Candice O'Hern Perfetto

When I first went to visit Candice Perfetto for a consultation, I was nervous. After about 3 vists and initial testing, we figured out I was suffering from a miscarriage due to an ectopic pregnancy. Dr. Perfetto made me feel like I was a priority. She called me on the phone personally to explain what was happening and guided me through it. She even gave me her cell phone number and told me I could call her if I had any questions or concerns. She checked on me consistently and made me feel a little less horrible about the situation at hand. She has wonderful bedside manner and is very caring and compassionate. She even has an instagram dedicated to inform her followers about infertility and all the things that accompany it.

Ask a ton of questions. There is no such thing as a silly question. Dr. Perfetto did a wonderful job informing me about the tests and processes but sometimes I would leave and go home then think of something else. Don't hesistate to call the office and leave a message to speak to the nurses. They will 100% call you back and help you with anything you need.

Unfortunately, being a teacher, nothing is covered under my insurance. Not medicine, not testing, not clinic visits and definitely not consultations. It definitely is a costly thing to go through. Our office visits range from from 175-300. Our medications cost around 1,200. Our IUI's range from 2,000 to 3,000 depending on the management cycle suggested.

N/A

As a woman it is important to feel as though you are being treated the way a Dr. would treat their best friend or family member. Did you do your research? Did you explore all options and tests? Did you look at things that are new and maybe controversial at this time? I asked Dr. Perfetto if I was her best friend, sister, or daughter what would she recommend me do. Without hesitation I was given an answer and an explanation as to why. It's important that your Dr. doesn't always feel like they have every answer. It keeps them seeking new information and treatments in the area of their expertise. I explained my situation with my previous RE and how after failed IVF I was given the same protocol with no changes and no explanations. Dr. Perfetto immediately told me of research that had suggested that the protocol I had been on may not have been the best choice and explained why.

Be open, honest, and thorough in your history. That would be my recommendation for anyone doing IVF. Somethings you may not want to discuss or feel embarrassed about but with infertility you quickly lose your modesty and if the Dr. can have a full picture from the beginning they will be more equipped to help you achieve your goals/dreams.

I am starting my first treatment with Dr. Perfetto so I can't say quite yet how the outcome will be, however, I can say that we are using a HCG trigger shot to assist in the quality of my eggs as well as a Lupron antagonist protocol because there may be some underlying endometriosis/inflammation that we aren't aware of.

The billing is simplified into charges for retrieval, transfer, PGS/PGD, etc. So it is not small amounts for individual procedures such as ultrasound, lab, nursing hours, etc. It makes it simple to pay for and there are no hidden fees that could potentially cancel a cycle for mishaps in the billing department. Some of the fees are high such as sperm cryopreservation and storage compared to other clinics I've seen or heard of but overall I think it's comparable.

I have no comments on eSET as I always do what my Dr. recommends. I did have a previous Dr. suggest transferring 3 embryos but if they all took we would have to make a selective deduction choice and so we declined to have three transferred. I understand both rationales for single vs multiple so unless there would be selective reduction I typically am fine with my Dr.s recommendation.

When I first consulted with Dr. Perfetto, she was very educational and explained the process in depth. We decided to do a medicated cycle and she told us step by step what to expect. Unfortunately the cycle resulted in a negative pregnancy. Dr. Perfetto wanted to increase my chances and we decided for surgery to remove uterine polyps before proceeding another cycle. Unfortunately, I was diagnosed with endometrial hyperplasia with atypia and could not proceed. During that crucial and devastating diagnosis, she was very empathetic and I felt she was on my side. She gave me options and didn’t leave me blindsided. After hormone therapy , I returned to her facility for further treatment. I wouldn’t choose anyone else for my care.

Dr. Perfetto’s shedule is busy but don’t be impatient. Seeing her is worthwhile.

I was prescribed provera, one pill for 10 days to induce a cycle as I have amenorrhea. After my cycle, I went in for an ultrasound to check my uterine lining, I was then prescribed Letrozole to induce ovulation. During this process, we did have to up the dose and it worked. When I had an ultrasound with a follicle, I was instructed to trigger shot. I was given a calendar with instructions of every step of the way. After trigger, we timed intercourse based on instructions. We then waited two weeks for blood work which resulted in a negative pregnancy. During the two week wait, I was prescribed progesterone suppositories to help prevent miscarriage. After the negative test, I was instructed to discontinue progesterone suppositories.

The financial counselor gave us a contract with options. The contract had the charges in writing and we were told upfront that it did not cover medication. This current time, the counselor provided an updated contract with updated pricing and we were once again told up front what was not included in the contract. Since my insurance doesn’t cover fertility, all my charges must be paid upfront with the contract. This is probably the most difficult part of this process. The contracts cost thousands of dollars upfront and it is heart wrenching when the funds are not available or limited.

She’s personable and relatable. She’s knowledgeable and really loves what she does. She has an Instagram that really raises awareness about infertility and she’s always so honest and nice. You can see how much she cares about her patients and about what she does

Go see her! I saw 4-5 specialists in Houston before seeing her and we love her her! Be honest, voice your concerns

I had tried clomid in the past under the care of another physician and it did not work. She explained why letrazole would be a better fit but since I was not having a period (2 years without a period when I saw her), she recommended we start wth progesterone every month for 10 days and I got a period for the first time in 2 years! I may not be ovulating but I have a period and we are ready to start letrazole with an IUI per her recommendation, as well as a low dose steroid for my case.

While the ultrasound and consult were covered by my insurance, none of the actual fertility costs are covered. For every cycle of IUI it will cost us 2,700-3000$ approximately. She did inform us that we could try IUI 3 times before she would recommend doing IVF. The cost for IVF there was 14,500$ without the meds.

I haven’t talked to her in great detail about this yet because we will be trying IUI first. From what I understand, she does single embryo transfers due to risk

Candice explained both my husband and I's questions in detail, we did the dye test and she explained everything about it, my husband did the sperm test and she explained the results in detail. Our next step is IUI and she explained that in detail and what to do next when we are ready.

Come into your appointment open and willing to listen. We have unexplained infertility which can be emotional to understand, however Dr. Perfetto kept us at ease and made sure we were OK for next steps.

We did did the dye test which showed my tubes were just fine. We had already done clomid with my ObGyn and everything was fine and I ovulate. Next step is IUI. All blood work was good as well.

My consult visit was not high from what I remember, I cant remember the cost of the dye test. I do know the IUI will run us about $1675 and medication will be $500-$800. Any help is very appreciated.

Dr. Perfetto has been compassionate, patient and understanding. I initially consulted with her for my unexplained infertility issues and later developed a endometrioma that required surgical removal. She diagnosed me with endometriosis related infertility. Since then, she has been honest about what she believes will work and what will not. She provides solid information to support those beliefs. Her kind, nurturing nature has been what I've needed while constantly getting bad news.

I would say she really seems to care about us a patient. I was referred by a friend as well.

After laparoscopy to remove an endometrioma, I took one cycle of birth control pills. IUI Round 1: I began my first IUI cycle by day 2 blood work and ultrasound. On day 3, I started with five days of letrozole and then three days of Gonal-F injections (100). The letrozole was not supposed to interfere with my endo as much as other meds. I returned to the clinic on day 11 and only had two follicles at ultrasound time so I took another dose of Gonal-F (150) and then ovadril (100) to ovulate. IUI was preformed on day 13. I began progesterone supposotories the day after IUI. On day 20, I retuned to the clinic for progesteone test and continued suppositories until I began my period naturally. That resulted in a negative pregnancy test. IUI Cycle 2: I began my second IUI cycle by day 2 blood work and vaginal ultrasound. On day 3, I started with five days of letrozole and then three days of Gonal-F injections (100). The letrozole was not supposed to interfere with my endo as much as other meds. I returned to the clinic on day 13 and only had one follicles at ultrasound time. I had also started to ovulated on my own. IUI was preformed on day 14. I began profesterone supposotories the day after IUI. On day 21, I retuned to the clinic for progesteone test and continued suppositories until I began my period naturally. That resulted in a negative pregnancy test. IUI Cycle 3: I began by day 3 ultrasound and blood work/pregnancy test. I began 5 days of clomid (one tab/50) followed by 3 days of Gonal-F (100). Dr Perfetto decided that clomid might produce more follicles than the previous results from letrozole. She commented that I might have more endo side effects but we felt it was worth it. I am scheduled to return for vaginal ultrasound and lab work on day 11.

For my endometrioma surgery, my insurance covered a good part and I had a co-insurance. My IUI is covered by my insurance for 6 rounds. I only pay for the medicine out of pocket. The last three cycles have been about $600 for letrozole/clomid, Gonal-F, Ovadril and progesterone suppositories.

I fee that when I have questions about my treatment and I question why certain meds were used, she gets very defensive and does not give a good explanation why she chose it. I asked if we did IVF with here would she implant multiple embryos and she said no she refuses to do it. No explanation of certain medical reasons of why she chooses to not do it. I just feel like it’s an empty clinic with no real answers.

Don’t expect to see her a lot and most times the appointments you have with her are not positive. I understand that she has to be realistic about treatments but I feel no compassion when I have appointments with her.

I was never told why we used certain meds for the for the first IUI that we did. When the first IUI didn’t work she changed meds but didn’t explain why.

Not for sure the complete cost of any of the IUI procedure and the cost that I’m paying for. When I recently asked for a print out they did email me a list of what I’ve paid for but some of the payments I’ve made were missing.

She just said she refuses to do multiple transfers

Dr. Perfetto always had a smile on her face and treated my husband and I so well. Always making you feel like she had all the time in the world to spend on your case. She took the time to explain everything and made sure we both understood. While under her care, I had to have surgery, she told me exactly what would happen and what to expect and made me feel very comfortable.

Ask as many questions as possible and listen and do exactly what she tells you.

I have PCOS so our first try at fertility help was me taking a pill to induce ovulation. I can’t remember the name of the pill. If that didn’t work we were planning to do an IUI. I started taking the pill and got pregnant very quick, unfortunately I miscarried at about 7 weeks. I had no clue I was pregnant and when Dr. Perfetto told me I was shocked. She was wonderful through the whole process. Talked me through everything that was happening.

I think there was an initial appointment and work up fee, maybe $550, but I could be off. After that if I saw Dr. Perfetto I had to pay the specialist doctor co-pay from my insurance which was $75, but if I just had an ultrasound or saw a nurse it was a regular co-pay of $40.

Dr. Perfetto is honest & upfront, but kind and emphatetic. I always felt like I knew the plan and rationale. When things didn’t go as planned, she helped my understand why and how we should best change the course of treatment.

Ask every question you have. She will answer honestly & has certainly heard it before. Not much time is scheduled directly with Dr. Perfetto during the monitoring phase of your cycle. If you feel like you need extra time with her, just ask.

IUI converted to IVF secondary to overproduction of follicles.

Monitoring appointments were always very easy & convenient. I was able to go in at 7:30am before work. They would draw my blood & then complete ultrasound. In and out in less than 20 minutes usually.

$6700 for egg retrieval & 1 transfer (though, considered a ”min stim” cycle).

Dr. Perfetto’a goal is healthy mama and baby - single embryo transfer recommended.

Since seeing Dr. Perfetto i have nothing but respect and fully trust her with my treatment. She is amazing. My husband is afraid of needles we needed to do the genetic testing and he was refusing. She tried to look into other options to get the test done. Eventually she was able to get him to do the lab work and it did not hurt. She is very understanding of the stress and fear with this process. She is easy to talk to and makes this so much easier and less stressful

Out of the past two Fertility Dr. i have seen i feel the most comfortable with Dr. Perfetto. She is very knowledgeable, and will not do anything to affect the chances of her patient conceiving a baby. Like she told me the most important thing is getting your pregnant.

I trust my doctor decision with only transferring one embryo. the risk is much higher with two, and i believe that she will make my dream come true with the one embryo

Dr. Perfetto is a compassionate physician that takes time to explain every detail of your care without coercing you to make a certain decision. She is very knowledgeable and has amazing bedside manner.

Keep an open mind. She is very straight forward, but in a delicate fashion. She cares about where you are in your family planning.

Dr. Perfetto was concerned the reason to our difficulty in conceiving was due to PCOS as well as fibroids. She recommended and MRI and additional blood work revealing both were contributing factors. She helped us prioritize treatment options for the best outcome.

Labs - $200, MRI - $200, Co Pay - $35

N/A

Dr perfetto and her whole staff are very nice to deal with. You get updates on your treatment at every step (especially during the embryo development phase) their nursing staff and embryology staff are kind and awesome to deal with. Infertility is stressful but I felt like CORM and Dr perfetto were making it easier. Also since it’s a smaller clinic than other juggernauts in Houston, you really feel like your doctor is following you and invested in your care. They are very reactive (they turned my second iui cycle into an IVF) to make sure you make the most of your situation. Definitely, definitely recommend if you are looking for a fertility specialist in the greater Houston Area.

Don’t be afraid. It is daunting to start seeking treatment when you cannot conceive but dr perfetto is really good at making you feel comfortable. She is totally invested in the care of her patients. Check out her Instagram and you will see for yourself.

De Prefetto was very seeet and always felt important although we weren’t successful she was very compassionate about everything. She tried to be there every step of the way and was very emotional the day the last embryo transfer was negative.

Do research on all possibilities for treatment. Also to get on social media there is many women in your shoes and are very supportive.

I don’t remember exactly but I was given medications for ovulation and had egg retrieval. For each egg transfer I would have antibiotic and steroid for three days after transfer. I was also given estrogen and progesterone. First cycle I had estrogen pills and the second and third cycles I did estrogen patches with lovenox shots.

Cost was lower then most other fertility clinics in Houston. They provided payment plans as well and no other clinic does

Dr transferred two the first time but was very specific of the pros and cons of transferring two

She seems to be very knowledgeable, however she passes on a grunt of the work to her nurses, which makes you so unsure about what you are getting. You pay all this money- you want access to the specialist you're paying for.

Just don't expect 100% access. As long as you make peace with that, you'll be fine.

We used Gonal F for my last IUI cycle. Halfway through, she added another medication Menipur. The cycle ultimately failed. We are looking to start iVF next.

The IUI cost almost $3,000. The IVY cycle has been quoted to cost between $12,000 to $20,000.

Dr. Perfetto is warm, welcoming, knowledgeable and shows a lot of compassion. During every visit I am allowed to ask my questions and time to receive answers. She has always told me what to expect and I have never felt left in the dark about anything.

I would say to just be open minded and willing to take in the information she provides. She is very knowledgeable and trustworthy.

I haven't went through any cycles yet with Dr. Perfetto. I am looking forward to going through treatment cycles with Dr. Perfetto in the near future and to be able to experience the positive results that I feel she can produce.

The IVF cycle is 20-25k.

She is very blunt while maintaining great bedside manner. She’s very personal with each patient and takes her time to explain any procedure. She’s a visual person like me so it’s nice to sit and watch her illustrate which makes it easier to understand in return.

Just be honest and upfront about your situation so that she can do her best to recommend the best treatment plan for you.

So far the only thing I’ve had done with Dr. Perfetto is the removal of my left tube and my right tube being diagnosed non functional. My next step in my journey is IVF but financially it’s a procedure still ways to go.

In total, my IVF procedure would cost $20k.

I have not yet made it this far.

Dr Perfetto was very professional. We had a good experience with her. However, she did not address the root cause of our infertility. She diagnosed a low sperm count, but neglected to treat it. We went ahead and did an IUI. Even the nurse that performed the insemination was surprised we were trying with such a low count.

Listen to everything she has to say, but you may want to get a second opinion if it doesn't sound right.

There really wasn't much of a treatment. We just performed an IUI. She had us give my wife a shot in the stomach for her eggs to drop and then inseminated the sperm which was almost nonexistent. Needless to say, it did not take.

I can't really remember all the costs, but the IUI was $400, office visits were $100+.

N/A

I just felt like at the end of the day I had no course of action besides wait and keep trying (which we did and we had another loss) or IVF. When I initially saw her I’d only had 2 losses. I made the decision to go to another clinic after that because I didn’t feel like we had a real plan.

Ask questions but be prepared for the possibility that you might not get answers.

I went through a battery of tests and had an ultrasound done and tons of bloodwork to be told I have unexplained infertility. No answers no help no course of action.

We paid copay each time and paid out of pocket for the ultrasound.

We didn’t do that.

She explained everything very good. There was no rush in the appointments. She mentioned the pro's & con's of every treatment as well as realistic chances. Also was very open about the question to continue treatment or not.

Unfortunately, all treatments did not result in any pregnancy. She adjusted the treatment and drug dose every cycle.

$3.500 per cycle

eSET was preferred

Dr. Perfetto had an amazing bedside manner and always made me feel like I was involved. I trusted her recommendations and did not feel pressured to rush to ivf like I did at other clinics. She also saw me at most of my visits and made sure I always knew our next steps

She is a smaller practice so she may not be the doctor you hear about, but she's the doctor worth finding.

We did oral and injectable iui

1200

We did not do ivf, but she made it clear Eset is her primary goal with all patients

She is the sweetest human. Explains everything and breaks it down so it's easy to understand. Immediately wanted to take action and didn't try putting stuff off til next time or make us wait for follow ups. First time we saw her she did a full work up to figure out what needed to be done next.

No advice, except go for it! You won't regret going see her.

We have not done any treatment YET

So far less than $500

I cannot recommend Dr Perfetto enough! Her knowledge and honesty brought such clarity to such a stressful and difficult situation in my life and marriage. She was always available for questions and answered honestly, even if it wasn't what I wanted to hear. She goes out of her way to make sure to address each concern I have and discuss the pros and cons of each situation. When delivering any big news, happy or sad, Dr Perfetto made sure to be the one to call and tell us. I completely trust Dr Perfetto to help grow our family and her knowledge and expertise gives us the hope we need to keep trying.

Don't be embarrassed or shy to ask any question or concern!!! She is very knowledgeable and always responds with honesty.

Dr Perfetto prescribed letrozole which resulted in a chemical pregnancy. We then attempted letrozole a few more times with no success. We finally decided to do IVF after Dr Perfetto referred us to a study that would decrease our costs. On day 5 of the embryo transfer, she called us and told us none of our embryos progressed but we can wait and see if on day 6 any progress. On day 6, one embryo progressed and we froze it and did FET 2 cycles later. It resulted in a healthy pregnancy and baby. Currently we are considering doing IUI or IVF.

Appointments were quick and very short wait times. They were very good at doing the blood work and ultrasounds quickly but still didn't make me feel rushed.

I honestly do not remember the exact costs but I spent a few thousand dollars on IVF and the medications. The medications were a lot but didn't have anything to do with the clinic. I was able to get a discounted IVF cost due to being a part of a study.

Dr Perfetto discussed it briefly, however we were set on only transferring one embryo based on our situation and research so there wasn't too much to discuss.

Dr. Perfetto is very sweet. She was sure to set realistic expectations for me and didn’t give me false hope. She was very compassionate and takes her time and doesn’t make us feel rushed. She explains things very clearly and answered all of our questions with answers that actually made sense.

Come with a list of every question you can think of because she will actually take her time to answer them all

Femara with Gonal F. Ovidrel trigger shot for IUI

Don’t recall but insurance did not cover medications