Adam Fechner

Dr. Fechner is a personable and empathetic provider whose goal is to ultimately help couples build their family. He’s respectful of the overall timeline of fertility treatments and works in a way to make sure there’s no “wasted” time between cycles/treatment planning, etc.

Understand that his goal is to help you build your family in the quickest and safest way possible.

Due to male factor infertility, Dr. Fechner cautioned us that less invasive techniques such as IUIs may not be successful, but he was willing to try prior to moving onto IVF. He put me on letrozole as opposed to Clomid for all 3 IUI cycles as he noticed I have a tendency to make a lot of eggs. He was concerned the clomid would result in me making too many, forcing us to cancel a cycle and putting me at risk for developing cysts. Being on the letrozole I developed 1-2 mature follicles each cycle with no side effects. He also recommended we seek out a second opinion for my husband with a reproductive urologist. My husband’s first urologist wanted to remove a varicocele, which Dr. Fechner believed may not help improve his sperm quality. The reproductive urologist agreed and we are currently awaiting a follow up visit to discuss our options moving forward

I am still undergoing treatment and haven’t had to pay out of pocket yet. So far everything has been covered by insurance and I’ve only been responsible for my copay

I was provided with thorough, research-backed evidence as to the benefits/risks of single vs multiple transfer. I feel comfortable with the approach and am appreciative of the literature I was provided with

Dr. Fechner covered all the treatment options in details and was very honest about my chances of conceiving. Having that information helped me prepare for the ups and downs of the process. I was able to reach him with any questions I had about my treatment.

Don’t hesitate to ask him questions.

Not sure since I did multiple Ivf cycles ( four)

First come, first serve but patients who need only bloodwork tend to go first compare to those who need bloodwork and ultrasound.

Insurance and out-of-pocket

I only had one embryo that was considered to be viable after Preimplantation Genetic Screening( PGS). So I had no choice but to have single embryo transfer.

Dr Fechner listened to our history of challenges we faced through our IVF journey. He took that into consideration along the way. We put our trust in his clinical judgement and never felt uncomfortable with decisions that were made. We have nothing negative to say.

Listen carefully. He talks fast, but he covers a lot of necessary information.

We used frozen donor eggs. Lupron was used, estrace, progesterone. We had one embryo that made it to day 7. We repeated the cycle to transfer the embryo on day 5 (as we had a successful transfer from on day 5 in the past) and we had a positive pregnancy test.

We participated in the assured refund plan with the donor bank. We paid the bank and the bank reimbursement the clinic. Morning monitor was standard fees

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Dr. Fechner is absolutely a great doctor. Only downside is we see the doctor on call for morning ultrasound and blood work. It's difficult to explain to every doctor what is going on and how to proceed with procedures.

Know that you'll only see your primary doctor only if they are on call that day or you schedule your appointment specifically with them.

Everything so far has been on protocol. Just have not gotten pregnant yet.

Insurance paid for ultrasound but everything else was paid out of pocket.

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He has good bed side manner. Very polite. He does consider your issues and He’s flexible to change the treatment plan. I haven’t seen a better communicator like him. Very respectful as well. He is very competent in the work he does.

IVF . We Did two transfers but both failed. He considered doing iui as we requested

Finance does need to be reviewed carefully

Once pt is recognized to failed embryo transfer. They should encourage transferring 2 eggs