Amanda Hurliman

Working with Dr Hurliman has been fantastic. She is a clear communicator and up front with what I need to know. When Pandemic hit, it wasn’t a receptionist who called me, it was Amanda. She had a plan, options, direction during a time that is guaranteed to add stress. She’s always made me feel seen, heard, understood.

Come with questions - she wants to answer them! She is ready and has lots of experience with different patient scenarios.

I can to Dr Hurliman after 8 failed 8 IUIs elsewhere. While she was kind to not jump straight to an IVF recommendation, I knew I needed to consider it. I don’t have a partner to hash out scenarios with so she ran through the different decisions I had and was so patient while I decided. Ultimately, we settled on IVF as best course of action. It’s been put on hold with the Covid Pandemic, but I am clear on next steps as the clinic prepares for reengaging patients.

Initial appointment was around $350. The rest is projected in the $15,000-$25,000 range.

We are doing single embryo. It’s my preferred. But it’s also her practice for those in my position.

Amanda is wonderful and warm. She helped us to conceive our first child and we have been working with her for the past year to conceive another child. We saw her for all but two appointments In that time frame and she always is kind, and warm. She cried with us when we had to terminate a pregnancy and was encouraging at the same time about future success. She’s just wonderful.

It would be to be patient and ask questions. Fertility is not always an easy process

My first IUI was letrozole 5mg, resulted in pregnancy Second IUI was letrozole 5mg, did not result in pregnancy Third IUI was letrozole 5mg, ovulated on my own as one follicle dominated, did not result in pregnancy. Fourth IUI was letrozole 7.5mg, did not result in pregnancy Fifth IUI, 7.5mg letrozole, resulted in pregnancy that was terminated at 16 weeks due to chromosomal abnormalities. IVF - antagonist good responder protocol. egg retrieval was cancelled on day 3 of meds because dominant ovaries were taking over. Currently on OCP overlap protocol.

Our doctor has recommended a single embryo transfer. She said this is her recommendation for most couples

Dr. Hurliman was a good physician. We were honest about our options and financial situation. I was a little upset that she could not make any recommendation on my situation both about my health and financial situation that did not involve IVF treatments or give me names of Doctors I might be able to see due to my situation.

I would not see Amanda if you are not looking to use IVF.

To speak with the doctor for a consultation, blood test and ultrasound, testing and to speak with the doctor about the results it cost me about $1000 out of pocket

Amanda prefers single embryo transfer vs multiple embryo transfer

Dr Hurliman is direct with the information she needs to deliver. I think one of her strengths was telling you the whole process, the good and the bad. A stretch for Dr Hulriman was staying positive. I walked out of her office repeatedly thinking the worst could happen vs. the best possible outcome. I know she didn't want me to get too excited and then end up getting disappointed but I would have liked a more positive energy and for her to give me more hope.

If you want warm and fuzzy Dr Hurliman might not be the best choice. She is honest and direct.

We were using my sister as a donor and her protocol included BC pills, then Dexamethasone, menopur, follistim and leuprolide acetate. They didn't stimulate very much. At the baseline testing my sister had 15 follicles, after stimulation and at retrieval she had about 12. We retrieved 2 eggs.

The whole cost was $21,000, not including the meds which was $4,500. I have no fertility coverage with my insurance so I paid all of this out of pocket. They don't do payment plans but they worked with me to make repayment manageable.

we never got this far along. Didn't end up having any viable embryos.

She is succinct and honest, as well as completely professional. She doesn’t go into as much detail as I prefer, but I’ve always had opportunity to ask questions. She is thorough and thoughtful in her responses. She does a thorough chart review so she isn’t asking redundant questions, and clarifying questions are appropriate. We were never made to feel judged or poorly as to question our decision making process even when we chose to pursue more conservative treatment, despite it did not concur with her recommendation for ideal treatment; we were aware of the statistics of our choices, and those were honored and respected. We never were made to feel pressured or rushed to follow through with her next step recommendation. I’ve never felt judged. She is also honest and doesn’t hesitate to answer slightly direct or difficult questions (like the providers at ORM are stakeholders as owners); I also felt she is able to separate bias or potential personal gain from sound and fair clinical judgements. I find her to be honest, trustworthy, down-to-earth, and reassuring. She has alleviated a lot of anxieties around I fertility. I feel good about our decision of having switched to ORM with Dr. Hurliman in particular.

Don’t be shy to ask questions as she is very receptive to clarify anything that is creating uncertainty or stress. Also, if you’re someone who prefers a what-you-see-is-what-you-get personality and a friendly introvert for a provider, she’s the doctor for you. If you need a bubbly extrovert provider who will small talk or schmooze, make a different selection if that is your personality preference.

The diagnostic workup is as thorough as one can imagine with no stones unturned; the treatment plan choices are based on individual factors and not a generic hit list. We pursued IUIs and Clomid then Femara fully understanding she recommended IVF as ideal treatment; this was due to fear of what-ifs associated with cost, and our bad experience with a different physician at another facility with janky IVF before ORM.

IUI cost is mainly related to the number of ultrasounds each cu or required, so a firm figure isn’t helpful.

I’d read different things online, and paradigms change, but currently ORM does a single transfer the first time. A two-embryo transfer is not considered until a first transfer fails.

Dr Hurliman was very helpful in explaining how the different options related to the IVF and surrogate cycle relate to live births and outcomes. She was understanding in our desire to seek a very specific type of outside egg donor, and further supported us in vetting potential donors. She was especially helpful in providing input on key decisions, such as whether or not to transfer 2 embryos to a GC, explaining her own experience as a mother of twins, and then supporting with her medical opinion (re: risks). All in, we are very satisfied.

Spend time to prepare before having your consultation with her. Speak to ORMs nurses and potential surrogacy agencies to get background so that Dr Hurliman can best guide you. If prepared, she will...

Given we are in the middle of IVF, we have only been through the diagnostics and donor portion of the process. Abstinence was used in order to provide for optimal sperm samples.

$42,000 for the core IVF treatment (incl 2 sperm donors) plus $7k for egg donor, $5k for PGT/a genetic testing, and other misc. expenses.

Yes - Dr Hurliman is fabulous in this capacity. Given she is a mother of twins, she's able to give a real-life and medical opinion on the topic. With her guidance, we decided to go for a single transfer in order to reduce risk and increase chance of live birth.

Dr. Hurliman’s strengths: she was patient and kind and showed compassion. She was able to explain things clearly and even drew pictures to help explain the process. Weaknesses: this isn’t a weakness of dr. Hurliman specifically but infertility treatment is extremely expensive and she would offer up suggestions on next steps without ever discussing cost (minus saying that the next treatment would be “expensive”). It’s hard to make a decision without having all of the information (including financial info).

Get all the facts before embarking on this journey. It’s time consuming and emotional. Dealing with the cost in addition to the stress can be overwhelming. Write your questions down and take all the time you need

I was on an agonist treatment cycle. I used menopur injections and follistim for egg retrieval. First time I had 22 eggs collected but only 4 made it to blastocyst and then only 1 was genetically viable. Transfer prep was progesterone injections (which are painful!) and endometrin suppositories (which are gross). Transfer resulted in a positive pregnancy test, but at 6 weeks it was a blighted ovum and I miscarried. Second attempt was the same protocol with the addition of omnitrope, human growth hormone, which is supposed to help increase quality. 24 eggs were collected and again only 4 made it to blastocyst and none were genetically viable for transfer.

Each IVF cycle was approximately $13k

Amanda Hurliman seemed to be very conservative and let us know that she would only ever transfer 1 embryo at a time. We only had the 1 so it wasn’t an issue but I would’ve liked to have a choice and assume the risk as the patient (and the one paying for this)

As a patient, Dr Hurliman was nice, but I always felt like a 30-minute block on her calendar. I didn't get a good vibe from the get-go and every time I ask about ART and other options, she looked at me like I was crazy for even asking. Her answer was always, "No, I'm sorry. You don't have many eggs left and your ovaries are working overtime." I felt defeated and because Oregon Reproductive Medicine was supposed to be the best of the best in my area, I truly believed her. Dr. Hurliman always had this empathetic look whenever we met. Like she knew this is going to be the end of the road for me. I hated every appointment I had, but couldn't find another RE in my area with desirable hours, or within my insurance network. I finally stopped making appointments with her office and took a break. I eventually found another RE who was way more supportive.

I wish I had asked her to recommend me to another RE in her office who can re-evaluate my situation from a different perspective. Just because it's their opinion of your current situation does not mean it's the end-all-be-all. Although Dr. Hurliman was nice, I would rather talk to someone who didn't view my file as a potential negative hit to her success numbers. If you don't like what you hear, keep pushing for alternatives and/or get a second opinion. That's what I did and I found a new RE (solo practitioner) who was willing to let me try a round of IUI to see how my body would respond. Although it failed, she continued to work with me and didn't dismiss me when I asked her about other protocols.

N/A -- Dr. Hurliman ran the usual blood tests on day 3 of my cycle. We did not proceed any further after her nurse explained the lab results.

Didn't get beyond the consultation so cannot comment on cost.

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She was great. She wasn't really descriptive on what she was doing when she was doing it. I had another one of her colleagues do an exam on me while she was out of town and he was very descriptive, telling me what the numbers mean. I wish she did that more, but I didn't know what to ask or to tell her until I had a different experience. I often didn't know what I should be asking and I wish she would say people usually ask xyz... I was not the most informed person in the room. I have learned a lot during this process. She is a good Doctor and truly cares about my success.

Educate yourself and come in with questions. She is not forthcoming but she will answer any and all questions you have. You don't know, what you don't know.

I believe the Doctors are more about the medications they give you and not relying on creating better egg quality yourself. I was on 2 different protocols for 2 different retrievals. Even though the 2nd retrieval was more successful I am not sure if it had to do more with my own supplements that I added into my diet or if it was the protocol. The First Protocol--> Leupron, Menopur, Follistim --> 17 Eggs Retreived, 1 Embryo Frozen The Second Protocol was The Antagonist: -->Menopur, Omnitrope, Follistim, Ganirelix --> 22 eggs retreived --> 3embryos frozen

$22,000 we had to pay upfront and then they would bill insurance

She recommends Single Embryo Transfer, she does not like transferring multiples because of risks.

We did IUI after IUI with little to no change in medication. She never brought up my eating habits, exercise, or anything I could be doing differently. If I didn't ask a question, she didn't give any feedback. It was always "do you have any questions?". I didn't know what I should have been asking until everything was done.

Research all possible fertility protocols yourself.

1st IUI on Clomid and Levothyroxine lead to chemical pregnancy. Completed another IUI cycle on Clomid which resulted in a cyst. Moved to 5 IUI cycles on same dosage of Letrozole. Responded too well to Levothyroxine and dosage was cut down 3 times to 1/2 pill every other day. IVF - Dexamethasone - 10 days 20u of Lupron in the AM and again in PM 81 mg Aspirin 2 vials Menopur in AM 300 Follistim in PM increased to 375 on day 3

$450 for IUI procedure. $20,000 for frozen ICSI IVF cycle

Preference was single embryo

I felt like I couldn’t ask Dr hurliman questions because she seemed annoyed at the questions I would ask. I mentioned pain at ovulation and she said pain is different from one person to the next and didn’t even mention endometriosis. At my second IUI appointment our numbers were low and she was not positive about it at all and at that point referred us to a urologist. That was about 6 months ago and we haven’t been checked on once.

Beware if you are on the younger end of the scale because they won’t take you as seriously.

We were to do IUIs unmedicated. The first one our numbers were great and it didn’t work, second round our numbers were bad and it didn’t work. Then she referred us to a urologist go see if we could improve my husbands sperm at all. If that didn’t work we would start down the road of IVF.

Consult $350, iui with sperm wash $429, ultrasound $300, semin analysis $120, IVF consult $200

Dr. Hurliman has always been very nice and informative with us. She answers our questions completely never making us feel like an annoyance (no matter how ridiculous the questions are). Unfortunately we haven't had a successful pregnancy yet, but Dr. Hurliman is there with us every step of the way. She cares about our success just as much as us and isn't in this industry just to make money.

If you have questions, just ask! She will answer your questions thoroughly and completely.

We have done just about every treatment out there, so this may take a while... We first starting seeing Dr. Hurliman after our third miscarriage and learning of my unicornuate uterus. During the pre-diagnosis testing, we learned of my husband's chromosomal inversion. With these results, we assumed our miscarriages were a result of the chromosomal inversion so we embarked on IVF with PDG. We ended up with 1 balanced embryo (out of 10 fertilized, 2 made it to day 5 and were tested). We then had a failed FET. Since we didn't get the results we were hoping for, we decided to proceed with IUI with DS. Our first IUI cycle was unsuccessful (using Clomid). The next three months I used Clomid and Letrozole and proceeded to ovulate from my unconnected ovary. Since we were using DS, we didn't not proceed with the IUI those months. On our 5 cycle trying IUI, we used injectable medication to make both of my ovaries respond. This cycle went beautifully and we received a positive pregnancy test. Unfortunately, we miscarried at 7 weeks. Realizing my uterus was not going to be able to sustain a pregnancy, we decided to move forward with IVF with PGD and a GC. We retrieved my eggs, and fertilized half of the eggs with my husband's sperm and half with DS. Out of 13 fertilized embryos, 2 made it to day 5 (1 from husband, 1 from DS). Being able to see and compare the results from embryo with my husband vs. embryos with the DS, we learned that my eggs are vary poor quality. This was a complete shock because all of my other testing came back normal. Although this was a very disappointing discovery, we ended up with 1 balanced embryo and had a successful FET with our GC. Everyone was so happy - Dr. Hurliman and her staff shared our excitement. Unfortunately, we lost the pregnancy at 8 weeks. Everyone was devastated - again, Dr. Hurliman and her staff shared our emotions. Right now we are in the process on where to go from here and again, Dr. Hurliman is right here with us. This survey asked if we have received the results we wanted - I put it's too soon to tell because it's a hard question to answer. Technically, Dr. Hurliman has done a brilliant job and we have gotten pregnant twice. But in the end, we don't have a sweet little baby in our arms. Although we haven't gotten our happily ever after yet, Dr. Hurliman has done everything in her power to help us. She has been here every step of the way and continues to try and use the science to meet our specific needs. Although we haven't been able to reach our end goal, I wouldn't consider it to be Dr. Hurliman or her staff's fault - no matter how hard you try, sometimes science can't fix you.

I don't completely remember the costs, but I we spent about $32k on our IVF with PDG - this includes medications from an outside pharmacy.

De Hurlamin is very professional and pleasant. She always answers all our questions we have and if I ask her to explain something again for me to better understand, she always does. She is always smiling and I feel she is always is encouraging us that our day as parents is coming. A weakness we find in her though which we wish was not the case is that we feel in the end she always just really pushes for us to do another IUI (and IVF) without digging deeper on what our fertility issues are. We did a few IUIs with her already and If we had the money to spend on another IUI or possibley an IVF than heck, I would jump right to it like she wants to but we can’t just jump into it without being more sure on our issues and how we can avoid a miscarriage if we do get pregnant again when we are already baried in so many medical bills.

Always always ask questions, ask her to repeat explaining something if you need more clarification and be firm about certain testing you want done

Both my IUI cycles I took clomid (can’t remember the dosage), and a trigger shot before the IUI procedure. These both resulted in a failed IUI.

Most of our treatments were done in 2015/early 2016 so I don’t quite remember the exact amount but overall it costed us over 2000 for the two IUI and everything leading up to those

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I will always remember the first consult that I had with Dr Hurliman. It was by phone, yet she felt so close to me as we talked. I remember her saying, "We are here for you and we are going to support you on this journey to getting your baby." I could feel that her energy was genuine and I immediately felt a connection with her. The first time that I met with Dr Hurliman in person was for an invasive ultrasound procedure. I was touched by how emotionally present Dr Hurliman was - it made me feel so safe! I was also truly blown away by Dr Hurliman's ability to navigate my cervix and uterus. Dr Hurliman completed a procedure that when I had the same one years earlier, was excruciating. With Dr Hurliman, I did not feel a thing!! With Dr Hurliman, I have put myself into her hands 100%. For a woman who does not trust medical doctors very easily, this says a lot about the doctor that she is.

Dr Hurliman is going to ask you to give 100% to this process. She is going to require that you follow her protocols to a T and she's going to require that you complete extensive pre-cycle testing. Remind yourself that the reason she is doing this is because she wants what you want: for you to succeed! Place yourself in her hands and do what she asks. But, you have to be very assertive to make sure that you have Dr Hurliman's time, whatever time you need. Ask for what YOU need and don't worry about what other patients are doing. Allow yourself to be vulnerable and connect.

I am currently in cycle - We are doing an FET with an embryo created via donor egg.

I don't want to answer this question.

So many women doing IVF want to transfer 2 embryos. Not me! I want a natural birth and I want my pregnancy to go full term. Most of the twin births that I know of were preemie births. The babies were very fragile and the pregnancies were stressful. I agree with Dr Hurliman: transfer one only.

Not much explaining unless you had all the questions. Only recommended Coq10 after 5 failed iuis instead of from the beginning. She didn’t have the answers to why the iuis were not working. She didn’t give me other options, other meds to take, or other treatments to do with IUI.

It’s nice to know what I could do at home to help with IUI success. Like recommending diets, supplements, alternative medicine.

The first IUI I did letrozole 5mg. My follicles were not mature. I increased to 10mg after the second IUI. I ovulated on my own the first 3 IUI treatments. The 4th cycle I had ovulated early so I had to miss a month. The 4th IUI I did the injection night before IUI and 5th iui no injection. All failed. The sperm analysis was up and down for all of the cycles

Very expensive no payment plan option.

Being treated by Dr Hurliman was a great experience. She was very candid about what treatments we needed and why. Going in we were sure we wanted to try IUI first but Dr Hurliman was very up front about how this wasn’t a good option for us and our chances of conceiving would be very thin. You can tell Dr. Hurliman also cares about you having a healthy pregnancy to term even after you leave their clinic. We wanted to transfer two embryos but with the grade of them being so high and the odds of me having multiples would have been very great. With multiples comes great risk, and Dr Hurliman layed our all the risks that could happen with us and made sure we were infirmary, but still let us make the decision on our own. Overall, the experience with Dr Hurliman was amazing and resulted the most perfect son for me and my husband.

I appreciate candid responses and someone who doesn’t beat around the bush. Dr. Hurliman is a great combination of “giving it to you straight” and compassionate bedside manner.

Ours was a pretty standard protocol. Birth control for a week or so, menopur, ganirelix, follistim, dexamethasone all leading up to the egg retrieval. Prior to the transfer it was birth control again for a week or so, then delestrogen twice a week for three weeks, then progesterone in oil started on the third week with Medrol and an antibiotic. After the transfer I continued progesterone in oil and added endometrin suppository.

In total it was about $32,000 out of pocket for egg retrieval and transfer

You could tell the goal was to minimize risks during pregnancy while maintaining pregnancy rate. Dr. Hurliman was definitely against transferring more than one embryo because the chances of multiples for me was so high.

When my spouse and I began seeing Dr. Hurliman we were unsure of the future for us in conceiving our own children. She reviewed our records and provided a professional perspective without making us feel discouraged or overwhelmed. Her approach was always to educate and reassure. I never felt that she over promised things, she was very clear on the next steps and what results she thought we might see. By not over promising my spouse and I were never discouraged by results.

Ask as many questions as you need to feel comfortable; Dr. Hurliman and her staff really don't mind answering your questions.

Diagnosed with tubal blockage on both sides. ORM referred me to a specialist to have surgery. Prior to the surgery we decided to start IVF and freeze the eggs. My IVF cycle included; PM Dexamethasone, Prenatal, Aspirin, Menopur 2, Follistim 150 and Ganirellex. My cycle lasted 7 days. We retrieved 23 eggs and of those 23, 13 lasted past day 7. When met with the sperm we ended up with 7 embryos and after testing 3 were ruled out. Thus, our one cycle rendered 4 viable embryos. After my tubal surgery and recovery we scheduled a time for the embryo transfer. At that time I took Doxycycline twice a day, Endometrin and Medrol after the HCG trigger. First transfer was a success!

$23,540

I met Dr. Hurliman right at the start of what turned out to be the hardest year of my life. I had been recently diagnosed with Multiple Sclerosis and still trying to figure out what that even meant. We were having trouble getting pregnant, but we hadn't been trying that long, so I wasn't convinced there was anything wrong. Since I had my MS issues, I thought it would be good just to get checked out. After my first couple appointments, I learned that I had all sorts of fertility issues. I started treatment and in the middle of it, my dad got really sick. I went back to California to help my mom take care of him, while still trying to do my injections and fly back and forth for appointments. I felt like I was calling ORM every day asking them what to do, if I could move an appointment, if I had to have a blood draw, etc. They finally told me it would probably be a good idea to just stop this round of IVF and pick back up when I was in a better place. It was the best thing they could have ever said to me. It was this weird relief and it allowed me to focus completely on my Dad. He was on in-home hospice and we were told he had about a year to live. He ended up passing away 3 weeks later, and I am so incredibly thankful I got to spend those last 3 weeks taking care of him with nothing else on my mind except that. Dr. Hurliman and her team were so compassionate and patient during this time. It was already overwhelming trying to navigate the fertility injections and going through everything with my Dad made it a million times harder. They answered my every phone call with nothing but warmth and it felt like they were going through all this with me. A few weeks later, my Grandma passed away and then my poor mother had a massive heart attack from all the stress of the last month and losing two of the people she loved the most. It was definitely a very sad, stressful time and writing this all out reminds me just how absolutely crazy it was. I started another round of treatment that ended up not working. I felt like it was kind of set up to fail based on the amount of stress and heartache that had happened in the months before. When I met with Dr. Hurliman to discuss the results, she was so loving and kind and just normal. She wasn't in doctor mode-- her reactions to everything were the same as my close friends. It felt good to have a real conversation about how hard things were. After that, she had a new plan to move forward and was confident that we could be successful in the next round...And we were! Fast forward to a few months later, Dr. Hurliman called me herself to tell me that I had a positive pregnancy test. It meant a lot that she took the time to personally call me and I think it shows a lot about what an amazing person she is and how invested she is in her patients I still thank my lucky stars that I got Dr. Hurliman as my Doctor. She is an incredibly smart, caring and compassionate person, and has a very calming presence that puts you at ease. Going through IVF sucks, but the way she handles things makes it so much better.

Dr. Hurliman will create the best path to success for you and you need to trust her and her plan. I would also recommend utilizing the resources ORM has to offer. I think when you find out that you have fertility issues, your first instinct is to become as educated as possible in your condition and the best way to get the results you want. There is SO much information online and in books that it can be overwhelming. Definitely do you research, but also take advantage of people at ORM like Dr. Sgarlata. He helped me refine my vitamin regimen and also provided insight on some lifestyle changes I could make to promote better overall health. It was very helpful. I also highly recommended acupuncture. I think it was one of the defining things I did that helped me to achieve a positive outcome. ORM gives you a list of great acupuncturists that specialize in fertility.

I had two embryos and Dr. Hurliman advised me to transfer one. She went over in detail the success rates of a single transfer vs multiple and we both agreed that a single transfer was best for me.

She is amazing at explaining the process. Whenever we had a sit-down meeting, e.g. to discuss IVF, she drew out the whole process and we were able to take that image/notes with us. She gave us ample time to ask all our questions and never rushed us out, even when we sometimes went over time. It did seem like it took some time to build a more personal rapport with her, but as she got to know us better, I felt like her demeanor was more and more caring and gentle.

Don't be afraid to share the personal side of what this experience means to you, or your hopes and fears. She seems to respond well when a patient opens up a bit, which allows her to have a more personal relationship with you.

The strategy at ORM seems to be strongly quality over quantity. I have no diagnosis outside of unexplained infertility. I was given an Antagonist protocol. I was started with birth control pills and doxycycline. Later I started dexamethasone. After my suppression check I was not quite suppressed enough so they had me do a few days of Cetrotide to get my estrogen levels down. That worked, so I then started all my injectables: Menopur (2) and Gonal F (150). On day 6 they added Cetrotide back. I did 10 days total of injections before I took my trigger shot. My doses were never adjusted, except on the final day when my Gonal-F was reduced to 75. At the egg retrieval, 11 eggs were retrieved and all were mature. 9 of the 11 fertilized. 5 of the 9 made it to day 5 and were biopsied/frozen for CCS testing. All 5 came back as normal.

For our IVF (egg retrieval and frozen embryo transfer with ICSI and CCS testing), we paid approximately $11,500 out of pocket. I have good health insurance coverage for infertility treatment and medications.

Dr. Hurliman strongly recommended that we transfer 1 embryo, due to my age (31) and the lack of previous miscarriages.

I found Dr. Hurliman to be very thorough in explaining every step along the way and making me feel comfortable as we proceeded though the IVF process. I saw her for every single appointment but the egg retrieval, because ORM has the doctors share duties for egg retrieval. She did every single monitoring appointment and my frozen embryo transfer.

We started with an IUI while I was doing the basic testing (Clomid Challenge, etc.) Then we moved into stimulation for IVF- I did an antagonist protocol. I can't remember why, but I remember the pros/cons of antagonist vs. one of the lupron protocols were explained to me and I agreed with antagonist. I had 12 days of medication and monitoring because Dr. Hurliman wanted my follicles to develop. I retrieved 21 eggs, 19 of which were mature and 16 of which fertilized with ICSI. I had 8 embryos make it to Day 5, at which time they were biopsied for PGD testing and frozen. I had 7 embryos come back as chromosome-normal. For the frozen embryo transfer, Dr. Hurliman discussed that I could do a "natural" FET or a medicated FET. I chose the medicated because I wanted to make sure that I could control the date of transfer and because I didn't find the injections to be that bad. My single embryo transfer resulted in a pregnancy- I had frequent monitoring with Dr. Hurliman until I was released to my OB-GYN at 10 weeks pregnant. I wish I could have stayed with her for my whole pregnancy because I felt that I got MUCH more individual attention at ORM than at my OB-GYN.

I was able to schedule my monitoring appointments for first thing in the morning, which worked best with my schedule.

I believe that the IVF was approx $16k, PGD testing of up to 9 embryos was approx. $5k, and my frozen embryo transfer was approx. $3k. Medications were approx. $2.5k.

Dr. Hurliman recommended that because I was doing PGD testing I only do a single transfer. We had previously discussed that I didn't want twins so I had never considered transferring more than one. She did go over ORM's statistics of eSET v. multiple embryo transfers for both PGD tested and non-PGD tested embryos.

I didn't feel at all connected to Dr. Hurliman and tried to switch doctors but was told by the clinic manager that it was too late in my cycle to switch. She is difficult to get in touch with so for many cycles I was left feeling like I was in the dark regarding my care and my plan for fertility treatments. When I did have contact with her she was great at explaining things factually but lacked compassion and understanding. Her unavailability- both in terms of her time and emotionally- made me feel not cared for.

Don't expect to be able to reach her if you have questions or need more in depth explaining of testing or OF your treatment plan.

I decided that I would go on Clomid, she recommended the dose. I decided that I would do three IUIs- she performed none of them. I decided that I would move from IUI to IVF. None of this was "recommended " by my doctor- she never recommended anything, which made me feel like no one was "driving the bus"

We were able to use insurance for our treatments. An ongoing frustration has been that ORM did not obtain prior authorization for treatments before requiring my $12,000 IVF deposit. No one from ORM made any effort to help me determine what was covered and what wasn't until I demanded that it be done. I'm sure I wasn't the first patient to use insurance for IVF, but the financial office certainly did not seem as though this was something that they were familiar or comfortable with doing.

After nearly four years of trying to conceive on our own and at other clinics, we made an appointment with Dr. Hurliman on a friend's recommendation, and from the first visit I knew we had come to the right place. She took a lot of time to talk with us and explained our options thoroughly. She did all of my IVF procedures including egg retrieval, a fresh transfer (two embryos), and two frozen transfers (one embryo each transfer). I always felt confident knowing she was orchestrating my treatment. I needed two surgeries while I was in her care, and she connected me with surgical teams that she trusted, which really put my mind at ease. Even though she didn't do my surgeries, she followed up with me about them before and after to see how I was doing. I went through a lot while I was in Dr. H's care, including a twin pregnancy that ended with one blighted ovum (empty gestational sac) and a complicated ectopic pregnancy. It is heartbreaking to lose a pregnancy after years of trying to conceive, and Dr. Hurliman recognized that. She had just the right mix of compassion and professionalism that helped me get through that devastating time. Also, I really like that Dr. Hurliman is part of a larger group at ORM. When my treatment got unexpectedly complicated, she was able to talk with her colleagues, and I felt like I had a team of some of the best doctors in the world recommending next steps for my treatment. I conceived again after our second frozen embryo transfer, and I continued in Dr. Hurliman's care through my first trimester. If she delivered babies, I would have loved to stay in her care through my whole pregnancy!

To the extent that you can, you can stop worrying about the medical aspects of your treatment while you are Dr. Hurliman's care. She has that covered, so you can spend that energy taking care of yourself instead.

We had already been trying to conceive for four years when we started seeing Dr. Hurliman, and we went right to IVF. I received a detailed calendar for each cycle and treatment. It was really easy to follow my calendar, and when I had questions, my nurse always got back to me within a few hours.

I can't remember the exact cost of our IVF cycle, but we put down a deposit before the cycle started, which was nice because we didn't need to pay for anything during my appointments. The office also did a great job of billing my insurance. And even though IVF wasn't covered, a lot of the office visits and lab work was.

Dr. Hurliman is the best of the best! She is smart, thorough, and compassionate. We always knew what to expect next as she is great about compassionately communicating all potential outcomes, good or bad. We never felt as though we were given false hope, realistic expectations were always communicated to us in a very caring way. And we always felt that if we had any questions or concerns outside of our appointments we could reach out to the clinic and Dr. Hurliman would respond in a very reasonable amount of time. We would highly recommend Dr. Hurliman to an couples seeking fertility treatments!

Don't be afraid to ask questions. Dr. Hurliman is very knowledgeable when it comes to fertility treatments. She will give you the facts, without building any false expectations. She is an expert at what she does, but know that fertility treatments don't work for everyone. Dr. Hurliman will tailor your treatment plan to you and your needs, which is why open communication is so vital in the process. Ask questions and provide feedback.

I remember going to our first injection class, and we were the only patients in the class to be on a Good Responder Antagonist protocol. This was our first IVF process, and of course I was thinking there was something wrong with me because all the other patients in the class were on different protocols than I was. I was confused about why so many other patients were on Agonist protocols and I was not. When I asked Dr. Hurliman she explained in great detail why she had chose that protocol for me, giving me a piece of mind that she had chosen a protocol specific to me and my situation. For me, injections were never easy, and Dr. Hurliman knew that about me. So, prior to starting any new medication or injections Dr. Hurliman went over the purpose for each in detail to help us understand the process on both a small and large scale.

IVF is expensive, there is no doubt. But, all the costs were stated up front as best as possible. The wildcard in associated costs were what your insurance will and will not cover, specifically related to prescriptions. But, I definitely feel as though all associated costs were stated up front.

Dr. Hurliman was amazing to work with. I always saw her for my appointment except for one IUI transfer out of 6. Although many of our encounters were brief it was usually because I had no questions as she had already answered all of them. However, when needed she spent the time explaining things to us or in reassuring us about how things were going. She was always concerned about how we were doing emotionally as well as physically. I would recommend her to anyone!

Don't hesitate to ask clarifying questions. She does a great job at communicating but everyone has different questions and there is no way to cover everything for everyone. She is one doctor who will not make you feel stupid or like you are taking up too much of her time if you ask the questions you are wondering about so do it.

Initially we tried to IUI with medication and did 6 rounds. We did 6 instead of the standard 4 because of cervical stenosis problems making it unclear whether the first 2 were as successful as they could have been. Due to my age (relatively young) and no other known risk factors or reasons for infertility it was thought it could be secondary to genetic issues either with my eggs or my husband's sperm. For that reason, when we decided to do IVF she recommended (although did not push) that we do CCS. It turns out that was a good idea as we had a low yield of embryos as compared to the number of eggs that were retrieved and of those embryos half had problems genetically. I did have problems with mild ovarian hyperstim but do not remember the specifics regarding the medications.

Overall cost for the 6 IUIs was around $8000 including medication, ultrasounds, testing, and visits with Dr. Hurliman. 1 round of IVF with all the fixings =) (ICSI, CCS, medication, egg retrieval and transfer, tests, ultrasounds, visits with Dr. Hurliman, as well as post-transfer monitoring) was around $25,000. Insurance did not cover anything until after I became pregnant.

Amanda is very thorough. She explained everything on the first day to us as if we had no knowledge of the procedures or options. Once we shared that we had done extensive research and knew what we wanted she skipped to details that would matter most to us. We explained we wanted to start as soon as possible so she immediately had us start the preliminary testing. This was very important to us as she was actually listening to what we wanted. The initial treatment was very smooth and as we inched closer to ovarian stimulation, we found a cyst which would push back egg retrieval. Though it was very disappointing, Amanda comforted us in the process and explained why it should be postponed and when we could start back up. I saw her several times during this process. Finally once it was gone, she continued the procedure just as promised. We even experienced an ice storm in the middle of the ovarian simulation process and were unable to get to an appointment the day before egg retrieval. Amanda thoroughly went through our his history and determined that the missed appointment would probably be okay, and it was. Egg retrieval was done the next day with another doctor but this was explained to us prior to it being done. Transfer was done roughly 6 weeks later with Amanda at the NW location which means she needed to leave her office to come to another facility for the procedure. She did a great job with the transfer, it was fast and professional. Amanda is extremely knowledgeable and has proven to be able to handle any situation that comes her way. I saw her most of my cycle with the exception of egg retrieval procedures. She was even willing to have a phone appointment. Thanks to Amanda, we are expecting a beautiful baby girl and baby boy in a few months. Amanda was so involved that we have promised to come see her once they are born!

It is very important to be straight forward with what you want or need. She is very good at adjusting her plan as needed so don't be afraid to talk to her about it.

We did the Ganirelix Protocol based on my test results. During the process, I took Doxycycline, Lupron, OCPs, Menopur, Ganirelix trigger shot, baby aspirin, daily injections of progesterone and twice a week injections of Estrogen (during and after transfer), suppositories of progesterone 3 times a day (after transfer). These were not all done at the same time. They were spaced as necessary.

Costs are patient specific. They are broken into pre-treatment testing, phase 1 which will include any exams and egg retrieval procedures, Phase 2 which is your basic transfer charges. ICSI, Genetic Testing and other procedures you opt for will be in addition. The finance team will give you a great breakdown of the costs. Prescriptions are paid to the pharmacy you pick it up at and is not included in the cost estimate. Be aware if your cycle cancels, you will have additional costs due to the increased number of exams and visits. Acupuncture may be recommended so note that will be paid separately as well... but completely worth it. The first deposit will cover the basic costs of Phase 1 and the second deposit will cover the basic costs of Phase 2. All RML (laboratory) expenses are paid to ORM and they will coordinate payment to the lab.