The Fertility Center of Michigan

When I first started going to the clinic it felt unorganized. Since then, I have noticed that they have done a good job about putting out surveys and I feel as if they have really taken the information and made changes. The last couple of years have been much better.

Dr. Shavelle is super compassionate. You can also tell that she wants to hear from you, how you are feeling and what your concerns are. She will take what you are saying and will fully consider how it could potentially be affecting your treatment. I also feel as if she has never given up on us, even though we have not yet been able to concieve. She continues to sign to try to figure it out.

For the most part the nurses in the office are nothing but excellent. There have been times however where I have felt as if they were not familiar with my case or where I was with my protocol. When I would ask questions I felt as if rather than reviewing my filing and getting be solid information, I would receive some guess work. This has only happened a couple of times. For the most part they are on the ball.

As a patient, I would highly recommend her. She is well educated and compassionate. She has an awesome bed sideanner and you truly feel like she is listening. She also has so e a great job of trying to figure our case out by tapping into the knowledge of her partners and other fertility clinic.

When you do get time with her, ensure you write down all of your questions before hand so you don't forget anything. She is great but you don't get a ton of one on one time with her.

Round 1 -Egg retrieval and fresh transfer using Gonal F, Menpur, and Cetrotide. - chemical pregnancy Round 2 Frozen embryo transfer using Lupron, Estrace, Progesterone. - negative Round 3 - Frozen embryo transfer using Lupron, Estrace, and resistant uterine protocol of ibuprofen, Xanax, prednisone. - negative Round 4 - Frozen embryo transfer, stimulation cycle using gonal. Thought was that I responded better to stimulation rather than suppression - negative Round 5 - Did an Endometrial Receptivity test prior to frozen embryo transfer. Showed I needed 12 less hours of prednisone if following previously used stimulation protocol. Negative Round 6 - Full retrieval with PGS testing of embryos followed by a frozen embryo transfer with previously suggested protocol from ERA. Negative Round 7 - yet to transfer. We are on our second round of testing through Yale doing the Endometrial Function Test. First round showed potential endometriosis and that I was taking too much progesterone. With this second round of testing we are treating the endometriosis by doing 2 months of Lupron prior to testing month. We are also adjusting estrogen and progesterone doses.

For all treatment thus far, we have spent almost $80,000.

Dr. Shavelle has always been very honest about how many embryos are recommended. It seems that the office has protocols as to how many they are willing to transfer in which situations.

The office staff are very nice and helpful. They all are very compassionate and willing to listen and help you out. They began to know you by name. I think it would be nice to see the same physician when they are adjusting med dosages but besides that they do a wonderful job.

He always talked to me. Updated me every step of the way. Even called me after egg retrievals to go over things and give me his opinion even after business hours.

Loved Robin very informative and helpful. Could call her for anything When she would get back with you in a timely manner.

I believe he is a very compassionate caring doctor. Very knowledgeable and truely cares. Will do what is best for the pt and he listens to what you have to say. Will come to a conclusion that works for everyone involved.

He is great. And easy to talk to. Do not be afraid to ask questions or tell him how you really feel about something.

I used Menopur 75,Gonal F, (do not rememberdose)and added cetrotide and then a trigger shot. On the first round we only ended up with 1 frozen embryo. So with the second and third round we did the same dosage of Menopur decreased the Gonal F and grew the follicles bigger due to the fact I had a more immature eggs duing the first round. The first round 5 retrieved 1 frozen. Second round 7 retrieved 3 frozen. Third round 14 retrieved 10 frozen.

Monitoring was always done in the morning so if medications needed to be changed they would call you in the afternoon to let you know. It went like a well oiled machine in my book.

Well we are around 24,000 which includes 3 rounds of IVF, monitoring, medications, and some of our gestational carriers things are paid for.

No he said it was up to me and my gestational carrier.

I have a limiting schedule with my career to allow for the many doctors appointments IVF warrants. The scheduling staff always found a way to fit my schedule. The clinic offers FREE counseling sessions with their in house counselor. They also have a monthly support group session that I have found helpful. The clinic is modern, clean and easy to access.

Dr. Mili Thakur has amazing bedside manor. She has kept me feeling reassured and well taken care of. Her ability to deliver news, both positive and negative, with extreme compassion rather an only clinical view let's me know I am at the right office with the right doctor.

The nurses give extreme patience with the many questions I've asked, sometimes multiple times. Their bedside manor also shows great compassion and understanding of the emotional roller coaster infertility dishes out. The nurses show incredible care with detail and being thorough.

During my time at The Fertility Center - Grand Rapids, Dr. Thakur has take incredible care of me through the many delays I've experienced. There were multiple surprises along the way due to my health, not any reflection of my clinic or doctor, such as surgeries to better improve my chances of pregnancies (tube removal and endometriosis removal). These issues were diagnosed by Dr. Thakur and she was able to change my medical plan to suit those needs. Dr. Thakur has been incredibly informative and empathetic. I feel Dr. Thakur truly cares about me and my opinion with my best interest and safety in mind.

If you are looking for a fertility doctor that will cover all aspects of your health, (physical, mental and emotional) Dr. Mili Thakur is the right doctor for you. Her knowledge of the field and compassionate bedside manor will give you confidence that you are in the best hands. She wants nothing more than success for all her patients on the safest path.

Dr. Thakur encouraged me to take multiple vitamins such as prenatal, CoQ10, folic acid, vitamin C, fish oil, D-3, vitamin E and Metformin. There were multiple injections I used such as Lupron, Progesterone, and other standard medications for IVF treatment. We discussed ICSI and Blastocyst as the best options for my pregnancy success.

For an egg retrial, fresh embryo transfer and the medications associated with it, I spent roughly $14,000.

Dr. Mili Thakur has guided me through the process to the right decisions. Due to my age, medical diagnosis and preference, we have chosen to go the route of multiple embryo transfer with not more than 2 embryos.

This Clinic knows their stuff! They are also just incredibly personable, friendly, compassionate, upbeat people. I definitely felt well guided and cared for during any treatment that I've received there. They help cultivate hope for your situation. I feel very relaxed at this clinic.

She took the time to both ask and answer questions about my husband and I. We both felt valued and hopeful after having our consultation visit. She knew exactly which steps we should take next and we both felt confident in her knowledge, abilities and understanding of where we were currently at in our infertility journey.

The nursing staff at the fertility center are incredible. They are overflowing with compassion. I was almost shocked by the amount of care and concern they showed the first time I had to call in because I had started my period after our first treatment cycle. I felt very cared for and even comforted. For the most part, all of the nurses are warm, compassionate and fun. They are also very knowledgeable and confident in helping you or answering any questions that arise. The nurse I had for my first IUI was so great and talking me through the process and calming any nerves that I had. Great nursing staff!

When we met with her the first time, we were impressed by her professional manner and knowledge of the process. She was very good at answering the questions that we both had, as well as making questions of us. She made us feel hopeful about our ability to be able to eventually conceive and made us feel like we had many options and possibilities yet to pursue. She has a very calming demeanor, which for me was maybe a little too clam. Where I definitely appreciate that you need to exude peace in what can be a stressful situation in people's lives, I personally love when doctors can make you feel like they understand the particular situation that you're in and still express an upbeat fun attitude. That being said, she was very nice and gentle with the way she talked and discussed different treatment options with us.

Be prepared to feel like you have a wealth of possibilities that you gain from her knowledge. You'll definitely feel like your being cared for and helped, but don't expect an excess of laughter or jokes. She seems to be very calm, steady and even keeled.

After our consultation visit, she decided to do some more lab work that we hadn't previously had yet...testing the ovarian reserve, my thyroid levels and a couple other things that I can't remember. She also decide to increase the dose of Clomid that I had previously been taking from my OB/GYN. (Which is where we started out in this process.) We went from 50 to 100. She also had me schedule a mid cycle ultrasound to measure the developing follicles and thickness of the uterine lining. By upping the dose, she was hoping to stimulate a better response from my follicles than what I had been getting on just the 50. I was also told about the trigger shot ovidrel, and used that to push ovulation. The first Cycle like that we did with just timed intercourse. The next cycle she bumped my clomid dose up to 150 because it still wasn't helping the follicles to develop any sooner or bigger than it had at the 100. That definitely worked. At the next middle ultrasound, I had three good sized follicles instead of only one small one. We moved on to an IUI that cycle...still with the Ovidrel. A nurse in the office actually performed the IUI, not the doctor herself. That both of those cycles ended with a negative pregnancy test. We are currently coming to the end of our third cycle with this Doctor and office. This cycle we did all the same things, 150 cComid, Ovidrel, IUI. (Just one follicle this time, but still on the bigger side.) The only thing that changed this time is that during the mid cycle ultrasound it was noticed that my lining was on the thinner side, so I was prescribe esterase tablets to take vaginally to help thicken the lining. I started taking them cycle day 12 and am still taking them now on cycle day 19. I was advised to take them until I take a pregnancy test..which will be soon. That being said, we don't know the results yet of this current treatment cycle.

My insurance only covered half the cost of ultrasounds and lab work only if it was done somewhere else and then sent to the Fertility center. The fertility center has been super helpful in letting me get lab work done at a place covered by my insurance, so that im not incurring unnecessary costs. They also recommended a cheaper pharmacy that I could get the Ovidrel shot from.(It wasn't covered by my insurance.) I went from paying $170 for the shot to $90. The ultrasounds cost me about $100 after the insurance and the IUIs that I've done were each $600 out of pocket.

They were overall a really great place to be working with. The few complaints I have are quite minor, they seem to be very busy and I get that but getting back to people on administrative stuff is not their strong suit. Getting record copy’s, talking to their billing department, finding out what paperwork is needed next all took longer than necessary. While the nurses and docs will call back within the day the office itself won’t call back for a fee sometimes, or forget to email paperwork or forms etc. so that part was frustrating.

She was great about sitting ya down and going through every detail of the process. We had a prior doc and felt like a number and this was a million times better. She was sympathetic, called to check in when she knew I’d been sick even though I hadn’t called. She was our team mate not our doctor.

The nurses were mostly pretty great. There were times it felt like it was difficult hearing back and we’d play a lot of phone tag as they didn’t seem to answer the phone ever but because I was working I couldn’t always pick up when they called back.

We felt she was thorough and helping us identify the issues as well as solutions. She followed up with us personally when she found out from the nurse that I was hesitant about the retrieval based on tests. She followed up directly when I had some slight concern of overstimulation (turned out I wasn’t ohss but she wanted to call to chat anyway). She called when she’d heard I was sick from the meds to see about adjusting them even though I’d commented I’d tough it out. She was available when we needed her by phone or office visit and was just really great to work with.

Don’t hold back on questions because she will draw pictures and explain everything you just have to ask. In the beginning I don’t think I asked as much, with nerves etc and so wish I had as she was so great at taking the time to explain things to us.

We started with femara lightly and an IUI because we weren’t sure how severe the sperm motility was. She switched us to clomid and objectively gonalf to grow additional eggs and grow them more friendly to penetration by softer sperm as we didn’t have a lot of strength on our side. We tried different variations of that. We learned I react very very poorly to any progesterone and in the end canceled my retrieval to see what else could be tried safely before we did a retrieval and transfer.

Iui’s were broken between the lab and the insemination itself. Lab was $350, procedure $250 for a total of $600. Meds were usually sent to freedom pharmacy unless you requested otherwise. Consults were $350ish even though the nurse will always say on the phone 200 they always bill at the higher coding rate. Sperm analysis are $200, genetic testing is $100 for each spouse.

We had heard the field was cutting back on transfers but our doctor said that they still transfer two if we really wanted it or if we’ve down more than one IVF already.

The strengths they have are fast scheduling, prompt return calls, so caring and knowledgeable, great at explaining the next step. They have multiple doctors that you can see if your doctor isn't available and they are all great! When you call with questions they call you back within the hour and always answer all of your questions. I can't really think of any weaknesses at this point.

He took the time to answer all of my questions and to explain the diagnosis of PCOS. He gave me hope with the treatment plan he decided and explained to me!

The nursing staff has been incredible! They make me feel comfortable and are genuinely concerned and so caring every time I call or come in for my appointments. They make the visits each month as enjoyable as they can be.

Dr. Dodds made me feel very comfortable and confident with his treatment plan. He told me all of the details and made me hopeful. The only thing that I wish could have done differently is that he would have suggested the hsg test before I started the Femara.

Ask every question you can think of! There are no stupid questions!

I had an ultrasound done and Dr. Dodds could tell that I had pcos. Because of the multiple cysts on my ovaries and infertility as well as some other symptoms he was confident with the diagnosis. He started me on Femara 5 mg for the first cycle. It worked but the second cycle we decided to add the trigger shot to take out the guess work of when I ovulate. Now this third cycle because I only had one follicle the previous two we increased my dosage to 7.5 of Femara with the trigger shot. I had one large follicle again. I have a consultation scheduled in a couple weeks if I am not pregnant to go over the next options.

I paid everything out of pocket. Consultation $250. Ultrasound $200 Nurse consultation $75

it is a nice sized clinic, but it is kind of like a satellite clinic, they can do consultations,ultrasounds etc. there but for anything else you might need or want done ( IUI, HSG, IVF) you have to go to Grand Rapids to do. Which at times can make for time constraints especially for work hours. The clinic is also only open Monday, Tuesday, Thursday and Friday (which isn't a problem for me but I could see it causing issues for some people depending on their work schedule or commute time)

Dr. Dodds took the time to look at my information and decide what he thought was the best for me, he was caring but also to the point. He seemed sincere and concerned for my best interest in all aspects.

Everyone was very sensitive and supportive, every time I go into the clinic I feel at ease and supported, everyone is very sensitive to the situation and you feel like they are all rooting for you to win

Dr. Dodds was very well spoken and personable, he told me the findings of my blood work and what was normal or abnormal and what he thought we needed to work on. He have me several different options as to what my next steps should be, but also rated them as what he would "suggest if I were his own child" . He made it very clear that he wanted to get me to what my husband and my goal of having a child in the most cost effective and healthy way possible.

He is very open and will explain anything that you want/need.

Dr. Dodds wants to try two cycles of hybrid medications with IUI to increase my chances of conceiving. I will be using Femara 5.0, and Gonal F at 450iu at 75iu per injection for a few days days, and a trigger shot of Ovidrel at 250 mcg/.5 ml He also gave me the success rates for all of the options that he gave me (such as, I could try Laproscopic surgery to check for endo but it would only increase my chances of conceiving by about 20%, or I could do the hybrid and IUI which on average 60% conceive within 3 cycles, or IVF which is a 60% change on the first try no matter if I have endo or anything else, with the added bonus of having egg retrieval and FET at the age of 32 instead of later in life, especially with my low ovarian reserve.

with no insurance coverage, my consultation was around $240, ultrasound runs around $275, medication costs Femara $6, Ovidrel $100 Gonal-F $450, Initial consultation was $375, Blood work all together was around $600

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The clinic has a lot of staff so you may not always be familiar with who you are speaking to. The billing department and front desk staff have had billing miscommunications within their computer system. The front desk staff would have us pay off our entire balance and then I'd receive a bill for services we already paid for and they would say what we paid must have been applied to a different procedure balance. No one could actually identify the issue so we just paid what they said we owed and we haven't had a problem since. The clinic is very clean and well organized. Be aware, that some fertility clinics have separate areas for those with no children and not pregnant and those who have children or currently pregnant, this is not one of those clinics. You will frequently walk into the waiting room where there are multiple children per family. Anyone of the more sensitive nature may feel uncomfortable.

Dr. Shavell was always kind and sensitive to the nature of our conversations. When it was time to delve into the more difficult news, the information was provided in an informing and caring manner. Our meetings weren't rushed. After providing a certain amount of information she always asked if I had any questions instead of dumping a ton of information at once and waiting until the end to ask if I had questions. It is always difficult to remember so much, but with the breaks for questioning between information, it made it feel more human and personable.

The nursing staff was fairly easy to communicate with. In most cases I left voicemails for them and they would call back. Some of my messages may have been long and it seemed like they may not have listened to all of it at times. Regardless, they still answered my questions after getting them on the phone and mentioning it again. The nurses carried out the IUIs and were as gentle as possible and comforting. They were able to provide information regarding the seman sample prewash and postwash prior to the IUI. The IVF nurse who did my IVF consult was very thorough and informative.

Dr. Shavell was very thorough from the very first consultation. There was a lot of information to take in but it provided me with everything I needed to know and to further research myself. Any questions resulting from my research and conversations with others in similar situations were always received positively and answered appropriately no matter how silly some questions may have sounded. She was more available to the nurses than me, however. She did not conduct the 7 IUIs but still communicated with the nurses before starting the next round. Although she was not available to conduct my laparoscopy, she did my pre-op and post-op and made sure I was very comfortable and doing well. Most recently she did my sonohysterogram and mock embryo transfer and was very gentle and calming through the discomfort. She ensured all parts were in working fashion to proceed with IVF in the coming month.

If you feel like you need a face to face meeting, do not be scared to call and make the appointment. It can be difficult playing phone tag with the nurses who have to communicate with the doctors and then back to you. It can be time consuming, especially if you miss phone calls due to work or other daily activities.

The first test I had completed was an HSG. Everything looked perfect with no signs of obstructions. Dr. Shavell mentioned there is some research showing women getting pregnant in the following three months. Unfortunately that was not the case for me. We started a cycle of clomid in December 2017 with a trigger shot of Ovidrel followed with an IUI. A negative pregnancy was the result. We continued with the same protocol for 3 more IUIs. Dr. Shavell provided statistics that show IUIs increasing positive outcomes after 3 IUIs, again they all resulted in negative pregnancy tests. We had a meeting with Dr. Shavell to discuss the next steps. She stated she would like to see my egg quantity and quality response with a protocol of pills and injectables with IUI. We switched to letrozole pills as I started having very bad headaches and long lasting nausea with clomid, and added Gonal F 75 IU daily, triggered with ovidrel followed with IUI. We did this for 2 rounds and both resulted in negative pregnancy tests. However, there was an increase in the number of follicles and size. At this point I could not continue to see negative tests and chose to take a month off. We met again and discussed having a laparoscopy to inspect the outside of my anatomy. We had a good pre-op conversation consisting of laparoscopy information and IVF information. The laparoscopy resulted in finding and removing stage 2 endometriosis. Dr. Shavell wanted to try IUI again now that we found a potential cause. We did IUI with letrozole, gonal f, and ovidrel. Another negative pregnancy test. That was the final IUI. Being that I was provided with IVF information a few months prior, I decided to schedule an IVF consultation in January 2019. The meeting was with an IVF nurse and she provided all the procedures,medication, and protocol information Dr. Shavell wants me to do. I was scheduled for a Sonohysterogram and mock embryo transfer with Dr. Shavell February 7, 2019. Here she wanted to get a better view of inside the uterus to ensure there weren't fibroids, polyps, scar tissue or other abnormalities that would prevent implantation. Everything looked just fine for implantation and the mock transfer went smoothly as well. Dr. Shavell will carry out my egg retrieval and embryo transfer in March 2019.

We do not have infertility insurance, however we do have coverage for monitoring and some procedures such as the HSG and laparoscopy which resulted in significant savings. Ultrasounds performed at one of their smaller locations (Mason) were typically $180 or $75 after insurance. However, if it was one of the Doctors that did the ultrasound as an ultrasound technician wasn't available, an extra $30 was added. If they were done at the Grand Rapids office, regardless of who did it, an extra $30 was tacked on. The bill would show it as a meeting, even though no meeting took place, it was just the ultrasound. IUIs were out of pocket. For the semen wash and the procedure it was $500 per IUI, we did this 4 times. Pricing changed and the IUIs were then $600 per, we did this 3 more times. The laparoscopy was a reasonable and fair price. For IVF, we will be paying $9,867 just for the procedures. This price includes the $1,850 we paid for a case management fee. We have a $8,017 balance due at the end of February 2019.

Dr. Shavell provided statistics on the success rates of single vs. Multiple embryo transfer along with specific criteria as to why a two embryo transfer is ideal for me. As I do not meat criteria for increased high risk pregnancy, we both agreed a two embryo transfer is ideal. She made sure to discuss the possibility of selective aborting if there were more than 2 or 3 developing babies.

Weaknesses: staff is not friendly, or welcoming. You are shuffled room to room for procedures and consults. No continuity in staff throughout a week let alone a cycle. I was crying with frustration in a consultation room once. I go myself back together and went to check out. It was obvious I had been crying. The staff checking me out, starting asking me about my bill, and a discrepancy with my insurance. I had fulfilled my deductible. She continued to ask for payment for services that were coming back as "going to deductible". I understand business, and this is one, but I was very obviously upset and it was not an appropriate time to ask for these things. This is still a very emotional journey.

The entire office is impersonal, and you can see a different nurse, tech, or doctor each time. There is little to no consistency nor connection with your primary doctor. You are called through the same process each visit and can see others doing the same. I felt like cattle being processed for ultrasounds and IUIs. I was rarely referred to by name. Doctors who had performed IUIs on me, did not remember me from cycle to cycle. I once walked into the wrong consult room (down a long hallway, all doors look the same) and Dr. Dodds welcomed me in and asked me to sit down. He was in fact waiting for a different patient. He was not my Dr. that day, didn't recognize me, (note: he is considered my PRIMARY Dr. and has met me in-person) nor, apparently, the patient he was supposed to be waiting for. I excused myself and went to the Dr. I was seeing that day.

A new person every time. The ultrasound techs were aloof and impersonal. They seemed upset to be there. The nursing staff would make recommendations or changes in the protocol which were in direct contradiction to the original protocol. I never felt confident when they told me to change the protocol b/c they did not seem sure or confident when I questioned why we were changing. It was a frustrating, confusing, stressful, and impersonal experience with the staff overall.

Upon meeting Dr. Dodds, he quickly explained to me that I had two options due to my age (39y.o.): 1) The "European method". He explained this as "...if you want a baby ASAP, I can get you one using IVF. I call it the European method because it's cheaper and used more often in Europe. It's like the deluxe package". Or we could go the 2). Conservative route. Which would be try more medicated cycles and then IUIs and see what we could get to happen. But that we had maybe a 15-30% chance of ever conceiving this way. I was, and still am, diagnosed as Unexplained Infertility. I do not have PCOS, endometriosis, or diminished ovarian reserve, I ovulate regularly, am healthy, and all tests have come back in good range. I believe the only reason he said IVF was my best option is my age. He in no way was interested in discovering why we are unable to conceive. At one time he used the phrase "Well it's a good thing that's how the good Lord made you!" when discussing female reproductive anatomy. He commented on how "great" my husband's sperm analysis was several times. He called him an "overachiever". I left feeling hopeless, pressured to spend anywhere from $10-25,000 for IVF with them, and that my body was a complete failure. I never met with him in person again. I went through 4 IUI cycles in which he supposedly read the monitoring reports and made recommendations. It took me changing Drs to get a new protocol. He would have kept running the same thing over and over, even though we got no better results each time.

Go in confident. Do not let him pressure you to make decisions. Ask questions, and ask them again. Ask that you see him in person once in awhile to check in. Ask if he personally is monitoring your cycle. I doubt he will, but I wish I had demanded it more.

My first medicated cycle, he had me do 100mg of Clomid days 3-7. I produced 6-8 mature follicles. They recommended we switch to timed intercourse rather than IUI to avoid multiples. Then, I used 50 and 100 mg of Clomid days 3-7 (alternating days), with transvaginal monitoring on Day 1, and then closer to ovulation. We hoped to get 3-5 follicles of good size. I produced these each time, with some of them getting to a very large size---38mm was my largest. Ovidril was used to trigger ovulation and IUI was performed around 24-36 hrs later. I used progesterone the day following and for the next 14 days. I was not told that progesterone could stop my period from coming and I needed to stop after a negative test in order to allow myself to bleed. This lead to quite a bit of disappointment and heartache right off the bat. By the time we came to IUI #3, my lining was severely thinning due to the Clomid. I then started using estradiol to help build my lining. No pregnancies resulted from all 4 IUIs I had done.

With medications, consults, 4 IUIs, etc. about $7,000. A 10 min conversation with the Dr following my ultrasound would cost me about $150 each time. Ultrasound: $120 ea. IUI: $1200 +.

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It is still very early in my treatment at the clinic but so far I can say that they are very organized but also very busy. Some of the hours are a little strange but I also work a kind of first/second shift job so I have some odd hours open.

Dr. Thakur was very direct but also very compassionate. She sincerely seemed concerned that I was having trouble conceiving, and wants to figure out why.

They were very helpful and compassionate, they made sure that any questions I had were answered and that I had everything I needed.

It is still very early in my treatment, but compared to how I was treated at my OB/GYN I am very happy, she sat down with me and gave me numbers and what those numbers meant and what she wanted to do and how I was supposed to do it. She also was very compassionate, and explained that there are several different factors that could be at play and to conceive they all need to work in sync.

This is a new experience, don't expect the same experience.

I am still very new to the clinic and Dr. Thakur, but we are trying 3 cycles of femara using OPK's with an optimal trigger shot to begin because I was able to conceive once on a clomid cycle ( but it resulted in a chemical pregnancy). I was also put on synthroid because my absorption rate was "normal" but hypo for someone who is TTC.

My insurance does not cover any costs. When setting up my first appointment I was given a range of about how much my visit would cost so that I would be prepared and then at my visit I was given a sheet that broke down the clinic costs for visits, procedures, and most medications.

Thorough and understanding doctors with lots of experience. Nurses kind and compassionate, with you every step of the way. Detailed in keeping you updated on the plan and details for each new cycle. Staff communicate well with each other and with me.

My calls were answered quickly, my questions were taken seriously and given thorough answers, the processes were explained in great detail as well as printed out, the staff grieved with me with each negative pregnancy test, they also helped me find the cheapest pharmacy to get medications by cash. I also had a nurse meet with me at the end of each ultrasound/consultation to go over the plan and next steps.

They met me after each of my appointments to go over the next plan and future appointments which was appreciated. They were efficient at calling me back the same day, and working to make sure they retrieved any labs taken outside of the clinic. They were kind and compassionate and I appreciated them greatly at critical moments during my treatments.

Dr. Dodd’s is a great person and doctor. He doesn’t rush through the appointment and thoroughly answers each question with years of experience clearly behind each thoughtful answer. He is understanding that this is a difficult and sensitive time for patients, especially the woman. He is kind and detailed, with every script and note written, never missing one single fact. At the first appointment we talked about our personal lives, careers, and families including both his own and ours - which set the tone for each future appointment, making it feel like we were just meeting with a friend. We also met in casual settings that didn’t feel like a “doctor’s office” which contributed to our comfort. He is clearly close with his staff, which helped us trust him and all the staff at the fertility clinic, knowing they were a team all together supporting us.

Great doctor- he has perfect bedside Manner and is excellent at his profession.

I had tried clomid prior to seeing Dr. Dodd, and he explained that IN femara studies it have been shown to work better than clomid for pcos which I have. We tried femara twice which I ovulated with based on occupations tests and a progesterone level. On the second round I didn’t get a positive ovulation test so I added ovidrel in the third and fourth cycles to ensure good ovulation. On the third and fourth cycles we did a mid cycles ultrasound Which showed that my uterine lining was getting smaller, and on the fourth round, which I had increased the dose of femara on, I was still only getting one follicle, so we have decided to move on to injectable with ovidrel and IUI which I am doing now. He explained that injectables will stimulate more eggs and thus increase chances of pregnancy. He also said iui doesn’t increase your chances by much, but we still wanted to try this during these injectable cycles as we will do 3 of them and then move to IVF.

$300 for each ultrasound - which were multiple in some cycles. $600 -iui. $500 - first months dose of gonal f. $50 - femara. $50- metformin.

Dr. Dodd’s suggested a 2 embryo transfer as that will increase our chances of success, with a reasonable chance of a multiple pregnancy. Also is it obviously a very expensive procedure, so that is to be considered.

Great at providing a way to get pregnant. Offers many more options and insight that regular ob's are not able to do. The only thing was when we had our miscarriage after our first IVF procedure it was much harder to receive help. There were other circumstances and factors that occurred during this time which made it more difficult. In hindsight I would have found a better OB sooner to help with the process.

They seemed to care about our situation and we're hopeful with helping us on our infertility journey.

Very helpful with any situation. Always returned my calls when I had any questions I had regarding our procedure to make sure I was still following our plan and things were progressing normally.

Was very knowledgeable and seemed honest with us every time we spoke. He seemed to really want to help us with our family and offered different suggestions we could take. He left a lot up to us on how quickly we wanted to move forward and supported any decisions we made for our treatments.

Don't be afraid to ask questions.

We started with 3 rounds of femara resulted all negative pregnancy tests, had an HSG done results were normal. I started IVF procedures with injections in the morning and also in the evening. I don't remember every injection but was closely monitored by blood work and ultrasounds every other day. Once we got the okay I had a trigger shot and another injection. We had our egg retrieval and got 22 follicles 18 were mature, 14 were fertilized, 2 were implanted and 11 were frozen. We resulted in a positive pregnancy but at the 6 week ultrasound it wasn't looking good. I continued to take progesterone injections and at our follow up ultrasound we found both embryos implanted but we're not viable and I miscarried.

I was given a few options based on availability and I picked what I was able to do between my work schedule and office hours.

With our original insurance we had all of our procedures covered outside of a minor copay for each appointment. With our new insurance they do not work with so everything is now out of pocket even though our current insurance offers fertility treatments the same as our previous insurance it's just now out of network.

They are all friendly and accommodating. They are very open and will share their infertility stories with their patients. I do feel it would help the financial stress of this process if they allowed payment plans.

I felt that the fertility center was thorough during our treatments and were compassionate during our miscarriage. The only improvement I would like to see is that the doctors do not seem like they are in a rush during consultation. I did feel rushed during those meetings.

Nurse Sandy is an absolutely wonderful nurse and person! She went above and beyond for me and she was my rock through this whole process! She always made sure I understand all the meds and process and would take multiple calls from me while I was panicking and always made me feel better.

Dr. Dodd’s was very friendly and informative every step of the way. He was very compassionate when we had a miscarriage. He did adjust our meds protocol for our second retrieval which we had wonderful results with. However, I did always feel rushed during our consults.

Be prepared with all your questions for him. So you feel informed of the process you are about to endure.

We started with IUI and gonal f shots. All resulting in a negative pregnancy test. We moved onto IVF and the first retrieval gave us 4 embryos. We transferred two and I became pregnant with a singleton resulting in a miscarriage at 9weeks pregnant. We then transferred the last two 4 months laters, which resulted in a negative pregnancy test. A year later we started the retrieval process again and this time the started the drugs at a stronger dose to jump start my follicles and we received 9 embryos at a 3 day blast. We transferred 2 and one embryo split and I was pregnant with triplets. Unfortunately at 10 weeks I lost the faturnal Twins. However my 3rd baby grew strong and we now have a 6 week beautiful baby girl!

8,000 for the ART program. 5,000 medication 2,000 blood work /ultrasounds, etc.

It's a nice environment in a great location. The interior is modern, but comfortable and welcoming. They offer beverages and have couches. Front desk staff is kind. It did not take long to get an appointment scheduled after being referred. It is a professional environment.

Mostly like a human. It was more the MA's that made me feel like a number, than the doctors. The consultation was less warm than the following procedures.

I have not had much interaction with the nurses. I have with multiple MA's and they are not very warm. Clinically they are fine.

Dr. Shavell is to the point, and obviously extremely intelligent and well educated. I'm a person that wants everything explained in detail as I want to absorb all the information I can. I could have asked more questions, but I wish she had approached us without thinking we were as familiar as why she would suggest some of the procedures. I wanted the detailed reasons why. She is very kind, which is very important to me. I have met with her twice, and am scheduled with her in 1.5 weeks.

Ask your questions, she gives you time.

I'm diagnosed with recurrent pregnancy loss after three miscarriages. Dr. Shavell suggested a saline sonohysterogram and a endometrial biopsy. The SHG was to check for scar tissue after two D&C's 7 days apart. The biopsy was to make sure the infection (endometritis) in my endometrium was resolved. Both came back normal and great, thankfully.

Cost has been fine as my insurance has covered appointments and procedures. Thanks to the staff that scheduled the two procedures, she made sure they were scheduled on two different days. Otherwise my insurance only would have covered one. That was a great experience. One negative experience was the Counsyl genetic testing they recommended; I had already had karyotype testing; so, I don't know if it was even necessary, but the MA gave me inaccurate information about being able to cancel the testing when I received an email from Counsyl. Thankfully Counsyl worked with me. I am slightly irritated they do not accept Tricare. My husband is a veteran and in the national guard and soon I will be on his insurance.

does not apply

Weakness: The cost. We have some insurance coverage for treatment (meds, labs, ultrasounds, etc) but the IUIs, Retrieval and FETs all come out of pocket for us. They have a Family Building Fund, but you only if you make less than a certain amount of income, so we don’t qualify for help. Strengths: Everything else. This long, almost 8 year journey that we are still on has been more bearable because of the kind and compassionate care that we have received from everyone in the office

We have been seeing Dr Young since 2011. He has always taken his time with us, explaining every little detail. He remembers what my husband and I do for a living and what we do for fun. When we lost our daughter at 19 weeks, he called us and shared his condolences. When our last FET failed, he was just as confused and sad that it didn’t work and ordered tests to make sure he wasn’t missing anything before we attempt our last transfer. I may cry in our talks, but I always end up smiling by the time I leave his office.

All of the nurses that I have interacted with have been amazing. Kind, caring, answering all of my questions and returning calls in an incredibly timely manner. They have made this whole journey incredibly more tolerable

There is seriously nothing that My husband and I don’t like about Dr Young. He seems truly vested in us creating our family. When he is doing procedures he walks us through each step and often uses humor, which I appreciate. If there was one thing that I think needs to be improved upon is his handshake. It is very firm/confident and my husband always brings it up after our appts.

Tell him what your goals are and what your timeline is. He won’t make you rush into anything, but he will make sure that he looks into everything before suggesting major procedures

He was very patient with us. He put both my husband and I through testing, then we did some cycles on clomid. When those didnt work he ordered a hystosalpinogram to make sure my clear. When those weren’t successful, he suggested IUIs and we did 2-3 and when those weren’t successful he did laparoscopic surgery to see if there was anything getting in the way. We tried one more IUI before he suggested IVF with ICSI because of my husbands sperm issues

Over the course of our 8 year journey, we have probably spent close to $30,000 to $40,000 out of pocket

Dr Young had us transfer 2 each time and we were good with that. He always explained multiples were possible and the dangers of that, but the rewards out-weighed the risks for us

The environment is welcoming and comfortable. They are professional and organized for the most part. Every person we have encountered has been kind and willing to answer questions. We were really nervous on our first visit but the nurses made it more comfortable. You will first meet with a nurse to go over your information, then your Dr will meet with you in their office. We were very worried that it would be a very emotional experience, but the staff and environment made it much easier than we thought.

Dr Dodds does go over info in a matter of fact and easy way to understand, but also gets to know you as a person. He calls himself when needed and makes sure you understand the plans moving forward but respects how you want to proceed with treatment.

The nursing staff has been supportive, kind, and informative. They encouraged us when we were upset, answered all of our questions without making us feel silly, and have been incredibly professional during treatments.

We are in the middle of our fertility journey so I haven't had too many encounters with Dr Dodds yet, however the ones I have had been positive. Upon meeting him he was very informative, but in a way thats easy to understand. He let us know what he thought the best plan for us was and also took some time getting to know us. He is professional but understanding and compassionate. He also called me personally the day of our IUI to discuss how it went and his thoughts for moving forward. We are confident and happy with the care we are receiving.

Don't be afraid to ask questions! He is more than happy to elaborate if you don't understand. Also don't be afraid to ask for a different option if you're not comfortable with the one he gives. For example, he thought we may be better off trying IVF but we decided to exhaust the IUI option first. He was supportive of this decision.

We have done one round of IUI Femara Protocol so far. We are using Femara, a mid cycle ultrasound, and ovidril injection. We have not conceived yet so are trying another round of that same protocol and increasing the dose of Femara

We are only beginning. Our first patient visit we just paid a copay because our insurance covers diagnostic costs. The cost of IUI was $600 (not including our medication, that was an additional $120)

When you walk in the front desk is fast and to the point to get you signed in. The nurses are thorough and let you know what the need you to do. They help you to relax and answer any questions you have. One weakness is that one lady in my follow up ultrasound assumes that we had fresh sperm when we ONLY have frozen viles which made me question if she knew what she was doing and made me feel uneasey about having my IUI done. My IUI that I had performed NOT by dr young was different then how he did it. So that was odd. He put a sponge thing to hold in sperm and the other IUI did not have that. So consistency was off.

He asks personal real life questions. Not all “doctor” stuff. He sat with both my husband and I, and I didn’t feel “rushed”. It is genuine. He’s funny and kind. He talks about his life to so it’s a mutual connection. Humans need connection in life and he provides this.

Fun enjoyable nice kind knowledgeable

James is a good doctor. He explains the good and the bad. He gives guidance on what to change and his knowledge on how to move on to the next step when the last IUI’s failed. He has improved being relational sense 2014 vists.

Confident.

First cycle- femara 2.5mg pills cycle day 3-7. Had four mature eggs. I have one daughter from this cycle. Sencond cycle I was put on femara 2.5mg cycle day 3-7 only produce ONE egg. We backed out of the IUI. Third cycle dr young bumped my femara as I only produced one egg last time using 5mg cycle day 3-7 and had four mature eggs. IUI failed Fourth cycle femara 7.5 cycle day 3-7 had four mature eggs. IUI failed.

$500 for IUI

Great staff, although sometimes tough to get through on the phone immediately to someone (obviously not including emergencies). Often I have to leave a message and wait for a call back to schedule or to have questions answered. But, everyone is always helpful! They run things efficiently and are good about getting back to you that day if indicated.

When we first started medicated cycles at The Fertility Center, I rarely saw any of the doctors, but when I did, it was always a good experience. However as we have continued on through IUIs, then IVF, a miscarriage, the care has gotten more and more personalized and Dr. Dodds has been extremely empathetic, thorough, and generous. He has squeezed us in when the schedule was "full" and never rushes the conversation when we meet with him.

There are a lot and they are all super nice and helpful. Early in our time at the Fertility Center, I sometimes felt like I had to remind some of them about certain unique parts of my case, but as we have moved on to IVF, the nurses seem to be very up to speed.

Even though we haven't had our miracle baby yet, I still am so thankful for having Dr. Dodds as our doctor. He has stuck with us and has kept us hopeful during a tough journey. He is always comprehensive in his treatment planning and when a treatment hasn't proven to be successful, he is great about tweaking things or offering other options. He is direct and very smart. He is also caring and empathetic. If I had to start treatment over, I would absolutely stick with him as my doctor.

Schedule to meet with him if you have questions and make sure to bring a list of questions! He is great about explaining options and also great about listening to you.

He first ordered blood work, sperm analysis, and HSG for diagnostic testing. It was determined I have a heart-shaped (bicornuate) uterus, otherwise we were unexplained. Multiples is a big risk with this condition, so he made sure to start me out on the lowest dose of Femara when I started medicated cycles. He had me come in for one midcycle US and we were able to adjust meds to get the anywhere from 1-3 follicles. After 4 cycles on femara, we met with him and he offered IUI or IVF. I was close to overproducing follicles a couple times (and again multiples is risky for me), so IVF would be more predictable. But, due to cost, we decided to do IUIs first and he was very understanding. We added in injectables to help with egg quality and ended up having to cancel our first month due to overproducing. After that, he had me come in a lot earlier and more frequent to monitor closely. The next 3 IUIs went smoothly (except for not getting a positive pregnancy test!). We then moved on to IVF. Before starting, I was on birth control for 6 weeks to quiet everything. We had a great retrieval with 17 eggs retrieved, 16 mature, all 16 fertilized, and 12 made it to day 2 freeze. I had to do a freeze-all because of risk of hyperstimulation. After our first day 3 embryo FET, I got pregnant, but miscarried at 10 weeks. I then went on to do 3 more FETs, all failed. We met with him after each FET to discuss next steps. He did try an immune protocol for resistant uterus for the last two FETs due to some indications that I may have autoimmune issues. This last FET we ended up transferring two embryos, as we hadn't had luck with single embryo transfers. After 4 transfers and 5 embryos transferred, we met again and Dr. Dodds had discussed our case with the other three doctors at the practice and gave us several options moving forward. We are now considering doing a fresh round of IVF and PGS testing all embryos, new and old. We got karyotyping done on me and are waiting on results. I also have a hysteroscopy scheduled for next week to look at the inside of the uterus to determine if anything obvious could be preventing implantation.

IVF without PGS for healthy 28-30y.o. was about 8-10K. With PGS clinic cost is about 12.5K and seperate PGS fee is 5.8K. IUI ended up being about 1.5K per cycle. Medicated cycles alone were pretty cheap, usually $100-200.

With a bicornuate uterus, we were encouraged to transfer one embryo. Not until our fourth transfer did we end up transferring two. Dr. Dodds went over all the pros/cons with us.

Able to get you in for a visit in a reasonable amount of time, awesome staff, fair prices, straight forward billing, counseling available, quick phone calls back and caring doctors. At this time there are no weaknesses.

Very personable and funny.

I do not have any negatives to say about any of the staff at The Fertility Center. All were kind, excellent communicators, compassionate, concise, knowledgeable.

Very nice and great bedside manner. He is realistic but after 2 failed transfers he is not changing anything and that is frustrating. Clear with his plan of action and answered all questions. Did feel slightly rushed when seeing him.

Very kind and compassionate for what you are going through. Knowledgeable.

I did the GnRH antagonist protocol due to my low ovarian reserve (low AMH) and the results were 12 eggs total with 1 immature, 1 did not fertilize and 10 fertilized embryos. We did use ICSI as our choice to increase our odds to be able to freeze our embryos. No male factor with my husband. He transferred two and froze 8. The goal was to have enough embryos to have for all children desired as my ovarian reserve will continue to decrease and IVF in the future might not produce as many eggs.

I have Blue Care Network Nurse office visits-copay $10 Doctor office visits-co-pay $40.00 Ultrasounds were partly covered- out of pocket was approx $30.00 per US All labs were covered but had to use an outside lab--could not have blood drawn in the office. Hysterscopy with Dye was partly covered by insurance--approx $300.00 out of pocket Hysteroscopy with saline-partly covered but out of pocket was $100.00 Approx $8,000 for IVF, ICSI and transfer. Anesthesia was from an outside vendor and was $400.00 Medications ordered from outside pharmacy was approx $5000.00 for IVF (some were partly covered and some were covered but the out of pocket cost was more than the cash price so chose cash price). Endometrial Scratch-partly covered but approx $100.00 out of pocket 1st Transfer cost approx $5000.00 and medications an additional $250.00 through outside pharmacy.

He did not have any preference. He said due to my age we could choose 1-2 embryos to transfer and that our chance of pregnancy was higher, even with just one, as all my testing thus far was negative and I was 29 years of age.

They have a few locations to serve the Michigan community. I have the option of two locations that are fairly close to me which I appreciate. They coordinate my appts well with my work schedule. I also appreciate that. The staff is friendly and at this stage, I haven’t seen any weaknesses.

She always greeted me or us with a warm smile, a hand shake, and some sort of memory from previous conversations even if it wasn’t treatment related. She has given excellent advice in times of stress and she is very good expressing concern based on experience and allowing you to make the final decisions in your journey.

Each time I call, I am greeted genuinely and the nurses are so good and answering all my questions and making sure I understand their answers or anything I may be confused on. They are prompt when having to return my call as well. They are incredibly friendly and very knowledgeable

Dr Thakur’s approach is that of passion, compassion, expertise, and specialized education. She specializes in individualized care and doesn’t make you feel polarized based on your journey thus far. Her first question to my husband and me was “What is it that you have planned for your treatment. What would you like to this journey to be?” We expressed our thoughts on med induced cycles with timed inter course and if those failed after a few attempts, we would like to move on to IUI. After looking at our medics history, she agreed that that is a good approach. She expressed concern about not “wasting time” and that we will need to be more aggressive as we go. We left the consultation feeling confident in our new RE. I believe it take some a special confidence and tremendous courage to put faith in your doctor and we felt both and still feel both working with Dr Thakur.

Be honest about your journey. She is very receptive. She has the experience to guide not only to where you want to go, but down the path you want to travel. She gives excellent and advice and has a fact based approach to back it up. Don’t be afraid to ask questions and for clarity.

We started off trying 50mg of Clomid, with prenatals, Vitamin D supplements because let’s be honest, living in Michigan doesn’t provide optimal Vitamin D. I’m also taking Synthroid to keep my T-SHIRT down to a level that can sustain pregnancy. She felt strongly that my ovaries would respond well to 50mg of Clomid, and they did! Although I have had 3 failed cycles, she holds confidence in us moving on to IUI. She wants to put me on Progesterone to lengthen my Luteal Phase and increase the Clomid to 100mg to give us optimal rate of success. We are very excited to move forward!

My insurance has covered a great deal of my office visits and ultrasound appointments. I have paid maybe $300 out of pocket so far for Clomid cycles with timed intercourse. The IUI will be $600 our the door and I think that’s affordable as all get out. This clinic is known for their success rates and fair pricing. Lowest in the state if I’ve not mistaken.

The clinic is very efficient in terms of planning for treatment and getting you in for ultrasounds and blood work. They meet with you after most appointments to make sure you are clear are the next steps. In terms of weaknesses, there was some miscommunication with the pharmacy regarding my medication and sometimes it can be difficult to get answers regarding insurance issues. But, overall, they care about their patients and want success for everyone.

Dr. Dodds altered treatment for my second round of IVF to achieve better results. He is friendly and willing to answer any questions. However, it did not seem like he knew me as a patient and what my experience was and needed to go through my chart right before meeting me.

Even though I met with several nurses over the course of treatment, they each were kind, knowledgeable, and were able to answer any questions I had. They took my concerns seriously and accommodated me as needed.

Dr. Dodds is very knowledgeable and has lots of experience. He is compassionate in the room and will call depending on the result. He also provides hope for future round of treatment. It may be that he has too many patients, as it seemed as though he did not remember me and needed to look over my chart prior to each meeting.

Make sure to ask lots of questions.

For my first IVF cycle - I was on the antagonist protocol with Cetrotide, Menopur and Gonal-F. This produced 13 eggs, 8 fertilized and 4 embryos. We transferred two on a fresh cycle and two on a frozen cycle on none of them stuck. For my second cycle (current), I am on the microdose flare Lupron protocol. Three days after stopping birth control I start on 20 units of microdose Lupron twice a day. Two days of that I began 450 IU of Gonal F in the evenings. I have also had an endo scratch and will use Embryogen for this cycle in order to help with implantation. Egg retrieval is in 2-3 days.

IVF treatment with ICSI was around $9000; ultrasounds and blood work were separate costs. Medication was between $2800-$3400

I was provided information on the risks of single vs. multiple and the recommended number to implant based on my age.

The prices seemed reasonable and seemingly followed other average costs. The building was very clean and well designed. It was relaxing atmosphere and the waiting room was calming and inviting. While walking through the halls other staff members greeted you. The only weakness for me was that I lived far away from the clinic.

I feel she is always actively listening to me. She makes eye contact and is reassuring with her body language. She ensures you feel comfortable and your voice is heard at your appointments.

Very kind and welcoming. All my phone calls were pleasant and my interactions at the center were great

Dr. Shavell was kind and seemed deeply aware of the stress and emotions that go along with infertility. She always made sure I knew what the next step of the process was and that I was comfortable with it. What I like most is she reminds you that you are strong and capable of handling the stress and struggles of IVF.

She is ready to work for you and make sure you are ready for the work!

Gonal-F, Follistim, Menopur, hCG

ART case management $1850 (deposit to schedule) Follicle Puncture/ Oocyte Retrieval $1795 Culture and Fertilization of Oocytes/Embryos $1570 Embryo Transfer $1060 Abdominal Ultrasound $225 ICSI $1850 Assisted hatching $630 Blastocyst Culture $620 Cryopreservation of Embryo $910 Cryopreservation of Oocytes $910 Time Lapse Photography $805 Embryogen $465 Thawing of cryopreserved embryos $1075 This is the cost breakdown provided to me. Obviously I did not require everything here. My total from this list was $10,065

I was education on risks and likelihood of successful implantation.

I love that the fertility center has multiple locations and super flexible hours for monitoring ultrasounds! I do wish that the drs spent one more day in Mason. I also feel like the pricing is reasonable versus a lot of other clinics.

We went to see Dr Thakur after I suffered an ectopic pregnancy. She actually validated our loss. Also, after some test results came back showing that I was in DOR, she sat down with us for an hour and a half and discussed what all that meant. Also, after our next loss, she sat down with us to discuss what she thought the cause of that was.

The nurses for the most part are great! They respond very quickly to phone calls. I do feel like they are a little overwhelmed because a lot of times they don’t know the full extent of “your case” which I wish they did. Also, a lot of times you have to call and get test results versus them calling you. They are all very patient and compassionate and do take time to listen to your concerns.

My husband does not love seeing drs, especially after we went through an ectopic pregnancy and a lot of unknowns. We both felt like Dr Thakur was very smart. She takes the time to go over all the options. I never felt pressured to do one course of treatment over the other. She outlined what she thought would be the best course of treatment and how long we should go through with that and when to move on.

Ask lots of questions! Also, if you have information about something that you’ve read online, tell her about it. She is very smart and will tell you whether or not there is any sort of evidence to back it up.

We have always done femara and ovidrel because I respond well to the femara. The first month I only had one mature follicle so she upped my dose and I seem to be responding well to that!

Our initial appointment was $285 and every appointment after that was $180. Ultrasounds were about $110. The IUI is around $700. For us, the femara was covered by insurance but the fertility center helped me get the best price for ovidrel at about $95/shot.