Spring Fertility

Dr Fisher truly loves his job and it shows! He always comes in with a positive upbeat attitude. He can recite a study to back any of his decisions. He allowed me to be an advocate for myself and helped me navigate my questions and concerns and would make changes based on our discussions. He was patient when I had ten million questions and wanted to know why for everything. One of the things that made me respect him the most, however, was how highly his staff talked about him. They would tell me how they learned so much from him from his in-service classes he taught weekly. How he really wanted them to have the knowledge and love what they did, and he did so in a fun and interesting way. All of that could be seen as a patient as well. We could not have been in better hands!

Don’t be afraid to ask questions.

I’m not sure if it was due to the pandemic and trying to keep people from waiting in the waiting room together, but I never saw any other patients in the Danville or Oakland office for monitoring. I was always 5-10 minutes early and in my car about 5-10 minutes after my appointment. I was seen quickly with all my questions answered. And not once did I feel rushed to get in or to get out. I was monitored twice by other doctors because it was Dr Fisher’s day off. I must say, his way of explaining the monitoring process and giving exact detail was much better than the other two. The other two told me to ask the nurse when they called in the evening. It wasn’t rude, just that it was the nurses job.

Dr. Fisher is one of the best providers I have come across so far. He is competent, professional and thorough. Dr. Fisher will provide the answers you are looking for without unnecessarily sugarcoating. He’ll tell you what you need to hear. However that doesn’t mean he is not compassionate. In fact he is warm and very friendly and genuinely cares about his patients. He sets realistic expectations so that nothing comes as a shock. Once you know what to expect, Dr. Fisher will provide the best quality of care and will hear you out if you have any doubts or concerns. You can leave up to him to decide the best course of action for your treatment plan. Truly made it so much easier for me to go through what I did.

Be open minded and trust what Dr. Fisher has to say.

$24700

Candidly, when I first approached Spring, I wanted a female doctor but the earliest appointment was with Dr.Fisher. Although initially hesitant, since day 1 of seeing him, I felt very comfortable and at ease. He opened up and shared his own story of how him and his wife also went through their own fertility journey. I think that makes him a lot more relatable and empathetic to his patient's journey. He was polite, respectful, always greeted me with a smile, was patient with all my questions and never made the appointments feel rushed. He was always thorough in explaining procedures and next steps, comprehensive with his exams of follicle sizes, concerns and what to expect. I really appreciated the attentive care provided whether it was via email, in person or follow up calls after certain procedures to update me on progress. I remember the day of my transfer, he rushed over to the SF clinic all the way from Danville just to make sure he was the one doing the transfer himself. That definitely re-assured me, made me more confident that the chance of success would be high and overall just put me in a more positive state of mind. We are now a month away from meeting our miracle baby and I am immensely grateful to Dr.Fisher and the Spring team. Overall, would recommend Dr.Fisher to any of my friends or family members looking for fertility treatment. Could not have asked for a better experience.

Come prepared with questions during your appointments. Dr.Fisher is thorough with talking through the treatment but also always leaves room for any questions you might have.

I went through 2 IVF cycles and 1 frozen embryo transfer with Dr. Fisher. For both retrievals, I was taking the following supplements: prenatal, Vitamin D, Fish Oil, and Q10. My diagnosis was unexplained infertility as I had done prior exams and blood work at another clinic before Spring. In my first cycle, my antral follicle count was only 9-10. I started off with taking Estrace, got a bleed, went in for a baseline ultrasound and then started ​225IU of Gonal F and then 150IU for Menopur. The dosage of Gonal and Menopur were dropped as they doctor tracked my bloodwork and the size and growth of my follicles every few days to try to get them to all grow at the same pace. I then started Cetrotide in conjuction with Menopur and Gonal F and eventually triggered with Novarel and Lupron. For my first retrieval, my body only yielded 8 eggs, 1 follicle was empty and only 1 egg was mature. That was devastating news and I remember crying for a long time thinking the odds of a healthy embryo was likely going to be none after the drop off from Day 3 to Day 5 to genetic testing. Dr.Fisher and the care team definitely set proper expectations and were also quite comforting in talking through alternatives for a second round. Miraculously, that one mature egg actually resulted in a 6AA Day5 Euploid embryo. Given that my husband and I wanted at least 2 kids, Dr. Fisher also recommended having at least 2 healthy embryos per potentially viable pregnancy so we decided to pursue a second round of IVF egg retrieval before moving forward with a transfer. In my second IVF cycle: I started off with Aygestin, had around 11 antral follicles, started same dosage of ​225IU of Gonal F and then 150IU for Menopur which was adjusted slightly after every ultrasound and blood test appointment. Then started Cetrotide and triggered again with Lupron and Novarel. This time, 11 eggs were retrieved, 8 mature. I ended up with 4 that survived until Day 5 and then 3 that turned out to be Euploids. For my frozen embryo transfer, I started off with Aygestin pills (this was mostly because we were thinking of potentially doing a 3rd cycle of IVF depending on results of the embryo genetic testing). However, once we confirmed we were moving forward with FET, I was put on Letrozole 5mg for 5 days. After a few monitoring visits, the doctor asked me to start Gonal F at 150IU. As monitoring progressed, I was then instructed to take Ovidrel at 250mcg and take Medrol 16mg pills for 5 days. I went back in for a progesterone level check and then was confirmed for transfer. Transfer was successful and I am now 8 months pregnant!

Although most people including myself go in thinking we will perhaps only need one IVF cycle, it's always good to know your options and what pricing will look like if you needed subsequent cycles. Accounting for price of medication is also something that needs to be factored in. Alto Pharmacy was superb in terms of convenience of delivering the medication to my doorstep. Our cost was ~$50K for 2 IVF cycles and 1 FET.

Dr. Fisher is the best doctor I've ever worked with. He and his team has been with us through our 1+ year long fertility journey and we could not have asked for a better team. From the get go, he took the time to educate us, carefully listen to our story & goals, and created a plan for us. He's honest, realistic, funny, smart, detail-oriented, caring, all the things you'd wish for as a doctor during such vulnerable times.

Just be honest with what you want and come prepared for any questions. He was so patient with all my questions and always took the time to walk through everything with me.

We went with the mid-luteal protocol. For medications, was as on the typical injections, FSH, Menopur, Cetrotide and I can't remember what I used for trigger. For the transfer, we went with natural/letrozole protocol as I was able to ovulate on my own and my progesterone levels were normal.

My company insurance covered most of it and I paid about 1500 out of pocket. I believe if I did not have insurance, it would be 18k for the injections + trigger and 6-7k for transfer.

We went wit single embryo transfer as it was the safest and lowest risk.

Dr. Fisher always took the time to listen to my concerns, answered my questions in the clearest way possible, he was always realistic and honest about our case, no sugarcoating but always kind and respectful. During every appointment he always had the best attitude, his bedside manner was spotless and his communication very straightforward. IVF can be a very complex process but at every visit Dr Fisher always made sure I understood every decision about my treatment, what the next steps would be and why, I always left his office at ease and confident I was getting the best care for my case. Dr Fisher's demeanor has the right mix of science, professionalism, compassion and heart and I feel truly fortunate to have had him as my fertility Doctor!

Please ask him all the questions and share every concern you have, he will always listen and give you an honest and clear answer.

For my egg retrieval: I was on Menopur, Follistim, Ganirelix, leuprolide and triggered with pregnyl (cannot remember the doses as these were adjusted) For my transfer: medrol and ovidrel. My FET was successful and I am now pregnant at 42-years-old.

Egg retrieval and monitoring: $18000, Embryo transfer $4700, Medications: $4000.

We did single embryo transfer (safer for my age and higher chances of live birth)

Very attentive and caring. He went through the IVF process with his wife and he not only has the medical understanding of he process but also how a patient might feel physically/medically. His friendly personality made me feel very comfortable every time I went in.

There are no stupid questions so ask away!

[1ST CYCLE: 24 retrieved, 21 mature] Started the shots with the period, progesterone priming for 10 days before the period. Started with 150IU Gonal f/ 150IU Menopur. It went down to 75 IU each eventually & I added Cetrotide on day 5. Lupron only trigger to prevent OHSS. Triggered on day 11, and vaginal Cabergoline insertion for 8 days since the trigger day. [2ND CYCLE: 42 retrieved, 33 mature] Mid-luteal protocol to see if we can get the eggs grow a little tighter. Started the shots 1 month after the retrieval date. Started priming 5 days after positive ovulation test. Started with 150IU Gonal f/ 150IU Menopur. It went down to 100IU Gonal f/ 75 IU Menopur eventually & I added Cetrotide on day 6. Lupron only trigger to prevent OHSS. Triggered on day 11, and vaginal Cabergoline insertion for 8 days since the trigger day. Was back on Cetrotide again for 3 days after ER to minimize OHSS risk.

I had fertility coverage through work and the care team had a good understanding of my coverage (Progyny)

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He explained everything clearly and answered all my questions. I wish he had discussed how to beat take care of myself before and after the IUI though. He is always friendly and reassuring, and has great bedside manner. He also made me feel much more hopeful than before. He made the decision for an IUI seem like a very easy one.

Ask a lot of questions

I had a full fertility workup (blood panels, checking my uterus and fallopian tubes, hereditary disease panel, etc). We did clomid for 5 days and monitored my follicles with ultrasounds. Once I hit 15.5cm he had me trigger ovulation 3 days later. IUI was 2 days after that.

About 500 for initial blood work, 550 for the fallopian tube check, 1733 for the IUI. This is without insurance.

By the time my husband and I saw Dr. Fisher, we had been trying to grow our family for over a year and had experienced one pregnancy loss. We were sad and defeated, but after our first consultation appointment with Dr. Fisher, hope was restored. Dr. Fisher spent over an hour meeting with me and my husband, asking us lots of questions, and reviewing our lab test results with us. He explained in detail what he thought may be going on and gave us a few options for next steps. This was the most time any doctor had spent with us over the past year and we left his office feeling informed and hopeful. Over the next 3 months of treatment, Dr. Fisher and his team were communicative, honest, and always kept us informed along the way. We had one minor setup during the Timed Intercourse treatment process, but Dr. Fisher had a solution and always kept us informed of what he thought was happening and why he was recommending certain next steps. Ultimately, we are blessed that the treatment worked and we now have a beautiful healthy 2 month old baby boy. We are so grateful for everything Dr. Fisher did to help us grow our family and would highly recommend his services.

Come with an open mind and trust the process

Dr. Fisher suggested we try Timed Intercourse and started me on 5mg of Letrozole. I took the 5mg of Letrozole for 5 days and then went in for an ultrasound to see if my ovaries had grown. They hadn't made much progress, so Dr. Fisher increased the Letrozole dose to 10mg and I took that for 5 more days. When I went back in for my next ultrasound, my ovaries had grown slightly, but not as much as we had hoped. That being said, Dr. Fisher told me he felt confident the medication was working, it was just working slower than we had anticipated. Dr. Fisher told me to wait a few more days and then take an ovulation test. I did exactly that and the test was positive. My husband and I were fortunate enough to get pregnant that month thanks to the medication and treatment process.

Approximately $6,500 for one round of Timed Intercourse + a saline sonogram.

Dr. Fisher really heard me out on my TTC journey after stillbirth. He was so supportive and made me feel comfortable even though my retrieval’s did not go the way we hoped. He helped with my plans moving forward after two retrieval’s and moving forward with a transfer with our one embryo prior to trying a third retrieval. He is such a great doctor and person.

Ask all your questions as you deserve to understand your treatment plan and Dr. Fisher is very helpful to explain the process.

We did IVF with ICSI we had expected to get lots of embryos, unfortunately only 2 embryos made it to blast the first retrieval and 1 embryo the second retrieval. We did a natural cycle for my frozen embryo transfer which was successful.

I had insurance for IVF

I completely agree with a single FET (I also only had one embryo)

Dr.Fisher explained everything very thoroughly. He is very knowledgeable in his field and made us feel comfortable every step of the way. We felt like we were in great hands throughout the whole process.

You’ll be in great hands. He really listens to you and explains everything in detail. He was fantastic!

I can’t remember all the specifics but I know we used gonal-f, and another medication before egg retrieval. We did a frozen embryo transfer about 6 weeks after egg retrieval and pgs testing.

The total cost from start to finish (one IVF cycle with a positive pregnancy) was roughly $28,000

Spring fertility prefers to do only a single embryo transfer. They let us decide which embryo we wanted to use.

Dr Fisher worked with my anxiety to ensure I was well informed. He took my opinions into consideration, explained all medication and procedures in detail and never pushed me towards a treatment I didn’t feel comfortable with. He predicted the exact outcome of my treatment cycle, down to the number of embryos. He really uNader stood our diagnoses and helped us get a good outcome in the very first attempt.

Don’t be afraid to ask questions. Dr Fisher is very kind and accommodating

Inspite of low chances of success , because of our preference, we started with IUIs with Letrozole for male factor infertility. I also have one tube only. We moved on to IVF , did one round of mid luteal protocol , added ICSI and zymot and got 17 eggs, 4 day 6 embryos , 3 PGT normals. We transferred one embryo in a modified natural cycle the following month (medrol + Valium , no progesterone ) and it was successful.

Used Progyny - paid out of pocket max . Total cost around 5000 usd

I agreed with Dr Fishers risk assessment and preferred to transfer a single embryo

Dr. Fisher was referred to us by my OB/Gyn, as we were having trouble conceiving our second child (due to DOR, low AMH); therefore, we decided IVF was our next route. From our initial assessment to our last & final appointment, Dr. Fisher was nothing but amazing! Not only is he a wonderful doctor with incredible bedside manner, but he rocks as a human being - his compassion & dedication is apparent in everything that he does. We are so, so grateful for this man & the fact that with his help, our little miracle girl was born happy & healthy.

While the process might take longer than expected or wanted, he personalizes your protocol & values your insight as a patient. Your concerns/questions do not go unheeded.

All in all, I believe we spent approximately $45K OOP. It's a shame insurance didn't cover most, if not all, of it.

Due to my age, Dr. Fisher suggested that we transfer all our 3 embryos (1 frozen; 2 fresh) at once, which he thought might increase our odds of success. We are so happy we went with his suggestion, as one of those embryos resulted in our little girl!

I was blown away the amazing treatment I received under Dr. Klatsky's care, and am so thrilled with the results of my egg freezing cycle with him. Dr. Klatsky understood that I have some irregular factors (low ovarian reserve, irregular cycle.) He also knew that I'd gone through a cycle 1 year prior at a different NYC clinic that did not go well. The biggest differentiating factor is that Dr. Klatsky customized my treatment from beginning to end, adjusting my meds throughout the cycle in response to every scan and blood test. His personalized approach made an incredible difference, and resulted exactly Double (!) the number of eggs frozen in a single cycle. He is also an incredibly personable doctor with excellent bedside manner, and I always feel like he is both the captain of my treatment team, and also rooting for me personally.

Don't be afraid to ask questions!

Mid-Luteal start, 12 days of injections (Cetrotide in AM days 6-12; Menopur and Gonal in the evenings Days 1-12.) Trigger shots were lupron (.8) and Novarel 2500. I began with 8-9 antral follicles, 9 were retreived, and 6 were mature/frozen.

$9750 for full cycle, inclusive of all scans, appointments, day of procedure costs. $3800 for meds ( I paid this to the pharmacy, not Spring.

Dr. Yoder is easily one of the best doctors I have had. She is professional yet personal. She is very detail-oriented. She also has a great deal of empathy and knows how to resolve issues and setbacks when they arise

Ask questions; ask and ask

It was well scheduled, and I could go for appointments when I had the time. Appointments were typically available when I needed them

Such a great experience and I would be thrilled to work with her again. I had two rounds previously with another RE that were successful, but didn’t get nearly the numbers that my AFC indicated. Dr Shastri went through all the possible causes with me, developed a treatment plan accordingly, and the one round I’ve done with her so far got me more frozen eggs than both my previous rounds combined!

I don’t think you really need advice, she’s very welcoming of questions and just great to work with

We did Estrace priming instead of the birth control pill leading up to this round to avoid over-suppressing my ovaries, but I also just felt so much better on it - I do not do well on BCPs. We used Gonal-F & Menopur once a day in similar but slightly lower doses than I’d used in the past, and one thing I thought was interesting was we tapered off the amounts as the cycle progressed. (I’m not a doctor but even I could tell from looking at the ultrasound screen that my follicles grew a lot more uniformly in size this time around.) Then Cetrotide and a Lupron + low-dose HCG trigger. And voila!

My experience with Dr. Fischer was excellent. She is a very experienced and talented clinician, who chose a great protocol for me, and was able to grow my cohort of eggs to maturity so cohesively, that every egg was able to be frozen except just one.

Ask lots of questions.

I had an early follicular phase protocol, which started with a combination of Follistim and low dose Pregnyl. There is currently a national shortage of Menopur, so I took a higher dose of Follistim combined with the low dose Pregnyl instead. Around day 7, I started Ganirellix as the antagonist, and then used Pregnyl and Lupron for the trigger shots. After each visit, which consisted of an ultrasound to measure the size of the follicles and bloodwork, I received updated medication instructions tailored to me based on how my follicles were responding to the treatment. The results were excellent, as 94% (all except 1 egg) reach maturity and were able to be frozen. I could see that there is almost an art (and a lot of medical expertise) when it comes to how Dr. Fischer chose to modify the protocol over the course of the 2 weeks, and then chose the right day for the trigger shot.

Dr. Fischer spent considerable time with me when I had a diagnosis that will make having a family harder. She explained everything in detail, and checked on me via email several times after my visit. I appreciate that she is also doing research that could change the fertility game in the future for all of us.

Learn about your fertility numbers early. Advocate for your company/insurance to cover these early tests.

I did the initial assessment but due to cost, I was unable to move forward yet with the egg freezing I medically need due to low AMH and FSH and follicle counts. She said I will likely need 2-3 cycles performed, but cannot without insurance. She has helped write letters and provide information for me to bring to my employer in my fight for coverage.

$450 initial assessment $8750-9750 egg freezing cycle $7000+ medications $650 Annual egg storage

I was surprised to learn that Dr.Klatsky was the co founder of Spring Fertility. He was extremely down to earth, realistic about results, and didn’t “push” unnecessary retrieval’s. He set realistic expectations and felt more as a friend than a service provider.

Be prepared to enter your treatment full force. Once you’re committed you’re in!

Initially an extended protocol was used to elevate my reserves. Although lengthy, it worked and I was able to produce more mature eggs than anticipated. Every cycle thereafter followed a standard 2 week protocol.

Minimal as I have insurance

Dr. Yoder was professional, caring and thorough. I was very pleasantly surprised as I have had negative experiences with healthcare providers before. Dr. Yoder listened to what my goals were and never pressured me to make a decision or proceed with treatment before I was sure. She was upfront about what I could potentially expect, given my age, and what my options were if I wanted to wait longer before freezing my eggs - she was kind and understanding but was also direct and didn't sugar coat anything.

It was $9,750 for the cycle plus the cost of medications. I was fortunate that my insurance covered the cost of the medications so I only paid around $400 (out of pocket it would have been $4,400). Plus the cost of storage fees which are $960 per year. One of the reasons I chose Spring Fertility is that they offer a payment plan (doesn't include storage fees or medications) so I am able to pay off the cost of the cycle at $245 per month for 40 months.

From my 1st consultation to my last appointment when I was 8 weeks pregnant, I always felt supported by Dr. Klatsky. He always thoroughly explained things to me, went through pros and cons if there were any, and just showed he really cared. He's one of the best doctors I have ever met and I would highly recommend him to anyone seeking fertility treatments!

Dr. Klatsky used a low-dose more natural approach knowing a higher dose treatment strategy would not change my outcome. Though I only had 2 egg retrievals with Dr. Klatsky, I think his strategy paid off as the quality of my eggs seemed to have improved over my retrievals from the past. You can tell at every monitoring appointment he thought seriously about how I was progressing and adjusted and customized my protocol accordingly. It made me feel like I was in the best of hands.

I believe the costs were typical compared to other NY-based clinics but I fortunately had the majority of my costs covered by insurance.

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I had been attending a different clinic before seeing Dr. Hancock and I had a poor experience, three rounds of IVF, one round completely failed. I was treated like a number and when I asked my old clinic for a new plan they told me just to have faith. Dr. Hancock walked me through a new custom plan and also explained all of the ways they’d change things up for better results. Something else I REALLY appreciated is that Dr. Hancock suggested that during my egg retrieval she’d also do a biopsy (can’t remember if this was for endo or the test to see how long you should wait to transfer). Either way I was super nervous about it because typically they do not provide pain management for this procedure, so I was blown away when this plan was offered. Dr. Hancock also regularly called me to check in and would ask if I had questions. I never felt rushed. At my last “big” clinic I never had that kind of care.

At these “big” clinics you’re really limited to plans that are one size fits all. Dr. Hancock has the flexibility to try new things and really get to know what works for you and what doesn’t.

Doctor Fischer is a brilliant doctor, and I cannot recommend working with her enough. She has this superpower of being able to articulate her vast expertise in a way that is simple and easy to understand which my partner and I very much appreciated. Every appointment I was at, she was also there with a smile and an unbeatable attitude.

Come prepared with your questions because she will be more than happy to answer them all!

Follistim and Ganirelix stims. Lupron and Novarel trigger.

Around $14k for the embryo freezing and $200 per embryo for testing

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Dr. Hancock was awesome from beginning to end. She made sure I felt comfortable, helped me make my decisions along the way, and checked in on me multiple times after my egg retrieval. She was generally reassuring and encouraging, and as a result I was confident I was in good hands.

Come with all your questions to your first visit or two, since it helps you decide whether / how to proceed.

$10,000 for the services, meds were additional/separate

I requested to know how many doctors I would be seeing through this process; I'm not sure if this information would have been offered had I not asked. Dr. Hancock made sure to let me know to contact her through the portal and raise any questions or concerns I ever had.

Medication package was flat fee. Standard treatment prices.

Dr. Fisher is incredibly knowledgable and patient making him very easy and great to work with. I saw Dr. Fisher about freezing eggs and embryos and from the onset always felt like he shared his knowledge of fertility which allowed me to make educated decisions. I was 32 turning 33 when I first saw Dr. Fisher about egg freezing. I know I want kids in the future and therefore was contemplating egg freezing. Dr. Fisher never made me feel like he was selling the idea of egg freezing and rather me provided with facts and data. It was because of this that I chose to do egg freezing with Dr. Fisher. There are some Drs. who gave me the impression that were selling me the service as it was must do however Dr. Fisher never did that. He kept to facts and when asked his opinion to stuck to facts such as 'typically egg quality is like x during y, and then will be z during a". This made me feel like I wasn't getting sold something but rather had a Dr. who kept to the science which I greatly appreciate. I could also get a sense that he cared for his patients and he always took the time to answer questions. I left our initial consultation feeling like I had a better idea of female fertility and reasons why but did not feel like I had to freeze my eggs at that exact moment. I chose to however for personal reasons of knowing that if I was going to in the future anyway why not now especially having found a Dr. i liked working with. During my egg freezing Dr. Fisher always explained what was happening and provided next steps so I knew what to expect, what was happening and why, and what was to come which created a sense of trust and removed much anxiety which is important as a patient. Dr. Fisher monitored my progress throughout my egg freezing process.

Don't hesitate to ask questions

My treatment strategies and protocol was to track my ovulation as I had gone off birth control (my own choice) ahead of egg freezing. Since my amh levels came back normal (higher than average) and my initial consultation showed regular follicle count I was to use gonal f and menopur during the monitoring phase as we began the egg freezing process. Right from the beginning I was told at what time of day to test for ovulation and to immediately call/advise the clinic when I got a positive. Since this was during Covid the clinic also did covid tests ahead of treatment which I greatly appreciated given I was paying for this myself. Once I got a positive they booked me an appointment for a blood draw (I think the day after possibly) and since blood draws were in the morning they could get results by afternoon and provide us with our protocol. I was then given clear instructions both via a calendar, a web portal and a phone call by a nurse of what to do for the next few days. I started off with gonal f and menopur and would go in every 2-3 days for monitoring to begin with. Closer to my retrieval I went in every day and my dosage changed a little which again was communicated via a shared calendar, a web portal, and a phone call. They also did injection trainings ahead of this so I felt as well prepared as i could have been having never injected myself before. On the day of my trigger, because one of hormones was high I did not have to use two medications to trigger but one. The nurse had called me the day before to give me the exact time I was going to trigger and to walk me through exactly which medications to use, how to do the dosage and was very clear on the importance of timing. They recommended getting the injections prepped a little before the actual trigger keeping in mind the need to refrigerate one of the medications. The anesthesiologist also called me the early evening before the retrieval so I knew waht to do in terms of food and drink.

Egg freezing I believe was $8750 for my first round and then I think my second round I got a 10% discount. Embryo freezing (I did one round) was approximately $16,000-$17,000 for one round. In addition, each round required medication which cost around $3000-$4000

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