The Reproductive Medicine Group

I would not recommend Reproductive Medicine Group or Dr. Goodman to anyone. I have since moved my care and money to a new practice. My experiences with RMG consisted of 2 IUIs (1 resulted in a chemical pregnancy), 1 retrieval and 1 failed embryo transfer. The key issues I had included: lack of transparency, inflexible/nonsensical policies, use of a cookie cutter clinical approach, no physician interaction outside of major procedures, and Dr. Goodman's terrible bedside manner. Lack of Transparency: Don't expect to see your doctor or any doctor during most of your visits. The techs that complete all your monitoring visits are not allowed to tell you anything and that includes potential number of eggs or share any information about the thickness of your lining for your FET. Someone from another department will call you before the end of the day with next steps. You will not be told the gender of your embryos either which I knew going in and dealt with. I foolishly thought this was all standard practice across all fertility clinics but I learned it is not. In contrast, my new doctor shares and educates me throughout the ENTIRE process. There is a monitor directly in front of me so he can point and count the eggs with me. He ensures I know what to expect before each retrieval. Dr. Goodman told me that they will not share this information (reminder: this is about your own body) because they don't want to create unrealistic expectations. So, they choose to keep you completely in the dark. Inflexible/Nonsensical Policies: You will waste a lot of precious time if you embark on your IVF journey with this clinic. RMG refuses to complete the long list of to-dos concurrently. As an example, they have to get all your results before they will let you sign consent forms which they require you to do with Dr. Goodman who has very limited availability. By the time your results come in, they give you an appointment 2-4 weeks away because Dr. Goodman is booked. The office staff insists it is some kind of law that the doctor is present at the consent signing even though she is there for 1 minute to ask if you have any questions before a nurse comes in to help you fill out the forms. I consistently faced delays in care due to her schedule. I understand that doctors are busy but this was ridiculous. I had to wait 4 months between my retrieval and FET due to all the administrative hurdles RMG created. I can't even count how many times I heard,"Dr. Goodman doesn't see patients on Fridays" or "Dr. Goodman is on vacation". On the other hand, my current doctor provides me with his cell number, works weekends and expects me to text or call him if I have questions. THAT is what I expect when I pay $12k-$15k for a medical service and you should expect that too. The Cookie Cutter Approach: I do not feel that Dr. Goodman did or advised on anything that was clinically incorrect and that is based on follow-up questions I asked my new doctor just to see if his answers differ. However, it feels like she uses a standard copy/paste approach for her patients. I was a fast stim for my egg retrieval and she never bothered to adjust my medications to slow the growth and to obtain higher quality eggs. It felt like she set the protocol in the beginning and let it run with no additional follow-up. My 2nd and 3rd retrieval (not with RMG) consisted of a lot more medication tweaking which yielded higher quality embryos. Limited/No Physician Interaction: I rarely saw Dr. Goodman and never spoke to her on the phone. Of all the appointments I had, I saw her for the initial consult, saline ultrasound, 1 FET and 2 follow-up appointments after the IUI failed and the FET failed. She did not do my retrieval or either of my IUIs. I believe their IUIs are always done by nurses. For the retrieval, Dr. Goodman was again not available so this was done by another doctor. Techs complete all the ultrasounds for your retrieval and FET prep. If you're lucky, you may catch your doctor breezing by you in the hallway. If you have questions, you will need to call the office and talk to a nurse. I've never had Dr. Goodman answer any of my questions unless she is sitting right in front of me. Bedside Manner: I don't need a therapist but I also need my doctor to understand how difficult the infertility road is and that I have a lot of questions floating around in my head. There were several occasions when she was outright condescending. One of her responses that I will never forget is when she said, "I can't be here all day going over all these scenarios with you". That was in response to my many questions about what comes next and when. At the end of the day, I should have done more research so shame on me for not doing it. If you want to be valued like a human being, 100% clued into what they are doing to your body and what is happening to it then this is not the practice for you. Believe me when I say, you can find better care elsewhere.

Fertility options are limited in this part of Florida. If you do not have the luxury of going out-of-state then think about the things that are most important to you and make sure your doctor can live up to your expectations. If RMG is your only option, I would highly recommend talking to several doctors in the practice before choosing one. Lastly, if at anytime during the process you feel that your care is inadequate then pause to consider other options (e.g. new doctor/clinic). It is tempting to plow forward given how impatient we are to hold our future baby in our arms but at the end of the day it's emotionally draining to deal with subpar care.

Egg Retrieval: Menopur, Gonal F and Lupron trigger (6 retrieved/2 normal) FET: Estrogen (2X weekly) for approximately 2 weeks and daily Progesterone injections for 5 days prior to FET

IUI: $800 Retrieval: $13k FET: $7k

Dr. Goodman will not transfer more than 1 embryo and will not transfer mosaics.

Dr. Yeko has been great from the first consultation to where I am now, however treatment has been unsuccessful. After each failed cycle he fully explained the next steps and gave me all of my options. He always explained every procedure and answered all questions. I always felt like I knew what to expect and the next steps.He will be open and honest with you about everything. There is never a guarantee that you will get pregnant but when it does not happen he has sympathy for you and keeps you motivated for the next steps.

Infertility is a journey but Dr. Yeko and the staff will be there with you every step of the way. It may not be successful on the first try but keep trying and make changes to your protocol.

Antagonist protocol with lupron trigger. I was on follistim and menopur. I do not know the rational but the results were great. I had 51 eggs retrieved, 42 were mature, 34 fertilized, 11 made it to day 5, 8 remained after testing. We did a freeze all cycle due to risk of OHSS and so we could do genetic testing. For our first two frozen embryo transfers I used progesterone and delestrogen IM injections. For this third cycle I am using the same but adding in vaginal progesterone and medrol to hopefully assist with implantation.

They were always in the morning which was great, I could get in and out before work and still be on time. The ultrasound tech was also wonderful and the the process smooth.

43,000

Only transferred 1 embroyo at the doctors suggestion. I trusted his recommendation so I followed it for the first two cycles. For this upcoming third cycle I insisted I wanted to transfer 2 embryos.

She’s very caring. We always felt like a person. She was easy to talk to and was so relatable. She was always very honest with us based on age and other factors. While she was honest, we never felt like she couldn’t help us. On the contrary, she gave us hope. She put our minds at ease. We believed in her and we achieved our goal.

She’s a huge source of knowledge. Don’t be afraid to ask questions. She’ll answer every single one with honesty.

Our primary issue was mild male factor infertility. We were given the option to do either IUI or IVF. While she said that our chances were higher IVF, she understood my reservations. She never pushed. We started with Clomid 100mg first. I was an over responder and the cycle was cancelled due to a high risk of multiples. We did 3 other cycles of Femara at 2.5 mg. We were not successful. When we saw her for a consultation for next steps, she was very honest that IVF was the only option left to overcome to male factor issue. For IVF, we did the Antagonist Protocol (Gonal-F, Menopur and Cetrotide) with a Lupron Trigger. For my age, I had amazing results. 15 follicles produced 15 mature eggs. 13 out of the 15 eggs fertilized. 10 of those became 5 day blastocysts. Those embryos were sent for PGT-A testing which resulted in 2 healthy embryos. At my age, Dr McCormick was thrilled with those results.

We had insurance coverage for both IUI and IVF. Our insurance covered 80% of the cost of procedures. For IUI (including specimen collection and washing) it cost $45 per cycle. For IVF, our OOP costs including monitoring, bloodwork, surgery center, anesthesia and physician fees for both egg retrieval and embryo transfer was approximately $5,000.

RMG will only do eSET. It’s less risky and yields better results.

He has excellent bedside manner, performed my HCG procedure with a full explanation of every step along the way, laid out every treatment option along with percentages of conceiving and pricing all while helping us come to a decision.

Ask questions because he will absolutely answer them with honesty and integrity.

I had a baseline ultrasound on cycle day 1-3 depending on when full flow started. I was put on 100mg of clomid ( CD 3-7)with timed intercourse for my first 3 cycles. We then discussed switching to IVF. Again I had a baseline ultrasound, 100mg of clomid (CD 3-7), back several days later for a follicle scan which usually showed 2-3 follicles over 18mm, when they were above 19mm I triggered with 250 ovidrel, IUI (#1-3) 36 hours later. All resulting in negative pregnancy tests.

We are self pay due to insurance not covering infertility. All totals are rounded. Initial consult was around $350, full blood panel was around $1,000, genetic testing was $650, HSG was $900, ultra sounds were $155 each ($1,395 total), clomid was $30 each cycle ($180 total), Ovidrel was $100 per vial ($300 total), IUIs were $350 each ($1,050 total). IVF consult will be $350. So in total we’ve paid $6,175 while under the care of doctor Yeko.

We have our consult for IVF scheduled this Monday 4/29 which is our 3 year wedding anniversary!

Dr. Goodman is very knowledgeable and able to answer every question with more than just a vague answer. She clarifies why she chose my protocol, what studies she's looked at and what the Society of Reproductive Medicine recommends. She also was willing to do additional testing that I asked for.

I've heard of other patients having to wait so be prepared for that. Do as much research as you can so that you can ask educated questions. Ask her to break down success rates based on age, not just success rates for that treatment.

She recommended that I start with medicated IUI's rather than unmedicated. Her plan was to do 3 of them and then re-group and decide what to do next. When the IUI's didn't work, she suggested moving forward with IVF rather than an IUI with injectable meds. She did not recommend a mini-IVF cycle (she said they don't do those) and she said they have not started doing INVO-cell. She recommended if I had the finances to do IVF first before moving to donor eggs. This protocol was picked because of my age and diminished ovarian reserve. I don't recall the success rate of IVF for someone with my issues, but I do recall Dr. Goodman advising me of the price and that I would have maybe one or two embryos if I did IVF (without PGS testing them). She did seem to be an advocate of PGS testing, but said they would not transfer an abnormal embryo.

Uninsured ultrasounds are approx. $150.00 (I think); IUI ~$350; IVF ~ $27,000.

At the IVF orientation I went to (ran by Dr. Yeko), I learned that RMG does not prefer to do multiple embryo transfer because of the risks associated with it.

I felt that Dr. McCormick didn't address all of my needs. She diagnosed me with Hashimoto's only after I pushed to get more thyroid testing. She didn't discuss any plan to address the Hashimoto's once pregnant. I think she is knowledgeable about certain things, but autoimmune disorders were not among those things. Also during testing I had intense anxiety about repeating my HSG, but she would not budge because we were barely over a year since my last one. It felt like she was more concerned with following a textbook than looking at my individual needs as a person. And in the end my tubes were STILL clear just as I suspected.

Consider your own individual needs and if Dr. McCormick is the right fit. I've met people who loved her, but in the end, she wasn't right for what I need.

She recommended IVF with ICSI due male factor issues. Also recommended PGT because of previous miscarriage due to chromosomal issues. We didn't continue with her, but have followed these same recommendations with new doctor. She didn't address Hashimoto's - but new doctor (Dr. Skinner in Barbados) has plan to help address this to reduce chances of miscarriage.

Expensive. We were planning to pay close to 30k for a multi try plan where you get two tries with egg retrieval and unlimited transfers.

She recommends always doing single embryo transfer. Not open to multiple embryo transfer.

Dr Goodman is a caring dr. She is very good at what she does. My hsg I didn’t feel a thing. I wish she would do the iui instead of the nurses. I had complications with my iuis and were very painful. My iuis have failed because a problem was discovered and I had to do more testing. Now I am possibly looking at surgery.

When something isn’t right, be sure to speak up. It is a high volume office and you need to be your own advocate

My treatments were simple. Letrozole and trigger shot. We used ultrasound for the timing of the iui. I was a great responder.Unfortunately it did not work for me. I am now looking at surgery bc of a complication that was found during the iui.

My iui were 375. The ultrasound monitoring was 155 a piece. My trigger shot was 92 and my letrozole was less than 15 dollars. I believe my hsg was about 500 but that was with insurance. My copay for consults are 80 bucks.

Dr. Tarantino was absolutely amazing and explained everything in detail, the thing I didn’t like was I never really saw him after the first two visits everything was done by the staff. I wasn’t sure if everything was going good. It was hard to get ahold of anyone in the office to find out about the embryos.

He is amazing but there needs to be more communication in his office.

We had to do IVF due to the fact that my husband has azoospermia. Dr. Tarantino didn’t give me an aggressive treatment. I was on the lowest dose of medications and was able to make 14 eggs, 12 fertilized, 3 made it to day 5 blastocyst, 2 of them were abnormal and we only had one to transfer. I was on menopur, galirenix, progesterone, estrogen.

26,000

Dr. advised it would be safer for me to transfer only 1 at a time because of my age but at the end of the process we could only transfer 1 due to the fact that it was the only one left and it was inconclusive results

Her demeanor is warm; she seems to truly care about me and remembers me and details about my personal fertility issues. I’ve never felt pressured; she was clear about what she recommended but allowed me to feel comfortable in the decision.

Sometimes you may wait a little bit. Most of the visits she’s on time but a couple times she ran behind. The staff was really nice and gave me updates, so it was fine. What i like is that she gives me as much time as I need, too.

Dr Goodman recommended that we try (3) IUIs first to see if we could have success. Due to cost this is what we decided to do. Unfortunately IUIs were not successful so Dr Goodman then said we should move to IVF. Because of my age we decided that PGS testing was the way to go. This required that we first go through a cycle to retrieve my eggs and then freeze all the embryos. We had them testing and ended up with 4 good embryos. I wanted to put in 2, but Dr Goodman told me that it’s better for me and for the sake of having a live birth with less complications to transfer one embryo, so we did.

IUIs were about 1k each, IVF meds around 5k, IVF medical costs around 15k, PGS was about 5k or so. I probably spent 25k on IVF.

She seemed confident that putting in one embryo was the way to go and for us it worked!

She is not personable or compassionate at all. she just goes by statistics, physiology, and averages. She gives zero hope to someone who is desperate to have a child. She blames age as being the absolute end to possible positive outcomes and pushes for IVF too much. I had to push back and almost demand to try IUI since i do not have the funds for IVF at that clinic as they are outrageous in cost and they will not price match. They have cost saving options but only if you are under a certain age.

Make sure you tell her what you want to try. Do not let her bully you into going straight to IVF and demand ALL the tests.

She did not go over treatment protocols with me. The nurses did. They prescribed a baseline ultrasound, 100mg Clomid, a mid-cycle ultrasound, Ovidrel trigger shot, then IUI 36 to 48 hours later

Diagnostic labs and ultrasounds are covered by my insurance. IUI procedure was out of pocket and consisted of the following. Baseline ultrasound $155.00 Clomid $35.00 Mid-cycle ultrasound $155.00 each. IUI procedure including sperm ash $375.00. IVF cost was quoted to me at approx $26,000. (I cannot afford this so I did not do it)

Dr Goodman is very nice. I just never see or hear from her. Ever. I only see the techs, and clinic staff. 3 unsuccessful IUI's and I haven't heard anything from a doctor. I've asked the techs if there is anything else I/we can do to increase chances ect and I'm told no. No support or communication from my doctor during this last 4 months.

If you want personalized attention, go somewhere else. She's great when you see her, but you wont see her often.

Diagnosed with possible PCOS and Uterine polyps. Surgically removed polyps. Started Femera. Initially 5mg a day on cycle day 3-7. Ovidrel injection on day 12 and IUI on day 14. Unsuccessful. Same dose for cycle #2. Did not ovulate. Was told to keep checking with OPK's and come back on day 21 for progesterone blood draw. Blood draw on day 21. Positive OPK that evening. Called next day for appt to schedule IUI and the clinic was closed for a staff meeting. Inwas unable to speak with anyone and missed an entire cycle for IUI. Increased dose of Femara for IUI cycle #2. 7.5mg cycle day 3-7. Ovidrel injection on day 13 with IUI on day 15. Unsuccessful. Currently on cycle #3.

The initial testing is the most expensive so far. Greater than $7,000 just for labs, hysteroscopy with polyps removed.

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Dr. Goodman has always spent the time I needed to answer all my questions warmly yet candidly. After my lap, she explained my results in laymen’s terms and was optimistic. My only negative comment is I felt she tried to use fear tactics into convincing me to get my husband a genetic test. When I never wanted any of that testing to begin with.I had to explain to her more than once I did not want it, but she finally understood and respected my decision.

She may not always volunteer the information you may need, but Will answer it if you ask. This means you need to do your research to be your own advocate and make sure all the right questions are being asked and answered.

I had good coverage for testing and procedures but my out of pocket costs were sometimes high. I was fortunate enough to have been able to save to cover this. Everything was due upon service with no options for payment plans.

She was very kind but not as direct of a communicator as I would like. Additionally we were not aware of her scheduled vacation during our treatment and had to postpone transfer because of it. To speed up the process we ultimately had Dr. Tarantino perform our transfer. This still pushed my son’s birthday into Jan of the next year, costing us over $5k of additional medical expenses. I was also never told that IVF babies are at a higher risk of heart abnormalities until I was sent to a specialist during my pregnancy. I would have liked to known this up front. Overall she is a good doctor and we achieved the results we wanted and will do another transfer.

More direct communication and provide medical details when reviewing recommendations and test results. Many women do extensive research on he IVF process and want to know the specifics of their hormone levels, number of follicles, etc. Don’t assume we don’t understand this info.

I don’t remember all the specifics. But I think I took menopur and gonal-f then added cetrotide towards then end. I can’t remember my trigger shot

We spent over $30k for our IVF treatment. This includes medicine but excludes the several thousands we spent on IUIs before that.

I was comfortable with my doctors approach

Dr. McCormick was very professional, had an amazing bedside manner and informative. I felt like I was in good hands from the moment I first walked in to the office and every appointment after. She did not pressure me to choose a certain path but was confident in her recommendations.

Schedule now, don't wait!

I was previously treated by an ob/gyn that was trained in "super ovulation" and IUIs. I went to her for about a year and had a total of 6 very painful IUIs. She would never give an reasoning for my treatment or the medications she wanted me to take and it almost felt like she was guessing. I regret waiting so long to establish with Dr. McCormick at RMG. Dr. McCormick told me at my consultation she did not think I was quite at the IVF stage (my previous doctor had recommended) since my past IUIs were so painful and my left tube was closed. My previous doctor was not monitoring my follicles prior to any of my IUIs either. She started me with Femara 5mg CD 3-7 and Ovidrel trigger shot. I have had 2 PAIN-FREE IUIs with a confirmed mature follicle on the right side (yayyy) but unfortunately both resulted in big fat negatives. I currently have a consultation scheduled with Dr. McCormick in early October to discuss IVF.

Everything goes towards my deductible so I have had to pay for everything out of pocket.

Dr. Sandy Goodman is very compassionate in the way she explains each concern and process. I've never felt lost after seeing her because she explains each treatment or surgery in complete details. The day of my surgery after being diagnosed with Endometriosis she did an excellent job with the actual surgery with only having one excision which is amazing. She's easy to talk to without judgement and is truly concerned in regards to your overall health with pregnancy.

Overall she is a great doctor and person. She is very straightforward which is what I love.

I am not quiet there yet. I had to have laparoscopic surgery to remove my Endometriosis so I am now finally able to start the IVF process. I am actually starting in the next week with the birth control pills once I get my menses and will be meeting with their ART department with my schedule so i wont know more until then. I am fully confident in their professional experience to have a healthy pregnancy.

Well my insurance paid for the diagnostic procedures prior to infertility treatments. I had copays so that wasnt too bad. My insurance doesnt cover IVF so that was definitely a harsh hit but it did cover my medications so I had some relief. I already knew that going into the appointment so I wasnt shocked.

I actually just spoke to my doctor about this because with the cost of IVF being so high I was confused if we should be doing one or two embryos. But she reassured me that the odds are just as high with doing one verses two. Plus she wants to make sure that I have a healthy pregnancy since there's a high chance on one of the embryos splitting causing me to have triplets if I elect to do two embryos which then increases my health and the babies.

Dr. Yeko was pleasant. Being overweight, you are sometimes worried when you see a new physician. He did not address is make us feel unsafe uncomfortable at all. We did feel he was matter of fact. He ordered some tests, some of those didn't give conclusive answer. I feel way better those should have been ordered again. He did not address my husband's low sperm count with suggestions to see a urologist or offers to put on clomid or anything. He gave us a potential treatment course with his recommendations and the odds get thought each treatment held for us.

Trust your gut, be your advocate. It's ok to question any doctor.

We went through two iui cycles that were not successful. We are taking a break to decide if we want to pursue additional treatment.

Insurance covered diagnostic testing, but no coverage for infertility. Prices will vary per person based on number of ultrasounds needed, etc. A complete iui cycle including meds, ultrasounds, and procedure cost us @$850. We have not done ivf yet, but we were told to expect that to be between $15,000-$20,000.

Dr Yeko seems very knowledgeable and answered my questions. He gives an overwhelming amount of information, but he takes notes and draws diagrams for me to take home so I can process everything. I have only met with him twice-my initial consult and a follow up after my first IUIs with his group did not yield a positive pregnancy test. I liked his manner and way of explaining everything, though I learned to bring my best friend and my mother to my follow up after attending my initial consult alone. It was really helpful to have some extra sets of ears and someone else to ask the questions I didn't think of. I have been told that patients under the care of other doctors at this practice are seen, at least briefly, by her doctor each and every time she visits. I don't know that having Dr Yeko "pop" in for every ultrasound and be the one who performed my IUIs would have increased my chance of success, but I think it is good to know in case that helps someone else choose their doctor.

Bring a companion to your consults because he is a fountain of information and it's a lot to process. As I mentioned earlier, I have only seen him for an initial and follow up consult. I have not seen him during my ultrasounds and he has not performed any of my five IUIs with his group.

Prior to becoming his patient, I had an HSG, laparoscopic tubal study, saline sonogram, and mutilple blood panels that all came back within norms for my age. Under my previous fertility doctor I had six IUIs using Clomid and HcG injection to stimulate ovulation. I had two pregnancies and three miscarriages (twins). After my fifth and sixth IUIs yielded no positive pregnancy tests, I decided that maybe I should try a new doctor, so I switched to Dr Yeko based on a friend's very strong recommendation. After my consult, Dr Yeko ordered a fresh blood panel and genetic testing which also came back within norms for my age. He decided to have me try femara since I had six IUIs with Clomid without a viable pregnancy. We tried three cycles with femara and HcG injection for ovulation with no success. After the third fruitless cycle, I met with him again and he (kindly) told me I was "normal, but unlucky." Some people might dislike that assessment, but I appreciated the honesty and not being given a bunch of nonsense excuses. Plus, I'd rather be "normal" than have a conditon that reduces my chances of conception. He went over IVF with me again but also told me he did not feel that it was unreasonable to continue "at least a few more times" with IUI if I wasn't ready to consider IVF yet as they had been unable to find any impediment to me getting pregnant that way. I have had IUIs four and five under Dr Yeko's care without a positive pregnancy test. I hope to have my sixth at this practice next month. If it does not work, I will have another follow up with Dr Yeko to discuss my options.

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Dr. McCormick is very knowledgeable and kind. She explained all treatment options & her recommended course of treatment. The negative is you RARELY ever see her. You never also receive phone calls from her. Only the nurses.

Be prepared to deal with mostly nurses.

Dr. McCormick suggested after all test results came back that we had unexplained infertility. I have PCOS and Stage 2 endometriosis. The doctor offered laparoscopic surgery to clear my tubes but they were not blocked after a hysteroscopy was performed with dye. She suggested we try IUI which we have done 2 times with femara and HCG trigger shot unsuccessfully my husband and I will try one more IUI and then we are moving on to IVF if unsuccessful. I am disappointed that the doctor would not increase my dosage of femara for our last IUI.

Extremely expensive. IUI range but typically cost about 800 cyclo. In vitro cost are typical for the area

Dr Yeko is a good communicator-he provided an overwhelming amount of information, but he made notes and diagrams for me to take home to give me chance to process everything. My two consults with him have not seemed hurried and he gave me a chance to ask questions. I have not encountered him at my ultrasound appointments or by five IUIs. I have been told that at least some patients with another doctor at this practice were seen, even briefly, by her doctor every visit, whether it was an ultrasound or the IUI. I do not know whether or not I would be more successful if Dr Yeko "popped in" for every ultrasound and performed all my IUIs, but it might help a new patient when choosing a doctor.

Bring a friend to your consults-I did that after going to my initial consult and I was so overwhelmed by all the information. I brought my best friend and my mom to the second consult and it was helpful to have extra ears and them to ask questions I did not think of.

Prior to switching to Dr Yeko, I had a HSG, multiple blood panels, saline sonogram and a laproscopic tube study; all results were within norms for my age. I had six IUI cycles with clomid and HcG injections to stimulate ovulation with two pregnancies and three miscarriages (twins). After the sixth IUI without a viable pregnancy, I decided that a new doctor might be the change I needed. I switched to Dr Yeko. He reviewed my treatment course to that point, explained IVF as an option, and ordered an additional blood panel, karyotyping for genetic problems, and prescribed femara instead of clomid. Those tests were also normal. I had three IUIs with this course without a positive preganacy test. I had a follow up consult with him at this point where he reviewed IVF but also stated that based on all the information we had, I was "normal, but unlucky." Some women might not like that assessment, but I appreciated the candor and knowing that there wasn't a medical impediment to me successfully conceiving. Based on me being "normal," he told me it would not be unreasonable to continue with IUI "at least a few more times" if I was not ready to advance to IVF. I elected to continue with IUI and he ordered an increase to my femara and a therapeutic HSG to make sure my tubes were patent for my next attempts. I have had another two IUIs without a positive test and plan to have my sixth IUI under Dr Yeko's care (12th overall) next month.

Consults cost me $60 (specialist copay). Each ultrasound is $155, each IUI is $200, my mail order HcG injection is $100, and a pharmacy discount card gets me my femara for $12 at WalMArt. I order my specimens from Xytex. They cost just over $1000 each, including shipping and taxes. None is covered by insurance. My insurance did cover my bloodwork and therapuetic HSG.

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I feel the doctor is very knowledgeable and up to date with the latest treatments. She understands what will help or not in order to have success. She gives a realistical outcome for your situation. Very honest and open to questions.

Be prepared for short sessions, and possibly another doctor to perform a procedure on you as well as nurses doing the iui.

Vaginal ultrasound to check for cysts on around day 3 of period. If all looked normal, begin taking 5mg of Femara that night for 5 nights. The choice of this drug because it worked better with less side effects. In about another week and 1/2 have another transvaginal ultrasound to check for folicle size and quantity. If either ovary side had one folicle over around 18mm, I was instructed to either take an injectable that night or the next night between 8-10 pm. In order for the follicle to mature in time for an iui procedure in around 3 days later. The morning of the iui, husband would go in to give sperm sample. After the process of the sperm, I would go in about 3 hours later for insemination. After a very painful 1st insemination, the nurse instructed me to have a full bladder the next time which did help. I would then lay on the table after the iui for about 15 mins.

My insurance only covered exams and consults leading up to the diagnosis of infertility. After that was exhausted, my out of pocket expenses were $150 for each ultrasound, and $380 for the semen wash/preparation and insemination.

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Dr. Yeko was very comforting and took his time going over our results and explaining everything with us. He treated us like an individual case, not a "typical infertility issue" and we felt confident in his recommendations and plan of action.

Let Dr. Yeko know your level of readiness and eagerness to have a baby. Once he knew how eager we were, he sped up the process for us!

My issue is related to anovulation due to amenorrhea, so Dr. Yeko recommended (up to 3 rounds of) clomid to induce a period. When all three rounds failed and my hormone levels fell even lower, he changed his plan of action to go straight to IVF since my husband and I are so eager to have our first baby. I have another appointment this week to start the IVF process!

Unfortunately, we have to go with one of the most expensive options of IVF and our insurance doesn't cover most of it! I believe our projected cost is about 25K

Dr. Yeko recommends eSET since my husband and I are "still young" (30 years old) and will have a high chance of success with eSET.

He has a very different sense of humor that sometimes was hard to read. I also did not feel like he put enough effort into our treatments. I was the one requesting more test and asking for more meds to be used during the IUI's we had performed. There was no direction on how many we should do before exploring IVF. I was already almost 35 when I visited him for the first consultation so I feel like now after doing more research and talking to others going through treatments, that we should have been put on meds to increase our chances right away. We spent so much money in just IUI's doing 4 natural cycles and then only 1 cycle with chlomid on the 5th one, and again I had to ask for it. I felt like he would have just kept letting us waste money. It turned me off from going there and so I went to USF IVF starting in May of 2018.

You have to have a lot of knowledge about what you want going into it already because he is very passive.

4 natural cycle IUI with home OPK using donor sperm. 1 cycle with chlomid and home OPK using donor sperm. Also performed all testing for hormone levels during cycle and ovarian reserve (AMH) along with saline sonogram and HSG. Before we did the first cycle of IUI he removed polyps found in my uterus during the Saline sonogram. He also perform my D&C for my miscarriage (missed abortion).

Cost seem typical for fertility treatments

Never discussed this with him.

I'm sure dr. Goodman is a wonderful doctor, but other than the consultation, I never want saw her for any three of my procedures. She was pretty dry, never cracked a smile, was not warm. It's a pretty emotional time for most couples, and she didn't really make our first experience comforting.

Not to expect much. They won't ever see her past the initial consultation anyway

Pretty cut-and-dry. I had three IUI procedures, all 3 medicated with letrozole. She told the nurse to tell me when to start my meds, when to come in for an ultrasound, and when to have the semen sample there for the procedure

Our problem was very specific. Dr. Goodman did not sugar coat the news when she saw my diagnosis. She explained in detail the problems that we would face and the difficulty ahead. She also explained her treatment, success, and failures with previous patients with the same diagnosis. After the first cycle failed to produce any viable embryos she sat down with us and explained my condition was even more severe than she had anticipated. She was very honest that we could try again but there was no guarantee the results would change. Through out this entire process, I never felt any pressure from her to make decisions. She wanted us to take out time and feel comfortable with what we were deciding.

Ask questions. The more knowledge you have the more power you have and the easier it is for her to work with you in coming up with a treatment plan.

I suffer from stage 4 endometriosis and ovarian cysts. Because this diagnosis was not made until I was in my 30's, there is extensive damage to my ovaries. I was not a candidate for any treatment other than IVF. For both my cycles we have used the Ganarelix protocol. cycle 1 produce 14 eggs of which 12 fertilized but only 1 matured to blastocyst. We are using PGS screening and that 1 blastocyst was found to be missing a chromosome. After the unsuccessful first cycle the dosage of my meds was upped in the hope of producing viable embryos. The second cycle was more successful. We had 19 eggs and in the end were able to send 6 blastocyst samples to be screened with 4 coming back as genetically perfect. At this time we are in the process of begiing injections to let to our 1st transfer.

The monitoring was a well-oiled machine. Hours were int he morning before work. Wait times were kept to a minimum.

Dr. Goodman is a nice enough doctor and is able to answer all your questions. I wish I could have more communication with her rather than her nurse or PA answer my questions through the patient portal.

Make sure to have all your questions written down before you meet with her, she goes quickly through the appointment.

I have PCOS so making sure all my blood work was completed was vital, I was put on Metformin (I can not remember why but I am sure it has to do with my PCOS), I was also put on medication to help induce my period every month. I am about to start my first round of IUI and I will be taking a injection two nights before the IUI procedure.

My insurance unfortunately did not cover any fertility treatment related costs. I would have to pay for every visit, blood work up , and all my IUI related costs.