Edward Ramirez

Dr. Ramirez is so knowledgeable and he explained all the options, information and answered all my questions with patience and grace. For such a complicated process, it felt easy and smooth. Dr. Ramirez offered IUI but we wanted to skip right to IVF. Again, the whole office made the experience as smooth and efficient as possible while still remaining warm, compassionate and caring.

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In Vitro Fertilization – Single Cycle – $9,640.00 Clinical monitoring including ultrasound Egg Retrieval Surgery Center Fee Embryology Laboratory Procedures Involving In Vitro Fertilization Embryo Transfer Freezing of non-transferred Embryos and 1st year of storage Anesthesia (Anesthesiologist, IV conscious sedation and monitoring) – $690.00 Intracytoplasmic Sperm Injection -$1,860.00 (ICSI) (Sperm Injection) Used for male factor and age related infertility Laser Assisted Hatching – $805.00 Pre-Implantation Genetic Testing (PGT) ……………………………… $2,000 Biopsy and processing of embryos for genetic abnormalities (includes testing of all available embryos) Does not include the outside PGT Laboratory Testing cost which will be billed by the Lab **A portion of this fee is non-refundable once the services have been initiated. Frozen Embryo Transfer Cycle……………………………………. $4,500 Includes: Determination of Appropriate Hormonal Preparation Protocol (Based on Results from Previous Tests or IVF Cycles) Clinical Monitoring including Ultrasound Examination Embryology Laboratory Procedures: Identification, Thawing, Culturing, Processing and Preparation of Frozen Embryos Embryo Transfer Procedure Clinical Coordination and Medication teaching

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The first time I met Dr. Ramirez, I was very nervous about what he could discover. That initial visit didn't feel as warm as I wanted (more of a down-to-business type of person), but I didn't want to judge him solely by that visit (everyone has their off days!). We put off treatments for a couple of years because of life circumstances, but when I began visiting his office again he was exactly what I expected and needed. He was warm, informative, direct and encouraging. I highly recommend him!

If you don't understand, ask questions! Don't be afraid to email him, even after hours. He will respond quickly!

We decided to jump straight to IVF. I started on birth control, prenatal pills, and medicine to help lower my thyroid (Dr. Rameriz likes a low thyroid for treatments). Once my cycle started, I began giving myself Follistim and Menopher. I also took Asprin. My body wasn't producing as many follicles as Dr. Rameriz wanted to see, so I took the trigger shot and change the cycle to an IUI. I had back-to-back days of IUI, but were unsuccessful (although I did ovulate at the right time). During that time, I took progesterone vagally.

My husband handled the financial side of things with this clinic. We paid a "down payment" for the month we wanted to start IVF. We also had to have the entire cost be paid before we started. When we changed my cycle from IVF to IUI last minute, Dr. Ramirez was so kind enough to credit us for IVF in February if the IUI didn't work. I know this is not a common practice for infertility doctors, but it really spoke wonders of his integrity.

Their office is like a small boutique clinic. Dr Ramirez spends time with every patient at each visit. His staff is well trained and each one aids in the process. If we had questions between visits, he was always available through email or phone. Once I had an allergic reaction to a drug and we were communicating with him while he was in a different country. His patients are not numbers to him and you know it. He is always checking the latest research, so you know you're getting the highest quality care and planning

Don't give up, because he won't. I wouldn't recommend anyone else in the Monterey Bay Area...he's the best!!!

Which time? We tried everything from drug assisted, IUI, IVF (my eggs) and finally IVF (donor eggs) - each time the treatment was tailored to our unique circumstances and adjusted based on the previous session. Our last IUI ended in an ectopic pregnancy so we moved to IVF. But I didn't respond like an PCOS patient so we had to increase the medications on the 2nd IVF. Eventually we maxed out on medications, but my eggs were old. Our last IVF was using donor eggs, which finally ended in a live birth of our son. We have severa frozen eggs now, which we will work with in the near future.

We were provided an itemized cost list for each service. The last cycle IVF donor cost approximately $20k plus medications. I don't have a copy of these bills since they were paid.

In our last three IVF cycles we all decided multiple embryo transfer was best due to our history. We were well aware and informed of the risks, but due to our previous failures, believed the risk of a multiple birth would be low. With our donor IVF, we transferred 2 eggs... but only had one live birth. Dr Ramirez is very much against the octa-mom scenario, but is reasonable with his approach. In most cases, he would suggest eSet.

Dr. Ramirez is very straight-forward without being cold. He understands what it's like to go through fertility treatments and is very compassionate. We saw him at every visit and he always took the time to answer our questions. I never felt rushed by him.

Take the time to at least go meet him for a consultation and see if he might be a good fit for you. We highly recommend him to anyone who needs help conceiving.

We had 4 IUIs (2 with Clomid and vaginal progesterone & 2 with Femara / vaginal progesterone, Ovidrel trigger, estrace, ). We then moved on to 3 rounds of IVF with Follistim, Gonal-F, Ganirelix, Menopur, progesterone in oil, and medrol. On rounds 2 and 3 we added baby aspirin and heparin. We did one FET cycle after our 2nd fresh cycle. We used Lupron, progesterone in oil, medrol, estradiol, estrogen patch). We waited several months in between rounds 2 and 3 and I added CoQ10 (to possibly improve egg quality), and my husband added Proxeed (to possibly improve sperm volume and viscosity). Our first round of IVF resulted in a chemical pregnancy. Our 3rd fresh cycle resulted in a live, singleton birth.

He charged around $1,000 for a medicated IUI cycle. We purchased an IVF package that included 2 fresh cycle and any resulting frozen transfers for about $16,000 (not including medications, bloodwork, and monitoring). All together, for 4 IUIs and 3 IVFs, we spent a little over $50,000 (including medication, monitoring, and labwork).

Dr. Ramirez, as I said before, was very thorough in all his explanations. He allowed us to try IUI even though I was close to forty. After each failure he was upbeat and listened to our frustrations...even the ones that we may have had against him! Never once did he make us feel ignorant and when I had my miscarriage, he was so considerate and took care of me through that horrific event. He is the only doctor you will see when you visit his clinic. It is always one on one care with him. My husband had to deploy (in the Army) and Dr. Ramirez made sure that we would be able to do IVF even with him being away. We froze his sperm and were able to do two cycles! Luckily we got lucky with the second cycle and we now have a lovely daughter.

Dr. Ramirez is the best and kindest doctor...don't let your failure to conceive right away discourage you because he will find out what is wrong and make sure you have the right protocol.

from the first interview he paid all his attention and ask us questions to create a comfort ambiance, then place the probabilities and possibilities as they are ... asked us to think and then come with an answer, never put pressure on us. his team is so kind and knowledgeable... always there in any emergency or consultation .

explanation of everything

12,500