David Grainger

Dr Grainger was open and honest from the beginning on what it was going to possibly take for us to conceive. Being male factor, he was upfront that IUI would possibly be a waste and being out of pocket, we agreed. His knowledge and experience gives me hope. He is always willing to listen and talk through my thoughts and concerns. Although we don’t have a success story yet, I feel he is on my side to get me there.

Don’t hesitate to ask questions and speak your mind.

Dr Grainger suggested skipping IUI based on our male factor diagnosis. For retrieval, my husbands sperm was hit and miss so we froze a good sample prior to retrieval as backup. For stims, we used menopur and gonal. We started out on a conservative amount and then increased the Gonal since I was sort of a slow responder. We ended up getting more eggs than we had anticipated. ISCI was used and we had 9 out of 11 eggs fertilize. For FET, it’s a priming of ESTRACE and then PIO started five days prior to FET. I did ask about other options like suppositories but Dr Grainger advised me that PIO is the best form due to several reasons. I also asked about testing like ERA/receptiva, Alice/Emma, etc. For my situation, there isn’t much data that supports those tests and an increase in implementation so we have not done them. Due to a few other factors, we did do a hysteroscopy and laparoscopy. They ended up being very helpful and cleared up some issues (thickened tissue, endometria but not on ovaries).

Consult around $200 Egg retrieval (monitoring, procedure, and annual freezing storage) $11750 plus meds (mine ended up being around $5-6k FET $2350 plus meds which were around $200-300

Due to my age and factors, single embryo transfer was recommended. I’m under 35 with no known issues. There’s risk that comes with multiple embryo transfer.

Dr Grainger has always been kind and helpful. He completed all the procedures except the IUIs. During each of our procedures, he was very professional and warm. Very happy with our experience with him..

I would advise that they ask many questions as they will get the answers they need.

For the IUI cycles, I was prescribed letrizole. I don’t recall the medication for the trigger shot. Each time I had between 1 and 2 mature follicles. I have a diagnosis of endometriosis, and husband has morphology issues. Ivf egg retrieval included 225-300 IU Gonal F, and 75-150 IU Menopur. Cetrotide was added later in cycle. Trigger shot, then retrieved 28 eggs. 7 made it to day 5, then we’re frozen. Went on birth control for a month and then on to estradiol, once closer to transfer, started letrozole injections. After transfer, continued both protocols. I just completed transfer, so not sure if the transfer was successful.

Our insurance covered most of the expenses. We had to put down $4000 prior to starting ivf cycles and the carrier screening was $200 each person. IUIs had just a $50 copay.

Our doctor only allows one embryo transfer for certain ages. I didn’t want multiple embryos transferred, so it worked perfect for me.

Only had a telemedicine appointment with him. That appointment went fine but never communicated with the doctor after that even after issues arises through the treatments. He had a treatment plan for us but there was never follow up on his end.

If you go be ready to advocate for yourself and record what directions the nurses give you.

Took Ferma, trigger shot, and progesterone.

My insurance covered care and I only took prescriptions so it was affordable.

Dr. Grainger is great. The first time we met I could tell he had read and gone through my files very thoroughly. I was surprised how many details he knew/remembered. He has never made me feel like just a number. I find him to be very open, honest and compassionate. He thoroughly explains things and answers all my questions... and I tend to have a lot of them. The only possible negative is that not all my procedures and appointments are with him. I was warned this would be the case when I requested him as my doctor though and the rest of the staff has been just as great so I’m okay with it.

Be aware that not all appointments will be with Dr. Grainger and his schedule can get pretty busy making it harder to get in with him for certain things.

I saw another doctor in another state prior to Dr Grainger. The protocol the other doctor used didn’t yield as many eggs as expected so Dr. Grainger took that into consideration and changed up my protocol and did not use Lupron thinking it may have suppressed my ovaries too much. We were able to get almost twice as many eggs with this change in protocol.

Frozen embryo transfer $2,500 Lot of 6 frozen donor eggs returning customer $11,300

Dr Grainger was amazing! He helped me and my husband understand the process, he was willing to help us when we had an abrupt move and encouraged us along the way. We love him! Dr Grainger didn’t let us do more than 2 failed IUI’s before he was honest that those attempts would be negative due to my husband’s fertility issues.

Ask him ALL the questions! He knows SO much and wants to help. He is very intelligent and likes to teach his patients about the process.

The first month before doing IUI, I had a few ultrasounds to see how many follicles I had. He put me on Femara (1 pill 2 times per day) for 5 days. The result was 1 healthy follicle. We did an ovulation trigger shot (Ovidrel) and then went into the office 36 hours later. The IUI took place then. The second month, I was in 3 pills of Femara 2 times per day and produced 3 healthy follicles. My spouse wasn’t put on any hormones to help with sperm production and his numbers decreased making our chances extremely low.

The clinic was up front with pricing. The IUI treatments were $650 and the medication was done through an outside pharmacy. It was about $300 in medications and trigger shots. If we had competed IVF with Dr. Grainger, it would have started at $11,000. We would have added genetic testing for about $1,500. The cost for egg transplant AFTER the first one would be $2,500.

He is a man that I know I can trust. He is upfront and honest and lays everything out for you. He truly goes above and beyond in his care and makes you feel grounded when hormones and emotions are trying to take over. I feel secure as a patient knowing that I'm receiving optimal care from someone that I highly respect.

Trust his judgment. He is a Yale graduate and is a sought-after RE in our area.

The strategies that have been used have been pretty standard, as I am considered "unexplained." We have no answers as to why things haven't worked subsequently after the conception of my son using injectables and intercourse back in 2015. Even undergoing IVF, having a miscarriage, failed transfer, and a chemical pregnancy with the 3 transfers. Moving forward, we plan to try an extended letrozole cycle before IVF again. He just doesn't have answers for me and we have done every test we know to do.

Oh goodness. This is hard to say. I believe an IUI is $500. IVF base is $11,000 excluding medications and additional testing that may be needed.

He has always stood by it being our choice. He told us the risks of multiple embryo transfer and what he preferred, but at the end of the day it was our prerogative.

Dr Grainger is kind, has extremely wonderful bedside manner, intelligent and full of optimism. He has reassured me every step of the way through our process. Dr Grainger is extremely intelligent and was extremely open to answering all my questions, especially when I asked about taking some holistic approaches in addition to the medical side of things he was providing.

One piece of advice I would have wanted to know before I started, listen and trust Dr Grainger, ask all the questions.

We used femara and ovidrel for 7 cycles. Our 8th cycle we used femara, gonal F and ovidrel.

Our insurance covered soooo much, it was such a blessing. My HSG was $300. IUI was $600. Mid cycle sonograms were covered by my insurance. Ovidrel was $60 after insurance. Gonal F was $30 after insurance. Femara was $3 after insurance.

At times we felt like we didn’t get things explained to us as well as they should have been. I think because Dr. Grainger is so experienced he rushes through explanations on some things. He went over lab results with us but didn’t really explain what they meant. He didn’t perform the actual insemination but did observe the ultrasound and review lab results with us. While he did explain things quickly he was very willing to answer all of our questions. So far, we really like Dr. Grainger, we’ve only done one IUI cycle with him and are getting ready to do our first IVF cycle with him.

Ask questions! If you don’t understand something don’t be afraid to ask for clarification.

I had already been started on Femara (CD 3-5) and dexamethasone (Start CD 3 for 10 days) from a previous Dr when we went in to see Dr. Grainger. I was responding well to what had been prescribed so we went forward with the IUI. We did do 250mcg Ovidrel to trigger ovulation and followed with an IUI 36hrs later. I had three large follicles and thick lining when I went in for the pre-IUI ultrasound. This IUI did not result in pregnancy. We are getting ready to do our first IVF cycle and so far he started me on Sprintec birth control to prevent ovulation prior to starting stimulation.

We have met our insurance deductible for the year so our expenses have been minimal. However, they did charge $300 for an office visit and over $200 for a vaginal ultrasound. The cost of our IUI has not been submitted to insurance yet. The lab costs seem similar to other labs that I have had bloodwork done at.

What I really liked about Dr Grainger was his compassion and his curiosity and willingness to help me understand the cause of my infertility so we could then try to treat it. Before meeting with him, I was thinking that I would like to have laparoscopic surgery to check for endometriosis. During our conversation, he concluded that that was his recommendation without me bringing it up. He also did my initial ultrasound himself, and tried to locate one of my ovaries which had eluded many ultrasound techs. He was pretty sure he found it, but a month later I had surgery and there was no 2nd ovary there. Dr Grainger was also very curious whether I have a genetic condition that causes my fertility problems. He recommended genetic karyotype testing, which I was willing to do, I was just waiting for the clinic to tell me what to do. A month later I had laparoscopic surgery, then took a few weeks to recover, and then was ready to start a medicated timed cycle. When I called the nurses, I was told that I could not be treated until I had the genetic test, because pregnancy could be life-threatening if I did have the genetic condition. Needless to say, I was very angry that I had to wait another month to start any treatment while I waited for results when the test could have been done 2 months ago. I don't know if this was a communication problem between the Dr and the nurses, or if someone in the office dropped the ball somewhere. I also don't feel like Dr Grainger explained that if I had that condition it could be life threatening to get pregnant - I think I would have remembered that and wanted to know right away. Luckily, I do not have the condition. After my surgery, I had one short follow-up appointment with the Dr to discuss the surgery results and the plan going forward - 2 rounds of medicated (Letrizole) timed intercourse, and if that didn't work, he recommended going on to IVF (which their clinic doesn't do, I would have to go to KU Med in Kansas City). After the follow up appointment, I only had contact with nurses and the office staff. We did two months of medicated timed intercourse and then decided to move on.

They close early on Fridays, so make sure to not have your "day 1" on a Friday afternoon. I know you can't control that - it just seems like everything happened to me on Fridays and it was always so stressful trying to rush to get a bloodtest and get the results send to their office by 11am. I live 2 hours away from their office, so I couldn't just go there for tests and ultrasounds.

The first timed medicated cycle was with 2.5mg Femara. It should have been taken on days 3-7, but because of timing hiccups, I didn't get them until day 4, so I took 2 pills/day on days 4-7. Their protocol would have me do a day 12 ultrasound, and then give myself an Ovidrel trigger shot. Well I was out of town on day 12 and they would not authorize me to have an ultrasound out of town on a weekend, so I don't know how the medication worked on me, and I did not give myself the trigger shot. That cycle was a negative. The second timed medicated cycle was with 2 pills/day of 2.5 mg Femara on days 3-7. I had an ultrasound on Day 12 in their office. I usually don't ovulate until day 16, so I did not bring the trigger shot with me. I had one 22mm follicle and two smaller follicles. I should have triggered that night, but we had hotel reservations that night (being that my clinic is 2 hours away from home). The nurse said don't worry, you're going to ovulate anyway, so just have intercourse. That cycle was a negative. Dr Grainger never followed up with me for either of the cycles. I didn't know if this was normal, or what. But since we didn't do an ultrasound for the first cycle, I feel like we didn't even know if/how my body responded to Femara, so we wouldn't have known how to adjust the protocol.

Monitoring Ultrasounds $160 IUI $250 Specimen Prep $250 Professional Fee for Physician to interpret ultrasounds done in other practices/locations... $50

Dr Grainger is very busy but really took time to understand our case and explain things to us fully in our consultation and I believe he will as treatment plan changes in the future. He was kind, open and even shared personal stories of his family's infertility struggles and successes.

Go in with an open mind. Dr Grainger was willing to let us be as aggressive as we want. I feel comfortable making changes to the game plan and empowered to make decisions for ourselves. We were never pressured into anything we aren't ready for

We have unexplained infertility. At our consultation, Dr Grainger encouraged us to be as aggressive as we like, though we are both under 35. We first did 2.5 mg Letrozole, but no IUI due to office holiday closures. Cycle 2: Letrozole 2.5 mg with IUI OF 32 million washed sperm. Cycle 3: increased dosage to 5 mg Letrozole. IUI cancelled, due to low sperm count. Referred back to urologist and can't continue treatment until cleared by urologist.

They went over our insurance and had us pay for most services upfront. The billing specialist called before the consult to let me know how much that would be ahead of time (about $250). For three IUIs, my insurance pays my side, but my husband paid $200 for the completed IUI cycle. I was billed for blood tests performed before starting meds each cycle.

Have not started these yet.

I appreciated that he listened, he showed compassion and he was considerate to the frustrations we had endured while under the care of another dr in the clinic. He recognised that we were not the typical couple and that the normal process was not what we needed. He answered all questions and let me vent when frustrated

Go in knowing information. Research the treatments, th drs personality if possible. I made that mistake and ended up with the wrong dr the first time

100 mg of femara/letrizole cd 3-7 Sonos starting cd 11 and every other day till follicles were ready Hcg trigger shot IUI two days later

We are out of pocket payers. So far we have spent $1500. But are waiting on the costs for Sonos still

I did not see him at all for my IUIs, which was not communicated to me. The consult and meeting after the 3 failed IUIs we’re both very detailed and he did a great job at explaining. He could see that I was a bit overwhelmed and gave me a hug and said that we’re in this together which I thought showed some compassion.

Bring all your questions! He will answer them!

So far I’ve just had 3 IUI and don’t have a protocol for IVF. I did clomid with TI 50mg and then 100mg, and then femara with IUI 2.5mg, then 5mg, then 7.5mg

$300 for IUI, $300 for sperm prep. $160 ultrasounds For IVF it will be $11k + meds

Highly recommended single because of risks

He is very experienced and it shows. He knows his stuff and is upfront about everything. He makes me feel very comfortable and doesn't hesitate to explain when I ask questions. Dr. Grainger is kind and gives you all the possible options that he can give you.

Come with questions and dont be afraid to ask them.

As of now, only Clomid has been used as we are getting testing and labs done as well as seeing a reproductive urologist for my husband. He prescribed the Clomid which was a very low does after giving me the option.

About $1000 of testing to date (including Male and female).

Not applicable at this time

Dr. Grainger and his staff go above and beyond to make you feel comfortable with this terrible journey. I always look forward to seeing them. They make you feel like a friend but aren’t afraid to be blunt with you as to not get your hopes up.

I have recommend friends and family members to seek help from him. He has made everything so much less stressful thru all of this.

I do not produce eggs on my own. I have used oral medications to try to create follicles. When these did not work the doctor switched me right away to injections. Because of costs we have done several rounds of injections with times intercourse. We have also done two rounds of iui all of which have been unsuccessful.

Initial consult $500 Ultrasounds $150 pet scan Lab work $100 iUI $400

Dr. Grainger is amazing! His compassion & bedside manner are beyond amazing! I've never trusted any doctor more than him. He takes the time to listen to any & all concerns & questions no matter how many.

Trust him completely & always ask questions.

GONAL F Multidose Vial - 450IU NOVAREL - hCG 10,000IU CETROTIDE - cetrorelix 0.25mg PROGESTERONE - oil solution 50mg

IVF $9,500; 1 Year Embryo Storage $1,000; FET $2,000

I started with Dr. Gainger and within the first consult sonogram he found a fibroid. I did surgery right away and four Ovidrel/Femara/Timed intercourse, failed cycles during the course of 10 months. I decided to consult with a friend who is an OBGYN who was shocked to learn that an HSG or laparoscopy had never been performed. I had to firmly ask to speak to the Dr. since you are always forced to see a nurse first. Dr. Gainger finally ordered the HSG and said one side seemed to be blocked but he was not sure, we would need a laparoscopy or IUI next is what he recommended. I decided to get a second opinion and the new doctor read his notes and labs from when I started with Grainger and informed me that my . AMH levels were low .8 (Feb. 2019) and that on his notes Grainger noted that both tubes were blocked, although he had told me just one, possibly. I did new test with the new doctor and found that my AMH levels dropped to .5 (Sept. 2020) I truly feel that Dr. Grainger could have informed me about my low AMH results from the start and ordered an HSG before putting me on treatments. Dr. Grainger said the next steps were laparoscopy or IUI. The new doctor did not agree. I had 3 years without conceiving naturally, and both tubes showed were blocked and an IUI is usually when there is a male factor and we did not have an issue with that. In my case he thought it was a tubal factor for sure based on the HSG results and the time trying to conceive naturally. Although a laparoscopy could potentially open them, there is no way to keep them open and I would only waste my money and time since now my AMH levels are at their lowest. The only option is IVF.

To fully have him do an assessment on HSG/AMH levels before putting you on treatment and to not sugar coat stuff. I feel like he did that a lot, and I wasted a lot of money on sonograms without an appropriate assessment. He needs to give his clinical opinions based on labs/evidence.

I paid $400 for an initial consult and $800 per sonogram. I did four treatments.

It’s been almost 12 years since I first started seeing him but I recommend him to anyone I know that is dealing with infertility. When we went back to start the process to have #2 I just happened to be six weeks pregnant already and didn’t know it. We found out during an ultrasound and Dr Grainger made the joke that he was just that good. I always felt that I wasn’t just another person trying to have a baby.

Be prepared that he is either not taking new patients because he is full or may be retiring soon.

It’s been too long for me to remember specifics, but I remember trying IUI with Femara and then a cycle of IUI with injectables.

Unsure, it’s been so long

Not applicable for my situation

He answered all our questions and spent almost an hour with us at our first appointment. He explained all options of care in depth. His straight forwarded and caring approach was appreciated. I felt like he cared about my situation.

He is caring but direct.

He only wanted to do single embryo transfer on me.