of our embryos. None making it to freeze, outside of the 1-day freeze all that was done in November.

We did not do monitoring at this clinic as we live 1.5 hours from them. We did them at our local clinic instead and had results faxed.

We did the 3 cycle IVF warranty program which was approximately $30,000 for procedures only.

Our doctor, due to my age (just turned 40) elected to transfer multiple embryos, which is something we were comfortable with doing.

She took the time to explain things to us in detail and at our level. She made sure all or questions were answered and that we truly understood the process. There were times when she had to explain things to us a couple of times, and she did so without being frustrated. It was as if she understood the difficulties of this process and realized there’s a lot of information coming at you all at once.

Advocate for yourself!! You know yourself best. You know what works for you and what doesn’t. Your thoughts matter. YOU are in charge of your care despite not being the doctor. If you don’t like or agree with something speak up! At the same time listen to what she has to say and make an educated decision.

Dr. Leonard told us she prefers to transfer only one embryo due to the increased risk with multiples. However, she did state she can not make us only transfer one and if we wanted multiples transferred that ultimately it was our decision. She made sure we understood risks/benefits

He is great at communicating, kind, and patient with myself and my husband. We have mutated pex genes and create terminal babies. He listened to our wishes and didn’t just dismiss things that I felt were important.

You will feel right at home. He made me feel like his own daughter at our first appointment. He made me feel like we were the focus of his entire day. It was great and not rushed.

We are still in the beginning phases. We have sent out samples for genetic testing to Natera. I just started birth control, aspirin, and 2000 unit QD if vit D.

Active now Amount due at program start : $19,160 ($15,860 IVF + $2,500 monitoring retainer for your retrieval + $800 monitoring retainer for your frozen transfer) Ferring Care program- If you do not have an insurance benefits for the stimulation medications (Menopur, Follistim or Gonal-F), you may purchase Menopur from RMIA at a reduced rate ($77/vial). The average cost is from $4,000-$6,500 depending on how much is needed. Please let me know if you have further questions regarding programs or prepayment requirements. Plus we will do the pgs and pgd .

My doctor advises one embryo to be transferred but since I have carried 3 pregnancies to full term & delivered my first child who was 9.5 lbs he feels that my uterus could support 2 embryos if that’s our wish. He said after pgs and pgd there will be an 80% chance of a live birth if we place one embryo & 90% chance of a live birth of one embryo if we place 2 after reviewing my history and all the testing our embryos will have done.

She is absolutely amazing! Intelligent, and modern with her medical approach. She would educate us. She read through our entire medical records. She was honest about transferring 1 or 2 embryos. She provided what the research was for success in IVF. No negative comments about her.

Go to RMIA and Dr. Leonard!!

I'm comparing to my med protocol to Midwest... RMIA added lovenox shots, baby aspirin, and prometrin vaginal inserts. At Midwest I had compounded inserts made- weird. I took prenatal plus 8 extra folic acid pills. I really can't remember the other meds. The basic IVF ones I suppose. She went by research studies and what seemed to be working for her patients as well as in the IVF world for unexplained infertility. She encouraged PGS testing and to only do frozen transfers.

They had a great process. I did early morning or over the lunch hour appointments.

Online- I can't remember without looking at records. It was more expensive than Midwest, but way better care. I wish I would have gone here when we started this journey in 2016!

She was focused on 1 PGS embryo at a time. First transfer resulted in a miscarriage due to a subchorionic hematoma. Second transfer she was out on maternity leave for the consultation, so her colleague at RMIA covered. That doctor advised transferring two. Dr Leonard did the transfer. We lost a twin but the other baby is thriving at 17 weeks pregnant.

Very competent, but so-so bedside manner. I wish she would have spent more time with me instead of pushing everything through staff coordinators, who were hit or miss. I did feel like I received competent care, but I didn't feel like she cared that much about me as a person.

She has an impressive background and she delivered results. However, I would consider also meeting with Dr Stassart at RMIA who has a reputation for genuinely connecting with clients and caring about their outcomes, beyond the initial diagnosis and treatment plan. If given the choice, I would work with her again, because I value competence.

At 40yrs old, I had a low chance of conceiving with my own eggs, but she was still willing to work with me if I wanted to go that route. Given the stats, I ultimately decided to use donor eggs, but I would have trusted her protocol with either course. She used empirical evidence and professional experience to inform her protocols. She also had access to a team of consultants at both the clinic and within a competitive academic setting. While I would have preferred she gave me more details of her rationale and plan instead of just implementing the plan via coordinators, her plan did ultimately result in a live singleton.

Very typical of other clinics. There was the cost of meds, the cost of care with RMIA, and then the cost of donor eggs and sperm. I paid everything upfront, so I can't comment on whether they allow for delayed payment. They were very clear about charges upfront and I didn't have any unexpected costs.

I didn't want to risk having multiples, so I opted for a single transfer. She also recommend a single transfer due to higher risks associated with giving birth to multiples.

Please see my last narrative about why and how Dr Stassart treatment me like a human being, rather than just a number. The only things I wished: Inwished I got to see more of Dr Stassart. He did all three of my transfers but I had nurses for all my visits and I had different doctors for my retrieval’s.

Listen to what he has to say, but don’t be afraid to advocate for yourself.

I stimmed with only menopur. I used close to 300 vials of menopur. For the final treatment, I was on the Sher protocol.

The warranty program was about 22k. I had to pay for medicine. I also had to pay for the trial transfer and saline sonogram, Including disgnostic testing.

Dr. Stassart preferred only transferring one embryo but I fought for two.

She was critical of the first fertility doctor we saw, saying that wasn’t going to win any congeniality awards. But she did say she trusted his medicine. I’m not sure if she assumed we needed less explanation because we had seen another doctor already, but she certainly didn’t offer up more details unless we asked (lucky for us we had an idea of what types of questions to ask).

Do your research on your own and be patient because they’re not in any hurry to answer your questions or respond to emails or voicemails.

We didn’t go through any cycles with Dr. Leonard. She ordered labs drawn immediately for each of us and then day 3 labs. We had to request the results after two weeks of no word from the clinic, and when they finally sent them there was no explanation of what the numbers meant. She wanted to do another genetic test and schedule a follow up two weeks later. We are going to cancel the follow up and go back to our previous doctor (my wife is writing a glowing review for him).

$9200 up front for IVF, total cost $22k-$25k, not including meds.

She made sure to emphasize that their goal wasn’t as many babies as possible. It was one healthy baby. They wanted successful births, not necessarily high numbers.

After my initial consultation with Dr. Jensen I felt confident that she knew what she was doing and that there was a real chance that IUI would work for us. However, as treatment progressed, I never heard from Dr. Jensen (only via email in a templated letter that stated the same thing every cycle). I felt after each IUI I was never given feedback about my progress or my cycle and reasoning for increasing my clomid dosage. I felt like just another person on her list of patients to review each month and that my treatment was not at all tailored to my personal situation.

Ask every single question you can think of at your consultation. This is literally the only time you will ever have a conversation with your actual doctor so even small questions like diet, exercise, be sure to ask her up front because she will not be available to meet with you after your consultation. Be prepared to work only with your nurses and to be in charge of your own treatment. Ask LOTS of questions every time you visit the clinic and make sure you understand what is happening each time you go. Barely any information is ever given at appointments so if you are unsure of something you need to be sure you ask -- the nurses will not provide you with any more than the bare minimum unless you ask. This clinic loves to do a blood draw even if you have a negative pregnancy test so be prepared to pay for your beta test every, single, cycle regardless of the outcome.

When I met with Dr. Jensen, I had already had all of the basic workup done for my infertility diagnosis by my OB-GYN. My blood work, HSG, pap results, and even my husband's semen analysis had all been provided to Dr. Jensen prior to my appointment and all results led to an unexplained infertility diagnosis. While meeting with her, I asked if further testing could be done or would be required, and I was told that no further testing would be needed and that moving on to treatment was my best option as I had a 3% chance of conceiving naturally each month at this point. The overall strategy from Dr. Jensen was to try three medicated cycles of IUI with HCG Trigger shot before moving on to IVF. The first cycle, I was prescribed 50 milligrams of Clomid for 5 days beginning on cycle day 5, with ultrasound on cycle day 10. After analyzing the size of my two follicles, I was then instructed to use the trigger shot on day 13 and come back for IUI on day 14. This cycle was unsuccessful and on day 28 I came in for a beta test to confirm negative results. I was told everything looked normal and to try again for IUI #2. The next cycle I was told to follow the same steps as the previous cycle. When I came in for my baseline ultrasound on day 10, I was told that I had one cyst and one follicle that was almost ready. I did the trigger shot on day 13 and came in day 14 for IUI when I was told the cyst was actually just a small follicle that never matured fully but that the other follicle was adequate in size. This was another unsuccessful cycle and my beta test on day 28 confirmed the negative results. The next cycle I was told to follow the same steps as before, but my Clomid dosage was increased from 50 milligrams to 100. On day 10 I was told that I did in fact have a cyst (not a small follicle as previously determined), but also had a very large follicle that was ready to go. My body was naturally surging on its own, so I triggered that night and came back on day 12 for IUI. This was another unsuccessful cycle. I was then told to come back for round 4 of IUI with another increase of clomid to 150 milligrams. It was at this point that I decided to stop coming back to RMIA. I was initially told by Dr. Jensen that after three failed IUIs, the likelihood that more attempts would work decreased dramatically. So, I was very confused when I received yet another, templated letter from the doctor stating to try again with just an increase in medication. I felt extremely frustrated that in 3 months I hadn't had any face time with my doctor and even after the strategy we had mapped out was complete, I still got no further feedback from her and the reasoning for another attempt was extremely unclear.

I only went to Dr. Jensen for IUI. Overall, I felt that her pricing was steep compared to others I had spoken to. Each aspect of treatment was priced differently, but overall for insemination, blood work, ultrasounds, each cycle totaled to about $1,200. Medications were separate from this cost. This is higher than I have heard others have paid ($800), and I did always feel pressured to have blood work done even if I knew I was not pregnant (negative pregnancy test on day 28 of my cycle, or spotting). This cost me almost $300 each time I had blood drawn, and I felt that was a cost that could have been cut if the clinic had personalized my treatment more, or had been more aware of saving their patients money.

We've really enjoyed having Dr. Jensen as our RE. She is very personable and truly cares about her patients. She has been open and honest about each step in the process - detailing information on infertility, procedures, and the anticipated results.

For each of our 4 IUIs, we did 5 days of Clomid 50mg, taking each dose at night in-between days 3-7 and a single insemination taking place around CD 12-15. While we had 3-4 large follicles and good sperm counts, none of these resulted in a positive pregnancy test. In-between IUIs 2 and 3, we had to wait for cysts to go away and I was on birth control for 40 days. After failed IUI 4, we moved to IVF. I took birth control for a month before starting stims including a week of Estrace. This was followed by a week of Ganirelix due to high estrogen. I started stims (2 vials of Menopur and 75iu of Follistim daily in the morning). A week in, I dropped Follistim and added Ganirelix at night. For a trigger, I used both a Lupron and an HCG trigger. 48 hours later, 13 eggs were retrieved, 11 mature, 10 fertilized, 4 made it to blast, and 3 were tested normal.

If embryos are PGS tested as normal, they recommend one embryo transfer.

Dr. Leonard is like no other. I've never felt more comfortable in such an uncomfortable and stressful situation. She's incredibly intelligent and professional yet personable with perfect balance. It was often easy to forget she was my doctor because it sometimes felt like she was sitting on my side of the table as a friend. I will miss Dr. Leonard and her staff.

Trust her - it's on her mind just as much as it is on yours.

FIRST: Antagonist Protocol- total dose of FSH of 6+0 for 14 days, preceded by pre-treatment with BC pills and high dose GnRH agonist. 4 retrieved, 4 mature, 1 fertilized & transferred (negative) SECOND: Birth control and Co-Flare Cycle - 8400 IU of FSH, trigger 10K HCG on day 14 2 retrieved, 2 mature, 1 fertilized & transferred - Negative THIRD: No birth control! 7425 IU of FSH, trigger was 10K HCG on day 12. E2 day of trigger was 2368 10 retrieved, 8 mature, 6 fertilized – 2 transferred day 5 (one blastocyst and one morula) Remaining embryos did not develop past morula stage Negative

We did a warranty program for $28K that refunded 80% after three failed cycles. Each cycle was about $10K extra in medication so that was an additional $30K.

She was very objective and all decisions were mutual.

She was so nice and very informative. She made sure my husband understood every step as he doesn’t know much about medical information, which made him feel very comfortable. She even talked about farming with him! She made sure to listen to and answer every question we had. And when things didn’t turn out as planned, she personally called me to talk about our negative results and express her feelings of sadness with us. She seemed just as disappointed as we were. She is very knowledgeable, but does also ask for advice from her colleagues as well so that we can have the best possible outcome.

Don’t be nervous for your first appointment! Your nerves will be put to rest the minute she walks in the room! She is very nice and has a bubbly personality!

I was put on birth control pills until starting the cycle. We did 3 vials of menopur and 275 units of follistim. After our first scan they increased the dosage of follistim to 375 units. There was concern at one point that I had developed a dominant follicle, but they gave me an opportunity to return after the weekend to see how things had progressed. My next scan was great! I cycled for 12 days as I had slow growing follicles. We ended up with 10 eggs and 6 of them were mature. This was the number we were hoping for.

We did a cost warranty program that cost $19,500. It included up to three fresh cycles and unlimited frozen cycles in a year. Medications and ultrasounds were not included in this price.

Dr. Jensen follows the guidelines with embryo transfer. She did offer elective single embryo transfer if we preferred. We went with whatever recommendations she had based on the guidelines.

She was honest and explained all of our options to conceive. She made her recommendations, listened to what we wanted, and we proceeded. We now realize we should have listened to her sooner, as our children would be a couple years older now if we had!

Listen to her suggestions

She recommended IVF, said we were really good candidates. My problem was ovulation; I had plenty of eggs. But we didn't want to go that route right away, so we tried chlomid, letrozole, IUI, and finally IVF/FET. FET is what finally worked for us.

I don't know if it's fair to say, but the costs for the procedures (specifically IVF) was much lower than I was expecting.

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Jacques wants his patients to get pregnant but he doesn't make choices for you. He will inform and answer questions but not make your decisions. He will take the time to explain and answer questions but what is lacking, on occasion, is giving a full picture of everything going on, meaning if I'm not informed enough to ask I might not know something I probably should in terms of treatments, risks, or expectations. I don't have a lot of money and he was also good about telling me what tests he'd recommend vs is probably 'extra' and based on my beliefs probably wouldn't change what I do or could cause me to do the wrong thing...eg testing embryos could result in terminating a healthy embryo.

Be informed and all questions. Do research, read blogs, and ask about it all.

Doses of Folistim were very heavy--doses increased because of my reaction to it. I can't remember the protocol used but I believe it was his own. First cycle 3 eggs result 3 3 day embryos that looked high quality. No pregnancy. Sending cycle 6 eggs, 5 embryos. 2 transferred, miscarriage around 9/10 weeks. Frozen transfer, first attempt cancelled, uterus wasn't thickening, medication used this cycle. 2 attempt natural, transferred remaining 3. Miscarriage at a few weeks.

$9000 for fresh but then add all the monitoring on to of that.

It was my choice. My situation it makes sense for multiple.