David Grainger

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

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.