Shady Grove Fertility

She gives me misinformation regularly. Then blames others. She refused to believe the thyroid meds she gave me made me sick. Three doctors and a pharmacist disagreed. It took her 3 weeks to be convinced to see me about it. She made false promises about my transfer dates (by whole months). My benefits reset on January 1. I had met my out of pocket maximum by August. She promised me to be done by the new year. It took me trying to move my embryos to another facility to get her to reach out to me about doing the transfer during the timeline that was about to run out. I made my transfer with 5 days to spare only because I requested to leave that clinic for good.

Don't go there. You'll be put at risk.

She put me on estrogen priming before my stims. My period started a week early anyway. They said it was OK but not why. Then they started me on a very high dose of gonal f. They refused to bring me in for labs early even though I felt so dizzy I couldn't work. I finally convinced them and they lowered my dose because my estrogen was rising too fast. I was told I'd be triggering with lupron to avoid ohss. Then the nurse called me to tell me to trigger with ovidrel. She was clueless about the lupron and said it wasn't in my chart. Told me to trigger with the lupron and that she'd take my word for it. Then, after a different doctor did my egg retrieval after all of doctor Schnell's staff said I wasn't at risk of ohss, the retrieval doctor put me on cabergoline and told me they, "pushed me very hard." One follicle was larger 1.5x the size of my actual ovary. I got 10 eggs. 7 mature. 4 made it to day 5. 3/4 were pgt normal. 1/4 was low level mosaic.

I'm lucky in that I had fertility benefits. Once my out of pocket was met, everything was covered completely. No idea how much it would have been without it.

I was ok with single.

To be completely transparent I only attended Shady Grove Fertility to be under Dr. Csokmay's care. I knew he was the doctor I needed to go through such difficult surgeries and procedures. I had 100% faith and trust in him to keep me safe, healthy and cared for during my fertility treatments. I honestly would have followed his care to any clinic as that is gravity of care Dr. Csokmay provides. If I had the opportunity to have Dr. Csokmay be a provider in my overall health care I absolutely would. I could speak praises until I ran out of breath and would still have an infinite number of positive praises for him.

Talk to him, know your personality and comfortability as that always comes first especially when it comes to fertility treatments. I would describe Dr. Csokmay as an angel of a provider as I could not have dreamed or created a better doctor myself. I would say run, if your going to Shady Grove, he is your doctor. If your looking through clinics, look up Dr. John Csokmay, there is absolutely no better!

For my egg retrieval we used the antagonist protocol, which included Menopur and Gonal- F with a lupron trigger. Our retrieval resulted in 23 eggs retrieved after 11 days of stims and 6 embryos created. My FET was catered to my body's response to birth control, I had 14 days of Estrace prior to transfer and about a week of Progesterone prior to transfer.

25,400 for shared risk; 230 initial appt with SIS, 305 for first Ultrasound after FET and awaiting last bill from final graduation ultrasound.

Shady Grove requires single embryo transfers unless prior transfers have failed.

While I was a patient out of the Pittsburgh office, I did only get to meet with Dr. Bromer a handful of times, although I did have telehealth follow up visits. I always felt he explained everything thoroughly, and I always agreed with the treatment decisions he made. If I had a question, he would thoughtfully answer it, and let me pursue additional testing to appease me.

Be open and honest, and you'll get open and honest back!

I was started on a normal dose of a standard antagonist protocol due to my unexplained infertility. I typically had an AFC of 15 but this cycle they could only confirm 8. 150IU Gonal-F and 50IU of Menopur. I had monitoring appointments often. I did have lots of follicular growth, but it was slow. Dr. Bromer increased my dosage gradually over the next few days until I was up to 400IU Gonal-F and 150IU Menopur. After 14 days of stims, I was able to trigger with HcG, 10,000IU. I ended up with 23 follicles, 20 eggs retrieved, 17 mature, 12 made it past 5 day, ended up with 8 blastocysts with the remaining 4 that stopped developing. We ended up with 4 PGT-A tested euploid embryos, 1 low-level mosaic (which they will allow me to transfer), 2 high-level mosaic, and 1 abnormal

Our insurance covered 80% of treatment, so we needed to pay the other 20% and we had a lifetime maximum. I believe we paid $800 for each IUI and our total IVF cost with PGT testing and 1 FET was around 9k.

Dr. Bromer recommended eSET for us, and we agreed.

The initial appointments were good but then I feel like communication was lost and there was no explanation in the beginning about needing to secure funding for donor coverage. It was like we crossed that bridge when we got to it. I wish I would have been told to start working on funding from the initial appointment. I have completed all of the steps and now working on funding

Follow up as much as you can

At my initial consult she told me that it sounded like I am a candidate for IVF but she wanted to verify that with a series of test just to confirm. I liked that she wanted to test me to confirm what she was thinking

$5,000

She’s wanting to do single embryo transfer to ensure less complications and for safety since this is my first IVF treatment. I wanted multiple just to be sure that one results in pregnancy but I see her rational

My husband and I are thrilled with Dr. Csokmay and Shady Grove Fertility! We could not have done the fertility treatment without Dr. Csokmay. He is incredibly professional, knowledgeable, kind, patient, and always made time to answer all of our many questions. We could not be happier.

Don’t hesitate to have Dr. Csokmay as your doctor. He is incredible.

Dr. Csokmay took lots of care in planning the right steps for me and my husband to ultimately get pregnant. He walked us through every step and helped us with a short term and long term plan for care. He was thoughtful every step of the way.

Going through fertility treatments is hard and I was hoping we would have our first baby on the first try. We did get pregnant from our IUI but miscarried. Dr. Malik advised me on doing IVF FETs as I was already 38 when I first met her. We did 2 rounds of embryo preservation and I am so grateful for that advise. We have a 2.5 year old toddler and are currently pregnant with twins from our FET procedures. I am grateful for having all my options explained to me so we could make the best decision for our growing family.

Just have patience, it takes a while to understand the long process of trying to get to the point of being pregnant. Also, don't give up hope. It's a numbers game and you have to keep trying until your successful with a baby.

Our FET treatments included doing progesterone shots, estrogen pills, lovonox blood thinner shots and prenatal vitamins and maintaining my thyroid at a .2 tsh level. I have PCOS and hypothyroid.

They had monitoring hours and the appts were in the mornings and very easy for me to get to. They worked with my schedule.

We had fertility benefits from our health insurance so I am not sure of the costs.

I believe it is SGF policy to only do eSET due to risk to me as an advanced maternal aged woman.

I came to Dr. Csokmay because of my age (over 35), a past miscarriage, and the length of time it was taking to try and get pregnant again after that miscarriage. From the beginning he was attuned to my needs and desires, and was very clear about next steps and how it could escalate if need be. Luckily we didn't need to escalate much further than the initial diagnosis, since we got pregnant after 2 IUI cycles!

Arrive with questions written down, and don't be afraid to ask questions after the initial consultations. He is more than willing to take time with you, to discuss anything/everything.

We did two cycles of medicated IUI. When the first IUI cycle didn't work, we talked about what would happen/change if the second IUI cycle also didn't work. We were going to do another test, to make sure nothing was missed in the pre-testing phase, to suggest we should go about a different course of action. Luckily, we never got to that point since I was pregnant with the second IUI cycle!

About $2k per cycle, all inclusive, but I did not have any insurance coverage.

My husband and I were very fortunate to be under the care of Dr. Levens and his outstanding team for nearly four years. He always seemed to know when to be aggressive, when we could wait and see, and when to have a backup plan to work around challenges like my husband's deployment. We trusted him implicitly and never second-guessed his recommendations while also feeling like we could ask questions or have a say in the process if we desired. We also appreciated that we always knew what the next step in our treatment plan was, or when it would no longer make sense to proceed. Dr. Levens' willingness to discuss what-ifs and to speak honestly about when treatment no longer made sense helped us to feel like IVF wasn't taking over the rest of our lives. Knowing what would come next was probably the single biggest factor in keeping our stress in check throughout the process.

This advice isn't specific to being a patient of Dr. Levens, but in general communication goes both ways -- you need to let your doctor and the nursing team know when you need something so that they can help. Every time I reached out with questions I was met with responsiveness and support, which was appreciated!

We began with an estrogen priming protocol which produced four embryos, the first of which became our son. About a year after he was born, we proceeded with three frozen embryo transfers, none of which were successful. We later discovered a hydrosalpinx, which may or may not have been impacting those transfers. Two subsequent retrievals -- one estrogen priming and one microdose lupron only yielded one viable embryo. After surgically addressing the blocked tube, I got pregnant via a frozen embryo transfer of that final embryo.

We were mostly out-of-pocket with a few shared risk programs. I believe the first one years ago was $20k; the shared risk frozen embryo transfer program was $11.5k; and the most recent shared risk IVF program was $25.4k. This is not including any medicines or discounts, nor other routine care covered by insurance.

I strongly recommend Dr. Jeanne O'Brien as your fertility doctor. She is a very good listener and very nice. She is professional and knowledgeable. She brought me two successful pregnancies just through one egg retrieval. I am very thankful for all her effort to help me to become a Mom. I still remember in my first consultation, she was super patient to listen to my story, and review my previous exam results. She spent plenty of time discussing the potential reasons and solutions. She explained many concepts we didn't know in an easy way. She compared the pros and cons between different treatments. All of these happened 7 years ago. Believe it or not, I still can remember the details. After that I was treated under her close monitor. She always personally reviewed every one of my exam/test results. Actually in many fertility centers different monitor doctors may review your results and provide the doctor's order, which may make the patient a little worried. But Dr. O'Brien always rechecks everything. This made me feel that she was always with me. She also provided me with a lot of valuable advice. What she cares about is what you need, but not how much money the center will earn. Although I am super cautious about a lot of things, she never recommended the test which was not necessary. She used her knowledge to convince me. And she was right. She has the top skills in operations. I really trust her that I'd rather wait weeks to fit in her schedule, and let her do the transfer for me. I am so lucky that I met her at the beginning of my fertility journey. Here I also want to thank her team. Dr. O'Brien has a very strong team. All team members are kind and full of patience. Although sometimes I was super worried, and my questions became a little annoying, they always responded to me in a nice way which can make me calm down. I will give them the highest stars based on my 7 years experience and introduce them to more patients who need help.

She is strongly recommended. I trust her.

Unexplained infertility. Start with 2 circle of IUI. Negative pregnancy. Start IVF. 1 time egg retrieval. Fresh embryo (1 embryo) transfer (trisomy 16, miscarriage). FET (1 embryo), negative pregnancy. FET (1 embryo), live birth. FET (1 embryo), current pregnant

27,000

According to my age, she suggested to do one embryo in each transfer

He is so calm and grounding. It is impossible to remain stressed out with him. He changed our ovulation test strips for our second round, and that truly made all the difference. He would call twice to make sure my husband also heard directly from him, instead of me just relaying the message.

trust him and utilize his experience!

Timed IUI, no medication

360$ Nonmedicated IUI

Dr. Reh is great at advising patients on the process. Example: In my case, she said that my eggs were not strong enough to survive up to pregnancy, based on that we got donor eggs and am not pregnant

Brace to be told the truth and follow whatever she says, it will be excellent for you

Treatments ranged from injections to pills and I followed the timing

I did 2 personal eggs transferred but had miscarriages and a donor egg transfered now. Never got qualified for any of the SGF programs. We spent over 40, 000. 00 including third-party load, out of pocket, and few coverage by insurance

Ours went well

Dr. Csokmay took a full hour to explain previous test results and discuss treatment options with us at our first visit. When I had questions during the treatment process, he made himself available for a phone call. He was always kind, patient, attentive, and took care to make sure we didn’t have questions or concerns. If we could use him as our doctor for the whole pregnancy, we would!

We had fertility insurance, but the total for 2 IUI’s after that was $1800.

Being a patient of Dr. Csokmay was the best we could have hoped for. He was always extremely clear, answered all of our questions, and made us feel hopeful. There isn't anything we could recommend Dr. Csokmay improve because we appreciated him so much.

Dr. Amrane did a pretty good job of explaining my specific situation and laying out possible treatments, etc. I only saw her in a couple of virtual visits (and in person once during the initial consultation, which was for egg freezing). She answered my questions and was understanding about what I was trying to accomplish. She wished me luck during the IUIs and was sympathetic when I didn't get pregnant. On the down side, she focused a lot on "what can go wrong" and it definitely gave me more stress instead of being reassured. I think she doesn't have enough experience in dealing with anxious patients.

Don't look for a super-warm bedside manner. Ask specific questions to get specific information.

I did four IUIs; the first was a natural cycle, because I was hoping to avoid chemicals, etc. She was very willing to try different things (i.e., a natural cycle) and said it's worth a shot. When the first 2 IUIs were unsuccessful, she said I should consider moving on to IVF. She did note my lower ovarian reserve, and I think that was a big reason for her suggestion. I used clomid for one cycle (which didn't end up going all the way to an IUI, because I got sick), and letrozole for another cycle. I was switched to letrozole because I may have had visual side effects from clomid, so they wanted to be on the safe side. For the IVF, I had menopur and gonal-f, and ultimately cetrotide; also, Dr. Amrane had me do a final boost of those meds before the trigger shot. I wasn't told the rationale for that... but currently I'm waiting to see how many of my fertilized eggs turn to blastocysts. I had 3 eggs fertilize.

I think IUI was approximately $1,500 a cycle. (I paid out of pocket at the time.) Ovidrel was $68. My IVF charges are still being processed, but... I was so far billed about $6,500 by Shady Grove (which includes about $3,600 for PGT testing). This does NOT include an embryo transfer - but allegedly does include the cost covered by insurance. I have also been charged, at this point, roughly $6,000 just for medications. But everything is still going through insurance, so I'm not sure how this will all shake out.

Haven't gotten that far

While I am sure she is a great Dr, she was very clear about the expectations and my doing donor eggs. I have a good egg reserve for my age and wanted to try with my own eggs and not be pushed into donor when I had other options. So I felt that my care was not as aggressive as could have been because they just didn’t think it would work. After the 3 failed IUI I reached out about a change to my regimen because clearly what I was on was not working. They said no it would stay the same and I was responding well. Well after 2 more failed attempts Dr. chasen now wants to talk about changing the regimen which I felt was a little late. I aged out of IVF at that particular clinic but never got a change to do a successful retrieval so I moved on to a clinic that didn’t have a age cut off of 45 for your own eggs. I didn’t even bother with the last IUI….more money wasted with no measurable change to the regimen

Demand more, do your research and ask tons of questions. Don’t assume because they are the Dr they know more. You have to advocate for yourself and what you would like done

For the IVF…I was on BC pills initially, then Lupron, added in 150 menopour and 275 gonal f. They started high because of my age and I reacted better than they thought so they had to lower the gonal f to 150 so I would not go into ohss. I went into retrieval with them seeing at least 16 follicles mature and ready. I woke up saying they were unable to retrieve any because they could not access my ovaries vaginally and abdominally they saw a blood vessel in front of the ovary and decided to not proceed. It was devastating They then told me that they would not move on with IVF for that reason….no trying to figure out how we can go around that because I clearly responded well. They then moved to IUI which was 100mg clomid for 5 days and on day 3 150 gonal f and day 5 150 gonal f. When I went in each time they saw 2-3 follicles that were mature and ready for insemenation. The sperm was great according to them, but Nothing took.

It was convenient as early as 7am and in and out in 30 mins and still able to get to work in a timely fashion

My insurance is pretty good and covered a good amount. The meds were the most expensive part. Without meds IVF was around 4,000. With meds $13,000. IUI meds were about $350 and out of pocket was 1,000

N/A

Dr Doyle was warm, compassionate, and nonjudgmental. He was a good listener and never made me feel rushed or pressured to make a decision. He followed up with me on a concern I expressed after hours one time too. He clearly relies heavily on his nurses and NPs to do the majority of the actual direct procedures, and he just handled consultations and approving the course of treatment. So over-all high quality provider with low quantity of actual interactions. I definitely appreciate working with him though and would recommend him to others, especially if they are going to be seen at Shady Grove Fertility.

Ask questions- he’s great at explaining things and giving answers, but he doesn’t necessarily talk a lot about things unless you ask for specifics. The nurse gives more of the details.

Ovidrel + IUI + monitoring of bloodwork & ultrasound x1 cycle resulted in 1 mature follicle, no pregnancy 5 pills of 2.5 letrozole, ovidrel + monitoring of bloodwork and IUI with donor sperm x1 cycle for PCOS - 2 mature follicles, no pregnancy 5 pills of 5 letrozole, ovidrel + monitoring of bloodwork & IUI with donor sperm x2 cycles for PCOS- resulted in 2 mature follicles and one mature follicle before IUI was scheduled Told me that with our next cycle we can do 5 pills of 7 mg letrozole for PCOS -

My insurance covered the consult with just a copay, but IUI out of pocket was ~$1600

N/a

Dr. Chason is accessible. While most of my treatment I communicated with my nurse, I could always be in touch with her if needed. I feel she has strong analytical skills to assess what appropriate next steps may be if one course of action did not pan out as expected. She is compassionate, empathetic and realistic.

Trust her, and ask questions if you need more for your own understanding. She is patient and will make sure you walk away knowing what the plan is and that you understand it as much as you want to.

1st cycle was an antagonist protocol using birth control start, Menopur, Gonal F, Ganirelix and Lupron trigger (I do not recall the dosage). I had a high AF count and we wanted to prevent OHSS, and she felt I would be a good responder. I stimmed for 8 days, triggered on the 9th. We retrieved 21 eggs, 13 mature, 4 fertilized, 2 made to it to blast and 1 was euploid. That transfer resulted in a chemical pregnancy. For the 2nd round we made a change to improve our fertilization rate, we switched to a Lupron stop protocol. The goal was to produce better quality eggs to increase fertilization. I used Lupron for 9 days once I had a positive ovulation test, then I stimmed for 8 days triggering on the 9th using Menopur, Gonal F and a HCG trigger. We retrieved 19 eggs, 13 mature, 12 fertilized, 10 made it to blast, 7 euploid, 1 transferred resulted in a miscarriage. This last round is still being monitored for my HCG levels to drop and we will discuss next steps. I between round 1 & 2 retrieval I had a mock transfer which discovered a polyp, and between round 2 retrieval and transfer I had one hysteroscopy to remove the polyp and endometritis was discovered as well as low visibility of my right tube. I had a course of antibiotics for 2 weeks to rid the inflammation, followed by an endometrial biopsy which showed improvement but endometritis still present. At that time I opted for an additional hysteroscopy for a repeat biopsy and to look at the right tube. The biopsy showed the endometritis cleared, and the right tube entrance had scar tissue that was cleared.

Most of my treatment was covered by insurance, outside of pgt-a testing, and embryo freezing cost.

My doctor recommended the transfer of a single embryo. We were informed as to the reasoning and stats behind that recommendation.

My husband and I have always felt comfortable and heard when we meet Dr. Chason. She's eternally optimistic yet realistic. We feel hopeful, supported and confident whenever we leave our appointments. Even with setbacks, she gives us feedback we can use to make decisions and move forward. She has remained receptive to our concerns and open to adjusting our cycles when needed.

Bring questions! She will provide answers and resources.

(2017-2020) We had 11 IUIs using donor sperm; 3 rounds were medicated (Clomid x2, Femara x1). I am sensitive to medication and prefer to limit it's usage. I had an allergic reaction to Clomid during our second medicated cycle. We had our first positive test with our 6th round. However, I miscarried a few days before our first ultrasound. (2021) We opted to try a round of IVF. We used estrogen patches, Menopur, Ganirelix, Gonal-F, Crinone and Estradiol. We had a fresh transfer on day 5; we opted to have our remaining embryos tested (PGT-A). Our cycle resulted in a positive pregnancy test, but the pregnancy was ectopic. We have not yet started preparing for our first FET.

Under our previous insurance, we paid for 5 IUIs out of pocket. Our current insurance covers services. For the majority of visits, I was charged my copay. IVF was applied towards my deductible in addition to copay charges. However, embryo testing was 100% out of pocket ($3600).

Dr. Bromer looked over my entire medical history, not just the lab numbers. Fertility science is constantly changing and he seems understanding of that, whereas other doctors I’ve had historically are inflexible. Dr. Bromer is honest and direct while being caring. He seems to understand how challenging and stressful this is, so he presents all the information up front and made me aware of all my options and the chances of it working realistically. No false hope, but he’s kind about it, and willing to work with the patient. I have the utmost respect for him.

See him. You won’t regret it.

I will be using an IVF cycle with a sperm donor. The amount and types of medications will be closely monitored dependent on my body’s response to them.

There are several treatment options with different costs associated, including shared responsibility, income based discounts, and the one I used- military discounts.

Dr. Devine is very knowledgeable and gave advice in probabilities/estimates of success which I found to be very helpful when I needed to make a decision about how I wanted to proceed. She proactively consulted with another dr who had more experience with a more novel treatment plan for my adenomyosis. I appreciated her thorough approach to managing my care.

Get your emotional support from your partner, friend, or therapist, don't expect to get it from Dr. Devine. She is very knowledgeable but isn't very warm or empathetic.

I don't remember the specifics. I had 2 IVF cycles which yielded a total of 3 PGT tested normal embryos.

My insurance covered 80% of my fertility treatment costs.

I wish that I could have had more face-to-face interactions with Dr. Swelstad but I understand that at a large clinic such as SGF, that's not always possible. In the two times that Dr. Swelstad completed my ultrasound (during two IUI rounds) he always made me feel at ease and made me feel like he knew who I was based on our virtual meetings. Dr. Swelstad is direct and considerate. He added dashes of humor to our interactions and I liked that about our conversations. Although the IUIs were unsuccessful, Dr. Swelstad's guidance and medication adjustments were welcomed. My husband and I have been very happy with our relationship with Dr. Swelstad. We are at the beginning of an active pregnancy journey and we hope to be able to share happy news with Dr. Swelstad by the end of this year!

Don't be afraid to ask Dr. Swelstad questions. He might not give you warm, fuzzy responses, but he is honest and clear.

My insurance is pretty terrific (thank goodness!), so our only costs were the PGTA testing and freezing our embryos. I also had a co-pay for the meds, but that wasn't bad.

There was never a time where I didn’t feel heard or seen as a patient. Dr. Esposito was always understanding of my concerns and hesitations. She took the time to explain to me anything I had Questions about. After learning my son was born 14 weeks prematurely she made sure to check in to see how he was doing and has continued to check in on him. She truly cares about her patients and wants them to be successful in their treatment.

Go in with an open mind. Be open to hearing your options and don’t be afraid to ask questions.

For my egg retrieval I was on menopeur, and gonal F. It yielded 15 eggs, 11 fertilized and 4 made it to day 5/6 with 2 testing genetically normal through PGT-A testing. For my first transfer I was on estrogen and 5 days of PIO prior to the transfer. For my second transfer, after an ERA cycle adjustments were made to my protocol.

Monitoring appointments were always scheduled for the morning, I never felt like just a number. I always felt like my time was valued and respected.

Roughly $30,000 including costs of medication

Dr. Devine is the director of research and I trusted that she had up to date, accurate, and thorough information to guide us. She presented options and answered our questions. All the while, she was reassuring about our prospects. She is direct, so we felt that she would have told us if she weren’t optimistic. Dr. Devine seems busy - we had 3 zoom appointments with her and then met her in person when she came to do our second transfer (which was a pleasant surprise)! We would go back to her for baby #2.

Know that she is direct and appointments feel quick - come with questions ready and prioritize their importance.

We were not quite at a year so Dr Devine recommended starting with unmedicated IUIs. We did 3 without success. At that point, we were at a year and she gave us the option of medicated IUI or straight to IVF. She did not push us either way, but told us why a couple might opt for one or the other. We went straight to IVF because of its higher likelihood of success. My stims cycle was pretty straightforward, with a Lupron trigger prescribed over hcg due to worries about OHSS (which I didn’t ultimately get). I opted for a freeze all cycle and we did PGT-A testing for our 9 embryos, 5 of which came back normal. We did two medicated transfers, the first of which failed and the second of which has resulted in a current pregnancy. The first cycle, we did estrace 3x daily plus PIO every third day and endometrin inserts twice daily. For the second cycle, I think dropped the inserts and did PIO daily (my preference). She offered us a modified natural cycle which we would have tried except that we had a lot of travel that precluded it. That would have been our next choice of transfer 2 had not worked.

IVF was about $7000 after insurance. FET cycles were about $1000 plus a $645 “thaw fee” not covered by insurance. Embryo storage is $60/month per retrieval cycle.

Dr Devine almost always recommends eSET vs multiples. Multiples was not an option for us, which we didn’t mind.

Dr Malik is a very methodical, practical doctor. She approaches things with a level head vs. being emotional and lays out multiple paths that you can consider (including the risks and benefits of each). I had a few other fertility specialists that I knew in other states that I got second opinions from, and she always welcomed that other feedback/insight and never felt overly protective of doing things "her way" if I felt strongly about doing something else. When our IVF egg retrieval went poorly (we retrieved eggs but discovered poor egg quality and did not get to the blastocyst stage), she came prepared with a new treatment plan for us to adjust with this new data. Ultimately IVF is a long process and each new test / result is a new data point to customize in the future. I felt like Dr. Malik was in it for the long haul with us. We did get spontaneously pregnant after our failed IVF cycle and Dr. Malik made sure to be the one to do our ultrasound at 7 weeks. She also made sure to be our doctor on days where I needed certain procedures done since she knew my chart the best. Overall, I felt like she was very invested in our journey and I trusted her. Even though we got spontaneously pregnant, I would have felt comfortable going forward with another IVF cycle with Dr. Malik despite the first one not going well because I felt like she had a customized plan as a next step. Would definitely recommend her to others.

Do your own research and ask questions - Dr. Malik will lay out all the facts but for us she relied on us to make the final decision on how to move forward. This allows the patients to have control over the situation but I think it's good to understand a bit on your own before going into appointments.

I can't compare costs to other clinics but their financial team gave me a full breakdown prior to every treatment / procedure so I was 100% clear on what my costs would be

Dr. Reh was just the person we needed on our team during our fertility journey. My husband and I were diagnosed with unexplained infertility and Dr. Reh was so direct and clear with information and options, yet also positive and optimistic. Her team is amazing and I always felt like I was able to get into contact with the right person when I needed. She listened to me, validated me, and gave me options when options were available - I felt like I had space and respect to make decisions that were best for my husband and I. I appreciated her direct nature and honesty throughout the entire process. During monitoring appointments, I didn't always see her, but a) I loved the team so much that it didn't matter who I saw and b) if I ever needed to see her directly or speak with her, it was easy to do! Currently 37 weeks with a little boy thanks to Dr. Reh, her team, and IVF!

She is willing to consider all options!

For IUI cycles, Dr. Reh prescribed Letrozole with a trigger shot. All 4 IUI cycles resulted in at least 1-3 appropriately sized follicles. None were successful. For egg retrieval, I followed a "standard" protocol and had a successful retrieval with 19 eggs, 13 mature, 11 fertilized, 6 day-5 embryos, 4 PGT-A normal.

I was an out of pocket patient. An IUI cost about $2,000 per cycle with medications. I paid for the Shared Risk Program with PGTA testing - this cost about $26,000. Medications for egg retrieval were about $4,000. Overall, I paid about $40,000 throughout treatments.