Richmond Center for Fertility

Very thorough with information and course of treatment. He does a good job of spending time with each patient but is often running behind. He has seen me at every appointment which has been nice. He performed my surgery for Ashermans with good success so far. I did feel like at times the wait between visits was so long that he forgot who we were and our history which would need to be re-explained everytime. Overall, he is a great doctor and I would recommend him. Just plan on being frustrated in between visits.

The waiting process between treatments is so long. We started this process in April and it is now October and we still have not even started our treatment or started trying again. I was expecting a few months but not this long.

Initially he performed a saline sonogram to determine how my uterus looks. I have scar tissue so I underwent a hysteroscopy with lysis of adhesions and placement of a balloon catheter stent. I then came back around a month later and had another saline sonogram done to see if the scar tissue was gone. Due to my history of recurrent pregnancy loss and scarring we are now undergoing IVF and are awaiting to begin that process.

Not sure yet. Still going through treatment.

From my understanding he chooses to only implant one embryo to reduce the risks to the baby and mother with multiples.

We are so thankful for Dr. Tidey. He has a calm, quiet demeanor that is very focused. While he has a quiet nature it’s not be mistaken for anything but determination. We loved that he isn’t arrogant and just aims to be the best each visit. He is extremely patient and warm and has always answered our questions without ever making us feel that he is hurried or bothered. I have seen many RE’s and he is by far the most gentle and precise and will do all he can to help you succeed. He really is an incredible doctor, an excellent surgeon and strives for excellence. I would highly recommend him!

If you are one that needs to have a lot of information, get your questions ready, he will answer them gladly and patiently. Trust him! He may not be extremely talkative, but he is an expert and very smart. I have had the most successful retrieval with him after several rounds.

12 days of stims, Gonal-F + menopur+citrotide with Lupron trigger.

Ministering appointments are done by your doctor during morning time slots. I believe 7:30-9:30am.

Shared Risk program $28k which includes PGS testing.

We haven’t gotten there yet.

This is probably the best experience I have ever had with a doctor, which is significant considering the reason we had to see him. He is amazing. He is very friendly, and quick to answer any questions or concerns we have. He was very calm and supportive when we had to change treatment, and explained every single step.

Go see him!! He is the best there is. It is evident when he talks about what he does how much passion he has for fertility and IVF.

My script I carried over from my OBGYN before I went to see Dr Shah was for provera. I then started taking 50mg of clomid due to my anovulation related to PCOS. We tried this for six months then he upped the dose to 100mg. After this failed three times, we moved onto 5mg femera with the ultrasounds to check for follicle growth and a trigger shot when they were mature. We tried this for five months. He recommended we move onto IUI, but with my anovulation I felt IVF would be more appropriate. He was very supportive and we had our consult appointment to plan and schedule my hormones, retrieval and transfer this summer.

Up until this point (we are headed towards IVF), most of our treatment has been partially covered by insurance. There is a financial coordinator working with us for IVF. Additionally, they helped me get in touch with a pharmacy who had affordable medications when I was doing the trigger shot as that was not covered at all by insurance.

I had a great experience with Dr. Shah. I loved that I saw him every time, even for ultrasounds he was the one performing them (which is not the case in all fertility clinics). I also loved that he made time to talk to us and answer all our questions (I think both times we sat down with him, at the original consult and after all the diagnostic tests had been performed, we spoke for over an hour; I'm the kind of patient who wants to know and understand things well). He was also extremely knowledgeable and seem to have a strong grasp of data and scientific studies. He was very personable, great bedside manner, and I felt he was going to work hard to help us get pregnant. We had to wait a long time for the original consult, but after that everything happened relatively quickly (which again has not been our experience with other clinics). We ended up doing consults and diagnostic tests (ultrasounds, HSG, etc) and right when we were going to start treatment with IUI we moved out of the state, otherwise we would have undergone treatment with this clinic. Another thing I'll say is that after we started seeing Dr. Shah and I had to go to other doctors for other health conditions, several women (physicians, nurses) upon hearing I was seeing Dr. Shah would tell me they loved Dr. Shah, or that they had been his patient and were able to have a baby or knew someone who had, so he seems to be well respected and well regarded.

I would tell every prospective patient of any doctor to not hold back and ask as many questions as you have! He's really smart and he knows his stuff. I didn't always have a good experience with the nursing staff but don't let that deter you. I also liked that he recommended other specialists for other conditions I had who turned out to be top notch, so he seems to be well connected.

We were going to move forward with Clomid and IUI if things looked favorable upon starting Clomid. We planned on starting with Clomid/IUI for about 4 cycles and if we did not get pregnant to then reassess.

We ended up moving right before starting treatment but our insurance covered all consults and diagnostic tests. We were going to have to pay for IUI out of pocket (our insurance did not cover it), and I believe the cost was in the mid to high $300s, can't remember the exact amount.

He educated us on the tradeoffs of eSET vs multiple embryo transfer.

Dr. Tidey is very educated in his field and he does care about his patients and it is clear that he is dedicated to his job. However I feel that sometimes I would have to be sure to ask important questions or else I might not find out the information I needed to know. He can be somewhat wishy-washy about what the plan is, and he doesn’t always have a definitive answer to questions about treatment plans. Most of it comes down to bedside manner and the fact that he is somewhat awkward to talk to.

Be your own advocate and ask lots of questions. It is important to do your research before appointments so you understand what is going to happen and what questions are important to ask. Know that he is somewhat socially awkward but he is a very good doctor. If bedside manner is important to you, a different doctor might be a good idea.

When stimming for my retrieval, he was conservative about medication dosages. Our infertility was “unexplained” and I was 28 years old, so he thought I’d be a high responder and wanted to avoid OHSS. We ended up with 6 embryos making it to blast, so this worked for us. We were doing a fresh transfer and we wanted to transfer 2 embryos, but he was insistent on only transferring one. His rationale was that FET’s were slightly more successful at the time so he didn’t want us to waste 2 embryos on a fresh transfer when the odds were better on FET. So we transferred one which resulted in my son. We were glad that we didn’t transfer 2 and followed his advice. Now we are in the process of baby number 2, and we did an FET with 2 embryos. This was successful with one baby but unfortunately resulted in a miscarriage at 6 weeks. He was fine with us transferring 2 embryos on the FET and we will probably do 2 again at our next transfer. He did not recommend PGS testing for us because I was young and he didn’t think we’d have problems with embryo quality.

Full IVF cycle with fresh transfer and ICSI (no genetic testing), and including medications was about $17,000 in 2016. FET was about $4000, not including medications in 2018 IUI with injectables was about $1000 in 2016

See previous response.

I very much have enjoyed working with Dr Shah and while we need to move onto IVF, we plan on staying with Dr Shah through that process. He is open mined, willingly to share professional studies(I'm a nurse and really wanted to know this info) and has always been available for questions or concerns.

Make a list of all your questions prior to your visit in order to maximize the conversation.

This was our 3rd IUI with the practice(the first two were with Dr Tidey-who was fine, I just wanted a fresh set of eyes for round 3). We mutually decided that after round 3 of IUI we would move onto IVF. We are currently preparing for that now with a start date hopefully between now or spring 2019

For each round of IUI(we did both meds and shots) it was roughly $2-3,000

we haven't gotten to this discussion yet

My experience with Dr. Shah has been great so far! He tries to get to know his patients on a deeper level than just their medical journey. He has great communication skills and is quick to respond. He is encouraging and does not sugar coat anything. I have not had a negative experience yet!

To listen to him and believe that he is making the right decision for you.

They have a money back guarantee program but it costs more than single cycle around $30,000 including medications and genetic testing.

Dr. Shah is my favorite doctor ever! Aside from God, he is the reason we have a family now and our lives are filled with brightness. He has excellent bedside manner and explains each step of the process. He was accessible 24/7 with any emergent questions or needs. Our road to parenthood was hard and he guided us with his expertise, compassion, and honesty through every step of the way. He was spot on with his percentages and helped us to make the best decisions necessary for our unique needs. I’ve recommended Dr. Shah to everyone I’ve met who is going through infertility. You will be in good hands under his care.

Listen to all of your options, ask about odds/percentages, and trust in his recommendations. Following two losses, he knew with certainty that our child was among our remaining embryos. It was hard to believe in that due to the loss, but he was right.

Endometrial patch was used to beef up my lining prior to my successful transfer. Progesterone injections caused painful side effects and he let me switch to injections ever third day, suppositories every day. Baby aspirin daily. Heparin or Lovenox for first and second trimesters.

We did a shared risk program. With ICSI and using our own eggs/sperm, it was $22,000 + medications. For three transfers, including meds it was around $30k.

Dr. Shah educated us on all of the complications, financial and medical, related to having multiples. He did not pressure me to transfer more than one embryo at a time. On our third transfer, he did offer to transfer two embryos but respected our decision to use only one.

Dr. Shah is very good at what he does, the only setback is how unorganized the clinic is run. If we are only rating Dr. Shah individually and not looking at the entire process, then I think he deserves a high rating. He is very much an expert in his field and also compassionate, the only issue is they are all veryunorganized and this sometimes makes the patient feel as though Dr. Shah isn't quite "on top of things" with the process.

Be assertive and don't always "trust the process" as the clinic makes mistakes (forget to order meds, lose chart, call you with other patient's info) that you have to point out to them pretty frequently . . .

Around 15,000

eSET

Dr. Shah is an excellent doctor who gives the appropriate level of detail to make treatment explanations thorough but also understandable for non-doctors. In addition, he clearly has an evidenced-based ideology which I personally agree with. Facts - and not emotions or impulses - are what drives his decisions. While even he admitted that there were steps that ended up not working during our cycle, I do believe that he gave us the best possible chance for success.

Dr. Shah is an excellent doctor and trustworthy person. The main drawbacks remain his office staff service.

The costs were high but normal for the procedure.

Dr. Shah lets you know that you are not alone and assures that pregnancy is an option. He has explained the best case scenario for our situation and he makes sure his staff stays on top of scheduling and ultrasound appts.

If I had to give one piece of advice, I would let someone know that Dr. Shah is personable and you can trust him.

Thus far, Dr. Shah recommended my husband have labs done to make sure he was healthy. He stated that we can't blame the infertility entirely on the female. With that being said, my husband found out he was diabetic, and also has low sperm count. He is currently being treated by a urologist and endocrinologist. He has also had surgery. Dr. Shah suggested for me to be treated for PCOS and recommended a healthy diet. He has recommended me to take Femara for ovulation and be monitored for IUI cycles.

My insurance covers my IUI, ultrasounds and medications except injectable meds. My husband has to pay out of pocket for his wash.

I have not done IVF.

We had a lot of obstacles to overcome, but I always felt like I could trust him to be honest with me, even with hard news. I had to uterus surgeries done by Dr. Shah and he put me at ease and treated me with respect. Our IUIs were not successful, but Dr. Shah didn't give us false hope - he was honest with us that they would likely not result in a pregnancy. That honesty helped us with the process, because we could keep our expectations realistic. When we finally conceived after our second embryo transfer, Dr. Shah and his staff were genuinely happy for us.

Be ready for a difficult journey - but trust that he will guide you through it.

Costs were high. The lab used for IVF was not covered by our insurance, even though Dr. Shah was in-network.

Dr. Shah explained that he likes to start with single embryo transfers first, especially when genetic testing was performed, as a pregnancy with multiples could lead to a higher risk for complications.

Don't be nervous! He is a very kind man and is willing to work with you and help you understand your course of treatment.

I would get an ultrasound at cd3 for every cycle when on injections. Pills -- I got an ultrasound the first round on cd3 to check my lining. Every other round, I'd just pick up the pills and get an ultrasound on cd10. If my body wasn't producing any follicles at cd10 then we would up my dosage of whatever treatment I'm on and come back around cd12-cd16. Most every time I had one or two follicles. The last cycle I did, I had too many follicles mature so we had to cancel it.

It really depends on your insurance so it's hard to say what other people will be paying. Each cycle I took pills, I paid $1. For injections, I paid $24 per injection pen. Each cycle I also needed a trigger shot and that was an additional, $20.

Dr. Tidey was amazing. He was always trying to work out a good course of action for us. He did a consult after every single appointment and never made us feel badly about questions. I always felt like everyone in the office cared about me and treated me amazing.

Write down all of your questions. He will take the time to answer them.

We did four donor egg cycles. They were natural cycles so I was only on estrogen and then progesterone during the cycles. He did monitoring ultrasounds throughout the process to ensure the lining was building. At one point, I had to do an estrogen patch as well.

We spent a lot. 38,000 for donor egg ivf. However, we did the shared risk program so we got six fresh cycles. Because of miscarriages, we had to use two fresh and two frozen cycles.

Dr. Shah is extremely knowledgeable and has a great bedside manner. He is willing to answer questions, listen to input based on my own research, and try new protocols. He explains things in a manner that is understandable to an average person.

Ask as many questions as you can and be your own advocate. The practice is very busy, so be sure to be on top of your own treatment protocol.

Max dosage of Gonal F & Menopur. IVF & ICSI with genetic testing

$22,000 for IVF with ICSI (shared risk program) $5000+ for medications per cycle

Single transfer recommended if embryos had PGS. He would consider multiple if embryos did not have PGS testing.

She has a fantastic personality and bedside manner and helps put me at ease when I visit. I tend to be anxious when I’m at the office! She is patient and willing to answer tons of questions. She can also back up answers with solid clinic data which makes me feel confident in her advice.

Go see her. You won’t be disappointed. She’s worth a long drive!

I am still in the early stages of treatment. I have completed all my tests to start IVF but she discovered an issue with my thyroid. So we are currently trying to get my TSH under control with Synthroid before we can proceed.

I have not started IVF yet but I will be paying out of pocket through their Shared Risk Program which runs about $30K.

I am not sure of her approach.

This far, I see no weaknesses. We did not achieve the result we wanted due to egg problems. He’s a great doctor — very caring, answers all my questions, and calls to check up on me after procedures and when we get results back.

Know all your risks, do your own research and be prepared to ask questions— he’ll answer everything thoroughly.

We did ivf because we had a special morphology problem. We were advised of the chances of success due to age. We did a retrieval and ended up with 5 embryos, which when tested were all genetically abnormal. We did a second round with the same results. Advice now is to do donor eggs.

Ivf multicye- $18000 initial payment. Once all meds and other fees were paid- approx $28000

Clearly very intelligent and answered all questions. Didn't mind breaking complicated medical answers down into language I understood. Very trustworthy. Only saw another doctor when days fell on weekends and had to visit on call doctor. Made sure I was always comfortable and knew about procedures/medicines I was taking, etc. Only reason I stopped seeing this doctor is because we decided to take another path towards building a family. Overall great experience.

Ask lots of questions.

Dr. Shah was an incredibly compassionate doctor. He did a wonderful job with our initial consultation and adjusting treatment when necessary. Should my husband and I decide to pursue fertility treatments in the future, I would definitely go back to Dr. Shah.

I originally responded to 7.5mg of Letrozole and stayed on that dosage through all treatment. I had an ultrasound between days 12-14 to see if follicles developed and if so, in which ovary. If the results were what was desired, we triggered ovulation with Ovridrel. 3 cycles we then did IUI. Unfortunately, we did not get pregnant.