Washington University School of Medicine

My experience with Dr. Omurtag has been outstanding. He truly understands that infertility affects many aspects of a patients life and acknowledges it as well. Each time my husband and I have met with Dr. Omurtag he has made sure that all of our questions have been answered and explains everything very thoroughly. He also allows me to be an active participant in my care, and has never told me yes/no without looking through my chart to determine what is the best course of action. He can also speak to research/data which is important because he is able to provide an explanation as to why abc will work and xyz won’t. While I wish I didn’t have to see Dr. Omurtag, I can’t imagine using any other physician for infertility.

Have questions ready to ask at appointments, he really wants to make sure you’re an active participant in your care and that you understand the process.

If I remember correctly, we used an antagonist cycle for my first egg retrieval. Based on my labs and antral follicle count, he thought I would respond well to that protocol, and I did. We then did a fresh transfer that resulted in a chemical pregnancy, so we ran more labs and found out I may have APS. Due to the possible APS diagnosis, we added in a blood thinner (lovenox) and a baby aspirin to my frozen embryo transfer protocol. Sadly that transfer ended in an ectopic pregnancy. We’re currently waiting for my cycle to do some more testing prior to starting another egg retrieval cycle.

I’m extremely lucky and have insurance coverage at 100% for IVF once my deductible has been met, so it’s hard to determine the exact cost.

Due to my age/my husband’s age and our diagnosis, we will only transfer one egg/transfer.

Kenan was very upfront and honest with us, from the initial consult to the last appointment we had before we graduated to my regular OB-Gyn. He was clear about the odds of actually conceiving, given our DOR/MFI and age issues, and did not get our hopes up. Our first retrieval/transfer resulted in a chemical pregnancy. We spent 30 minutes discussing how we'd change the protocol for the second attempt, and another 20 minutes talking about the pros/cons/possible necessity of donor eggs if we had a repeat issue with the second retrieval/transfer. Lastly, he was so excited when our betas came back positive - and after our graduation appointment - that he texted my regular OB-Gyn to let her know we were headed her way. He's a regular human being, who feels this process with his patients, and is with you every step of the way.

Just know that none of the docs within the WashU program are super patient-forward. You'll communicate with their nurses and receptionists, but these are amazing people who have no problem getting to the doctor, and getting back to you.

We started with an estrogen primer, followed by five days of Letrozole. From there, I added in 150 Follistim. Eventually, we added Ganirelix, with an HcG trigger.

We were ridiculously fortunate to have coverage through both my insurance and my husband's insurance. We paid under $3,000 for both IVF protocols.

Because of my age, we planned to do fresh 3-day transfers. We transferred every embryo we had at that point (4 the first time, 3 the second).

Dr. Jungheim cares for her patients. She has personally called me before, spending 30+ minutes on the phone, talking about diagnoses and the treatment plan from there. She makes me feel like she cares about me and my need to have a baby. My husband and I are both CF carriers, so we determined, along with Dr. Jungheim that PGD/PGS would have to be done to ensure that the CF gene is not passed along to our children. Long story short, insurance DENIED the PGD/PGS, however Dr. Jungheim personally called our insurance company and fought with them explaining why this step in the IVF process is medically necessary for my husband and I, to only have my insure company approve it. I strongly believe Dr. Jungheim would do this for any of her patients and I know that she cares for me.

See her, if you are facing infertility. She will not only figure out the best course of treatment for you, but will fight for you, until she finds something that will work. She is constantly willing to think of new ways to help my husband and I and she explains everything, in and out, regardless of how long it takes. There is never a rush with her, while she is talking to me, and that makes me feel so important.

First, Dr. Jungheim felt it to be necessary to get a genetic screening on me, as my husband was already a known CF carrier. We all thought nothing of it, that I would be fine, but the screening did also say I was a CF carrier as well. Dr. Jungheim is the one to make that call, and I can't think her enough for it, as we could have passed that disease along and it would've been awful. So, we are currently in the middle of the PGD/PGS development. We spoke with Dr. Jungheim about 3 weeks ago, regarding the details, as we cannot proceed with any cycles until we get confirmation that the development was complete, however it could be at anytime now. So, she put me on birth control at that time. This will help knowing right where I am in my cycle, so we are able to start/stop things if needed right away. She also put me on a prenatal vitamin just to help get my body ready. Once the development of the PGD/PGS is confirmed, I will start my medication for stimulation. cannot remember exactly which ones I will be on, but I know she said roughly I will be on meds for about 14 days before the egg retrieval. From there, the embryos will be made and grow for 6 days. At that time, the surviving embryos will be biopsied and frozen. The biopsies themselves will be sent to the company for the PGD/PGS and we will wait about 2 weeks to hear if any of those embryos are medically clear for transfer. If there are more than 1, we will keep them frozen, as we are only implanting one.

I am still in the procees, so no bills have come to us yet. I have had a Saline Sonogram, which the bill was around $2,000, but I only had to pay $35 after inuracne. I do know that the PGD/PGS development will cost around $6,000, meds will cost anywhere between $3,500-$4,500 and the IVF procedures themselves which also have to include ICSI, freezing of the embryos, etc will be about $10,000, if not more.

Dr. Jungheim, and the rest of her clinic, are very reluctant on transferring multiple embryos. Of course, it depends on the mothers age, and other health concerns, but for me, Dr. Jungheim explained that I am otherwise healthy and also with my husband and I having to go through PGD/PDS, there is a high likelyhood that the one embryo that we implant, will take. I fully trust herin this. Dr. Jugheim explained, that transferring 2 embryos does not necessarily increase the risk of pregnancy, as if one embryo wants to take, it'll take, but transferring two embryos does increase the chance for multiples, which then becomes high risk.

We have only met with Dr. Omurtag once at the beginning of our journey. He was down to earth, easy to have a conversation with and honest about possible outcomes. He was hopeful and positive and made me feel comfortable. Unfortunately our IVF cycle was not successful and we need to try again. We meet with Dr. Omurtag again next week.

Any person going through fertility treatments I would say be patient and know your journey may follow a different path that what you expected. I was naive and thought I would have multiple chances of having a child through one IVF cycle but the sad reality was we only got one embryo.

We used an agonist protocol. The medicine listed below were what I was prescribed. Gonal-F 900 units pen - 2 pens Menopur 75 units - 10 vials Ganerelix 250 mcg injection - 6 boxes Leuprolide trigger shot - 1 shot (the pharmacy may send a 2 week kit in place of the single shot) Novarel 5,000 unit injection - 2 box/es Birth control pills 1 pack I only went through the egg retrieval process as my wife and I are doing reciprocal IVF so she will be the one to carry the baby. I produced 8 eggs at the time of retrieval. Out of those 8 only 5 made it to where they could be fertilized. They attempted to fertilize my eggs with two different methods. One where they sprinkle sperm by the egg and the sperm swim to the egg to fertilize it and the other was to inject the sperm right into the egg. I only had one embryo form and it was from the first method.

Dr. Omurtag was very welcoming and made me and my partner feel comfortable and “normal”. We talked to him about our hopes and he was able to listen and guide us to the right path for us. He is extremely knowledgeable, honest about results and easy to communicate with.

My insurance did not cover fertility. Medication was around $2500 for my part. We paid around 7,000 for the egg retrieval itself. We have paid around $20,000 from start to finish. They were upfront about the cost and mailed out an informational sheet that explained everything. We met with the financial team to get cleared before we started.

This was super easy. We used California Cryo Bank. We called them and asked for our donor sperm to be sent to Wash U and Wash U confirmed the order with us.

She is available for early and late appointments to work around my work. She also takes the time to talk to me as a person about what I am going through as I am going through it. She walks me and my husband through everything every time so we feel confident as we go through the process.

To chose her if you can as your provider

She used the slow meds process with the 21 days of birth control followed by about 9 days of lupron about a week of stimulation drugs and the trigger shot. Since I only have 1 ovary and don't actually have a period we wanted to do a cycle that my body could react better to. we had 2 very successful retrievals so far and are hoping for the same with the third. My body has responded well to the first 2 with minimal side effects.

My insurance covered a portion of this so I had to pay for the medications and genetic testing of embryos, freezing of embryos and husbands costs as well as copays. Unsure of total costs

We did genetic testing on our embryos to rule out as many issues as we could and to eliminate more stress on our future carrier with all of the meds and possible failed transfers with not so great embryos. With tested embryos there is a higher chance to split so doing a DET vs SET is not an option for us so we really never discussed it with our Dr due to the unsafe nature of it on our carrier or babies.

We had to do so many procedures and tests on top of IUI and IVF, he was always available for questions and explained everything in great detail. He was upfront about possible out of pocket costs and wanted to make sure we were prepared. He is a very visual person and likes to draw pictures to help you understand. But he really felt more like you were talking to a friend than a doctor.

I highly recommend him. He does follow ASRM guidelines very strictly so if you are someone that wants to transfer more than one at a time. This may not be the place for you

I did an HSG before starting anything. Then multiple clomid IUI cycles. Had to do a hysteroscopy with dilation due to difficulty getting the IUI catheter through my cervix. Then moved on to IVF. We did a long agonist protocol, with a fresh transfer which failed. So then did an endosee procedure. Then a frozen transfer than failed. And most recently transferred our last frozen embryo that stuck! For the frozen transfers he ordered estradiol three times a day and PIO daily.

IUIs were 500 without insurance. But 50 with it. A cycle with Egg retrieval and fresh transfer was 15-20k without insurance. I think I paid about 2k A frozen transfer without insurance was 4700 but with insurance was 200

They follow ASRM guidelines so they will not do an elective multiple embryo transfer unless there is a good medical reason to do so.

Dr. Omurtag took his time with us and never made us feel rushed. He always answered all of our questions and put our minds at ease. He never made us feel pressured. He would lay out our options, offer his thoughts and let us ultimately make decisions. He was compassionate, understanding and was on our team in ultimately wanting us to have a baby no matter how we got there. He was always willing to even talk through things over the phone when we had questions or concerns outside of appointments.

Don’t be afraid to ask questions. Dr. Omurtag is always patient and never makes you feel like any question is a bad question or concern.

Dr. Omurtag helped facilitate my treatment with another doctor due to Covid-19. He wanted the best care for me and allowed me to do ultrasounds and bloodwork in my hometown, rather than drive 2 hours to his clinic. He reassured me that I was getting great care and answered all my questions clearly.

He is very informative and friendly. He makes sure you understand everything and doesn’t move on if you have questions.

I am on an antagonist cycle. I’m doing 3 injectable medications daily. I get ultrasounds and bloodwork done approximately every other day. He updated my online profile very quickly so I know the results of my lab tests.

The cost of one egg retrieval and making them into embryos is approximately $8,000. They have suggested I do two cycles because after my cancer treatment, I may not be able to conceive naturally. Storing the frozen embryos is approximately $450 a year. Medications not covered by grants were approximately $600.

She is friendly, caring, professional. She listens to our needs, wants, desires. She also is clear on what the right path is, safely, for mother and potential babies. There is good communication and understanding from both patient and doctor.

You dont see Dr Jaminez at every appointment. You mostly are in contact with her nursing staff, but they are in constant contact with the dr. They are the best!

I have done 2 long analytical cycles for IVF. The first resulted in 3 day 5 embryos. We transferred 2 fresh embryos that didnt take. We went right into a FET, that didnt take either. The 2nd IVF cycle resulted in 5 day 5 embryos. We transferred 2 fresh embryos and neither of those resulted in a pregnancy. We are currently waiting to proceed with a FET.

I had great insurance for my first 2 retrievals and transfers, so our costs were minimal compared to others. Right now I have new insurance and am fighting to get treatment approved. If it is not, a FET will cost right under $5,000. The office gave me a breakdown of the costs.

Dr Jaminez is clear on what is safe. She also understands our wants and needs and we come to a happy end result of how many to transfer.

with this clinic, its a group effort, so while i may not have seen my direct doctor, i was always aware of who would be handling each procedure. i was introduced to each doctor, and everything was explained in detail, with a chance to ask questions and confirm understanding. i never waited for a doctor to show up.

be assured that if it doesn't work the first time, Dr Omurtag will review and adjust to try again with success .

my first cycle was a short protocol, with 9 days of stim medications of Gonal-f, Menopur, and cetrotide. we retrieved 9 eggs, but most of them were not mature. the 2nd cycle we changed to a long agonist protocol with lupron, Gonal-F, and Menopur. we retrieved 17 eggs, 15 were mature.

most of my monitoring was done at a secondary location, but all appointments were quick, in and out.

most of my costs were covered by insurance, but it was hard to nail down an exact number, or cost for anything. i contacted billing several times without an answer. if i were paying out of pocket, this would have been very concerning.

our 1st cycle we transferred 2, because of the low quality and low numbers we retrieved. the 2nd time, because we had so many embryos, we only transferred 1

Dr. Odem LISTENS and tries to answer every one of your questions. He takes time and is not in a rush to see the next patient- you feel like he’s on your side and a friend. He ALWAYS called me back the same day with any questions or worries I had. I only wish I lived closer.

Be prepared to have a doctor who treats you more like a friend than just another number.

My situation was a bit different. I went to Dr. Odem only for Ashermans Syndrome. He worked around my schedule as I lived far away. He scheduled my surgery as soon as he could and helped arrange for care closer to home after the surgery.

He is incredible and amazing and no words to describe how good he is. I wish I would have known him 5 years before but after I met him I was only very short term with him less than 3 months. He is the best. I was confident with the first 2 visits itself the way he rule in and out the pros and cons. The best of him is he encourages to ask questions and so that we can feel free to express our doubts/questions.

just trust him and follow what ever he say regarding your treatment because he is the expert.

I am not sure but I think it is agonist protocol. I am with him for my first IVF Cycle which was successful and was on some birth control pills for 3 weeks and after that on lupron and in my menstrual cycle after start of lupron for 4 days. Then started follistim and couple days later on Menopur and on those injections for 11-12 days and ovidrel trigger shot 36 hrs before egg retrieval. and all the injections are done and was methyl prednisolone for 2 -3 days and on progesterone from egg retrieval day. Embryo transfer was on 5 th day after egg retrieval and blood test for B HCG WAS ON 14 TH DAY. I heard the news from the nurse that BFP. That was the best day in my life. I GIVE 100% CREDIT AND WILL NEVER FORGET Omurtag in my life. WHEN EVER I SEE MY BABY I HAVE THAT KINDNESS TOWARDS HIM.

n/a but i can confidently say he is wonderful

total cost including my pre screening tests and consultation is $ 17,500 out of this 15,900 is for IVF. THE REST 1600 IS MY consultation and ultrasoung and blood work prior to start of IVF. MEDICINES COST is $3700

He suggested which is best considering my age SET. I JUST FOLLOWED HIM.But also told if you want 2 we can do that but explained pros and cons.

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She was very sweet & caring yet had the experience that we were looking for with my condition. We also liked how she remembered us and everything we have done so far and helped us develop a plan for what the next step was, the only thing I was upset about was that we were doing IUI & she had us not take the next round of menopur because she was afraid of multiples but in exchange the follicles were not big enough to actually successfully fertilize. The IUI did not work. Overall she is a great doctor & I would refer anyone to her services.

Speak up to your wishes, they try to get everyone to do genetic testing but that often adds on a lot of money. If you are not interested in it, just simply tell them that you are not doing it.

We tried IUI first, using Menopur. We started out slow because she didn’t know how quickly my body was going to react. We ended up using menopur for 26 days & then did the IUI with the nurse. The IUI did not work, so we moved on to IVF. Her plan is to use Menopur again but at a faster rate. Around 10 days & then do the egg retrieval, we will be starting this process in a few weeks.

40 copay to see dr. 40 copay to see gen. Counseling Blood test billed $12000 ivf $500 for iui $4000-$5000 for menopur IUI/IVF $100 for trigger shot

I have nothing but positive things to say about Dr Omurtag and his staff.... AMAZING!!! If there were set backs (as in my case there often were), he explained why a procedure needed to be taken care of (polyps removed from uterus, EKG b/c of an irregular heart beat etc) before moving on to the next step in process. I NEVER felt these findings were a way for the company to get more money, rather they were concerns he had that needed to be examined before he felt confident enough to proceed to ensure I would be able to carry a healthy baby full term.

trust him, he knows what he is doing and will not give you poor advice or sugar coat the risks. He gives you all the information you need to make an informed decision.

My husband and I met with the his consultants first to review costs. Once that was complete we then saw Dr Omurtag who went in depth on different types of procedures he could try. Since my husband and I had tried for 6 years to have a child (with a fertility clinic in TN) he told us he would not put us/me through that again, he would not try IVF since we had not had success. Our option was egg donor. Once we made that choice we had to meet with a team of specialist to see if we/I were physically and mentally ready for the process. After I was cleared a battery of tests began (continual labs, weekly/monthy ultrasounds, sonohysterogram, removal of polyps), daily pills, patches and injections needed to be administered until I was finally ready for embryo transfer. 9 months later: SUCCESS!!!

for the process my husband and went through I felt it was reasonable. Because insurance did not cover much, most was out of pocket and payment options were made available to us.

Due to my age, only 3 eggs were transferred. We are trying for baby number 2 and this time he is telling me only 1 egg will be transferred. This Dr is phenomenal, always takes his patient's health and safety into consideration before doing whatever the patient wants.

Dr. Keller is very personable, knowledgeable and caring. She was very proactive in trying to find the reason Ikeep having miscarriages. Though no reason was discovered, I still have trust in her care and believe she is making the right decisions.

While Dr. Keller is very knowledgeable the fertility science is not absolute. She will work her hardest for the best results.

I have only used Dr. Keller for FETs. She ran multiple test for recurrent miscarriage on me and they all came back negative. For my frozen cycle we transfered 1 embryo. My protocol was: Day 1(March 2nd) start of period- start 2mg estrace 3x daily March 15- uterine lining check March 17- start 1/2ml PIO and azithromiacin (today only) March 18- Medrol 2x daily for 5 days and up PIO to 1ml March 22- Embryo transfer and continue 1ml PIO and estrace 3x daily Beta is 12 days after transfer

My FET was $3,800. My saline ultrasound and all other blood was covered by my insurance.

Dr. Keller prefers transferring 1 high quality embryo at a time. But for my next transfer I have a fair and poor quality left she recommended transferring both. She will go over the risks of multiples if you decide to transfer more than 1.

Dr. Omurtag was professional yet completely approachable, and was able to explain things in ways that were simple to understand while still being comprehensive. He patiently answered all of my questions - even during my first appointment, when I had an entire list of questions written down. He reviewed all of my test results, and would write comments once he had done so that I could read them on the patient portal. He made the whole fertility treatment process seem as easy and natural as anything in the world, giving us realistic expectations of success while reassuring us that he would be there to support and guide us along every step of the way. I have never had a doctor in whom I had more confidence and trust.

Come with questions, so you know what you want to know - and then rest easy, knowing Dr. Omurtag will tell you everything else, the things you didn't think to ask.

He reviewed my chart to see what I had done thus far with my local OBGYN, laid out the treatment options, and explained the order in which we would/could take them so that my husband and I could make informed decisions about our care. He started with the least-invasive option first, IUI, and promised that if it did not work within a few attempts, he would regroup with us to discuss what our next step would be. We ended up getting pregnant on the second round of IUI, but during the whole process he monitored all of my test results and sent messages to let me know his take. It assured me that he was a hands-on physician, who truly was taking an interest in my care.

Besides copays, I did not have any extra costs associated with my care from Dr. Omurtag.

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Dr. Omurtag is friendly, knowledgeable, caring, and smart. It was nice to feel like you could ask as many questions as you needed to ask and he would answer them without making you feel dumb or rushing you out the door. I do wish he would be at the procedures. He said he would be at them a couple of times and never showed up. That was disappointing as we had really hoped he would perform the procedures and he said he would.

Feel comfortable asking questions and make suggestions. He's open to them all and will go through all possibilities with you.

For IUI, we did mainly clomid, then after three of those, went to a clomid with one u/s and trigger shot. Finally, went to an IUI with injectables and monitoring. For IVF, we did a short antagonist protocol for both IVF cycles with ovidrel trigger shots.

$30,000

He suggested we do multiple due to age and past records.

Dr. Keller is very knowledgeable and an expert in her field. I've never felt she has pushed us into spending more money than we absolutely have to. She has not recommended PGS testing for our second IVF cycle, citing that it does not improve birth rates. She never rushes us out of the office and takes the time to answer all questions thoroughly. She often seems flustered or nervous and for that reason I would recommend other doctors in this practice over her.

Do your research. Ask questions. Tell her what's bothering you. Trust her plan of care.

In 2016 I did 3 clomid IUIs without trigger shot. None were successful and I was disappointed that no Ultrasound or hCG blood levels were obtained during any of the cycles. I didn't see Dr. Keller at all during this time and really felt like nobody cared if they were successful or not. Cycle 1 IVF was better. I do not have ovulatory dysfunction so Keller recommend an agonist protocol for my first IVF cycle. In retrospect I responded quickly to the medications, maybe too quickly because we got 10 eggs and only 2 5-day embryos. Our fresh transfer resulted in a chemical pregnancy and our FET resulted in a miscarriage at 7 weeks. Dr. Keller said that a quick stimulation can result in poorer egg quality. For cycle two she is doing a long antagonist which will hopefully allow slower development of my follicles and give better egg quality.

The line to check in can get long some days but once checked in blood draws and Ultrasounds are done quickly.

I think IUIs were around $350 each plus the copay for Clomid. For one egg retrieval/IVF with ICSI, a frozen transfer and fresh transfer we paid almost $13k and my insurance covered $4k.

Dr. Keller was open to both single and double embryo transfer for us. We elected single transfer to avoid a twin or triplet pregnancy.

She takes the time to answer all your questions and address all your concerns. If we got home and forgot questions or concerns she was an email away and always got back to us quickly either same day or next day if we emailed at night. She worked with us as far as timing for our IUIs. We drove 2 hrs to see her. She always made us feel more like family instead of a patient!!

Definitely be prepared to hear a lot of information. She covers everything and is very thorough! Take paper with you to jot down notes if you’d like.

Given we had no fertility coverage, we were always made aware of the out of pocket costs for everything. There was never any cost surprises. They made sure we had and knew all our options in regards to the cost and financing.

I’m 38 and she was comfortable with a 2 embryo transfer. It was more up to me to decide after considering risks and benefits.

From the beginning, Dr. Omurtag was kind, easy to talk to and very thorough. His staff reflects this, they are just as incredible! He discovered that one of my thyroid levels (which can cause infertility and mc) was within the normal range but a little high in the normal range. He started me on some thyroid medicine, I had my tubes checked and within a month I was pregnant. I truly believe that small adjustment to my thyroid was what did it. Other doctors may have dismissed this bc it was still within the normal range but Dr. Omurtag saw beyond that.

YES! He is great at what he does and you can tell in his heart he wants to help you get pregnant!

He gave me options, we could very aggressive and go straight to invitro or go a slower route. I decided to go an even slower route than what he offered which he was completely supportive of! Month 1 consisted of starting thyroid medicine and having my tubes flushed, then me and my husband trying spontaneously. If that did not work the next month I was going to start Clomid but we did not get to that point :) He discovered that one of my thyroid levels (which can cause infertility and mc) was within the normal range but a little high in the normal range. He started me on some thyroid medicine, I had my tubes checked and within a month I was pregnant. I truly believe that small adjustment to my thyroid was what did it. Other doctors may have dismissed this bc it was still within the normal range but Dr. Omurtag saw beyond that.

My us and tube cleaning was not covered by my insurance, it was 280 for the u/s and 720 for the tube cleaning.

He’s like a father figure, he’s direct but warm. He is a straight shooter, has tons of experience and cares about your emotions. My best interest was always at hand. He did 5 rounds of high dose estrogen and 5 hysterscopies in 5 months. One each month. I never felt rushed, never felt like a number. He would sit with us until we understood everything. Outline what to expect our options. I even discussed transferring care to 2 different providers out of state and he was supportive but shares his opinion.

Ask as many questions as you need, be transparent, share all your thoughts. He’ll help you work it out.

So he was treating me for ashermans syndrome. He suggested hysterscopies to clear the scar tissue out. I did 3 under general anesthesia and 2 awake. I preferred being awake I recovered quicker. He would have me do high doses of estrogen for about a month and then stop, start progesterone for a withdrawal bleed. Then we would repeat.

I work for wash u so my copays are half and washu just put fertility on the benefits package so we get 10,000 dollars towards fertility treatment but it’s out of pocket cost.

From the start Dr Omurtag gave us hope. He was kind, caring, and attentive. He answered all of our questions. He told us what we needed to know up front. He didn’t perform my egg retrieval but he stopped in to check on me, which was very nice. He also personally called me after my first negative test to discuss how I was doing and where to go next.

You won’t see him for every visit but he is aware of what’s going on and is still keeping up with your progress.

My protocol was pretty standard. With it being male factor infertility i didn’t have to do a lot of extra stuff. I took 3 different medications over a 10 day period. I took cetrotide and was allergic to it, they had me take Benadryl with it. I almost overstimulated so I did have to take pills for that and up my fluids.

We were fortunate that our insurance covered fertility treatments. With 2 rounds of IVF and doing ICSI we paid about $2500 out of pocket.

For our first transfer, we saw Dr Odem and he recommended transferring 2 embryos. He explained why and we agreed, however, it was unsuccessful. The second transfer we transferred one embryo which resulted in a positive blood test.

Kenan was warm and engaged. I remember my husband joking he was so young. In ways I liked that piece because I felt like I could relate to him as a human and someone our age who understands all the issues we are facing. He was always very reserved about being too excited or hopeful, but would say until the baby is out and in your arms. That could sound harsh, but I think that it was helpful to keep us in the moment and not attaching to an outcome. He also referred me to Dr. Odem when he felt my Asherman's was too extensive for him to do surgery on. I appreciated him acknowledging he has limits to his medical ability and wanted to support me in getting the best possible care.

Ask as many questions as you need to in order to understand things. He will answer them and it is okay to be reserved and not jump on his first recommendation. You are allowed to dictate your own steps of care.

He first gave me progesterone to see if I could bleed, I then had a dye test of my tubes to make sure there was no blockage and my organs were in good standing. He paired my cycle after progesterone with Letrosole and I ovulated and was pregnant on my first time. He stated that if we tried that given I had 5 failed rounds of Chlomid, he was going to recommend IUI.

I am a university employee so my insurance covers my fees. It was never expensive or unreasonable. Sometimes medications were very expensive regardless. However I understand meds and IVF are very expensive. They are very understanding of the financial challenge and work to support individuals in getting feedback and support from billing.

Strengths- she knew our history and us as people. She was open to sugggestions of next steps in treatment and was very knowledgeable in statistics of different procedures like scratch test, assisted hatching, ICSI, etc and she explained procedures and set up expectations for us. She truly cared about us as a couple. She even talked us through next steps on another cycle right after her father passed away. She is selfless. The weakness- because of her compassion I think she was less direct than we needed about my diagnosis of diminished ovarian reserve. She expressed the panel of docs at clinic would advocate for donor eggs but said we could continue to try. In hindsight I feel it would have been better to be more blunt about our chances with own eggs so we could have moved forward with donor eggs sooner. Overall, I think we had to come to that acceptance before anything. I’m glad she introduced the topic to us and moved ahead with lightening speed thereafter

Be proactive and know what you want. She will be there to support your treatment plan and advocate for you.

With DOR- we tried femara cycle day 5-9 plus follistim but had to convert to IUI. We did 2 antagonist cycles with gonal-f (225) and menopur (225) with one cycle doing an estrogen prime. Last cycle we did estrogen prime plus micro dose Lupron flare anatagonist

We had help with insurance. The largest out of pocket cost was donor reimbursement fees which were $5000 plus adminustrative costs which were $3000

She showed us her statistics at the clinic and discussed risks, benefits and chances with eSET & multiple transfers but left the decision up to us ultimately

Being a nurse, I have learned about effective communication. Having effective communication with physicians is always key to experience excellent care. After my husband and I miscarried our baby boy at 17 weeks, I learned to be an advocate for my care even more. I did not have complications after my D&C surgery after miscarriage. I however was diagnosed with an uterine arterial venous malformation which is very rare. I was under my general OBGYN at the time I was diagnosed and Dr. Keller which is my infertility specialist. Many doctors were consulted to see if they had an idea of how to treat the AVM in my uterus. A month or so after my diagnosis, I was told it would not be in my best interest to carry children for my safety and health. Dr. Keller was my main physician who helped me through my time of this diagnosis. She understood how hard this time was because we have never had any children and I was only 26 years old at the time. Every time I was seen by her, I felt as if she was fighting for answers for my husband and I, seeing everything in our best interest. Time went by and I ended up hemorrhaging, which is a complication of the uterine AVM, and admitted to the hospital multiple times in a months span. While the bleeding would start and stop, the doctors were trying to figure out how to save my fertility without doing anything to drastic. After failed attempts to do so, I ultimately had to make the decision to get a hysterectomy for my health and safety. Dr. Keller was always there, one call away, to answer all my questions and concerns. I wanted to make sure that this was the best decision for myself and that there weren't any other options available. I trusted her decision, as did my husband. Now, fast forward to a little over a year later, and were are about to do an IVF cycle to ultimately have a surrogate carry our baby. After a couple of months of trying to heal mentally and physically, my husband and I are ready for our next steps into starting our family. The first appointment we had with Dr. Keller to meet to chat about IVF was one I will never forget. After sitting with her, discussing all that is involved with IVF, Dr. Keller looked at us and said, "I want you to get your baby! That is my goal here!". It made me feel as if I wasn't alone and I felt as if my husband and I are in the best hands. She always asks how I am doing when I meet with her, how I am healing, and just how I feel overall. My experiences that I have gone through in the past year and half are something I never expected. I never dreamt of not being able to carry our children. It sure does make it easier having Dr. Keller sincerely care about my husband and I and our ultimate goal which is to start our family. There is nothing bad I could say about Dr. Keller!

That she is trustworthy and will fight for the best care for you. She will always listen and respect your decisions. Effective communication!

I am about 3 weeks away from our very first round of IVF.

I will know a more detailed cost estimate soon. Since we are just beginning our first IVF cycle, I am not sure of the overall costs. I estimate it being close to $20,000.

Dr. Keller has discussed her approach to both because of us needing to use a surrogate since I cannot carry. The decision mainly depends on the surrogate and what they agree too, but she does mention it is best to not do a multiple embryo transfer for surrogate to carry. It costs more and many more risks involve is my understanding.