Southern California Reproductive Center

From our first meeting with Dr. Surrey, I really like him and his thoughts on what would be good initial treatment steps for us. However, I felt there would be much less hand holding, which worried me. But I quickly realized that while I wouldn’t see Dr. Surrey at each visit (for convenience you often just see the nurse and ultrasound tech for quick check-ins) he would call me every time with my results from that day. Anything important was always communicated directly from him, not another member of the team. I really appreciated that. Dr. Surrey has a supportive but not emotional method to his treatment. I felt like we really built a strong doctor patient relationship throughout my time. And when something didn’t go according to plan, he was sensitive to it. He had a very calm and friendly demeanor.

Ask him questions as they arise, he is very open and easy to talk with.

We did IVF cycles with him. He utilized injections and oral or vaginal medication for harvesting/retrieval prep and transfer plans. Our first retrieval prep was cancelled prior to the actual retrieval because of the poor egg numbers he saw. This was hard but I was so glad that he made this decision based on my numbers, it felt personalized, rather than just having me move forward with what would have been a poor retrieval. After that he adjusted my medications and got a better response for our next cycle. His transfer plans also felt specific to me, he adjusted as often as he felt necessary to allow for optimal results.

I had the most wonderful Ultrasound Tech, Neha! I had other techs as well who were fantastic, but I saw Neha at 90% of my visits. She was so knowledgeable and kind no matter the circumstance. We had good and bad ultrasounds and she was always a strong support. She was incredibly professional but also personal to my care. It meant the world to me.

The costs were in line with what we had experienced elsewhere. However, SCRC provided all costs upfront and at the start of each treatment. There were no hidden costs. It removed anxiety to know there wouldn’t be any unforeseen costs.

He recommended single transfer but was open to discussing this with me. Ultimately we did both single and multiple transfers. He listened to me and we agreed together that a double embryo transfer was best for my last transfer that resulted in the live birth of our son.

Overall, Dr. Surrey was very great and very pleasant. He always remembered us and our situation. He would always contact us with lab results, new information or just to check in. He was very informative and always presented us with options in moving forward with procedures or testings. Financial stresses and work related challenges have been very present throughout our process. This is probably just a personal/emotional experience, but I felt as though Dr. Surrey was not mindful of our financial struggles. I understand he has an accounting department for that, but sometimes it almost seemed like we were encouraged to take the most expensive procedures/actions to move forward. However, if finances were not an issue, I probably would not feel that way.

Educate yourself as much as possible, talk to others who have gone through IVF treatments successfully and unsuccessful. Don't be afraid to ask questions.

We began with an egg retrieval, followed by a FET cycle a couple weeks later. My fiancé experienced hyper stimulation, severe bloating and swelling. Resulting in 2 taps to remove the excess fluids. The hormone injections may have been too strong for her body. We retrieved 33 eggs, made 5 embryos, 2 were mosaic. Of the 3 viable embryos, two were Day 7 and one was Day 5, which we transferred. Unfortunately our transfer was not a successful pregnancy. A couple months later we decided to do another egg retrieval and freeze. This time Dr. Surrey lowered the hormonal dosage, which prevented hyper stimulation happening again. This time we got 20 eggs and just froze them due to finances at this time.

Dr. Surrey was very neutral and didn't really encourage one way or the other. He educated us on the tradeoffs.

Dr Akopians was everything I could ask for as a patient. She was straightforward about the process, risks, and recommendations. She was very confident and intelligent and immediately upon meeting her, I had faith in her ability to help us to our dream baby. The road was longer than we expected but she was always available to talk and plan our best course of action. She really wanted us to be successful — you could feel that from the care she took with our case. Whenever we needed her, she was fully present. For example, we met to discuss the Frozen Embryo Transfer process and she didn’t rush us, didn’t look at her watch, made us feel like her top priority. I loved that she was so vested in our success, and she led us down the right path.

She’s wonderful, warm and considerate. She is also very straightforward. She will explain all of your treatment options and recommendations. Trust in her because she wants your success as much as you do.

All four of our retrievals were antagonist treatment. We had success in retrieving exactly the amount of eggs forecasted in ultrasounds and almost all fertilized. We did 2 cycles with HGH and 2 without, to see how it impacted results. We did PGS/PGD testing due to a genetic condition we are both carriers for. In the end we wound up with 41 eggs retrieved, 17 embryos, 7 of which tested normal. We were thrilled with the outcome.

I was lucky enough to have insurance cover a large portion of my IVF costs. She made sure to discuss overall costs of each treatment plan. She managed them as well as possible so we never felt like we were overpaying.

I originally came in wanting multiple embryos transferred. I was convinced I wanted twins! But Dr Akopians patiently explained the benefits and drawbacks of single vs multiple, especially with PGS testing. In the end we went with a single embryo and it was absolutely the right decision for us.

We love that Dr. Akopians did not try to put us through a "general IVF" plan like prior doctors wanted to do. She was thorough and came up with a plan for our diagnosis. When I looked up the specific course of action, a lot of women only find out about this on their second or third try after failed attempts. So I feel like she is doing everything she can for this to work on the first try.

Since we don't know our final results yet, all I can say is trust her and know that she isn't a "one size fits all" RE.

We are in cycle now so I have no results to provide at this time. But she is doing luteal phase estrogen priming for us in order to optimize our changes of quality eggs due to diminished ovarian reserve. I have not started stims. I will say, my first start up was cancelled due to Covid-19. However, the doctors office stayed in contact with us about next steps, restarting and completing any necessary tests and other issues in the interim in order to "hit the ground running" once the restrictions were lifted. I didn't feel like I really even missed a beat.

We are not complete with the process yet. But at the consult we were given a cost/fee sheet with breakdowns of SCRC's fees, the lab's fees, the anesthesiologist fees, testing fees and an estimate of prescription costs. So far it has been very accurate and helpful. I estimate we will have paid around $28k when complete with one cycle (including ICSI, PGS testing, etc).

Dr Ghadir is a brilliant doctor, yet at times felt more like a friend which was exactly what I needed during this process. He was easy to speak to and I never hesitated to ask him to explain things to me over and over again if I needed. Upon each visit, he let me know what to expect going forward, specifically how I would be feeling mentally and physically.

Be honest with him about what you're trying to achieve, and do not be too shy or embarrassed to ask him anything!

I was prescribed medications for an egg freezing cycle, and Dr Ghadir was attentive and detail orientated when it came to adjusting my doses depending on how I was feeling and my blood/ultrasound results.

Dr. Ghadir has been an amazing doctor and guide through a very emotional experience. He’s very thorough, cares deeply about my understanding the risks and outcomes but also positive and supportive to make me feel like I am being cared for with the best In medicine and technology. He spent a lot of time helping me understand the process and has been available for any questions and concerns. I cannot recommend him more highly. After working with other doctors in the area, it is clear how important it is to have an ally when going through this experience.

Feel free to ask as many questions as you have that come up along the way. Dr. Ghadir and his team and nurses are amazing at responding and supporting you. Also communicate what your goals are for the shorter and longer term. You can’t find a better doctor to help you on your fertility journey.

I went through the egg freezing process. I am on my second round now. Dr. Ghadir has been very careful about adjusting my shots and medication as the cycle has progressed.

Dr. Ghadir set clear expectations, answered all my questions, and helped me achieve a fantastic result from a medical standpoint. My experience with him was nothing but pleasant. He also recommended a few additional holistic techniques and supplements which I believe helped me achieve optimal results.

Was supposed to cost $8K but cost more like $10K due to repeated issues with billing and insurance department.

I had a previous experience with other ferility doctors and the experience with Dr. Shahin Ghadir is absolutely amazing. Now I feel I’m in good hands. I wish I would’ve seen him a lot early. I cannot say enough great things about Dr. Ghadir and his team! Dr. Shahin Ghadir is very competent, extremely knowledgeable and has great bedside manner, which has been such a comfort to me during this difficult, complicated and emotionally draining process. He is humble and a good listener; he cares and understands my concerns and explains diagnosis. I never felt like he was rushed to get done with my appointment. I felt important and that I mattered to him. He is honest, but also he is optimistic and offers hope. He helps me feel empowered to battle with my infertility issues. I have got unexpected good result with him while other doctors had made me hopeless. He is truly professional, smart, always kind, and compassionate doctor. He is best fit and I feel so lucky to have found him. He really took me from vulnerable place and made the experience very positive. His integrity and caring for me and others is above and beyond.

If you have a choice of clinic, save yourself some heartache and start here.

Gonal- F: 225 IU’s Menopur: 150 IU’s Omnitrope: 25 units Last days: Cetrotide & z pack I didn’t take birth control. I am diagnosed with very low ovarian reserve. I used same protocol for two egg retrievals. First time retrieved 4 eggs and formed 1 embryo and 1 passed PGS. Second time 4 eggs retrieved and Nothing passed the PGS.

Dr. Danzer is a wonderful mix between compassionate doctor and knowledgeable & experienced professional. I appreciate his delicate position as a fertility doctor, where there are no absolutes. He walks the line well between enthusiasm & sober reality of percentages. I have been recommending him to friends. I don’t see an egotistical motivation in Dr. Danzer & I appreciate that he’s rather humble & conserves his words.

Read their website info, educate yourself before & during your time in his care. He won’t have time in appointments to explain every detail of all of the ART possibilities, he’ll tell you what he recommends. If there’s something you don’t know, he does a good job of answering questions.

Taking Levothyroxine for my Thryroid to get labs in the right place months in advance. Taking Vitamin D supplement & DHEA 75mg daily. IVF recommended, but so far I can’t afford it as a student. Will keep trying to get a loan later after I’ve started a new job. Took Clomid for 5 days & 1 trigger shot, 2-3 transvaginal ultrasounds before IUI. My fiancé had a sperm wash morning of IUI. Only the 1st IUI, I understand many couples do 3-6 generally. So I’m not deterred that we had a negative result. Will keep trying & be receptive to new life.

Cost for ultrasounds, IUI & injection drug we’re reasonable for the LA area. Less than what my gynecologist quoted me.

Brilliant, clever, and truly cares about each of her patients. Her energy is contagious but she never creates a false sense of guarantee (which I appreciate). She’s direct and professional but kind. When you are sitting with her, you know she is focused on tailoring your treatment. She always called right away with results, even from her personal cell while she was on vacation. She even texted us a few times with real time updates when she knew we were really anxious. My husband and I are so thankful for Dr. Alexander. She goes above and beyond for each of her patients.

I think this goes for any doctor, but make sure you ask questions. You can see her mind is running a mile a minute to figure out the best plan for you so she doesn’t always explain every detail upfront and occasionally it was unclear what the next step was. Just ask and she’ll go through everything until you are comfortable and at ease.

For my 2 IUI’s, I took Metformin, Letrozole, Gonal F, and Estrace. I was having a poor reaction to vaginal progesterone and she was going to switch me to injections and had me come in for an early pregnancy test before making the switch. Unfortunately it was negative so we didn’t proceed and I at least got to end the failed round a few days early. I appreciate that she’s aggressive when she needs to be. For my first IVF, I took Metformin, Gonal F, Menopur, Omnitrope, Cabergoline, Doxycycline, Ganirelex, Novarel, and Lupron. She also had me on a bunch of vitamins. We then switched to Follistim for my second round.

IVF retrieval was between $20,000-$25,000, which included ICSI and PGS testing.

Dr. Alexander knew my personality well and knew I wanted to maximize the opportunity for a transfer to work. For this reason, we did an ERA before doing FET. We transferred 1 embryo.

Dr. Akopians quickly assessed my anxiety and need for control at the beginning of my IVF process. She took time to explain each detail. She wrote steps down for me so I could focus on listening but also having note to reference later. I pride myself in being organized and detail oriented so her notes were wonderful for me. She was patient with all my questions that constantly diverted the conversation. She provided me with data and additional process facts that helped educate and reassure me. She gave me a sense of comfort due to her communication, reassurance, empathy and her confidence. Her ability to make me feel at ease and confident in her abilities has been essential.

She is accessible in person if you like that type constant interaction. If you’re like me I didn’t see her in person very often but I spoke with her over phone calls which worked well with my lifestyle.

Due to the know low sperm count and motility my husband had she had him take medication to increase his quantity and motility. Due to all our infectious disease labs being expired we had to re do them. We had sperm frozen in another facility. Dr. Akopians asked us to transfer it to her facility as backup for our process. Due to our sperm ICSI was recommended and used. Due to our sperm it was recommended to use an embryo scope to reduce the amount of times the embryos are manipulated to give them a higher chance to do well. We used the embryo scope.

Consultation $275. Transvaginal US $230. Labs:Assay of Estradiol $85, FSH $85, Lh $85, assay thyroid stim hormone $85, venipuncture $30. Embryo freeze all: Cycle management fee $715, monitoring $3140, retrieval $2440. Frozen Embryo transfer: cycle management fee $715, monitoring $1590, embryo transfer $1065. Had to pay other fees for the surgery center and for the cryobank facility.

Due to our specific scenario and factors only one embryo will be transferred. Dr. Akopians made it sound like all other scenarios also only one embryo is encouraged to increase the transplant success rate. Ever couples scenario is unique.

I came from working with Dr. Surrey who had the worse bed side manner. I wanted a doctor who was going to coddle me enough but also treat me with respect during this hard time. Dr. Akopains was a lot of that and more. She is incredible, hands on, explained everything/broke everything down, incredibly kind, patient, caring, gentle but stern when necessary...I love everything about her. I was so sad to graduate.

Ask questions...she will answer it all!

IVF egg retrieval: Birth control. Followed by: Gonal F 200 units Menopur 75 units Omintrope 25 cc - for egg quality Cetrotide Trigger shot (don't recall the name) Mock ERA cycle - to up my odds for an embryo to stick during transfer. Saline ultrasound Transfer cycle: Birth control. Lupron injections. Estrace orally Endometrin Medrol Progesterone in oil 1ML

Insurance did not cover anything. I do not know the exact number but it was somewhere between $20-25k including freezing, genetic testing, procedures, medications, etc.

We did the mock ERA cycle for this reason. I did not have many embryos and we did not want to take the risk of losing any.

Carolyn Alexander really does care about her patients, about that I have no doubt. I do think though that since the clinic overall is overloaded, it reduces her ability to spend quality time with patients. Communication with her is short, to the point, and over within a matter of minutes.

Expect her to be blunt, but kind. Don't expect to get a lot of her time and expect to need to call and follow up over and over. She is supposedly one of the best in the LA area, but it's very hard to get time with her so for some, that's not ideal. She did call me one time on a Sunday which was very nice of her, so she will contact you outside of business hours, but the call with be to the point and not a second wasted before she's saying bye.

I did two medicated IUI's back to back. I was put on letrozole with a trigger shot to induce ovulation, then progesterone suppositories during my luteal phase. I'm happy with the treatment used in the IUI, my only point of upset is my progesterone was never tested, neither before the IUI's nor during or after, and months later we found out my body wasn't responding to that progesterone dose. Had they tested my progesterone we could've found that out way earlier. I did not get pregnant with either IUI.

The IUI's were roughly $800 and ultrasounds were $250. Bloodwork was in the few hundreds as well and each ultrasound and bloodwork were done multiple times a month each month. A consultation appointment with Dr. Alexander was $200 just to say "yes" we are doing IVF even though we were already decided and told the clinic we were decided. We have spent roughly $3,000 for two IUI's and no pregnancies.

We had our consultation for IVF this week so this is the only experience and insight I have on her approach. She shared that after retrieving the eggs, after doing genetic testing, after seeing how many make it to the 5-day stage etc. then we would need to decide if we want to implant one or two embryos. There were no further comments, but it did seem like it was an option she would openly discuss when that time comes.

Dr Alexander is a wonderful doctor and person, she is very compassionate and caring, I just wish she was more aggressive. I am on the older side for fertility treatment and I went in ready to go full force ahead, however she has more of the wait and see approach. She is very knowledgable and positive, and has a wonderful bedside manner.

Go in with a list of questions, be ready to ask why/why not, and push for what you want. You are your best advocate when it comes to your treatment plan, fight for what is right for you.

IUI 1: Letrozole, trigger shot & Progesterone suppositories, switched from Clomid as my family has a history of breast cancer. Negative pregnancy test. IUI 2: Letrozole, Gonal F, trigger shot, & Progesterone suppositories - Added Gonal F to make more follicles. Negative pregnancy test. HSG IUI 3: Gonal F, Dexamethasone, trigger shot, Progesterone suppositories, 2 Sperm donor vials 24 hours apart. - Added dexamethasone for inflammation, and a second vial of sperm (one at 12 hours post trigger, second at 36 hours post trigger). Negative pregnancy test. IUI 4: Gonal F, trigger shot, Progesterone suppositories, 2 Sperm donor vials 24 hours apart. First time having symptoms but they went away after 3 days, negative pregnancy test. Implantation Blood Panel IVF Egg Retrieval: Birth control pills, Lupron, Ganarelex, Cetrotide, Gonal F, Follistim, Omnitrope, Dexamethasone, Menopur, Trigger shot. I also added Co-Q10 & DHEA to my vitamins. 29 follicles retrieved, 11 made it to day 5, 6 were cleared via genetic testing. FET 1: Lupron, Birth control pill, baby aspirin, Estrace, Progesterone in Oil, Endometrin.

When I had insurance (I was laid off in the middle of my retrieval cycle), all of my appointments were covered with my $30 copay, plus $70 lab fee for each IUI, plus $1,000 per sperm vial. My total cost for the 4 IUIs under Dr Alexander was $8700. IVF retrieval cycle: $15,400 + $6000 for medication= $21,400 FET 1: $3780 + $1500 for medication= $5280 ERA: $2785 Grand total: $38,165

No opinion.

Dr. Ghadir was very kind and easy to talk to when we were meeting - although he often seemed rushed and sometimes pushy. At first he seemed cautious and then once we had success with freezing healthy embryos he became very positive. His positive attitude is what made us feel confident to move forward but then we did not have success we felt tricked.

I would advise people to be weary of his positive attitude, to take it with a grain of salt.

Dr. Ghadir suggested I see a rheumatologist as that is what he thought was the cause of my miscarriages. If were to try again, even without Dr. Ghadir I would continue to see my rheumatolgist -- he put me on several meds including a blood thinner shot.

This is was the best of the experience. The early AM (6:30) appts saved me. If I was the first client to arrive I could be out in 15 min and not be late to work!

Towards the end of treatment Dr Ghadir started to take my insurance -- most was not covered but it did make a small difference. We spent approx. $40,000.

I asked for multiple transfer and it did not come back positive test, moving forward Dr. Ghadir said he would only do single.

Dr. Alexander is a very kind and insightful doctor who I have been seeing for much longer than either of us thought (not her fault). I have done 2 IUIs that ended in mc and 2 that have failed and I'm currently on my 5th. I ended up taking a 6 month break after my 2nd mc due to waiting for blood test results that needed time in between for accurate diagnosis. Luckily Dr. Alexander allowed me to do these tests after only 2 MCs (instead 3 which is typical RPL). Thank God she let me because turns out I have MTHFR Gene mutation and a blood clotting disorder which means I need to do blood thinning injections once I'm pregnant. I wouldn't have known any of this if Dr. Alexander didn't take the time to speak with me and let me know my options prior to potentially going through another miscarriage! Sometimes you need to ask her as many questions as you can or she won't really give you the information right up front so I've learned to ask exactly what I want to know from her and then she'll tell me. Also at the clinic there are many other doctors and she is the only one I ever see walking though the halls and she always stops by her patients just to ask how they are doing and how they are feeling. Overall I'm glad I have her as my doctor going into my second year of fertility treatment.

Always ask her your specific questions if you are confused or didnt get all the info you wanted. Sometimes she can be very vague but once you ask she'll answer & clarify.

She had me do 5 days of letrozole and none of my follicles grew. So she had me wait a couple days and then start gonal f injections. I quickly had a big follicle after only 3 days so then I did trigger shot and IUI a day later. It got me pregnant (ended in mc) so the next cycle she had me mimic it and I got pregnant again (mc) then I took a break. The last 2 IUIs I did we're the same exact protocol but they didn't work. This one I wanted to do higher dose of gonal f but she's worried I'll produce too many mature follicles. So we'll see what this one's outcome is. When you go in for scans there is a tech who does it and then she or the nurses will call you after with instructions of what to do next. They also email so it's a pretty easy streamlined process.

I have fertility insurance through my husband's work so they bill insurance but cost out of pocket seems to be pretty general.

Doctor Ghadir is an amazing doctor. He always told me the truth, but taking care of my feelings. He truly understands how delicate this process is, therefore I felt like he took care of me as if we were family. He is warm and very intelligent. He knows everyone, so he would always have a good referral for a doctor or anything that we would ask him. He would calm me down because I would get very nervous before every treatment. And he would even throw the occasional joke to make me relax when I needed it. I truly appreciate having him as a doctor. For me, he's the best doctor I've ever met.

Ask for the VIP packages and get them. They are worth every penny.

I don't remember. I'm 8 and a half month pregnant. My memory is not too good at the moment. But I'm pregnant thanks to him and his team.

Don't remember

Dr. Ghadir suggested we picked the best quality embryo to transfer this time that we got pregnant.

He read through our history with IVF prior to our consultation therefore all questions were made to clarify versus tell our whole story all over again. He spent >2 hours with us running tests needed to evaluate (way more than any other doctor we had been with). He did a great job at explaining everything without sugar coating it.

He is worth it so if hesitant with your current doctor, Dr. Surrey is worth the second, third, fourth opinion

So fat Dr. Surrey has had more items assessed than any other doctor therefore I can say that his protocols are more thorough. We are still in the early stages, but I feel he has gathered more information on me than any other clinic/doctor

To be honest, I'm currently waiting to hear back from the financial department to find out the total costs.

We will see this year as I'm currently preparing for an egg retrieval

I always felt like I was in good hands with Dr. Danzer! He always explained everything to me, made me feel at ease and hopeful. I never had any doubts in him. His Protocols were effective and didn't leave me feeling horrendous like some other doctors/protocols. Even though we didn't achieve the hope for results, the experience wasn't terrible.

Be aware that he is extremely busy, so his time may be limited and access impossible.

Agonist Protocol.

I would have a window between 7am and 11am, to go for blood-work and ultrasounds. Even though the waits would be of 1+ hours, it was convenient most of the time. Wasn't made to wait around once I was done with the tests, I could go home and instructions would be given to me then!

Prices in 2017 ROUND #1 SCRC Multiple charges of $340 - $510 a pop prior and post starting cycle which amounted to $2,655 just for blood, ultrasound and extra testing. IVF Round $6,295 | Roxbury Surgery (for egg retrieval) ART CENTER - ROXBURY SURGERY CENTER - IVF EMBRYOLOGY/ASSISTED FERT/EMBRYO CRYOPRESERVATION $13,240. (Medication prices not included). ROUND #2 (with transfer) IVF Round $6,051 | Roxbury Surgery (for egg retrieval) ART CENTER - ROXBURY SURGERY CENTER - IVF EMBRYOLOGY/ASSISTED FERT/EMBRYO CRYOPRESERVATION $12,590. (Medication prices not included) | HSS (HYSTEROSONOGRAM) w/saline solution $565.00 | TRANSFER OF EMBRYO $3,370. | Additional testing (bloodwork, ultrasound etc) not included in Cycle $4,785.

We only had one embryo to transfer anyway.

Dr. Ghadir was someone I could implicitly trust and count on. In a sea of emotional decisions that had to be made he was a steadfast guide who knew just how to balance a compassionate bedside manner with objective medical expertise.

I would advise any future patient of Dr. Ghadir's to be completely open and honest about their fertility goals and the mitigating factors that impact their decisions including finances so that he can make sure his treatments take your full life picture into account.

I don't really remember the exact protocols but I do remember that they were extremely effective (which is why maybe I don't remember them as I didn't need to implement many adjustments).

I don't really remember, I think all in for retrieval and 2 transfers it was between 40 & 50k?

I felt I was very educated on why single embryo transfer was a good decision for me given the high likelihood I would become pregnant and specific medical situation. I can't speak to his approach with other patients but it worked for me.

Dr. Alexander was super thorough and easy to talk to, when we were able to see her. My husband initially went in just for a semen analysis (referred by my OBGYN) and we were able to do a consultation once his results were in.. he had a 1% morph. She went through some basic questions with us and she explained our options (IUI, IVF, etc). We didn’t make a decision and she called me a couple weeks later to check in, I was midway through my cycle like day 12 and she said we should try an IUI, she prescribed me injections and they were delivered to my house... Never did any testing before or an ultrasound... Strange now in hindsight, but I had no clue standard procedure. I’m sure she just wanted to give my follicles an extra oomph. I went in after the injections for an ultrasound, but never saw Dr. Alexander for those, only a nurse and Dr. Alexander would call me after with her take on my follies + a plan. Eventually we did the trigger and scheduled an IUI 36 hours after. The IUI process was with her and she was great through it, although only saw her for the insemination. She prescribed progesterone and sent me on my way. I started my period and came in for an ultrasound with a nurse and the nurse mentioned it looked like I might have cysts. Dr. Alexander called me after and said she thought they were follicles that were big and I was going to ovulate any day... it was CD3 and I wasn’t on any medication, I normally ovulate on CD16... I got a weird feeling and decided not to continue with her and the office, it felt like my care wasn’t being considered and they were using a one size fits all procedure. Dr. Alexander was a cheerleader through the process and genuinely wants you to get pregnant, but it seems like she sees too many patients and can’t give them individualized care.

She is genuinely sweet and means every word she says to you, she’s extremely hopeful... But make sure to ask a lot of questions and be your own advocate through the process if something doesn’t feel right.

We did Gonal-F injections 75IU CD12-14, an HCG shot on CD15 and an IUI on CD17. Started progesterone suppositories CD19 at night til period started on CD28

I can’t remember fully, but I know the ultrasound and office visits were more expensive than my current RE... I want to say it was $190 per visit for a standard ultrasound and the IUI was around $500.

Dr. Chang has been thorough in explaining information to us. She appears like she cares and wants to optimize our chances of getting pregnant. She communicates in a clear manner, often speaking slowly and calmly, which is appreciated given the technicalities of IVF.

I have not completed a full cycle yet, but Dr. Chang is currently preparing for IVF and has suggested a number of supplements to optimize our health. We've gone through many pre-tests and ultrasounds that have helped her give her a baseline of our health. I appreciate her having us take our time to improve our chances instead of rushing into the procedure.

Genetic screening, consultation office visits, ultrasounds, cycle day 2 labs, supplements

We started doing IVF for male factor (1 % morphology) after I had two chemical pregnancies. Dr. Alexander was extremely compassionate and thorough with testing before we started a cycle. She was confident I would get pregnant as everything on my side looked amazing. Our egg retrieval went great, with 4 PGS normal embryos. Our first transfer was delayed because she found polyps and I was scheduled for a hysteroscopy to remove them. While under she found a uterine septum and removed that as well. Then I tested slightly positive for irregular uterine cells and did a course of antibiotics. We finally started our transfer cycle only to be cancelled because my lining wasn't responding to the meds properly. We started again with a different type of estrogen priming and went ahead with our first transfer which resulted in a pregnancy. Dr. Alexander was more excited than me, as I was cautiously optimistic because I knew one beta test is not the whole picture. Our second beta came back lower than they would have liked and we did a third one which was normal. After this we waited to do an ultrasound at which point things did not look good. I was told this news during the ultrasound which was very upsetting. We had to go back several times to keep watching and I eventually started to miscarry and took drugs to help it along. Transfer 2 failed, which was shocking to everyone. We met with Dr. Alexander and she suggested an ERA and seeing a hematologist, which didn't make total sense to me. I said, why don't we do one more transfer before we do all that and she suggested another hysteroscopy before a transfer and the plan was to do a third transfer before she left for the holidays. We did the hysteroscopy where she removed a small piece of tissue but everything else looked great. We then found out that we wouldn't have time to do the transfer we talked about doing so I suggested doing the ERA while we were waiting for her to get back. We started a mock cycle on their "standard protocol" which did not work at all for me on any level. It was the same hormone protocol as the first cancelled transfer... I expressed concerns about this not working and was told it would be fine. When my lining didn't respond and this cycle was cancelled, I felt like Dr. Alexander started to lose confidence. She said the ERA was no longer necessary as she "didn't want to be chasing her tail around trying to get a good lining." It was disconcerting being told we needed a test and then a week later we didn't. She suggested trying a natural cycle which I started and when she discovered fluid in my uterus (which I believe was there from the cancelled cycle before) we were brought into her office and mid-cycle suggested surrogacy in a very odd way. Asking if I knew anyone who I would want to be my surrogate and saying she wished she could be mine. My husband and I were no where near ready for that conversation and it was very strange to have it brought up in the middle of an FET cycle. The fluid was aspirated, I had a second HSG with her associate (who called me a conundrum during that procedure) and she recommended going ahead with the third transfer. That one failed and we decided to get a second opinion at that point.

Be ready to be in the driver's seat of your fertility journey whether it's following up for results, getting medications called in and doing your research. Dr. Alexander is smart but there were things that were missed along the way and I wish we were given a more realistic idea of what to expect with the entire process.

Egg retrieval was pretty typical. FET changed from estrogen pills to many patches and Viagra, lovenox, steroids and lots of natural supplements and PIO and endometrin when it was time. Final FET was natural (waiting for me to ovulate) with a little patch support and endometrin/PIO shots, lovenox and steroids.

I think a retrieval cycle was listed as a little over $20k but once you add tests and meds its more like $30k. We spent close to $7k for everything for each transfer.

She went back and forth about whether or not to transfer one or two but ultimately agreed with our decision to transfer one at a time... she felt strongly about me not carrying twins for health reasons.

She genuinely cares about her patients and will do anything within her ability to help you achieve your desired outcome. She pays close attention to detail and is very articulate. She will explain things as many times a you need to hear them, and give you her undivided attention.

Invest in the consult and make sure her style/approach is right for you. Because her practice has one of the best labs in the country, we decided to move forward with her office. We were told the labs were the most important part of the process, but she is also an extremely competent and supportive doctor which you don't always find in this profession.

Since we went through 3 rounds, she did try a variety of medications and approaches. She paid really close attention to my wife's response and made adjustments if/when necessary. The first round was a high dose of meds to which my wife did not respond well to. The next round, she tried a much lower dose and we were able to create one embryo even though we did not retrieve as my eggs. The final round she tried the same process and we got 8 eggs, but unfortunately no embryos. Our situation was a bit unique though because both my wife and I have fertility issues, so our chances of making an embryo together we are finding is pretty low.

About $40K for a two cycle package without the meds. The package included everything necessary to complete the cycle (blood work, ultrasounds, surgery center fees etc..)

She recommended a single embryo transfer for us, because of the inherit risk of having twins.

As I mentioned, Dr. Danzer was kind and personable, but I had very little interaction with him. I also feel that my protocol and care was standardized, not personalized. I did have great trust in Dr. Danzer, that he knew what he was doing (his history and notariety speak for themselves) and that he would obtain the best results he could for us. I was okay with a more straight-forward approach, the results were more important to me than bedside manner. However, I would have liked a bit more personal experience and reflection on our specific case.

Definitely advocate for yourself, especially with his support staff. And I would try to build as much of a relationship with Dr. Danzer as possible early on. Try to get in front of him, when you can. A couple of times, I had to request to meet with him personally, which was arranged. I think that is helpful. Also, find one friend within his team - that helped us immensely.

Dr. Danzer used a standardized protocol - birth control pills, followed by an antagonist approach of Gonal F (primary) and Menopur (secondary), with Cetrotide and trigger at time of egg retrieval. We have not moved on to the transfer cycle with him yet, so not sure of his protocol there. I felt pretty fine on the medication. The staff met with me for instruction, and offered a helpful website with videos. Because of my age, he did hit me with higher dosages. I was unsure of this, at the time, but now feel that might have been the right way to go. I ended up having to be on the meds for two extra days, for response growth. I came in for ultrasounds and blood draws every other morning. My egg retrieval went smoothly, however I did end up having slight OHSS about one week later. It cleared up the following week. We were happy with our results at first, then a bit disappointed. Retrieved 20, but less than half fertilized. We did send most off for genetic screening, but the majority were abnormal. Dr. Danzer did offer good education on our results, which I appreciated.

This was definitely not an inexpensive clinic, but I knew that going in. We were paying for the best. Both Dr. Danzer and the clinic/lab have stellar scores, no question. I was happy with the fact that the clinic did try to find us savings, where possible. I don't know that I would go so far as to say they worked with our budget, but they did try to get us some discounts.

We have not embarked on this part of the process just yet. I believe Dr. Danzer does recommend eSET, which I feel comfortable doing.