Shady Grove Fertility

I really enjoyed working with Dr. Malik. From the very first appointment she outlined the options available to me and we created a game plan. When our initial plan did not work, we discussed a change in course and she listened to my concerns. I had 2-3 virtual appointments with Dr. Malik. She called me after major milestones and conducted my egg transfer. I had no issues with the practice's set-up (i.e. most day-to-day communications occurring through nurses and inseminations occurring with NP/other physicians). Even though I did not see or speak to Dr. Malik every single time I was in the office for misc. appointments I always knew that my questions via the portal would be answered quickly.

Be honest with her about your wishes. She listens and will respond accordingly. If you don't tell her, she can't help you.

I am a single mother by choice and my initial tests (Fall 2020) came back fine so we started out with unmedicated IUIs. I wanted to avoid pumping my body with meds if possible. I had planned on stopping the journey if I was unsuccessful after 3 IUIs. The second IUI resulted in a chemical pregnancy. After the third IUI I re-evaluated my options with Dr. Malik and decided that I did in fact want to keep going. I even decided that I would attempt a 4th IUI. If that was unsuccessful then I would switch to IVF, which I did. With the first stim cycle the objective was to have me on the lowest level meds possible. Sadly, my body did not respond to the meds so the cycle had to be cancelled. I was an emotional wreck and knew I only had 1 more cycle in me. Thus, I asked that she max me out to the highest level of meds that was safe to give me the best chance. She agreed and we did that for the second stim cycle. My body did respond and we ended up with 3 embryos. 1 was transferred fresh and 2 other were frozen.

$200-$250 per IUI $20K IVF procedure $7-10K IVF meds

Dr. Malik's position was that it best to transfer one embryo at a time due to the medical risks associated with multiples pregnancy. I was fine with this as I had no desire to have multiples.

I could not have asked for a better doctor. Fertility treatment is always challenging, but Dr. Reh made the process easier. She was extremely patient and excellent at making sure to address all of our concerns.

Follow the process and be patient because fertility treatment takes time (after all, one cycle is a minimum of 28 days).

She increased our letrizole dosage to help increase chances for pregnancy by having multiple eggs produced at once. She was always careful not to over stimulate. We also tried chlomid upon our own request and desire to try other ovulation stimulating medication. And finally she was a pro at our IVF. She carefully adjusted the medication for optimal results (maximizing the number of developed eggs at the same time) and we had resounding success.

My insurance only covered initial diagnostic treatment. The fertility treatment itself was out-of-pocket, though the clinic did give information on financial resources if needed.

We did PGT-A testing and therefore only did a single embryo transfer.

Dr Rey was wonderful, she connected with me at important moments, made sure I had time and space to ask questions, and she always made me feel like she was familiar with the details of my fertility journey.

She has a very calm demeanor but don't take that as a lack of enthusiasm or investment in helping you have a baby.

Started with a standard egg retrieval process with injectable medications. Resulted in 3 day-5 embryos, which were then biopsied for PGT A & PGT M. Only 1 embryo was cleared for transfer. I was hoping for more than 1 viable embryo so Dr Rey counseled me on options and we decided to do a 2nd round of egg retrieval – she upped my medication levels this time, resulting in 6 or 7 embryos that were then sent for genetic testing. Of those, we got 4 viable embryos! Once we had 5 embryos we decided to move forward with a medicated frozen embryo transfer. During the medication lead up to the transfer my uterine lining was not thickening up to an ideal number – I discussed with Dr Rey and since my lining was naturally thin, I opted to move forward with the embryo transfer. I got a positive pregnancy test but had a miscarriage at week 6. I was pretty devastated and doubting myself – thinking I had done something wrong. When talking to Dr. Rey she was honest with me that even she was a bit surprised that I miscarried with a genetically viable embryo, but she explained that PGT testing isn't 100% guaranteed due to what cells are tested in the blastocyst stage. We decided that for my next embryo transfer we would try an unmedicated cycle before transfer since I had been able to get pregnant previously. (I pursued IVF because I had to terminate two wanted pregnancies due to fatal genetic issues, my husband and I are carriers of the same genetic disease) The natural cycle worked better and my uterine lining got thicker than the previous cycle – my embryo transfer went smoothly and I'm now 9 weeks pregnant.

My fertility care was covered by my employer so I had minimal exposure to costs. I will say that Shady Grove offered financial consultations and plans.

Dr Rey explained that they typically transfer a single embryo because of the risks associated with twins, especially for someone at my age (37). She also recommended 1 embryo since I had been able to get pregnant naturally in the past and my focus in IVF was pre-implantation genetic testing.

Dr. Malik was an amazing listener and really cared about our results. I saw several NP's for my bloodwork/ultrasound appointments but she was checking in and I knew always reviewing my results. She performed the actual implantation procedure and was always patient to answer my questions. I would highly recommend her!!

Trust her and her team, it seems so overwhelming but you're in good hands and they always give bite sized information to take it day by day.

We first tried an IUI since we're relatively young and healthy and have unexplained infertility. Rather than continue to try IUI's, we opted to try IVF as insurance didn't pay for any of it, we wanted to put the money towards the better option (percentage of success wise). We did one cycle of IVF, and our first fresh transfer was a success. We are so grateful!

Mornings were always busy to be expected, wished they had some later options but it is what it is.

The cost of the actual IVF were laid out clearly, one thing that wasn't were the meds. We had nothing covered by insurance so while it was estimated we'd pay 5K for meds, it was more like 8K because of increased dosage and refills. Good to know- just over estimate if you're paying out of pocket.

Dr. Malik strongly recommended we only try one embryo for now since it was our first try, and she was right- it stuck! Grateful to be pregnant with one :)

To say Dr. Reh is a wonderful provider would be an understatement. She is outstanding and provided a warm and successful experience from beginning to end. Because of Dr. Reh, we now have a beautiful daughter. All credit goes to her and her team. From our very first visit with Dr. Reh, my husband and I knew we could trust her. She directed us to begin our journey with medicated/timed cycles. We tried four cycles of Letrozole. After that treatment did not result in pregnancy, we moved to IVF. Dr. Reh explained thoroughly explained the IVF process and our individualized odds of success. We were incredibly confident in her treatment plan. We underwent one egg retrieval cycle which resulted in three PGT-normal embryos. I let my body rest for a few months after the egg retrieval and transferred one embryo, which resulted in a success pregnancy and birth. Dr. Reh personally called me the morning of the egg retrieval to wish me luck and was present for my "graduation" appointment at Shady Grove before I moved to my OBGYN. She was also my provider for several of my monitoring appointments. If I choose to move forward with a second embryo transfer, I will make sure Dr. Reh is my provider. She is outstanding and the absolute best Shady Grove has to offer.

Shady Grove is a large institution and you may not always see Dr. Reh at your appointments. Trust the process. She is still overseeing your treatment and is always available via her staff.

I do not ovulate regularly, so I started with Letrozole and medicated/timed cycles. I completed four cycles of varying dosages. While I did ovulate each time, I did not become pregnant. When I moved to IVF, I used an antagonist protocol (Gonal, Menopur and Cetrotide) for my stimulation cycle. I produced 22 eggs. ICSI was used resulting in three PGT-normal embryos. One embryo was transferred which then gave us a successful pregnancy and a healthy baby girl.

We took advantage of the Shared Risk program. Treatment and medications totaled $30,000.

Very nerdy and wants the best outcome and will share lots of numbers with you, to ensure you have all the information to understand what’s going on. He was understanding and listened to me concerns when I had any. He often went into details until I I fully understood.

Listened to him, listen to yourself, ask questions- he will answer them.

$7,500 for one egg freezing cycle without drugs

We were fortunate to have Dr. Devine leading our fertility journey as she answered our many questions and guided us through our treatment options and care. Given her research background I felt confident in her protocols and advice

use the patient portal for questions, guidance

clomid and progesterone for thin uterine lining following fibroid removal

cost estimates were unfront and without insurance coverage IUI cycles were $1800 plus medication costs

I believe Dr. Widra is very experienced, but I did not feel that my treatment protocol was particularly individualized and he did not have any interest in trying to uncover what could be causing infertility/miscarriage. As a result, I had several concerns with my treatment protocols that he did not address and our outcomes were different from what he had led us to expect. He also very rarely communicated directly with us and almost all interactions were handled by his nurses. I also felt that because we were likely to have a positive outcome eventually, my case was not prioritized and my treatment timeline was longer than necessary.

Ask as many questions as possible, and if something he says does not feel right, don't be afraid to raise it. I felt that he was not comfortable with having his treatment protocols questioned, but he was willing to explain his reasoning or make changes if you were persistent.

We did two medicated cycles with letrozole and timed intercourse that were unsuccessful. At the time, Dr. Widra thought I could have PCOS and it was unclear whether IUI would make a difference. Later, our diagnosis was "unexplained" and we did an IUI with letrozole that led to a pregnancy and miscarriage due to a chromosomal abnormality. This was my second miscarriage and at that point we asked to go to IVF with genetic testing. Dr. Widra agreed this would likely be the most efficient treatment. For my first cycle I was on fairly low doses of gonal-F and Menopur because he still thought I could have PCOS, but I ended up getting a fairly low number of eggs. We did a freeze-all cycle with PGT-A testing. After the retrieval we were encouraged to do a FET immediately, even though we had been very clear that we wanted to bank embryos for future pregnancies and we did not have enough embryos to achieve that. We ended up doing a second egg retrieval with higher levels of gonal-F and Menopur, which led to more eggs being retrieved but fewer making it to the blastocyst stage. The successful embryos were frozen and underwent PGT-A testing, and then we proceeded with a medicated FET that was successful.

My health insurance (Cigna, employer sponsored plan) covered all infertility treatment up to $25K after the deductible was met. Without insurance, the cost of each round of treatment without medications would have been between $15-18K. The clinic also offers shared risk and special rates for multiple rounds of IVF, including a refund if you do not have success.

Dr. Widra had a strong preference for eSET, and we agreed. He said that particularly since we were doing an FET with tested embryos that eSET was the best option.

He was straight forward and direct. I felt like i could ask questions that i had and would get an answer. He is personable. I liked that we were able to access him as needed, and could get on his calendar for check ins. He's not overly verbose. I would have liked to be more informed around why he's making the decisions he is making as it pertained to protocol decisions.

Ask direct questions. Communicate your overall family planning needs

Antagonist with Birth Control Pill priming x2 Antagonist with Estrogen Patch/Cetrotide priming x1 rational is unclear that wasn't discussed with me. We switched to Estrogen Patch to to belief that BCP might have been suppressing me

$25.6K USD - 2 cycle freeze all embryo banking w/ PGT-A testing $29K Shared Risk program, subsequent refund received due to lack of results

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He was a caring and compassionate doctor. We saw him as he is the international doctor that sees pt’s for egg donor consults and he took the time to explain the program to us. And he did follow up when our results for donor egg retrieval were much less than expected.

Ask more questions!

He only consulted prior to our donors egg retrieval. I was then transferred back to the care of my home clinic.

$60,000 Canadian

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Dr. Nair was not very thorough or compassionate, and our visits with her felt so harried and lacking in clarity. During our post-initial testing visit where she gave us our diagnoses and outlined next steps, it was very rushed. Each time we tried to ask questions she ushered us along, stating "We only have 30 minutes today". Thirty minutes to provide us each with a new medical diagnosis and discuss options and next steps was simply not enough time. She hardly went into any detail about our diagnoses, didn't listen to our concerns, and, again, didn't allow for questions given the time constraints. As a medical provider myself, I couldn't believe that a physician would provide patients a new medical diagnosis without going into much detail about what that meant for them. She didn't even leave us with written handouts or links for us to read and understand better. At one point when I asked a question, she replied that we didn't have time for questions today, but that if I had questions to schedule a follow-up visit. So I went ahead and scheduled a follow-up visit (which seemed absurd that I even needed to do so just to be able to ask questions), and when the consult started she couldn't have come off as being more annoyed that she was having to meet with a patient again simply to answer questions. She came off as very cold during this consult and gave awkwardly short, non-detailed answers to my questions. At one point during the consult, she appeared to be looking down at her phone as I was talking. It felt extremely dismissive and lacking in compassion. Dr. Nair seems like she has taken on WAY too many patients than she can manage. My husband and I decided to switch care under a different physician at the clinic, and we felt so much better taken care of after that.

If you're not okay with having extremely limited contact with your healthcare provider, then consider switching to a different fertility doctor.

Tests, procedures, and medications covered by my insurance with co-pay required

I would recommend Dr Nair to any close friends or relatives. She is an expert, but she is also very compassionate. She cares about her patients like her own family, not some cold numbers on the balance sheet. We had one failed transfer, but she encouraged me, adjusted the whole protocol, and was on top of each procedure. I respect her opinion and trust her judgement and professionalism. I finally got pregnant under her care after almost four years of trying. My husband and I thank her with our whole heart.

If you are looking for a down to the earth, no fluffy and compassionate doctor with great expertise, she is your doctor to go.

I was put on antibiotics to repress my immunity before transfer. She also used Lovenox to help with implantation. I think these two things finally helped me conceive.

The monitoring appointments are generally easy to schedule and on time. Occasionally it runs late.

My insurance covered main costs, but I still paid about $12,000 including treatment and medication.

I was advised to do eSET because I had a high-risk pregnancy before.

Dr. Reh is friendly and to the point. She does not dilly dally. She provided optimism in my fertility journey. I trusted her in my care. I had also heard excellent things about her from other patients/my personal friends.

She will do whatever it takes to get you pregnant and I would trust her advice even if you think it will never happen.

I underwent 3 cycles of IUI. First with clomid, the following 2 cycles were w/ letrozole. I also used vaginal progesterone and estrogen. The 1st 2 cycles failed. Then prior to initiating a 3rd cycle, my thyroid studies were abnormal so I was referred to an endocrinologist and started on levothyroxine. My 3rd IUI was successful. I am now 8 weeks pregnant and hopeful this will be a successful pregnancy.

$1800 for each IUI cycle and everything done within that cycle (ultrasounds, blood work). I had to pay out of pocket for medications/whatever my insurance didn't cover. Seemed like reasonable pricing.

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Dr. Barnard not only knows her stuff, but she has phenomenal bedside manner. I truly felt like she cared about me as a patient. She's such a warm-hearted person and never made me feel like just a number. Such a gem of a doctor! Can't recommend her enough!

You're in great hands with Dr. Barnard.

Covered under insurance with co-pay

We did not see Dr. Reh personally many times. I met her in person twice - once for a saline sonogram and once for our final ultrasound. However, we had a virtual consult and several phone calls to discuss our options and treatment plan. I know some might have a problem with not seeing their doctor personally for every appointment, but I never felt like there was any lost information or miscommunication. Her treatment plan as described was being carried out every time.

Be able to discuss your history in detail during the consult. She had not reviewed my records in detail, but once I explained our background in about 10 minutes of our 60 minute consult, she was able to talk to us about our previous cycles. Just understand that she is busy and she may not see you personally at each appointment. That does not mean that she isn't checking your records and communicating with the staff.

We came to Dr. Reh's office following treatment at 2 other clinics. We left the first clinic due to a move and the second clinic shut down because of a lab accident. We had one Day 6 tested embryo available to us to use for a frozen transfer. Dr. Reh recommended an ERA prior to transfer, which our previous clinic did not support until at least two failed transfers. That ERA showed that we needed 11 hours less progesterone and we made that adjustment for the frozen embryo transfer. I obviously do not know what would have happened had we not done that ERA, but our first transfer was successful and we are currently pregnant with identical twins. We are certainly very satisfied with the outcome.

We paid for the Global Frozen Embryo Transfer Fee with the Military Discount. It was $3910 and insurance covered all medications. That was the only thing we paid. Our financial counselor let us know that Shady Grove was raising their prices in a few days and advised us to pay early, which saved us several hundred dollars.

We did not have multiple embryos to transfer, so this was not an option for us.

Dr. Reh was able to personalize her approach to help get me pregnant. She reviewed the results each month and adjusted medications as needed. She was friendly and knowledgeable and I felt confident in trusting her opinion. I had a great experience with her and I have recommended her to others struggling with fertility.

Dr. Reh has years of experience helping others get pregnant. She knows how to guide her patients to a healthy, safe pregnancy. I personally have recommended her to friends/colleagues and encourage prospective patients to meet with her as well.

I took letrozole to induce ovulation because I do not a regular cycle (due to PCOS). I also took a trigger shot each month followed by progesterone pills. I completed this process for 4 months before getting pregnant. Each month the amount of letrozole that I took increased slightly to help with my egg development and it adjusted at that level to ensure that the chance of multiples were reduced.

Same day lab work cost about $50-$75 with insurance per cycle. My medications (letrozole/trigger shot) were about $75-$100 per cycle with insurance. I also had a co-payment of $35 for visits.

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Dr Reh is genuine, approachable and knowledgeable. I highly recommend her. She saw me for most of my appts and gave me clear expectations of the plan for treatment. She took my requests and ideas into consideration and I felt I could collaborate on my treatment.

Start sooner than later with IVF and go with Dr Rey because she knows her stuff!

3 cycles with different protocols. The last one was able to produce successful PGS tested embryos

Treatment was costly as it is for most infertility treatment but it was worth it and the clinic was professional with smooth communication through the portal.

Dr Doyle is smart, well informed, kind, and shares plenty of information. He was with us from step one, always encouraging us that we'd have great chances at a pregnancy. Even when we encountered setbacks, he explained them well and helped us chart next steps. I can't be more grateful that we got Dr Doyle as a doctor, and genuinely believe our success was thanks to him.

Know that he will be there with you through the ups and downs, and don't be afraid to share with him if things outside of your treatment are impacting how you're feeling or how anxious you are. He wants to know, and will treat you and your partner with compassion.

We tried two IUIs, one with clomid and one with letrazole. I had a bad reaction to the clomid, so Dr. Doyle changed it up after our first failed procedure. We also found other issues along the way, and did two polyp removal surgeries. While initially we weren't certain if IVF would be necessary, as we continued to find polyps, Dr Doyle supported our plan of moving to IVF after just two cycles of IUI, and we got pregnant on that first transfer (plus we have many PGS tested embryos ready to go if we want to give this baby a sibling).

We're still waiting to see - we had some insurance coverage but some things were out of pocket, so we need to figure out our final bill. We didn't find billing to be incredibly transparent but that wasn't a huge issue for us.

Our doctor was quite clear that with our ages and lack of issues, a single transfer was the only good option, and we agreed with him on that assessment.

Dr. Browne has always been the best choice for a fertility doctor for me and my husband. She truly is knowledgeable, kind and trustworthy. She is science and compassion rolled into one. I would definitely recommend her to anyone seeking fertility treatment.

Be open about your feelings and hesitations. Ask a lot of questions because she is willing to answer them.

After trying for 6 months my husband and I got a recommendation from our primary care doctor for Shady Grove. Having no idea what to expect when we called we were asked if we had a preference for which doctor we wanted and we did not. I feel we truly lucked out on getting Dr. Browne. After initial testing I was diagnosed with unexplained infertility and given the go ahead to keep trying naturally for another 3-6 months. After one very early miscarriage we started on Clomid through my regular OBGYN and without any monitoring. We did this for a few months and nothing happened. Once off of Clomid we contacted Dr. Browne to try IUIs. Right before we were set to start I had a chemical pregnancy confirmed. The next month we started IUIs and Dr. Browne was nothing but helpful throughout the process. I saw her for every monitoring appointment with the nurse. We tried four rounds of IUIs with two different doses of clomid, a round with Letrozole and then a round with both Clomid and Gonal (injectables). Only once with the higher dose Clomid did we get two follicles to respond. At this point we went for more testing showing my AMH and FSH levels were showing signs of diminished ovarian reserve and poor egg quality. Which was what they thought was resulting it early pregnancy losses. After the last IUI cycle we decided we needed a break and took a couple months off. Two months later we ended up pregnant again only to have another early loss. With no insurance coverage for IVF we stopped all fertility treatments for a little over a year. Then just a few months ago decided (with the help of family) to begin IVF using the multicycle discount (I no longer qualified for shared risk due to my levels). I went on birth control for two weeks and then I started on Menopur 150 IUs and Gonal 300 IUs. After three days of that dose they upped my gonal to 450 IUs. I did this dosing for 12 days (added in Cetrotide at day 11). However, due to my response to meds, my levels showing I ovulated and the current COVID 19 crisis my cycle was cancelled after 12 days of stims. Doctor Browne called me personally to apologize and explained everything to me. Then within the hour her nurse also called to check on me to see if I had any follow up questions. They also told me that they had some medication donations as well as different protocol for whenever the next cycle begins. (Switching from antagonist protocol to a flair protocol). They are hopeful that with my AMH and FSH levels this will result in me being able to actual make it to the retrieval stage. At this point it’s just a waiting to game for my period to start again so I can begin my next cycle.

$18,500 for two round of IVF which included all monitoring appts, two retrievals but unlimited transfers. Medication was separate cost.

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Doctor to patient I would love to see her face to face more. I think in a total 2.5 years we have seen her 3 times. I haven’t seen her yet this year and I’ve done a IVF cycle, retrieval and ERA with transfer approaching. I understand with covid-19 now but I don’t think we met up her her face to face last year either. Would love more of that.

To compile all questions and concerns up front in your consultation because even though Dr. Li has a team of nurses it’s always better to hear your concerns coming straight from your doctor.

The overall strategy was what came from my baseline and test of bloodwork. I believe my baseline for estrogen is not high enough so I was on Menopur 75 which moved up to 150 on the 7th or 8th day, Gonal stayed at 250 both retrieval’s. For my second retrieval Menopur went up to 150 right away (maybe on day 3) this was successful I believe because we got 17 eggs, 15 mature. Whereas first cycle was 12 eggs, 9 mature. My protocol for my second IVF was to do a ERA and PGS testing since we had 2 failed transfers on good lookin embryos. Waiting on ERA results and PGS testing gave us all 5 genetically normal embryos. So happy and would say my protocol has been successful.

My monitoring appointments are always consistent I know what to expect and know I will always get my results within a few hours of the appointment.

Global package IVF #1 $8,000 Storage $1,800 last year fee plus $35 every month FET #1 $4,600 Shared risk program IVF #2 $20,000 Medication total $5,000

No I completely understand, I’m under 35 I know the risk.

Dr Khan is on top of the latest science and was very hands on as we selected our egg donor. I felt I could ask about my protocol and he would get back to me with his rationale in making certain decisions. I felt the coordination level between SGF offices was high. I never had any issues or confusion. Dr Khan is detail oriented and will be realistic about your prognosis.

Dr Khan is willing to spend time answering your questions and talking to you about different options. Be prepared with your thoughts and it will be a productive conversation.

I am doing the shared risk egg donor program — we did 1:2 and anonymously shared the egg haul with another receipt(s). We got 12 mature eggs, 10 of which became blasts, 6 of which tested PGS normal. This is an incredible result so far. We got one blast in two retrievals with my own eggs. I am currently pregnant from our first transfer - although it is early.

We paid around $50k for all inclusive 1:2 shared risk program and PGS testing. Baby or money back.

Non-issue. I only wanted to transfer one at a time so it wasn’t something discussed at length.

I can't answer this in full yet because I'm still undergoing treatment. She is extremely intelligent and cares for her patients, I have no doubt she's a leader in the field, but I do have some outstanding questions on how involved she was every step of the way.

Be educated and ask questions up front. Ask questions and get specific answers and talk statistics.

I don't remember the specifics.

it went through insurance, so i'm not sure of the negotiated rates.

Dr. Devine recommends SET, as does Shady Grove and we followed that guidance.

We felt well guided under our care of Dr. Moon. She is frank, to the point and is usually quite clear in her prognosis and decision-making, though we had a bit of an oddball case (says everyone dealing with infertility). I would've liked to have Dr. Moon at our retrieval and transfers but frankly, that's not how Shady Grove works and we understood that clearly before we began. I would like to see more clarity on communication with regard to the pandemic, the clinic, not necessarily Dr. Moon herself, waited a long time, gave unclear directives and made the experience much more unclear; we understand no one plans for this, but the clinic gave very little clarity on action plans for us when it all happened mid-transfer. It was really hard to deal with that uncertainty and I hope communication for Dr. Moon and others improves to reassure patients within each person's portfolio.

No direct advice; continue to give each person time on the feedback calls; we really loved after our retrieval that we didn't receive the numbers we assumed would happen and Dr. Moon took a Sunday call with us to sort through it and give us feedback on how we would approach it moving forward!

Antagonist protocol - Lupron not HCG to lessen risk of OHSS; stimmed for 11 days with Gonal-F, Menopur, and then Ganirelix/Cetrotide. 29 eggs collected, 17 mature, 7 fertilized, 4 made it to blastocyst (1AB, 3AA). Transferred 4AB embryo, pregnant but likely will be ending in a miscarriage (hcg not rising appropriately on second blood draw).

Yes, total cluster 45 min wait times for some days. Not the best way to start and there is then no point to providing monitoring appointments if it's first-come first serve open-ended whenever you want to show up!

Covered by insurance

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At this time I have only met with Dr. Reh once for my consultation. She made recommendations but also allowed me to make my own informed decision. Due to having endometriosis and one blocked tube IVF is the preferred treatment. My insurance does not cover IVF so I decided to begin with IUI for a few cycles. Dr. Reh moved forward with my desired treatment. Following initial ultrasound she reported to her staff that I would have to take birth control for one month prior to proceeding. I just started Clomid cycle with Gonal f injection

Have all documents in order to present to her so that she can review them with you in the room. If she has questions she can ask. Make notes of your questions and ask them at the end...once she is finished talking

Initial ultrasound, one month of birth control, Clomid (5 days) and Gonal f injection plus trigger shot, IUI. I am currently still taking the Clomid

Kaiser insurance: thus far $377 for Rx, $450 for IUI, $30 office visit

It was explained that single embryo is preferred. I am not at this stage yet so we will see what happens in the future

Dr. Moon is well educated and seems to be a numbers person. During our consult for our second IVF cycle with her for a second biological child, she ran our data from our cycle 2 years prior through a spreadsheet they had to predict likelihood for success with unexplained infertility and our age and the numbers were so-so. I pushed and asked why we only ended up with (1) blastocyst when I had 21 retrieved and 17 mature/fertilized. She responded that to her that points to male factor infertility bc the cells live off the maternal protein the initial 3 days and then once getting past 4-cells they live off the male DNA. Since we still had 10+ embryos after our Day-2 update and then only 1 come day 5/6/7, she deducts there are some MFI issues and referred us to the urologist in her practice if we wanted more information. If we had decided not to go, then we never would have learned about the Sperm DNA Fragmentation test that is available. I don't know why this test wasn't recommended after our initial 2-failed IUIs or when his semen analysis in initial work up was so-so. The results came back that 36% of his sperm had DNA fragmentation and success for frag over 30% isn't good. For our IVF cycle in 2019 to attempt for our second baby, the urologist recommended he perform a TESE procedure on my husband to get to the source of the sperm before they get fragmented in ejaculation. Again, we had 21 retrieved and 17 mature/fertilize but only 2 make it to blastocysts (day 5 & 6). They were tested and both came back abnormal. At that point, Dr. Moon and the board reviewed our case and decided we could not continue in the Shared Risk program, unless we used 50% donor sperm and 50% of my husband's. While I get they want to protect their data and pregnancy rates, this felt like a blow that they didn't have faith in our future outcomes. We want a full biological family and we know it is possible since we have our son; we'd think they would come up with ways to help overcome this DNA fragmentation. They moved our deposit for Shared Risk over to a Multi-Cycle program (2 tries) and then I don't know what we'll do if those two don't work..... After that failed cycle, I read up on whatever studies I could find and put my husband on supplements for 3-months and he was trying to work on getting his BMI down since the clinic didn't have any recommendations on what we could do to make a difference. Sadly our March 2020 IVF cycle had about 20 retrieved; 18 mature and fertilized and only 2 made it to blast again and both came back abnormal again. We have a teleconference with Dr. Moon this afternoon to talk about next steps, I guess. Curious to see what she'll say....

Don't be afraid to do your own research and schedule calls with her to get questions answered.

I don't recall the treatment protocols for my (2) IUIs, but for my (3) IVF cycles she had me on an antagonist protocol with 225 Gonal-F and (3) vials of Menopur. I am slower to respond, esp. my right side, so my 3rd cycle I was started on these higher doses and stayed pretty steady throughout cycle. Only (1) IVF cycle in 2017 was successful with producing (1) blastocyst (our son). Have a tele-consult with our Dr. this afternoon and am curious if there is another protocol we can try for our final cycle.

Shared Risk for my age was $22,500.00 Multi-Cycle (2 cycles) was $18,500.00 PGT-A Testing - $5,000.00 TESE - $5,000.00 Sperm Analysis - $50.00 Sperm DNA Fragmentation Test - $250.00

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