Spring Fertility

Dr. Tran was always honest about our odds of conceiving. He was hopeful that it could work, but didn't offer false hope which I appreciated. He was good at explaining what he was doing and why. He seemed to have a good balance between using evidence-based methods and a willingness to try something else when that didn't work. He is fairly technical and clinical, but I think that's what you want: someone precise and exacting. In the end, we trusted him and when he was optimistic that a second round could yield better results than our first, we agreed. And he was right! Our second round was successful.

Don't expect someone who is touchy-feely. Ask good questions, he's happy to explain things. Trust that his number one goal is to help you conceive and he'll do what he can to make that happen.

Round one: started with lupron then was on 150 menopur, 225 gonal f for 4 days, then 150 of each for 4 days, then 75 menopur/150 gonal f for 1 day. Produced 14 follicles, 9 embryos, all poor quality by day 3. Transferred the best 3 on day 3, resulted in a chemical pregnancy with nothing left to freeze. Round 2: started on Aygestin then was on 150 each menopur and gonal f for 8 days, then 75 menopur/150 gonal f for 3 days, then 75 of each for last day. Also took HGH throughout. Began cetrotide last 4 days. This time he also cultured our embryos differently. This time retrieved 10, had 9 embryos. 3 very good ones and a handful of ok ones. None made it to freeze. Transferred 3 on day three resulted in twins.

Dr. Tran felt strongly that we should transfer 3 based on my age and egg quality.

Dr. Vaughn is simply one of the best doctors I've ever had. Before finding her, I had met with half a dozen fertility doctors over the course of a year and half. During that time, these doctors were unable to determine why I wasn't getting my period or ovulating. And all but one told me I had very little hope of conceiving and that I should immediately start IVF if I wanted any chance of having a child. By contrast, Dr. Vaughn proposed running a few tests to determine my egg count, hormone levels, etc. And upon looking at the results, Dr. Vaughn figured out that I likely had a borderline case of PCOS, and that using clomid and ovidrel would likely be successful. And because of my egg reserve and age, she saw no reason why we would need to move to IVF unless I wanted to. I was so relieved I cried tears of joy. And Dr. Vaughn was absolutely right: we got pregnant on our very first cycle of clomid/ovidrel and I had a beautiful, healthy baby girl. After that, Dr. Vaughn kept in touch and helped me make some critical decisions when I needed to seek fertility treatment again but no longer had insurance coverage that enabled me to be treated by her. And even before that, Dr. Vaughn was very understanding and sensitive to what tests and treatment were covered by insurance so that I would not end up with huge out of pocket expenses if at all possible--I've yet to see a doctor before or since who was so proactive and conscientious about costs when I expressed concern. She also worked hard to make sure she was available for all of my appointments - including ultrasounds - so that I wasn't simply scheduled with whoever was in the office at the right time. In short, Dr. Vaughn is exceedingly smart, kind, thoughtful, and attuned to her patients' wants and needs. I could not endorse her more strongly.

If you have any doubt, just meet with Dr. Vaughn to see what you think. I'm confident her smarts and kindness will persuade you that she is a fantastic and caring doctor.

I used a low dose of clomid and ovidrel to ovulate. The rationale was that I ovulate irregularly, which makes it very hard to use timed-intercourse effectively through natural means. And because I am able to ovulate, Dr. Vaughn didn't think I would need a high dosage of clomid. She was absolutely right -- the low dose resulted in large enough eggs that I could use the ovidrel to ovulate and have timed intercourse. It all worked perfectly.

I barely paid for anything.

Dr. Harris was relatable and easy to talk to; in the few visits where my husband joined me, he provided a place that was comfortable for a man going through this process. He was very clear on his thoughts on IUI vs. IVF up front but mentally, I wasn't ready to go straight to IVF w/o trying IUI. He respected my decision and supported me. He is very optimistic and always tells me everything "looks great" which is ironic because I feel like I'd be pregnant already if everything was truly "great" but when going through fertility treatment someone needs to remain positive, so in this case I guess it is Dr. Harris.

Take advantage of the time you have with him and ask a lot of questions. During each treatment I would ask him the questions I had instead of trying to schedule calls thru the clinic.

I have "undiagnosed infertility", before trying I visited him to get the full work up to ensure my reproductive system was working as expected. At that time, I decided to try naturally for 6mo before introducing IUI. When that didn't work, I came to Dr. Harris for my first IUI. I did that during a Letrozole cycle. He was supportive but said I'd have better success with IVF. After the second failed IUI, I am headed towards IUI, so in a way I feel like he was right all along but it took me awhile to get there emotionally/mentally.

100% covered by Progyny insurance after meeting my insurance deductible

I wouldn't mind twins but Dr. Harris said he would only transfer one embryo at my age.

Dr. Tran is an intelligent, competent doctor, but there's a lack of emotional IQ to balance his intellectual IQ. Infertility is an emotional journey, and we look to our doctors for support. Many times during my care I felt like he didn't have enough capacity for me, and he was taking on too many patients. In the worst of times, I felt abandoned by him as my doctor. He is present at appointments, but his time is rushed. Appointments have become difficult to schedule due to his split time between Redwood City and SF offices, and I have even had major procedures rescheduled last minute to accommodate his busy schedule.

Get to know your nurse, because Dr. Tran will not be available to you beyond your appointments. Be direct in your questions. Don't let yourself get rushed, or brushed off - speak up for yourself. You may need to ask questions multiple times to get the answer you need. Find a good therapist to help with the emotional stuff - you will need it.

I found Dr. Tran to be very conservative in his approach vs. other docs, which may be due to his background at UCSF (teaching hospital). He will not perform an ERA, or other new procedures, unless they have tons of data back them up. He won't order blood-tests or recommend aggressive treatments unless absolutely necessary. He isn't super proactive - which may be partially due to his lack of time. If you're looking for a doc that will be extremely thorough, and give you all the bells and whistles, he many not be the doc for you.

We had some insurance coverage, but about $46-50k for retrieval, $6k for transfer, $800 for meds

I wasn't given an option - single embryo transfers only

What I mostly appreciated about Dr. Tran was his willingness to listen and adjust the treatment as new information came in and we wanted a change in direction. I think there's a lot of ego in this field and his flexibility was refreshing. He is very keep on the mid-luteal protocol. At the beginning he was reluctant to share what approach he'd take, stating that he doesn't care what the protocol is called, but whether it is appropriate for us, but ultimately took the approach he seems to be known for. We experienced a setback with unusually high drop in embryos in the lab (b/n D3 and D5/6). He was upfront about how unexpected that result was and presented a solution, without throwing the stats based on my age in my face, which I appreciated. Ultimately, we didn't get to an embryo transfer with him. He very candidly shared his opinion that our embryos had a better chance in my uterus, which is what we came to realize, and showed that he had our interest at heart. This is not where the clinic makes money, so he won my full trust with this recommendation.

Be prepared with a list of questions to get the most out of your visits with Dr. Tran. We had most of our monitoring visits with him personally, but they're routine in nature and quick, so I found myself following up with the nurses with follow-up questions I didn't get to or didn't think of during the visits.

We had to IVF cycles with mid-luteal protocol, with moderate to low doses. I had 8-9 follicles at baseline, and given that there wasn't much potential beyond that, it was important for me to not get overly medicated (some other fertility doctors we consulted with in our research mentioned "aggressive" protocol, which was a big turnoff). Dr. Tran took a moderate approach and adjusted down given my good response in the first cycle. The meds were 225 IU Gonal-F and 150 IU Menopur. Great response initially - of 8 follicles we retrieved 8 mature eggs, 7 fertilized with ICSI. Second time less so - of 9 follicles, we retrieved 4 and only 2 mature eggs which were fertilized. "0" embryos at Day 5/6, however, and the whole reason we did IVF was the genetic test at D5/6 so we can minimize the risk miscarriage. The mid-luteal protocol didn't allow for a Day 3 transfer. Seems like our embryos can't make it beyond that in lab environment.

We went through insurance as we had some coverage (with a lifetime max). Still unsure of the total out-of-pocket costs for either cycle due to the messy billing. Dealing with the billing department at Spring was the most stressful and painful experience, an unwelcome one too given how taxing the IVF process already is. Inquires required multiple follow-ups before Spring would respond (sometimes 2-3 weeks later). They simple didn't address/ignored some direct questions. Last but not least, they said they'd do the billing in a certain way for our second cycle, but didn't do so despite the agreement we had reached on that. Super frustrating experience, and I am still entangled in this two months after treatment.

eSET was the considered approach but we didn't have a single embryo for transfer.

Dr. Klatsky is optimistic but also realistic. He’ll explain everything in detail if you ask him to. I came prepared with a list of questions at the consultation and he answered all of them with patience. My ultrasound appointments were smooth, I appreciated his positivity.

Come prepared with questions! You’re your own advocate.

We did an IUI cycle with letrozole and trigger shot. I asked for letrozole over clomid because I had researched that it had fewer side effects.

Each IUI is about $1600. Letrozole and trigger shot about $100ish.

Dr. Minjarez clearly cares about her patients. She takes the time to hear about your fertility journey in your own words, but has also clearly taken the time to review the information you provide in your intake forms. I think she takes all steps necessary to achieve pregnancy.

Ask questions. And ask what she would ask if she were in your shoes. Know that the fertility journey is not linear.

I had a saline sonogram to look for scarring in the uterus. Then had a hysteroscopy to remove the scarring. And now am on estrogen, and then will the provera toward the end of the estrogen.

Saline sonogram was around $700. Hysteroscopy with anesthesia was around $3500. Initial office consult was around $350.

Dr. Minjarez has a strong preference on eSET, due to all of the risks for mom and babies if there are multiples.

Dr. Minjarez took time to thoroughly explain different parts of the process and answer any of our questions. We've had some delays getting started, and she's been helpful and responsive. She does a good job of balancing clear, direct communication with kindness and the feeling like she's rooting for us.

Make sure you think through your questions ahead of time -- it really benefit us to have done our research so we could make the most of our time with Dr. Minjarez. Appointments can be brief, but her team is always very responsive via email if things come up afterward.

We haven't started stimulation yet, because my follicles weren't ready. But the plan is to stimulate with FSH and Menopur.

saline sonogram: $950 ovarian stimulation and monitoring, retrieval of oocytes, embryology lab services (including ICSI, PGS/PGD): $18,375 medication package: $4,400 future frozen embryo transfer (monitoring + thawing, transfer): $5,250 embryo cryopreservation after 6 months: $650

This facility transfers only one embryo at a time.

At the beginning there was some miscommunication, but when I expressed my concern Dr. Harris was apologetic and made up for the initial misunderstanding. He truly wants to see his patients succeed and does what he can to that end. He was always sure to ask at each visit how things are going, whether you have experienced any side effects, etc. He explains the options clearly, and is thorough in describing the treatment plan.

Dr. Harris is openly optimistic and enthusiastic, and the result is that you can get swept into the optimism and expect more from your treatment than it can realistically deliver. The result is that a failure can hit harder than it might have otherwise. I'm ultimately happy with our choice of doctor, but just be realistic with yourself,

We used Clomid with an Ovidrel trigger shot followed by IUI three times. We have just started our first IVF cycle with Dr. Harris. Given our severe male factor infertility, he originally suggested we skip IUI and go directly to IVF, but that was not financially feasible for us at the time so we attempted IUI anyway despite the probable negative outcome. The first IUI cycle I had some spotting pre-period, which is unusual for me, and a positive pregnancy test long after the Ovidrel should have dissipated so we suspect the possibility of a chemical pregnancy. Dr. Harris was thorough with his description of the different approaches we could take with IVF and explained clearly why he felt the approach we went with was best for us. We're using birth control for 2 weeks followed by injectables for egg retrieval at the end of the month.

The self-pay cost for IUI is $1600 and it's $18,375 for IVF. With insurance, we paid ~$600 for the first two IUI cycles and nothing for the second as we'd hit our max out of pocket. IVF is going to cost around $3000 and most of that is the out-of-network surgical center. I don't yet know what additional there will be on top of that for the genetic testing, anesthesiologist, etc.

We didn't discuss this as I had decided in advance that I wanted to do single embryo transfer.

We had a great experience with Dr. Minajarez. She is a take charge type of doctor that exhumes confidence. She was realistic with what our outcomes could be which made each round of egg retrieval more realistic.

Since Spring has three facilities your doctor may not be the one to do the procedures. They are up front with this.

We used mini-stim for three cycles. The first cycle we used clomid along with injectable medication. After the first cycle, I had a health complication that we originally thought was from the medications. It turned out to be a chronic issue, but we changed the Clomid to Letrozole for the last two cycles and retrieved more viable embryos. We genetically tested the embryos retrieved which allowed us to know the actual amount of normal embryos we have.

Each round was a little less than $15,000 including medication.

I have only ever seen Dr. Tram in person once, at my initial consult. My IUIs were done by different doctors, and all other information has been conveyed through nurses and my patient coordinator. However I feel like I’m getting the care I need, and if I move on to IVF, I believe I will see him more.

His primary focus is IVF, so if you are starting with IUI, you might not see him for many of your appointments. However he will still be involved in your care, and it’s easy to get answers to questions via your patient coordinator.

I am early 30s with good stats, and his strategy was 3 unmedicated IUIs, then (if no pregnancy) 3 medicated IUIs, then potentially move on to IVF. I have had three unsuccessful IUIs. I am now going to have an HSG test. I elected not to have one before beginning initial treatment, but now that I have had 3 unsuccessful IUIs, Dr. Tran thinks I should do one before beginning the more involved and expensive process of medicated IUIs. Depending on the results of the HSG test, I will either move on to the planned medicated cycles, or look at IVF.

Monitoring ultrasounds—$400 IUI— Around $800

From a scientific and IVF protocol I completely trust Dr. Tran and his decisions. He is very accurate in his assessments and his protocol is always adjusted and designed to fit my individual needs. He is straightforward and sets realistic expectations which is exactly what you need in this process so you are not giving an unrealistic sense of hope; with this approach it can lack a little bit of warmth in his messages but in the end you leave his office with a real sense of understanding for the future.

Be patient with the process and trust Dr. Trans decisions as he shares the same desired outcome.

I did two retrievals using Lupron, Gonal-F, Menopur, Cetrotide and Novarel. Both retrievals resulted in a desirable amount of eggs; my particular problem is in growing the embryos to day 5. The number of embroys drastically dropped during this time. First retrieval results in 2 embryos that both came back normal after genetic testing. The second retrieval resulted in 1 embryo that came back abnormal. I then did a FET immediately following the second retrieval that resulted in a healthy pregnancy. I did a second transfer Sept 2019 with the remaining embryo from first retrieval that did not result in a pregnancy. I am currently undergoing preparation for another retrieval.

The first two retrievals and transfer were covered by insurance. Second transfer was around $6,000 and current retrieval will be around $25,000

I agree with Dr. Tran's approach of eSET as I highly risk adverse to having multiple babies at my age.

I trusted that he was well educated and believe that he made decision in our treatment that he thought would result in the best outcome. I felt that he set our expectations for success once we moved on to IVF too high. Sometimes I would have to push him to make changes to my course of treatment after multiple failures because he did not believe changes were needed. I'm not a fan doing the same thing over and over and expecting a different outcome.

If a doctor with a really good bedside manner is important to you, chose one of the other doctors at this clinic. Dr. Tran can be a little "cold", but that was not something that bothered me.

IUI cycle - $1,500 plus cost of meds IVF retrieval + PGS - $17,500 plus cost of meds Frozene Embryo Transfer - $4,500 plus cost of meds

Dr. Tran was very adamant about not transferring more than one embryo.

Dr. Tran is seriously smart and on the cutting edge. Creative yet evidence-based and doesn’t recommend a bunch of things you don’t need. He is a scientist and straightforward but compassionate, and has some good deadpan humor! He does explain things quickly so write down and bring your questions and don’t hesitate to send up a follow up question. I most appreciate that Dr. Tran is willing to keep working with poor prognosis patients—some clinics want to move on to donor eggs to boost their numbers but not the case here. We were initially devastated after our first two cycles led to no transferable embryos likely due to poor egg quality and me being a poor responder to meds. At that point he recommended proceeding with minimal stimulation ivf which worked really well for us and ended up giving us a better blast yield per cycle and ultimately leading to success for us. Not all clinics do mini IVF so I was grateful Spring offers this as other clinics would have either proceeded with full stim (high expense for low yield) or pushed donor eggs.

Write down your questions and don’t hesitate to send the team a follow up question!

1 letrozole flare 1 mid-luteal start 3 mini IVF with clomid and gonalF/menopur

Pricing is transparent and up front. Comparable to other clinics in the area. Mini IVF cycles can be packaged which makes the cost about 50% of a regular IVF cycle

They recommend eSET for PGS tested

I cannot say enough good things about Dr Tran and our treatment is still going. We are awaiting our FET having undergone an egg retrieval and PGS testing we have 6 healthy embryos waiting for us. He predicted we would have 3 but would do everything he could to make it more and he did just that. He did all of my ultrasounds, he was supportive and thorough and is clearly a leader in his field. I never questioned him because I had full faith he knew what he was doing and I was in the best hands possible.

Dr Tran has a dry sense of humour and is not the warm and cuddly type- he is a wildly clever doctor so don’t expect cuddles and a shoulder to cry on. He is fact driven, experienced and knows best so trust him. He was literally at the clinic every single time I went- 7am in the morning, Sunday’s, he was there. That’s what I want in a doctor.

I did 14 days of stims using menopur and cetrotide. I had 7 monitoring visits before my egg retrieval and after each visit my dosages were changed to suit my blood results.

So far we have paid $18,750 for egg retrieval, $4400 for meds, $900 for additional embryo biopsy, and I believe FET will be $4500. All up it will cost well over $30,000- more if our FET is unsuccessful.

I am yet to transfer but Dr Tran has said from the very beginning I will only be transferring one embryo. I am happy with this as I don’t want to put my body through any undue stress.

We were a challenging case and Dr Klatsy did not back down from the challenge and entered each phase of treatment with a positive outlook. He was very willing to change the approach based on current information and either move forward or pause to ensure we got the best outcome. He’s also one of the nicest most caring doctors i’ve seen. He’s realatable and goes out of his way to help coordinate care with other physicians as needed. My only critique would be for him to slow down a bit when he’s explaining things and allow more time for questions—we had already been through IVF once before working with him but he thinks so fast so you need to be ready ahead of time with your questions. Luckily his nurses are amazing and can help get answers after the appointment.

Do your homework ahead of time but be open to his tailored IVF protocols—he knows his stuff and you get great results even if the approach is different from the larger clinics.

Mid-luteal start protocol—3 and then 4 pgs normal embryos

Out of pocket costs were a bit more expensive than larger Bay Area clinics but they take insurance (big positive!) and you get more time with the doctor than in the larger clinics. They offer good deals for medication packages and genetic testing. Insurance costs have not been clearly described and it is extremely challenging to get clear answers (or any answers) from the spring fertility finance team.

Since we had pgs tested our embryos, he recommended single embryo transfer which was our choice too.

Dr.Minjarez always communicates clearly and directly. She would send me current research on my condition and explain why she recommended particular tests. My case has been complicated, due to multiple miscarriages and a few set backs along the way. She has handled everything in stride and is confident in her decisions when it has been necessary to change the course of treatment. My one complaint is that because she is so direct, it sometimes feels like she is not the most empathetic with my feelings/journey. With that being said, my partner loves that she is very direct. I also had some issues with seeing different doctors (she is based in Oakland and I live in SF so elected to see some of the Drs in the SF office for routine sonograms). Due to some communication issues, I elected not to do that for this most recent transfer cycle and have been happy with Dr.Minjarez being my only provider.

She is brilliant and knows about all of the recent research. She is very direct and will not tell you something that she does not fully mean/believe. Because she is so direct, if you want someone who is more empathetic, it might not be the best fit.

For my most recent FET, I did 2.5 months of Lupron following a diagnosis of diffused adenomyosis. I then did a controlled cycle using estrogen patches and progesterone in oil injections. After my first transfer ended in an early loss, she had me tested for endometritis using a CD138 stain. (It was negative)

There was a window of time for monitoring appointments but I never had to wait for more than 10 mins and they were almost always right on time.

I think Egg Retrieval and PGS testing was around $25,000. Each FET has been between $3000-5500

We were not given the option for multiple embryo transfer. I am not sure if this is standard procedure for my clinic or if it is because of my uterine issues.

Dr Tran is not going to sit there and give you a cuddle, if you are looking for a doctor to look you in the eyes and tell you everything is ok- that is not Dr Tran. He is smart, fast and to the point and I absolutely appreciated that about him. He did every ultrasound I had, including first appointments of the day and on sundays. He must work 7 days a week, fertility and his work are clearly his passion and I felt so confident in his abilities at every step of the process.

Dr Tran will get you results, but don’t forget that this is a business and he’s a busy man. Expect the best service, honest answers and world class care.

Having done 4 unsuccessful IUIs with Kaiser and being very unimpressed with the care I received there, we moved to spring. I knew Dr Tran was our doctor and within 2 weeks of our first appointment I was starting injectables. I did a combination of menopur, gonal f and certitide for 13 days. My doses were adjusted each day depending on my daily ultrasound and blood results.

Egg retrieval- $18,500 Additional 2 embryo biopsy - $900 FET - $4500 Meds - $4400

I am yet to have my FET but have PGS rested embryos ready to go, our recommendation has been to transfer one embryo.

As we have only seen Dr. Tran for a consultation, I cannot speak to his care going through the IVF process. However, just based on our consultation, I know we have made the right choice. We came in fully knowing we want to do IVF after 12+ years of unexplained infertility and a previous pregnancy loss. He was thorough answering all of our questions and laying out the course of treatment as clearly as possible. Of course, things can change as you go through the cycle, and we are not quite there yet. Dr. Tran is after eggs of great quality that will create embryos of great quality. He expressed that he does not want us to go through more than one egg retrieval if we can help it. His goal is to help us get pregnant as soon as possible. I really do feel he has our best interest in mind.

I would say to have your questions ready, and know that he speaks very scientifically. I got the feeling that Spring clinic really nerds out on the science behind IVF, and I love that because it's not something I want to have to deal with! I'm more than happy to put my eggs in their hands so that they can create lab magic. Expect to hear a lot of statistics.

As we have not done a cycle yet (most likely will start in June), I can only speak to the protocol we have been given. I was so elated to learn that I will not take birth control to start my cycle, but will begin injections about 3-6 days after ovulation of the cycle before egg retrieval. I am to call on first day of my period, go in for an ultrasound, and then return once I have a positive ovulation test for another ultra sound. From there, my treatment protocol will be personalized.

Our consultation was paid for by insurance as we have some infertility coverage. I believe the appointment was around $400, plus additional lab fees for blood work. We received our workup for our IVF treatment, and it's around $18,000 for monitoring, egg retrieval, ICSI, assisted hatching, taking sample of cells for PSG and sending them off. Meds are estimated to be an additional $4000 and then the FET is estimated to be another $3500-5000. This does not include the actual cost of the genetic testing. I think that is another $3000-5000.

Dr. Tran's approach is single embryo transfer as often as possible. He did not mention multiple embryo transfer, so I'm sure if he does it, it's on a case by case basis. As someone who has lost twins, I appreciate that our transfer will be a single one.

Dr. Klatsky is a smart doctor, with a mellow, easy-going demeanor. He doesn't rush appointments and gives thoughtful answers to questions. Don't expect him to sugarcoat his opinions or a diagnosis - he'll give it to you straight. Overall I feel like I am in great care with Dr. Klatsky - he's competent and kind.

Be prepared with your questions in advance to appointments so you can use the short time you'll have with Dr. Klatsky to its fullest. He tends to have a more conservative approach and protocol - make sure to ask about procedures, meds, etc. to get his full opinion.

Dr. Klatsky recommended a mid-leutal STIMS start for us (due to lower AMH) to produce the most follicles possible during our cycle. He prefers using more "gentle" treatment and lower dosages of medications.

He is the smartest doctor I have ever met! He is a hardcore scientist, so sometimes his bedside manner is a little abrupt, but I trust him to get the best results any doctor could. He did a midluteal start with letrozole for estrogen suppression. I couldn't find a single example of this protocol in literature, he crafts very individualized protocols. I got 11 blasts with AFC of 12, so it definitely worked.

Expect his bedside manner to be a little cold, but he really does care about you and your success.

He started stims 5 days after ovulation (midluteal, no birth control.) My starting doses were follistim 250u, menopur 150u, added cetrotide on day 7. He had me take letrozole 5mg daily throughout stims to keep my estrogen low. He did this to help prevent migraines, it was a freeze all cycle. I stimmed for 13 days and got 19 eggs, 16 mature, 11 made it to blast.

An IVF freeze all cycle was $13,500 plus meds. A FET will be $4,500

We are planning an eSET in a few months.

Dr. Tran was warm, friendly and to the point. I really appreciated his ability to balance clear, candid and accurate information well also being super nice. He took the time to learn my goals, tailor the treatment, and set realistic expectations. My favorite part was that if my personal fertility goals had been different, he would have actually not recommended egg freezing. I love he was willing to turn away business if it wasn't in the best interest of his patient.

Nothing! You're in great hands at Spring. The whole experience is incredible with great customer service, support and facilities.

I elected to freeze my eggs for later use. I was given a tailored protocol of menopur, gonal, and later cetrotide. We used a lupron trigger to help avoid OHSS. Spring adjusted my dosages almost daily for the last half of my injects to help prevent OHSS (which they did!) and provided clear communication on their online portal about medications.

Progyny and my primary insurance handled all costs and billing. My out of pocket costs were minimal and covered by my yearly out of pocket maximum for all health coverage.

Dr. Minjarez is excellent in her thorough knowledge of infertility issues and related health issues. I was treated for endometrial cancer and had gone through 3 failed IVF cycles and had come to Dr. Minjarez as a last hope, after being referred to her by a friend and she treated me a lot of compassion, listened to my history (including cancer medications) and crafted a specific protocol (resting from medication, different medications once I started, mini-IVF letrozole stimulation) that miraculously resulted in 2 high quality embryos. I am currently going through the embryo transfer process, but she has been great all the way through. I even had a recurrence of pre-cancer during my IVF treatment with her, went back to hormone therapy, and she helped me navigate through that and I am back on course. I call her my "miracle worker."

Explain your medical history thoroughly so that Dr. Minjarez can understand how to best treat you with a specific protocol.

Resting from medication for 2 months due to over-stimulation of my ovaries from previous cancer hormone therapy and IVF treatments. Letrozole mini-IVF stimulation because of diminished ovarian reserve.

$7K (before insurance) for the 1 mini-IVF cycle, $5K for embryo transfer

None. I preferred single embryo transfer and she recommended the same.