Washington University School of Medicine

Very calming, intimate, quiet. I really like how they would always answer the phone. My previous place did not & it was frustrating. Could use a nicer front desk lady, she is rude at times. We really liked the consult room, they are dim, with a couch & chair, snacks, sound machine, very relaxing instead of doctor office.

This clinic was super far from my house. They do not send you the "green dot" parking pass you for their parking lot so you have to go up the clinic and back to your car so you don't get a ticket. They have a clinic closer to my house but nothing is done there and was never offered an appointment there. They don't have a patient portal for communication or flow charts. I honestly don't even know who all works in the clinic as I only met a nurse who did my bloodwork who was super nice and actually communicated with you and wanted to make you feel comfortable. The first appointment the front desk person was super nice and helpful and the second appointment the front desk person was older and slow and didn't acknowledge anyone for several minutes of them standing there waiting. There was always another lady on a computer playing music on her personal phone and talking on her personal phone and have no clue what her job was or way she was customer facing.

Washington University Physicians Department of reproductive endocrinology has a very impersonal approach to IVF. You are unlikely to go through the cycle with your chosen doctor, they will not customize a protocol or attempt to think outside the box to fix your protocol if your body is not reacting like it's supposed to. If your body doesn't react like a normal person's body, you will not get pregnant with this Clinic.

The clinic was not great at all honestly. We definitely felt like a number there... The nurses, other than Mary...were incredibly hard to get a hold of! The billing people were almost impossible to talk to you unless of course they were trying to get money from you... And making an appointment was very very difficult! Honestly, the receptionist was the best thing about the whole place! She was so sweet, and knew both my husband and my name every time we walked in. She learned little things about us and would always ask us personal questions, in a good way...about our life and just was always so kind and friendly. If she was the doctor, nurse, or represented everyone else in the clinic, I would give this place a 10 out of 10!

The office setting is conveniently located, clean, and professional. Dr. Ratts usually runs behind schedule so plan on waiting to be seen.

I honestly do not have a lot to say about this office. Everyone was professional but definitely did not get any warm and fuzzy feelings from them. The techs that drew blood were always very nice and very good at their job

Strengths: Experienced clinicians Mostly follow ACOG and ASRM guidelines Kind nursing staff Weaknesses: Poor patient communication Lengthy waiting times NB: This is a training facility. If you don't want fellows experimenting on you in order to bolster their professional portfolios, be sure to say so. And no, you don't get a discount for allowing a less experienced doctor to do your treatment.

Strengths - TV shows episodes of Great British Baking. I was really well monitored coming out of anesthesia following the egg retrieval and felt really well cared for. They kept me for more than a hour, made sure I could urinate, and just overall kept me well monitored. This was probably the best part of my experience with them. Weaknesses - IUIs are unmonitored and not likely to succeed. Cysts were not monitored. No communication with doctor outside of consults and those were few and far between. The biggest issues: 1) we had very low fertilization rates even with ICSI (next clinic 100% vs 30%). 2) 3 day fresh transfers are just not that common any more because all the data suggest that day 5 and frozen transfers are more likely to implant. Ultimately, we choose to move our remaining embryo to a different practice because we both were convinced WUSTL would kill the embryo and our chances of success with them would be low. Based on the numbers, they do numerous egg retrievals for each success and they have a biased clinic population towards younger (<35 years old) women. Also, they gave us someone else's semen analysis. Finally: billing. We went to the WUSTL FRCM because it was the only clinic my insurance would cover. We had 10k in drugs and 10k in infertility. I got a pre-approval as required by the practice and the insurance company. I asked what our share would be when paying the $600 cycle deposit. I was told they couldn't tell me - it was against policy. We went ahead on good faith. That was a huge mistake. Our IVF cycle with them cost $31,000 including $12,000 in drugs. We were expected to pay the $11,000 difference at full rate - not a plan and not at the negotiated rate with our insurance company. It cost us more to do a cycle with WUSTL FRCM with insurance than with another clinic without insurance.

The clinic is very kind & prompt with replies. I think they’re very straightforward with wanting to do IVF. They do not take a holistic approach at all so if this is important to you I would look somewhere else.

Cost high Nurse and doctor nice U feel like a number and they are just rotating u through the door and taking ur money. I would have the nurse or resident do my iui and they did not always have answers to my questions.

They are great at communicating with you, easy to get a hold of and very quick to respond to any messages. They handled IVF through the pandemic wonderfully. Patients need to know your provider might not do your actual retrieval or transfer, but they are all wonderful.