SIRM St. Louis (Sher institute for Reproductive Medicine)

Dr. Dayal has zero weaknesses. She is the most compassionate and intelligent doctor I have ever had the pleasure of knowing. During the miscarriages and hard times she would reach out personally to make sure we were okay and made us feel like her only patients. She makes the treatment processes much easier to handle.

Keep up with communication with your nurses, etc. Do not be afraid to ask questions and make sure you have everything you need.

During the IUIs I was placed on letrozole and did a pregnyl injection to release the egg(s). Egg retrieval for IVF was Gonal F, Lupron, Menopure. At the time this was the best course of treatment. After doing an ERA last summer she found that I would potentially benefit from a day 6 transfer instead of a day 5 with the next FET.

The costs have been uniform since our first visit. With each cycle we knew what our costs would be and there were no surprises. We were able to secure a loan to help us.

From the moment I met her she was warm and friendly. She treated me like a new friend and she was very open and honest about my course of treatment. She was candid, yet comforting in advising me on my road to conceiving with and without the use of an egg donor. She spent as much time with me as I needed when any set backs occurred.

Be ready to hear the good and the bad news because she’ll be open and honest about your possibilities. In theory we may want a doctor to tell us we’ll all get a baby, but we need the ones who are honest about how likely that really is.

We did an ultrasound to see my egg quantity (3). I then started birth control. At my next cycle I started IVF drugs (Lupron, Gonal, & Menopur). I went in for a blood test and ultrasound the first week. It didn’t look great and we decided that if we were lucky enough we’d do a fresh vs frozen transfer since they wouldn’t have a lot to test. I continued the drugs for another week. Went back in for blood work and ultrasound. I only had one egg, so we canceled retrieval and I did the trigger shot and timed intercourse. No success. Covid-19 cancelled current treatments, but when we have the money our next step will be using an egg donor.

$3400 was my portion after insurance, $580 for anesthesia (didn’t use and still waiting for refund), plus additional copays for specialist office visits.

I know she prefers a single embryo transfer, I know that in my case if we’d been lucky enough to get two, she’d have done both, but normally she only does one.

While I decided to leave the clinic, I still hold a special place in my heart for Dr. Witten. He is very compassionate and follows probably what most other doctors follow. I felt that he had my best interest at heart. I had to switch clinics to try a different treatment plan and regain some hope. I was walking away from Dr. Witten with no help and an unexplained diagnosis. We had went through some terrible loss and did not feel anything was going to change, therefor, we had to make the change.

Fight to change your treatment plan if it is not working. Also, try not to schedule Friday appointments. They seem to be very busy on those days and wait times can be long!

I have been off birth control for 4 years and we really tried to start conceiving in January 2017. We started in November 2018 with Sher and did one round of medicated timed intercourse. We then proceeded with an IUI in January and February. Had a HSG performed in February 2019 that came back normal with no blockage. In May we attempted our first IVF cycle but was cancelled due to low number of follicles. During this cycle Lupron, Gonal F, Menopur and the HCG trigger shot was used. During June we went through another retrieval and used the same medicine but added Cetrotide and increased the dosages on the other. They retrieved 11 eggs, 10 fertilized and 6 made it to day 5. We then did PGS testing and 3 came back normal; 2 males and a female. The abnormal ones had the following issues: one of the embryos was missing a chromosome on chromosome 1, one had an additional on chromosome 8, and the other had an additional on 11 and 13. We then went through a transfer in August 2019. Lupron and E2V were used to prepare. My lining was above 9mm. We did have to use Viagra suppositories to get my lining to thicken. We transferred on 8/22 and used Progesterone and Progesterone suppositories along with E2V after transfer. Blood tested on 9/1 and came back with a negative. During October, an ERA was performed. Again, used the same medicine regime. The ERA came back receptive. During November, we prepared again for another transfer in December. A few differences during this cycle was that they did test for blood clotting disorders and I do have a single mutation for the blood clotting disorder MTHFR. For this round they added Lovenox daily. We also did a scratch during the fluid ultrasound. My lining was at 10.4mm 5 days before transfer (last ultrasound) and we transferred on 12/13 and embryo glue was used during this transfer. A blood test was done 12/23 and came back negative. We have transferred both our male embryos and have the female embryo left.

We have insurance coverage right now so i cannot help much here. If i were to get this grant, I am giving it to my close friend that is also going through the same thing as we are.

Dr. Dayal is extremely warm, intelligent, and thorough. Despite the fact that I have still not achieved the outcome I want, I completely trust her and believe she has left no stone unturned. I would recommend her wholeheartedly to anyone going through infertility.

Dr. Dayal is incredibly thorough and explains everything well but certainly feel free to ask her questions, which she will always answer!

Prior to egg retrieval, I used Lupron. I had two retrievals with Dr. Dayal which were much more successful than the retrievals I had with another RE. I felt Dr. Dayal carefully considered the best approach given my history, age, etc. For the FETs I have had under Dr. Dayal's care we have used both medicated and a semi-natural/gentle stim cycle.

I used an Attain shared risk plan.

I have only done single embryo transfers, which Dr. Dayal is strongly in favor of.

Dr. Dayal has always been very straight forward with us. She tells us what treatment options are best for our situation. When a cycle failed, she changed things up so things looked different the next time. She genuinely cares about me as a patient and always weighs the risks and benefits of each treatment option.

Be prepared to never want to see another doctor again! Dr. Dayal will warm your heart and give you confidence that you'll walk out of that office pregnant.

We attempted a timed intercourse cycle with a low dosage of stimulation drugs. I have a high number of eggs so she wanted to start with a low dose so as not to overstimulate me. That cycle was unsuccessful, but it did give Dr. Dayal an idea on how my body would react to a full stim IVF cycle. We moved straight forward with IVF, choosing the skip IUI as the issue was annovulation, not a sperm issue. She monitored me very closely as I did produce a very high quantity of eggs. Due to the large number of eggs we had to freeze all of our embryos and do a frozen cycle. Our first frozen cycle failed. After that cycle Dr. Dayal added on a bag of intralipids and had us do an ERA to determine our optimum window for implantation. Our second cycle also failed, and I will be speaking with Dr. Dayal tomorrow on what we can change for our next cycle to try to be successful.

I do not remember the costs. I know that my insurance did cover 85% of the total costs of treatment.

Dr. Dayal did recommend only transferring one embryo because of my younger age. She told us that transferring two embryos doesn't really increase your chance of getting pregnant, just your chance of having multiples.

I have had over 20 visits to this clinic and have seen Dr. Witten every single time besides once, when he was out of town. I have several friends who see different fertility Dr.’s and none of them have actually gotten to see they doctor as much as I’ve seen him. I feel like that says a lot about the care he provides his patients. He is always on board with any new idea I have or something new to try. He spends so much time with me each appointment and I never feel like he’s rushing to see the next patient. He’s also always been on time and I’ve never had to wait past my appointment time to see him. He has also done very cool things like let me see the sperm sample through the microscope so I am convinced that my husbands sperm are swimming correctly! Being able to do that was beyond one of the coolest things I’ve ever seen a doctor do for a patient and I’m a nurse and work with doctors on a daily basis.

Let him know everything about how your feeling or any issues you have with anything. He’s a very good listener and always wants to know how you’re feeling throughout each cycle. Be very open to him about your feelings.

Every cycle I have a baseline ultrasound to check for cysts, then I start my (cycles with IUI’s was 5 mg) 7.5 mg of femara on cycle days 3-7. I come back around cycle day 11 or 12 or another ultrasound to see how my follicles are responding. He has always been the one that does my ultrasounds. We have previously done 3 IUI’s three months in a row with no positive results. However, I did handle those cycles just fine with no issues. Before the first IUI he checked my cervical mucus to check for sperm. He was not able to find any so we thought IUI should work. Since the failed IUI’s he upped my dosage from 5mg to 7.5 to allow more eggs to produce to see if that would help. Before I was producing one egg each time. I also give myself a trigger shot every cycle with or without doing the IUI’s. Unfortunately I have not received a positive test from any cycles yet. This cycle we are currently on he’s checking my ph and we are trying a baking soda douche the night before I ovulate. He checked my cervical mucus again this cycle and there was living sperm in it which is better than when he checked before.

The IUI’s were out of pocket for us and were $1000. Femara and trigger shots are also out of pocket but they providing me with the cheapest pharmacies for me to get them through. All of the ultrasounds were run through insurance and we covered the rest out of pocket. Roughly around $250 per month.

We came to Sher and Dr. Witten after a bad experience elsewhere. He is very thorough and really took the time to run every test and go through every potential obstacle before recommending treatment. We started with Femera and Ovidrel and moved on to IUI. We’re perfect on paper, but just can’t get pregnant. Dr. Witten saw a fibroid, but performed a test that showed it was not inside the wall and decided it was not an issue. After a 2nd failed IUI we went in to discuss moving to IVF. Instead of just taking our money and starting IVF, he referred us to a surgeon to remove the fibroid. He didn’t want any obstacles when we finally start treatment. This will delay our treatment 3 months, but we will at least know that we did everything possible. We feel that he genuinely cares about us and our outcome and we continue to trust his treatment plan.

He is very sweet, but no-nonsense in his approach. Sometimes he can be very direct. My advice would be to ask as many questions as it takes so you understand exactly what is happening.

We started with Femera and the trigger shot with timed intercourse for several months. We did our first IUI, went back to Femera during the holidays and did a 2nd IUI two months later. He performed many tests including HSG and a saline ultrasound. Most recently we have been referred to a surgeon for fibroid removal. The surgeon seems to think this could be causing our issues. We will resume treatment with Dr. Witten after recovery.

IUI cost 1,000, but ultrasounds are included

The thing I love the most about working with Dr. Dayal is I feel like we're part of a team. I can always ask her questions, mention concerns, and we work on a plan together. I never feel rushed with her in my appointments, even when I have a ton of questions. With both of my losses Dr. Dayal was incredibly compassionate and when I was ready mentioned procedures/tests we might consider to get to the bottom of the issue.

Ask all the questions you have. It isn't a reflection on Dr. Dayal or her staff because they are great with communication, more being your own advocate and not being afraid to ask any and all questions.

The first IVF cycle I did with Dr. Dayal was canceled. We had agreed to do a low dosage protocol and my follicles simply stopped growing at the mid-way point. Dr. Dayal suggested a low dose protocol because she was worried about hyper-stimulation due to my PCOS. We tried to work with the cycle but it just wasn't working so we wound up canceling it. Our second IVF we did complete and did a freeze all instead of doing a fresh transfer. We used a "middle of the road" dose protocol and it worked perfectly. She was still worried about hyper-stimulation and warned me if this occurred we would have to do a freeze all. While I didn't hyper-stimulate I did have a rough recovery with egg retrieval due to past abdominal surgeries, completed unrelated to Dr. Dayal, and we wound up having to do a freeze all anyway. With each of our 3 frozen embryo transfers (FETs) we used the same protocol because even though the first one was unsuccessful with a negative beta, my body responded exactly as wanted to the medication protocol. My 2nd and 3rd FETs resulted in positive betas but ended in miscarriage, both at 5 weeks 1 day. After learning this Dr. Dayal highly recommended doing an ERA test to make sure we were transferring on the right day.

I don't specifically remember costs because my Husband and I are very lucky to have health insurance that helps with infertility treatments. However, they do use an anesthesiologist who does not accept insurance and their cash/check payment cost is $500 which is due at time of service.

The entire staff at SIRM was a complete Godsend for my husband and I in 2019. I was diagnosed with stage 3 colorectal cancer at the age of 31. Just 48 hours before, I had been playing with my wiggly and growing nephews with the desire to be a mom. Before my diagnosis, I thought our pregnancy journey would begin just a few months later in summer 2019. Our “normal” life was stripped from us. We met with my radiation oncologist, oncologist and surgeon. For the first time in my life, I felt extremely hopeless when we were informed that I would very likely become infertile from radiation and chemotherapy. Our only option was invitro fertilization (IVF) and then surrogacy. Seeing that I had almost a complete obstruction in my rectum, my healthcare team was hesitant to allow fertility treatment to proceed. However, given my age and my current childless state, I was given the green light with specific instructions that I had three weeks to undergo IVF and then cancer treatment started. Following referral from a close friend, I contacted SIRM the next day. I felt battered, beaten down and extremely fragile. In all honestly, I had an extremely negative attitude and felt powerless to my situation. Andrea McClain answered the phone. From the first interaction, we felt relief. Although booked solid, Andrea opened Dr. Maureen Schulte’s schedule for us to arrive the next day as a “rescue retrieval” case. We drove there in silence. The fear was palpable. We needed a win, however small, that day. Insert Dr. Moe. I arrived at SIRM with little to no hope. I did not understand the IVF process. I had no idea if I was fertile. All I knew was that I had aggressive cancer and we had one shot to have a family genetically. Five hours later, I left SIRM rejuvenated with hope and encouragement that I was being taken care of by the best doctors before cancer treatment started. Dr. Moe took on my case as if we were long-time friends or immediate family members. Absolutely every single interaction was heartfelt, honest and meaningful. During the 10-day hormone injection period, Dr. Moe sent daily text messages of encouragement, support and love. To be honest, I often felt like I was Dr. Moe’s only patient during our egg retrieval because she was genuinely concerned about our health journey. It was extremely obvious that our situation was just as important to her as it was to us. Dr. Moe called to inform us that we had genetically normal embryos waiting for us when I was cancer free. To be Dr. Moe’s first “rescue retrieval” was a gift. When I had little hope and the possibility of having a family felt like it was slipping away, I received encouragement, love and tons of hugs from every single member of the SIRM family. Every individual, from the front desk, to lab technicians, to our administrative gurus and Dr. Moe, made our world seem a little less scary. When I wanted to quit during my six months of chemotherapy, our future family kept me going more times than I can count. We dreamt of our family more in the last six months than ever before. That dream will one day become a reality because of Dr. Moe and her talented team. Dr. Moe is living her calling in life. It is insanely obvious that she fully invests in her patients through her witty and adorable bedside manner, personal touch and follow-up interactions. As a past patient and cancer survivor, I highly recommend SIRM for all your fertility needs. Make the right choice. Choose SIRM today.

Do not be intimidated by the process. You are with the best. She will make you feel taken cared of and do everything in her power to help you start your family.

Roughly $5,000 for certain medications and genetic testing. My insurance covered the rest of the costs.

Dr. Dayal was always gentle in all of her procedures that she performed and took care to minimize pain. She was generally good about explaining everything and was upfront if a certain test or procedure did not have a lot of research. Dr. Dayal was open to trying new procedures and medications. Unfortunately my last experience with Dr. Dayal is the reason why I cannot recommend her as a doctor. I went into her office for a D&C after a miscarriage and unfortunately her nurse anesthesiologist was not able to place an IV despite many tries so the procedure was cancelled. This is obviously a terrible experience, but Dr. Dayal told me she would see if either the other anesthesiologist team she worked with would be available and also took the name of my gynecologist to see if she could get me set up to have it done with them and that she would call me later that day. She never called. I called my gynecologist's office the next day who said they had not heard from Dr. Dayal. My gynecologist's office had to chase her down to get the records they needed and only through their efforts was I able to get my D&C. A miscarriage is awful enough, but having a doctor that you worked with for years abandon you in the middle of it is just unconscionable

Dr. Dayal tends to phrase things in a very optimistic manner. Please do your own research and take any statistics she quotes you with a large grain of salt.

Long lupron protocol with fresh transfers of a single embryo (against Dr. Dayal's recommendation) then double embryo transfer. Did natural killer cell testing after the first fresh transfer failed and when this came back elevated, she added intralipid infusions to future transfers. Also did two medicated frozen embryo transfers.

Had insurance coverage

Due to my age, she recommended transferring two day 5 embryos. I do think Dr. Dayal downplays the risks of a pregnancy of multiples.

Dr Dayal is very compassionate and seems to truly care. I have had issues that I have brought forward and she listens well and has attempted to make them right. I really appreciate that she is in every appointment, she answers all my questions and I have felt like I have a say in my care

Advocate for yourself, have questions prepared and don’t be afraid to adk

We have tried several different protocols. I did not stun well my first try at egg retrieval and we started making changes after that

I am not sure we had some coverage but each cycle seemed to be about 7000.00 prior to medications

I had a uterine anaomly and will always do a single transfer

Dr. Dayal is very warm and compassionate. She remembers details about you when you visit (both medical and personal). While we were seeking a second opinion before doing IVF she called to get a check-up on our progress. Although she will give her medical opinion and guidance, she is 100% supportive of OUR decisions through the process. She treats us as intellectuals and explains ideas that need elaboration, but doesn't overexplain ideas that we've "got." She has never once rushed an appointment with us. She has made it clear that us having a successful pregnancy is her priority.

Is it possible for a doctor to be too kind? I am struggling to come up with anything except that maybe at times I wish she was a little more forceful with her advice (ok, not really). But we may have made some different decisions to move quicker if she had guided us to. So have an idea of what your goals are when meeting with her.

If I remember correctly, IUIs were somewhere around $1,000 a piece (roughly), and we've been quoted about $10,000 for the first round of egg retrieval, $5,000 if we have to do a second round, $3,000-6,000 for meds (ours is $4,250), $450 for anesthetic, and approximately $5,000 for transfers.

We have not yet gone through the process of IVF, but in our preliminary discussions, she has mentioned the odds of success for single vs. multiple and does seem to have a medical bias towards single. It seems like she would allow us to do two if we chose two, but she is definitely recommending one (which we will likely follow!)

I have nothing but positive things to say about Dr. Witten. He was very thorough in explaining the process. He was great about changing our course of treatment as needed as different issues came up with my endo. I had an endometrioma pop up during the time I was getting shots. He decided he would do the egg retrieval but may need to delay the transfer for me to have surgery to remove the endometrioma. He knew how upset this made me as I had already had 2 laparoscopic surgeries that year to remove the endo. He wanted to do everything he could to avoid me having another surgery for the year. As he did my egg retrieval he was able to rupture the endometrioma so we could complete transfer right away!

Do EVERYTHING by the book. They lay out everything you need to know and do to achieve best results. Even though it may be hard or inconvenient it pays off.

Due to my diagnosis of endometriosis and low ovarian reserve, we used a higher dose of the follistim. During my treatment, an endometrioma began growing again. It caused a lot of discomfort as my ovaries were very enlarged from the meds. After retrieval I began to feel much better after about a week. My ovaries were going back to normal and Dr. Witten ruptured my endometrioma during retrieval. Because of the aggressive nature of my endometriosis, Dr. Witten recommended transferring 2 embryos. We now have 8 month old boy/girl twins!!

The cost was between $10,000-$15,000

My husband and I completely trusted Dr. Witten's advice on how many embryos to transfer. He recommended we transfer 2 due to the aggressive nature of my endometriosis. We understood the risks involved with multiples and decided to take his advice. We are very glad we did.

The right Reproductive Endocrinologist for you can be the difference between success or heartache. Therefore, I want my review to be as honest as possible so others can make an educated choice. My experience with Dr. Witten spans about a 2 year time frame and if I had to do it all over again, I would most definitely choose a different RE. We were struggling to conceive so I was instructed to see a RE by my Ob-Gyn. She gave me a list of RE's that came recommended but I settled on Dr. Witten, who was not on her list. We wanted to be seen by an older RE, thinking his years of experience would be an advantage. Under Dr. Witten's care, I received an HSG, which revealed one of my fallopian tubes was not spilling any dye. Dr. Witten said that he thought the other one was fine He recommended a laparoscopy surgery. Dr. Witten does not do surgery, he did not tell me this, I just figured it out after he advised me to have my Ob-Gyn do the surgery. My Ob-gyn said she preferred him to do the surgery so they went back and forth. I had been complaining for the majority of my life how awful my periods were but no one would ever listen. After 2 months in lingo, Dr. Witten referred me to the gynecological surgeon he apparently sends all of his patients to. So off I went to surgery with a different doctor, who ultimately discovered endometriosis and a damaged tube. He removed the tube and removed the endometriosis and sent me back to Dr. Witten. Dr. Witten continued to monitor me, we'd do ultra-sounds constantly but not much direction was given, other than he kept wanting us to do timed intercourse, which is what we'd been doing for the past 1.5 years with no luck without a RE. I felt like we needed medication but he wouldn't even discuss it. It took so many ultrasounds-2-3x a week, traveling 60 miles one way to his office and leaving work early just to hear the same old spiel. One day, during an ultrasound he mentioned IUI but he said I needed to do it right away because I was about to ovulate. I had not been on any medications but trusted him so I received 1 trigger shot and had an IUI the next day. It failed. I was told at his office that the IUI would cost $525 but once I got to Sher Institute, which is where he does the IUI, they told me the price was $1000. They did honor the original price I was told but informed me any future IUI's would be $1000 a piece. Then the next 2 cycles he put me on clomid, with no pregnancy resulting. He then suggested IVF, which is not in our budget no matter how bad we want to have a child. We were devastated and felt as though he did not give us enough time on medication early on to try an IUI again. He waited over a year to even attempt any medication, even after telling us that we had to rush because I have very low ovarian reserve. We are devastated and haven't been back. We are currently doing research to find a RE that better fits us.

Ask questions and demand answers. Do research before your appointments and ask about medication and treatment options starting with your first appointment and everyone thereafter. I regret that we didn't push harder, wasting valuable egg quality time.

IUI, with 1 trigger shot. Clomid with timed intercourse. His treatments are very reserved, not an aggressive go getter type.

At least $5000, maybe more for just doctor appointments, very little medicine and 1 IUI.

Fantastic, compassionate, smart doctor. She would hug you on a bad day and be a cheerleader on a good day. She never made us feel like a patient but more like family. She cared whether we got pregnant or not.

Take each step of the fertility treatment one step at a time. I found it worked best for us by taking each hurdle of this process one at a time versus having everything thrown at you at once. Dr. Dayal always did this for us.

We did interlipid treatments before each transfer. When we had two miscarriages we added longer Interlipid treatments and more meds to ensure a positive test.

I want to say around 10,000.00 for a fresh cycle and 3,500 for a frozen.

Dr Witten is a pleasure to work with through this difficult life journey. Compassionate, knowledgeable, and personal he made this entire process so much better. He is dedicated to ensuring both my husband and I understand every step, but always makes sure we don't get ahead of ourselves. He is a rock during a very difficult time and I would recommend him to anyone.

I have PCOS and annovluation. I was not responding to clomid so he immediately switched me to low dose femara where we had great follicle growth. When he found out we weren't ovulating he adjusted our protocol by adding an hcg trigger shot to force ovulation. He performed all tests to ensure we didn't have any other problems but felt an IUi would still improve our chances of a positive cycle so we proceeded with that. After numerous failed cycles (just not the right genes!) he took us into the next step where we used follistim. He was very in tune with my bodies reactions and while we ultimately had 3 great eggs, none took and I showed signs of OHSS which has led us to begin ivf.

$10,000 is our estimated total cost to date which was composed of co pays, medications not covered by insurance, iui (also not covered by insurance).

Dr Witten is open to a single or double embryo transfer because I am young, have an optimal body weight, and in overall good health. We haven't made our decision yet but he has provided information so we feel very informed

I was so scared and nervous to start the IVF process. As soon as I walked into my first appointment I knew that The Lord put Dr. Witten and his team in my life for a reason. They made me feel comfortable and happy every time I saw them. This is a very hard and long processto go through but I always felt so much better and so hopeful after every appointment. It's like I have a extended family that knows me and greets me like they see me everyday even when I haven't seen them in weeks. I absolutely loved my doctor and am so thankful to have found Dr. Witten and the other ladies at the Sher Institute. They truly have been a blessing to me and my family & have made this process so much easier.

Don't be afraid to ask questions. He will tell you everything and anything you want to know.

I started on birth control and Lipton gonal f and menopur for my egg retrieval. My dosage was very low because I'm so young and my body reacted fast and well. I had my egg retrieval and Dr. Witten retrieved 24 eggs. 15 made it to fertilization then we were able to freeze 8 day 5 blastocyst. I was very sore and in pain after my retrieval but Dr. Witten gave me antibiotics and pain meds that helped. I healed for the next month and started back on birth control and now I'm starting my transfer meds. Dexamethazon, Lupron again, Estrace, Prenatals, Folic Acid. My embryo transfer is scheduled for the end of this month. I couldn't be more excited and anxious.

My insurance told us that I was covered until two days before I started medication. We were going to cancel the entire thing but my mom decided to pay it on a credit card. She paid $8,000. Luckily my insurance paid most of my medication fees, we only paid about $200 out of pocket for those and probably less than $500 all together for other tests like bloodwork and ultrasounds. We live 3 hours away from clinic and it's the closest one so we did have to stay in hotels so that is about $500 in hotel costs through the entire process.

I agree with what Dr. Witten wants to do. If he feels like he should just do one I trust him.

He is very thorough and wants to make sure his patient understands fully what is happening inside their body. He was always very optimistic and had just a great overall energy about him. He was extra caring and accommodating for different circumstances that arose along the way.

He does have an accent because he is from New Zealand I believe so just keep that in mind. But I don't think it negatively affects his communication.

He wanted to make sure I was ovulating so we started out the first few cycles with just clomid and timed intercourse. Those all resulted in negative pregnancy results, but after the first few cycles of my body not responding, he decided to do a tubal X-ray to make sure my tubes were open. He determined they were open and I was in fact ovulating. So the 4th cycle I was on clomid and timed trigger shot. This was also negative. The next three cycles have been clomid, timed trigger shot, and IUI. The first two resulted in negatives and I am currently in the last cycle in the two week waiting period. If this results in a negative he wants to move on and do other tests and for me to lose weight.

An IUI costs $525 there and it was not covered by our insurance. It could be covered under another's. $50 for each visit. $89-110 for each trigger shot About $400 to test for tubal blockage.

It sounds cliche, but you can just tell she wants the best for you. She's quiet and thorough without being worrisome. She's open to input on cycles from her patients and makes sure everyone in on the same page at each step in the process. I never left confused or frsutrated; she talked through every step.

Sit down and talk with her! Ask questions and get her opinion.

Before we started out FET ahe redid most testing which I appreciated. She redid the saline sonogram, blood Work, and did a new test for natural killer cells. Based on results I had polyps removed again, did intralipids, baby asprin, lovonox, etc. We ended up having to move to a fresh cycle and based on previous success and test results we did a micro-ivf cycle. We did lower doses of meds gonal-f and menopur.

Everyone had an appointment and everything was quick and on time!

With the discount for teachers, our FET was $2995. Our mini was $7995 (plus meds). Our next cycle, without help, is about $9000

I appreciated that a 5dt of 2 embryos was pretty much a given!

I feel like Dr. Dayal takes the time to get to know my husband and I and really cares about us and wants to do whatever she can to help us succeed in becoming parents. She is very knowledgeable, but also takes our ideas and feelings into consideration. She will always do what is best for us!

Listen to her! She is very knowledgeable and she herself has been through Infertility.

My first protocol with Dr. Dayal was very aggressive, inhave endo, adeno, fibroids, blocked tubes & DOR, so she went aggressive. Unfortunately there were only 2 eggs not even mature enough to retrieve. Our cycle was cancelled. We tried again, she went with a different protocol of low and slow and we ended up getting 5 eggs, but only 4 mature and fertilized. Day 5 nothing good enough to transfer and they said we could wait one more day. They called and our one little fighter had gone to a pre blast, so we got to transfer! Thought it was our miracle, but again ended in a negative outcome. We now are currently in the process of a Donor cycle that we will hopefully be retrieving in June!

They will give you a package price, you pay a deposit to hold your place for the cycle.

I have never had this option

Dr Zarek is amazing. She genuinely cares about her patients. She always asked me questions to really make sure I was doing ok and how my husband and I were doing. Very personal care. You can really feel that she wants you to have a successful cycle.

Ask her questions about anything and everything. Utilize her helpfulness. Be prepared to have hard conversations. She is up front and honest about every possibility.

I started with lupron and prednisone. Then swapped lupron for Ganirelix. The day I started stims I added folic acid, 450 follistim (for just 2 days then 300 after that), lovenox and kept Ganirelix and prednisone. On day 3 of stims I added .5ml of menopur. I was on all of that until trigger. The day of my first ultrasound I also had 1 bag of intralipids.

The fresh retrieval and transfer was 8284, plus anesthesia, plus freezing, plus meds. The FET normally is 3700 but because a freeze all was medically necessary and I did not have a transfer with my paid cycle they are not charing me. We also added PGS testing. Its 1625 for biopsy and freezing, 385 for the first embryo and 250 for every embryo after that.

My dr was very straight forward ND said she usually only ever recommends 1 embryo. That way if it doesn't work you have the most chances to do everything you can. I.e. adding meds, changing meds,doing an era test, etc.

Dr Zarek went over every past treatment with our previous doctor and she went in depth as to what treatments we would be doing under hercare, what tests we'd undergo, how the process goes for an IVF cycle, we met with her nurse and the financial coordinator all in our initial appointment with her so we knew what to expect. She's warm and friendly and has an amazing bedside manner. After my unsuccessful HSG, and very painful fluid US, she hugged me and told me it will be ok, we will be successful. She told me to be positive, even after finding out my tubes are closed. She has such faith in what she does, plus her success in the past truly speaks for itself.

I've had no negative experience under her care, so I'd say my advice would be to expect to sit down for a lengthy meeting with her and it's not a fast process, it takes time to get your plan together.

Currently, she is treating me for critically low Vit D levels and I'm taking 50,000 Units once a week, also my thyroid is low so I'm on 75 mcg Synthroid once a day. We are finishing up initial testing so we can start an IVF cycle in July. We just found out that my tubes are closed, so my only option to ever carry my own child is via IVF. So we will start further meds in a couple months.

As of currently, we've paid $50 per appointment under our insurance and we've went to facilities appropriate for our labs and HSG testing, meaning no out of pocket costs yet. As far as IVF costs, we will have $4000 lifetime covered by insurance and we will put $4000 down as deposit, with the rest of costs to be discussed as we go through the process.

We have not done this yet, however, she does prefer to only transfer 1 embryo the first try, but will transfer 2 if we desire, but no more than that.

Dr. Dayal is so compassionate and personable. She seems more like a friend and someone you can confide in than a doctor. Dr. Dayal is truthful and won't steer you in the wrong direction. You always feel like she has your best interest at heart. Our first round with IVF, our embryos were not viable enough to transfer. Of course this is heartbreaking but she called a few days later to check on us and wanted us to know that she was thinking about us and wanted to go over everything. Then, on our second round, right be our transfer she hopped up on the bed next to me and asked how I was feeling and discussed the transfer before going into the operating room. I love that she is so relate-able!

Trust in Dr. Dayal! She is truthful and will give you great advise. She will treat your issues with the best of her abilities.

I was on various injections and oral medications. The progesterone in oil injections were the worst because they burned horribly because the shot is like a jelly substance. On our second cycle, Dr. Dayal increased my dosages of Follistim and added another medication to hopefully get more eggs, which it did.

Our medical bills with Dr. Dayal were probably around $3,000 to $4,000 with our insurance paying the majority of our bills. Our major costs were the medications. We probably spent around $7,000 total for our two cycles.

Dr. Dayal did inform us of the pros versus cons on a single versus a multiple embryo transfer. She gave us her opinion and we made a decision to go with her educated opinion.