Jessica Scotchie

My doctor knows I'm in nursing school, and has made it a point to schedule things on days that work best around my class and clinical schedule. She stresses the importance of my school and has gone over things to expect when it gets closer to time to do IUI or IVF (whichever one we find out next week we need to do). We were also explained to, it great detail, the break down of what each test/procedure costs. That was nice, because that allows us to have a visualization of potential costs of any procedure, without being blind sided. She listened to our concerns as a couple and individually, without feeling judged by asking silly questions. I couldn't be more thankful for the experiences I've already had with her.

Ask any and every question you feel like you need to ask. She is completely open minded and more than happy to explain. If you're looking for a doctor who doesn't let you walk out feeling unsure with concerns/questions left unanswered, she is the one for you!

So far, I've had to have the following procedures done: Blood work to for a full CBC and hormone levels. This is self explanatory and provides a good baseline to compare in later procedures. Intravaginal ultra sound on cycle day 3 to count egg follicles, because that's the best time to see them and to make sure I did in fact produce eggs. More blood work on this day to check hormone levels during my cycle. An HSG (xray) to examine the patency of my tubes, as well as the anatomy of my uterus. If tubes are blocked, it can affect whether or not the sperm and egg can even meet. Next week will be my husband's sperm analysis, to check the number and motility of his swimmers. We then follow up 2 hours later to analyze all the tests and determine whether IUI or IVF will be the most effective route, or if they need to do an endoscopy to explore the severity of my returned endometriosis.

I don't remember at this time, but I do know they were extremely reasonable compared to some other doctors.

We very much only want one baby. She was completely understanding of that, considered twins are always a possibility. They have high success rates with single embryo pregnancies, and that's one reason they caught my eye while researching best fertility doctors around me. We will get more information on this if IVF is the route we need to take.

Dr. Scotchie is great, my overall experience has been a positive one. The day we found out that we were going to miscarry Dr. Scotchie was very honest but delicate when informing us. She called me at the end of her very busy day, around 6:30-7pm that evening to check on me and see if I had any questions. That is just one example of her patient care. She is a very intelligent and skilled doctor. I am thankful for her expertise in my situation.

Be prepared to receive much information. Dr. Scotchie is very good at communicating in an understandable and clear way but it is a TON of information and can be overwhelming.

I have PCOS and was referred to Dr. Scotchie by my OBGYN. Dr. Scotchie surgically removed some ovarian cysts in March 2015. I was then prescribed Letrozole to help me ovulate. I got pregnant in June of 2015 and gave birth to my healthy son February 2016. I am now 40 years old and trying to conceive again. This go round has not been as successful as above. We started the same treatment as above in May 2017. I got pregnant in February 2018 but unfortunately this resulted in a miscarriage. My husband and I are currently undergoing the necessary steps to start IVF.

The cost is consistent with the going rates in our area and comparable with research done online, IVF online calculator, etc.

I have not reached this stage in my journey as of yet.

Dr. Scotchie has great scientific knowledge as well as an excellent bedside manner. Prior to being referred to her, we were dealing with an OB who was not very sensitive. Dr. Scotchie makes me feel heard and presents information in a way that is easy to understand.

Don't be afraid to ask questions about treatment options and really push her, she is great at providing the information you need.

We are still in treatment. We have had all of our testing done and I have unexplained recurrent pregnancy loss. We tried clomid for several cycles to find out if we could increase my follicle count and have a chance at a better egg that way. Unfortunately those cycles were not effective and I did not get pregnant. We are planning to move to IVF with PGS testing.

So far the costs have mostly been testing and miscarriage treatment related. I spent probably $3,000 OOP on testing and miscarriage related procedures last year. This year we did several clomid cycles. The clomid is very affordable. The monitoring was about $300 per cycle. We are planning to do IVF in a few months and the costs do seem high compared to other clinics (about $22k total for one round with PGS testing) but at the same time the clinic has good success scores.

Dr. Scotchie prefers the eSET method and has explained that this reduces the risk of multiples, and that multiples create a higher likelihood of complications.

Dr. Scotchie demonstrates compassion, thorough patient care, and an agreed upon action plan that made me feel at ease and comfortable. She left no detail overlooked when I was in her care. She personally called and left me a voicemail when I notified her office of my miscarriage. During my only full term pregnancy she saw me every week my first trimester and I can't say just how much that eased my fears and anxieties after repeated loss.

Be patient with your personal journey and remain hopeful, as your care is truly in the best hands.

Dr. Scotchie prescribed me progesterone as an extra measure due to my two miscarriages. I had another miscarriage after my daughter was born, and started seeing Dr. Scotchie. I let her know I watched my cycles closely and noticed I may have luteal phase defect. Because of this, she suggested a small dose of femara (2.5mg?) to speed up my ovulation times. I also took progesterone every cycle. I got pregnant after 3 cycles and started lovenox shots. Unfortunately and very sadly, I also lost this baby after I stopped seeing Dr. Scotchie (because I was past the 9 week mark).

Mine is different because it's not the typical infertility treatment. I thought my care was affordable.

She listens, she shows kindness, compassion, and is truly empathic to how I feel about my treatment. When I had my surgery to remove my tubes that were so badly damaged, she not only cared to ask how I felt physically but emotionally. She comforted me and made me feel validated in my emotions about my situation.

You will be cared for on a level I feel is not too commonly found among many doctors. I feel like I matter as a person.

We have only completed the diagnostic and treatment to repair me so that IVF would even be possible.

Our costs will be between $26,000 to $39,000. This includes medicines, genetic testing, transfers of all quality embryos until exhausted, and storage costs.

I appreciate that they support single transfer for the health of me and to promote a chance at live birth.

We loved doctor Scotchie. She was smart, informative, compassionate, and honest. She knows what she's doing and has an incredibly sweet personality. She encouraged us to try IUI and IVF. When our IUIs were unsuccessful, she gave us time, space, and information to decide when and if we wanted to pressure IVF. She never made us feel rushed.

Be honest with her about what treatments you are ready to try and she'll guide you into what she thinks will work for you.

I seemed like a healthy 25 year old when I first met Jessica. I had been trying for nine months, but other than that I was healthy. She recommended IUI since IVF was not covered by our insurance. After three failed attempts we took a break. When we came back I was ready to try IVF. She offered me the option to do a money back guarantee program if we were healthy enough to qualify. I passed every fertility diagnostic test with flying colors. After we did an egg retrieval and a failed fresh transfer, she scheduled a frozen transfer. We were successful with our last embryo.

We had zero insurance coverage. Each IUI was around $1000 and our IVF was around $30,000 including medication. We did the money back guarantee IVF so it was more expensive because it included up to 3 egg retrievals and as many transfers as needed to have a successful pregnancy or your money back.

Dr. Scotchie really advocates for eSET but looks at the patients individually. Ultimately the decision was up to us and since she did not perform our transfers we discussed and decided with our other doctor to transfer 2 embryos each time.

Dr. Scotchie has a great bedside manner. I knew that when I went in for my monitoring ultrasounds she was probably in a rush- but she was good at making sure she answered questions and explaining to me what I saw. I would have liked to have had more interactions with her but I understand this is a common issue at a busy fertility clinic. The nurses were really great at communicating with me about next steps and all.

Make sure you remember your questions when you have your time with Dr. Scotchie- sometimes I would leave and remember that I'd wished I had asked something. She was very flexible with my treatment and starting conservative which I appreciated. Utilize the patient portal- I found it was a great way to communicate with my nurses since I work during the day and had a hard time always answering their phone calls.

I was diagnosed with PCOS by a previous doctor. When I started at TRM I had done a few unscusseful rounds of unmonitored clomid with my obgyn. Funds were limited for me at the time. We chose to start with Femara for 3 months before doing further diagnostics (ie. checking my tubes and sperm analysis). All 3 cycles were unsuccessful and then we had to relocate out of state. I would have loved to continue my treatment at TRM but the move made that impossible.

I think my initial consult was around 300 and each ultrasound was around 300

Dr. Scotchie is very kind. Upon our first meeting with her, we immediately felt comfortable and knew we were in good hands. She really takes the time to listen and get to know her patients. After briefly discussing our 2 year struggle with infertility, she was able to determine that I likely had endometriosis. My previous doctor never suggested that it was possible. After a laparoscopy, which we were able to schedule quickly and easily, endometriosis was confirmed (and removed). We are so impressed by her insight and attention to detail.

There is nothing to be worried or embarrassed about with Dr. Scotchie. She is easy to talk to and really makes an effort to show her patients how invested she is in their success.

After a laparoscopy (performed by Dr. Scotchie) which determined that my previously diagnosed unexplained infertility was actually stage II endometriosis, she presented us with a couple of options moving forward. She allows her patients to choose how aggressive they would like their treatment to be. We decided to try on our own for a couple of months before moving on to an IUI, which she thought was great given our ages and other fertility factors. She prescribed me 5mg of Letrozole to increase our chances slightly. She advised against Clomid as the extra estrogen could cause my endometriosis to grow back quicker.

Initial fertility work up was around $800, largely covered by insurance. My baseline ultrasound, pre-surgery monitoring was billed for $600, also covered by insurance. I've not yet received a bill for my laparoscopy procedure, but the clinic did not charge for my pre-op or post-op visit.

Dr. Scotchie was truly a blessing for me. We left our first clinic because they fell short in providing what I expected as a level of care and compassion. Dr. Scotchie exceeded my expectations in both medical care and personal compassion.

Always take an active role in your medical care. Ask questions, challenge the status quo. Trust Dr. Scotchie.

We tried many different options during our years of treatment. I don't remember specifics. Part of enduring such a long journey is letting go of the past and focusing on the present. What I do remember is that Dr. Scotchie was always willing to put a lot of time in to a specific treatment plan tailored for us. We endured a very complicated miscarriage with our first round of IVF, fresh transfer, that resulted in about 9 months of treatments and a diagnosis of trophoblastic disease. Dr. Scotchie was amazing through the entire journey. Afterwards, we realized my lining had been damaged and would not longer grow thick enough to sustain a pregnancy. Dr. Scotchie reached out across the country to her peers to try to identify a treatment plan that we could try. We tried everything that she could come up with, but unfortunately nothing worked. After a grieving process (which we always felt Dr. Scotchie to be supportive of us taking time between cycles), we decided to pursue conceiving via a gestational surrogate. Dr. Scotchie has been amazing during this process. Our GS was experienced, plus works at an OBGYN office. Dr. Scotchie was supportive of trying an unmedicated cycle, which ended up being successful. She has always been willing to evaluate each situation for its own merit and make an informed timely decision.

IUI was about $3,500, I believe. We did the IVF refund guarantee program, with ICSI, and paid about $28,000, I believe. That would have been for 3 fresh IVF attempts, and all frozen transfers from those retrievals, until a live birth. We only made it thru 1 fresh retrieval with a transfer, and 1 frozen transfer. The clinic went over and above for us by allowing us to do a second fresh retrieval so that we could do embryo testing. They effectively cancelled the guarantee contract and let those fees cover the retrieval. That was a huge goodwill gesture for us and was greatly appreciated.

Dr. Scotchie always recommended transfering 1 single embryo. During our first retrieval we did not have testing on embryos. We ended up deciding to transfer multiple embryos to my uterus during that first transfer (which ended in miscarriage). During the 1 frozen transfer we did to my uterus we transferred multiple embryos due to the state of things during unthawing. We transferred a single tested embryo to our GS.

Jessica is very bright and lively and extremely intelligent. When I ask a question, she answers in incredible detail and can quote me statistics off the top of her head to help me understand how it all works. She is extremely compassionate with miscarriage patients and will give them a hug and tell them she's in it with them. She remembers me when she happens to see me in the hall getting a blood test and remembers my daughter's and husband's names. She is also very flexible. She will tell me what she thinks will work best, but if I want it done another way she will do it.

She will let you follow the fertility path you want. So, at first I told her I wanted to go gently and she put me on just clomid with natural intercourse. When that didn't work, I told her I wanted more aggressive and she immediately recommended iui. She'll try to read what you want and give you the treatment you want. Ask lots of questions and then be clear about what you want because she's looking for you to tell her what you want.

Jessica put me on Clomid with natural intercourse for awhile and when I didn't get results, she recommended iui with clomid only or clomid and trigger shot. She told me I had high chances of success and she was absolutely right. My first two iuis were successful, although the first resulted in miscarriage due to chromosomal abnormalities. My second iui I am now pregnant and waiting for first ultrasound. It's all looking good!

Dr Scotchie is very responsive. When I first came to her, I didn't want to do anything aggressive. She responded with a treatment plan that was gentle. Then, when I didn't get the results I wanted, I went back and asked for something more aggressive. She suggested IUI. I asked about IVF, but she encouraged me away from it because she said my fertility problems didn't warrant that huge of an expenditure to get a positive result. She was absolutely right and saved us thousands of dollars. She is patient and kind. She gave me a hug and let me cry when I miscarried. She is the kindest Dr I have ever known. And extremely knowledgeable as well. Any question I had, she had a detailed answer and took as much time as I needed to talk it all out.

Let Dr. Scotchie tell you what she thinks you should do to achieve results. She will let you drive if you want, but you may not know what will work the fastest. I wasted my first year with her because I didn't plain out ask her to run things.

I had 6 cycles of Femara with natural intercourse along with prometrium and estradiol luteal support. I got pregnant once but miscarried within a week. After a 6 month break for my emotional well being, we went back for IUI. My first iui we did an HSG first. This revealed one distended tube and the other with a small block that was cleared with the dye. I then had 100mg Clomid, follicle ultrasound and IUI. It was successful, but my twins had chromosomal disorders and I miscarried at 8 weeks. The second IUI was 100mg Clomid, follicle ultrasound and then trigger shot because I was producing 4-6 mature follicles and we didn't want any more! IUI was successful and I'm currently 12 weeks with a healthy singleton.

$200 for a consultation $650 for first IUI with no trigger shot $1100 for second IUI with trigger shot and more follicle ultrasounds Everything covered once I was pregnant.

Dr. Scotchie is great to deal with. She is very compassionate and explains every step of the process along the way very well. She also is great at answering any questions we have no matter what they might be.

It's a hard process no matter how well it goes so don't get discouraged along the way if everything doesn't go as expected.

Letrozole was prescribed to cause ovulation. This took around 3 months before we were pregnant with our first child. It was prescribed again for around 9 months before becoming pregnant. This pregnancy resulted in a miscarriage. We are now starting IVF treatments.

Office visits with ultrasounds to track ovulation are around $350 per visit. Letrozole is purchased from another pharmacy and is very inexpensive. Just now in the early stages of IVF, so too soon to know the costs for sure.

She is very friendly and does explain things well. I did not like that she wasn’t open to other treatment options I wanted to try. After IUIs with only letrozole, she wanted to move straight to IVF. I am planning on going back after a 1 year hiatus and I’m hoping she will be more open regarding the treatment I’m interested in (injectables and immune treatment).

Go in with your questions written down. She is very good about answering any questions you may have.

She recommended surgery to check for endometriosis. I was given the option of letrozole only during a cycle, letrozole with IUI, or surgery. She recommended IUI with letrozole and to start progesterone two days after. After having my second miscarriage (first under her care), she recommended recurrent pregnancy loss labs. After 3 failed IUIs, she pushed for IVF. I was not quite ready for that so I decided to seek out a Reproductive immunologist.

Cost of semen analysis $150 Cost of IUI with letrozole $900

Dr. Scotchie herself has so far been wonderful. She is realistic about what to expect, while still allowing me to move at my pace. She jumped right into diagnostics and figured out what was going on when I had been ignored for months by a previous doctor. I will say that she quoted a price for IUI and IVF and I did receive a price sheet that was much much higher with all the hidden fees and extras that were not included.

She has a strong personality and is confident, but dont be afraid to ask or voice if you are uncomfortable or would like to try something else.

Dr. Scotchie suggested IUI first but we are trying medicated timed intercourse to start and will move forward from there.

Costs were above the national average. There is no all inclusive package without doing multiple cycles. Hidden fees for add ons

My only issue is that she doesn’t change the course of treatment, we just keep doing the same thing over and over and expecting a different result. We only have 5 embryos left and I do not want to waste them

Be firm in what you want

the first round of donor egg IVF was around 20,000 as we used a split or half batch and received 12 eggs. We got 4 embryos from that round. No baby! This current round has been similar to date in cost because we used a known donor who declined reimbursement so we are around $25,000 with everything we will need

I understand the need to attempt to protect a patients health but sometimes I wonder if we had transferred 2 would one have implanted while the other didn’t

She's friendly and efficient, and she was patient in answering all my questions. I would have appreciated a slightly more personal approach, but she was always kind, supportive and direct. She did not speak to the emotional toll of managing infertility.

Ask lots of questions, tell her how aggressive you want to be, and push her to consider your diagnosis from all angles.

I took 3 rounds of letrozole, followed by 3 rounds of letrozole with IUI. After the last failed attempt she recommended moving on to IVF.

$500 per IU, $280 per ultrasound, $300 monitoring fee

There was a little bit of confusion about when my injections would start and it was a miscommunication. However, once I realized we were not on the same page I was able to immediately email my nurse and dr. Scotchie and get it clarified. They got back in touch with me within the hour and that is the only hiccup we had.

That she is excellent and very good at what she does.

Everyone at TRM is wonderful. They all show compassion. They are patient, even with all my endless questions and concerns. They all are very kind and knowledgable.

Make an appointment with TRM now.

She was straightforward regarding the success rates of trying to convince naturally in addition to success rates for IVF. She is tactfully blunt and is genuine with any appointments and testing to be completed. Dr Scotchie performed any testing outside of bloodwork and didn't outsource it to another facility. It was comforting seeing a familiar face.

Be patient, she gets booked quickly

We are currently waiting to be stimulated for retrieval but she has been reviewing our testing and plans as we go along.

All costs have been in line with research.