Gerard Letterie

2020, Unsuccessful

9

10

Age 38

1 IUI

Male Factor

Unexplained

European

Income $50K - $99K

Sales Representative

Only Doc Seen

Fertility Medications With Other Docs

Strongly Recommends

Unsuccessful

Review of

Gerard Letterie Seattle Reproductive Medicine

[Dr. Gerard Letterie] He is very open and honest about our chances of conceiving. He knows that we are paying out of pocket and doesn’t want us wasting time and money for treatments that may not work. He has an amazing bedside manner that can make me laugh for hours after our appointment or make me calm and hopeful for our future as being parents...

Let’s start with weaknesses some of the beds and stirrups are old and outdated but other than that that’s all There is. This [Seattle Reproductive Medicine] clinic is clean, friendly and sensitive to all who come. One thing I will say about fertility is it’s expensive and not all the costs are in the “ price” that they tell you...[nurse] Responds extremely fast to our emails. Answers even the silliest question and is on the ball

How was your experience with Gerard Letterie at Seattle Reproductive Medicine?

He is very open and honest about our chances of conceiving. He knows that we are paying out of pocket and doesn’t want us wasting time and money for treatments that may not work. He has an amazing bedside manner that can make me laugh for hours after our appointment or make me calm and hopeful for our future as being parents. He is a great man.

What's one piece of advice would you give a prospective patient of Gerard Letterie at Seattle Reproductive Medicine?

Be up front with how aggressive you want to be with your treatments

During treatment, were you treated like a number or a human with Gerard Letterie at Seattle Reproductive Medicine?

The staff and Dr. Letterie are fantastic. They answered all my questions about infertility. When myself or my husband has any questions we will send our clinical team an email and they would respond back within minutes depending on during week to weekend. They are just so warm and friendly.

Describe the protocols Gerard Letterie used in your cycles at Seattle Reproductive Medicine and their degree of success.

I had tried almost a year with just taking clomid prescribed by my obgyn. So when I saw Dr. Letterie we were new to this he first talked about why this could be happening then he wanted to get all my labs ran and my husbands sperm analysis after that he wanted my to start femara on cycle day 3 and have an hsg on cycle day 7 where they check to see if I had any blocked tubes and to clean them out. I would than have a ultrasound to see how my follicles are progressing and than we schedule the “trigger” shot ovidrel and within 24-36 hours go in for the iui where they take the sperm clean it and then insert it close to the Fallopian tubes

Describe your experience with your nurse at Seattle Reproductive Medicine. (Assigned nurse: Megan)

She is outstanding. Responds extremely fast to our emails. Answers even the silliest question and is on the ball

Describe your experience with Seattle Reproductive Medicine.

Let’s start with weaknesses some of the beds and stirrups are old and outdated but other than that that’s all There is. This clinic is clean, friendly and sensitive to all who come. One thing I will say about fertility is it’s expensive and not all the costs are in the “ price” that they tell you.

Describe the costs associated with your care under Gerard Letterie at Seattle Reproductive Medicine.

$2,500

9

Doctor

Gerard Letterie

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

10

Clinic

Seattle Reproductive Medicine

Seattle

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Gerard Letterie Seattle Reproductive Medicine

2019, Unknown Success

10

Age 36

2 IUI

Endometriosis

Income $100K - $199K

Only Doc Seen

Fertility Medications With Other Docs

Strongly Recommends

Success w/ Doc Too early to know

Review of

Gerard Letterie Seattle Reproductive Medicine

He [Dr. Letterie] is very intelligent, kind and gentle. Both my husband and I felt relieved after going to see him for the first time for a consultation. We left feeling we had more options than we thought, and that we have a chance at success...I think his strength is his compassion and patience. He gave us options, asking us what we wanted and what our goals are, so that we can best plan a treatment to work within what we wanted. I feel like we're in good hands with him as our doctor overseeing our treatment. New Patient Advice

I think [Seattle Reproductive Medicine's] strengths are that it's open 7 days a week, and they have a patient portal, so there are many ways to communicate with staff. They are kind, and compassionate. Their weakness I guess would be that a few times (out of quite a lot of visits) I've been asked to pay a bill for a certain amount I had just paid a few days ago. This likely means their system hadn't registered that that invoice had been paid yet. It's just a technical issue. Any time it happens, they are really great at letting me postpone payment until I receive the statement. It's never an issue after that. Just keep record of your payments, and ask for statements and receipts when you pay. That way you can keep it all straight, and at the same time track your spending.

How was your experience with Gerard Letterie at Seattle Reproductive Medicine?

I think his strength is his compassion and patience. He gave us options, asking us what we wanted and what our goals are, so that we can best plan a treatment to work within what we wanted. I feel like we're in good hands with him as our doctor overseeing our treatment.

What's one piece of advice would you give a prospective patient of Gerard Letterie at Seattle Reproductive Medicine?

Prepare everything, such as your medical records and your tracking logs, he'll take the time to look through it all with you, and make an assessment from your experience and your medical history. My gynecologists' records dept didn't get my medical records over to him in time, so I took my copy of the results from my laparoscopy and HSG, and he was able to look through all of that with me and put me at ease about moving forward. I would definitely just gather as much information as you can to help him get a clear picture, then trust it's going to be compassionate conversation.

During treatment, were you treated like a number or a human with Gerard Letterie at Seattle Reproductive Medicine?

Dr. Letterie is very warm and patient. He's a great listener, and took time to discuss with us the difficulties we had been having and what options we have moving forward. He was able to put us at ease when we brought up our concerns. He is very intelligent, kind and gentle. Both my husband and I felt relieved after going to see him for the first time for a consultation. We left feeling we had more options than we thought, and that we have a chance at success.

Describe the protocols Gerard Letterie used in your cycles at Seattle Reproductive Medicine and their degree of success.

The first cycle, Dr. Letterie ordered I have the day 3 bloodwork and ultrasound done. I only have to do this once, and then every 6 months or so, not every time, which is nice. I am on 2.5 mg of Letrozole from day 3-5 to help with ovulating. The first cycle I had a positive OPK before I would've need to trigger, so then I just did the IUI the next day. The second cycle, I had a shot of ovidrel to help with ovulation. I have a bit of a short luteal phase typically, so Dr. Letterie had me take progesterone from day 3 until either I get a negative test on day 14 or to keep going if I was fortunate enough to get a positive (which hasn't happened yet). The progesterone has helped me have a longer luteal phase.

Describe your experience with your nurse at Seattle Reproductive Medicine. (Assigned nurse: Angela Wang)

Angela is very compassionate, kind and great at keeping me informed. If I have any question, no matter how odd, she takes the time to talk with Dr. Letterie and get me an answer quickly. She's really my go-to for anything I need or question I have. The nursing and support staff are really kind. They are friendly, and always ask how I am. They are efficient and non-judgmental. If I have any questions while having an ultrasound or blood work, they are kind and sincere with their answers. They know their stuff and they can tell it to you in a way that puts you at ease. Even if they don't know, they are reassuring with getting back to you quickly with the answers. They also take time to talk with you about what they are doing, a touch here, pressure here, etc. They make sure you are at ease and comfortable (as much as you can be in some cases).

Describe your experience with Seattle Reproductive Medicine.

I think the clinic's strengths are that it's open 7 days a week, and they have a patient portal, so there are many ways to communicate with staff. They are kind, and compassionate. Their weakness I guess would be that a few times (out of quite a lot of visits) I've been asked to pay a bill for a certain amount I had just paid a few days ago. This likely means their system hadn't registered that that invoice had been paid yet. It's just a technical issue. Any time it happens, they are really great at letting me postpone payment until I receive the statement. It's never an issue after that. Just keep record of your payments, and ask for statements and receipts when you pay. That way you can keep it all straight, and at the same time track your spending.

Describe the costs associated with your care under Gerard Letterie at Seattle Reproductive Medicine.

Compared to other fertility clinics, the pricing for everything was reasonable. The pricing is all laid out when we talk with the financial advisor. The IUI is under $700 (SA and insertion). The clinic works with a fertility pharmacy that gives them a discount on ovidrel, which is helpful since my insurance doesn't cover it.

10

Doctor

Gerard Letterie

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

10

Clinic

Seattle Reproductive Medicine

Seattle

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Gerard Letterie Seattle Reproductive Medicine

2019, Unsuccessful

0

Age 40

Income $50K - $99K

Only Doc Seen

Doesn't Recommend

Unsuccessful

Review of

Gerard Letterie Seattle Reproductive Medicine

He never had time to see me, never even met him in person or talked to him. ... I was still in the beginning stages and unfamiliar to ivf itself and I wasnt told any information about the process. I went for testing in my area and was told Dr. Letterie would explain everything to me. Nothing was explained because he didn't even reach out to tell me what my results were. I would never recommend him or the clinic to anyone going through the process.

To me there are no strengths I wish I had chosen a different clinic in the beginning and not had to waste money and time here. ... I did lab work and saline ultrasound test. Nothing was said to me. I didn't know how many folicles I had, if they were good or bad and still dont know. I was told to do lab work and I still have knowledge of what is going on with my own body!

How was your experience with Gerard Letterie at Seattle Reproductive Medicine?

I hated it. I had no idea what was going on and no one including nurses told me anything at all. I felt like I was a dollar sign and nothing more. I would never recommend anyone to go to him. It's a waist of money, time and your Hope's and prayers just get diminished.

What's one piece of advice would you give a prospective patient of Gerard Letterie at Seattle Reproductive Medicine?

I was still in the beginning stages and unfamiliar to ivf itself and I wasnt told any information about the process. I went for testing in my area and was told Dr. Letterie would explain everything to me. Nothing was explained because he didn't even reach out to tell me what my results were. I would never recommend him or the clinic to anyone going through the process.

During treatment, were you treated like a number or a human with Gerard Letterie at Seattle Reproductive Medicine?

He never had time to see me, never even met him in person or talked to him.

Describe the protocols Gerard Letterie used in your cycles at Seattle Reproductive Medicine and their degree of success.

I did lab work and saline ultrasound test. Nothing was said to me. I didn't know how many folicles I had, if they were good or bad and still dont know. I was told to do lab work and I still have knowledge of what is going on with my own body!

Describe your experience with the nursing staff at Seattle Reproductive Medicine.

Void, short and unsatisfying

Describe your experience with Seattle Reproductive Medicine.

To me there are no strengths I wish I had chosen a different clinic in the beginning and not had to waste money and time here. I might have been preparing our home for a child we prayed long and hard for by now but when doctors only see you as a dollar sign it all seems impossible and part of you just wants to shut the world away and give up your dream of being a parent

Describe the costs associated with your care under Gerard Letterie at Seattle Reproductive Medicine.

I got a bill from them for $350 still unsure what the amount was for since I never did see the doctor or his nurses so I suppose it was to pay him to look at my lab results

Describe Gerard Letterie's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Seattle Reproductive Medicine.

I didn't get this far in the process

What specific things went wrong at Seattle Reproductive Medicine?

Failed to call in prescriptions to pharmacy
Failed to call with results
Failed to inform you of changes in protocol
Failed to convey critical information
Failed to consider drug intolerance

Describe the specific things that went wrong at Seattle Reproductive Medicine.

I had no idea what was going on with the process if I didn't go get my records in person I would have no idea what was done or if I could even have children through ivf. I had to message another ivf clinic and ask them what my results ment. I was frustrated and heartbroken. I have found a better clinic now that I will be going to and I wouldn't have found them if I wasnt treated so poorly. I suppose that is a blessing

0

Doctor

Gerard Letterie

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

0

Clinic

Seattle Reproductive Medicine

Seattle

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Gerard Letterie Seattle Reproductive Medicine

2018 - 2019, Unknown Success

10

Age 34 - 35

1 Fertility Medications

PCOS

European

Income $100K - $199K

Teacher

3rd of 3 Docs

1 IUI With Other Docs

IVF With Other Docs

Strongly Recommends

Success w/ Doc Too early to know

Review of

Gerard Letterie Seattle Reproductive Medicine

Dr. Letterie began with looking at our other paperwork from what we’d used before, family history, and a conversation about how aggressive of a treatment we wanted to begin with. We chose IVF to be the route we wanted to pursue with him. He did blood work on myself and husband, diagnosed me with PCOS. ... Dr letterie is knowledgeable and humbly confident. He explained what the process would be for us, expectations, and answered all of our questions.

I highly recommend the clinic [SRM], I have used there satellite location in Tri-Cities only, so I can not speak to the Seattle location. They have an easy to use online portal, videos to describe what to expect through the whole process, financial coordinator, and on call staff 24 hours a day. ... Dollie is the nurse who I work with, she is very knowledgeable, always available when called, and if you leave a message she calls back immediately. She’s been so helpful through the whole process.

How was your experience with Gerard Letterie at Seattle Reproductive Medicine?

Dr letterie is knowledgeable and humbly confident. He explained what the process would be for us, expectations, and answered all of our questions. I would highly recommend him to anyone in the area. He was very intentional about our comfort level, our desires, and how aggressive we would like to take treatment, so he could make the best recommendation for where we were at in life.

What's one piece of advice would you give a prospective patient of Gerard Letterie at Seattle Reproductive Medicine?

If you are looking at Dr. Letterie for treatment, I would ask him as many questions, be honest with where you are at because he will use that information to guide the conversations and all your options. Grab copies of the notes you take together because him pictures and bullet points are helpful to look over when you aren’t so overwhelmed with the information.

During treatment, were you treated like a number or a human with Gerard Letterie at Seattle Reproductive Medicine?

Dr. Letterie, sat down with me and my husband, asked us our story, showed empathy, gentle in the way he spoke, drew pictures and wrote notes for us to take home. Before my first appt, his flight got canceled the day before and we had to change our appt time, he called me personally.

Describe the protocols Gerard Letterie used in your cycles at Seattle Reproductive Medicine and their degree of success.

Dr. Letterie began with looking at our other paperwork from what we’d used before, family history, and a conversation about how aggressive of a treatment we wanted to begin with. We chose IVF to be the route we wanted to pursue with him. He did blood work on myself and husband, diagnosed me with PCOS. We first met for an initial consultation at his Tri-Cities office and then we did a follow up appt the next month (he comes for two days, once a month). On the second visit, he went through treatment strategies and expectations for what is next steps including when we’d expect to have to go to Seattle. The treatment plan chosen for us was a low dose of gonal and metapur, and then when retrieval takes place, expect that my uterus will be hyperstimulate and the eggs will most likely need to be foxes and I’ll have to come back in for insementation. He connected me with his nurse, who answers all my questions and supports along the way. Currently, we are in the middle of our 1st cycle.

Describe your experience with your nurse at Seattle Reproductive Medicine. (Assigned nurse: Dollie)

Dollie is the nurse who I work with, she is very knowledgeable, always available when called, and if you leave a message she calls back immediately. She’s been so helpful through the whole process.

Describe your experience with Seattle Reproductive Medicine.

I highly recommend the clinic, I have used there satellite location in Tri-Cities only, so I can not speak to the Seattle location. They have an easy to use online portal, videos to describe what to expect through the whole process, financial coordinator, and on call staff 24 hours a day.

Describe the costs associated with your care under Gerard Letterie at Seattle Reproductive Medicine.

The visits with Dr. letterie were covered by my insurance, the medication and procedure were not covered. They gave me a cost estimate was updated. Medication $3,100 Treatment $10,875

Describe Gerard Letterie's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Seattle Reproductive Medicine.

Dr. Letterie only does eSET, he believes this is the most ethical way with our technology and what studies show. He will not do multiple embryo transfer.

10

Doctor

Gerard Letterie

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

10

Clinic

Seattle Reproductive Medicine

Seattle

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Gerard Letterie Seattle Reproductive Medicine

2017 - 2018, Successful

10

Age 32 - 33

1 IVF

1 Egg Freezing

1 Embryo Freezing

Endometriosis

Income $200K - $499K

2nd of 2 Docs

5 IUI With Other Docs

Strongly Recommends

Successful

Review of

Gerard Letterie Seattle Reproductive Medicine

We wanted to be very conservative in our IVF approach-We would only fertilize two eggs at a time and any embryos resulting would be transferred (no frozen embryos). Dr Letterie never once questioned us or pushed us to be more liberal in our approach even though it would take longer. He was extremely respectful of our wishes...Even though he did not perform the retrieval or transfer, he was quick to check in with us over the phone each time. Our first embryo did not survive to transfer and he treated our baby as the loss we viewed it as. He was compassionate and loving as he explained what happened and that he was so sorry. My husband and I always felt so at ease in his care. I have never had a Dr like Dr Letterie and we have never been so impressed with medical treatment. He is one of a kind in the best way!

Everything ran like clock work [at Seattle Reproductive Medicine]. Every single person-from reception to nurse to dr-was wonderful to work with. They are clearly a team from beginning to end of a patients process. I don’t recall a negative experience...We wanted to be very conservative in our IVF approach-We would only fertilize two eggs at a time and any embryos resulting would be transferred (no frozen embryos). Dr Letterie never once questioned us or pushed us to be more liberal in our approach even though it would take longer. He was extremely respectful of our wishes.

How was your experience with Gerard Letterie at Seattle Reproductive Medicine?

Dr Letterie is kind and gentle but also extremely intelligent. He listened to each of our concerns about IVF without ever feeling like we were rushed and he answered every single question with us until we were satisfied. We wrote and re-wrote every plan together as a team. Even though he did not perform the retrieval or transfer, he was quick to check in with us over the phone each time. Our first embryo did not survive to transfer and he treated our baby as the loss we viewed it as. He was compassionate and loving as he explained what happened and that he was so sorry. My husband and I always felt so at ease in his care. I have never had a Dr like Dr Letterie and we have never been so impressed with medical treatment. He is one of a kind in the best way!

What's one piece of advice would you give a prospective patient of Gerard Letterie at Seattle Reproductive Medicine?

Prepare to be “wow-ed”! His level of intelligence regarding fertility is hugely impressive and his patience and bed side manner are incredible!

During treatment, were you treated like a number or a human with Gerard Letterie at Seattle Reproductive Medicine?

We wanted to be very conservative in our IVF approach-We would only fertilize two eggs at a time and any embryos resulting would be transferred (no frozen embryos). Dr Letterie never once questioned us or pushed us to be more liberal in our approach even though it would take longer. He was extremely respectful of our wishes.

Describe the protocols Gerard Letterie used in your cycles at Seattle Reproductive Medicine and their degree of success.

I used gonal-f injections along with menopur and certotide to prepare for egg retrieval. We retrieved 18 eggs. 2 of those eggs were fertilized and 6 did not survive/were not mature. 10 were frozen. We did not want to create as many embryos as we could because we believe each one is a life so we froze eggs and sperm separately. Out of those two embryos, neither survived and we took a break. When we started again, I began on estrace pills 3 times per day for the first few days of my cycle and then added progesterone in oil shots once per day and vaginal progesterone suppositories twice a day to prepare for a possible embryo transfer. We thawed two more eggs and they were fertilized with ICSI. Both fertilized and both survived to day 5. Both embryos were transferred resulting in a singleton pregnancy.

Describe your experience with your nurse at Seattle Reproductive Medicine. (Assigned nurse: Sarah Thompson)

Sarah was an absolute gem, just like Dr Letterie. Sarah moves to a different position right before we had our BETA test and she continued to be my follow up person because she was so hopeful for us and wanted to see us through our entire cycle

Describe your experience with Seattle Reproductive Medicine.

Everything ran like clock work. Every single person-from reception to nurse to dr-was wonderful to work with. They are clearly a team from beginning to end of a patients process. I don’t recall a negative experience.

Describe your experience with your monitoring appointments at Seattle Reproductive Medicine.

We were from out of town-About 4.5 hours from the office. So we did all of our monitoring through a local lab and they got everything to Dr Letterie.

Describe the costs associated with your care under Gerard Letterie at Seattle Reproductive Medicine.

We did have some insurance coverage and Kenzie was phenomenal at maximizing those! She explained when we should pay out of pocket vs when to use insurance to get the best rates possible. She was easy to get ahold of and always quick to respond. She was a lifesaver with finances.

10

Doctor

Gerard Letterie

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

10

Clinic

Seattle Reproductive Medicine

Seattle

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Gerard Letterie Seattle Reproductive Medicine

2016 - 2017, Unsuccessful

4

3

Age 32 - 33

European

Income $50K - $99K

1st of 2 Docs

Egg Freezing With Other Docs

Embryo Freezing With Other Docs

Doesn't Recommend

Unsuccessful

Review of

Gerard Letterie Seattle Reproductive Medicine

Initially Dr Letterie was very compassionate, thorough and articulate in communicating our treatment plan. We feel like this shifted when we got unexpected results at which point we felt that communication was not timely or consistent. There was a lack of urgency in developing a modified treatment plan and getting us referred to the appropriate physicians to manage our unexpected results. We also feel that the empathy and compassion in communication trailed off when unexpected results occurred.

An unforeseen finding required that we be referred to another sub-specialist and that referral process was very drawn out and delayed, we feel Dr Letterie and his team [at Seattle Reproductive Medicine] did not have the same since of urgency that we did. It took 3 plus weeks to receive imaging results (after we were told we would have results within 48 hours of the imaging). After calling on a weekly basis inquiring about the results we were told to go to the imaging center ourselves to get the results. Overall we were told conflicting information and there was an extreme delay in communicating very sensitive results. It was very stressful and disheartening.

How was your experience with Gerard Letterie at Seattle Reproductive Medicine?

Initially Dr Letterie was very compassionate, thorough and articulate in communicating our treatment plan. We feel like this shifted when we got unexpected results at which point we felt that communication was not timely or consistent. There was a lack of urgency in developing a modified treatment plan and getting us referred to the appropriate physicians to manage our unexpected results. We also feel that the empathy and compassion in communication trailed off when unexpected results occurred.

What's one piece of advice would you give a prospective patient of Gerard Letterie at Seattle Reproductive Medicine?

Be proactive in advocating for yourself and your medical needs.

During treatment, were you treated like a number or a human with Gerard Letterie at Seattle Reproductive Medicine?

I would say I was treated slightly more like a number than a human. Our nurse was not good at communicating information or returning phone calls. Throughout our work up we found unexpected results requiring surgery and we feel this information was not communicated in a timely manner or in a compassionate/empathetic manner.

Describe your experience with your nurse at Seattle Reproductive Medicine. (Assigned nurse: Angi Nicholson)

We struggled greatly with our assigned nurse coordinator. Weaknesses included: not following through on communicating when she said she would (via email or phone call), not timely in coordinating care, when we received bad news she minimized and negated our feelings of being shocked and scared. We felt unheard and that our care was not a priority.

Describe your experience with Seattle Reproductive Medicine.

Strengths: several locations with weekend and evening hours, fairly easy and fast to get an appointment, online patient portal was easy to use. Financial counselors were very helpful. Weaknesses: you have to pay for parking, this is a large clinic and in some ways it felt a bit impersonal

Describe Gerard Letterie's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Seattle Reproductive Medicine.

We were strongly encouraged to do a single embryo transfer

What specific things went wrong at Seattle Reproductive Medicine?

Lost paperwork
Failed to call with results
Lost results
Provided conflicting information
Failed to convey critical information

Describe the specific things that went wrong at Seattle Reproductive Medicine.

An unforeseen finding required that we be referred to another sub-specialist and that referral process was very drawn out and delayed, we feel Dr Letterie and his team did not have the same since of urgency that we did. It took 3 plus weeks to receive imaging results (after we were told we would have results within 48 hours of the imaging). After calling on a weekly basis inquiring about the results we were told to go to the imaging center ourselves to get the results. Overall we were told conflicting information and there was an extreme delay in communicating very sensitive results. It was very stressful and disheartening.

4

Doctor

Gerard Letterie

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

3

Clinic

Seattle Reproductive Medicine

Seattle

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Gerard Letterie Seattle Reproductive Medicine

2015 - 2016, Unsuccessful

3

2

Age 41 - 42

Black or African-American

Income $50K - $99K

Engineer

1st of 2 Docs

2 IUI With Other Docs

2 IVF With Other Docs

Doesn't Recommend

Unsuccessful

Review of

Gerard Letterie Seattle Reproductive Medicine

My wife loved this doctor [Dr. Gerald Letterie]. He is very positive and encouraging. I feel, too encouraging. I don't believe he relayed our true outcome--the percentages of our success with IUI over 40...When we were thinking of changing clinics, we had one ultrasound at SRM and one at another clinic the same day. Dr. Letterie reported that we had almost 21 eggs to retrieve while the other doctor said 12. That's a huge difference. He's a nice guy, but I think he was too positive about our results. I'd rather have frankness so we can make informed decisions.

Our second IUI [at Seattle Reproductive Medicine] was performed by two nurses? They couldn't do the procedure and refused to ask for help even though both my wife and I requested that they get a doctor. My wife was bleeding and crying. It was the complete opposite of the first IUI, which went smoothly. It seemed like they kept jabbing at her and she was flinching in pain and calling for a doctor. We both knew that they didn't know what they were doing. To this day, I have no idea what their credentials were.

How was your experience with Gerard Letterie at Seattle Reproductive Medicine?

My wife loved this doctor. He is very positive and encouraging. I feel, too encouraging. I don't believe he relayed our true outcome--the percentages of our success with IUI over 40. Once we left the clinic, we heard stories of patients having up to 7 IUIs before trying IVF. We are totally out of pocket and simply don't have the time or money to keep going with ineffective treatments for my wife's age (42 a the time). When we were thinking of changing clinics, we had one ultrasound at SRM and one at another clinic the same day. Dr. Letterie reported that we had almost 21 eggs to retrieve while the other doctor said 12. That's a huge difference. He's a nice guy, but I think he was too positive about our results. I'd rather have frankness so we can make informed decisions.

What's one piece of advice would you give a prospective patient of Gerard Letterie at Seattle Reproductive Medicine?

Dr. Letterie has a great beside manner and he will make you feel very comfortable. However, keep in mind that he may be too enthauastic about your results. For my wife and I, we didn't have the 21 eggs retrieved that he said he saw, we had 12 that were actually viable. This gave us false hope.

During treatment, were you treated like a number or a human with Gerard Letterie at Seattle Reproductive Medicine?

We enjoyed Dr. Letterie and I was hesitant to switch doctors. The problem was: we worked with whomever was on duty at the time, we were not guaranteed to work with our supervising doctor, Dr. Letterie. The atmosphere of the clinic is nice and pleasant but very large and we were at one of the many SRM branches. Staff repeatedly checked our sperm sample to make sure it was mine, which was unnerving. We had a coordinator whom we communicated with via emails and phone calls. We met with our doctor after each IUI but were generally at the hands of whomever was working that day.

Describe the protocols Gerard Letterie used in your cycles at Seattle Reproductive Medicine and their degree of success.

We completed two IUIs with Dr. Letterie at SRM. I took supplements. My wife took supplements, shots, and a trigger shot. We became pregnant after the first IUI but it resulted in an early miscarriage. We had a second IUI without results. We were the ones to push IVF versus IUI, not the doctor.

Describe your experience with your nurse at Seattle Reproductive Medicine.

Our second IUI was performed by two nurses? They couldn't do the procedure and refused to ask for help even though both my wife and I requested that they get a doctor. My wife was bleeding and crying. It was the complete opposite of the first IUI, which went smoothly. It seemed like they kept jabbing at her and she was flinching in pain and calling for a doctor. We both knew that they didn't know what they were doing. To this day, I have no idea what their credentials were.

Describe your experience with Seattle Reproductive Medicine.

SRM is big with many branches. My wife met Dr. Letterie in Tri-Cities, WA on a rotation he does to talk with clients but all the procedures were done in Seattle. I know he goes to Spokane, too. The size might help someone who has an odd schedule? needs to visit during off-hours? We thought it was too big. We liked our doctor but he didn't perform our IUIs, it was whomever was on that day and that was upsetting. My wife said that each session they had to review our file at length to get re-adjusted to our case and didn't like that. We moved to a smaller clinic with one doctor who saw us each visit.

Describe the costs associated with your care under Gerard Letterie at Seattle Reproductive Medicine.

We paid $2k for each IUI, plus meds. There was a monthly storage fee for my extra sperm at $40 a month. We paid that for about a year and then terminated the agreement. The ultrasounds and bloodwork were extra.

Describe Gerard Letterie's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Seattle Reproductive Medicine.

We switched doctors for a couple of reasons: price and number of embryos they were willing to transfer once we moved to IVF. SRM would only transfer 2 embryos at a time and they preferred 1. At 42 and using my wife's eggs, we could have done that indefinetly and not had results. We couldn't afford all of those possible transfers. And, realistically, had no results. Our new doctor allowed us to transfer 5 untested embryos.

What specific things went wrong at Seattle Reproductive Medicine?

Lost paperwork

Describe the specific things that went wrong at Seattle Reproductive Medicine.

I don't know if something necessarily went wrong but nothing was changed for our second IUI after our miscarriage.

3

Doctor

Gerard Letterie

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

2

Clinic

Seattle Reproductive Medicine

Seattle

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Gerard Letterie Seattle Reproductive Medicine

2015 - 2016, Successful

10

Age 31 - 32

3 IUI

1 IVF

PCOS

Unexplained

European

Income $100K - $199K

Teacher

Only Doc Seen

Strongly Recommends

Successful

Review of

Gerard Letterie Seattle Reproductive Medicine

Dr. Letterie is friendly and personable while also being extremely experienced and professional. He, and his team, made us feel like we were the only patients they were working with every time we went in for an appointment or called with a question. Dr. Letterie was kind and patient in how he explained our potential fertility issues and each stage of us trying to conceive. He remained positive but realistic which helped us get through the failed attempts until we reached IVF which was successful...

SRM has multiple locations in this area which is really nice. The Bellevue location was the most convenient for me, but the Kirkland and Seattle locations weren't too far away either. All of the staff that we worked with at all three locations were professional but friendly and approachable. There were times the waiting room would be full but it felt more like a community versus crowded or like the clinic was ill prepared. We felt well taken care of at each stage no matter which location we were at.

How was your experience with Gerard Letterie at Seattle Reproductive Medicine?

Dr. Letterie is friendly and personable while also being extremely experienced and professional. He, and his team, made us feel like we were the only patients they were working with every time we went in for an appointment or called with a question. Dr. Letterie was kind and patient in how he explained our potential fertility issues and each stage of us trying to conceive. He remained positive but realistic which helped us get through the failed attempts until we reached IVF which was successful on our first try. A month after our baby was born, Dr. Letterie had his team reach out to us to say congratulations and to ask us how we were doing.

What's one piece of advice would you give a prospective patient of Gerard Letterie at Seattle Reproductive Medicine?

Go into your appointments ready to learn because he will make all of the procedures easy to understand even for someone with no medical knowledge.

During treatment, were you treated like a number or a human with Gerard Letterie at Seattle Reproductive Medicine?

Dr. Letterie spent as much time as needed with us and never made us feel like we were taking up too much of his day. My husband and I are both the type to need to know all of the details and Dr. Letterie answered all of our questions and drew diagrams to help us remember all of the new information once we went home. He was positive and upbeat while also being realistic and professional.

Describe the protocols Gerard Letterie used in your cycles at Seattle Reproductive Medicine and their degree of success.

We started by making sure I was ovulating and that my tubes were in working order. Once that was determined not to be our problem Dr. Letterie checked my husbands sperm count to check that off of our list. We progressed to tracking my ovulation and taking medication to speed up my ovulation due to my long cycles and overabundance of follicles. We then did IUI to try and get the timing correct for fertilization. When that wasn't successful, my husband and I took some time off to regroup and Dr. Letterie was very kind and understanding about that. Finally, we moved onto the IVF process which resulted in a live singleton on our first try and 15 healthy embryos frozen and waiting for us when we are ready for our second.

Describe your experience with your nurse at Seattle Reproductive Medicine. (Assigned nurse: Justina Vasquez)

Justina (Tina) was accessible and personable. She was available through secured email on their website at all times and when she was out she had a backup nurse who would respond in her place. She made our experience so much smoother because we didn't have to do much work at all. She coordinated appointments and reminded us of when to start certain parts of our treatment and who to contact for specific questions.

Describe your experience with Seattle Reproductive Medicine.

SRM has multiple locations in this area which is really nice. The Bellevue location was the most convenient for me, but the Kirkland and Seattle locations weren't too far away either. All of the staff that we worked with at all three locations were professional but friendly and approachable. There were times the waiting room would be full but it felt more like a community versus crowded or like the clinic was ill prepared. We felt well taken care of at each stage no matter which location we were at.

Describe the costs associated with your care under Gerard Letterie at Seattle Reproductive Medicine.

It was expensive, but not quite as bad as I had anticipated. Dr. Letterie and his finance team were up front about what costs would look like and they went over the best options for us. There was a program to make monthly payments so the cost wasn't such a shock and there was separate option which was ideal for a family that would have a specific course of treatment. We felt well informed on our options and figuring out what worked best for us.

Describe Gerard Letterie's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Seattle Reproductive Medicine.

After our journey, I was hesitant to only transfer one embryo. What if just one didn't take and we had to have another month of disappointment and then another month of waiting and anxious anticipation? Dr. Letterie explained that carrying a baby wasn't an issue for me and if we implanted two embryos that we would have twins. He was absolutely correct with this plan because our single embryo implanted on our first try!

10

Doctor

Gerard Letterie

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

10

Clinic

Seattle Reproductive Medicine

Kirkland

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Gerard Letterie Seattle Reproductive Medicine

2014, Successful

10

Age 27

4 IUI

2 IVF

Diminished Ovarian Reserve

Endometriosis

Poor Egg Quality

Recurrent Pregnancy Loss

Unexplained

European

Income $50K - $99K

Only Doc Seen

Strongly Recommends

Successful

Review of

Gerard Letterie Seattle Reproductive Medicine

Dr. Letterie is 100% a great Doctor! My husband and I both trust him completely and felt so comfortable with him. He knows his stuff! Dr. Letterie is great at explaining things to you and lets you get all of your questions answered. He takes his time with you and you never feel like he is rushing you in and out. He explains all possible outcomes, etc.... He truly listens to you and lets you decide what you want to do. He gives you all of your possible treatments and is not pushy.

I thought the clinic [Seattle Reproductive Medicine] was excellent. I have no complaints. They were professional, organized, on time, good at explaining things, etc. They were always available to answer questions. The finance person seemed a little difficult to get a hold of at times. My nurse coordinator was wonderful!... I loved loved loved Sarah. She was so amazing at communicating and truly cared about her patients.... The ivf procedure was around $13,000

How was your experience with Gerard Letterie at Seattle Reproductive Medicine?

Dr. Letterie is 100% a great Doctor! My husband and I both trust him completely and felt so comfortable with him. He knows his stuff! Dr. Letterie is great at explaining things to you and lets you get all of your questions answered. He takes his time with you and you never feel like he is rushing you in and out. He explains all possible outcomes, etc.

What's one piece of advice would you give a prospective patient of Gerard Letterie at Seattle Reproductive Medicine?

He is a caring Doctor. Ask lots of questions.

During treatment, were you treated like a number or a human with Gerard Letterie at Seattle Reproductive Medicine?

Dr. Letterie was very respectful. He truly listens to you and lets you decide what you want to do. He gives you all of your possible treatments and is not pushy.

Describe the protocols Gerard Letterie used in your cycles at Seattle Reproductive Medicine and their degree of success.

I honestly do not remember much. it was a couple of years ago.

Describe your experience with your nurse at Seattle Reproductive Medicine. (Assigned nurse: Sarah Thompson)

I loved loved loved Sarah. She was so amazing at communicating and truly cared about her patients.

Describe your experience with Seattle Reproductive Medicine.

I thought the clinic was excellent. I have no complaints. They were professional, organized, on time, good at explaining things, etc. They were always available to answer questions. The finance person seemed a little difficult to get a hold of at times. My nurse coordinator was wonderful!

Describe the costs associated with your care under Gerard Letterie at Seattle Reproductive Medicine.

The ivf procedure was around $13,000

Describe Gerard Letterie's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Seattle Reproductive Medicine.

He did suggest only transferring one embryo. The second time around we opted for two and it did not end well. I went into preterm labor and had the babies at 24 weeks, in which they passed away shortly after.

10

Doctor

Gerard Letterie

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

10

Clinic

Seattle Reproductive Medicine

Seattle

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Gerard Letterie Seattle Reproductive Medicine

2017 - 2018, Unknown Success

10

Age 30 - 31

Anovulation

PCOS

Unexplained

Income $100K - $199K

2nd of 2 Docs

6 Fertility Medications With Other Docs

Strongly Recommends

Success w/ Doc Too early to know

Review of

Gerard Letterie Seattle Reproductive Medicine

Upon meeting with Dr Letterie he was very thoughtful and trustworthy eith our plan and future of wanting to have a child. He was very interested in our journey and what had and didnt work for us. He kept in contact with us through our journey with him even with personal phone calls checking in on us. He spent the time and effort i needed with an emotional journey and earned our trust throughout a very hard time with other doctors we never were able to trust.

Wonderful i have nothing bad to say about the clinic [Seattle Reproductive Med]overall wonderful. They were there and willing to help or call if you had any questions while the doctor was out or not available. If i had to say a weakness it would be that not all services are available on Saturdays but that seems to be a normal thing in the fertility clinics.... Strength would be nice and caring. Weakness would be brutally honest and blunt.

How was your experience with Gerard Letterie at Seattle Reproductive Medicine?

Upon meeting with Dr Letterie he was very thoughtful and trustworthy eith our plan and future of wanting to have a child. He was very interested in our journey and what had and didnt work for us. He kept in contact with us through our journey with him even with personal phone calls checking in on us. He spent the time and effort i needed with an emotional journey and earned our trust throughout a very hard time with other doctors we never were able to trust. I am so excited to have gone through my first cycle with him and he has brought me alot of hope and i cant wait to do another cycle with him.

What's one piece of advice would you give a prospective patient of Gerard Letterie at Seattle Reproductive Medicine?

Dont feel bad for asking questions, he i very much willing to explain things if you have any questions.

During treatment, were you treated like a number or a human with Gerard Letterie at Seattle Reproductive Medicine?

I felt like a human due to his bedside manner. During an emotional journey he helped me feel uplifted during hard times.

Describe your experience with your nurse at Seattle Reproductive Medicine. (Assigned nurse: Dollie)

Strength would be nice and caring. Weakness would be brutally honest and blunt.

Describe your experience with Seattle Reproductive Medicine.

Wonderful i have nothing bad to say about the clinic overall wonderful. They were there and willing to help or call if you had any questions while the doctor was out or not available. If i had to say a weakness it would be that not all services are available on Saturdays but that seems to be a normal thing in the fertility clinics.

10

Doctor

Gerard Letterie

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

10

Clinic

Seattle Reproductive Medicine

Seattle

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Gerard Letterie Seattle Reproductive Medicine

2013 - 2017, Unknown Success

10

8

Age 37 - 41

1 IVF

Anovulation

PCOS

Recurrent Pregnancy Loss

European

Income $50K - $99K

Entrepreneur

5th of 5 Docs

1 IUI With Other Docs

Strongly Recommends

Neutral

Success w/ Doc Not sure

Review of

Gerard Letterie Seattle Reproductive Medicine

He [Dr. Letterie] is very compassionate and gentle. He is older and experienced. I do wish he would investigate more of my physical issues. He did not test me for something that I found out I have. Knowing it sooner might have changed some results...He listens to my concerns and explains things to me.... I was told the wrong time of cycle to get a uterus scope done. I was told to do it at the end of a cycle and the viewing of it was poor...

Was not told to be sure to pay PGS test lab. They would not release results for days. Should be standard procedure to emphasize paying the other company. I was told the wrong time of cycle to get a uterus scope done. I was told to do it at the end of a cycle and the viewing of it was poor...The patient portal [for Seattle Repro Med] gets locked easily not recognizing the password if you use the link they email you. So it's hard to get a hold of her sometimes. She seems like her patient load is too heavy and seems Rushed

How was your experience with Gerard Letterie at Seattle Reproductive Medicine?

He is very compassionate and gentle. He is older and experienced. I do wish he would investigate more of my physical issues. He did not test me for something that I found out I have. Knowing it sooner might have changed some results.

What's one piece of advice would you give a prospective patient of Gerard Letterie at Seattle Reproductive Medicine?

Bring a pad of paper with questions you have and write the answers for looking back on.

During treatment, were you treated like a number or a human with Gerard Letterie at Seattle Reproductive Medicine?

He listens to my concerns and explains things to me.

Describe your experience with your nurse at Seattle Reproductive Medicine. (Assigned nurse: Lindsay )

The patient portal gets locked easily not recognizing the password if you use the link they email you. So it's hard to get a hold of her sometimes. She seems like her patient load is too heavy and seems Rushed

Describe Gerard Letterie's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Seattle Reproductive Medicine.

He felt a single embryo transfer is best for a safe pregnancy

What specific things went wrong at Seattle Reproductive Medicine?

Failed to call with results
Provided conflicting information

Describe the specific things that went wrong at Seattle Reproductive Medicine.

Was not told to be sure to pay PGS test lab. They would not release results for days. Should be standard procedure to emphasize paying the other company. I was told the wrong time of cycle to get a uterus scope done. I was told to do it at the end of a cycle and the viewing of it was poor

10

Doctor

Gerard Letterie

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

8

Clinic

Seattle Reproductive Medicine

Seattle

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Gerard Letterie Seattle Reproductive Medicine

2017 - 2020, Unknown Success

10

8

Age 33 - 36

1 IVF

Male Factor

European

Income $100K - $199K

Only Doc Seen

Strongly Recommends

Neutral

Success w/ Doc Too early to know

Review of

Gerard Letterie Seattle Reproductive Medicine

Dr letterie has great bedside manner and Is very knowledgeable. He is a busy man but gets back in a timely manner. No questions left unanswered and is very thorough. He listens well but also leads discussions with confidence and knowing what to do...For our first IVF cycle we used menapur and gonal f along with cetrotide. We responded well..

Our IVF full cycle cost around $20K with medication. Our FETs cost around $3-5K with medication...I’m not there a lot because I live out of town but they have always made me feel welcomed. It is easy to get to, scheduling [at Seattle Reproductive Medicine] went smoothly and always on time...[our nurse] was always available and took the time on our calls. I never felt rushed or that I was just a number..

How was your experience with Gerard Letterie at Seattle Reproductive Medicine?

Dr letterie has great bedside manner and Is very knowledgeable. He is a busy man but gets back in a timely manner. No questions left unanswered and is very thorough. He listens well but also leads discussions with confidence and knowing what to do. I have never FET like a number under his care and am always welcomed with a warm smile. I feel like he is a part of our team!

What's one piece of advice would you give a prospective patient of Gerard Letterie at Seattle Reproductive Medicine?

Have a plan B in place of a cycle gets canceled or fails. Sometimes if no plan N is in place u have to wait a cycle or two to get things in motion.

During treatment, were you treated like a number or a human with Gerard Letterie at Seattle Reproductive Medicine?

He was very empathetic and understanding of my miscarriage and how it affects a woman. He listens very well but also leads with confidence

Describe the protocols Gerard Letterie used in your cycles at Seattle Reproductive Medicine and their degree of success.

For our first IVF cycle we used menapur and gonal f along with cetrotide. We responded well, did a fresh transfer and 9 months later gave birth to a healthy baby boy. A year later, I miscarried on a natural conception at 12 weeks and jumped into a FET 5 months later. Our first FET was natural, no drugs and it failed. 2nd FET was canceled do to my lining not being thick enough. Next month we used estrace to thicken lining and it failed. 3rd FET we used gonal f to use my own bodies ovaries to produce the estrogen and it thicken lining to an 8. That cycle ended in a chemical pregnancy. 4th FET we added in menapur and got my lining to a 9.7 and that cycle failed.

Describe your experience with your nurse at Seattle Reproductive Medicine. (Assigned nurse: Dollie)

Dollie was always available and took the time on our calls. I never felt rushed or that I was just a number.

Describe your experience with Seattle Reproductive Medicine.

I have always felt welcomed and cared about at my clinic. I’m not there a lot because I live out of town but they have always made me feel welcomed. It is easy to get to, scheduling went smoothly and always on time

Describe the costs associated with your care under Gerard Letterie at Seattle Reproductive Medicine.

Our IVF full cycle cost around $20K with medication. Our FETs cost around $3-5K with medication

Describe Gerard Letterie's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Seattle Reproductive Medicine.

I trust him

10

Doctor

Gerard Letterie

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

8

Clinic

Seattle Reproductive Medicine

Seattle

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Gerard Letterie Seattle Reproductive Medicine

2016 - 2019, Successful

10

Age 24 - 27

Tubal Blockage

Latinx

1st of 2 Docs

IVF With Other Docs

Strongly Recommends

Successful

Review of

Gerard Letterie Seattle Reproductive Medicine

He [Dr. Letterie] told me it was better to transfer 1 embryo. He said that base on my age...I felt like a human because my doctor is a good listener, he understood how i felt about me not getting pregnant easy. I felt he does he job because he likes to help people became parents and he doesn't do it for the money. He explain everything really good and answer all my questions. I'm really happy to have him as my doctor

Appointment were $250 per appointment [at Seattle Reproductive]. Egg retrival was around $14000. My medicine was around $ 6000. Embryo tranfer is around $4000...Its a really clean, organized clinic. They have the right people for the perfect place. They are able to explain every question that you have. They are really friendly and they all know their job really good...Sarah is a good nurse i was really happy with her. When she left the clinic i was sad because she was a person that never was busy to help you. she loves to help people and she was always there for me.

How was your experience with Gerard Letterie at Seattle Reproductive Medicine?

I'm really happy to be a patient of Dr. Letterie he understands how people feel and he's always helping and making sure we as a patient understand every step through the treatment. He is a good person and really kind. I wouldn't change doctor at all. He knows what is better for each patient.

What's one piece of advice would you give a prospective patient of Gerard Letterie at Seattle Reproductive Medicine?

Trust Doctor Letterie he knows what it needs to be done to became a parent

During treatment, were you treated like a number or a human with Gerard Letterie at Seattle Reproductive Medicine?

I felt like a human because my doctor is a good listener, he understood how i felt about me not getting pregnant easy. I felt he does he job because he likes to help people became parents and he doesn't do it for the money. He explain everything really good and answer all my questions. I'm really happy to have him as my doctor

Describe your experience with your nurse at Seattle Reproductive Medicine. (Assigned nurse: Sarah)

Sarah is a good nurse i was really happy with her. When she left the clinic i was sad because she was a person that never was busy to help you. she loves to help people and she was always there for me.

Describe your experience with Seattle Reproductive Medicine.

Its a really clean, organized clinic. They have the right people for the perfect place. They are able to explain every question that you have. They are really friendly and they all know their job really good.

Describe the costs associated with your care under Gerard Letterie at Seattle Reproductive Medicine.

Appointment were $250 per appointment. Egg retrival was around $14000. My medicine was around $ 6000. Embryo tranfer is around $4000

Describe Gerard Letterie's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Seattle Reproductive Medicine.

He told me it was better to transfer 1 embryo. He said that base on my age

10

Doctor

Gerard Letterie

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

10

Clinic

Seattle Reproductive Medicine

Seattle

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Gerard Letterie Seattle Reproductive Medicine

2014 - 2021, Successful

8

9

Age 36 - 43

1 IVF

PCOS

Uterine Fibroids

European

Income $500K+

Only Doc Seen

Fertility Medications With Other Docs

Neutral

Strongly Recommends

Successful

Review of

Gerard Letterie Seattle Reproductive Medicine

Dr. Letterie was very upfront with his medical recommendations to get the desired results with each of the three cycles we did under his care. We saw other doctors at the same clinic for most procedures, but always reassured Dr. Letterie was informed and received helpful follow up...Extra care given to answer questions, explain results, talk through expectations...

Clinics [Seattle Reproductive Medicine] are clean and spacious. Good about privacy. There a multiple locations which is convenient for labwork, ultrasounds, check-ins...[nurses are] Prompt follow up. Friendly. Understanding. Willing to help...a few answers to messages felt intentionally vague considering our detailed questions...All quotes were competitive to similar treatments we compared against elsewhere...

How was your experience with Gerard Letterie at Seattle Reproductive Medicine?

Dr. Letterie was very upfront with his medical recommendations to get the desired results with each of the three cycles we did under his care. We saw other doctors at the same clinic for most procedures, but always reassured Dr. Letterie was informed and received helpful follow up.

What's one piece of advice would you give a prospective patient of Gerard Letterie at Seattle Reproductive Medicine?

He's been doing this a long time. Follow his recommendation. He suggested we could try other options before IVF, and he would support it, but ultimately felt we would save a lot of time and money going straight to IVF based on our medical profile.

During treatment, were you treated like a number or a human with Gerard Letterie at Seattle Reproductive Medicine?

Extra care given to answer questions, explain results, talk through expectations.

Describe your experience with your nurse at Seattle Reproductive Medicine. (Assigned nurse: Tina, Sarah, Britney)

Prompt follow up. Friendly. Understanding. Willing to help.

Describe your experience with Seattle Reproductive Medicine.

Clinics are clean and spacious. Good about privacy. There a multiple locations which is convenient for labwork, ultrasounds, check-ins, etc. It can feel a little "cold," but think COVID is impacting overall feel.

Describe the costs associated with your care under Gerard Letterie at Seattle Reproductive Medicine.

All quotes were competitive to similar treatments we compared against elsewhere.

Describe Gerard Letterie's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Seattle Reproductive Medicine.

Goal is one healthy singleton baby, so one embryo encouraged.

What specific things went wrong at Seattle Reproductive Medicine?

Provided conflicting information

Describe the specific things that went wrong at Seattle Reproductive Medicine.

Nothing major, but a few answers to messages felt intentionally vague considering our detailed questions.

8

Doctor

Gerard Letterie

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

9

Clinic

Seattle Reproductive Medicine

Seattle

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Gerard Letterie Seattle Reproductive Medicine

2020, Unknown Success

8

Age 26

Male Factor

European

Income $0 - $49K

Only Doc Seen

Neutral

Success w/ Doc Too early to know

Review of

Gerard Letterie Seattle Reproductive Medicine

I’ve only seen my doctor [Gerard Letterie] once so far. But he right away allowed my husband and I get all of the testing we wanted done on our first visit! He knows we are on a tight timeline and is very understanding...He is an amazing listener and is providing me with the care he thinks I personally need, not what everyone needs...

They [ Seattle Reproductive Medicine] are very organized, all staff was very friendly, they all communicate very well with each other and they made me feel so comfortable. [Dr. Gerard Letterie] was such a good listener and asked me tons of questions about my past and why I think my husband and I are having fertility issues...what I’ve had done so far it will cost about 2 grand.

How was your experience with Gerard Letterie at Seattle Reproductive Medicine?

I’ve only seen my doctor once so far. But he right away allowed my husband and I get all of the testing we wanted done on our first visit! He knows we are on a tight timeline and is very understanding and I good listener.

What's one piece of advice would you give a prospective patient of Gerard Letterie at Seattle Reproductive Medicine?

Just to make sure you bring in questions to ask and all of the experiences you want to share with him because he will actually listen!

During treatment, were you treated like a number or a human with Gerard Letterie at Seattle Reproductive Medicine?

He is an amazing listener and is providing me with the care he thinks I personally need, not what everyone needs.

Describe the protocols Gerard Letterie used in your cycles at Seattle Reproductive Medicine and their degree of success.

So far all we’ve had done is a semen analysis, vaginally ultra sound and blood work.

Describe your experience with the nursing staff at Seattle Reproductive Medicine.

The nursing staff made me feel very welcomed and happy to see me.

Describe your experience with Seattle Reproductive Medicine.

They are very organized, all staff was very friendly, they all communicate very well with each other and they made me feel so comfortable. My doctor was such a good listener and asked me tons of questions about my past and why I think my husband and I are having fertility issues. As of right now I have no negatives to give.

Describe the costs associated with your care under Gerard Letterie at Seattle Reproductive Medicine.

I have only done a few tests, but for what I’ve had done so far it will cost about 2 grand.

Describe Gerard Letterie's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Seattle Reproductive Medicine.

I have not experienced this so I have no knowledge of it yet!

8

Doctor

Gerard Letterie

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

8

Clinic

Seattle Reproductive Medicine

Seattle

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Gerard Letterie Seattle Reproductive Medicine

2018 - 2019, Unsuccessful

9

10

Age 28 - 29

1 IUI

Male Factor

PCOS

European

Native American

Income $50K - $99K

Sales Representative

1st of 3 Docs

IVF With Other Docs

Strongly Recommends

Unsuccessful

Review of

Gerard Letterie Seattle Reproductive Medicine

Always on time and patient. Made us feel very comfortable...willing to be available to answer all questions. Great communication between nurse and him [Dr. Gerard Letterie] and me. Very positive in his work and seems like he has done this for awhile with positive outcomes...He wanted to start out very low because I was very sensitive to medication...made me fee as though my health was the most important...

Multiple locations available to be able to go to...Great communication. Friendly staff [at Seattle Reproductive Medicine] all the way around...always felt welcome and not a number. Kinda expensive and not any help with finance...[nurse was] Very good at communication and making sure I understood. Followed up with me all the time even after ER visits... [Dr. Gerard Letterie] Made us feel very comfortable...

How was your experience with Gerard Letterie at Seattle Reproductive Medicine?

Very patient and kind. Always willing to be available to answer all questions. Great communication between nurse and him and me. Very positive in his work and seems like he has done this for awhile with positive outcomes

During treatment, were you treated like a number or a human with Gerard Letterie at Seattle Reproductive Medicine?

He took the time to explain very thing in terms to understand more so then just medical terms. Always on time and patient. Made us feel very comfortable

Describe the protocols Gerard Letterie used in your cycles at Seattle Reproductive Medicine and their degree of success.

He wanted to start out very low because I was very sensitive to medication. We were between a fine line so hard to say if it was the normal. He made me fee as though my health was the most important

Describe your experience with your nurse at Seattle Reproductive Medicine. (Assigned nurse: Dollie)

Very good at communication and making sure I understood. Followed up with me all the time even after ER visits.

Describe your experience with Seattle Reproductive Medicine.

Great communication. Friendly staff all the way around. I had to go to Spokane because of time of year and always felt welcome and not a number. Kinda expensive and not any help with finance. Multiple locations available to be able to go to.

9

Doctor

Gerard Letterie

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

10

Clinic

Seattle Reproductive Medicine

Seattle

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Gerard Letterie Seattle Reproductive Medicine

2018 - 2019, Unknown Success

10

Age 34 - 35

Diminished Ovarian Reserve

European

Income $100K - $199K

Nurse or HC Services

2nd of 2 Docs

1 IVF With Other Docs

Strongly Recommends

Success w/ Doc Too early to know

Review of

Gerard Letterie Seattle Reproductive Medicine

He [Dr. Letterie] made sure that I was ok with any plans or even unexpected changes that could arise from my treatment. I left each appointment feeling satisfied with the conversation...He will be straight forward with you...I am still in the middle of my cycle. I am currently taking my stims. I am on 225 Gonal F and 150 Menopur. The dosage was based off my amh of 1.1...It was explained to me the benefits of transferring 1 vs 2 embryos. I feel confident in only transferring 1 embryo given the risks that have been presented for transferring 2 embryos. Clinic Description

Rebecca [nurse at Seattle Reproductive Medicine] was and is amazing! She is so quick to respond to my emails. She is compassionate and expresses interest in my case. I am extremely relieved at how helpful she has been. She has made this stressful process easier by just being the person that I know I can count on to be there to answer my questions...I am still in the middle of my cycle and have not physically been to the clinic yet. Although, everytime I have called in they have been extremely helpful and kind. I have my first ultrasound scheduled with them for next week and I am excited to meet the staff and see the clinic.

How was your experience with Gerard Letterie at Seattle Reproductive Medicine?

I have had two phone consultations with Dr Letterie up to this point and he has been very courteous each time. Even asking if the appointment time was still adequate. He made sure that all of my questions were answered and that I had an understanding of the expectations of my treatment plan. He explained why he chose the treatment plan that he did and what would happen if that treatment plan did not get the desired results. He made sure that I was ok with any plans or even unexpected changes that could arise from my treatment. I left each appointment feeling satisfied with the conversation.

What's one piece of advice would you give a prospective patient of Gerard Letterie at Seattle Reproductive Medicine?

Do not hesitate to ask questions. He will be straight forward with you. If you do not know what questions to ask, tell him that too.

During treatment, were you treated like a number or a human with Gerard Letterie at Seattle Reproductive Medicine?

Dr Letterie not only took a thorough medical history, but he asked about my personal life and expressed interest.

Describe the protocols Gerard Letterie used in your cycles at Seattle Reproductive Medicine and their degree of success.

I am still in the middle of my cycle. I am currently taking my stims. I am on 225 Gonal F and 150 Menopur. The dosage was based off my amh of 1.1.

Describe your experience with your nurse at Seattle Reproductive Medicine. (Assigned nurse: Rebecca )

Rebecca was and is amazing! She is so quick to respond to my emails. She is compassionate and expresses interest in my case. I am extremely relieved at how helpful she has been. She has made this stressful process easier by just being the person that I know I can count on to be there to answer my questions.

Describe your experience with Seattle Reproductive Medicine.

I am still in the middle of my cycle and have not physically been to the clinic yet. Although, everytime I have called in they have been extremely helpful and kind. I have my first ultrasound scheduled with them for next week and I am excited to meet the staff and see the clinic.

Describe the costs associated with your care under Gerard Letterie at Seattle Reproductive Medicine.

30,000 for treatment 3,500 for the first set of meds

Describe Gerard Letterie's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Seattle Reproductive Medicine.

It was explained to me the benefits of transferring 1 vs 2 embryos. I feel confident in only transferring 1 embryo given the risks that have been presented for transferring 2 embryos.

10

Doctor

Gerard Letterie

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

10

Clinic

Seattle Reproductive Medicine

Seattle

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Gerard Letterie Seattle Reproductive Medicine

2018, Unknown Success

10

Age 28

4 Fertility Medications

PCOS

Latinx

Income $50K - $99K

Sales Representative

Only Doc Seen

Strongly Recommends

Success w/ Doc Too early to know

Review of

Gerard Letterie Seattle Reproductive Medicine

He [Dr. Letterie] took the time to explain routes he thought would be good. Why other options might not be good or why they didn’t work. He would make notes for you, even draw to explain is needed. He told you possible outcomes and risks. He was always very welcoming. He even moved appointments around when he was booked because he knew we were traveling from 3 hours away and got stuck in accident traffic...

SRM Seattle blew me away by their care. They exceptional in care. They were great with communicating with their patients on treatments and finances. Weaknesses is they are so amazing they book out really far...She [nurse] was always sweet and very understanding. She was always very organized and thorough in any information she gave us... I was put on 4 rounds of Clomid... Result lots or small eggs, no big egg. Due to test results it was unlikely to work for me but we wanted try.

How was your experience with Gerard Letterie at Seattle Reproductive Medicine?

Doctor Letterie had amazing bedside manner. Which means a lot in this field with so much emotion. He took the time to explain routes he thought would be good. Why other options might not be good or why they didn’t work. He would make notes for you, even draw to explain is needed. He told you possible outcomes and risks. He was always very welcoming. He even moved appointments around when he was booked because he knew we were traveling from 3 hours away and got stuck in accident traffic. He refused to have us turned away or rescheduled. When bad news occurred, he was so sweet and explained why and what we can do next time.

What's one piece of advice would you give a prospective patient of Gerard Letterie at Seattle Reproductive Medicine?

Take notes when you talk with him. He was so thorough with so much, it’s hard to remember it all.

During treatment, were you treated like a number or a human with Gerard Letterie at Seattle Reproductive Medicine?

Doctor Letterie was always so sweet. He was very informative in all aspects to care and future routes. He moved things around for us, as he knew we were traveling from about three hours away to see him. He never wanted to turn us away or reschedule. He made me feel cared for and that I was in good hands.

Describe the protocols Gerard Letterie used in your cycles at Seattle Reproductive Medicine and their degree of success.

I went through being diagnosed by Dr. Letterie, via ultra sound with PCOS. As no doctors near me had been able to tell me what was wrong with me. He then got blood work from my husband and I. As well as semen analysis. I was put on 4 rounds of Clomid. First round was 5 days I believe of 250MG of Clomid. My results were I did not produce any large enough eggs. Second round was 7 days of Clomid at 250MG. Results lots of eggs, non large enough. Third round 7 days of Clomid 400 MG. Result was one egg large enough for natural conception. I used an trigger shot but was not able to try at home, due to husband falling ill. Fourth round of Clomid at 400MG for 7 day. Result lots or small eggs, no big egg. Due to test results it was unlikely to work for me but we wanted try.

Describe your experience with your nurse at Seattle Reproductive Medicine.

She was always sweet and very understanding. She was always very organized and thorough in any information she gave us.

Describe your experience with Seattle Reproductive Medicine.

SRM Seattle blew me away by their care. They exceptional in care. They were great with communicating with their patients on treatments and finances. Weaknesses is they are so amazing they book out really far.

Describe the costs associated with your care under Gerard Letterie at Seattle Reproductive Medicine.

Around $2,000 for medications and medical costs.

Describe Gerard Letterie's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Seattle Reproductive Medicine.

I have not done IVF yet. No comments.

10

Doctor

Gerard Letterie

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

10

Clinic

Seattle Reproductive Medicine

Seattle

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Gerard Letterie Seattle Reproductive Medicine

2019, Successful

10

Age 32

Tubal Blockage

Unexplained

European

Income $100K - $199K

Only Doc Seen

Strongly Recommends

Successful

Review of

Gerard Letterie Seattle Reproductive Medicine

I went to Dr. Letterie to get some explanations as to why my husband and I were struggling to get pregnant. He recommended lots of diagnostic testing to determine what might or might not be going on and then recommended courses of treatment that would have the highest success rate. I felt good seeing him and knowing he was giving me good insight as to how to best proceed...made me feel good about my diagnosis and available options. He was compassionate and empathetic to my emotional reactions and questions...He has years of experience and can help give you options - regardless, you will have options to discuss.

As someone wondering if there might be something wrong in my goal to becoming pregnant, this clinic [Seattle Reproductive Medicine] was exactly the right place for me to begin my exploration of whether I need fertility treatment. Everyone was kind and responsive to my many questions and willing to take extra minutes to explain things to me. I didn't feel like I was ever rushed - I felt like the nurses or doctor was always listening and responding appropriately to my questions...patient coordinator, Dolly, was wonderful. She was responsive and got back to me within 12-24 hours when I had questions. She took time to answer all my questions each time we talked and made me feel great about our conversations.

How was your experience with Gerard Letterie at Seattle Reproductive Medicine?

I went to Dr. Letterie to get some explanations as to why my husband and I were struggling to get pregnant. He recommended lots of diagnostic testing to determine what might or might not be going on and then recommended courses of treatment that would have the highest success rate. I felt good seeing him and knowing he was giving me good insight as to how to best proceed.

What's one piece of advice would you give a prospective patient of Gerard Letterie at Seattle Reproductive Medicine?

He has years of experience and can help give you options - regardless, you will have options to discuss.

During treatment, were you treated like a number or a human with Gerard Letterie at Seattle Reproductive Medicine?

Dr. Letterie made me feel good about my diagnosis and available options. He was compassionate and empathetic to my emotional reactions and questions

Describe your experience with your nurse at Seattle Reproductive Medicine. (Assigned nurse: Dolly)

Dr. Letterie's patient coordinator, Dolly, was wonderful. She was responsive and got back to me within 12-24 hours when I had questions. She took time to answer all my questions each time we talked and made me feel great about our conversations.

Describe your experience with Seattle Reproductive Medicine.

As someone wondering if there might be something wrong in my goal to becoming pregnant, this clinic was exactly the right place for me to begin my exploration of whether I need fertility treatment. Everyone was kind and responsive to my many questions and willing to take extra minutes to explain things to me. I didn't feel like I was ever rushed - I felt like the nurses or doctor was always listening and responding appropriately to my questions.

Describe the costs associated with your care under Gerard Letterie at Seattle Reproductive Medicine.

My insurance covered diagnostic costs but would not cover treatment options.

What specific things went wrong at Seattle Reproductive Medicine?

Lost appointments

Describe the specific things that went wrong at Seattle Reproductive Medicine.

Just showed up one day for blood tests and confirmed my upcoming appointment, only to find they didn't have the right time in their system. The nurse said we can still schedule you at that time, just come 15 minutes earlier and it's no issue. They fixed the problem and were kind about allowing me to keep the same day and only slightly moving the time.

10

Doctor

Gerard Letterie

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

10

Clinic

Seattle Reproductive Medicine

Seattle

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Gerard Letterie Seattle Reproductive Medicine

2019, Successful

10

Age 26

PCOS

Income $0 - $49K

Teacher

2nd of 2 Docs

12 Fertility Medications With Other Docs

Strongly Recommends

Successful

Review of

Gerard Letterie Seattle Reproductive Medicine

He [Dr. Gerard Letterie] took injectibles at lowest doses to prevent any hyper ovarian stimulation...was very straight to the point on our options, which I love because I want it all laid out there. He listened to our stories and thoughts. He monitored our progress and adjusted as necessary...were warm and welcoming the first day you step into the office. They explain in detail with care every blood draw, ultrasound, and ect.

The strength [at Seattle Reproductive Medicine] is their staff being caring and warming. When we came in early they helped get us in early as well. I did not see many weaknesses to this clinic as all I experienced were good things, it can be difficult from being out of town...The doctor and clinic were warm and welcoming the first day you step into the office. They explain in detail with care every blood draw, ultrasound, and ect.

How was your experience with Gerard Letterie at Seattle Reproductive Medicine?

Doctor Letterie was very straight to the point on our options, which I love because I want it all laid out there. He listened to our stories and thoughts. He monitored our progress and adjusted as necessary.

What's one piece of advice would you give a prospective patient of Gerard Letterie at Seattle Reproductive Medicine?

Trust in your doctor.

During treatment, were you treated like a number or a human with Gerard Letterie at Seattle Reproductive Medicine?

The doctor and clinic were warm and welcoming the first day you step into the office. They explain in detail with care every blood draw, ultrasound, and ect.

Describe the protocols Gerard Letterie used in your cycles at Seattle Reproductive Medicine and their degree of success.

He took injectibles at lowest doses to prevent any hyper ovarian stimulation.

Describe your experience with your nurse at Seattle Reproductive Medicine. (Assigned nurse: Dollies Arron )

Dollie got back to me usually right away with any of my questions. Explained what was happening in details.

Describe your experience with Seattle Reproductive Medicine.

The strength is their staff being caring and warming. When we came in early they helped get us in early as well. I did not see many weaknesses to this clinic as all I experienced were good things, it can be difficult from being out of town.

Describe the costs associated with your care under Gerard Letterie at Seattle Reproductive Medicine.

We spent about 10,000 in total including medications

10

Doctor

Gerard Letterie

Humanity

Communication

Frequency Seen

Trustworthiness

Compassion

Explained risks

Adaptability

10

Clinic

Seattle Reproductive Medicine

Seattle

Operations

Scheduling

Billing Department

Nursing Staff

Clinic Atmosphere

Educational Resources

Review of

Gerard Letterie Seattle Reproductive Medicine

Gerard Letterie

Seattle Reproductive Medicine

Education

How Doctor Communicates

Seattle Reproductive Medicine
Rated 8.6

20 patient reviews

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Gerard Letterie

Seattle Reproductive Medicine

Education

How Doctor Communicates

Seattle Reproductive MedicineRated 8.6Strongly recommend: 72%Neutral: 15%Don't recommend: 12%8.6

20 patient reviews

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Seattle Reproductive Medicine
Rated 8.6