Bruce Tjaden

Dr. Tjaden is very ept at repro endocrinology. From the first meeting on he set a plan that we followed. He found a fibroid and the week after he removed it. He also found a small area of Endometriosis that I didn't know about. His bed side manner is exactly what I need which is direct but with compassion. I have recommended him to many of my friends. There are not a lot of African American women who dicuss the stigma of infertility and he has made me comfortable with my journey.

He is the best doctor there and follow the plan he has set out for you.

He was very personable and direct. I thought that having a high BMI he would make me loose weight and he reassured me that my weight wouldn't exclude me from having children. Yes, he was on time restraints but I didn't feel like our interactions were cut short. All ofy questions and concerns were addressed

First exam found fibroid, had it removed a week later. Also found a small amount of Endometriosis during procedure. From there had two rounds of IUI with injectables donor sperm. Took a break and got engaged, went back to Dr. Tjaden and did IUI femara and injections. Dear son is two months old.

The nursing staff isbamazing.! There were times when I would havebquestionxs and they responded quickly and even by email.

I think the whole staff and doctors are compassionate and very knowledgeable in fertility issues. The clinic was able to fit in appointments with my hectic schedule. They are open 363 days of the year and will schedule appointments during the weekend if need be.

The most expensive thing was purchasing donor sperm. My IUI cycles were affordable and insurance paid for a lot of labs and medicine.

Dr. Tjaden often makes sure we know all options available to us, but the ones that will give better results. He makes jokes and real life comparisons when discussing treatment plans. You know he always has your best interest at hand!

He is very blunt and to the point. He doesn't beat around the bush. Be ready to hear what you need to hear without sugarcoating!

Dr. Tjaden always gives many options. But also tells me "if you were my daughter"... Many times he tells us the things he feels are necessary and unnecessary due to our age or test results.

We started with changing my oral medication (changing from clomid to femara) and adding metformin. We did a few unsuccessful iui before talking with him and getting a new plan. We originally were going to add injections and stick with iui, then we came upon insurance that covered ivf and that is our current path. He has said all along this path would be the best due to the amount of time we have been trying to conceive.

The nurses are always so compassionate when you call a million times to ask tons of questions. They will always give you the answer and look into other answers if need be. They have always gotten meds called out quickly.

Great to work with regarding insurance and appointments. I'm always able to get in early so it doesn't interfere with my work schedule.

Due to my insurance (Tricare) many procedures not related to natural conception are not covered. But iui costs at this location are much cheaper than other's I've had.

Do to my age, Dr. Tjaden has said that a single embryo transfer is best. Dr is concerned with the lasting effects having multiples can lead to. He says it's not that we can't handle it, but that it's harder on the body and the babies.

My first impression of him was horrible. His initial bedside manner at our initial visit had me second guessing if he was the right divorce for us but we had heard good thigns so we kept going (glad we did). He was brutally honest and blunt which I appreciated. Yet compassionate and caring, he even offered a prayer after our first embryo transfer. He always gave us hope.

Look past the first appointment and always go prepared with questions. He doesn’t mind answering them.

I felt that for the most part they were kind and compassionate. I loved Megan, Mary and Chelsie. I felt Deb was incompetent and always dreaded getting her. Thankfully I only got her a few times. The second time we went back in 2017 I thought Dr. Tjaden’s MA was as sweet as she could be. Can’t remember her name.

Lots of weaknesses from the clinical staff standpoint. Unprofessional on the phone initially until they get to know you. When I was trying to become a patient they made me feel “dumb” and always blamed their lack of organization on “the fax machine” (I’ve heard that same story from many of my friends who have gone there.). They break HIPPA in the waiting room, luckily no one in there that I cared if they knew my business. After being a patient their for several months (9ish) they became more friendly and by the second time we came back they were great. Soooo to a new patient, yes they come off cranky and unprofessional but the outcome of a baby is worth it!

We were lucky our insurance would pay for all meds, lab, sonos, and everything but the actual IUI and IVF. The initial iui in 2015 cost $200 each and IVF ran us around $20k when it was all said and done. Our iui in 2017 was $400

Dr. Tjaden is very systematic and controlled. He has a particular way of doing things, and it made me feel like I had the best chance of achieving pregnancy. Nothing is left to chance, he checks everything thoroughly before he begins, and is completely concentrated and "in the moment" when he needs to be. He is knowledgeable of risks and was able to answer all of my bazillion questions.

Appreciate the controlled system he employs during a transfer. He gets very focused, and the room goes completely quiet (which may seem a little awkward), but it is all for the best cause!

Dr. Tjaden was confident and reassuring. He always remembered my name, my husband's name, and personal details from our conversations. He would ask questions and usually seem interested in the answers (unless he got focused during the transfer, which I was totally okay with!).

Dr. Tjaden performed 2 separate frozen embryo transfers on me. He prescribed 5 mL progesterone IM injections daily during both transfers. The first transfer resulted in a negative pregnancy test, the second transfer a couple months later resulted in a positive test and pregnancy that lasted until I miscarried at 15 weeks.

This clinic is small, which is both a strength and a weakness. The doctors and staff very much recognize and remember you, but are not as up-to-date on research as an academic center. The lab director only worked there part time, which ended up being a big concern for me. This center has recently closed their lab though and now only does the patient care/management and refers the retrievals and transfers to Kansas City.

A frozen transfer was $2,500 including all monitoring and blood work.

Dr. Tjaden had a strong preference for transferring one 1 embryo, based on my age (30), reason for infertility (tubal blockage) and that it was only my second transfer (his first to do on me). On my third transfer (Dr. Tjaden's second to perform on me), he was more open to entertaining my thoughts on transferring two embryos, but ultimately convinced me that 1 was still best.

We really like him & feel that he is going to do whatever is best for us. He appears really down to earth during our initial consult & our IVF consult. He allowed time for our questions & never acted like he was in a hurry or that he had to get out of our meetings to do something else that maybe more important.

That you will rarely actually see your doctor. The nurses perform most of the procedures & give you your plans for this session/cycle & the next session/cycle.

During our meetings, he took all the time we needed to get questions answered & to go over things with us. He was incredibly down to earth.

Rationale: I have anovulation, unexplained infertility. With the medications they could help my body mature follicles sooner & with the trigger shot 'promise' ovulation. This would also give us the best window for our IUI to hopefully work. Initially we chose to do IUI's with oral medication (femara) & a trigger shot (ovidril). 2 IUI's & the last one done in November 2015, ended up in a very early miscarriage. April we started our journey again, but this time with oral pills & injections of Gonal F to help mature the follicles & continuing with the trigger shot (ovidril) with IUI's. April they had as stop mid-cycle as follicles were not as big as they needed to be & they stated it would take too many injections of Gonal F to complete, so we stopped that cycle. May 2016, same protocol: oral medication, Gonal F, Ovidril, with IUI. Then vaginal progesterone 2X/day until your able to test. This was an unsussful cycle. June 2016, exact same protocol as last month. Currently waiting one more week before I can take a HPT.

All of the nurses have been great & answer any questions that I've had. They are polite, & kind.

Everybody there has been super nice! I haven't had any issues with them. They are all great at answering your questions if they can. My only advice is follow their recommendations as to when to take you medications because they are pretty strict about all that.

Insurance doesn't pay for much for infertility. I know lab draws are $15, but insurance usually waves that fee. $170 I believe for all ultrasounds, Blood pregnancy tests $70, I believe. That's all I can think of off the top of my head.

Dr. Tjaden has been at this for a long time; however he has not lost his compassion or become desensitized to emotions that come with infertility. He preformed my laparoscopic surgery for endometriosis and called the next day to see how I was recovering. We felt that he was very knowledgeable and trusted his judgment. He is very balanced with providing guidance without being pushy.

Write down questions before your visit, do your own research. There were times I left his office without having questions answered, and that was because I was overwhelmed or emotional, NOT because he didn't give me time.

Dr. Tjaden was very down to earth and was very open to hearing about what our expectations were and he respected the route we wanted to go. Dr.Tjaden provided information that we could make informed decisions.

Dr.Tjaden pretty much diagnosed me with endometriosis off a sonogram; however explained that it could only be a confirmed diagnosis with surgery. He explained the pros and cons of surgery as well as the option to use medication or go straight to IVF. Post surgery we decided to start at least aggressive and work our way towards more aggressive IF treatments. We started with several cycles of clomid, then Timed Intercourse, and with Dr.Tjaden's support we will do 2-3 IUI before moving towards IVF. Dr. Tjaden has been very supportive and has provided information to us that we feel has helped make decisions that are best for our situation.

General infertility education, as a clinic weakness. I did a lot of research on my own, which helped with asking questions and making decisions.

Relatively reasonable. They worked with me and my insurance to help make sure the costs did get out of control.

He appeared to be down to earth & it wasn't his way or no way. He very much left our approach up to us & what we felt was best. I don't feel like they explained what will happen next. For example: they explained the meds which I was familiar with from research & experience of taking similar medications before. I don't think they explained what we do IF we were to get pregnant (like do I call my OBGYN & then they take care of me from here on out, or if I called them & they follow me for some many weeks, when do we increase the medication, etc.). This left some confusion. The only other issue I have had, is we did our last IUI on CD21 due to egg size/quality/uterine lining etc. I called to see if this was okay, or if should up the dose. The IVF nurse was a little snippy on the phone telling me "3 pills/day is our max dose." Okay thats fine, so do we need to stay on the 2 pills/day I am currently taking or should we go up? I didn't find out until my next appt that she had talked to the doctor & he agreed to up my dose. When I mentioned getting an IVF consult, she told me that it was expensive between X-X $ amount & that it didn't include the shots, which, "can get pretty expensive!" She also reminded me that payment needs to be paid upfront. I felt like she was short with me & slightly discouraging me from going towards IVF at this point. I don't feel like its a waste of anybody's time to discuss IVF since that is our next step!

Ask lots of questions!! How many rounds of this medication do you usually do, if I ovulate late 20-30's or later, do we up my medication dose/change my medication all together, or what is the protocol for that. If/when we get pregnant, do I contact your office or my OBGYN. These are just some basic questions I would ask that were never explained to me.

I feel as though I was human because when he sat down to talk to us it was at an even level. I didn't feel as he was the doctor & we were going to have to do XYZ. He gave us all our options & let us choose what we all thought would be best at this time to proceed. He didn't appear to be in a hurry & was there to answer any questions we had or could think of.

They have all been friendly & have no problems answering my questions. They are pretty quick to respond after labs & such. As previously mentioned so far, the only nurse that didn't make me feel good about our conversation was the IVF nurse who was snippy & I believe tried to shy us away from IVF.

He is blunt and very serious. If you want warm fuzzies, he isn’t the doctor for you. He made me somewhat uncomfortable at first because he was so serious and i find comfort in jokes and laughter. He didn’t like the. He seems very competent and I trust his experience.

Even though I haven’t had success yet, I do trust him.

They take time, called me personally, gave me a phone number I could call 24/7, always willing to answer my millions of questions without seeming annoyed or impatient.

Birth control for almost a full cycle before retrieval. I used Gonal F and Menopur for stimulation hormones before the retrieval. I had a sonogram and blood draw every 48 hours-ish. I had 24 eggs removed so my body responded well. After the retrieval it took another two months before the transfer. More birth control, 2mg 3x daily of estrogen pills, 1ml progesterone oil injections a day (suppositories were offered as an option) leading up to the transfer, and continued injections after. We did not get our happy ending and our going through the second transfer, same protocol.

They are extremely friendly, relatable, kind, quick to help, readily available. I wasn’t fond of their financial counsel. Felt a lot was left unexplained.

Nurses - excellent Doctors are excellent Financial counsel - ok Ease of appointments (in & out) - excellent Comfort and cleanliness- excellent Availability for questions and appointments was excellent

Dr. Tjaden was very straight forward. He explained clearly the possible issues I would face at my age, the purpose for the various tests and the results of each one. I was treated with respect and kindness.

Don't wait! Go see him today!

As a single woman wanting to be a mother in Kansas I expected to be treated skeptically or to be judged. It turned out to be a non-issue for everyone at the clinic. Dr. Tjaden and his staff were kind, compassionate, supportive and seemed genuinely invested in helping me to conceive.

I was found to be a good candidate for IUI. For the first two cycles I did self injections to trigger timed egg release and I was given Clomid - which ended up causing polyps in my uterus and I had to take a cycle off to allow them to clear. For the following cycle I was given a different drug (I forget the name) and the same injection - I got pregnant that time, my third attempt.

Both of the nurses who performed my inseminations were personal and compassionate. When I had a break down after being told about the polyps and that I'd have to take a month off, my nurse was very supportive and helpful and shared her own fertility issue story with me.

Everything I had to say about the staff would apply here.

It's hard to remember exactly, I think each IUI procedure was approximately $150 or $250. The fertility tests were covered by insurance.

Dr Tjadenc came across very matter of fact. He didn't seem interested in what had worked or more like hadn't worked in our past. He didn't want any info from my fertility charts or what I had learned over the last years. He was pretty straight forward and seemed convinced we would conceive quickly and easily. However, we did conceive after two IUI, so I guess he was right. And we that's what really mattered to us.

He will be straight forward and matter of fact. Don't expect it to be a therapy session, where you can talk to someone about how hard your struggle has been.

I left like Dr. Tjaden dismissed our infertility struggles. I remember him saying it would be so easy but it sure didn't feel easy nor was it easy.

We did 2 rounds of IUI. Both with Clomid/trigger/IUI. I did not ovulate on my own but with clomid was all to produce 1-2 high quality follicles on day 20. Our second IUI, my partner's count post wash was only 4 million. We were offered to cancel the IUI since it was less than 5 million. We chose to continue the cycle and got our first baby.

The nursing staff was wonderful. Smart, caring, explained everything thoughtfully. The nursing staff is the shinning star.

There's lots of paper work but I believe that's expected to get the best care.

Our insurance didnt cover, we payed 100% out of pocket. The clomid was very inexpensive, less than $20. For each cycle I had to have multiple sonograms, each $350. Trigger shot was $100. And the actual IUI procedure $500.

This office is the absolute best. I cannot express in words what Dr Tjaden had done for me. I have yet to carry to term, but he gives me hope. He listens carefully. He wants the best for me. He has such a warm heart.

Tell him everything as he will listen to you!

He is a caring and considerate person who listens to me! I underwent 2 ectopic pregnancies, and he was there for me and my husband. He personally called to check up on me. He held my hand and wiped my tears. He is such a great person!

First, I had a vaginal ultrasound and an hsg. Then I started on clomid on cycle days 3-7. I had another ultrasound on day 12. I triggered with ovidrel 36 hours before IUI on cycle day 14.

Pleasant, thorough, kind

This is a busy clinic, but they will get to know you quickly. Be prepared to wait for an initial appointment. Everyone is kind and considerate. Dr Tjaden will treat you like family. He will listen to you. He will wipe away your tears. He will hold your hand. He is a wonderful doctor. His nurses are sweet, thoughtful, and caring. This place is the absolute best!

I have health insurance that pays for some of my visits. I have saved and prepared for these treatments, and have not yet went broke!

I believe he tells you everything he wants to do for you. Doesn't seem quite as open to discussing alternatives with why/why not questions. He doesn't spend much time with you after he is finished talking (somewhat understandable).

He is fairly blunt and is honest. He usually has good reasoning for his ideas, opinions, and treatments.

I believe he is very friendly. His words were actually "if you were my daughter this is what I would suggest".

I had sonogram and labs on my very first visit. I liked that because I didn't feel like they were using my time or costing me a lot of money to take off work and drive and a copay. My next visit I had HSG. Things happened quickly. Which I appreciated.

They are quiet. Basically in and out. Seemed nice and soft approach. But not very informative.

Front desk lady is friendly to your face but very rude to other patients on the phone even while you're standing right in front of her. Always seems rushed or irritated on the phone.

I paid my copay and the visits were treated like office visits and covered by my insurance. I can't remember specific prices for labs, sonogram, or HSG.

As a patient, I have never felt so cared about. I never felt rushed out. He took the time to answer my questions and did not push me. I have cried a few times in his office and he respected my feelings and acknowledged that my situation did suck. He didn't try to make me feel wrong for being upset when things didn't work or if he had bad news for me. I have really enjoyed working with him.

Definitely go meet with him! He is exceptional! Very knowledgeable and experienced. He has great bedside manner!

I felt human because he was genuine, kind and I felt heard by him and the staff. I unfortunately had to have a D&C. He hugged me and was very kind during this extremely difficult time.

I started with birth control. Then picked egg donor. I started estrogen and took antibiotic and steroid leading up to the tranfer. I also used crinone gel. I continued the estrogen and crinone until my misscarriage.

Happy to answer questions, attentive, always called back within a day.

Strengths: organized, attentive, professional, kind. Weakness: not any I can think of

None due to health insurance

None

He took the time to talk through everything with my husband and I. He gave us his recommendations but still talked us through all of the options so we felt like we were making informed decisions. He cares about his patients and takes time with them. He never made me feel like he was rushing us to get to the next patient.

He is a great Doctor. He is very blunt and honest but is compassionate at the same time.

DR. Tjaden took the time to answer all of our questions. For all 4 of my miscarriages he was very compassionate and always checked up on me to see how I was doing. He genuinely cares!

I was on a pretty high doses of injections due to having diminished ovarian reserve. He was upfront with me that we may not retrieve many eggs but it was the quality that mattered.

I can't say enough about Megan. She is wonderful! Very caring and informative. I never was worried because she explained everything so well and always made herself available should I have any questions. She definitely has your best interest in mind!

This clinic is amazing. Everyone is extremely friendly and helpful and make the process smooth.

IUI was $350 IVF with ICSI was around $11,000

Dr Tjaiden was very straightforward, yet compassionate with my husband and I. He laid out what to expect and treatment options. We knew what to expect and why we were doing it. While we had a problem with his recommendation for a urologist, an egotistical man with no bedside manner, we have no doubt that he would have given us another referral, if we had requested. Dr Tjaiden even guessed that there was a link between my husband's inherited disease and male infertility earlier in the year that the first study came out confirming that was the case.

He is very straight forward.

He really took the time to prepare for our appointments, knew our names, situations and what we had done and future plans for treatment. He laid out information in a way that wasn't scary and was considerate to our situation.

IUI with donor sperm while on clomid to give us a better chance of getting pregnant.

I only interacted with the nursing staff for my IUI. She was professional and courteous.

200-350 for appointments. 250 for intake sonogram. Met low deductible for HSG. 250 for IUI.