Julio Pabon

I am 44 years old and just delivered my second Dr. Pabon baby! Dr. Pabon is an amazing, caring physician and if I could give him eleven stars I would! I live in Orlando and it was totally worth the 2.5 hour drive to see him. I am a single-mother-by-choice (my daughters were conceived with donor sperm) who decided when I was 40 that I was finally ready to become a mother. I looked at several different fertility offices and ultimately chose Dr. Pabon because his success rates were significantly higher than other offices and the staff who initially answered the phone were extremely kind and helpful. I am so glad that I chose Dr. Pabon, because he is one of the most skilled, compassionate doctors that I have ever worked with. He made personal calls (even on the weekends and after hours) to check on me and make sure that I had the information that I needed. He genuinely cares about his patients and their outcomes. Because of my age, Dr. Pabon suggested that I go straight to an IVF procedure. I wanted to try getting pregnant by IUI instead, because I had no known fertility issues (aside from my advanced age) and the IUI procedure is significantly less expensive. Dr. Pabon supported my choice, but said that we should set a limit on the number of IUIs (we decided on four) and that if it didn’t work, we agreed to advance to IVF. In hindsight, I wish I took his advice from the beginning, because unfortunately the IUIs did not work and it ultimately cost me both more time and money than if I went with his recommendation from the beginning. (I would recommend going straight to IVF to anybody over 35 who is trying to conceive.) I ended up doing two egg harvests because I knew that I wanted to have at least two children and Dr. Pabon suggested that I collect as many embryos as I needed to have the number of children that I wanted then, because with every year that would pass my eggs would become older and statistically less viable. I also decided to do genetic testing which was absolutely the right choice for me because: a) many of my embryos ended up not being viable and it would have been expensive and heartbreaking to go through several failed pregnancy attempts with non-viable embryos and b) I really wanted to have daughters and you can learn the sex of the embryos through the genetic testing. With my first harvest I collected 11 eggs and got six embryos of which only two were viable. Just in case one of my pregnancies did not take, I did a second harvest and collected eight eggs and five embryos, three of which were viable. Before we did the implantation, Dr. Pabon strongly encouraged me to lose some weight because excessive fat can negatively impact the outcome. It wasn’t easy to hear (or do!), but I did get within five pounds of a normal BMI before my first implantation. I added fertility acupuncture to Dr. Pabon’s closely monitored drug regimen and fortunately ended up conceiving on the first try at 41! My first daughter was born 34 weeks later! (Unfortunately, I developed severe pre-eclampsia, so she had to be delivered early by C-section, but she is a happy and healthy two-year-old now, so no long-term problems!) At 43 I decided I was ready to have my second child. Since I had the embryos already, I only had to do another implantation. Dr. Pabon is always at the cutting edge of treatments, and I was impressed by how even in the two years since I previously conceived, he added several new protocols. With the implantation of my second daughter, I had some spotting, so Dr. Pabon recommended that I get an ultrasound in Orlando (so that I wouldn’t have to drive all the way to Sarasota) to check and make sure that everything was OK. I got a phone call that evening from him saying that they could not find a heartbeat and that he was very sorry, but that my pregnancy had probably terminated (I was almost at the seven-week mark). He was very kind and compassionate, and I was, of course, devastated. I refused to believe the results though (denial is the first stage of grief, right?) and was adamant that everything was OK. Dr. Pabon thoughtfully listened to me and said that if I wanted to come to Sarasota in a couple of days, he would give me a second opinion. He strongly iterated that I needed to maintain my drug regimen in the interim. (I had been religious about taking my drugs with both pregnancies; there is quite an extensive list of shots and pills that need to be administered at various times throughout the day, so I made an Excel spreadsheet so that I wouldn’t miss any doses!) When I arrived in Sarasota, I was the last appointment of the day and the office was very somber, clearly having been prepared to deliver me bad news. A few seconds after he started the ultrasound, he said, “I see a heartbeat!” and started to laugh. I started to cry because I was so relieved! He called my second daughter (who was born at 37 weeks, again due to pre-eclampsia) “Bonus Fry”! 😊 So, long story short, Dr. Pabon is a miracle worker who helped me conceive two beautiful, healthy daughters after I turned 40. He and his staff are wonderful, caring people who I would give my highest recommendation to. For women over 40 trying to conceive, I have the following advice: 1. Definitely use Dr. Pabon! His success rates are higher because he carefully monitors each patient, is not afraid to give them hard advice (like lose weight), and is always at the leading edge of treatment technologies 2. Go straight to IVF, it will save you time and money in the long run 3. Do the genetic testing. It is a bit more expensive up front, but will be a lot less expensive than a second round of IVF due to implanting an inviable embryo. 4. Be extremely precise with your medications. Dr. Pabon carefully calibrates the dosage and timing for you, but you need to follow his advice to the letter! Use spreadsheets, alarms, post-its, whatever you have to, in order to take your meds on time. 5. Add fertility acupuncture. I did it with both pregnancies. With my second pregnancy Dr. Pabon even added that in as an option at his clinic.

He knows what he is doing, so follow his advice exactly, even if it is inconvenient or not what you were initially thinking. At the same time, trust that you know your body and communicate with him if you think something is not right; he will listen to you.

The staff were very supportive and always knew my name when I came to the office. Dr. Pabon personally called me with news even if it was on the weekend or in the evenings.

Dr. Pabon recommended that I go straight to IVF due to my age. I didn't listen to him and wasted several thousands of dollars on IUIs when I could have gone straight to IVF and conceived on the first try. He also recommended the genetic testing, which I am glad that I did, because many of my embryos were not viable and we were then able to implant only the ones that were. I conceived two daughters with him, both on the first implantation attempt. (I was 41 the first time and 43 the second time.)

The nurses were also extremely kind and compassionate and they always knew who I was as soon as I walked in. They gave me clear instructions and returned my calls promptly.

The clinic is the doctor and the nurses (plus support staff), so I don't have much else to add. I know that he has moved to a new location now, so I can't really comment on the new facilities. If I were to make one negative comment about the facility it would be that with my second implantation, some of the front desk ladies (who were new since my first pregnancy) were not as patient, caring, and organized as a few of them who were there with my first pregnancy (and had since left.)

Hmm. It was awhile ago now. I believe in 2016 the process which included two egg harvests, one failed embryo transfer attempt (my lining wasn't thick enough), and one successful embryo transfer cost $50,000 with the cost of all drugs and everything. For my second child (just the embryo transfer, drugs, follow-up appointments, etc.) I believe it was $20,000.

Initially I did not think it was a good idea because IVF is so expensive and I was worried that if I only implanted one embryo I wouldn't have a viable pregnancy at the end. Dr. Pabon explained to me though that a single embryo transfer is actually better for the baby and better for the mother and usually ended up with a BETTER chance of a viable pregnancy, not a worse one. (He was right!)

At first it was all overwhelming. I came to him as I was still going through my third miscarriage and didn't want to be there. I was ready to get pregnant again as fast as possible. Dr Pabon was very direct in telling me I needed to slow down and follow his processes which included getting fully tested. While there ended up not being any underlying issues for the miscarriages aside for age (I was 34) and bad luck, I am glad I followed his plan. He presented IVF as an alternative and while it was one of the most stressful things I have ever done I am really glad I did it and grateful to him and his team for trying to make it as easy as possible.

Trust the process. He knows what he is doing even if its not all happening on your timeline. Dr Pabon will get you pregnant with a healthy baby.

Dr Pabon cared more about the patient than getting his numbers up. For me, I had a low amount of eggs that I produced for retrieval but he didn't urge me to cancel. He told me that was my decision but he wouldn't cancel with where I was at (4-5 eggs). Thankfully I went forward and ended with 2 healthy embryos.

12 days of injectables for the retrieval. I did the basic levels I believe b/c of my FSH bloodwork but I didn't end up responding great. He said if I was going to cancel and do it again he would have increased the dosage. After retrieval I was on about 1 month of lupron injections and then I started the estrogen pills and patches followed by progesterone leading up to transfer. I have continued all 3 into my first trimester.

I loved Ramona. I think Ramona is over worked but it makes me admire her commitment. They are a small office and she does so much to help Dr Pabon and the patients. She was very helpful to me when I needed it the most from her and I will miss seeing her.

They were in between front desk staff while I was there so that made things a bit difficult at times in the process but the new staff that started at the end seemed really knowledgable and helpful. I think they will be good with this new staff going forward.

25k

I was good with only 1 the whole time

Dr Pabon is beyond amazing with both his professional practice and his compassion and care for his patients. He has gone above and beyond to be by my side 100% of the way. He is so knowledgeable and makes it his priority to make sure his patients are comfortable and completely educated and aware of every single step of the process. No matter the time or day he would return my calls and ease any concern or fear I was having. I have never trusted a doctor as much as I trust him. His sense of humor was a plus to this emotional, mental, and physically draining experience.

Leave it all in his hands. Let go of any type of control you hold onto and trust him 100% of the way in your journey. He will have your best interest at hand the entire time.

Dr Pabons compassion and attentiveness was outstanding. From the very second we first walked through his clinic doors he made us feel as his highest priority. His care was so personalized. He personally called me with every single result or piece of information. I feel as if I have his undivided attention 100% of the time which I feel is so crucial in this process. Dr. Pabon has an incredible way of making his patients feel so special and without a doubt his number one priority.

Dr Pabons expertise and compassion at what he does allows for him to develop a specific protocol and plan for each one of his patients. With us suffering from mild male factor infertility our protocol was pretty easy and straight forward. He added a little synthroid just to help get my TSH levels closer to what he prefers for pregnancy. We have just started the process and I have no doubt in his process to achieve a successful pregnancy.

With the clinic being a solo practice Dr Pabon only has one nurse who so far has been very informative, compassionate, and helpful.

The physician/patient relationship at the clinic due to it being a solo practice is remarkable. Dr Pabon knows each and every one of his patients as is they were his only patient. The relationship he has built with me and the compassion he provides has made this process easier and less stressful.

$25,000

Dr Pabon told my husband and I on day 1 during our consult that his primary goal with every patient is to have a healthy Singleton pregnancy.

Dr Pabon is amazing. He truly cares about his patients and wants nothing but a healthy pregnancy/live birth for each of us seeking his help. He has a huge heart and so much compassion. He tells you like he sees it, he is honest but very warm bedside manner. He was understanding of my unique situation of being a single mom by choice. He has done nothing but support me on my fertility journey and looked for the absolute best options for me. I cannot say enough about him! And funny thing, yes I would recommend my best friend to him and she just found out she is pregnant after seeing him. I

He's amazing. LISTEN to what he's says, and do what he tells you to do. He's very smart and knows what he's doing!

I am always seen by Dr Pabon at every single visit except blood draws. He has personally called me with every single test result. He called shortly after my miscarriage to check in and see how I was. He was concerned about me.

Cycle #1 Climis days 3-7 50mg? Hcg trigger injection Resulted in pregnancy likely twins. 2 sacs saw one heartbeat. Miscarried at 9-10 weeks. Cycle 2 and 3 Femarra and HCG trigger Both negative beta Cycle 4 clomid 25 mg cycle days 5-7? HCG trigger injection Negative beta Cycle 5 Clomid 25 mg only every other day I think? Hcg beta Resulted in chemical pregnancy. Cycle 6 unmedicated except for hcg trigger. Resulted in negative beta. He changed from Clomid to Femarra to try to lessen the thinning of uterine lining. Lowered Clomid does on next tries for same reason, trying to get a thinker uterine lining.

The nursing staff are all great I person. Getting email responses can be challenging at times.

They are almost always on time. The office and Dr never make you feel rushed. The office staff is always friendly and polite. Email communication could be slightly better but that's usually only with one nurse.

Initial consult $450 Ultrasounds $280 IUI $450 Beta blood draw $90 Mock transfer $1250 FET $3800

I'm getting ready to do an FET and he really only likes to transfer 1 embryo to have the lowest risk possible of multiples.

I think Dr Pabon was a nice, soft spoken guy. My consult with him was good, I believed he was pretty thorough. He recommended we do IVF right away seeing as how I was 37 and counting. I really wanted to try IUIs first and he was ok with it. I’m not sure that I ever really connected with him, but it wasn’t a bad experience either.

Stay on top of your appointments. They weren’t great at calling me to get the next steps going. I always had to call to keep progressing.

I felt like a human mostly. Everyone was kind. I wouldn’t say that they remembered my name or anything, but they we're nice.

To start with the IUI process he put me on Femara instead of Clomid because it has less side effects and is safer for me. I started on CD 5 for three days. Ultrasound on CD 10 and Ovidrel HCG injection that night. IUI at CD 13. Started progesterone suppositories two days later to make sure I had a healthy lining and prevent miscarriage. Negative Result. The Ovidrel was horrendous for me. I shot my belly at 10pm and woke up in the middle of the night feeling super nauseous and dizzy with a pounding migraine. It lasted approximately 8hours. Second try- He added an additional day to the Femara so I took it four days instead of three to see if we could get more eggs released. Only injected half of the Ovidrel shot on CD11, no side effects. IUI on CD13. Negative Result. Third try no changes. Femara CD5 for four days, Ovidrel half shot CD10, IUI CD12, progesterone suppositories two days later. Negative Result.

Nothing much to speak of. Everyone was nice but not super helpful. There wasn’t anyone that I felt went above and beyond their duties. I had to call frequently with questions and follow ups.

I had a very blasé experience at this clinic. I was frequently left needing more answers. I was told the doctor was gonna have surgery so he couldn’t do my treatments for a month or two and no one ever contacted me back to get back on his schedule. I just didn’t feel the love here. There was nothing super wrong about the clinic, it just wasn’t a good fit.

Consultation, initial testing, and three IUIs cost approx $10k

NA we didn’t get that far

During our initial consultation visit, he reviewed our previous records of what procedures and treatment plans had been attempted and essentially formulated a plan without repeating diagnostic testing that was already performed thereby eliminating any unnecessary procedures, testing, costs, and basically time. He recommended that we attempt IVF with frozen specimens due to higher success rates. Overall, he did not "beat around the bush" and knew that we had been trying to conceive for over 5 years and wanted us to get the best results possible.

This type of issue requires the utmost patience and trust because although every aspect is calculated and measured, success does not always occur during the first attempt although it has happened for some couples.

From our initial visit in January 2014, the friendly staff always remembered our names and made us feel comfortable during every visit. Dr. Pabon was always cheerful often wearing a bow tie as he greeted us. During each and every visit, he spent ample time explaining the treatment plans along with potential side effects.

The protocols for each of the three egg retrievals was very similar in regard to the dosing of progesterone and of Lupron, however, the dosing of Follistim changed during each subsequent round of egg retrieval. The dosing of estrogen was similar during the first two rounds of treatment, but changed considerably (forgot if dose was increased for decreased) during the third egg retrieval. The dosing of medications after the three embryo transfers remained fairly consistent.

Besides Dr. Pabon, Ramona is the other main factor why we continued our treatments at this particular clinic. For over 2 years, she became part of our family as she showed us the needed compassion that our friends and family could not exhibit because they have never and will never understand our struggles of infertility. Ramona always knew the right words to say to us especially after the miscarriages, most notably the fetus at 8 weeks. She even cried with us as we carefully watched the ultrasound to find the heartbeat that no longer echoed on the screen. She had been present during every egg retrieval and during every embryo transfer. She often conveyed our medication instructions in detail and is the only nurse at this clinic to obtain blood during the first venipuncture attempt on visits when blood testing was necessary. Of course, she was present when we momentarily thought that we had another miscarriage, and she was so elated when she saw the beating heart.

Very professional setting and ideal location in Sarasota, FL. Christina was the initial office manager when we started our treatments, but had resigned during our time at the clinic. She was just wonderful and the one who initially coordinated our course in our so called quest. The waiting area is very clean as well as the examination/treatment rooms. The atmosphere is quiet but not too quiet and ideal for nervous couples during their first encounter. The staff is dressed professionally and always remained calm.

Egg retrievals were grouped under a standard cost that included the anesthesia staff, ultrasound, medications, monitoring, and other items. Transfer of frozen embryos also had a standard payment including one serum pregnancy test. Medications ordered from out of state pharmacy varied somewhat in costs due to changes in doses and at times medications.

Dr. Pabon was amazing and no words can express our gratitude for without him we would not have our son! He is truly an expert and we came to him for family balancing using the IVF and PGS procedure as we already had two daughters conceived naturally. We travelled from Atlanta and they managed my medications remotely, it was a year of trying and four IVF freeze protocols due to my ovaries that didn't respond very well to stimulation. He truly is a caring person, was "in it" with us throughout the process. He really took the time to guide us and when we had setbacks due to my stubborn ovaries he was very thorough in explaining options and managing our expectations. You can tell he loves his job and is passionate about assisting his patients to help them achieve the gift of life. Personalized service throughout and we are so very happy we found and chose him.

Look no further and choose him. He is at the forefront of the latest advances in his field. Read through the very thorough information that he has on his website so you will have educated yourself first so you would be able to ask more specific questions about possible treatment options.

Very personalized plan and protocols and individualized service and they remember your name and situation

We did IVF with PGS for family balancing. I'm advanced maternal age -37/38 when we started the journey and 39 when our baby was born. The first round my ovaries didn't respond well to stimulation. Follistim, Lupron and Hcg were prescribed and they did a live sperm ICSI and it resulted with 4 fertilized embryos and only one lasted into day 5 and it was discovered that it was the gender we wanted but abnormal chromosomes after the PGS testing. We did the next two stimulations with a higher dosage of Follistim and also a live ICSI and froze the embryos. This was the procedure recommended as my ovaries were "stubborn" and only produced a little bit of eggs per stimulation. In the fourth stimulation the embryos with the same live ICSI protocol was blended with the thawed Day 1 embryos from IVF cycles 2 and 3 and all grown together to Day 5 embryos then tested with the latest PGS technology. In the end we ended up with one embryo for each gender and one abnormal day 5 embryo.

Diane, Ramona, Christine as well as the other staff were always great. Friendly, knowledgeable, professional, responsive, caring, compassionate, among other things

All trustworthy, all strengths, all positives, highly recommended and we are happy clients with our amazing baby gift that resulted from our experience with Dr Pabon and his team

His costs are very transparent and listed on his website. The IVF cycle pricing is very fairly priced and a value if you consider the level of care and personal expert service you receive from their team: The most advanced PGS screening is an expensive additional expense but so worth it. The follistim and other medications are expensive so make sure you factor that in when you are trying to anticipate costs. The lazier your ovaries are the more expense it will be for the medications bec the higher the dosage.

Dr. Pabon is amazing! He takes the time to get to know his patients. He explained everything to us and all of our options during our treatment with him. He is compassionate and really wants what is best for the family not just his office. During both of our pregnancies we had early bleeding and he got us right in and assured us everything would be fine! When we grieved our chemical pregnancy, I felt like he was right there with us. He was also available to answer questions and called us back himself anytime we had one. We truly love Dr. Pabon

Trust him. He knows what he is doing and really wants the best outcome for you and your family.

The staff and Dr. Pabon are amazing! They knew us by name after the first visit, they all knew our chart well and were able and available to answer any questions we had. They did amazing follow ups with us and we even went back to visit both during our first pregnancy and after our son was born. We are excited to go back and see them this pregnancy, they are like family to us

When we went to Dr. Pabon initially we had unexplained infertility and PCOS. He talked through our options of doing IUI vs Invitro. We wanted to be more aggressive in our treatments so we choose to do IVF. The first round of IVF we did I ended up hyper stimulating with 29 eggs and getting ill which called for an all freeze cycle. Only three of our embryos made it to day 5. We transferred 1 embryo the following month which resulted in a chemical pregnancy. The following cycle we transferred the two remaining embryos (poor quality) which resulted in a negative pregnancy test. Heart broken we decided to try one more round. Dr. Pabon introduced us to the idea of doing PGS which we choose to do. He adjust our medications and added a vitamin regime of COQ10 and melatonin to our meds. We did our second round with out hyper stimulating which resulted in 4 embryos making it to the PGS testing. 2 embryos went to testing first 1 was missing a set of chromosomes and was labeled as unusable the second embryo in that group resulted in a full term pregnancy with our first son. Our second embryos came back 1 male and 1 female. Those two embryos went to long term storage In August of this year, we transferred our second male embryo and the female went to storage. I am now in my 31st week of pregnancy with our second boy.

Ramona is fantastic, she is extremely knowledgeable and friendly. She was able to answer a lot of our questions. Diane is the other nurse she is also amazing. She has a great bedside manner and is extremely personable. Ashley works or is with the embryologist. She is friendly and helps find answers to questions about treatments

The clinic is extremely private. Clean and organized. They don't allow children to come to appointments because of sensitivity issues and you are asked to place your cell phone in a basket or refrain from bringing it to appointments.

We did two cycles of IVF which were about 10,000 each, one had PGS which a was a little bit more. Our embryo transfers were around 5,000 each and we paid for 2 out of the 3 of them (one was covered in our IVF cost)

Dr Pabon was great. From the first visit he sat and talked with me any my husband and knew his stuff. He was very knowledgable. He personally called me several times to check on my after procedures and to give me the good news that I was pregnant. He would take time to answer questions after an appointment. He really wants to help couples have a family.

Go in with an open mind and don't be afraid to ask questions. Listen to what he says and he will help you.

The entire office always greeted me, knew my name and I felt like they cared. They were happy for us when we got pregnant.

We started off with trying IUIs., when these did not work we went to IVF. This started off with injections to help produce eggs. I had to go in for several ultrasounds to determine when it was time for retrievial. So many injections. I was put under anesthesia for this procedure. It seemed to take minutes to do. I was over stimulated so my embryos had to be frozen. I was put on more hormones and the transfer happened a few months later. Two embryos were transferred. I became pregnant and stayed on a bunch of hormones until I was 12 weeks along.

They were awesome! So sweet and caring.

Never a long wait. They scheduled each patient so that you typically never saw anyone. They were also considerate to our feelings. If someone came in with a child and knew it might upset you, they would let you go out the back door.

I think all together with all treatments and medications it was around $20,000.

Doctor is very matter a fact. He is nice but can be hard to read. I have only seen him one time and all I’ve gotten done is blood tests and genetic screening. He did not do a baseline ultrasound knowing that I have PCOS.

Be blunt on what you want

No communication. Will find out results to a blood test weeks later.

Femara 7.5mg and timed intercourse

They were ok. I have not dealt with them much

Be blunt on what you want. The first appointment goes fast and the doctor talks fast too. Have them write doelwn what you need to do. When I left the appointment I was still very confused and I felt rushed out.

The first consultation cost 300 just to talk to him and get an appointment

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